Top Tweets for #UpperTrunkBlock

10 months ago

🩺 How I Did It: Single-Stage Bilateral Shoulder Reduction Without Sedation or GA 💪 #HowIDidIt #UpperTrunkBlock #BilateralBlock #PhrenicSparing #SedationFree #AirwaySafe #PrecisionRA #RegionalInED #FastTrackRA #EDAnesthesia #TipOfTheDay #MyRATips Tip of the Day: 👨‍⚕️ A young male presented to our ED with bilateral anterior shoulder dislocations - in severe pain, recently fed, and clearly not a candidate for general anesthesia or sedation. 🔍 Instead of reaching for opioids or a tube, I reached for precision regional anesthesia. 💉 Here’s what I did: ✅ Opted for a bilateral upper trunk block (UTB) using 3 ml of 2% lignocaine per side - short-acting, minimal volume. 🎯 Block executed under ultrasound guidance with expert precision. ⏱️ Within 5–10 minutes, patient was pain-free, relaxed, and ready. 💥 Closed reduction performed without sedation, opioids, or IV analgesia. 🫁 Phrenic-sparing effect ensured no respiratory compromise. 🚶‍♂️ Discharged fully awake, pain-free, and smiling - all within 2.5 hours of arrival. 🧠 Why UTB? A safe alternative to interscalene block - less risk of phrenic nerve palsy. Perfectly suited for conscious, cooperative patients in emergency settings. Lignocaine gave rapid onset and washout, ideal for same-day discharge. 📊 Strategic Anesthesia Flowchart 👇 I developed this clinical decision tool to guide emergency anesthesia strategy for unilateral and bilateral dislocations across adult and pediatric patients - tailored by NPO status, cooperation, and RA expertise. 👀 Check out the infographic and bookmark it - it’s your go-to guide in the ED chaos! 📝 Full story & visuals published 🔗 https://t.co/PzUKaYC977 🧵 Let’s change the emergency pain game - block smart, reduce fast, discharge early.

KartikBSonawane's tweet photo. 🩺 How I Did It: Single-Stage Bilateral Shoulder Reduction Without Sedation or GA 💪

#HowIDidIt #UpperTrunkBlock
#BilateralBlock #PhrenicSparing
#SedationFree #AirwaySafe
#PrecisionRA #RegionalInED
#FastTrackRA #EDAnesthesia
#TipOfTheDay #MyRATips

Tip of the Day:

👨‍⚕️ A young male presented to our ED with bilateral anterior shoulder dislocations - in severe pain, recently fed, and clearly not a candidate for general anesthesia or sedation.

🔍 Instead of reaching for opioids or a tube, I reached for precision regional anesthesia.

💉 Here’s what I did:

✅ Opted for a bilateral upper trunk block (UTB) using 3 ml of 2% lignocaine per side - short-acting, minimal volume.

🎯 Block executed under ultrasound guidance with expert precision.

⏱️ Within 5–10 minutes, patient was pain-free, relaxed, and ready.

💥 Closed reduction performed without sedation, opioids, or IV analgesia.

🫁 Phrenic-sparing effect ensured no respiratory compromise.

🚶‍♂️ Discharged fully awake, pain-free, and smiling - all within 2.5 hours of arrival.

🧠 Why UTB?

A safe alternative to interscalene block - less risk of phrenic nerve palsy.

Perfectly suited for conscious, cooperative patients in emergency settings.

Lignocaine gave rapid onset and washout, ideal for same-day discharge.

📊 Strategic Anesthesia Flowchart 👇 I developed this clinical decision tool to guide emergency anesthesia strategy for unilateral and bilateral dislocations across adult and pediatric patients - tailored by NPO status, cooperation, and RA expertise.

👀 Check out the infographic and bookmark it - it’s your go-to guide in the ED chaos!

📝 Full story & visuals published
🔗 https://t.co/PzUKaYC977

🧵 Let’s change the emergency pain game - block smart, reduce fast, discharge early.

Dr.Kartik Sonawane

@KartikBSonawane

about 4 years ago

“Small NAME, but Big FAME” Let’s find out secrets of “Upper Trunk Block” Covered Dermatomes Myotomes Osteotomes Wide coverage but very limited indication as a sole RA. Supplementary blocks/infiltration required for complete analg. #uppertrunkblock https://t.co/J8ubFfjx0T

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