Warning: “It’s too hard to inject!”
What about HIGH Injection Pressures? Accidental intraneural or intrafascicular injection, especially under high pressure (>15-20 psi), can lead to permanent nerve injury. Whenever we hear an experienced assistant say these words, they have our attention. At times, it is anticipated, such as when we have excellent needle tip visualization and we know that we are.. read more →
Phrenic Nerve Dysfunction after ISB: my response to Recent Anesthesiology editorial
The following is my response as posted on PRACTICE OF REGIONAL ANESTHESIA on LinkedIn to: Phrenic Nerve Function After Interscalene Block Revisited: Now, the Long View by Hogan, Quinn H. M.D. Anesthesiology 119(2):250-252, August 2013 At first glance, this editorial and article were very concerning to me. As a profession, we do not have long-term.. read more →