- Видео 170
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Dr Amit Pawa
Добавлен 30 янв 2021
Professor Amit Pawa is a Consultant Anaesthetist at Guy's & St Thomas' NHS Foundation Trust, and a Clinical Professor at Cleveland Clinic
He is an Ultrasound Regional Anaesthesia (USRA) enthusiast and completed the first fellowship in Regional Anaesthesia at Guy's & St Thomas'. He holds the ESRA European Diploma in Regional Anaesthesia.
At Guy's & St Thomas' he is the Lead for Regional Anaesthesia.
Amit was appointed as the first chairman of the London Society for Regional Anaesthesia (LSORA) in October 2010.
Amit was President of Regional Anaesthesia UK (RA-UK) for the term May 2018 to May 2021. He also served on the council of the European Society of Regional Anaesthesia (ESRA) during this period
Additionally, Amit is one half of the #BlockItLikeItsHot Podcast team which he co-presents with Dr Jeff Gadsden
He has also created a series of Ultrasound Regional Anaesthesia Video tutorials on RUclips for the LSORA channel with the help of his regional fellows
He is an Ultrasound Regional Anaesthesia (USRA) enthusiast and completed the first fellowship in Regional Anaesthesia at Guy's & St Thomas'. He holds the ESRA European Diploma in Regional Anaesthesia.
At Guy's & St Thomas' he is the Lead for Regional Anaesthesia.
Amit was appointed as the first chairman of the London Society for Regional Anaesthesia (LSORA) in October 2010.
Amit was President of Regional Anaesthesia UK (RA-UK) for the term May 2018 to May 2021. He also served on the council of the European Society of Regional Anaesthesia (ESRA) during this period
Additionally, Amit is one half of the #BlockItLikeItsHot Podcast team which he co-presents with Dr Jeff Gadsden
He has also created a series of Ultrasound Regional Anaesthesia Video tutorials on RUclips for the LSORA channel with the help of his regional fellows
Part 2 Tips & Tricks for Nerve Catheters
This is the second and final part of the Nerve Catheter Lecture
Просмотров: 202
Видео
Part 1 Tips & Tricks for Nerve Catheters
Просмотров 200Месяц назад
This is part 1 of a 2-part lecture series on Nerve Catheters. The original talk was initially delivered at ESRA annual meeting in 2019.
Liposomal Bupivacaine Pro-Con Debate - The PRO side of the Argument
Просмотров 145Месяц назад
This talk was delivered by me at a regional anaesthesia course in Lausanne, Switzerland in November 2024. I was debating against professor Eric Albrecht about whether there is a role for Liposomal Bupivacaine in daily practice. This debate was a little tongue-in-cheek, and we had great fun taking part in the debate. I did have a conflict of interest in the past as I consulted for Pacira Pharmac...
Bruce Scott Lecture - RAUK24 - Amit Pawa
Просмотров 184Месяц назад
This is a recording I made of the Bruce Scott Keynote Lecture I delivered at The RA-UK 2024 meeting held in London in May 2024. This was an opportunity for me to tell a story of my journey into regional anaesthesia, to thank those that taught me, and to look at how education in regional anaesthesia ia changing and has changed. It is not mean to be a strictly educational lecture, but more of an ...
The Evolution of Fascial Plane Blocks
Просмотров 347Месяц назад
This is a video of a talk I delivered for a joint Webinar between RA-UK, Royal College of Anaesthetists and The British Journal of Anaesthesia to celebrate 100 year of the BJA. In this 25 minute talk I discuss concepts of fascial plane blocks, How they might work, and why some folks may not like them! I also discuss where they may have a role.
Using Videos and Social Media to meet Regional Anaesthesia Competencies
Просмотров 169Месяц назад
This talk was delivered at the Association of Anaesthetists Annual Scientific Meeting In Harrogate in September 2024. It featured in the Resident Anaesthetist section, and Amit presented along side Dr Rosie Hogg & Professor Ed Mariano. In this lecture Amit shows us how we can use videos and social media to help meet those RA competencies and references RA-UK, ASRA and RUclips Resources
Do We Still Need Journals to Find Evidence
Просмотров 204Месяц назад
This Lecture was the "Con" Part of a Pro-Con debate that Amit Pawa took part in at the RA-UK/BARA joint meeting held in Bruges, Belgium in November 2024. This was a light-hearted debate where both Professor Van De Velde and myself had some fun looking at the pros and cons of Modern day publishing and accessing evidence from the journals. Ultimately - we both agreed that we need Journals to cont...
The Full Music Video for “How You Gonna Block It?!” - the RAP we promised to make for our Podcast!
