ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Clara Lobo 🇵🇹🇺🇦🇪🇺 Jerry Jones Steve Coppens Maggie Holtz, MD Monica Harbell, MD, FASA Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Veena Graff MD Alan Macfarlane Dr Robbie Erskine bob funnekotter Becki Marsh Divesh Arora Elliott Higgins, MD 👨‍🎤 Siva Arumugam, MD, FASA Sree H Praveen Kolli HenryJas Murali Thondebhavi AORA India PizzaHead Mariapaz Sebastian Rahil Ouahid RLJohnson Stephen Haskins Dr Prit Anand Singh Matt Turner Tom Baribeault Kwesi Kwofie And then there are just times when a distal block is nice--anesthetizing the hand and sparing the proximal muscles. LURVE these for finger fractures--how 'bout you?? #Blocktober22 Duke Anesthesiology Duke Anesthesiology Residency James K. Kim Peter Merjavy 🇺🇦 Jennifer Noerenberg

youtu.be/d24sbly6szQ

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Clara Lobo 🇵🇹🇺🇦🇪🇺 Jerry Jones Steve Coppens Maggie Holtz, MD Monica Harbell, MD, FASA Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Veena Graff MD Alan Macfarlane Dr Robbie Erskine bob funnekotter Becki Marsh Divesh Arora Elliott Higgins, MD 👨‍🎤 Siva Arumugam, MD, FASA Sree H Praveen Kolli HenryJas Murali Thondebhavi AORA India PizzaHead Mariapaz Sebastian Rahil Ouahid RLJohnson If you've got concerns about phrenic nerve block in a pulmonary cripple, we like suprascapular and axillary nerve blocks--any other phrenic-sparing strategies you're using?? #Blocktober22 Stephen Haskins Dr Prit Anand Singh Matt Turner Tom Baribeault Kwesi Kwofie

youtu.be/vkE9W6K7NPA

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Clara Lobo 🇵🇹🇺🇦🇪🇺 Jerry Jones And then there's supraclav. Nice and compact beside the artery. Some swear that this is the spinal of the arm...Steve Coppens Maggie Holtz, MD Monica Harbell, MD, FASA Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Veena Graff MD Alan Macfarlane Dr Robbie Erskine bob funnekotter Becki Marsh Divesh Arora

youtu.be/m3GU11ZRzGc

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Clara Lobo 🇵🇹🇺🇦🇪🇺 Jerry Jones Steve Coppens Maggie Holtz, MD Monica Harbell, MD, FASA Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Veena Graff MD Alan Macfarlane Dr Robbie Erskine bob funnekotter Becki Marsh Divesh Arora But the REAL spinal of the arm is the infraclav! One injection at 6 o'clock and BOOM, you're done. Who is #TeamInfraclav ?? Elliott Higgins, MD 👨‍🎤 Siva Arumugam, MD, FASA Sree H Praveen Kolli HenryJas Murali Thondebhavi AORA India PizzaHead Mariapaz Sebastian Rahil Ouahid RLJohnson

youtu.be/Uk-2pdFQ75A

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Let's start with interscalen brachial plexus block...I mean, for shoulder is there anything better? There are some nuances with needle position--should we go intraplexus or perplexus? I have some thoughts... #Blocktober22 Clara Lobo 🇵🇹🇺🇦🇪🇺 Jerry Jones

youtu.be/5_EKD83UvNY

Good morning! It's the 20th of #Blocktober22 and it's also, once again, #ThrowbackThursday ! Today let's talk about the various upper limb blocks that we've discussed over the years--what's your fave and why? ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA® Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Duke Anesthesiology Dr Hari (హరి) Kalagara 🇮🇳 Maggie Holtz, MD AFSRA Society Dr Megan Smith 💉𝔇𝔯 𝔪𝔞غ𝔦𝔞 Samer Narouze,MD,PhD 🇺🇸🇪🇬 Raj Gupta The clavipectoral fascial plane block is a relatively new technique designed to do one thing: anesthetize the clavicle. Great for clavicle fracture repair when you DON'T want to block the whole arm... #Blocktober22 The Annasthesiolo-ghost Zedu Ultrasound Training Basia Jenkins,MD Colin J.L. McCartney Jerry Jones

