Raffaele Russo
@rafrussodocAnesthesiologist @operapadrepio
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Our independent panel of trainees judged the image contest and have awarded @rafrussodoc the top prize for this mesmerizing OOP popliteal. Congrats Raffaele!! Some prizes coming your way to Puglia! #Blocktober22 @fuzzymittens @GongGasGirl @mswami001 @NarouzeMD @dr_rajgupta
ESRA Italian Chapter Annual Meeting (Cesena) What a wonderful congress! Congratulations to Domenico Santonastaso, Andrea Tognu and Vanni Agnoletti. Thanks to Eleni Moka and Vicente Roques for their valuable contribution
The other way I failed early on is by placing my needle in the TA plane, injecting all the local in one spot, and walking away, high-fiving my colleagues. We began to realize we were seeing unusual patterns of sensory loss and getting failures, like in this study: #Blocktober24
I once had a breast surgeon say “mastectomy patients don’t hurt afterwards because we cut the nerves.” I…don’t….even….*shakes head* Anyway, I like these for simple mastectomy. They’re not QUITE enough IMHO as surgical block, but with prop TIVA & LMA, it’s fab! Easy & safe. 🙌
I think the answer is that it isn't, and never was! Femoral = saph, nvi, nvl, nvm, cuties. Adductor = saph, often nvm, maybe one cutie. The equianalgesia folly... spinal = epidural = femoral + sciatic = femoral = adductor = LIA...
My hard-learned RAPTIR tips : 1) rotate the probe slightly (see full vid near end) to allow needle to start slightly more medially...less bony contact 2) deliberately calculate the depth and insert needle far enough posteriorly -- usually in trapezius -- to ensure flat trajectory
I like to do needle blocks (yeah, I know, shocker) for the airway. Check out this video to understand the rationale and to see it done step by step. Make sure to watch until the end…#Blocktober24 @doctimcook @Vapourologist @AirwayMxAcademy youtu.be/1yaD2APv14Y
One of my two faves is Suprainguinal Fascia Iliaca (SIFI). It’s elegant, is a true “3-in-1” block and works very well for hip/thigh/knee. Downside? IMO sometimes the fascia is mushy and you don’t get that beautiful unzippering seen here: #Blocktober24 @dr_rajgupta @drchadb
Good morning!! It’s the first day of #Blocktober24 ! Looking forward to a fun month of sharing and learning with everyone! @amit_pawa @GongGasGirl @EMARIANOMD @fuzzymittens @Wilkinsonjonny @Duke_Anesthesia @morefluids @anesthesianews @ASRA_Society @RegionalAnaesUK @ESRA_Society
When these come in a 3 am, and I’m faced with an urgent and precarious airway, it’s nice to have a deep set of skills to draw on. Topicalization takes time….whereas I can completely anesthetize an airway in 3-4 min using blocks. I don’t always have time to wait 15-20 min. 2/x
Which blocks should every anesthetist know and learn during their specialization training? A group of Italian experts has tried to provide an answer. janesthanalgcritcare.biomedcentral.com/articles/10.11…
We all have fave central line approaches...given a choice, I do prefer the subclavian. It's just so reliable, esp in hypovolemia/shock. If you haven't done one in a while (or like many of our trainees, have NEVER done one) check out this refresher! tinyurl.com/mvphb8y7
Struggling with what to do with patients on GLP-1 agonists like #ozempic ? Even if off for a week, we're still finding some have full stomachs on day of surgery. 🤦♂️ Check out this new video on gastric POCUS--a critical tool to help decision-making: youtube.com/watch?v=4Kc5qV…
We are hosting a free interactive @ASRA_Society live scanning session 8am EST on youtube. Join the fun and tell us what events you have hosted in the chat and what you would like to see scanned during our session youtube.com/live/_umUsTDmg…
Nice. For major open shoulders I use around 10ml of LA to the upper trunk with 5-6ml injected at the 6 o’clock of the UT so the LA spears towards MT (C7) and the rest posterolateral to the UT. 2-3ml to the SCN. Reverse TSA successfully performed awake today 😄
Regional Anesthesia might be less efficient than MMA ... unfortunately. @ESRA_Society @ASRA_Society High dose glucocorticoids for treatment of postoperative pain: A syste... sciencedirect.com/science/articl… Thanks to my excellent fellow for the shared collaboration Giulia Laconi
Although the anterior QLB continues to fascinate me and I use the ☘️ shamrock sign to do lumbar plexus blocks in pediatric cases ... regretfully I do not see any value in laparoscopic colorectal surgery. @ESRA_Society @ASRA_Society @BelgianBara
🔓This new RCT from @Steve_Coppens found no difference in morphine consumption when an anterior quadratus lumborum block was added to a standard multimodal analgesia strategy following laparoscopic colorectal surgery embedded in an ERAS programme. 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…
Finally published doi.org/10.1111/anae.1… antQLB for colorectal surgery! So many people to thank. First of all @JensBorglum who invited me to come and learn ! @matthiasdesmet5 who opened the second center @ESRA_Society @BelgianBara for grants and @rex_steffen and @UZLeuven team !
**This is my “thing”! 😃 I love attaining one-lung-ventilation (OLV) in my patient. **great article 👌🏼✅ @BJAJournals @ThoracicAGuys @GSTTanaesthesia #DoubleLumenTube #EZBlocker #DLT #OneLungVentilation #ThoracicAnesthesia #bronchialblocker #ThoracicAnaesthesia 🧵👇🏻
Can you describe the pros and cons of double-lumen tubes and bronchial blockers for lung isolation? Then take a look at this month’s #BJAEd article. bjaed.org/article/S2058-… #anaesthesia #lungisolation #cardiothoracics #airway
The plane b/t psoas & QL is often hard to appreciate, and it's no wonder LA sometimes gets to the psoas or lumbar roots. Now, we have a solution: yep, you guessed it, the nerve stimulator. But we're using it a LITTLE bit differently...@GongGasGirl youtube.com/shorts/9q_4b5n…
My tip: consider sciatic nerve at popliteal fossa like a mitosis…… See the video👇
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