I have taught spinal anesthesia to residents for over 20 years. I only wish I could have taught it this well. Anesthesiologists should be experts at spinal anesthesia in all its iterations. I'm sure in the next videos you will teach the ability to perform the blocks in other positions than sitting (very useful when patients require sedation or when painful conditions such as a hip fracture occur). Use of basicity to control or at least influence laterality is also important. Some days I wish i hadn't retired.
@@sovereign775 I could, but a.) Thee is still COVID, and b.) I find that I enjoy sleeping in. PS . You have chosen a wonderful career, and likely won't regret it.
Thank you for watching. If you found this video useful, make sure you watch this with complimentary information ruclips.net/video/cV1xVJQa64g/видео.html . And do not forget to SUBSCRIBE and never miss new releases. Greetings from NYSORA!
I enjoyed listening to this instructional video, I had a total hip replaced last year and everything was perfect got to the hospital at six surgery about 720 at my house by 1:30 PM no pain no narcotics Tylenol ASA 81 and Celebrex and FYI please do not take Celebrex and baby aspirin It’s definitely not a good idea if you’d like to avoid a G.I. complication :-)
Mr Hadzic, I think I speak on behalf of many here if I thank you for your generosity sharing all these top quality videos with us. They surely deserve millions of views, which is probably not realistic given that we anesthesiologists are a relatively small niche here on YT. Theyre much appreciated though!
Hey Dave! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience! Cheers!
@Amit Atwal Thank you for watching. If you found this video useful, make sure you watch this with complimentary information ruclips.net/video/cV1xVJQa64g/видео.html . And do not forget to SUBSCRIBE and never miss new releases. Greetings from NYSORA!
I have just had spinal anesthesia for prostate surgery,taken without any sedation, absolutely fantastic,,after operation I had something to eat & felt 100% no sickness after What so ever, fantastic,unreal,totally awake & relaxed,you can speak with theatre staff or listen to music on your multimedia device while undergoing your procedure,brilliant
watching this as i performed my 4th succesfull spinal anesthesia for total hip replacement in a 1.6m obese female using 3ml hyperbaric bupivacain 0.5% plus 5ug sufentanyl with the opening towards cranial direction. the level of anesthesia was up to belly button or sligthly below. was efficent to perform the hip replacement on the awake patient. oh what miracle this is. thanks to my senior PD Dr. Seyfried!
In Saudi arabia we are using mainly hyperbaric marcaine for spinal anesthesia. 10 years in practice didn't have a single total spinal anesthesia. had couple of C/S which the spinal cause shortness of breath and minor discomfort.
Hi Zemonizer! Thank you for sharing. Indeed, we all do things differently; in the end - it is what works 4 you. Thank you for watching and do subscribe to the channel - we have a lot more coming up.
Thank you Aduru! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience!
My god.. what wonderful videos I was missing until now.. I am glad I found your channel, such wonderful explanation, worth every second... Thankyou Sir❤
Thankyou so much for this video, I’m currently on my clinical rotation in anaesthesia and this video has saved my time and makes spinal anaesthesia easier to understand. Waiting for the part 2 and 3 🤗
Hey Michelle! Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience!
Is there any possibility in a very thin patient that the introducer needle, when hubbed, can actually enter SA space? Do you recommend the introducer needle be hubbed by habit or stopped when 'engaged'.
This is very smart, well explained and detailed yet simple elaboration, even if I haven't gone to a medical school I feel myself being a doctor....God bless you.
I had to undergo through it 3 times, as i got 3 spinal anesthesia for 1 surgery because of 2 spinal failure, even third one didn't work on me .At last they gave me general anesthesia.And now suffering from severe back pain 😢😢
thanks a lot Dr hadzic for this amazing explanation and l am very excited to the next parts l am student CAA from Yemen.I wish if there is also vedio like this for epidural
Hi very good information what is the purpose of local anesthesia before inserting the needle or that is optional will patients will get hurt while inserting needle
I had spinal anaesthesia when I had major foot reconstruction surgery last year. I was worried that during and post operation, I would struggle with the immobility and feel trapped. But I didn't. While lying down I was barely aware I had been anaesthetised and was shocked when I looked down and saw the nurse lifting my leg! I didn't feel 'numb', I felt I was lying normally, and what I was seeing conflicted with what I felt. Post operation, I never felt trapped, just relaxed. Is this normal patient experience?
