Interscalene Brachial Plexus Block

[@taedan7495]

Im an anesthesiologist, and i watched all of ur videos Great works

[@DrAmitPawa]

Thank You so much! Please feel free to share with your colleagues. Thanks for the positive feedback

[@alexs.2069]

best iscn anatomy i have seen so far, great video

[@DrAmitPawa]

Thanks so much! I had a great model, and a great machine! I had the easy job ! Appreciate your comment 🙏🏽

[@SamtaniPradeep]

A literally awesome traceback technique even tracing C5 and C6 nerve roots. Just perfect technique to give Interscalene block

[@DrAmitPawa]

Thanks so much!

[@edwardpinder5634]

Dr Pawa is such a boss!

[@DrAmitPawa]

@@edwardpinder5634 that’s very kind of you to say! I’d say I am just an enthusiast who loves spreading the RA love!

[@garyackerson738]

I had rotator cuff surgery and this was done in a surgical center not a hospital-- first mistake. Second mistake was the Dr. Hit something and gave me a partial collapsed lung and a blood clot. I couldn't breath that night. Er dr. Told me not too ever go to a surgical center for anything again. I believe the er doc. If you need something done, go have it done in a hospital. NOT a surgical center. PLEASE!!!

[@DrAmitPawa]

Oh dear - so sorry to hear of that. Obviously can’t comment on your personal situation, but understanding the anatomy and risks of any nerve blocks technique, and adequate training are absolutely required before undertaking any nerve blocks. So sorry you had a bad experience

[@hhashemi6437]

Perfect

[@DrAmitPawa]

🙏🏽 thank you

[@jamedlock83]

NOPE. . . . I'm having surgery on my shoulder next Thursday, and i'm refusing the nerve block. . . . I'll deal with the pain

[@DrAmitPawa]

That is absolutely ok. Nerve blocks are only offered as a pain relief option, and plans should always be agreed with the patient first

[@SamtaniPradeep]

Sir how was your probe placed it doesn't looks transverse on the neck was it transverse oblique placement sir??

[@DrAmitPawa]

Hi there again. The model’s head is turned to contralateral side. The probe was placed in a transverse orientation on the lateral side of the neck. I guess in some situations as one is scanning, one may intentionally oblique the probe to avoid structures in the needle path, but that wasn’t the primary intention

[@SamtaniPradeep]

@@DrAmitPawa Thank you very much Sir

[@skmbrd22]

3 weeks post interscalene nerve block for wrist ORIF. Pupil dilated 2 mm more than non surgical side. Vision issues. MRA head negative Any explanation ?

[@DrAmitPawa]

Difficult to comment without knowing more. Safest thing to do is go back to referring hospital and get checked out.

[@annap1191]

Will this provide relief to the upper trapezius and levator scapula?

[@DrAmitPawa]

You know, I have never been asked that before! Levator scap is innervated by cervical nerve (C3, C4) and dorsal scapular nerve (C5), Trapezius by accessory nerve (motor) & cervical spinal nerves C3 and C4 (motor and sensation) So indirectly there may be some affect, but not directly.

[@SamtaniPradeep]

Sir just one silly doubt, if the brachial plexus is pre fixed (C4 root) then will interscalene block cover that anatomical variation of pre fixed brachial plexus?? If not then how to tackle that anatomical variation??

[@DrAmitPawa]

That Is a great question! The truth is, I don’t know exactly- If one based the block on pattern recognition alone, then blocking the “Superior Trunk” should probably suffice. It is only by tracing up to the Transverse Processes that you would know the origin was C4. So essentially- I would block the structure that eventually gives off the Suprascapular nerve

[@SamtaniPradeep]

@@DrAmitPawa Yes sir the beauty and advantage of superior trunk block lies in covering the anatomical variations in brachial plexus like of prefixed one perfectly. 1.How to know Sir whether C4 is contributing to brachial plexus (pre fixed) any technique from your side?? 2. Any other block you combine with interscalene block to cover the pre fixed plexus variation?? 3. Any good article showing anatomical variations in brachial plexus?? Thanks in advance sir Thanks for always clearing my doubts Sir

[@SamtaniPradeep]

Sir can you put one video showing Sequential ultrasound imaging technique (SUIT) described by Dr Manoj kumar Karmakar sir showing C5 to T1 nerve roots and superior middle and inferior trunks.

[@DrAmitPawa]

I can certainly try to do that soon. I have a few videos that I have been meaning to do, so will try to include that

[@ASDcustom]

👏🏻👏🏻👏🏻

[@agustingomez1336]

Interescalénico