Top Tweets for #ScapularBlock

4 months ago

Innovation Under Pressure: The Scapular Block Journey #InnovationUnderPressure #ScapularBlock #RegionalAnesthesia #AnatomyDriven #ProcedureSpecific #UltrasoundGuided #COVIDEraMedicine #ThinkingBeyondBorders #MyStoriesFromTheField My Stories From the Field: 📢 Every innovation has a moment. For the Scapular Block, that moment came under pressure. During the COVID era, airway management was no longer routine - it was risk. And sometimes, necessity forces us to think differently. This video shares the journey behind developing a procedure-specific, anatomy-driven solution for scapular surgery - built not on convenience, but on understanding. It is a story of: 🔬 Deep anatomical reasoning 🧠 Questioning traditional pathways ⚖️ Balancing risk and responsibility 💉 Combining selective blocks strategically 😌 Providing comfort without airway compromise 📈 Turning crisis into clarity The Scapular Block was not created to replace something. It was created to solve a problem. Innovation does not always begin with a grand idea. Sometimes, it begins with a difficult situation and a decision to respond thoughtfully. 🎥 Watch the full journey here: https://t.co/CnPCX8zfaY

KartikBSonawane's tweet photo. Innovation Under Pressure: The Scapular Block Journey

#InnovationUnderPressure
#ScapularBlock
#RegionalAnesthesia
#AnatomyDriven
#ProcedureSpecific
#UltrasoundGuided
#COVIDEraMedicine
#ThinkingBeyondBorders
#MyStoriesFromTheField

My Stories From the Field:

📢 Every innovation has a moment.
For the Scapular Block, that moment came under pressure.

During the COVID era, airway management was no longer routine - it was risk.
And sometimes, necessity forces us to think differently.

This video shares the journey behind developing a procedure-specific, anatomy-driven solution for scapular surgery - built not on convenience, but on understanding.

It is a story of:

🔬 Deep anatomical reasoning
🧠 Questioning traditional pathways
⚖️ Balancing risk and responsibility
💉 Combining selective blocks strategically
😌 Providing comfort without airway compromise
📈 Turning crisis into clarity

The Scapular Block was not created to replace something.

It was created to solve a problem.

Innovation does not always begin with a grand idea.

Sometimes, it begins with a difficult situation and a decision to respond thoughtfully.

🎥 Watch the full journey here:
https://t.co/CnPCX8zfaY

998

Dr.Kartik Sonawane

@KartikBSonawane

6 months ago

🎉 Five-Target, Three-Approach Scapular Block 📖 #RegionalAnesthesia #ScapularBlock #UltrasoundGuidedRA #PainFreeSurgery #AnesthesiaInnovation #TeamWork #CaseSeries #ScapulaSurgery Proud to share our latest prospective case series exploring a comprehensive, ultrasound-guided approach to scapular surgery analgesia. Highlights below 👇 📌 Why It Matters? ✅ First clinical validation of a multi-target scapular block ✅ Addresses both anterior & posterior scapular innervation ✅ Facilitates opioid-free recovery and enhanced patient comfort ✅ Modular design adaptable to any surgical approach (anterior/posterior/combined) 🧠 What’s New? 🔹 Combines 3 approaches: Interscalene, Supraclavicular, Thoracic ESP 🔹 Targets 5 key nerves for broad and overlapping coverage 🔹 Avoids phrenic nerve involvement with low-volume, high-precision technique 🔹 Block delivered preoperatively; patients reported VAS <2/10 throughout 24 hrs 🔹 Enabled smooth induction and no rescue opioids intra/postoperatively 🔬 Clinical Implications 💡 A potential game-changer in regional anesthesia for scapular surgeries 💡 May support awake surgery in select cases 💡 Easy to replicate for trained anesthesiologists with ultrasound expertise 📎 Read Full Article (Open Access) 🔗 https://t.co/KImDh4amzz 🙏 Huge thanks to mentors, team members, and reviewers who helped shape this work.

KartikBSonawane's tweet photo. 🎉 Five-Target, Three-Approach Scapular Block 📖

#RegionalAnesthesia #ScapularBlock #UltrasoundGuidedRA #PainFreeSurgery #AnesthesiaInnovation #TeamWork #CaseSeries #ScapulaSurgery

Proud to share our latest prospective case series exploring a comprehensive, ultrasound-guided approach to scapular surgery analgesia.

Highlights below 👇

📌 Why It Matters?

✅ First clinical validation of a multi-target scapular block
✅ Addresses both anterior & posterior scapular innervation
✅ Facilitates opioid-free recovery and enhanced patient comfort
✅ Modular design adaptable to any surgical approach (anterior/posterior/combined)

🧠 What’s New?

