Dr Amit Pawa💉🎙️
@amit_pawa
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Consultant Anaesthetist & Podcaster @GSTTnhs @clecliniclondon #RAUK24 #RegionalAnaesthesia @BlockIt_Hot_Pod #BILIH COI:GE,Pacira
Joined November 2011
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Please tune in, have a listen, let us know what you think, and you know…
Like, Follow & Subscribe!
#BlockItLikeItsHot
The Wait is finally over!
We are happy to announce Episode 1 of
#BlockItLikeItsHot
is now live.
Tune in from your usual Podcast provider (apple & Spotify links below)
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Check this video out.
This is so interesting.
Do you love your job?
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2K
5K
Links
1. Interscalene
2.Axillary
3.ESP
4.Rectus Sheath
5.Femoral
6.Adductor Canal
7.Popliteal
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1K
This has really made me smile! I can definitely see myself doing this to my family when my hair is a little grey-er! 😂😂😂
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I am an
#Anaesthetist
and am proud and extremely grateful that I have received 2
#COVID19
Vaccinations and 1 Booster
I have done this to protect My Family, Myself, My Patients, and those with whom I have contact.
Do the right thing,
#VaccinesWork
#GetVaccinatedNow
#CovidVaccine
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Nothing to see here...
Apart from a
#Popliteal
Sciatic Nerve block using a
@vscan
#VScanAir
via an iPad-mini, watched on an apple watch!
#wireless
#PlanABlocks
#TooManyGadgets
@GEHealthcare
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So when my wife asks why it takes me so long to write a presentation, I have an answer! You don’t want to know how long this took to create just one slide!
@SreeHPraveenKO1
@KalagaraHari
@kaohesham
- I am getting there! 😁
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Trying to figure out if I am the only one ;ridiculously impressed with the software and AR function of this programme? The ability to look inside and appreciate anatomy in this way is surely essential for practitioners of many specialties?
Or - am I just excited by the IT?!
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Really grateful to have been given the opportunity to write about principles of Anaesthesia for Awake
#GAFree
#BreastSurgery
with Prof Duncan Hamilton in
@BJAJournals
Education!
Please download your free copy from the link 👇🏼
#RegionalAnaesthesia
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@EmergencyBod
What annoys me, is that I watched the encounter immediately prior to this (live on tv) where the young girl was over the moon to meet Meghan - but completely missed this.
How rude, how disgusting. They should be ashamed
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The weather may have been weird today, but it made these incredible images possible!
#NoFilters
#London
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Starting as a novice anaesthetic trainee. A thread of
#FreshPrince
Gifs
1. “Hey everyone, I am the new “baby anaesthetic trainee!” (I actually said this!)
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I spent a while thinking about whether or not it was appropriate to put my thoughts about my
#COVID19
experience down as one of my
#PawaPoems
and finally decided to. So here goes...
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Spurred on by
@DrRobbieErskine
‘s influence in ambulatory spinals:
Total Knee Arthroplasty by
@expertknee
No tourniquet
Intrathecal Prilocaine
All the
@BlockIt_Hot_Pod
Blocks (
@jeffgadsden
)
On arrival in recovery… pain 0/10
I am now convinced!
With patient consent ✅
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For those new followers, Thought I’d post some links to useful
#RegionalAnaesthesia
YouTube channels-please check out!
1.
2.
3.
4.
5.
6.
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If you would like an overview of how to scan for
@RegionalAnaesUK
#PlanABlocks
, check out the link below for:
1. Interscalene
2. Axillary
3. Erector Spinae
4. Rectus Sheath
5. Femoral
6. Adductor Canal
7. Popliteal Sciatic
@GEHealthcare
#GEVenueFamily
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Really blown away by this gift from 6 of my best friends & their families - known them since I was 11years old!
Hand delivered out of the blue as a thank you from them, & quite frankly it couldn’t have come at a better time!
I’ll be taking a break from here for a while xx
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In an ideal world every theatre would have
1. Ultrasound machine
2. Two TIVA pumps
3. Depth of Anaesthesia Monitor
4. Video laryngoscope
Boom - end of
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I recently came across this drug at
visit to another hospital!
