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MY Special Interest Group in Regional Anaesthesia
Malaysia
เข้าร่วมเมื่อ 23 ก.ค. 2020
Welcome to the official TH-cam channel of the Malaysian Special Interest Group in Regional Anaesthesia (MY sigRA).
Do subscribe to this channel to support the production of content.
For more information, visit our website at rra.my
Do subscribe to this channel to support the production of content.
For more information, visit our website at rra.my
Fluid & Hemodynamic Management in Recipient Renal Transplant Surgery by Dr Kwok Fan Yin (WISAC 2023)
The following talk on “Perioperative Fluid and Hemodynamic Management in Recipient Renal Transplantation Surgery" was delivered by Dr Kwok Fan Yin during the Wilayah and Selangor Anaesthesia Conference (WISAC) 2023.
This conference was organized by the Department of Anaesthesia and Intensive Care of Hospital Ampang on 18-19 November 2023. In person conference was held at the Everly Putrajaya and was also hosted online via the Google Meet platform.
00:00: Don't forget to subscribe and share!
00:04: Introduction
01:16: Rationale for renal transplantation and impact of perioperative care
02:28: Type of fluids to use
09:35: Volume of fluids
10:53: Impact of hemodynamics monitoring
13:01: Timing of fluid administration
13:50: Addional points on hemodynamic monitoring
16:59: Inotropes and vasopressors
18:49: Summary and local HKL practice
Don't forget to subscribe for more upcoming videos from WISAC 2023. If you like the work done for the channel, you may now show your support by buying Super Thanks in TH-cam.
This conference was organized by the Department of Anaesthesia and Intensive Care of Hospital Ampang on 18-19 November 2023. In person conference was held at the Everly Putrajaya and was also hosted online via the Google Meet platform.
00:00: Don't forget to subscribe and share!
00:04: Introduction
01:16: Rationale for renal transplantation and impact of perioperative care
02:28: Type of fluids to use
09:35: Volume of fluids
10:53: Impact of hemodynamics monitoring
13:01: Timing of fluid administration
13:50: Addional points on hemodynamic monitoring
16:59: Inotropes and vasopressors
18:49: Summary and local HKL practice
Don't forget to subscribe for more upcoming videos from WISAC 2023. If you like the work done for the channel, you may now show your support by buying Super Thanks in TH-cam.
มุมมอง: 70
วีดีโอ
Evidence Based Practice: RA Application in Shoulder Surgery (Murni Mansor, RAPM 2024)
มุมมอง 23วันที่ผ่านมา
The following lecture on "Evidence Based Practice: RA Application in Shoulder Surgery" was delivered by Dr Murni Mansor, Anaesthesiologist from Hospital Raja Perempuan Zainab II Kota Bharu, Malaysia for the 1st World Day of RAPM 2024. The conference was held on 27th January 2024 at the Connexion Conference & Event Centre, Bangsar South City, Kuala Lumpur. 00:00: Don't forget to subscribe and sh...
Upper Limb Blocks: Infraclavicular & Axillary Brachial Plexus Blocks
มุมมอง 27814 วันที่ผ่านมา
The following lecture on "Upper Limb Blocks: Interscalene & Supraclavicular Brachial Plexus Blocks" was delivered by Dr Mohd Akhmal Mohd Ashraf for the Hospital Melaka Regional Anaesthesia CME. 00:00: Don't forget to subscribe and share! 00:05: Introduction 00:42: Overview of the brachial plexus 01:58: The infraclavicular block and relevant anatomy 03:21: Positioning and sonoanatomy for the inf...
Pharmacology Revision (Part 2) - Ampang Primary Course 2024 (Mah Kin Kheong)
มุมมอง 5821 วันที่ผ่านมา
The following lecture on "Introduction to Pharmacology (Part 2)" was delivered by Prof Dr Mah Kin Kheong from UniKL. This was delivered during the Hospital Ampang Primary Course on 28th & 29th July 2024 at Hospital Ampang, Malaysia. 00:00: Don't forget to subscribe and share! 00:05: Distribution (pharmacokinetics) 00:36: Volume of distribution 09:17: Factors affecting the volume of distribution...
