Warning: “It’s too hard to inject!”

September 8, 2014
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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 →

Ultrasound-Guided CPNB for the Trunk Part 2: Patient Evaluation

June 15, 2014
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US-Guided CPNB for the Trunk Part 2: Patient Evaluation from CPNB Consulting read more →

Ultrasound-Guided CPNB for the Upper Extremity Part 1: Interscalene & Supraclavicular

June 15, 2014
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US-Guided CPNB for the Upper Extremity Part 1: Interscalene and Supraclavicular from CPNB Consulting read more →

US-Guided CPNB for Femoral Nerve

June 15, 2014
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Ultrasound-Guided CPNB: Femoral Nerve Block from CPNB Consulting read more →

US-Guided CPNB for Sciatic Nerve Part 1: Popliteal

June 3, 2014
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Ultrasound-Guided CPNB for Sciatic Nerve Part 1: Popliteal from CPNB Consulting read more →

Nuances to Ultrasound-Guided Subgluteal Sciatic Nerve Block Part 1

April 25, 2014
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Full Commentary on “Ultrasound-Guided Sciatic Nerve Block in Overweight and Obese Patients”              by Abdallah et al, Regional Anesthesia & Pain Medicine Vol 38, Number 6, Nov-Dec 2013, p547-552   There are a number of points made in this article that I find very interesting and that I believe are worth discussing further. Some of.. read more →

How do I assure that my Supraclavicular (& Other) CPNB catheters will be a success?

March 31, 2014
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This post is an adaptation of a question that was emailed to me by Dr Sharanu Patil, an anesthesiologist at SPARSH Hospital in Bangalore, India. Dr Patil has has been using ‘ultrasound only’ techniques for seven years and has regular success utilizing ultrasound-guided single injection supraclavicular nerve blocks, however, he has found that inserting catheters.. read more →

In Case of EMERGENCY, Do THIS!

March 11, 2014
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One of my attendings at UT, Knoxville used to say, “If you earnestly worry about something, it won’t happen.” It was generally taken as a joke to some when it was said. It was like the ‘cure’ to a difficult arterial line insertion was having someone else open another pair of sterile gloves. It is just.. read more →

CPNB and Ultrasound Basics

February 6, 2014
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CPNB and Ultrasound Basics

February 5, 2014
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CPNB and Ultrasound Basics from CPNB Consulting read more →