Hiya, it's the 18th day of #Blocktober22 and today we're talking about a block used for upper limb trauma...you ARE doing blocks for trauma right? Follow along this thread to find out more and to chime in! ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA®

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA® Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Duke Anesthesiology Dr Hari (హరి) Kalagara 🇮🇳 Maggie Holtz, MD AFSRA Society Dr Megan Smith 💉𝔇𝔯 𝔪𝔞غ𝔦𝔞 Samer Narouze,MD,PhD 🇺🇸🇪🇬 Raj Gupta The Annasthesiolo-ghost Zedu Ultrasound Training Basia Jenkins,MD Colin J.L. McCartney Jerry Jones Доктор Грош🇺🇦🇦🇫🏳️‍🌈 Nabil Elkassabany MD MBA MSCE Veena Graff MD Rosie Hogg Alan Macfarlane Steve Coppens Clara Lobo 🇵🇹🇺🇦🇪🇺 Kwesi Kwofie Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Nadia Hernandez, MD, FASA Here's the link to our clavipectoral fascial plane block video: #Blocktober22 Melody Herman, MD Gary Schwartz MD, FASA Jennifer Noerenberg Suzi Nou FANZCA MPH Melissa Byrne Bridget Pulos, MD Peter Merjavy 🇺🇦 Dr Robbie Erskine bob funnekotter Tom Jelic Athmaja Thottungal Sree H Praveen Kolli

youtu.be/vBzbQC8mDdA

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA® Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Duke Anesthesiology Dr Hari (హరి) Kalagara 🇮🇳 Maggie Holtz, MD AFSRA Society Dr Megan Smith 💉𝔇𝔯 𝔪𝔞غ𝔦𝔞 Samer Narouze,MD,PhD 🇺🇸🇪🇬 Raj Gupta The Annasthesiolo-ghost Zedu Ultrasound Training Basia Jenkins,MD Colin J.L. McCartney Jerry Jones Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Nabil Elkassabany MD MBA MSCE Veena Graff MD Rosie Hogg Alan Macfarlane Steve Coppens Clara Lobo 🇵🇹🇺🇦🇪🇺 Kwesi Kwofie Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Nadia Hernandez, MD, FASA Melody Herman, MD Gary Schwartz MD, FASA Jennifer Noerenberg Suzi Nou FANZCA MPH Melissa Byrne Bridget Pulos, MD Peter Merjavy 🇺🇦 Dr Robbie Erskine bob funnekotter Tom Jelic Athmaja Thottungal Sree H Praveen Kolli And here's our curated reading list for clavipectoral fascial plane block...enjoy! #Blocktober22 PizzaHead Mariapaz Sebastian Dr.Kartik Sonawane

pubmed.ncbi.nlm.nih.gov/35061634/

pubmed.ncbi.nlm.nih.gov/31377668/

pubmed.ncbi.nlm.nih.gov/35103123/

pubmed.ncbi.nlm.nih.gov/34725260/

pubmed.ncbi.nlm.nih.gov/24121609/

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA® The Australian Society of Anaesthetists Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Dr.Kartik Sonawane Maggie Holtz, MD James K. Kim Gary Schwartz MD, FASA Dr Prit Anand Singh Colin J.L. McCartney Farhaan Moosa Steve Coppens Clara Lobo 🇵🇹🇺🇦🇪🇺 The Annasthesiolo-ghost Adam Carpenter Leigh White michael kerr Samer Narouze,MD,PhD 🇺🇸🇪🇬 Ashwani Gupta Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Rosie Hogg Lloyd Turbitt Nadia Hernandez, MD, FASA RLJohnson Kwesi Kwofie Jerry Jones Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Alan Macfarlane Veena Graff MD Nabil Elkassabany MD MBA MSCE Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Peter Merjavy 🇺🇦 Athmaja Thottungal Tom Jelic Eleni Moka Amina Benyoucef Dr Robbie Erskine bob funnekotter Sree H Praveen Kolli Melody Herman, MD Rahil Ouahid Nicolas Rocq 🇨🇵 Barbara Versyck Stefan Van Hooreweghe, MD, EDRA Becki Marsh And here's our curated reading list for our Mixing Mythbusters episode (video link above!)... #Blocktober22