I have never seen intravenous ibuprofen before.
I know that this will act as a trigger for some, but I am genuinely curious, what do folks think about this? Who has used it?
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How I teach
#Paravertebrals
to those at beginning of learning curve. Transverse in-plane approach. Note the stages
#ESP
➡️
#MTP
➡️
#Paravertebral
find out more at
#RAUK19
Belfast 16-17th May 2019
@RegionalAnaesUK
@GEHealthcare
@KiJinnChin
@IcostacheIoana
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Really interesting correspondence in
@Anaes_Journal
regarding
#Prospect
guidance for
#BreastSurgery
- love this diagram. The only bit that gets me every time is the PECS2 & serratus comment...
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Starting to sink in. As I return to Twitter before year-end, wanted to say one final farewell to my Pap. Will never forget you Pap xx
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As Promised - I am delighted to announce my co-host for the
#BlockItLikeItsHot
Podcast!
Did you guess correctly? Watch the video for the reveal! 🤩
Watch the Video! 🔉👇🏼
#RegionalAnaesthesia
#RegionalAnesthesia
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Excellent! This is brilliant! 👏🏽👏🏽👏🏽😂
For anyone who’s ever said
“But where are you really from?”
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Have questions regarding
#ErectorSpinaePlane
Block?
Check out these 3 videos!
Erector Spine Plane (ESP) block - Live Demo
Erector Spinae Plane Block
ESP block- Future Direction and Remaining questions
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What it’s like to be a regional anaesthetist - a thread of
#starwars
gifs
1. When you discover your passion for
#RegionalAnaesthesia
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An Excellent read on the potential effect of Hypermobility spectrum disorder (HSD) and Local Anaesthetic Resistance.
Hands up if you have had one of these?!
#RegionalAnaesthesiaNightmares
A case report on local anaesthetic resistance!
Two epidurals, a spinal and a pudendal nerve block ALL FAILED for this obstetric patient.
Could it be due to increased microvascular permeability and fragile connective tissues? 🤔
#FreeForAWeek
🔗
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Many many thanks to
@nhoare
for the gift left for me. Two of my contributions highlighted ... one perhaps a surprise!
#TheRulesOfAnaesthesia2019
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It was an honour for me to work with the incredible
@BarbaraVersyck
&
@KiJinnChin
on this state of the art review on Fascial plane blocks of the chest wall.
Lots of great stuff in here!
#RegionalAnaesthesia
@RegionalAnaesUK
@ESRA_Society
@ASRA_Society
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3 shifts completed on
@GSTTanaesthesia
MERIT (Mobile Emergency Rapid Intubation Team)
Will jot down some reflections in 24h, but first impressions are that
Preparation & Practice (simulation)
Teamwork &
Communication are key.
Action cards by
@dr_imranahmad
et al are ace 🙏🏽
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#infraclavicular
#Doodle
#Procrastination
#WishICouldDraw
- Should really be writing my lecture for
#ESRA2018
on
#Raptir
- but didn’t want to use a picture lifted off the internet (also great delay tactic!) - come see what I really think of this technique next week!
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So after our
#PlanABlocks
Symposium, it seems fitting to launch our
@RegionalAnaesUK
#PlanABlocks
posters.
Expertly put together by
@ann_barron1
@drstu_wade
@c_johnstone1980
Thank you guys!
Big thanks to our sponsors too!
Link here...
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So I called a friend (
@DrRobbieErskine
) for some tips on intrathecal prilocaine for unicondylar knee replacement, & also administered the
@BlockIt_Hot_Pod
@jeffgadsden
knee blocks recipe - This is 2 hours post-spinal…
#RegionalAnaesthesia
For the win
Posted with permission
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I love teaching Axillary Brachial Plexus blocks & always talk about a particular variation that is seen quite often
I saw this on two consecutive pts on a list - example post-block below
What am I referring to?
Pt consent to share ✅
#RegionalAnaesthesia
#RegionalAnesthesia
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As you may have gathered, normal service will be resuming shortly.
I got an apology - which was nice.
Apparently follower count will return over a few days.
It took me 40 appeal messages to get reinstated. I am sure many folks would have given up!
