Top Tweets for #SafeBlocks

26 days ago

@HoustonPuddle @HarryScoffin Yes, purely because if they were saying that #leasehold properties are toxic, that would go against their own interests & freehold partners. Remove #freehold, introduce #commonhold, & build robust & #safeblocks to live in without the need for all those audits to generate demand!

Dr.Kartik Sonawane

@KartikBSonawane

6 months ago

🎯 From Precision to Perfection: Thank You 2025, Welcome 2026 in Regional Anesthesia 🧠🪡 #ThankYou2025 #Welcome2026 #RegionalAnesthesia #UltrasoundGuidedRA #AnatomyFirst #RAEducation #PainManagement #BlockWithLogic #RACommunity #FutureOfRA #SafeBlocks #LearningNeverStops ✨ 2025 taught us precision: 📌 respecting anatomy 📌 refining ultrasound vision 📌 understanding why a block works, not just how It reminded us that regional anesthesia is not an injection, it’s a thought process 🤔 a blend of science, anatomy, and judgment 🧬 🙏 Thank you, 2025, for lessons, challenges, failed spreads, tough questions, and growth. Every missed plane made us better clinicians. 🚀 2026 is about perfection and leadership: 🧠 deeper anatomical reasoning 🛠️ better troubleshooting 📚 stronger academic foundations 👨‍🏫 setting standards, not following shortcuts In 2026, let us move from ➡️ doing blocks to owning blocks ➡️ technique-driven to logic-driven practice ➡️ learning RA to living RA ✨ May 2026 bring: ✔️ safer blocks ✔️ smarter decisions ✔️ confident fellows ✔️ pain-free patients ✔️ and true respect for nerves 🙏 🎉 Welcome 2026 - another year to elevate Regional Anesthesia, ethically, scientifically, and fearlessly.

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Dr.Kartik Sonawane

@KartikBSonawane

10 months ago

💉💥 LAST: When Local Anesthetics Hit the Wrong Vessel 🚨 #LocalAnesthetic #LAST #RegionalAnesthesia #PatientSafety #AnesthesiaEducation #RAtechniques #ToxicityAwareness #SafeBlocks #AspirationFirst #KnowYourVessels #TipOFTheDay #MyRATips Tip of the Day: 🔷🫀 Intravenous (Venous) Injection 🔄 Drug enters systemic circulation → right heart → lungs → left heart → high-flow organs. 🧠 CNS symptoms (tinnitus, dizziness, seizures) appear first. ❤️ At higher levels → cardiac toxicity (arrhythmias, arrest). 🌬️ Pulmonary “buffer” effect (lungs trap part of dose) gives some protection. ⚖️ Severity: Dose-dependent, influenced by protein binding & redistribution. 💉 Blocks with higher venous risk: Epidural, caudal, lumbar plexus, intercostal (due to rich venous plexuses). 🔴🩸 Intra-Arterial Injection 🚨 Central arteries (carotid/vertebral/coronary): 🔶Immediate direct high-concentration delivery to brain or heart. ⏱️ Onset: Seconds → seizures, LOC, arrhythmias. 💣 Small dose = catastrophic effect. 💉Blocks nearby: Interscalene, supraclavicular, stellate ganglion. 🦵 Peripheral arteries (e.g., femoral, tibial): 🔴Blood flows distally into limb, not brain/heart. ⚠️ Risk of limb ischemia, pain, necrosis at injection site. 📈 Systemic absorption is slower, so LAST is less abrupt, but still possible. 💉Blocks nearby: Femoral nerve block, adductor canal, popliteal sciatic. ✅ Take-Home Message: 💡💡 🎯Venous injection → systemic dilution → gradual CNS → cardiac toxicity. 🎯Central arterial injection → catastrophic CNS/cardiac LAST in seconds. 🎯Peripheral arterial injection → local ischemia + delayed systemic toxicity. 🎯Block risk depends on anatomical proximity to venous plexuses or arteries. 🔹Epidural/intercostal/lumbar plexus → venous. 🔹Interscalene/supraclavicular → central artery. 🔹Femoral/popliteal → peripheral artery. 💡 Remember: The vessel you hit decides the fight you face — 🫀 vein for systemic, 🧠/❤️ central artery for catastrophe, 🦵 peripheral artery for ischemia. Stay safe, inject slow, and always aspirate! 🔄💉

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