Very much so. I once had a young patient have the exact same experience. She wanted to watch and she couldn't stop laughing during the surgery because of the disconnect between what she saw and what she felt.
Hello Dear! Thank you for watching our channel. However it is difficult to give medical recommendation based on them short information you have provided. We are unable to do this in this on this platform. We would strongly recommend you contact your doctor for further management. Wishing you best for your recovery. Nysora Team!
I’m preparing for total knee revision I don’t want to see anything and am a bit apprehensive about this spinal anesthesia due to issues with L 4 and L 5 already will see what occurs on 10/9/23 one thing for certain and two is for sure I definitely need this knee revision surgery desperately 😮🙏🏽
Thank you for the video. Is it normal to reintroduce the introducer or stylet of the Anesthesia needle several times? I see that it is only done once by determining the correct place, but I am not sure if it is normal to take it out and re-insert it until you find it.
Wow that is cool to hear! Make sure to follow us and maybe subscribe to our newsletter for more content that might be useful and inspirational to you. Here is the link: www.nysora.com/newsletter/
Why is the introducer made so long? I inserted the introducer 3/4 of the way in, unintentionally punctured the dura mater, the anesthesia was ruined, post-puncture headache is guaranteed, if not worse, since the introducer is quite thick. All that was needed was to make the introducer 1-0.5 cm shorter.
Only one question. According the video is it nessesary to define the points of a possible injection wearing the same sterile gloves that you would later use to perform the spinal anesthesia?
Thank you, I have experience in having CSF flow through the introducer in thin pregnant patient , I inject the heavy bupivacaine immediately through the introducer and spinal block act for CS , fortunately patient did not develop postspinal headache . (This is just comment on the video tip at min 18: 30)
For the hadzic technique. Is there an error? You mention the bottom third but on the illustration the bottom third is the sacrum. Do you mean to say bottom third of the spinal column (not including the sacrum)? Thank you. Thank you very much for these videos. I appreciate you sharing your knowledge and time and commitment in making these vids.
No error that the sacrum is included. The goal is to use precise anatomical landmarks to locate the exact L2-3, L3-4, or L4-5 space. However, what he is suggesting is to simply incorporate a “does this make sense test” - a check before inserting a needle into the cord and causing injury at the level of L1-2 or above. If you think you found L2-3 but it’s more than a third of the way up the back on a sitting patient - you’re wrong and need to reassess. Hope this helps.
Very nice explanation with rich illustrations and also the big screen behind you make it easy to follow you plus the diagrams pop up while you continue explain. Thank you doctor I enjoyed watching all of the video. Did not get the chance to see the titles of the books in the video only pediatrics title and solar , I don't know what were the rest and were they important or not for anesthetics!
What are your thoughts on doing a nerve block for women in labor? Would it be better than being bound to the bed with an epidural? Women would be able to move while laboring and their pain would be under control
i had a surgery 3 days ago and i was injected in spine with rahianestezia,affter the first day i started having pain in my upper spine ,cant move my head without big pain ,even now affter 3 days .is it normal ,does anyone know when will it pass?
Dear Octavian! Thank you for watching our channel. However it is difficult to give medical recommendation based on them short information you have provided. We are unable to do this in this on this platform. We would strongly recommend you contact your doctor for further management. Wishing you best for your recovery. Nysora Team!
New subscriber here.Find your video informative & concise... Looking forward to.more videos. Thanks so much doc. I will re-watch ur video for a better understanding of the topic.👍
When I draw CSF to confirm the correct location of the needle tip, what am I supposed to see in the syringe? My attending tutor says I should see a sort of white floating "fog" in the fluid (she calls it barbotage), that'd be the result of the different viscosity between the csf and the anesthetic. After watching her do this procedure many times, and even after doing it myself a few times now, I still can't see it. I always need her to confirm that said "barbotage" is or isn't there, and she's starting to get impatient at me for not being able to do it on my own. Am I blind or what? Any tip would be appreciated...
Hi and thanks for the question! You can never see any difference in color or viscosity between local anesthetic and CSF by the naked eye. If you wanted to make sure that the fluid is CSF and not Local Anesthetic - you can do a glucose test - obviously, it would be positive for CSF and negative for LA. However, this is not practical in most circumstances. Therefore, clinically - it is sufficient to aspirate at the beginning and at the end of the injection. Free aspiration = CSF. You will NEVER see the difference. And any other testing is impractical. We hope this helps. Greetings from NYSORA!
