Top Tweets for #EDAnesthesia

10 months ago

🩺 How I Did It: Single-Stage Bilateral Shoulder Reduction Without Sedation or GA 💪 #HowIDidIt #UpperTrunkBlock #BilateralBlock #PhrenicSparing #SedationFree #AirwaySafe #PrecisionRA #RegionalInED #FastTrackRA #EDAnesthesia #TipOfTheDay #MyRATips Tip of the Day: 👨‍⚕️ A young male presented to our ED with bilateral anterior shoulder dislocations - in severe pain, recently fed, and clearly not a candidate for general anesthesia or sedation. 🔍 Instead of reaching for opioids or a tube, I reached for precision regional anesthesia. 💉 Here’s what I did: ✅ Opted for a bilateral upper trunk block (UTB) using 3 ml of 2% lignocaine per side - short-acting, minimal volume. 🎯 Block executed under ultrasound guidance with expert precision. ⏱️ Within 5–10 minutes, patient was pain-free, relaxed, and ready. 💥 Closed reduction performed without sedation, opioids, or IV analgesia. 🫁 Phrenic-sparing effect ensured no respiratory compromise. 🚶‍♂️ Discharged fully awake, pain-free, and smiling - all within 2.5 hours of arrival. 🧠 Why UTB? A safe alternative to interscalene block - less risk of phrenic nerve palsy. Perfectly suited for conscious, cooperative patients in emergency settings. Lignocaine gave rapid onset and washout, ideal for same-day discharge. 📊 Strategic Anesthesia Flowchart 👇 I developed this clinical decision tool to guide emergency anesthesia strategy for unilateral and bilateral dislocations across adult and pediatric patients - tailored by NPO status, cooperation, and RA expertise. 👀 Check out the infographic and bookmark it - it’s your go-to guide in the ED chaos! 📝 Full story & visuals published 🔗 https://t.co/PzUKaYC977 🧵 Let’s change the emergency pain game - block smart, reduce fast, discharge early.

Top Tweets for #EDAnesthesia

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