Fascial Plane Blocks for Cardiac Surgery by Dr Mohd Fahmi Zakariah (NRAS 2023)
มุมมอง 50หลายเดือนก่อน
The following lecture on "Fascial Plane Blocks for Cardiac Surgery" was delivered by Dr Mohd Fahmi Zakariah from Gleneagles Hospital Medini, Johor, Malaysia. This was delivered during the 2nd National Regional Anaesthesia Symposium (NRAS) 2023. This was held on 4th - 5th March 2023 at the Jen Johor Puteri Harbour Hotel in Johor Bahru, Malaysia. 00:00: Don't forget to subscribe and share! 00:52:...
Role of Anaesthetist In Donor Identification and Management by Sharini Pillai V. Pillai (WISAC 2023)
มุมมอง 67หลายเดือนก่อน
The following talk on “Role of Anaesthetist In Donor Identification and Management” was delivered by Dr Sharini Pillai during the Wilayah and Selangor Anaesthesia Conference (WISAC) 2023. This conference was organized by the Department of Anaesthesia and Intensive Care of Hospital Ampang on 18-19 November 2023. In person conference was held at the Everly Putrajaya and was also hosted online via...
Back to Basics: Shoulder Anatomy for RA (Mohd Afiq Syahmi Ramli, RAPM 2024)
มุมมอง 52หลายเดือนก่อน
The following lecture on "Back to Basics: Shoulder Anatomy for Regional Anaesthesia" was delivered by Dr Mohd Afiq Syahmi Ramli, Consultant Anaesthesiologist from Hospital Columbia Asia, Malaysia for the 1st World Day of RAPM 2024. The conference was held on 27th January 2024 at the Connexion Conference & Event Centre, Bangsar South City, Kuala Lumpur. 00:00: Don't forget to subscribe and share...
The 2023 AHA-ASA Guidelines On the Management of Aneurysmal SAH
มุมมอง 136หลายเดือนก่อน
The following lecture on "The 2023 AHA-ASA Guidelines On the Management of Aneurysmal SAH" was delivered by Dr Athirah Rashid for the Hospital Melaka Journal Club CME. 00:00: Don't forget to subscribe and share! 00:05: Introduction 01:49: SAH-associated brain injury 03:52: Acute evaluation 05:30: Hospital characteristics and system of care 05:41: Pre clipping/coiling care 07:12: Anaesthetic man...
Pharmacology Revision (Part 1) - Ampang Primary Course 2024 (Mah Kin Kheong)
มุมมอง 1042 หลายเดือนก่อน
The following lecture on "Introduction to Pharmacology (Part 1)" was delivered by Prof Dr Mah Kin Kheong from UniKL. This was delivered during the Hospital Ampang Primary Course on 28th & 29th July 2024 at Hospital Ampang, Malaysia. 00:00: Don't forget to subscribe and share! 01:11: Pharmacokinetics - ADME 01:41: Absorption 02:13: Bioavailability 08:28: Factors affecting bioavailability 09:32: ...
Truncal Blocks for Kids by Dr Nur Hafiizhoh (NRAS 2023)
มุมมอง 622 หลายเดือนก่อน
The following lecture on "Truncal Blocks for Kids" was delivered by Dr Nur Hafiizhoh Abd Hamid from Hospital Sultanah Bahiyah Alor Setar, Malaysia. This was delivered during the 2nd National Regional Anaesthesia Symposium (NRAS) 2023. This was held on 4th - 5th March 2023 at the Jen Johor Puteri Harbour Hotel in Johor Bahru, Malaysia. 00:00: Don't forget to subscribe and share! 01:35: Truncal b...
