Garrett Barry Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Dr Hari (హరి) Kalagara 🇮🇳 Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Simon Ash Samer Narouze,MD,PhD 🇺🇸🇪🇬 Karim Mukhida Andrew Jarvie David Watton Tim Jen MD FRCPC NSAIDS also hands down best multimodals. Underappreciated, underutilized. Fear and lack of knowledge should not reign. If used for 24-48 max almost all patients czn benefit. Garrett Barry British Journal of Anaesthesia

💥Large new network meta-analysis: pre-emptive analgesia💥

✅ NSAIDs seem best
✅ Acetaminophen (modest effect)

✴️ Gabapentinoids had beneficial effects; but previously clinically insignificant (Verret 2020). Also unwanted Side Effects 😴😵‍💫 and ⬆️ hospital stay!

Thoughts?

Monitoring to prevent injury

PENG block

Nerve anatomy and injury

Ilioinguinal + iliohypogastric nerve blocks

Continuous spinal

Lumbar Plexus block

Cervical plexus block

Serratus plane block

Parasternal blocks

Distal upper extremity blocks

Neuraxial Sonography

Fascia iliaca block

ESP block

Ankle block

Popliteal Sciatic block