US-guided Axillary Brachial Plexus Block - the Simple Guide

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  • เผยแพร่เมื่อ 4 มิ.ย. 2024
  • This is a simple step-by-step guide to the basic principles of safe and effective axillary brachial plexus blockade. A 2nd video with further tips and tricks is here - • US-guided Axillary Bra...
    00:07 - Indications
    00:32 - Preparation
    01:10 - Positioning
    01:46 - Scanning phase
    02:20 - US anatomy
    05:04 - Perivascular injection technique
    06:12 - Perivascular injection video
    07:16 - Perineural injection technique
    10:24 - Perineural injection video 1
    13:24 - Perineural injection video 2
    14:53 - Clinical pearls
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ความคิดเห็น • 25

  • @KiJinnChin
    @KiJinnChin  4 ปีที่แล้ว +15

    Remember: blocks take time to work! Always allow up to 15 minutes for onset of surgical anesthesia.
    00:07 - Indications
    00:32 - Preparation
    01:10 - Positioning
    01:46 - Scanning phase
    02:20 - US anatomy
    05:04 - Perivascular injection technique
    06:12 - Perivascular injection video
    07:16 - Perineural injection technique
    10:24 - Perineural injection video 1
    13:24 - Perineural injection video 2
    14:53 - Clinical pearls

  • @shamilbassaiev9332
    @shamilbassaiev9332 3 ปีที่แล้ว +2

    Best video ever since Dr Paul 15 years ago.

  • @vaishalibhatejoshi7328
    @vaishalibhatejoshi7328 4 หลายเดือนก่อน

    One of the best videos I have ever seen ! Thank you !

  • @freshgasflow
    @freshgasflow ปีที่แล้ว +1

    I have done this block probably over a hundred times .... and yet I find this video and the one following absolutely amazing. It really explains things in a clinically relevant way, and I will recommend it to some big Facebook groups ! Thank you.

  • @uramalakia
    @uramalakia 3 ปีที่แล้ว +8

    "Thank you for watching." No, good sir. Thank YOU!

  • @dennerdovandojr.8878
    @dennerdovandojr.8878 3 ปีที่แล้ว +2

    Anesthesia resident here.
    Amazing video.
    So much detail and explanation.
    Thank you very much for your work.
    Happy New Years

  • @iqtidarbaig8532
    @iqtidarbaig8532 8 หลายเดือนก่อน

    This is not excellent but above excellent video, rather i don't find words to admire your such a nice effort. Thank you very much. Dear sir please post video on interscalene block. Once again thanks.

  • @vlaeldale
    @vlaeldale 3 ปีที่แล้ว +2

    Самое толковое видео по аксиллярной блокаде.Спасибо.

  • @fernfernsone
    @fernfernsone 7 หลายเดือนก่อน

    Thank you so much this is so helpful

  • @mj-uy8sd
    @mj-uy8sd 3 ปีที่แล้ว

    Thank you very much, your my best us regional teacher

  • @georgjacobs4442
    @georgjacobs4442 3 ปีที่แล้ว +1

    Many thanks Professor, very clear and instructive.

  • @frogringer
    @frogringer 4 ปีที่แล้ว

    thanks for this excellent video. best I've found on this procedure by far. cheers

  • @auriga3664
    @auriga3664 3 ปีที่แล้ว

    Thank you for the detailed video 😊

  • @omar-iv9xi
    @omar-iv9xi 3 ปีที่แล้ว

    Very nice scientific and simple explanation manner, thank you very much

  • @MrVeer58
    @MrVeer58 ปีที่แล้ว

    Many thanks for the video.

  • @mathu2008
    @mathu2008 10 หลายเดือนก่อน

    excellent demo. at 2:47 in the video please correct the labelling to biceps from coracobrachialis

    • @KiJinnChin
      @KiJinnChin  10 หลายเดือนก่อน

      Ah ... but it isn't biceps. It is all coracobrachialis at this level. This was a misconception we all had for a long time. The fascial plane through which MCN travels is actually through coracobrachialis.

  • @firelight3912
    @firelight3912 3 ปีที่แล้ว +1

    Not Good work....
    It is Excellent work...
    Thanks prof.

  • @wafaibrahim369
    @wafaibrahim369 3 ปีที่แล้ว

    Thanks a lot for sharing

  • @gungthey84
    @gungthey84 3 ปีที่แล้ว

    Thanks, Sir. Need a guide on supraclavicular brachial plexus block, where to inject - inside or outside the sheath?

  • @Constyish
    @Constyish 3 ปีที่แล้ว

    Dear mr. Chin, first a lot thank yous for making this excellent series of very clear and instructional video's!
    I wonder what your take would be on performing this block with lidocain 1% with or without adrenaline when using it for arm procedures like reducing distal radial fractures. When using lidocain 1% without adrenaline the maximal volume is often

    • @KiJinnChin
      @KiJinnChin  3 ปีที่แล้ว +1

      30 ml of 1% lidocaine = 300mg. This is still within recommended limits of 5 mg/kg or 350mg - see Table 1 in this article - pubmed.ncbi.nlm.nih.gov/26830640/ and here - photos.app.goo.gl/RoceH3jrwSHpSVJK6

  • @iqtidarbaig8532
    @iqtidarbaig8532 8 หลายเดือนก่อน

    Sir when you are going to post video on interscalene block both long and short version. Thanks

    • @KiJinnChin
      @KiJinnChin  8 หลายเดือนก่อน

      I must say that I almost never do interscalene blocks anymore. I only do superior trunk blocks - you can find short and long videos describing this block on my channel. However I also have videos illustrating an OOP interscalene catheter approach which covers some of the basic concepts.

  • @soundreign2319
    @soundreign2319 4 ปีที่แล้ว

    I received the brachial plexus injection for my left arm and left hand 2 weeks ago for pain from a condition I have called complex regional pain syndrome. Is it normal to have pins and needle or stitch like pain in the neck, shoulder, chest, face and ear on the side (the left side) of where the injection was? If so, how long does this post injection pain last for?