1/2
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So I finally got around to recording my
#ASRASpring23
#ASRA100
Talk on European Guidelines for hip fracture !
Sadly- I have got a slight cold, so don’t quite sound myself! Hope it was close to what I delivered in person?!
YouTube Link👇🏼
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Recently added a few more short videos to my YouTube channel.
Check it out and let me know what you’d like me to do next!
#RegionalAnaesthesia
#RegionalAnesthesia
@BlockIt_Hot_Pod
#BILIH
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In the process of tidying up for end of the year I have uploaded a whole load of my talks to
@SlideShare
- here is the link, enjoy! Thanks to
@EMARIANOMD
@colinjmccartney
for leading the way!
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Massive thanks to
@a1carver
and
@Woufra
for their work on this paper looking at thoracic epidurals vs Fascial plane blocks for Major abdominal surgery in
#currentanesthesiologyreports
@SpringerNature
Check out the full paper via this link:
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In a rare occurrence at
@GSTTanaesthesia
- all 3 of us in the same room at the same time!!
Lucky to work at the same place as
@dr_imranahmad
&
@elboghdadly
!
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I am very concerned that a passing glance at this dramatic infographic gives the wrong message. FIB does not cause death, but failure to monitor after ANY intervention can do
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My Morning Coffee sponsored by “the rules of anaesthesia 2019”!
Some great tips on here!
Can’t believe I came up with point 4!
#Anaesthesia
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So a Massive thanks to my sis
@namtri
and my Mum for treating all us
@GSTTanaesthesia
#TeamNightShift
to
@Dominos_UK
😁😁😁 - obvs not all for just me. Just to prove it, my
#merit
Partner Dr Marcin Sicinski is pictured here too!
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If you are struggling to get the view of the PENG block by tracing down from ASIS➡️AIIS➡️IPE, try Scanning up from the Femoral Head.
#PENG
London
#coretopics
@Assoc_Anaes
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Finally finished talk for Tuesday for
@RCoANews
/
@RegionalAnaesUK
#PlanABlocks
Webinar. Ever wondered what path Local Anaesthetic might take with an
#ESP
block? 🤷🏽♂️ - check this out 👇🏽
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So apparently I didn’t post the correct
#FreeToRead
link! 🤦🏽♂️
Let’s try this again
#RegionalAnaesthesia
#RegionalAnesthesia
#TakeTwo
#FascialPlaneBlocks
#ThoracicEpidural
#AbdominalSurgery
This Link Should Work! 👇🏽👇🏽👇🏽
Massive thanks to
@a1carver
and
@Woufra
for their work on this paper looking at thoracic epidurals vs Fascial plane blocks for Major abdominal surgery in
#currentanesthesiologyreports
@SpringerNature
Check out the full paper via this link:
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Recently used bilateral
#ESP
blocks for a patient with significant pain pre-ERCP procedure.
Post-procedure outcome was almost unbelievably good. Anyone else used for this indication?
Demos available in the links 👇🏼
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The one and only
@DrPhilipPeng
at
#WSM2024
covering
#RegionalAnaesthesia
#RegionalAnesthesia
for Shoulder surgery.
He starts by Quashing the Myth that the Suprascapular Block innervates 70% of the shoulder! Apparently at a max it is 40-45% !
@elboghdadly
@KiJinnChin
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I think back to the day My grandad heard I was going to be an anaesthetist...he was so upset (as it wasn’t cardiology, or taking over his GP practice)
He was only appeased when I said anaesthesia did Intensive Care.
Now I may be re-entering that area again, I hope he is proud 🙏🏽
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Anaesthesia has the best role in this movie! 😂🤣😂🤣
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Does anyone get the feeling when the look at what is happening in the world right now that this is an alternate reality?
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We are excited to present
this
@RegionalAnaesUK
- led international consensus statement on essential structures to identify on ultrasound when performing for 7 basic
#PlanABlocks
Lots of amazing contributors!
#regionalanaesthesia
#regionalanesthesia
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I love regional anaesthesia and working with surgeons, & am also sad that I have finished Schitt’s Creek. Here is a thread of experiences as a regional anaesthetist..