Apneic Oxygenation by Dr Shahridan Fathil (WISAC 2023)
มุมมอง 2302 หลายเดือนก่อน
The following lunch talk on “Apneic Oxygenation” was delivered by Dr Shahridan Mohd Fathil during the Wilayah and Selangor Anaesthesia Conference (WISAC) 2023. This conference was organized by the Department of Anaesthesia and Intensive Care of Hospital Ampang on 18-19 November 2023. In person conference was held at the Everly Putrajaya and was also hosted online via the Google Meet platform. 0...
1st Q&A and Discussion Session of RAPM 2024 (Dr Amiruddin, Dr Shahridan, Dr Afifi, Dr Khoo)
มุมมอง 542 หลายเดือนก่อน
The following discussion moderated by Dr Amiruddin, explored further on topics presented earlier related to RA journal reviews for the 1st World Day of RAPM 2024. The conference was held on 27th January 2024 at the Connexion Conference & Event Centre, Bangsar South City, Kuala Lumpur. Apologies for the audio quality due to "technicalities". 00:00: Don't forget to subscribe and share! 00:07: Ope...
The CRASH Series of Trials
มุมมอง 1103 หลายเดือนก่อน
The following lecture on "The CRASH Series of Trials", which cover 3 trials related to the medical management of trauma, was delivered by Dr Melissa Lau Su Yin for the Hospital Melaka Journal Club CME. 00:00: Don't forget to subscribe and share! 00:05: Introduction 01:55: CRASH (1): Corticosteroids in traumatic brain injury (TBI) 12:17: CRASH-2: Tranexamic acid in major trauma 14:48: Pharmacolo...
Blocks for Major Breast Surgery by Dr Woon Kwee Lian (NRAS 2023)
มุมมอง 1183 หลายเดือนก่อน
The following lecture on "Blocks for Major Breast Surgery" was delivered by Dr Woon Kwee Lian from Changi General Hospital, Singapore. This was delivered during the 2nd National Regional Anaesthesia Symposium (NRAS) 2023. This was held on 4th - 5th March 2023 at the Jen Johor Puteri Harbour Hotel in Johor Bahru, Malaysia. 00:00: Don't forget to subscribe and share! 01:16: Understanding breast s...
Inotropes and Vasopressors in Critical Care (Dr Vimal Varma)
มุมมอง 2653 หลายเดือนก่อน
The above talk by Dr Vimal Varma for the Critical Care Management Course For Non-ICU Doctors was originally delivered online on 31 July 2021. Apologies for the delayed publication. Do take note (for international viewers) that this course was delivered predominantly in English, with a sprinkling of Malay. The MY sigRA team would like to thank the organizing team for choosing our platform as the...
Upper Limb Blocks: Interscalene & Supraclavicular Brachial Plexus Blocks
มุมมอง 2483 หลายเดือนก่อน
Upper Limb Blocks: Interscalene & Supraclavicular Brachial Plexus Blocks
Anterior Quadratus Lumborum Block by Dr Ng Sze Teck (NRAS 2023)
มุมมอง 1364 หลายเดือนก่อน
Anterior Quadratus Lumborum Block by Dr Ng Sze Teck (NRAS 2023)
Pediatric NORA & Sedation Q&A Session (WISAC 2023)
มุมมอง 1064 หลายเดือนก่อน
Pediatric NORA & Sedation Q&A Session (WISAC 2023)
Role of RA in Prevention of Chronic Postoperative Pain (Khoo Eng Lea, RAPM 2024)
มุมมอง 964 หลายเดือนก่อน
Role of RA in Prevention of Chronic Postoperative Pain (Khoo Eng Lea, RAPM 2024)
Crossfires: The Paradox of Choice - "Old Blocks Are As Good As New Blocks" (NRAS 2023)
มุมมอง 894 หลายเดือนก่อน
Crossfires: The Paradox of Choice - "Old Blocks Are As Good As New Blocks" (NRAS 2023)
Perioperative Management of Fluid & Blood Loss in Children by Dr Felicia Lim (WISAC 2023)
มุมมอง 3975 หลายเดือนก่อน