🔹 Combines 3 approaches: Interscalene, Supraclavicular, Thoracic ESP
🔹 Targets 5 key nerves for broad and overlapping coverage
🔹 Avoids phrenic nerve involvement with low-volume, high-precision technique
🔹 Block delivered preoperatively; patients reported VAS <2/10 throughout 24 hrs
🔹 Enabled smooth induction and no rescue opioids intra/postoperatively

🔬 Clinical Implications

💡 A potential game-changer in regional anesthesia for scapular surgeries
💡 May support awake surgery in select cases
💡 Easy to replicate for trained anesthesiologists with ultrasound expertise

📎 Read Full Article (Open Access)

🔗 https://t.co/KImDh4amzz

🙏 Huge thanks to mentors, team members, and reviewers who helped shape this work.

Dr.Kartik Sonawane

@KartikBSonawane

over 2 years ago

"RA in Scapula Sx" #RAinScapulaSurgery #ScapularBlock #Scapulaanalgesia #Painmanagementinscapulasurgery My 10 points: 1. Scapula is complexly innervated Structure. "Identify-Select-Combine" Approach helps to plan RA technique for any such complexly innervated structures. 2. Most of its innervations are derived from C5 & C6 roots. However, all innervations are derived from cervical and brachial plexus EXCEPT skin of back region. 3. Skin over scapula is supplied by Dorsal Rami (T2-T9/10). For this ESP with Diluted LA will be sufficient. 4. Muscles attached to the scapula are innervated by Brachial Plexus. 5. Understanding Steps of Sx, Positioning of Patient, Duration of Surgery, Incisions,& Innervations of involved structure is essential to plan Suitable RA technique. 6. Planned procedure-Specific RA technique should cover innervation of incisional area (Dermatome) & involved scapula bone (Osteotome). 7. Myotomal coverage needed only for the muscles which are involved in surgical dissection. 8. Myotomal coverage for muscle relaxation is needed only if Surgery will be under Sole RA. For that high conc. LA can be used. 9. For analgesia purpose, Myotomal coverage is not needed. So diluted LA can be used (Motor-Sparing block). 10. Depending upon the surgical plan and extending dissections, Combinations of blocks are required for Scapula surgery. For that knowledge of Spared innervations of primary blocks and knowledge of Supplementary blocks to cover those are essential. In our Case, We gave Combination of SCUT (SupraClavicular + UT) block to involve C5 & C6 + SCN (to cover skin over & above spine of scapula). SAP to cover Axillary dissection (T2-T9) with LTN & TDN. ESP to cover skin over the Scapula.

KartikBSonawane's tweet photo. "RA in Scapula Sx"

#RAinScapulaSurgery
#ScapularBlock
#Scapulaanalgesia
#Painmanagementinscapulasurgery

My 10 points:

1. Scapula is complexly innervated Structure. "Identify-Select-Combine" Approach helps to plan RA technique for any such complexly innervated structures.

2. Most of its innervations are derived from C5 & C6 roots. However, all innervations are derived from cervical and brachial plexus EXCEPT skin of back region.

3. Skin over scapula is supplied by Dorsal Rami (T2-T9/10). For this ESP with Diluted LA will be sufficient.

4. Muscles attached to the scapula are innervated by Brachial Plexus.

5. Understanding Steps of Sx, Positioning of Patient, Duration of Surgery, Incisions,& Innervations of involved structure is essential to plan Suitable RA technique.

6. Planned procedure-Specific RA technique should cover innervation of incisional area (Dermatome) & involved scapula bone (Osteotome).

7. Myotomal coverage needed only for the muscles which are involved in surgical dissection.

8. Myotomal coverage for muscle relaxation is needed only if Surgery will be under Sole RA. For that high conc. LA can be used.

9. For analgesia purpose, Myotomal coverage is not needed. So diluted LA can be used (Motor-Sparing block).

10. Depending upon the surgical plan and extending dissections, Combinations of blocks are required for Scapula surgery. For that knowledge of Spared innervations of primary blocks and knowledge of Supplementary blocks to cover those are essential.

In our Case, We gave Combination of

SCUT (SupraClavicular + UT) block to involve C5 & C6 + SCN (to cover skin over & above spine of scapula).

SAP to cover Axillary dissection (T2-T9) with LTN & TDN.

ESP to cover skin over the Scapula.

Dr.Kartik Sonawane

@KartikBSonawane

over 3 years ago

@jeffgadsden @ASRA_Society @ESRA_Society @amit_pawa @EMARIANOMD @KalagaraHari "Scapular Block" It covers all procedure-specific innervations of scapular surgery of all approaches. It can be used as a Sole RA technique OR For Analgesia purpose in pt under GA+RA Better results if given preoperatively >20-30 min before surgical incision. #ScapularBlock

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