Hi Ki Jinn! What about thoracic epidural in a patient with thoracic scoliosis? Since there is no acoustic window in the transverse view, how do you do these with the help of ultrasound?
Hi Shin Yuet! Good question - the answer is that you rely on the Parasagittal Oblique (PSO) view to visualize the paraspinous/paramedian window on both right and left sides, and determine which is wider (it will be on the convex side). Mark that and aim for it, as described in my video on thoracic epidurals - ruclips.net/video/DrAO5kJyfeE/видео.htmlsi=XNrkW0nB5VBdMbXD. The PSO view has become my most important US view, even for lumbar neuraxial blocks since the paraspinous / paramedian windows are always easier to see and access in difficult patients.
Very important information! You are the best!
Is this video still available to view?
Thanks.
Hi Ki Jinn! What about thoracic epidural in a patient with thoracic scoliosis? Since there is no acoustic window in the transverse view, how do you do these with the help of ultrasound?
Hi Shin Yuet! Good question - the answer is that you rely on the Parasagittal Oblique (PSO) view to visualize the paraspinous/paramedian window on both right and left sides, and determine which is wider (it will be on the convex side). Mark that and aim for it, as described in my video on thoracic epidurals - ruclips.net/video/DrAO5kJyfeE/видео.htmlsi=XNrkW0nB5VBdMbXD.
The PSO view has become my most important US view, even for lumbar neuraxial blocks since the paraspinous / paramedian windows are always easier to see and access in difficult patients.
@@KiJinnChin Thank you! I tried it today and it worked!!