Ultrasound-Guided CPNB for the Trunk Part 2: Patient Evaluation
US-Guided CPNB for the Trunk Part 2: Patient Evaluation from CPNB Consulting read more →
Evaluating your TAP Block Injection
Is This Where I’m Supposed To Be? TAP Blocks are EASY!! Well, they’re easy MOST of the time. There is the issue of the ‘not very solid’ structures to try to penetrate, and sometimes the target plane can be a significant distance from the surface. Oh yea, and don’t exert too much pressure with the.. read more →
TAP Block Pain Evaluation
WHERE are you hurting??? It is critically important that you evaluate closely the location (and quality) of your patient’s pain before recommending changes in therapy or deciding whether your TAP or Subcostal TAP block is functioning properly. Without proper evaluation (and elucidating in the chart or face to face), your block may be.. read more →
TAP
Though the TAP block tends to be one that people venture into after they have started with at least a few of the orthopedic blocks, I would recommend putting it on the short list of blocks to learn even if you are just starting to use ultrasound. It is a very easy block.. read more →
SUBCOSTAL TAP
As I mentioned in the previous section, I believe that the subcostal TAP block is even easier than the TAP block. With the TAP block, the main difficulty is getting within (or just below or above) the fascial plane without puncturing the bowel. This can involve a significant amount of scraping or jabbing.. read more →
Analgesia for Ex Lap
What do you do for analgesia for your Ex Lap cases? Typical responses that I get are ‘nothing’ or ‘sometimes an epidural.’ Have you ever followed their post-op experience? If you don’t put in an epidural, I’m sure you probably don’t end up doing that. In the past, those have been MY responses... read more →
Back on their Feet Again
Tip of the Iceberg I have indicated on this website multiple times and in multiple ways that the superior post-operative analgesia provided by continuous nerve blocks has significant benefits. Patients can leave the hospital faster and more comfortable and with fewer side-effects from opioids. I would like to point out that they have.. read more →
Ultrasound Tip #3
There are a number of ways that you can gain assistance in recognizing the tip of your needle while advancing it. Some are cheap, and some are expensive. I’m certainly not going to say that you should abandon all of the mechanisms that allow you to recognize the needle tip that are available if your.. read more →