Top Tweets for #AnaesthesiaSimplified

about 1 year ago

"Blocking Smart: A Few for the Many, Not Many for the Few" #PlanABlocks #RegionalAnaesthesia #SmartBlocking #UltrasoundGuided #RAForAll #AnaesthesiaSimplified #HighValueBlocks #BlockStrategy #PerioperativeCare #BlockToBasics #FromPlanAToD #EverydayBlocks Let's understand PLAN A, B, C, D blocks concept Plan A Blocks: A Pragmatic Foundation Definition: Plan A blocks refer to a small group of basic, versatile ultrasound-guided nerve blocks that are: Simple to learn and perform Sufficient for providing analgesia for the majority of common surgical procedures Meant to increase access to RA, especially for non-expert anaesthetists Goal: To create a practical set of go-to blocks that any general anaesthetist can reliably perform, improving equity and efficiency in regional anaesthesia delivery. Plan B, C, D Blocks: Advanced and Specialized Options Definition: Plan B onwards represents escalation in complexity or specificity. These are often performed by more experienced regional anaesthetists and are used when: Plan A blocks are contraindicated or ineffective Higher analgesic coverage is needed More complex surgical requirements are present Key Features of Plan B: Require more anatomical knowledge Potentially higher risks or technical demands Not always necessary for every patient Important tools in the hands of experts for *tailored* analgesia Bottom Line Plan A = A few blocks for the many. Aimed at widespread access, competence, and value in daily practice. Plan B/C/D= Many blocks for the few. Reserved for complex needs, performed by RA specialists. Examples: Upper Limb : SHOULDER Plan A: Interscalene brachial plexus block Plan B/C/D: Superior trunk block, combined axillary and suprascapular nerve blocks BELOW Shoulder Plan A: Axillary brachial plexus block Plan B/C/D: Infraclavicular block, supraclavicular block Lower Limb: HIP Plan A: Femoral nerve block Plan B/C/D: Fascia iliaca block, lumbar plexus block KNEE Plan A: Adductor canal block Plan B/C/D: Femoral nerve block, IPACK block FOOT and ANKLE Plan A: Popliteal sciatic block Plan B/C/D: Ankle blocks, proximal sciatic nerve block TRUNK : Chest Wall Plan A: Erector spinae plane (ESP) block Plan B/C/D: Paravertebral block, serratus plane block, PECS blocks ABDOMINAL Midline Plan A: Rectus sheath block Plan B/C/D: Quadratus lumborum blocks

$KartikBSonawane's tweet photo. "Blocking Smart: A Few for the Many, Not Many for the Few" #PlanABlocks #RegionalAnaesthesia #SmartBlocking #UltrasoundGuided #RAForAll #AnaesthesiaSimplified #HighValueBlocks #BlockStrategy #PerioperativeCare #BlockToBasics #FromPlanAToD #EverydayBlocks Let's understand PLAN A, B, C, D blocks concept Plan A Blocks: A Pragmatic Foundation Definition: Plan A blocks refer to a small group of basic, versatile ultrasound-guided nerve blocks that are: Simple to learn and perform Sufficient for providing analgesia for the majority of common surgical procedures Meant to increase access to RA, especially for non-expert anaesthetists Goal: To create a practical set of go-to blocks that any general anaesthetist can reliably perform, improving equity and efficiency in regional anaesthesia delivery. Plan B, C, D Blocks: Advanced and Specialized Options Definition: Plan B onwards represents escalation in complexity or specificity. These are often performed by more experienced regional anaesthetists and are used when: Plan A blocks are contraindicated or ineffective Higher analgesic coverage is needed More complex surgical requirements are present Key Features of Plan B: Require more anatomical knowledge Potentially higher risks or technical demands Not always necessary for every patient Important tools in the hands of experts for *tailored* analgesia Bottom Line Plan A = A few blocks for the many. Aimed at widespread access, competence, and value in daily practice. Plan B/C/D= Many blocks for the few. Reserved for complex needs, performed by RA specialists. Examples: Upper Limb : SHOULDER Plan A: Interscalene brachial plexus block Plan B/C/D: Superior trunk block, combined axillary and suprascapular nerve blocks BELOW Shoulder Plan A: Axillary brachial plexus block Plan B/C/D: Infraclavicular block, supraclavicular block Lower Limb: HIP Plan A: Femoral nerve block Plan B/C/D: Fascia iliaca block, lumbar plexus block KNEE Plan A: Adductor canal block Plan B/C/D: Femoral nerve block, IPACK block FOOT and ANKLE Plan A: Popliteal sciatic block Plan B/C/D: Ankle blocks, proximal sciatic nerve block TRUNK : Chest Wall Plan A: Erector spinae plane (ESP) block Plan B/C/D: Paravertebral block, serratus plane block, PECS blocks ABDOMINAL Midline Plan A: Rectus sheath block Plan B/C/D: Quadratus lumborum blocks$

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