Some orthopedics are against nerve blocks in proximity to hip surgery site for fear of infections. Evidence proves them wrong but I think this is the biggest obstacle in performing blocks, PENG block in particular. Anyways, congrats on your video!
The injection in the video did not lift the tendon off the bone; did you also do a medial redirection to the medial side of the tendon? Otherwise may not get all articular fibers
Thanks for the great video. What is your medication I use for my blocks, 20cc 0.25 % bupivacaine and occasionally I’ll do 10cc of 0.25% bupivacaine and 10 cc of 1.3% Exparel. Thoughts? Also, what is your dose a day volume for Fascia iliaca blocks for total hips to avoid weakness? Thank you
Perhaps the patient is not slim and has a significant subcutaneous fat so it's difficult to achieve excellent view with a linear probe in such kind of patients.
Meni jedan ortoped rekao "nemoj da mi uneseš neku infekciju", ma večita borba s njima, a želiš uvek najbolje!
Some orthopedics are against nerve blocks in proximity to hip surgery site for fear of infections. Evidence proves them wrong but I think this is the biggest obstacle in performing blocks, PENG block in particular.
Anyways, congrats on your video!
The injection in the video did not lift the tendon off the bone; did you also do a medial redirection to the medial side of the tendon? Otherwise may not get all articular fibers
I regularly practice PENG block. My orthopedic surgeon notes its effectiveness and asks me for it for his patients
How long does this block last if you use Bupivacaine?
@@alexbondarev8986I only use naropeine 0.2%. The patient walk the next day after surgery
Thanks for the great video. What is your medication I use for my blocks, 20cc 0.25 % bupivacaine and occasionally I’ll do 10cc of 0.25% bupivacaine and 10 cc of 1.3% Exparel. Thoughts?
Also, what is your dose a day volume for Fascia iliaca blocks for total hips to avoid weakness?
Thank you
Analgesic mixture: 0,5% Ropivacaine + Dexamethasone 0,2mg/mL + Dexmedetomidine 2,5mcg/mL. Analgesic volume: 10mL. Provides roughly 3-5 days of analgesia.
Whats the indication of this block
Why using curve? Not linear?
Perhaps the patient is not slim and has a significant subcutaneous fat so it's difficult to achieve excellent view with a linear probe in such kind of patients.
I often use curved because you get better, wide field of view from needle entry to iliopibic eminance. High frequency probe can be too restrictive
Wider field of view makes it easier to find your bearings.
What about PENG - catheterisation?
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First viewer 😅
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Έκανα κι εγώ αυτή την εξέταση και ο ιατρός μου προκάλεσε ψευδοανεύρυσμα.
Δεν είναι εξέταση και δεν μπορεί να προκαλέσει ψευδοανεύρυσμα παρά μόνο αιμορραγία και αιμάτωμα από τρώση της μηριαίας αρτ