Top Tweets for #TAPABlock
๐จ๐ ๐ง๐๐ ๐ง๐๐ฃ๐ ๐๐ข๐ง๐๐!
๐ฌ ๐ง๐๐ผ ๐๐ผ๐ผ๐ฟ๐, ๐ข๐ป๐ฒ ๐ฆ๐ต๐ผ๐ฟ๐๐ฐ๐๐ & ๐ฎ ๐ฆ๐ฒ๐ฐ๐ฟ๐ฒ๐ ๐ฃ๐ฎ๐๐๐ฎ๐ด๐ฒ ๐๐ผ ๐๐ต๐ฒ ๐ฆ๐ถ๐ฑ๐ฒ ๐๐ฎ๐น๐ฐ๐ผ๐ป๐!
#InterestingRA #RegionalAnaesthesia #TAPABlock #MTAPA #RMTAPA #Sonoanatomy #AbdominalWallBlocks
๏ฟฝ๏ฟฝ ๐๐ก๐ง๐๐ฅ๐๐ฆ๐ง๐๐ก๐ ๐ฅ๐: #๐ฌ๐ณ
Who said RA is only about nerves and needles?
Even LOCAL ANAESTHETICS need the right HOTEL KEY! ๐๏ธ
Imagine the ๐๐ข๐ฆ๐ง๐๐ ๐๐๐ฅ๐ง๐๐๐๐๐ as a HOTEL!
๐จ FRONT ROOMS = Anterior cutaneous nerve territories.
๐
SIDE BALCONIES = Lateral cutaneous nerve territories.
Meet THREE guests with THREE different entry strategies! ๐
๐
ฐ๏ธ ๐ง๐๐ฃ๐: ๐ง๐๐ ๐๐ข๐จ๐๐๐-๐๐ข๐ข๐ฅ ๐๐จ๐๐ฆ๐ง! ๐ช๐ช
๐ง๐๐ฃ๐ = Thoracoabdominal Nerves Block Through Perichondrial Approach.
๐น TWO perichondrial injections around the 9thโ10th costal cartilage.
๐น One SUPERFICIAL to the cartilage (EOMโIOM plane), another DEEP to it (IOMโTAM plane).
๐น Designed to reach ANTERIOR and LATERAL cutaneous nerve territories, although coverage varies.
๐ ๐๐ผ๐๐ฒ๐น ๐ ๐ฒ๐๐๐ฎ๐ด๐ฒ: "Why choose one door when I can try BOTH?"
๐
ฑ๏ธ ๐ -๐ง๐๐ฃ๐: ๐ง๐๐ ๐๐ซ๐ฃ๐ฅ๐๐ฆ๐ฆ ๐๐จ๐๐ฆ๐ง! ๐ช
๐ -๐ง๐๐ฃ๐ = Modified Thoracoabdominal Nerves Block Through Perichondrial Approach.
๐น ONE injection along the DEEP / INFERIOR aspect of the costal cartilage, above transversus abdominis.
๐น More consistent ANTERIOR cutaneous coverage, commonly T7โT11.
๐น LATERAL cutaneous coverage is possible but less reliable.
๐ ๐๐ผ๐๐ฒ๐น ๐ ๐ฒ๐๐๐ฎ๐ด๐ฒ: "My shortcut gets me to the FRONT ROOMS!"
๐
ฒ๏ธ ๐ฅ๐ -๐ง๐๐ฃ๐: ๐ง๐๐ ๐ฆ๐๐๐ฅ๐๐ง-๐ฃ๐๐ฆ๐ฆ๐๐๐ ๐๐ซ๐ฃ๐๐ข๐ฅ๐๐ฅ! ๐ต๏ธ
๐ฅ๐ -๐ง๐๐ฃ๐ = Re-modified Thoracoabdominal Nerves Block Through Perichondrial Approach.
๐น Targets ๐ฆ๏ฟฝ๏ฟฝ๐๐๐ = Space between the Endothoracic Fascia, Diaphragm and Costodiaphragmatic Recess.
๐น A DISTINCT anatomical compartment, separated from the conventional M-TAPA plane by cartilage or tendinous structures.
๐น Volunteer studies suggest improved access to LATERAL cutaneous branches.
๐น The 9th and 10th intercostal approaches produce different sensory distributions.
๐ ๐๐ผ๐๐ฒ๐น ๐ ๐ฒ๐๐๐ฎ๐ด๐ฒ: "The SIDE BALCONY has a SECRET PASSAGE!"
๐ง ๐ง๐๐ ๐๐ก๐๐ง๐ข๐ ๐๐๐๐ ๐ง๐ช๐๐ฆ๐ง!
๐ Same COSTAL REGION, different PLANES!
๐ Different COMPARTMENTS, different SENSORY MAPS!
๐ Wider NUMBNESS does not necessarily mean BETTER ANALGESIA!
๐ฏ ๐ง๐๐ ๐ฅ๐ ๐ฃ๐๐๐ฅ๐:
The NAME tells you WHERE to inject.
ANATOMY predicts WHERE it may spread.
SENSORY MAPPING reveals WHAT was actually blocked!
Remember, reaching MORE ROOMS does not automatically mean BETTER PAIN RELIEF!

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