Hi Preety! Thank you for showing your interest in this topic. For more information, We strongly recommend this source for the clinically proven standardized nerve block techniques: www.nysora.com/nysora-product-nerve-block-app/ This is the source used by NYSORA's students, fellows, and over 10,000 clinicians worldwide".
I had a kidney stone operation six days ago, and on the third day I had vomiting. I still have a lot of headaches and should not get up. What to do now .... Give me suggestions plz
Hi KD! Thank you for inquiring. We are really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from Nysora!!
Eracs with low dose hiperbaric with position lateral decubitus SAB and adjuvan opioid morphin fenthanyl , head down, fine neddle 27, with no skin infiltration lokal anesthesia, no introducer needle, one shoot. Short motoric block with prolonged sensoris post operative pain control with early mobilitation
Hi Evelyn! Thank you for sharing. It will be great to see a video of the procedure as you describe it. In our experienced 27 gauge needle is without introducer are extremely difficult to direct towards the desired target. Greetings and Thank you for sharing!!
Hi Hirbayyee Uddessaa! Indeed. Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!
Hi! Is this column division in three equal parts from the transition from head/neck to the end of the sacrum, including the cervical part of it? The image showed gave me the impression that only thoracic/lumbar/sacral spine was being considered. Thanks, and one more wonderful video by NYSORA, congratulations to you all!
Thank you Lucas! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience! Cheers!
Hi Habib Farooq! Thank you for your suggestion. We will definitely put this on our list. Greetings to you and all your colleagues and make sure you subscribe to our channel so you don't miss these upcoming videos. Best Regards from NYSORA!!
I just had hip replacement surgery 4 weeks ago. I requested spinal anesthesia. I’m both glad and regretful about that decision. Yeah, ya wake up pain free. The first thing that you do is try and dorsi flex your feet. OMG, I’m paralyzed! Felt great! Then the anesthetics wore off. Let the ouch begin. Ooh we! Level 10 pain! A patient self administered narcotic pump wasn’t working for me. Then the shakes came as my body slowly awakened to reality. What they don’t tell ya is that your bladder pressure nerves are some of the last ones to awaken. Hence, I had severe urinary incontinence. I warned them to NOT take my catheter out yet. But no. Therefore I pissed all over my bed, numerous times. They couldn’t get to me in time. Thankfully I had pee pads underneath me. During my first 24 hours in hospital I peed out 4 liters. Because they do measure output. Why oh why would they remove my catheter when I was staying another night!? And, They gave me a nasty case of phlebitis bc of poor IV cannula placement. I told them to take it out once I noticed my arm starting to swell. But no. Left it in, even tho I wasn’t being infused with anything at that point. Now I have pain from those superficial thromboses in my veins. It’s painful and you can feel the hardened veins along my forearm. Freaking hospitals! I would rather go it alone at home compared to their patient non care. Doctors these days have no patience for patients. Practically a drive thru procedure regarding hp replacement. Surprised they don’t guide you thru the operation over the phone. Or, televisits. The new covid free way to treat patients. Over the phone. Wow
Hi David, Thank you for inquiring. We really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from NYSORA!!
@@nysoravideo thank you so much! I love your contents and just today showed my supervisor your videos! Appreciate the amazing work! All the best from Germany
Hi there! thank you for inquiring. We really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from NYSORA!!
Hi Banzeedoc! Thank you for inquiring. We are really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from Nysora!!
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I have taught spinal anesthesia to residents for over 20 years. I only wish I could have taught it this well. Anesthesiologists should be experts at spinal anesthesia in all its iterations. I'm sure in the next videos you will teach the ability to perform the blocks in other positions than sitting (very useful when patients require sedation or when painful conditions such as a hip fracture occur). Use of basicity to control or at least influence laterality is also important. Some days I wish i hadn't retired.
Starting anesthesia residency next year. You may have retired but I'm sure you can get back into it 😁
@@sovereign775 I could, but a.) Thee is still COVID, and b.) I find that I enjoy sleeping in.
PS . You have chosen a wonderful career, and likely won't regret it.
Thank you very much for your kind words, and thanks for sharing!
Sir you are gem 💎 and gems even retired are precious. Huge respect for teachers like you who have passion for teaching.
Thank you for watching. If you found this video useful, make sure you watch this with complimentary information ruclips.net/video/cV1xVJQa64g/видео.html . And do not forget to SUBSCRIBE and never miss new releases. Greetings from NYSORA!