pubmed.ncbi.nlm.nih.gov/7036799/

pubmed.ncbi.nlm.nih.gov/21156983/

pubmed.ncbi.nlm.nih.gov/22798531/

pubmed.ncbi.nlm.nih.gov/19151302/

pubmed.ncbi.nlm.nih.gov/32003278/

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia LASRA Internacional AORA India ASA® The Australian Society of Anaesthetists Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 Dr.Kartik Sonawane Maggie Holtz, MD James K. Kim Gary Schwartz MD, FASA Dr Prit Anand Singh Colin J.L. McCartney Farhaan Moosa Steve Coppens Clara Lobo 🇵🇹🇺🇦🇪🇺 The Annasthesiolo-ghost Adam Carpenter Leigh White michael kerr Samer Narouze,MD,PhD 🇺🇸🇪🇬 Ashwani Gupta Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Rosie Hogg Lloyd Turbitt Nadia Hernandez, MD, FASA RLJohnson Kwesi Kwofie Jerry Jones Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Alan Macfarlane Veena Graff MD Nabil Elkassabany MD MBA MSCE Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Here's a link to the Mythbusters Episode: #Blocktober22 Peter Merjavy 🇺🇦 Athmaja Thottungal Tom Jelic Eleni Moka Amina Benyoucef Dr Robbie Erskine bob funnekotter Sree H Praveen Kolli Melody Herman, MD Rahil Ouahid Nicolas Rocq 🇨🇵 Barbara Versyck Stefan Van Hooreweghe, MD, EDRA Becki Marsh

youtu.be/RIDTp7OmR8s

Jeff Gadsden ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional AFSRA Society ASA® Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Sethina Adwoa Watson Nabil Elkassabany MD MBA MSCE Veena Graff MD Raj Gupta Ruthi Landau MD Colin J.L. McCartney Ki Jinn Chin The Annasthesiolo-ghost Samer Narouze,MD,PhD 🇺🇸🇪🇬 Steve Coppens Alan Macfarlane Dr Robbie Erskine bob funnekotter Clara Lobo 🇵🇹🇺🇦🇪🇺 Ana Patrícia Pereira Rosie Hogg Lloyd Turbitt Gary Schwartz MD, FASA Kwesi Kwofie Duke Anesthesiology Amanda Kumar Michael Bullock Zedu Ultrasound Training Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Sree H Praveen Kolli Dr Hari (హరి) Kalagara 🇮🇳 Dr Megan Smith 💉𝔇𝔯 𝔪𝔞غ𝔦𝔞 T Kyle Harrison Maggie Holtz, MD Steven Porter Steven Bradley, MD cassandrews 🇦🇺😷 michael kerr Rita “Proudly Vaccinated” Agarwal MD Jens Børglum Thomas Bendtsen Eleni Moka Amina Benyoucef Murali Thondebhavi This is courtesy of PennRAAPS
I like to sandwich with 2 small or taco 🌮 (as above) but with a medium tegaderm

Jeff Gadsden ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional The Australian Society of Anaesthetists Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 James K. Kim Доктор Грош🇺🇦🇦🇫🏳️‍🌈 Monica Harbell, MD, FASA Amanda Kumar Dr Robbie Erskine bob funnekotter Alan Macfarlane Ashwani Gupta The Annasthesiolo-ghost Rahil Ouahid Kristopher Schroeder Kwesi Kwofie Nabil Elkassabany MD MBA MSCE Clara Lobo 🇵🇹🇺🇦🇪🇺 Alwin Chuan cassandrews 🇦🇺😷 Elliott Higgins, MD 👨‍🎤 Becki Marsh Murali Thondebhavi Stavros Prineas michael kerr Sanjib Adhikary Dr Prit Anand Singh Jerry Jones Ankeet Udani, MD Lynn Kohan Tom Jelic Peter Merjavy 🇺🇦 Lloyd Turbitt Rosie Hogg Can Aksu Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Colin J.L. McCartney Nadia Hernandez, MD, FASA Secure your pt, count the maximum dose
Adjust your US machine
Position yourself : USM - pt - blocker
Put your hands on patient’s body and hold on the probe by its proximal part.🤙
Release the pressure before aspiration test

Enjoy!

