I’m a radiology resident. I’m very comfortable doing LPs under fluoroscopy, but it’s not a perfect modality. We do it with patient prone, and there’s unfortunately a lot of guesswork to depth. We fail sometimes. This was an excellently explained introduction and if I ever find myself needing to try US for an LP, I’m absolutely going to try this method and reference this video heavily.
I'm starting on the road of regenerative medicine and particularly spine ultrasound in adults information or learning material it's quite difficult to find, expensive or both. This video it's very direct and practical, and it really makes a great starting point to acquire the essentials. Thank you so much for this, great explanation!
Thanks, very informative. Would you recommend certain probes to achieve these good quality pictures ? I get about the shape of the probe but is there anything else one should account for ? Thanks a lot
Thanks for the video, my and my colleagues success rate of finding the “bat sign” is essentially 0/10. Any advice on it. I followed the tips in the video
Start on what you think is the midline with the probe in the saggital orientation. You’re looking for the spinous process as you see the images in this video. Once you find the spinous process, rotate your probe 90 degrees and tilt slightly superior, or adjust slightly superior. That’ll show you the “bat sign”
You're not alone...it's sometimes tricky. Play with the tilt of the probe--try angling it slightly towards the head and then slide up or down several millimeters. Also, those spaces also get smaller as we age and the discs compress. While you're getting used to the technique, try scanning younger people to get used to their juicy anatomy, then as you get more confident you'll be better with the oldies. I brought my teenage kids in on a weekend and scanned their backs and it was amazingly different (and rewarding!). Good luck!
@@regionalanesthesiology Don't forget about this one, still looking forward to it! And please be sure to include a section on solely landmark-guided paramedian technique, in addition to any US-guided approaches
Dr. Jeff Gadsen brings a game changer to teaching US guided procedures. You could have used better language and kept it professional as an appreciation to a very humble man who is multitalented and as evidenced by his reply also a very kind man. You owe him and the readers an apology.
Duke has the best regional content on RUclips. Thank you for your efforts, I have learned so much from you!
I’m a radiology resident. I’m very comfortable doing LPs under fluoroscopy, but it’s not a perfect modality. We do it with patient prone, and there’s unfortunately a lot of guesswork to depth. We fail sometimes. This was an excellently explained introduction and if I ever find myself needing to try US for an LP, I’m absolutely going to try this method and reference this video heavily.
I am so grateful for the gems you give so freely! A million thanks!
You are so welcome, Doris! Thanks for watching!! 😊
This video is pure gold.
Thanks a lot.
Succinct and practical! Thanks so much for helping community anesthesiologists who are “classically” trained. Go Blue Devils!!!
It looks really simple. I think I could try it for obese patients. Thank you very much.
Excellent teaching
Thanks so much for the kind words--Glad you liked it!
I'm starting on the road of regenerative medicine and particularly spine ultrasound in adults information or learning material it's quite difficult to find, expensive or both. This video it's very direct and practical, and it really makes a great starting point to acquire the essentials. Thank you so much for this, great explanation!
So glad you found it helpful! Good luck as you embark on your new journey in regenerative medicine!
Excellent video presentation Sir.
Images, narration everything wonderfully done
Thank you for adding this skill in our pocket
I appreciate the kind words-thanks for watching the channel!
Thank you very good video, any concerns about the marker ink may go into the intrathecal space?
Thanks, very informative. Would you recommend certain probes to achieve these good quality pictures ? I get about the shape of the probe but is there anything else one should account for ? Thanks a lot
Very well explained. Thanks alot.
Glad it was helpful! Thanks for watching!
Great explanation, thanq so much..
Brilliant video!
Glad you liked it! Thanks for watching!
Thanks for the video, my and my colleagues success rate of finding the “bat sign” is essentially 0/10. Any advice on it. I followed the tips in the video
Start on what you think is the midline with the probe in the saggital orientation. You’re looking for the spinous process as you see the images in this video. Once you find the spinous process, rotate your probe 90 degrees and tilt slightly superior, or adjust slightly superior. That’ll show you the “bat sign”
You're not alone...it's sometimes tricky. Play with the tilt of the probe--try angling it slightly towards the head and then slide up or down several millimeters. Also, those spaces also get smaller as we age and the discs compress. While you're getting used to the technique, try scanning younger people to get used to their juicy anatomy, then as you get more confident you'll be better with the oldies. I brought my teenage kids in on a weekend and scanned their backs and it was amazingly different (and rewarding!). Good luck!
Nicely done video!! Thank you!
Great video!
BROO take my money! Great video!
Thank you for helping me to continually improve my regional Kung-Fu
Well done!
Thank you so much, great video!
Could you also do a video on paramedian/paraspinous spinal technique?
@@regionalanesthesiology Don't forget about this one, still looking forward to it!
And please be sure to include a section on solely landmark-guided paramedian technique, in addition to any US-guided approaches
Excellent
Loved the use of a “muffin top” for the muffin top for the iliac crest pitfall visual… 🤔😂😎💪🏼👊🏼
Thank you sir
Well demonstrated
soothing voice
Thank you!!!!
great video thanks
Thanks
Hail Blocktober!
Dr. Jeff Gadsen brings a game changer to teaching US guided procedures. You could have used better language and kept it professional as an appreciation to a very humble man who is multitalented and as evidenced by his reply also a very kind man. You owe him and the readers an apology.
This comment was intended to knowyourenemy50’s comment below.
Great video!