Seria muy bueno tener una version en español de todo el contenido academico que tiene disponble. Creo que los Anestesiologos de latinoamerica podrian aprender mucho mas de Anestesia regional. Sus videos son geniales Dr.
Thank you for your comment. Unfortunately we are currently unable to make such videos, but we are adding Spanish translations to our current videos, we are also working on translating the NYSORA Nerve Blocks mobile app into Spanish
Great video ,thank you so much. Just wanted to know does your surgeon need a tourniquet for the CTD if does where you put it. Mid forearm TQT may not be comfortable though the procedure is a quick one. My surgeon always needs an arm tourniquet and he does the block himself at the crease of the wrist…
Yo lo que quisiera saber si con las inyección no lastiman el nervio del brazo mi pregunta es porque yo fui operada de la planta facial con la técnica tenex y ya tenía el nervio tibial dañado y con la operación se empeoró ahora no solo me duele al caminar si no que me lástima al estar parada y yo sé que el dr lo inyectó porque el agujero de la Abuja tardo en cerrar me operaron en diciembre 22 y asta el día de hoy está inflamado ahí yo ya lo tenía dañado y ahora me duele el doble
I have had 3 Beir blocks, they worked great and lasted a long time. Very simple procedure , just curious as to the benefits of this procedure vs a Beir, which seems a lot easier with less potential of complications. Anyone? Thanks in advance, binge watching these!
B block definitely so much simpler for this 10 minutes procedure….I can’t disagree with you…you need US and special needles….where as BBlock all I need is a double lumen Cuff…my surgeon has asked for B Block for revision CTD…MPH, Taunton.
I find Bier block is excellent for shorter procedures of the hand as it is limited by tourniquet use, patients Will develop pain,so it depends on the surgeon expertise and I also find limited use in fractures due to manipulation to accomplish exsanguination 😊
Hi Alberto, Thank you for your comment. We strongly recommend this source for the clinically proven standardized nerve block techniques: www.nysora.com/nysora-product-nerve-block-app/ This is the source used by NYSORA's students, fellows, and over 10,000 clinicians worldwide". Greetings!
By all means. Walant technique is an infiltration of local anesthetic. There are 3 drawbacks to Walant: 1) You need time to do this properly and supplement as necessary 2) It causes swelling of the surgical field 3) It does not provide anesthesia for Tourniquet. So, as long as you have enough time (not too many patients), do not mind swelling and you can operate fast so that Tourniquet is not an issue, it is sufficient. Our surgeons value our service and wrist blocks because they do large volume hand surgery - one surgeon does as many as 10-30 patients/day. The only way you can do this - is with a dedicated regional anesthesia service. Best regards
Hi sir , I have a question Some surgeons prefer an arm tourniquet for carpel tunnel release and also metacarpal procedures , Then should we prefer a infraclavicular approach of brachial plexus blockade along with an infiltration in the arm to block ICB nerve for tourniquet or can we go ahead with a forearm wrist block and an infiltration of ICB nerve for tourniquet ??
Hi , My friend's baby's wrist covered with umbilical cord when she was born and after wrist there was no growth. Baby is 7Months old . What can be done ? Please reply . She is helpless.
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Dr hadzic you are great teacher. Please continue doing such videos
The reverse U/S anatomy is so money-thanks NYSORA!
Thanks dear Hadzic great teacher 🙏
Seria muy bueno tener una version en español de todo el contenido academico que tiene disponble.
Creo que los Anestesiologos de latinoamerica podrian aprender mucho mas de Anestesia regional.
Sus videos son geniales Dr.
Thank you for your comment. Unfortunately we are currently unable to make such videos, but we are adding Spanish translations to our current videos, we are also working on translating the NYSORA Nerve Blocks mobile app into Spanish
@@nysoravideo Thank you, I am an anesthesiologist and I use the videos in my clinical practice.
Greetings from Colombia.