I enjoyed listening to this instructional video, I had a total hip replaced last year and everything was perfect got to the hospital at six surgery about 720 at my house by 1:30 PM no pain no narcotics Tylenol ASA 81 and Celebrex and FYI please do not take Celebrex and baby aspirin It’s definitely not a good idea if you’d like to avoid a G.I. complication :-)
Mr Hadzic, I think I speak on behalf of many here if I thank you for your generosity sharing all these top quality videos with us. They surely deserve millions of views, which is probably not realistic given that we anesthesiologists are a relatively small niche here on YT. Theyre much appreciated though!
Hey Dave! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience! Cheers!
@Amit Atwal Thank you for watching. If you found this video useful, make sure you watch this with complimentary information ruclips.net/video/cV1xVJQa64g/видео.html . And do not forget to SUBSCRIBE and never miss new releases. Greetings from NYSORA!
Very true I really appreciate
I have just had spinal anesthesia for prostate surgery,taken without any sedation, absolutely fantastic,,after operation I had something to eat & felt 100% no sickness after What so ever, fantastic,unreal,totally awake & relaxed,you can speak with theatre staff or listen to music on your multimedia device while undergoing your procedure,brilliant
excellent presentation.even after doing more than 10000 spinal, ilearn and get good tips. thank you very much Dr.Hadzic
Hi Praful! Glad to hear this! Thanks!
watching this as i performed my 4th succesfull spinal anesthesia for total hip replacement in a 1.6m obese female using 3ml hyperbaric bupivacain 0.5% plus 5ug sufentanyl with the opening towards cranial direction. the level of anesthesia was up to belly button or sligthly below. was efficent to perform the hip replacement on the awake patient. oh what miracle this is. thanks to my senior PD Dr. Seyfried!
Waaaay too much dose don't you think? Less dose, less adverse effects, faster recovery.
I swear it is the best video for teaching spinal anesthesia
I have ever seen
In Saudi arabia we are using mainly hyperbaric marcaine for spinal anesthesia. 10 years in practice didn't have a single total spinal anesthesia. had couple of C/S which the spinal cause shortness of breath and minor discomfort.
Hi Zemonizer! Thank you for sharing. Indeed, we all do things differently; in the end - it is what works 4 you. Thank you for watching and do subscribe to the channel - we have a lot more coming up.
Thank you 🙂for great eucational contents for medical people!
Very excellent technical points taught sir about sub arachnoid cauda equina block. Thankyou very much.
Very welcome!
Thank you Aduru! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience!
Congratulations! Excellent video for all beginners in Regional anesthesia.
Thank you, nice to hear that!
My god.. what wonderful videos I was missing until now.. I am glad I found your channel, such wonderful explanation, worth every second... Thankyou Sir❤
Thankyou so much for this video, I’m currently on my clinical rotation in anaesthesia and this video has saved my time and makes spinal anaesthesia easier to understand. Waiting for the part 2 and 3 🤗
Glad it was helpful! Thanks for watching.
Hey Michelle! Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience!
Is there any possibility in a very thin patient that the introducer needle, when hubbed, can actually enter SA space? Do you recommend the introducer needle be hubbed by habit or stopped when 'engaged'.
Thank you dr. Hadzic ,
This video was informative and helpful to me .
Glad to hear that!
This is very smart, well explained and detailed yet simple elaboration, even if I haven't gone to a medical school I feel myself being a doctor....God bless you.
Thank you for your comment!
Tq Dr .Hadzic this video is very helpful to me easily understood
Hi Satheesh Yadav! Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!
I had to undergo through it 3 times, as i got 3 spinal anesthesia for 1 surgery because of 2 spinal failure, even third one didn't work on me .At last they gave me general anesthesia.And now suffering from severe back pain 😢😢
Very effective and impressive way of teaching. Great contribution to medical students and medical professional community around the world.
Hi Hitesh! Thank you so much for your kind words; we really appreciate your feedback.
Good 😊❤ I student form Iraq
Fantastic explanation , thanks a lot Dr. Hadzic
Most welcome!
YOU ARE THE BEST TEACHER !!!!!
Thank you for commenting!
thanks
here we have very good explanation of spinal anesthesia
Glad you liked it. Have you subscribed to our newsletter for more educational content? www.nysora.com/newsletter/
Doc thanks for your videos, i am med student and your videos intrested me in anestesiology as specialty. Hvala doktore 😄
Most welcome!
