Depends on TYPE of probe covers. Some are 20 feet long, very thick, and not appropriate for regional probe usage. However this is what some hospitals provide. The likelihood of infection is multifactorial: comorbidities, plus /minus catheter/location/ diabetes, etc. if it was strict sterile technique only that prevents infection, central lines would never be infected.

Amazing

Where you finding pre-folded probe covers?

Those people feel that 20 secs is worth the increased risk of infection with the potential morbidity/mortality associated with it.

Thanks for the video, my and my colleagues success rate of finding the “bat sign” is essentially 0/10. Any advice on it. I followed the tips in the video

Total 80 mls LA?

soothing voice

do u feel only adductor canal block is sufficient for TKR? along with block I ask my surgeon to infiltrate posteriorly capsule also

Can you use this for anterior rib fractures as well?

Great job

I lt

What type and frequency of US probe is the best for this procedure?

Thank you for teaching.

❤❤

After an ESPB how long until you can drive?

The well researched published articles on Dual Sub-sartorial Block [DSB] would give excellent clarity on the anatomical intricacies applicable here and exact differences btw a FT block & AC block

Wondering how long it takes for this method of not entering the sheath to work?

Can we replace adductor canal with this block? The articular branches of adductor canal seems to land on the same place as injections for this? I suppose with addition of nerve to vastus intermedius?

The problem is US probe condoms are not so cheap and we try to conserve them because if not we run out of them quickly. Unfortunately, hospitals are run by businessmen that only care about $$$. I use tegaderm for simple IVs (i also wipe it down well with disinfectant wipes before).

Can you tell me some papers showing the technique

Amazing 👏

Great presentation...

Thanks. Cool explaining

Best video so far about Adductor canal block 👌🏻😉

How do you use the nerve stim for this? Are you going to 0.8 like in the video? Or adjusting to a lower Hz?

You make excellent videos and I am a huge fan of your content. I have been doing the total knee block for awhile now and am getting great results. During one of my long knee replacements, I had too much time on my hands and figured out a potentially great name for this 8 injection technique. As it is magic, it could be named the MAGiiC Block for: nerve to vastus Medials, Adductor canal, Geniculars, nerve to vastus Intermedius, iPACK, and Cuties(for AFCN).

that is fantastic, thank you! are you aiming for an angle of 15-30 degrees?

Thank you ~ very helpful !

Thank you, Very clear !

Thank you, very clear!

Clavícula ❗ Poderia ser um Bloqueio Axial ❓🇧🇷

Can you comment on the potential risk of nerve injury if you were to contact or get too close to the femur in this block? I try to stay as close to the femur as possible and look for the tissues to be displaced upwards. Have noticed better block results with this approach. Also, have you used additives like precedex? Thanks.

I usually perform Ipack block pre and ACB postoperation

Thank you for this great video. I see that you recommend directing the injection caudally; for what it's worth, I often perform this block with my injection directed cranially, with good results as well.

Question about probe position - after sliding few cm down from ASIS, should it be kept sagittal or angled so pointing more towards umbilicus (more perpendicular to pelvic brim)? Found I don't always get great views keeping it purely sagittal.. any suggestions?

Excellent as always !

Why not use an epidural catheter and be done with it?

Hi... Greetings from malaysia. Can you show how to block posterior cutaneous nerve of thigh.. I watched another youtube video.. hyperechoic structure in between biceps femoris and semitendinosis muscles is actually conjoint tendon

This is really helpful for me. You summarized this block very effectively which is why I can do it easily.

Does position whether head down or up affect the spread? Also for unilateral hip surgery, keep the patient on side till drug fix is accepted?

That was great! So concise yet so thorough.

Thanks for the content. I agree with most of the feedback from comments. However the video is good enough for those wanting to review the techniche. I believe not much effort is needed to make update this video with ultrasound images

Blocking the nerve to vastus medialis wouldn’t cause a motor block as well?

This is exactly video that I have been looking for. Thank you so much!

Ultrasound has increased safety in another way: With every 2-3 ml , you should see the tissue expand. If you don't, the needle tip maybe in a vein. Negative aspiration is not always reliable- negative pressure may suck the vein flat resulting in no blood aspirated. if one does not see the tissue expand with hypoechoic local anesthetic, the needle should be repositioned.

Any chance you could make a how-to video on using peripheral nerve stimulator for blocks, for trainees/residents? Your other videos on nerve stimulation don't really cover how to actually use the technique. Great video as always!

I'm about to get that done...

Great video. FYI your reference to last of the 3 videos/nerve block for superior postop pain for total knee arthroplasty doesn’t appear at end of the video? Are you referring to the AFCNs?

Excellent tutorial, great visuals and narration!

Hey Dude, from 3:51 min, the picture on US scan is marked wrongly: medial should be lateral and vice versa. Vastus Medialis is located on the medial side on the lower thigh but looking at your US picture it appears to be on the lateral side.