The reaction of a new surgeon the first time you state you’d like to site a nerve block... for a trauma patient
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2 talks uploaded to
@YouTube
1:
#ESRAWorld2023
talk on
#BreastBlocks
2. My
@RegionalAnaesUK
#PlanABlocks
Talk on ESP - full webinar available soon
Enjoy!
#RegionalAnaesthesia
#RegionalAnesthesia
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Finally plucked up the courage (thanks to Mrs P), to look through my Dad’s belongings that I had kept aside for myself.
Have some stuff that I’ll keep to remember him by, and some clothes too! Turns out he had good taste!
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This is not so much fun. After 2 years and 3 months staying clear-
#COVID19
finally got me.
It’s definitely not over…
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Have you ever heard of “Cork-Screwing” your needle when performing a
#PENG
Block?
Watch this video to see how the LA spread is affected by this manoeuvre.
#WDRAPM
#RegionalAnaesthesia
#RegionalAnesthesia
#RegionalAnaesthesia
@BlockIt_Hot_Pod
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Little sneak preview of the second part of my talk on Trunk Blocks for
@RegionalAnaesUK
@RCoANews
#PlanABlocks
on Tuesday! On target to finish now!
#ESP
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Check out this video on how to scan for the transverse approach to the Thoracic
#Paravertebral
Block - this is my preferred technique for those new to the technique.
If you like - please subscribe to my channel!
#Regionalanaesthesia
#RAUKISURA22
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Massive thanks to
@MKwesiKwofie
for taking my virtual anatomy game to the next level! I revisited “visible body” app to demonstrate why shoulder aBDuction helps with
#Infraclavicular
brachial plexus blocks!
#RegionalAnaesthesia
#RAUK20
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Totally in Awe of
@GSTT_ICU
colleague Dr Ros Tilley who is in the process of bringing the whole of
@GSTTanaesthesia
up to scratch with Intensive Care management during
#COVID19
- hats off to all of my ICU colleagues, and thank you for re-educating us as we join you in this effort!
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Absolutely delighted that this article written with some very dear friends and colleagues
@KiJinnChin
&
@BarbaraVersyck
was one of the top downloaded articles in
@Anaes_Journal
Thanks both for inviting me to collaborate!
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As I keep telling my kids... Indians invented many things! 😃
In
#anesthesia
, the Mallampati score , named after the american anaesthesiologist Seshagiri
#Mallampati
(born in India in 1941), is used to predict the ease of endotracheal intubation.
#histmed
#surgery
#medicine
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I hadn’t posted a post-PPE 🤳 at all intentionally...but this is to let you know that we are not in the clear yet.
#COVID19
is not done with us yet. Be sensible, wash your hands, use social distancing, be safe
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Inspired by a thread started by
@VeenaGraffMD
on what “Anesthesia” actually does, I thought I’d pen a little something about my thoughts on why I picked
#Anaesthesia
as one of my
#PawaPoems
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I am delighted to announce
@RegionalAnaesUK
‘s first venture into the webinar world with the launch of our first webinar. We aim to provide guidance on ambulatory
#Spinal
Anaesthesia to assist us all with
#RegionalAnaesthesia
in the current climate. Book 👉🏽
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Got around to recording this talk (initially delivered at
#CCFRA
) in 2019 thanks to
@SreeHPraveenKO1
&
@KalagaraHari
Recorded in one (and a bit!) takes, so please excuse any gaffs!
#RegionalAnaesthesia
#BrachialPlexus
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RA-UK are very sorry to have to announce the cancellation of our 2-day Annual Scientific meeting scheduled for 18-19th May 2020 in Sheffield.
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I predict that the number of Skilled lung
#POCUS
practitioners will rise massively during the next few months.
The time to act is NOW.
Identify a Mentor
Identify the resources
Initiate training
Work out what is normal/abnormal
Thanks to my mentors
@PARADicmSHIFT
&
@shaskinsMD
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I often get asked how to image for and find the lateral cutaneous nerve of the Thigh (lateral femoral cutaneous nerve) with ultrasound.
So - I decided to record a mini video.
Check it out!
