Optimal Analgesia for Total Knee

Рет қаралды 10,341

Ай бұрын

Discover how these advanced pain control methods can revolutionize patient recovery, reduce opioid dependence, and enhance overall satisfaction for TKA patients, as Dr Hadzic dissects the differences among the femoral block, femoral triangle block and adductor canal block. The video may shape your practice of interventional analgesia.
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Disclaimer:
Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's KZfaq channel is accurate.

Пікірлер: 25

@drnairforspeed 24 күн бұрын

Here what we use is Femoral triangle block plus ipack. Good results.

@DrTuhinM 24 күн бұрын

We use Dual Subsartorial Block (DSB) with MMA to cover all the procedure specific innervation and provide motor-sparing, opioid-sparing postoperative analgesia.

@nysoravideo 24 күн бұрын

Thank you for sharing your experiences! Greetings from NYSORA!

@przemekdzido9601 29 күн бұрын

Hello! For me the best choice is to add Ipack block to Femoral Triangle Block...

@nysoravideo 28 күн бұрын

Good choice. Do your colleagues do the same?

@przemekdzido9601 28 күн бұрын

Usually Femoral Triangle / Adductor Canal plus local periarticular infiltration intraoperatively...

@user-cq5mj6oi1m 29 күн бұрын

🎉🎉

@rishiraj2548 29 күн бұрын

🙂🙏🏻

@alicerenieri329 25 күн бұрын

Hello...can you do a video about the optimal local anesthetic choice in labour analgesia for parturients with glucose6 phosphate dehydrogenase deficit? Here in Italy there are many people with this condition... Thank you very much

@nysoravideo 24 күн бұрын

Thank you. This is a great 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!

@ahmednashin456 26 күн бұрын

how about an continuous epidural analgesia with .0625% bupivacaine plus adductor canal block in Total knee replacement surgery

@JustAnAnaesthetist 16 күн бұрын

Oxymoronic

@stephaniebuffetti7000 29 күн бұрын

How about the use of Exparel?

@nysoravideo 28 күн бұрын

IMO - DEFINITIVELY. That is the ONLY additive to standard local anesthetic that actually prolongs the nerve blocks.

@nerveblock 27 күн бұрын

@@nysoravideo dexamethasone, dexmedetomidine, and buprenorphine (not that I'd use it due to side effects and access issues) don't prolong duration?

@dgozaru 28 күн бұрын

So it isn't adductor canal block + IPACK + genicular nerve block + anterior cutaneous nerve block?

@nysoravideo 28 күн бұрын

Ideally - YES, but practically - nearly impossible to implement as a service due to the education and time required to execute these blocks. What do you think?

@dgozaru 28 күн бұрын

@@nysoravideo been there done that.. What I usually do are subarachnoid block -> genicular block -> surgery -> iPack, Adductor Canal/Femoral Triangle and lastly Cuties.. Took me 11 minutes total..

@nerveblock 27 күн бұрын

@@dgozaru agree. it's not hard to be efficient with these. though I'd tend to do the FT and cuties before surgery

@dgozaru 27 күн бұрын

@@nerveblock my Ortho tends to complain about wet operation field whenever I do FT/ACB before the surgery.. But frankly I believe that he says that just to nag me..

@immobinvesting3347 27 күн бұрын

I generally do an adductor canal block + IPACK, and then a GA or a Rachianesthesia. It’s enough in most cases. The patient often doesn’t need any morphine at all after that