Perioperative Management of Fluid & Blood Loss in Children by Dr Felicia Lim (WISAC 2023)
POCUS assessment for RA related complications (Ahmad Afifi Mohd Arshad, RAPM 2024)
มุมมอง 995 หลายเดือนก่อน
POCUS assessment for RA related complications (Ahmad Afifi Mohd Arshad, RAPM 2024)
Volatile Agents vs TIVA in Neuroanaesthesia
มุมมอง 1065 หลายเดือนก่อน
Volatile Agents vs TIVA in Neuroanaesthesia
Scanning Spree Session - Part 4 - Paravertebral Scan (NRAS 2023)
มุมมอง 1156 หลายเดือนก่อน
Scanning Spree Session - Part 4 - Paravertebral Scan (NRAS 2023)
Paediatric Anaesthesia and Sedation in Remote Area by Dr Lutfi Nijar (WISAC 2023) (Reupload)
มุมมอง 2126 หลายเดือนก่อน
Paediatric Anaesthesia and Sedation in Remote Area by Dr Lutfi Nijar (WISAC 2023) (Reupload)
Patient Satisfaction with Regional Anaesthesia (Shahridan Mohd Fathil, RAPM 2024)
มุมมอง 1097 หลายเดือนก่อน
Patient Satisfaction with Regional Anaesthesia (Shahridan Mohd Fathil, RAPM 2024)
Regional Anaesthesia Symposium Q&A Session (WISAC 2023)
มุมมอง 1167 หลายเดือนก่อน
Regional Anaesthesia Symposium Q&A Session (WISAC 2023)
Scanning Spree Session - Part 3 - Paravertebral Scan (NRAS 2023)
มุมมอง 2627 หลายเดือนก่อน
Scanning Spree Session - Part 3 - Paravertebral Scan (NRAS 2023)
Anatomical Structures to Identify During Basic Blocks
มุมมอง 3607 หลายเดือนก่อน
Anatomical Structures to Identify During Basic Blocks
thank you
You're welcome!
Thanks.
You're welcome!
Well done Dr Joseph! Hope you remember me!
thank you
You're welcome!
Thank you for recording and showing the dynamic scanning and pointing out the anatomy along the way! I feel that many other resources simply show the ultrasound image or a brief video of needle driving which are not the things that are difficult in the fascia iliaca block. Target acquisition is the hardest part!
Glad it was helpful!
Sir can you state the syllabus of mcai part 1 only?
You may refer to the official syllabus here: www.anaesthesia.ie/wp-content/uploads/2023/09/MCAI-Syllabus-2023.pdf
thank you
You’re welcome!
thank you. fruitful discussion
You’re welcome!
Manoj da 😊
Hope you liked it!
Yes, of course
thank you
You're welcome!
thank you
Welcome!
thank you
You're welcome!
Thanks for the good presentation. One question please, what the exact site of deposition of LA, Is it between QLM and ant thoracolumbar fascia? Or where? .many thanks again.
The site is within the thoracolumbar fascia, at the plane between the psoas major and qudratus lumborum muscles
Can you please tell the paper mentioned in 9:00
I won't be able to personally help with this. Unfortunately this talk much predated the editor's involvement creating this channel. Additionally the speaker himself is not from Malaysia. This is the closest link I was able to find: www.elsevier.es/es-revista-colombian-journal-anesthesiology-342-pdf-S2256208715000565 Amir
@@MYsigRA Thank you
thank you
You're welcome
appreciate it
You’re welcome!
thank you
No problem!
thank you😊
You're welcome 😊
thank you😊
No problem
thank you
Welcome!
thank you
You're welcome
Amazing story. Thanks for sharing your experience. It’s also a motivation for anyone seeking academic excellence.
Glad you enjoyed it!
In future the master of ceremonies must be dressed up professionally and not just wear scrub suits and be MC as doctors are professional people
Best teacher for block
thank you
You're welcome
Beside very bad US machine there's very bad explanation....
