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 →
Nuances to Ultrasound-Guided Subgluteal Sciatic Nerve Block Part 1
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 →
In Case of EMERGENCY, Do THIS!
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 →
Nursing Inservice Series: Assisting with Nerve Blocks
Nurse Inservice Series: Assisting with Nerve Blocks from CPNB Consulting read more →
Nursing Inservice Series: Safety and Risks
RN Inservice Series Safety and Risks from CPNB Consulting read more →
Acute Pain: How We Treat Pain Really Matters
How we treat Acute Pain Really Matters from cpnbconsulting read more →
Another Team Player
“Everybody here has a voice…and you should listen!” I make this point over and over when I help to implement a CPNB Program. I will go on to say that even if those putting the catheters in place are the best in the world, the outcome of the CPNB Program will still have more to.. read more →