DUAL SUBSARTORIAL, ADDUCTOR CANAL, DISTAL FEMORAL TRIANGLE, 4 in 1 BLOCK: TECHNIQUE Part 2/2

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Second part of the earlier published video. first part dealt with the Anatomy related to Dual Subsartorial, Adductor canal, Distal femoral triangle, 4 in 1 Block, Saphenous nerve block in adductor canal. This video will show the technique and troubleshooting in relation to these blocks.

My sincere thanks to Dr. Karthik Sonawane Sir, Consultant, Department of Anaesthesia, Ganga Hospital , Coimbatore, India for giving me the video footage for making this video.

00:05 INTRODUCTION
00:44 PATIENT POSITIONING
01:24 PREPARATION FOR SCANNING
02:02 SONOANATOMY
03:51 FEMORAL TRIANGLE APEX SEARCH SONOANATOMY
05:24 DISTAL END ADDUCTOR CANAL SONOANATOMY
06:14 BLOCK BASICS
07:12 NEEDLING BASICS
08:13 DISTAL FEMORAL TRIANGLE BLOCK
09:23 PROXIMAL ADDUCTOR CANAL BLOCK
11:09 SAPHENOUS NERVE BLOCK INADDUCTOR CANAL
12:56 4 IN 1 BLOCK
14:30 LOCAL ANAESTHETIC DESCRIPTION
15:53 TROUBLESHOOT: DUAL SUBSARTORIAL BLOCK
17:58 TROUBLESHOOT: SAPHENOUS NERVE BLOCK

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thank you nery much for this very nice video very informative

helmyamr
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Thanks for the excellent video. Do you do perineural catheter for longer duration, if so which level do you insert the catheter for TKR. Thanks

rajeshchellanarendran
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Great video! Very informative. Can you please state what exactly is the 4-in-1 block? Which nerves/plexuses does the block cover? Tqvm

woonlailim
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Hi there doc, great video just have a few questions
1) is there pain relief immediately once patient is extubated and in PACU?
2) If combined with LIA, how do you recommend to divide the LA concentration
3) do you recommend the same technique for ACL repair too?
Many thanks

drsam
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Is acb+ipack the best and most effective What do you prefer??

chns
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How can origin of descending genicular artery be end of distal Adductor Canal???

SamtaniPradeep
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So you’ve just bombarded us with, what, 4 distinct clinical blocks? Why? Why not distinguish each block for its particular clinical indication? In other words, why not make some elaborate video on brachial plexus blocks for 2 x 20 minutes instead of making separate infraclavicular, supraclavicular, axillary and interscslene blocks?

rishikwatt