#LFCN
#LCNT
#RegionalAnaesthesia
#RegionalAnesthesia
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Those who are struggling to see my talk at
#ESRA2021
- fear not - it is here!
@ESRA_Society
Optimal Analgesia for Breast Cancer Surgery at ESRA2021 via
@YouTube
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I’m always proud of our
@GSTTanaesthesia
#RegionalAnaesthesia
fellows, but I have to give a shout out to Dr Bernadette Nzekwu. She demonstrated all 5 nerves for ankle block in 1 min 21.96 secs after a recent teaching session!
Keep an eye out for her!
#HeForShe
#WomenInAnaesthesia
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Well that is just fantastic news!
@ajrmacfarlane
@RegionalAnaesUK
#RegionalAnaesthesia
#RegionalAnesthesia
Now we’ll get some answers 🤞🏽🤞🏽🤞🏽
We are pleased to announce the topic for our 8th National Audit Project (NAP8) will be complications of regional anaesthesia (peripheral blocks and central neuraxial blockade) and other neurological complications of anaesthesia.
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Just 20 mins before the announcement today. This view. No filter.
So Sad. What a life though.
#RIPQueenElizabethII
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Check out this sequence of ESP catheter insertion
1. Needle tip identification of plane with Saline
2. Passage of catheter with needle in situ & identification of location of tip
3. Removal of needle and bolus of LA via Catheter observed under vision
#RegionalAnaesthesia
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Farewell Gateshead, Newcastle,
@RegionalAnaesUK
&
#RAUK23
What can I say? It’s been amazing journey and experience.
Thanks to all who have helped get me here, and supported me throughout.
You know who you are 🤗
Something tells me I might see some of you again at
#RAUK24
🙏🏽
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Here is a webinar that should be great to tune in to!
If you are keen to work out what all the fuss is about with regards to
#RegionalAnaesthesia
&
#PlanABlocks
- this is not to be missed.
I am sure it will be enlightening for all!
Book here...
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Can someone please tell me who made this photo? I really want to credit them if I use this in a
#RegionalAnaesthesia
talk at
#ESRA2022
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Thanks to a tweet from
@ketaminh
, we decided to watch the
#TheRescue
on
@DisneyPlusUK
As a Father
As an anaesthetist
As someone born in Thailand
This resonated on many levels.
Incredible film
Totally crying my eyes out at the end
@drharry64
- I have no words for u 👌🏾👌🏾👌🏾
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So I managed to get my hands on a
@ButterflyNetInc
iQ+ probe - hoping to get lots of hands on doing blocks with this. To start, some phantom needling...
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I really love the occasions when I get a chance to place a
#RectusSheath
block. Of all the
#PlanABlocks
, I think this is the easiest to perform!
Watch this brief video for some tips.
If you like what you see, please do subscribe to the channel!
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So - first screen grabs. My supraclavicular to Interscalene Brachial plexus- on
#ButterflyiQ
@ButterflyNetInc
- check out the quality. Look at the nerve roots. Look at the TPs. This was on my phone Y’all!
@Wilkinsonjonny
#Ultrascoundrels
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Wow 🤩Wow Wow!
@BlockIt_Hot_Pod
#BlockItLikeItsHot
has just achieved over 10,000 downloads!
From
@jeffgadsden
and I - a massive THANK YOU!!!
Lots more to come!
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So this was a special moment at
#ASRASpring23
#ASRA100
@ASRA_Society
My friends
@jeffgadsden
&
@EMARIANOMD
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Been working on a new talk/video
Still a work in progress, but can you guess what it is yet?!
#RegionalAnaesthesia
@BlockIt_Hot_Pod
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Thank you so much
@Anaes_Journal
!
#ParavertebralPlusPecs
#GAFree
#FinallyPublished
- now bring on the questions! Thanks so much to the brilliant team I had!..
@viva_match
@elboghdadly
@DesireOnwochei
@Ellile_Sultan
@LouisaWoollard
Raz & Isabelle!
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I have a standard quiz for my new regional fellows when they first start, but never had an answer like this!
#BrachialPlexus
#MoreBranchesThanIRemember
#StrongWork
!
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