SSRAUSA

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@vaishalibhatejoshi7328 10 ай бұрын

Wonderful demonstration ! Is it always necessary to use more than 25 ml drug volume ?

@sirilranasingha Жыл бұрын

To be yplfsonh

@santattooiub Жыл бұрын

Pessoal, vídeo novo liberado🔥👉🏼 kzbin.info/www/bejne/o2KQhoF_mbBoqbs 🙌🏽🙌🏽

@manuthekkilandi6355 Жыл бұрын

❤❤👍❤❤❤

@selimyldz4079 Жыл бұрын

Llısşlrrpqdttoştgl

@02hreblue30 Жыл бұрын

nice

@omar-iv9xi 2 жыл бұрын

Fantastic

@iztheterrible 2 жыл бұрын

kinda sucks

@drvinodprakash 2 жыл бұрын

Thanks

@ryanmcdonald5351 2 жыл бұрын

Informative video... Next time perform it on a typical obese lower extremity...

@firelight3912 2 жыл бұрын

The first view of sciatic nerve was not correct

@02hreblue30 3 жыл бұрын

I would have put my needle also above C5 and totally surrounded C5-6. piling more local in an already saturated spot does zero, and if using Exparel you have to dissect much better than that or they will assuredly have pain. Surround the ball don't corner it, and dissect it more also. Exparel spread is horrible so have to be way more exacting unlike straight Ropiv or Bupiv spread.

@estherssebbowa3043 3 жыл бұрын

Thank you - the clear dissection of illiacus from her fascia following oral anaesthetic is great- thank you excellent short video -

@chandrikakamath2707 3 жыл бұрын

Very nice. Could you share your tips on needle visualization and probe alignment?

@wafaibrahim369 3 жыл бұрын

Thanks a lot ... 🌸💓💓😂🌿🙏🌿🌿🌿appreciate sharing the knowledge information. Experience

@andrewkennedy4456 3 жыл бұрын

I’m sorry, you are talking too fast to make sense of what you try to do

@haliShanna 3 жыл бұрын

the worst video of a block..

@jbacsjabs9365 4 жыл бұрын

This is a nice video, however, supraclavicular nerve block is different from brachial plexus block supraclavicular approach. This is clearly not a supraclavicular nerve block. Your supraclavicular nerve arises from your cervical plexus(c3-c4). while your brachial plexus arises from your c5-t1.

@jbacsjabs9365 4 жыл бұрын

The supraclavicular nerve is very useful for clavicular fracture because it gives branches to medial, middle and lateral portions of the clavicle. The supraclavicular approach is useful for anesthesia of the whole arm.

@edwardherrera4097 2 жыл бұрын

This is most definitely a supraclavicular block. It’s a brachial plexus block just at a lower level of the trajectory the brachial plexus takes (at the level of the trunks and divisions). I think you are referring to the suprascapular nerve which arises from C5 and C6.

@edwardherrera4097 4 жыл бұрын

The angle of the needle should be medial to lateral. Any regional text book tells you this. She says that your angle should be toward the spine. That is an incorrect statement. Doesn't mean you might not get lucky and place the block but this isn't the correct technique.

@avail64 2 жыл бұрын

Agreed, you should look at the depth of the plane you are looking for on the ultrasound and introduce your needle at roughly that depth on the skin; keeping in mind that your are limited partially by the needle length. This way you have much better needle visualization with the US beams being nearly perpendicular to the hyperechoic needle. For example if your target is at a depth of 4cm then introduce your needle at 3cm. That way you have a low needle angle, good visualization of the needle and have a much safer needle trajectory.

@tiderider 4 жыл бұрын

Thank you for the instruction

@drwalthermd 4 жыл бұрын

Thank you for your time and teaching Theresa! What I believe would be MOST helpful (for future video directions) would be the use of patients like MY patient population (BMI>30) and have many images demonstrating the ultrasound finding of the nerves. So, perhaps a quiz style format; here is an ultrasound image, THEN the superimposed labels and directions appear... thank you again!

@jbacsjabs9365 4 жыл бұрын

I just use the block for the purpose of positioning the patient for a spinal block or epidural anesthesia.

@sandeepdahiya8424 4 жыл бұрын

PECS II block is given LA between Pec Minor and Serratus Anterior.. But You have mentioned to inject below Serratus Anterior and above 4th rib. Is this Modified approach Sir? Regards..

@ljjr7233 5 жыл бұрын

great video ! helped me lot with my practice ...