Просмотров 2722 месяца назад
The Full Music Video for “How You Gonna Block It?!” - the RAP we promised to make for our Podcast!
Teaser for final Episode on Abdominal Wall Blocks - Jeff’s Secret!
Просмотров 913 месяца назад
Teaser for final Episode on Abdominal Wall Blocks - Jeff’s Secret!
ESRA 2024 Awake major Breast Surgery - the non-technical considerations
Просмотров 1,3 тыс.3 месяца назад
ESRA 2024 Awake major Breast Surgery - the non-technical considerations
Awake or Asleep Blocks? Teaser from latest #BILIH episode
Просмотров 1384 месяца назад
Awake or Asleep Blocks? Teaser from latest #BILIH episode
Latest Episode of Block It Like Its Hot features old haircut chat!
Просмотров 725 месяцев назад
Latest Episode of Block It Like Its Hot features old haircut chat!
Using Augmented Reality in 3D4 Medical Complete Anatomy App to review Paravertebral Blocks Anatomy
Просмотров 5715 месяцев назад
Using Augmented Reality in 3D4 Medical Complete Anatomy App to review Paravertebral Blocks Anatomy
Sneak Peak Behind Recording of July Episode Introduction to BILIH!
Просмотров 796 месяцев назад
Sneak Peak Behind Recording of July Episode Introduction to BILIH!
What do you do for Rib Fracture on the ICU? Listen to Jonny Wilkinson’s thoughts
Просмотров 2106 месяцев назад
What do you do for Rib Fracture on the ICU? Listen to Jonny Wilkinson’s thoughts
Jeff and Amit have just recorded their Next Episode featuring a special guest - can you guess who?
Просмотров 1397 месяцев назад
Jeff and Amit have just recorded their Next Episode featuring a special guest - can you guess who?
Next Episode of BILIH coming soon! Register for CME!!
Просмотров 1197 месяцев назад
Next Episode of BILIH coming soon! Register for CME!!
Season 2, Episode 2 of #BILIH :- Botox & a Cryoneurolysis
Просмотров 1159 месяцев назад
Season 2, Episode 2 of #BILIH :- Botox & a Cryoneurolysis
Argument AGAINST the Motion "Anaesthetic Rooms are No Longer Needed"
Просмотров 60310 месяцев назад
Argument AGAINST the Motion "Anaesthetic Rooms are No Longer Needed"
Can you Guess what we are talking about? #BILIH Season 2, Episode 1
Просмотров 12310 месяцев назад
Can you Guess what we are talking about? #BILIH Season 2, Episode 1
Trough of Schwartz! Is this real? Episode 12 Block It Like Its Hot!
Просмотров 13710 месяцев назад
Trough of Schwartz! Is this real? Episode 12 Block It Like Its Hot!
IPACK (Interspace between Popliteal Artery and Capsule of the Knee)
Просмотров 8 тыс.Год назад
IPACK (Interspace between Popliteal Artery and Capsule of the Knee)
Are you doing these for hip arthroscopies for labral repair? Using Exparel any?
Hi Amir, should have had this song on my 80s playlist yesterday during the awake surgery🤣🤣. Thanks 3:07 again for all you and your team done. Fantastic. Kindest regards, Jen K xx😊
@@jennak7268 thanks! It might have generated a few confused looks!
is there any apps for this anatomical video?
I get my anatomy content from either Essential Anatomy or Complete Anatomy from 3D4 Medical
Great tips. Thanks for sharing the lecture
Glad it was helpful Chris! Thanks for watching, I’d have thought you would have had enough of me by now! 😂
Thank you for your amzing lecture. When securing the catheter, it may not be possible to secure it properly due to local anesthetics or blood. Can you give me some advice?
Thanks for the feedback. So the answer to this really relates to something very simple. It is really essential that you make sure the insertion site is dry and free from fluid and blood before applying a dressing. This may mean that you have to apply pressure to insertion site, or use skin glue. The “brown sticky solution” - tinc benz/mastisol can really help too
We are yet to have it licensed in HK .
It may take a while to get there as I believe the company is focusing on the USA. Other medications should be out soon like Liposomal ropivacaine
I use it for every block with great results. Some blocks like popliteal last up to 5 days.
