The Role of Fascia in Interscalene Plexus & other NB Complications - Crash course with Dr. Hadzic

[@nysoravideo]

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[@Aviation_Professional]

I have been fascinated by the NYSORA videos leading into my total hip replacement 10 days ago. I had a wonderful discussion with my anesthesia provider that put me to sleep with the highest degree of confidence. Bravo for these expert videos and attention to detail.

[@nysoravideo]

Thanks for sharing Anthony!

[@captdread2013]

This is the crash course of my dreams! Now I can take my DIY shade tree anesthesia business to an entirely new level! Thanks KZbin!!

[@skmbrd22]

Just had this done for wrist scaphoid ORIF. Three weeks later I still have a dilated pupil 2mm. Could damage, inflammation, hematoma, etc cause this? Essentially opposite of Horner syndrome

[@zakalobi80]

I think use of blunt needle will decrease potential risk for nerve injury after fascia bypass.

[@caristeassalas3411]

Excelente!! 👍

[@nysoravideo]

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[@Jafarali-bz4uq]

Excellent..

[@nysoravideo]

Thank you! Cheers!

[@drahmadfakher]

Waiting

[@azramaric4020]

👍👍

[@1sagakanon]

👏👏👏

[@stephkera9976]

Dr. Hadzic, im a young registrar for anesthia in germany. Our german anesthesia association is not recomendating nerual stimulation for nerve blocks anymore. And one of my colleagues argued that neural stimulation could lead to tissue harming, even on low scale when applying low amperes. The 2nd argument was movement of the patients limbs once you stimulate nerves which could lead to injuries due to the needle still in place. Thats why we dont use this technic anymore. We only use ultrasound guidance. When i say i watch your videos and NYSORA is international famous for regional anesthesia techniques i cant argue against them. Can you give me arguments for neural stimulation combined with ultrasound guidance? We in germany are very bound to our college of anesthesia to follow their guidelines.

[@DRBLUESNYC]

Let's turn this around. If the German Anesthesia Association is recommending against nerve stimulation for the 2 reasons you mention, can you send their evidence-based recommendations against it? Ultrasound guidance is like flying a plane solely based on visuals. But when the weather conditions get bad and you can not see (e.g. bad anatomy), what do you do? It'd be a good question for the German Society.

[@marcosmayer1966]

Excellent response, I agree 100%, neurolocation is an essential tool in nerve blocks not only for those cases of difficult anatomy but also for monitoring and control of all punctures. I do not do any US block without your support., Excellent your videos Dr Hadzic

[@nicolascrescimone]

@@DRBLUESNYC if you can't see you should not be using a needle.

[@claralua789]

Specifically for interscalene block, use nerve stimulator to avoid direct injury to dorsal scapular and long thoracic nerves, which you may not see clearly when passing thru the middle scalene.