Neuraxial Spinal Anesthesia Ultrasound assisted - Regional anesthesia Crash course with Dr. Hadzic
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- Опубликовано: 21 ноя 2024
- 00:14 Palpation
02:05 Ultrasound settings
02:55 Preparation
04:12 Identification of the midline
05:30 Determine the spinal level
06:20 Paramedial approach
07:00 Expected depth of needle insertion
07:49 LA injection
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I bet all his students are great doctors now
Not in the medical field at all, but this is fascinating! Definitely helpful information for anyone about to get this procedure done!
I’ve had this done on my cervical spine and it really helped watching how it’s done with the step by step explanation.
nice "liveboard", a great improvement to the classical chalk and blackboard - well done!
Thank you!
Indeed the most important view is the axial/ transverse view at the level of the spinous processus. This is actually the only clear view you will get in a obese patient, but it is sufficient for the orientation.
Right? We are glad you found it useful.
Sir you are came from heaven to earth...
your videos are 5 stars
helpful
So glad to see intermittent needle advancement technique. In the USA current teaching approach is continuous advancement.
you made a huge generalization for something that is individual dependent.
Regional Anesthesia being taught at its best
Hi Dr. Faheem! Thank you so much for your kind words; we really appreciate your feedback.
nice technique of loss of resistance with air - will try it!
we have a strict ban in our clinic for LOR with air, because of potential airembolie
On a plus side, once the loss of air is established, the aspiration test is MUCH easier - if you get tiny air bubbles in the catheter - intrathecal catheter placement is ruled out. Thank you for the comment.
well put - you work with what you have!
Such an enlightening video. Thank you so much.
I wanna ask about the frequency of the curvilinear probe used here.
Can I use a 7.5MHz curved probe for it?
What's the point of going in with the epidural needle? Why not just go with a 25G or a 22G immediately? Is it because of potential ligament calcifications? I recently had an interesting case where I had CSF appear on midline approach and then it stopped (I didn't move the needle at all), and it wouldn't start running again no matter if I pushed the needle further in or out, so I had to do a paramedian approach, which was successful.
awesome videos. so helpful for SRNAs
what is the best book for anesthesia please
Well explained
Pozdrav iz Bosne 💟🇧🇦
You did not mark midline: Neither level at skin while using ultrasound scan..???
Sir humble thanks to you 🙏🙏
thank you
what i notice your resident on video put first gel to probe which insteril then to steril back of patient?!
or i am wrong?!
Is it common practice not to scrub up and have this procedure completely sterile?
Hi there. Practices vary and may depend on the local equipment. In this particular institution, fenestrated, clear-transparent drapes are not used. Unfortunately. But they should. Thank you for the comment.
In my hospital, we also just use sterile gloves, without scrubbing up
Is this a nerve block I have spondylothesis l5 pain is excruciating for 2 years ,I'm having nerve block in few days nothing has been explained to me I simply want to be pain free and off gabbapentine
Simplemente fantastico!
Thanks a lot!
Did you just push air ? I'm confused 🙂
How are the buttons and screen sterilised?
Very informative educational videos
Thank you Khalid! 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 - keep watching!
但是那個……我覺得貼綠色無菌布好像有污染……
Is this process painful?? :S
LOR with air??? What about possible airembolie?
No one gets an air embolus with 2-3 ml of air. On a plus side, once the loss of air is established, the aspiration test is MUCH easier - if you get tiny air bubbles in the catheter - intrathecal catheter placement is ruled out. Thank you for the comment.
I am shocked as you made your left hand unsterile while demonstrating the ultrasound picture and afterwords touching the tuohy needle as well as the needle that enters the intrathecal space.
Thank you for the comment. If you listen to the video - it is mentioned that the gloves are changed due to the demonstration.
Pictures always convey a stronger message than words. These can be missed. Human factor science has been teaching this for years. But no harm meant. I’m glad this is a matter of course. 😊
@@robertvanarkel1059 Many thanks for the note. Again, these courses benefit from the comments, critique and different angle of view. Thank you again for the comment, and please continue to critique, comment snd suggest. We can only move the bar collectively.
Thank you
You're welcome
It still hurts like hell!!!!!!!
You are the best،،🌹
Fantastic
Thank you!
Ur explanation bet. Differa t sonar sagital or axial views were not clear
Dear Dr. Hadzic the method you used for testing epidural negativity is not ideal !!
First you used air ; not saline
Second you used interrupted pushes instead of continuous push
Ugh.....what was the point of the ultrasound?!
All nice until finding epidural space with air🤦♂️
It would be helpful to see the orientation of the probe when obtaining the images. This is sadly a bit useless...
Thank you for your feedback. We’re working on series of videos on this topic. Part 1 is already published and parts 2 and 3 are coming soon.
to much time consumption. my SAB is only 1 mnt. with my thumb guide.
Who made that poor woman wear a mask under her Venturi lol