I had same experience with Popliteal! Thanks for sharing your experience
Hi Dr Amit , the voice quality and volume work well for me in this recording , thx 🙏🏻 🎉
I have listened to the video that you had issues with on multiple peoples accounts on different devices and it seems to work fine. I am really confused as to why you have had issues. Please accept my apologies for that. I am happy that this one works better
Dr Awit , the voice recording is way too low . I can receive your message with lots difficulty even the volume turned the highest in my iPhone 🙏🏻😢
@@kwokkuenliu4422 so sorry to hear this. I have checked on my phone and on some other phones too and could hear ok. I am not sure what to suggest other than I can re-record if this still proves difficult for you
Thx for your prompt reply I am listening in a quiet place , still barely audible in my mobile device . It’s more than grateful if you can adjust the voice if it’s doable . Thx 🙏🏻
@ i have asked a number of people to listen and bizarrely, no one else is having this issue. Is this only a problem for this one video of mine? I may wait a little while before re-recording if that is ok, as I need to know if this is a problem for anyone else. I am so sorry you are having issues with this
I can hear it just fine here
What concentration and volume of LA are you using?
@@chriswong7075 totally depends on patient. Generally speaking though, 20cc for PVB, and what ever balance of LA i have left, I dilute up to 30-40 cc and use for fascial plane blocks
Я очень жду позицию узи с наружи, по каким ориентирам и в какой плоскости лежит датчик на коже это важно, сделайте пожалуйста видео. Спасибо жду
I have a video on my channel already. Link is here too ruclips.net/video/PCvkIs6BfOE/видео.htmlsi=dFkPgKgKJmdp9L8k
@@DrAmitPawa спасибо. Мне нужно видео как вы колите, видеть сам прокол и датчик на коже человека., а вы показали датчик на анатомической схеме электронной картинки.
Wonderful machine. Specs?
I believe this was the early version of the GE venue
It tastes quite nice actually for me but the inclusion of whichever chemicals etc to make it that colour and flavour has got me thinking 🤔 It strikes me as another fad or something like Tab Clear (that strange clear Pepsi stuff) which was sold in the UK briefly in the early 90’s.
@@vinaymulukutla358 i think the taste is tailored to a younger generation. I am obviously not the target audience!!
@ Completely agree with that Dr. Pawa 👍
Are you back down under 24 year later ? Did you do an oz experience??
@@djnm1978 yup! That was me!! I’ll be back there in March briefly! How are you?!
@DrAmitPawa all good here dude. Hope u well .Half a lifetime has passed . U based in London still? John relocating from nz to brisbane next Yr so will defo be visiting .
great thank you I'm going to check out the next one!
Please do!
Dr Pawa is such a boss!
@@edwardpinder5634 that’s very kind of you to say! I’d say I am just an enthusiast who loves spreading the RA love!
Amazing... verbal midazolam❤
Dr Tanya is amazing!
This is lovely! Very professional and so much love and encouragement and effort! Love it!
Thank you so much!
Brilliant! The best video of sorts. Thank you very much!!!
@@DrQueenLuna thank you so much
@@DrAmitPawa Thank you!!!
Cool! Well done!
@@annamariesteyn7556 thank you! Jeff is a superstar creative and editor!
I am a fan of IV lidocaine infusions for small abdominal procedurers (like lapchol). I do them intraop and continue in the PACU, turn it off before the patient goes to the floor. I noticed a significant difference in the amount of opioids needed intraop and the patients wake up beautifully.
Thanks so much for sharing your experience.
to me it taste like Fresca, which I like
Am with using lidocaine infusion in blocks catherters not IV.. 👍😉
Great answer!
I tried it a couple of months ago, I don’t reconmend it. It gives you diarreah and the food colouring turns your poop green
😂😂😂
@@DrAmitPawa we stopped selling it in my country after a month in the stores
"oh my god that's disgusting" man you didnt even try :( its a bad idea to trust your immediate thoughts on food/drink right after it enters your mouth because you're not letting yourself acquire the taste
Thanks- I think I’m good though!
yeah true, all the finest foods and drink in life taste like dog diarrhea until you just eat the whole thing and forget about it. thats the real key to a good flavor
Normally I would agree, but here you can immediately know if you're going to like it or not. Apparently the companies think that "zoomers" hate natural flavours, so they are all trying to figure out a new, totally "chemical" drink. They spent years to develop a sweetener that doesn't have chemical aftertaste and what not, and this is throwing all this out the window. The chemical taste and aftertaste is there by design. You might try asking kids what they think about it. We are clearly not the target for this thing.
I am having ablock tomorrow in casper wyo. i am afraid of pain, since the burnin grhosodomy of my nerves from L1-L5 did not go well and was very painful afterwards, it put me in bed for 2 weeks inflamation of the right side of the back and black and blue back. i will try and remember to post the results I have acute scoliosis with 83 % curvature. is tgw back numbed during the procedure? or alittle anesthesia? I guess Iwill know tomorrow.