Um… thanks?
Why max ropi 4mg/kg
Hi Can you re-clarify the context of your question? Thanks
Thank you Dr for making this channel, uploading the talks for medex revisio. Your achievements are so inspiring🫡how to get such grit
I'm just a normal man, tq! - anakayub
🎉🎉🎉
Tqtq
such a valuable insight dr amir. thank you for the sharing session
No problemo!
Great job…thank you!
Thank you!
Thanks doctor
Thank you!
عليكم السلام ورحمة الله و بركاته
Blessings for you too!
Excellent.. thanks dr iskandar..
Do share with others and don't forget to subscribe!
When you rotate the prove 90degrees, your prominent bone is AIIS not ASIS right?
You are correct
👍 awesome
Thanks!
❤
👍
terima kasih ilmunya..salam dri indonesia
Sama-sama kasih!
Very nice teaching👌
Thanks for liking
Whether this ql block will affect lumbar artery mam ?? Can please help
I will quote from here: pubs.asahq.org/anesthesiology/article/130/2/322/20073/Quadratus-Lumborum-BlockAnatomical-Concepts "The proximity of quadratus lumborum block to the pleura and kidney in the subcostal anterior approach presents a risk because of direct needle trauma.10 The risks of bleeding complications are not yet known. There is no evidence for the stratification of the risk of bleeding based on quadratus lumborum approaches. The posterior and lateral quadratus lumborum block approaches use a fascial plane through which the abdominal branches of the lumbar arteries course. The anterior quadratus lumborum block is a deep block, close to the lumbar plexus and risks retroperitoneal spread of hematoma. Therefore, the authors recommend that, for all approaches, the American Society of Regional Anesthesia and Pain Medicine guidelines for deep peripheral blocks be followed." In summary, there are theoretical risks, but objectively there is no concrete evidence (yet) of increased complications with various QL blocks.
Very nicely demonstrated... Ur teaching👌👌
Nice demonstration
Thank you
One of the best video for fascia iliac block. Go more depth on ultrasound and you can even get peng block
useful presentation, thank you for posting.
Glad it was helpful!
For CS, WHAT LEVEL WE GIVE WHEN DOING ESP BLOCK.T10 OR T11?
point of injection of whether T10 or T11 doesnt make much of a difference coz the injected volume spread will carry it there anyway.. at least at a sonographic point of 4-5 TP caudad away from the end of rhomboids shd be enough if intention is for post op incisional wound analgesia at T12- L1
Tq Dr Azrin
great
Thanks!
can also view our modified shortcut technique for suprainguinal FICB approach in our other video in this channel
Tq Dr Azrin
Excelent work. I’ve seen other renowned doctors showing on presentations a rate of up to 75% of obturator nerve block with 40 ml of LA on the supra inguinal fascia iliaca block. I suspect live human tissues have different viscosity and lymph between muscles that may “dry” and “adhere”, promoting a more difficult spread of LA (my theory). A subsequent study using LA+ contrast could be made in patients pre hip surgery to enlighten us better and a MRI exam right before surgery (choosing elective patients). A clinical vs cadaver study made by the same blocker would be very interesting. This question is of pivotal importance in the pursue of hip arthoplasty analgesia improovement. Should we choose the supra inguinal FIB or should we aggregate the PENG block + FN + FlatCN block? Wich route…? 🤔
Thanks for your input!
Intersting input... agree.. living and cadaveric tissues may provide different dynamics for fluid (ie LA) spread which may affect clinical presentation. Even when injections are done by the same operator, inter-individual patient variability may also affect clinical presentations observed. Ideally, in centres whereby the facility is available, contrast studies done immediately after injection is best to assess spread but unfortunately its not available in many centres and it is not practically possible due to logistic reasons. As for choice of block, those 2 are definite options, but to consider the need for coverage of incision site, my choice would be the FICB.. and via the suprainguinal approach
Thanks👍🏾
No problem 👍