@wesamsallam3165 5 жыл бұрын

What Is indication

@kongyuanhe5080 5 жыл бұрын

very good

@user-yq1ve8qs7x 5 жыл бұрын

Vous pouvez lonssie des vidéo en français

@fmmaj9noname332 6 жыл бұрын

The patient's anatomy is hard to figure out, because everything is covered (see other videos which actually show the surrounding area to get oriented). Also, the video screen is opposite the probe, so when the probe moves to the right, the screen movement goes left. The display should have a greater depth to show all structures (the "bowtie"all in one shot, the ilium below, etc) and better definition of the fascial plane. And using the probe to point out external features makes a really annoying visual experience.

@sj505 6 жыл бұрын

Does this mean a patient can remain awake for the procedure and have more say in modesty and dignity?

@dranoopjain 6 жыл бұрын

Bad accent, and his pointer just keeps flicking about aimlessly

@josecito976 6 жыл бұрын

Anoop Jain who cares about his accent. If you know what you’re looking at on the US you know exactly what he’s highlighting. This is my approach to all fascia iliaca plane compartment blocks and works quite well if you know what you’re doing

@jonchoi1233 6 жыл бұрын

Excellent video! I prefer NYSORA's medial to lateral needle technique but it's always good to know both techniques. Thank you for making it! www.nysora.com/ultrasound-guided-fascia-iliaca-block

@yolandaherrera7733 7 жыл бұрын

Dr why is this problem what is the cause ????

@sd8968 7 жыл бұрын

Thank you for your excellent video. To clarify - at 3:00 minutes you said "spinous process'es." I believe you meant to say "transverse process"es" It this correct?

@raaronmarrero 7 жыл бұрын

Is it true that with the intercostal angle you can achieve a block up to T7?

@Outcast_01 7 жыл бұрын

Great Video clip! Excuse me for butting in, I am interested in your initial thoughts. Have you researched - Merihaal Sciatica Vanish Magic (Have a quick look on google cant remember the place now)? It is an awesome exclusive guide for learning how to cure painful Sciatica minus the hard work. Ive heard some great things about it and my good mate called Gray after many years got cool results with it.

@choski76 7 жыл бұрын

nicely done

@MrHugoTaz 7 жыл бұрын

Very good! Thank you very much for your generosity by sharing it.

@danieleanacletomeiattini7990 8 жыл бұрын

What anesthetic do you usually use for this block. Do you use it alone for breast surgery or do you need to use it in conjunction with general anesthesia?

@ravigwankhede 8 жыл бұрын

V well explained and great demonstration. I have used this block for breast surgery. Wonderfully worked. Thanks.

@ernstwunsch1027 8 жыл бұрын

sorry but this is m.iliopsoas!

@Areekat 8 жыл бұрын

Waiting for more vids from you..

@Areekat 8 жыл бұрын

Great technique... quite easy for those who use usg... many many thanks Dr Vlad.

@docdocteur4028 8 жыл бұрын

can I use it to treat chronic and acute pain in breast carcinology .

@SSRAUSA 8 жыл бұрын

The US probe is positioned in above the inguinal ligament in a counterclockwise direction with the "north" end of the probe directed toward the umbilicus. If you take our Lower extremity module on SSRAOnlineCME.com we describe probe position in detail.

@MultiBellaAngel 8 жыл бұрын

How is the probe in the video above specifically oriented ?

@ParagMathurmd 8 жыл бұрын

Thank you for sharing your technique for this interesting block. I have also seen a description where local anesthetic is placed between pectoralis minor and serratus as opposed to deep to serrartus. Have you any experience with that approach? The PEC block is more superficial yet, between the pectoralis major and minor.

@fanestefan6980 8 жыл бұрын

I want to find a gentleman who profess that physician in the United States and is called Michael Murarescu original in Bucharest, Romania.! If practicing in this clinic, please contact me.!

@winterpark02 8 жыл бұрын

Excellent video. Is it possible to show in a drawing /picture as how far the needle is inserted from the probe with out of plane technique ? Just a demo, not a live picture of the block? And per the landmarks, location of the nerve seems higher than what the video shows - mid thigh ?

@winterpark02 9 жыл бұрын

Nice video with explanation - kind of confused when you say the death of the image on the screen shows 3.3 cms and then say it is 1.7 cms. Would you please explain

@02hreblue30 Жыл бұрын

he is halfway down at nerve level. 1.7 on a 3.3 screen depth

@kacang2 9 жыл бұрын

You may or may not get a 3-in-1 block, but you'll get a very effective femoral nerve and lateral femoral cutaneous nerve block

@SSRAUSA 8 жыл бұрын

In our experience we get a reliable 3:1 block.

@tebmd23 9 жыл бұрын

We use 0.2% Ropivicaine at 7 cc/hr/side and we leave the catheters in for 2 days.

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