Jeff Gadsden ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional The Australian Society of Anaesthetists Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 James K. Kim Доктор Грош🇺🇦🇦🇫🏳️‍🌈 Monica Harbell, MD, FASA Amanda Kumar Dr Robbie Erskine bob funnekotter Alan Macfarlane Ashwani Gupta The Annasthesiologist 🤟 Rahil Ouahid Kristopher Schroeder Kwesi Kwofie Nabil Elkassabany MD MBA MSCE Clara Lobo 🇵🇹🇺🇦🇪🇺 Alwin Chuan cassandrews 🇦🇺😷 Elliott Higgins, MD 👨‍🎤 Becki Marsh Murali Thondebhavi Stavros Prineas michael kerr Sanjib Adhikary Amina Benyoucef Dr Prit Anand Singh Jerry Jones Ankeet Udani, MD Lynn Kohan Tom Jelic Peter Merjavy 🇺🇦 Lloyd Turbitt Rosie Hogg Can Aksu Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Colin J.L. McCartney Nadia Hernandez, MD, FASA When starting with neuraxial scanning, watch Jeff Gadsden & Ki Jinn Chin videos. Place plastic ortho spine in water bath and scan. Get familiar with bony landmarks then move onto thin patients.

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional The Australian Society of Anaesthetists Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Dr Hari (హరి) Kalagara 🇮🇳 James K. Kim Доктор Грош🇺🇦🇦🇫🏳️‍🌈 Monica Harbell, MD, FASA Amanda Kumar Dr Robbie Erskine bob funnekotter Alan Macfarlane 👆👆 #Blocktober22 Ashwani Gupta The Annasthesiolo-ghost Rahil Ouahid Kristopher Schroeder Kwesi Kwofie Nabil Elkassabany MD MBA MSCE Clara Lobo 🇵🇹🇺🇦🇪🇺 Alwin Chuan cassandrews 🇦🇺😷 Elliott Higgins, MD 👨‍🎤 Becki Marsh Murali Thondebhavi Stavros Prineas michael kerr Sanjib Adhikary Amina Benyoucef Dr Prit Anand Singh Dr Hari (హరి) Kalagara 🇮🇳 Jerry Jones

Hellooooo #Blocktober22 friends! It's day 17, & today we want to hear from all you amazing clinicians and educators: What is your BEST tip/trick/hack/advice/pearl for #RegionalAnesthesia newbies? Please share! ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional The Australian Society of Anaesthetists

I’ve really enjoyed every moment of #ESRAbudapest22 . Waiting for the next ESRA | European Society of Regional Anaesthesia event!

ASRA Pain Medicine ESRA | European Society of Regional Anaesthesia AORA India LASRA Internacional ASA® Dr Amit Pawa Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 Duke Anesthesiology Amy Pearson, MD, FASA Melody Herman, MD Доктор Грош🇺🇦🇦🇫🏳️‍🌈 Nabil Elkassabany MD MBA MSCE Dr Megan Smith Alan Macfarlane Raj Gupta Colin J.L. McCartney Samer Narouze,MD,PhD 🇺🇸🇪🇬 Philip Peng （彭文新) The Annasthesiolo-ghost Dr Hari (హరి) Kalagara 🇮🇳 Kariem 💉𝔇𝔯 𝔪𝔞غ𝔦𝔞 cassandrews 🇦🇺😷 Kristopher Schroeder Basia Jenkins,MD Dr. Natalie Strand Monica Harbell, MD, FASA Rosie Hogg James K. Kim Maggie Holtz, MD Gary Schwartz MD, FASA Clara Lobo 🇵🇹🇺🇦🇪🇺 Ana Patrícia Pereira Steve Coppens Sree H Praveen Kolli Kwesi Kwofie Here's the link to the lumbar plexus video...enjoy! #Blocktober22 Morné Wolmarans Suzi Nou FANZCA MPH HenryJas Veena Graff MD Melissa Byrne Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Chris Prabhakar Stuart Grant Tom Jelic RLJohnson PizzaHead Mariapaz Sebastian bob funnekotter Dr Robbie Erskine

youtu.be/i3AXB6mAoms