Analgesia for Ex Lap

June 25, 2012
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     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 →

Sartorius Muscle

May 28, 2012
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SARTORIUS: FRIEND OR FOE?      Sounds like a silly title, but it does describe how I feel about that muscle sometimes when I am performing a continuous block for a Femoral, Fascia Iliaca or Saphenous nerve block. I described last week how the Sartorius Muscle can frustrate your attempts at a Fascia Iliaca block... read more →

Fascia Iliaca Tips

May 21, 2012
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THE TRIANGLE      If there is a sweet spot for the Fascia Iliaca block, it is ‘The Triangle”. That’s what I have come to call it, anyway. This is not the ‘Femoral Triangle’ you were taught in medical school …   REGISTER for FREE to become a SUBSCRIBER or LOGIN HERE to see the.. read more →

Ultrasound Tip #3

May 14, 2012
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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 →

CPNB for AKA

April 30, 2012
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     I have done continuous blocks in the past for post-operative analgesia (and to mitigate the risks of persistent pain and phantom pain and a multitude of other potential benefits) for amputations and as the primary anesthetic for foot amputations and BKA’s many times in the past. I have more consistently been performing CPNB’s.. read more →

Ultrasound Tip #2

March 26, 2012
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COLOR FLOW     …   REGISTER for FREE to become a SUBSCRIBER or LOGIN HERE to see the full article!     read more →

Use a Longer Needle

March 5, 2012
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     I discussed in a previous Tip of the Week about some of the advantages of using a larger gauge needle, and today I would like to discuss advantages of using a longer needle to improve your success. I encounter commonly the view, not put into words exactly, but expressed in behavior and choice, that.. read more →

Safety

February 6, 2012
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ANOTHER ARROW IN THE QUIVER      I was happy to receive a round of texts this morning from a good friend of mine about a case that he had just performed. My friend, Dr Chip Criswell, has become quite proficient at performing ultrasound-guided nerve blocks, and I could brag about him and about other cases.. read more →

Get A Grip

January 2, 2012
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     One of the most common errors I see people commit as they begin using ultrasound is …   REGISTER for FREE to become a SUBSCRIBER or LOGIN HERE to see the full article!     read more →

Use a Bigger Needle

December 25, 2011
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BIGGER NEEDLES      Many people lean toward smaller needles for single injection nerve blocks. I will usually use 21 or 22 gauge needles for an ultrasound-guided block if it is a single injection block that is superficial. There are advantages to using a heavier 17 to 19 gauge needles in other circumstances though. …  .. read more →