Great video , preparing to take off in anaesthesia rotation a couple of weeks to go
You can do it!
@@nysoravideo 🙏🙏🙏
Thank you very much for this teaching. It is very helpful and shall watch further videos.
Hi Sipra! Indeed. Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!
thanks a lot Dr hadzic for this amazing explanation and l am very excited to the next parts l am student CAA from Yemen.I wish if there is also vedio like this for epidural
Glad to hear that! Thank you for your suggestions! Greetings!
You deserve OSCAR
DO NOT MISS OUT OUR NEW VIDEOS, SUBSCRIBE HERE: ruclips.net/user/nysoravideo
Hi very good information what is the purpose of local anesthesia before inserting the needle or that is optional will patients will get hurt while inserting needle
Superb 🔥🔥🔥 very big thanks for your grate informations...🙏🙏🙏
Thanks and welcome!
Is there possibility of damaging the nerves with the needle?
thanks dear Hadzic
I wonder if you use a cutting spinal needle G25 ( Quincke) , do you prefers to inter in a bevel up or bevel lateral?
I had spinal anaesthesia when I had major foot reconstruction surgery last year. I was worried that during and post operation, I would struggle with the immobility and feel trapped. But I didn't. While lying down I was barely aware I had been anaesthetised and was shocked when I looked down and saw the nurse lifting my leg! I didn't feel 'numb', I felt I was lying normally, and what I was seeing conflicted with what I felt. Post operation, I never felt trapped, just relaxed. Is this normal patient experience?
I think it's normal
Very much so. I once had a young patient have the exact same experience. She wanted to watch and she couldn't stop laughing during the surgery because of the disconnect between what she saw and what she felt.
Hello Dear! Thank you for watching our channel. However it is difficult to give medical recommendation based on them short information you have provided. We are unable to do this in this on this platform. We would strongly recommend you contact your doctor for further management. Wishing you best for your recovery. Nysora Team!
I’m preparing for total knee revision I don’t want to see anything and am a bit apprehensive about this spinal anesthesia due to issues with L 4 and L 5 already will see what occurs on 10/9/23 one thing for certain and two is for sure I definitely need this knee revision surgery desperately 😮🙏🏽
Thank you for the video. Is it normal to reintroduce the introducer or stylet of the Anesthesia needle several times? I see that it is only done once by determining the correct place, but I am not sure if it is normal to take it out and re-insert it until you find it.
This was excellent!!!
This made me so pumped to continue my journey to becoming a nurse anesthetist. 💉🔥💉
Wow that is cool to hear! Make sure to follow us and maybe subscribe to our newsletter for more content that might be useful and inspirational to you.
Here is the link: www.nysora.com/newsletter/
Superb 👌
Thank you! We're glad you're finding our videos interesting and beneficial.
This video is beneficial👏👏
Thank you! Glad that you like it!
Why is the introducer made so long?
I inserted the introducer 3/4 of the way in, unintentionally punctured the dura mater, the anesthesia was ruined, post-puncture headache is guaranteed, if not worse, since the introducer is quite thick.
All that was needed was to make the introducer 1-0.5 cm shorter.
thank u dr it s so helpful , I ll be waiting for the next parts
Glad it was helpful!
Only one question. According the video is it nessesary to define the points of a possible injection wearing the same sterile gloves that you would later use to perform the spinal anesthesia?
is it possible to perform open cholecystectomy by spinal anaesthesia? plz reply Sir
Excellent video...another amazing video on this channel
Indeed. Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!
Thank you, I have experience in having CSF flow through the introducer in thin pregnant patient , I inject the heavy bupivacaine immediately through the introducer and spinal block act for CS , fortunately patient did not develop postspinal headache . (This is just comment on the video tip at min 18: 30)
Usually our anaesthesiologists used 22G for spinal anesthesia , hyperbaric marcain with 25mcq of fentanyl.
Thanks for sharing. Where are you writing us from?
@@nysoravideo King Abdulaziz Hospital, Makkah, Saudi Arabia
For the hadzic technique. Is there an error? You mention the bottom third but on the illustration the bottom third is the sacrum. Do you mean to say bottom third of the spinal column (not including the sacrum)? Thank you. Thank you very much for these videos. I appreciate you sharing your knowledge and time and commitment in making these vids.