Good Luck for your procedure. I guess it depends exactly what block you are having done and for what indication, but most practitioners would insert some local anaesthetic before siting the block, and some even offer sedation. As i say- this is determined by local practice. Good luck and hope it goes well
I tried it yesterday, Looks like windshield washing fluid and tastes just like windshield washing fluid mixed with cough medicine. Completely UNDRINKABLE. 🤮 I threw out the bottle after first gulp and I was thirsty.
@@ctrlz4439 same- apart from 2 sips! 😂
Whatttttttt that's literally the best drink in the world 🤣. I highly recommend drinking it extremely cold 🤣
@@DrAmitPawa don't try it warm, try it freezing cold, that's a big difference 🤣
@@skyoceanneo if it does not turn to ice when extremely cold - may be it is windshield washing fluid indeed
womp womp
Yes! Hilarious! Thats one of the issues with AI image generator!
4:53 think AI couldve added anymore stethoscopes!
hi may i know if you accept international fellowship training in your training centre ?
Sadly not at the moment- so sorry
@@DrAmitPawa hi what about workshops in regional anaesthesia for foreigners?
@@justinbasutu we run workshops at many courses in London- if you check out the RA-UK website, you can see courses advertised there There will almost certainly be workshops at the RA-UK conference next may too
Does someone told u u look like Robert de niro
No, have not heard that one yet! 😂
❤❤❤❤❤Very nice ❤❤
Many many thanks
😂😂😂😂
@DrAmitPawa can i humbly request video for esp block with catheter
Ok - Will try my best to put one together!
Nerve blocks under GA is common in pediatric patients. I think doing it in adults doesn't increase the risk.
@@zakalobi80 yup, i hear you!
Try mixing ropivacaine, dexamethasone and dexmedetomidine. 🙂
Woah.! Yes i have heard of folks doing that!
There’s a study of Mathias Maagaard, et al. 2024, DOI: 10.1136/rapm-2023-105098. Dexmedetomidine and Dexamethasone combined vs Dexa alone are the same in duration of analgesia. And in RAPM 2024 E. Hoerner showed more crystallization in the dexme-dexa mixture. 10.1136/rapm-2023-105229. Based on that i wouldn’t think there’s any reason in doing so.
Thank you dr..very useful video as usual
So nice of you to say that! Thank You 🙏🏽
❤ Very informative! Thanks👍
Thank you so much!
Fantastic lect ❤ God bless you
@@ebu_sati thank you so much- that is really kind
You gave me confident to start back doing blocks ❤️ self practice You saved me and many pts were not fit for G.A ESB SFIB THOSE blocks i was the first anesthesia doc doing it in my hospital
@@ebu_sati oh my goodness! This is so incredible to read and wonderful to hear. Keep it up and spread the knowledge. This is such an inspiring story, thank you for sharing
Hi, thanks for the video, I usually need to perform basilic vein transposition procedures for av access, for them I need medial arm anesthesia, but if I block close to this vein for MABCN , vein goes into spasm ( from needle) , how can I block at a higher level( thoracic?)
In theory, you could do a pecto-serratus or serratus anterior plane block from axilla with a larger volume of LA to target the nerve here, or block median antebrachial cutaneous in axilla near median nerve
Is it possible to place a catheter into the ITP space?
@@chriswong7075 although this is not something I personally do, it is something that has been done and published
absolutely stunning presentation.Loved it entirely.
Thank you so much for your kind words 🙏🏽
thank you
@@paanmelaka thanks for watching and supporting my channel 🙏🏽🙏🏽
Excellent Dr Amit
Thank you- please do listen to the full episode too!
thank you
You're welcome. Thanks for watching!
hi. for posterior knee pain, would you recommend saphenous nerve block or ipack block?
For posterior knee pain there are a few options: 1. Surgical Local Anaesthetic infiltration at time of surgery 2. IPACK block 3. Distal Adductor Canal block aiming for LA to follow the Path to the back of the knee. My Preference is for ipack block
@@DrAmitPawa if the pain is more over the semimembranosus/semitendinosus region, i probably should go for distal adductor canal block right?
thank you
Thank you for watching videos and supporting my channel 🙏🏽
A short! Haha this is great
Trying to mix it up! 😂
Is it recorded?
@@ebu_sati on any podcast provider…
Very useful
Thanks So Much
Love your videos. Very insightful. I am but a mere dnap student who will likely be doing this block and an ipack tomorrow. I watched your ipack block video as well. You are doing great things.
Thank you so much for taking the time to watch and also feedback on the videos. It’s really great to know that they are being put to good use. Good luck for the blocks.