What are the issues with fascial plane blocks?

• Non-robust research
• Prolific researchers have had multiple retractions
• Likely publication bias
• Outcome measures are difficult to define
• Plethora of 'novel' blocks make interpreting results difficult
• Blocks don't cover visceral pain

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #medicine #pain #healthcare #MedMastodon

https://buff.ly/4dNngtR

Too good to be true? Erector spinae block in low-resource settings: navigate with caution

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #healthcare #medicine #MedMastodon

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16426

https://x.com/Anaes_Journal/status/1844724656831385805

Postoperative analgesic effectiveness of ultrasound-guided bilateral erector spinae plane block vs. rectus sheath block for midline abdominal surgery in a low- and middle-income country: a randomised controlled trial

@UrmaleAlem9818 @Mohammed_o8860

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #MedMastodon #healthcare #anaesthesia #anesthesia #medicine #pain

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16421

BKA & phantom limb pain
• preop sciatic nerve block + infusion vs
• post-BKA surgically sited perineural sciatic catheter + infusion

Results: pre-op nerve blockade does NOT cause a ⬇️ in phantom limb pain at 5 d or 6-12 m

#Blocktober24 #Blocktober #regionalanaesthesia #regionalanes #MedMastodon #healthcare #anaesthesia #anesthesia

https://buff.ly/4dYJzx7

Below knee amputation & phantom limb pain

This study compared:
• preop sciatic nerve block + sciatic nerve infusion vs
• post-amputation surgically sited perineural sciatic catheter + nerve sheath infusion

Which would you use?

#Blocktober24 #regionalanaesthesia#MedMastodon #healthcare #anaesthesia #anesthesia #medicine

https://buff.ly/4dYJzx7

What is your analgesic approach to try to prevent phantom limb pain in below knee amputations?

#Blocktober24 #Blocktober #regionalanaesthesia #regionalanesthesia #MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16040

Friday's here - meaning it's weeklywrap time⏰

Highlights to check out (X handles)
@jeffgadsden & the amazing #Blocktober24 resources
@maywchen & her charm phantoms
PLUS - get on board with our #gastricultrasound course

👇For this & more
https://www.ultrasoundtraining.com.au/news/zedu-weekly-wrap-11-october-2024/
#POCUS #ultrasoundtraining

Do you use oral dexamethasone to prolong your block?

Does it work for blocks other than infraclavicular blocks?

Tell us your experience! #Blocktober24

#MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16149

Are you familiar with the sonoanatomy of the anterior quadratus lumborum block?

#Blocktober24 #regionalanaesthesia #MedMastodon #healthcare #anaesthesia #anesthesia

https://buff.ly/3Nho931

In laparoscopic colorectal surgery, adding a bilateral anterior quadratus lumborum block to a standard multimodal analgesia regimen did not reduce opioid consumption or improve pain scores.

#Blocktober24 #regionalanaesthesia #ansky 🩺 🧪

https://buff.ly/3Nho931