How to Choose Local Anesthetics for Nerve Blocks - Crash course with Dr. Hadzic

Показать описание

Selecting local anesthetics based on their pharmacological properties alone can be confusing. In this video, Dr. Hadzic will be describing a highly pragmatic method to selecting the best suited local anesthetic for your nerve blocks. Learn why so many trainees misunderstand this topic, and why mistakes in selecting local anesthetics and their mixtures are so common. Get the must-know information on local anesthetics for clinical practice, and on what makes some local anesthetic work faster than others.

Listen to Dr. Hadzic's argument on why mixing local anesthetics might not be the way to go, and learn how to prolong the duration of nerve blocks reliably, before hearing the take-home message on how to make your final choice.

📱 Download the NYSORA Nerve Blocks app

Where else to find us:

---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia

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 Youtube channel is accurate.

Рекомендации по теме

Комментарии

As an anesthesiologist, pharmacology of the drugs which we use in daily practice is one of the most important part of our job. But it is sooo boring to read and learn. I always forget which drug has which type of pharmacologic action. When i watch this video i became more confident about local anesthestics. This video shows us how we could use basic science knowledge in our daily practice. Thanks Dr Hadzic..

serhatsoylu

Amazing. Thirty years in anesthesiology and I´ve never seen an explanation so clear. Congratulations.

alcruz

For all anesthesia providers: Just as any fields, if you don’t use it you loose it! So if you don’t use neuraxial anesthesia and peripheral nerve blocks frequently in your practice, this is a good review of local anesthetics. Cheers :)

thepowerofpositivity

Good presentation. The online thing is that the real length of the blocks is realistically much shorter. Patientens are gonna start feeling some pain after 3-4h, if we take Ropivacaine as an example. The described length of action for individual anesthetics is based on their elimination time (2 - 3 half-value times), but the clinical effect starts to diminish much earlier.

MrAnakindra

i love NYSORA!!! It helped me through CRNA school and now I'm working and watching your videos. thank you so much Dr. Hadzic!!! Godsent!

shielas

Put your teleprompter above the camera for a better look. Favorite video by content though!

chrisable

Just found u some iis over my head but watched it twice. I'm just a former nurse but always learning! Thank u.

sherrydawson

This corresponds well with my practice of over 35 years. A couple of features not mentioned here are the relative motor vs sensory blockade (for most long lasting blocks, we only want sensory blockade). Also, near toxicity of LA given in high concentration. For most upper extremity surgery I prefer Lidocaine 1.5% for speed of onset and density of block (usually mixing in a small amount of HCO3 not mentioned). For these cases, I do not want prolonged motor blockade especially if the patient is going home. In a resident situation, I found it very difficult to convince the ortho residents to infiltrate their wounds with bupivacaine on closure. Thanks Dr. Hadzic. I've had to explain the dilution effect of mixes to most residents and many surgical attendings.

scottrobinson

Excellent practical recomendations! It´s a pleasure watching these amazing videos where we can review the principal aspects of anesthetic drugs. But we have to consider four different aspects:
1. Medical level depending in high and low-income countries.
2. Operator factor. Sometimes you don´t really know how long is going to be the surgery, depending on the doctor.
3. Take care of toxicity doses. We forget it too frequently.
4. Be ready for an alternative anesthetic plan (Plan A, Plan B, ....) and a rescue anesthetic plan.
Thanks a lot!

joseramoncabanas

I am scheduled for this surgery in five days. Listening to your explanations was completely accessible to me. I now understand a whole lot more than I ever have and it sounds as though your choice of anesthesia is what I am going to request. I also would love to “look over the surgeons shoulder“ to better understand what is going on inside of my body. Thank you for your concise and explicit knowledge sharing!

JamesSims

Chemically and molecularly informative. Sensible lecture indeed

francishubertovasquez

Very painless explanation, thank you.

TheGeezzer

Im a veterinarian and I work with horses and so many times we used to use lidocaine to block nerves on their forelimb and handlimb and I love your video if you could add subtitles that would be incredible because I dont have the 100% of the english. Anyway very godo video.

carlos

NYSORA stuff is some of the most useful educational material out there.

johnkidd

Thank you very much sir for your extraordinary presentation about LA which was very complicated to me before your presentation..hope to get more like this..

mirmahmud