No error that the sacrum is included. The goal is to use precise anatomical landmarks to locate the exact L2-3, L3-4, or L4-5 space. However, what he is suggesting is to simply incorporate a “does this make sense test” - a check before inserting a needle into the cord and causing injury at the level of L1-2 or above. If you think you found L2-3 but it’s more than a third of the way up the back on a sitting patient - you’re wrong and need to reassess. Hope this helps.
So well explained👏🏾👏🏾👏🏾
Glad you enjoyed it!
Very nice explanation with rich illustrations and also the big screen behind you make it easy to follow you plus the diagrams pop up while you continue explain. Thank you doctor I enjoyed watching all of the video. Did not get the chance to see the titles of the books in the video only pediatrics title and solar , I don't know what were the rest and were they important or not for anesthetics!
Thank you! You can view the full asortment of eBooks currently available on PocketEdu at the following link:
www.pocketedu.com/e-books
@@nysoravideo ty so much , i will check the link now.
What are your thoughts on doing a nerve block for women in labor? Would it be better than being bound to the bed with an epidural? Women would be able to move while laboring and their pain would be under control
i had a surgery 3 days ago and i was injected in spine with rahianestezia,affter the first day i started having pain in my upper spine ,cant move my head without big pain ,even now affter 3 days .is it normal ,does anyone know when will it pass?
Dear Octavian! Thank you for watching our channel. However it is difficult to give medical recommendation based on them short information you have provided. We are unable to do this in this on this platform. We would strongly recommend you contact your doctor for further management. Wishing you best for your recovery. Nysora Team!
beautifu video! rotating under anesthesia
Thank you!
New subscriber here.Find your video informative & concise... Looking forward to.more videos. Thanks so much doc. I will re-watch ur video for a better understanding of the topic.👍
Hi Angelique! Thank you for watching! A lot more videos are coming very soon. Greetings!
Can lapro cholecystomy perform under spinal anesthesia safely llease suggest its urgent.
Excellent👏
Thanks a lot!
Best as always!
Thank you!
Excellent review thank you 👍
Thanks for watching!
Dear Thank YOU VERY MUCH ❤❤❤❤🙏🙏🙏🙏🙏🌹🌹🌹🌹
Most welcome 😊
When I draw CSF to confirm the correct location of the needle tip, what am I supposed to see in the syringe? My attending tutor says I should see a sort of white floating "fog" in the fluid (she calls it barbotage), that'd be the result of the different viscosity between the csf and the anesthetic. After watching her do this procedure many times, and even after doing it myself a few times now, I still can't see it. I always need her to confirm that said "barbotage" is or isn't there, and she's starting to get impatient at me for not being able to do it on my own. Am I blind or what? Any tip would be appreciated...
Hi and thanks for the question! You can never see any difference in color or viscosity between local anesthetic and CSF by the naked eye. If you wanted to make sure that the fluid is CSF and not Local Anesthetic - you can do a glucose test - obviously, it would be positive for CSF and negative for LA. However, this is not practical in most circumstances. Therefore, clinically - it is sufficient to aspirate at the beginning and at the end of the injection. Free aspiration = CSF. You will NEVER see the difference. And any other testing is impractical. We hope this helps. Greetings from NYSORA!
Great❤❤
Motor block
Sensory block
Autonomic block ,
Doubt is both sympathetic & Parasympathetic block occurs ?
Hi Preety! Thank you for showing your interest in this topic. For more information, We strongly recommend this source for the clinically proven standardized nerve block techniques: www.nysora.com/nysora-product-nerve-block-app/ This is the source used by NYSORA's students, fellows, and over 10,000 clinicians worldwide".
So if a pt has a pump with meds going into the intrathecal space. Then should this not be done?
Excellent !!!!
thank you!
amazing channel !
Thank you
Where is part 2 and part 3 as told in video?
I had a kidney stone operation six days ago, and on the third day I had vomiting. I still have a lot of headaches and should not get up. What to do now ....
Give me suggestions plz
This video is very informative..... Waiting for the next part
Hi KD! Thank you for inquiring. We are really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from Nysora!!
Eracs with low dose hiperbaric with position lateral decubitus SAB and adjuvan opioid morphin fenthanyl , head down, fine neddle 27, with no skin infiltration lokal anesthesia, no introducer needle, one shoot. Short motoric block with prolonged sensoris post operative pain control with early mobilitation
Hi Evelyn! Thank you for sharing. It will be great to see a video of the procedure as you describe it. In our experienced 27 gauge needle is without introducer are extremely difficult to direct towards the desired target. Greetings and Thank you for sharing!!
