Top Tweets for #SaphenousBlock

26 days ago

💥 𝗔𝗡𝗞𝗟𝗘 𝗕𝗟𝗢𝗖𝗞: 𝗜𝗧’𝗦 𝗡𝗢𝗧 𝗔𝗕𝗢𝗨𝗧 𝗧𝗛𝗘 𝗡𝗨𝗠𝗕𝗘𝗥 #RegionalAnesthesia #AnkleBlock #FITBlock #SciaticBlock #SaphenousBlock #MotorSparing #FootSurgery #PeripheralNerveBlock #RegionalAnaesthesia #CriticalAppraisal #EvidenceBasedPractice #ClinicalReasoning 𝗖𝗥𝗜𝗧𝗜𝗖𝗔𝗟 𝗔𝗣𝗣𝗥𝗔𝗜𝗦𝗔𝗟: 🧠 𝗦𝗛𝗢𝗥𝗧 𝗔𝗡𝗔𝗧𝗢𝗠𝗬 🔹 Sciatic nerve → Tibial nerve + Common peroneal/fibular nerve 🔹 Distally → Tibial, superficial & deep peroneal/fibular + sural nerves supply most of the foot 🔹 Saphenous nerve adds the femoral contribution 💉 𝗛𝗢𝗪 𝗠𝗔𝗡𝗬 𝗣𝗥𝗜𝗖𝗞𝗦? 🔹 Conventional ankle block → 5 🔹 FIT ankle block → 2 🔹 Popliteal sciatic + saphenous block → 2 🔹 SPEDI block → 1 🔹 Neuraxial → 1 🎯 𝗦𝗢, 𝗪𝗛𝗔𝗧 𝗥𝗘𝗔𝗟𝗟𝗬 𝗠𝗔𝗧𝗧𝗘𝗥𝗦? 🔹 Not merely how many times we prick 🔹 But where we block, what we block and why we block 🔹 Surgical anesthesia? Analgesia? Motor preservation? Early ambulation? 🔑 𝗞𝗘𝗬 𝗧𝗔𝗞𝗘𝗔𝗪𝗔𝗬𝗦 🔹 Fewer pricks ≠ automatically better block 🔹 Distal block ≠ completely motor-free block 🔹 Ankle block mainly preserves proximal/extrinsic leg motor function, while intrinsic foot motor function may still be affected 🔹 Choose the strategy according to the desired clinical outcome - not the needle count. 𝗧𝗵𝗲 𝗯𝗲𝘀𝘁 𝗯𝗹𝗼𝗰𝗸 𝗶𝘀 𝗻𝗼𝘁 𝘁𝗵𝗲 𝗼𝗻𝗲 𝘄𝗶𝘁𝗵 𝘁𝗵𝗲 𝗳𝗲𝘄𝗲𝘀𝘁 𝗽𝗿𝗶𝗰𝗸𝘀; 𝗶𝘁 𝗶𝘀 𝘁𝗵𝗲 𝗼𝗻𝗲 𝘁𝗵𝗮𝘁 𝗯𝗲𝘀𝘁 𝗺𝗮𝘁𝗰𝗵𝗲𝘀 𝘁𝗵𝗲 𝗽𝘂𝗿𝗽𝗼𝘀𝗲.

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