Jeff Gadsden Dr Amit Pawa💉 Tanya ASRA Pain Medicine Duke Anesthesiology Duke Anesthesiology Residency ESRA | European Society of Regional Anaesthesia Alan Macfarlane Steve Coppens Kavita Houthoff Khemlani Jennythatcanblock Nadia Hernandez, MD, FASA Melody Herman, MD Jennifer Noerenberg Gary Schwartz MD, FASA Monica Harbell, MD, FASA Jan Boublik Murali Thondebhavi Nicolas Rocq 🇨🇵 Dr Robbie Erskine bob funnekotter Alwin Chuan Matt Oldman Clara Lobo 🇵🇹🇺🇦🇪🇺🇦🇪 Association of Anaesthetists Royal College of Anaesthetists Ana Patrícia Pereira Sara Amaral HenryJas Kwesi Kwofie Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Dr Gavin Sullivan A.N.A.E.S.T.H.E.T.I.S.T Vicente Roques michael kerr Leigh White Ki Jinn Chin Colin J.L. McCartney Stuart Grant Garrett Barry Lynn Kohan Jonny Wilkinson Morné Wolmarans The Annasthesiologist Melissa Byrne DO MPH FASA Peter Merjavy 🇺🇦  cassandrews 🇦🇺🏡 Matt Levine Ban Tsui Chris Prabhakar Do not try them till very comfortable with SSB’s
A clear conversation with the surgeon & patient to discuss the need/ indication/benefit
Robust post op plan to manage them (in-patient/ambulatory) including the potential complications like breakthrough pain/dislodgement/LAST etc

Jeff Gadsden Dr Amit Pawa💉 Tanya ASRA Pain Medicine Duke Anesthesiology Duke Anesthesiology Residency ESRA | European Society of Regional Anaesthesia Alan Macfarlane Steve Coppens Jennythatcanblock Nadia Hernandez, MD, FASA Melody Herman, MD Jennifer Noerenberg Gary Schwartz MD, FASA Monica Harbell, MD, FASA Jan Boublik Murali Thondebhavi Nicolas Rocq 🇨🇵 Dr Robbie Erskine bob funnekotter Alwin Chuan Matt Oldman Clara Lobo 🇵🇹🇺🇦🇪🇺🇦🇪 Association of Anaesthetists Royal College of Anaesthetists Ana Patrícia Pereira Sara Amaral HenryJas Kwesi Kwofie Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Dr Gavin Sullivan A.N.A.E.S.T.H.E.T.I.S.T Vicente Roques Tip 9 is my absolute favorite 🤩 We use a catheter securement device (we nicknamed it a “krak-pleister” …made up Dutch word 🤨) to hold the catheter in place and cover it with a large Tegaderm i.v. dressing 🩹

Dr.Kartik Sonawane Subha Brata Bagchi NYSORA Steve Coppens I do like Jeff Gadsden excellent tip how to place your probe and find the suprascapular n easily 👌👍ESRA | European Society of Regional Anaesthesia 👇👇

Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Morné Wolmarans Jeff Gadsden ASRA Pain Medicine Tanya Duke Anesthesiology Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 The Annasthesiologist James K. Kim Nabil Elkassabany MD MBA MSCE Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 Jan Boublik Hari (హరి) 🩺 Kalagara 🇮🇳 Sree H Praveen Kolli Alan Macfarlane Steve Coppens bob funnekotter Dr Robbie Erskine Melody Herman, MD Murali Thondebhavi Can Aksu Kwesi Kwofie Garrett Barry Jennythatcanblock michael kerr cassandrews 🇦🇺🏡 Monica Harbell, MD, FASA Colin J.L. McCartney Ki Jinn Chin Vicente Roques I use the “Lift the tip” move, but unfortunately call it something that when typed sounds not so nice!

“Shaft pressure” 🤦🏽‍♂️

There are some folks that don’t like this technique, but I think it definitely has its uses

#Blocktober23

This is a neat trick to use a new needle with the Stylet first going backwards through the same hole!
Thank you Jeff Gadsden & #Blocktober23
Always learning! #EverydayIsASchoolDay

Saves me having to do 👇🏽

⁦Dr Amit Pawa💉⁩ and ⁦Jeff Gadsden⁩ doing their usual good job on a common subject. I may have once been guilty of making a junior colleague do 4 supraclav blocks for shoulder analgesia after they told me “that won’t work” podcasts.apple.com/gb/podcast/blo…

🤜🤛A #DukeAnesFistBump on this #WellnessWednesday from our Dr. Jeff Gadsden to our Dr. Joshua Dooley Joshua Dooley!
VIEW all of the fist bumpers & SUBMIT a Duke Anesthesiology fist bump: anesthesiology.duke.edu/fist-bump

The latest free #ultrasound news, views & information has landed in the #weeklywrap

Featuring
Jeff Gadsden
MetroHealth Emergency Ultrasound
Frontiers
WINFOCUS WORLD
Critical Care

This & more all in one handy spot
ultrasoundtraining.com.au/news/zedu-week…

#FOAMed #MedEd #FOAMus #POCUS

Blocks are the way forward. I hope I don't have to retract my statement in a few years. The use of physical methods- cryocuff is underutilised. The biggest change I have seen is high dose dexamethasone as a part of our ERAS. Jeff Gadsden Morné Wolmarans

Jeff Gadsden Dr Amit Pawa💉 Tanya Ed Mariano, MD, MAS, FASA 🇺🇸🇵🇭 ASRA Pain Medicine APSF ASA® Steve Coppens Steven Porter Hari (హరి) 🩺 Kalagara 🇮🇳 Jennifer Noerenberg Jennythatcanblock Alan Macfarlane bob funnekotter Kavita Houthoff Khemlani Veena Graff MD Taras Grosh, MD🇺🇦🇦🇫🏳️‍🌈 James K. Kim Nabil Elkassabany MD MBA MSCE Melody Herman, MD zakalobi Can Aksu Morné Wolmarans Ruthi Landau Dr Prit Anand Singh Murali Thondebhavi The Annasthesiologist MadanKumar Narayanan Ashwani Gupta Gary Schwartz MD, FASA Sree H Praveen Kolli Ki Jinn Chin Kwesi Kwofie Jonny Wilkinson Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Nicolas Rocq 🇨🇵 Leigh White Peter Merjavy 🇺🇦  Dr Robbie Erskine Divesh Arora michael kerr HenryJas gRAcie Bañares, MD, DPBA, FPSA 🇵🇭 DrSophieJackman I apologize if someone already said this but I use ⤵️ single use “sterile” u/s jelly/lub.

Nadia Hernandez, MD, FASA Melody Herman, MD Jeff Gadsden Veena Graff MD Maggie Holtz, MD Engy Tadros Said “Bacterial contamination of ultrasound probes prior to hygiene training proved to be high and showed higher bacterial load than toilets seats or bus poles.”

link.springer.com/article/10.100…

Engy Tadros Said Nadia Hernandez, MD, FASA Matt Oldman Melody Herman, MD Jeff Gadsden Veena Graff MD Maggie Holtz, MD In line with the literature discussions, Steve Coppens witnessed a few such complications after popliteal sciatic block.👇

Melody Herman, MD Jeff Gadsden Veena Graff MD Nadia Hernandez, MD, FASA Maggie Holtz, MD Engy Tadros Said Because people are human and cleaning is not always 100%. Study in ED showed 50% probes had non visible blood contamination. It’s a remote risk but with significant consequences. We have a simple low tech, low cost solution to mitigate this with minimal impact on our procedure.