Thanks for this video
Welcome-Keep watching, a lot more is coming soon!
Can any one share the link of video 2&3
спасибо большое ! Thank you so much
Can a patient lie on his back for surgery of HoLEP? For prostate surgery?
Incredible!
Very best
Hi Hirbayyee Uddessaa! Indeed. Thank you for your comment! Make sure you subscribe to the channel so that you do not miss some super educational upcoming videos!
Year 2019 I gave birth thru CS. Why my spine the part that they injected is still hurt. Really hurt i cant even press it because it is really hurt
Amazing
Damn watching it hurts my spine XD
I felt the pain once
Great
Hi! Is this column division in three equal parts from the transition from head/neck to the end of the sacrum, including the cervical part of it? The image showed gave me the impression that only thoracic/lumbar/sacral spine was being considered. Thanks, and one more wonderful video by NYSORA, congratulations to you all!
Thank you Lucas! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience! Cheers!
Very much useful. Thank you sir😊
So nice of you! Keep watching!
Pregnant first time mum highly anxious abt the spinal for c section here. I am sooooooo scared
how do you do doctor?
The hadzic divides the spine into 4 equal parts or 3 parts. The video seems to show 4 . Hadzic says 3
I want epidural video from your channel
Hi Habib Farooq! Thank you for your suggestion. We will definitely put this on our list. Greetings to you and all your colleagues and make sure you subscribe to our channel so you don't miss these upcoming videos. Best Regards from NYSORA!!
I just had hip replacement surgery 4 weeks ago. I requested spinal anesthesia. I’m both glad and regretful about that decision. Yeah, ya wake up pain free. The first thing that you do is try and dorsi flex your feet. OMG, I’m paralyzed! Felt great! Then the anesthetics wore off. Let the ouch begin. Ooh we! Level 10 pain! A patient self administered narcotic pump wasn’t working for me. Then the shakes came as my body slowly awakened to reality. What they don’t tell ya is that your bladder pressure nerves are some of the last ones to awaken. Hence, I had severe urinary incontinence. I warned them to NOT take my catheter out yet. But no. Therefore I pissed all over my bed, numerous times. They couldn’t get to me in time. Thankfully I had pee pads underneath me. During my first 24 hours in hospital I peed out 4 liters. Because they do measure output. Why oh why would they remove my catheter when I was staying another night!? And, They gave me a nasty case of phlebitis bc of poor IV cannula placement. I told them to take it out once I noticed my arm starting to swell. But no. Left it in, even tho I wasn’t being infused with anything at that point. Now I have pain from those superficial thromboses in my veins. It’s painful and you can feel the hardened veins along my forearm. Freaking hospitals! I would rather go it alone at home compared to their patient non care. Doctors these days have no patience for patients. Practically a drive thru procedure regarding hp replacement. Surprised they don’t guide you thru the operation over the phone. Or, televisits. The new covid free way to treat patients. Over the phone. Wow
Prayers 🙏🏽you’re doing much better now I am heading for total knee revision 😮
Spinal anesthesia are required for before all operation surgery.
Wut
Is part 2 and three out ?
Hi David, Thank you for inquiring. We really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from NYSORA!!
@@nysoravideo thank you so much! I love your contents and just today showed my supervisor your videos! Appreciate the amazing work! All the best from Germany
@@davidscb3632 That is great. Thank you for sharing! B-Safe!
Part 2?
Hi there! thank you for inquiring. We really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from NYSORA!!
part 2🤔😭😭??
ممتاز
للاسف الترجمة العربية سيئة جدا لكن شرحه رائع بالفعل
In Indian they use spinal anesthesia T6 t7
Help me doctor my canty Bangladesh I am poor men
Does this hurt?? :S
Waiting for part 2 & 3🙏🏻
Hi Banzeedoc! Thank you for inquiring. We are really happy that you're interested in nudging us to complete the follow-up videos. The videos take quite some time but will promise will get back to this. In the meantime make sure you subscribe and share the channel with your colleagues so that we can all collectively collaborate and learn from each other. Greetings from Nysora!!
dr. hadzic reminds me of an eastern European john oliver
Jesus christ just knock me out.
pozdrav
Je suis pro
Allah Allah Alhumdullilah. Jesus my beloved Prophet