Peripheral Nerve Blocks for Hand Procedures | NEJM

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  • Опубликовано: 9 сен 2024

Комментарии • 22

  • @ShaneNA01
    @ShaneNA01 2 года назад +2

    Good explanation for me to understand last night. I had the done on my finger after it went through the spinning disc rotor on my mountain bike. Near chopped off the end of it. Didnt hurt too much, either the injury or the procedure, the numbing I found was incredibly effective but towards end of procedure I could feel the return of sensation

  • @ezioauditore3a
    @ezioauditore3a 5 лет назад +3

    Thank you, I hope you can make more of this.

  • @dfgdfg_
    @dfgdfg_ 2 года назад +9

    Anatomical snuffbox is a great band name

  • @kalpanab2689
    @kalpanab2689 2 года назад +1

    Once the nerve recovery done the nerve pressure point which is used for numbness can be regained to normal without any physical cuttings and sutures.

  • @jackgaffney8468
    @jackgaffney8468 2 года назад +3

    The volar approach is the only one that I have done successfully. The first one never works for me and I've tried it multiple times.

    • @yaii3917
      @yaii3917 Год назад

      How long did you need to wait for the anesthesia to kick in?

    • @jackgaffney8468
      @jackgaffney8468 Год назад +1

      @@yaii3917 five minutes or so. It's not instant like when you do it right at the site.

    • @stoneliu6784
      @stoneliu6784 Год назад

      @@jackgaffney8468 somebody said 20 minutes

    • @jackgaffney8468
      @jackgaffney8468 Год назад

      @@stoneliu6784 No, I just did it two days ago and it kicked in like 2-3 minutes later. I was done with suturing by 20 minutes

  • @tjjeromekamu4805
    @tjjeromekamu4805 5 лет назад +1

    Thank you for this informative video. Hope to see more videos like these, thanks :)

  • @Drtruth40988
    @Drtruth40988 2 года назад +1

    Wow thanku...it worked

  • @kalpanab2689
    @kalpanab2689 2 года назад +1

    Ee procedure amaanusham.pressure point tho remote epidural apply chestaaru nerve levello.

  • @ashahhjamah9751
    @ashahhjamah9751 5 лет назад +1

    Thanks!

  • @jpayed
    @jpayed Год назад +1

    I had 20 stitches on my right foot... Near the outer ankle.
    I'm trying to figure out what chemical is used in these types of nerve blocks. So I can understand a bit more about how it works and how long it lasts.
    My stitches were put in a week ago. I can tell that some of the nerve block still remains and is wearing off. As the feeling returns... I keep getting all these little spikey sensations like nerves waking up.
    It's really been "waking up" about 2-3 days now... as the swelling seems to be subsiding.
    (I sprained part of my foot too so it swelled more then a simple cut would.)
    I just didn't expect it to last so long... a week!? 😂
    Anyway. I'm a stem nerd and have a amateur lab in my garage. So chemical information naturally sparks my interest.
    The internet is so slimmed down and censored these days it's damn near impossible to find information for intelligent people. It's all blog articles and consumer junk dumbed down like their talking to a 3 yr old. 😂

    • @paranjaydahiya
      @paranjaydahiya Год назад +1

      Hi, I would want to answer your question in detail, but I'm only a first year medical student. I can try my best to help you understand nerve blocks with whatever understanding I have. The chemical used most of the time is a weak base with an aromatic group, a basic amine group and a linkage that links them together (most of the time an amide linkage). This is basically a local anaesthetic. In your case they administered this drug at sensory nerves that supplies your leg. The chemical, after injected, exists in its ionised and unioned forms inside your body. When it is unionised, it is able to pass the membrane of your neuron to go inside it. Once it is inside the neuron, the ionised versions block certain channels. These channels are voltage-gated Na+ (Sodium Ion) channels. These channels are used to generate signals of pain which you perceive. Once these channels are blocked these signals can no longer be generated. This chemical is broken down as time goes on by breaking down the amide linkage which then alleviates the effects of the local anaesthetic.

    • @jpayed
      @jpayed Год назад +1

      @@paranjaydahiya Awesome thanks for the great info! I was surprised at the fact they are basic... Certainly explains the burning 😂

    • @akifgunay6650
      @akifgunay6650 10 месяцев назад

      its lidocain or procain. it blocks na channels.

  • @bishwakkk3774
    @bishwakkk3774 4 года назад

    Thanks You Madam

  • @Kyle5K
    @Kyle5K 3 года назад +1

    That looks like it hurts

  • @cadendarrow9018
    @cadendarrow9018 2 года назад

    Where am i

  • @bahalieu2719
    @bahalieu2719 5 лет назад

    How to reach you