Top Tweets for #IPack
Finally neither #IPack nor any opposition but only Corporates are helping @MamataOfficial and returning Her all the TMC corruption money accumulated with the companies
सपा ने I-PAC से तोड़ा नाता: 2027 चुनाव से पहले अखिलेश यादव का बड़ा रणनीतिक दांव… पढ़ें @i_HimanshuDubey की यह रिपोर्ट! 👇🏻
https://t.co/PZ8kMOELIB
#WestBengalElection #AkhileshYadav #IPACK
🚀#Ipack-Ima reaches an all-time high in exhibitor rebookings and prepares to officially unveil the 2028 edition.
👉 A must-attend hub for innovation, partnerships, and the future of processing & packaging. https://t.co/T97qyiUiqM
#revistaide #ide #alimentaciónybebidas
తిరుపతి జిల్లా సత్యవేడు శ్రీసిటీ లోని ఈ ప్యాక్ పరిశ్రమలో భారీ అగ్ని ప్రమాదం.
భారీగా ఎగసి పడుతున్న మంటలు.
సంఘటన స్థలానికి చేరుకున్న ఫైర్ ఇంజన్లు, సిబ్బంది.
#tirupati #satyavedu #sricity #ipack #fireaccident #UANow
విశాఖ పార్లమెంట్ పరిధిలో ఐ పేక్ బృందాలు.
విశాఖ దక్షిణం లో జన సేన తరపున సర్వే.
#Ipack #visakhapatnam #vizagsouth #vizagparliament #UANow
🚫💉 “Goodbye Obturator Block?” – Why Isolated ON Block Is Becoming Obsolete
#RegionalAnaesthesia #ObturatorNerve #TURBT #PENGBlock #HipAnalgesia #KneeAnalgesia #AdductorCanalBlock #DSB #IPACK #PoplitealPlexus #NeuroMuscularBlockade #Anaesthesia #RAInnovation
#TipOfTheDay #MyRATips
Tip of the Day:
Blocking the obturator nerve (ON) separately is gradually becoming less useful in modern regional anaesthesia - because in most clinical scenarios, its role is already covered indirectly or doesn’t solve the real problem. ✅
🧠 1) For Anaesthesia:
ON is already “included”
For surgical anaesthesia, when we perform proximal plexus-level blocks like:
✅ Lumbar plexus block / Lumbosacral plexus block
…the obturator nerve gets covered as part of the plexus itself.
➡️ So a separate ON block adds minimal extra benefit.
🦴 2) For Hip Analgesia:
We target the sensory branches
For hip joint pain, the clinically meaningful component is the sensory articular contribution of ON - and that is already addressed by modern hip blocks like:
✅ PENG block
✅ SIFI block
✅ Iliopsoas plane block
➡️ These are procedure-specific analgesic blocks, not isolated motor-targeting ON blocks.
🦵 3) For Knee Analgesia:
ON sensory components are already covered
✅ Anterior division (sensory component) gets covered in:
Subsartorial plexus block/
Femoral triangle block/DSB
✅ Posterior division contribution gets covered in:
Popliteal plexus block,
ACB,
iPACK,
Popliteal fossa block,
DSB,
4-in-1 block
➡️ So most obturator-linked knee pain pathways are already blocked indirectly.
🩺⚡ 4) Even in TURBT (Lateral Wall Tumours):
ON Block Often Fails
This is where many believe ON block is “mandatory”, but the physiology explains why it can still be unreliable.
✅ The real issue in TURBT:
During lateral bladder wall tumour resection, the obturator nerve can be directly stimulated by cautery, leading to sudden:
⚡ Obturator jerk (adductor spasm)
⚠️ bladder wall injury / perforation risk
🔥 Why ON block becomes ineffective here:
✅ Anything distal to the point of block can still create conduction and stimulate the muscle.
✅ The cautery stimulus is often directly on/near the nerve, not through pain pathways.
So in TURBT, it’s not just about “sensory block”…
➡️ it’s about stopping the efferent motor response.
🎯 5) The core limitation:
You can’t reliably block “ distal to stimulation ”
To fully prevent jerk, ideally the block should be placed:
✅ distal to the expected stimulation point on the nerve
BUT practically…
❌ Obturator nerve has frequent anatomical variations
❌ The stimulation may occur at unpredictable points
❌ Blocking on the common trunk vs individual divisions is hard to standardize
And to make it worse:
⚠️ In 15–30%, an Accessory Obturator Nerve contributes to muscular innervation.
➡️ So even a “perfect” ON block may miss motor supply.
✅ Bottom Line
🔥 In TURBT lateral wall tumours, nothing is fully reliable except direct neuromuscular blockade (NM blockade).
✅ Because the jerk is often due to direct nerve stimulation, and anatomical variations + accessory innervation make isolated ON block unpredictable.
🧠 Final Takeaway
🎯 Target the procedure, not the nerve.
And in TURBT lateral wall resections:
✅ ON block may help sometimes…
🚫 but NM blockade remains the most dependable solution when obturator jerk risk is high.
I-PAC दफ्तर में रेड मामले में सुप्रीम कोर्ट में कल अहम सुनवाई होगी. ED ��ी य���चिका पर सुप्रीम कोर्ट कल सुनवाई करेगा. जस्टिस पीके मिश्रा और जस्टिस विपुल पंचोली की बेंच मामले की सुनवाई करेगी.