Sería muy bueno que aprendas inglés además. Saludos
@@gerardofabiancacciabue4014 no es agradable tu comentario bendiciones
@@happygamer2947 No te enganches . Bendiciones
Very Informative. Many thanks for the video.
Glad it was helpful!
Does this block cover the hand bones too , or do you need to block the deep radial nerve for this??
Thank you so much!
thank you
Hi, how can you get the patient doesn’t complain about the insertion of the needle. Are you using sedation?
What should I do when applying tourniquet to a patient?
Great video ,thank you so much. Just wanted to know does your surgeon need a tourniquet for the CTD if does where you put it. Mid forearm TQT may not be comfortable though the procedure is a quick one. My surgeon always needs an arm tourniquet and he does the block himself at the crease of the wrist…
thanks Dr
Welcome!
Yo lo que quisiera saber si con las inyección no lastiman el nervio del brazo mi pregunta es porque yo fui operada de la planta facial con la técnica tenex y ya tenía el nervio tibial dañado y con la operación se empeoró ahora no solo me duele al caminar si no que me lástima al estar parada y yo sé que el dr lo inyectó porque el agujero de la Abuja tardo en cerrar me operaron en diciembre 22 y asta el día de hoy está inflamado ahí yo ya lo tenía dañado y ahora me duele el doble
Thank you so much sir for detail explanation...
Most welcome
At 14:22 minutes after start of the video, it is mentioned that interosseous artery accompanies median nerve. Is this true ?
Excellent
I have had 3 Beir blocks, they worked great and lasted a long time. Very simple procedure , just curious as to the benefits of this procedure vs a Beir, which seems a lot easier with less potential of complications. Anyone? Thanks in advance, binge watching these!
B block definitely so much simpler for this 10 minutes procedure….I can’t disagree with you…you need US and special needles….where as BBlock all I need is a double lumen Cuff…my surgeon has asked for B Block for revision CTD…MPH, Taunton.
Bier block is an obsolete 100 year old block. If you don't want to do a real nerve block just give propofol.
I find Bier block is excellent for shorter procedures of the hand as it is limited by tourniquet use, patients Will develop pain,so it depends on the surgeon expertise and I also find limited use in fractures due to manipulation to accomplish exsanguination 😊
Is it safe to associate a vasoconstrictor (epinephrine) to the local anesthesic in these forearm blocks?
Hi Alberto, Thank you for your comment. We strongly recommend this source for the clinically proven standardized nerve block techniques: www.nysora.com/nysora-product-nerve-block-app/ This is the source used by NYSORA's students, fellows, and over 10,000 clinicians worldwide". Greetings!
is it possible to combine a walant and trunk block for carpal tunnel surgery and finger surgery.
Thank you 🙏
By all means. Walant technique is an infiltration of local anesthetic. There are 3 drawbacks to Walant: 1) You need time to do this properly and supplement as necessary 2) It causes swelling of the surgical field 3) It does not provide anesthesia for Tourniquet. So, as long as you have enough time (not too many patients), do not mind swelling and you can operate fast so that Tourniquet is not an issue, it is sufficient. Our surgeons value our service and wrist blocks because they do large volume hand surgery - one surgeon does as many as 10-30 patients/day. The only way you can do this - is with a dedicated regional anesthesia service. Best regards
Hi sir , I have a question
Some surgeons prefer an arm tourniquet for carpel tunnel release and also metacarpal procedures ,
Then should we prefer a infraclavicular approach of brachial plexus blockade along with an infiltration in the arm to block ICB nerve for tourniquet or can we go ahead with a forearm wrist block and an infiltration of ICB nerve for tourniquet ??
Hace el bloqueo de muñeca y además bloquear el icb para que soporte el manguito.
Hi , My friend's baby's wrist covered with umbilical cord when she was born and after wrist there was no growth. Baby is 7Months old . What can be done ? Please reply . She is helpless.
Baby is real so consult a REAL DOCTOR IN REAL LIFE!!
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