#SupremeCourt #IPack #WestBengal #ED #TV9Card
पश्चिम बंगाल की मुख्यमंत्री ममता बनर्जी ने कल I-PAC पर ED की रेड के बाद आज ED खिलाफ रैली निकाला
#WestBengal #MamataBanerjee #TMC #IPACK #ED
మా పార్టీ హార్డ్ డిస్క్ను, అభ్యర్థుల జాబితాను సేకరించడం ఈడీ, అమిత్ షా ల పన్నగామా ?
ఐ పెక్ పై దాడులపై నడి రోడ్డుపై నిలబడి మరీ ప్రశ్నిస్తున్న మమతా బెనర్జీ.
#AmithShah #MamataBenarjee #IPack #ED
Apple is introducing a battery pack for the iPhone Air
📑 Rethinking Posterior Knee Blocks in TKA: Lessons from the PPB vs IPACK Trial 🎯📈
#RegionalAnesthesia #TKA #KneeSurgery #PostoperativePain
#PoplitealPlexusBlock #IPACK #FemoralTriangleBlock #AdductorCanalBlock #DualSubsartorialBlock #TipOfTheDay #MyRATips
Tip of the Day:
🔹 🎯 Same Target, Different Routes
◉ The article compared Popliteal Plexus Block (PPB) with IPACK in TKA.
◉ Anatomically, both infiltrate the popliteal plexus region, covering the same innervation.
◉ No surprise the study showed similar outcomes - both techniques are essentially overlapping.
🔹 📊 Redundancy in Study Design
◉ By combining both with Femoral Triangle Block (FTB), the trial diluted any real difference.
◉ The results largely reaffirm anatomy, rather than providing new clinical insight.
🔹 ⚡ Posterior Pain is Secondary
◉ As highlighted in many pain studies, posterior/intra-articular pain is less troublesome than extra-articular anterior pain.
◉ The FTB remains the major contributor to postoperative analgesia and functional recovery.
🔹 ⏱ Limitation: Preoperative Requirement
◉ Both PPB and IPACK must be performed before incision.
◉ This reduces flexibility in multimodal analgesia planning.
🔹 💉 ACB as a Smarter Option
◉ Literature supports that a true Adductor Canal Block (ACB) often results in popliteal spread, mimicking posterior coverage.
◉ Unlike PPB/IPACK, ACB can be performed postoperatively, alongside FTB → better adaptability.
🔹 🔐 DSB: Toward Complete Coverage
◉ Dual Subsartorial Block (DSB) addresses procedure-specific innervation comprehensively.
◉ A potential single-technique solution eliminating the need for redundant posterior add-ons.
🔹 🏆 Clinical Takeaway
◉ The article essentially compared two faces of the same block.
◉ Future research should move beyond redundancy → focus on FTB-centered strategies with ACB or DSB as practical, flexible, and procedure-specific alternatives.
◉ Research should focus on functional outcomes (rehab, ambulation, satisfaction) rather than comparing mirror-image blocks.
✨ PPB and IPACK are just two roads leading to the same city — different paths, same destination. ✨
#processing
#Ipack-Ima has confirmed its position as the leading international event with a 2025 edition exceeding all expectations.
#revistaide #ide #packaging
Know more👇
https://t.co/s3h7lj4aLQ
If you like the content give a ❤ & 🔁
#premios
The 2025 Best Packaging Awards will be held at #Ipack-Ima, a key event for the packaging industry and a standing appointment to discover high-end packaging solutions.
#revistaide #ide #envasado
Know more👇
https://t.co/BGs42eZXrf
If you like the content give a ❤ & 🔁
'আই���্যাকের ১০ শতাংশ কর্মী ব্যক্তিগত স্বার্থে...', মদনের সুর এবার হুমায়ুনের গলায়ও!
@AITCofficial #IPack #HumayunKabir #Zee24ghanta
সবিস্তারে পড়ুন....
https://t.co/i1S0pG34J1
#alimentaciónybebidas
#Ipack-Ima shows the new Business Monitor factsheet produced in cooperation with MECS, to discover the future of Production and Operation of Packaging Machines.
#revistaide #ide #tecnología
Know more👇
https://t.co/azd9gEKaLn
Give a ❤ & 🔁
https://t.co/rxgnOYLBWs @LesPlacesDOr #LuxuryFair celebrates their #20th #birthday in 2024 in #LeMeurice #palace, with #packaging, #design but also #hospitality equipment projects.. Such as #MDI, #OlivierLapidus, #IPack, #Kintsugi, #Foilco & even #Gravotech ✨ #LesPlacesDOr #Luxe
More positive feedback on our iPacks thanks to Rajan Pokhrel, Director General of the Civil Aviation Authority of Nepal. Learn more about what we offer today. #iPack 🚁💺
https://t.co/8vNoF2NXfo
Thank you to Viengxay Singkham, Director General of the Department of Civil Aviation of Lao PDR, for your encouraging words. Find out more about our facilitation-based iPacks today! #iPack ✈️🛣
https://t.co/N6XsrFB0yY
Thank you to Viengxay Singkham, Director General of the Department of Civil Aviation of Lao PDR, for your encouraging words. Find out more about our facilitation-based iPacks today! #iPack ✈️🛣
https://t.co/N6XsrFB0yY
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