Top Tweets for #blockdoc

10 months ago

Breaking Myths, Not Bones: A Friendly Letter from Your Block Doc 🦴💉 #RegionalAnesthesia #NerveBlocks #PainFreeSurgery #BreakingMyths #MythBusting #BlockDoc #AnesthesiaEducation #LIA #TraumaCare #OrthopaedicMyths #TipOfTheDay #MyRATips Tip of the Day: 📜 Dear Sir Bones, From the desk of "The Anesthetist Who Blocks But Never Blocks Progress" Your reasons for banning peripheral nerve blocks (PNBs) are so imaginative they could fill a stand-up special. Unfortunately, in the theatre, patients aren’t laughing. Here’s my myth-by-myth reply — fun to read, hard to refute. 💥 Excuse #1: "Once fracture fixed, there is no pain anyway" 🧠That’s like saying once a tooth is pulled, the nerve endings won’t notice. 📚 Fact: Fixation stops instability, but pain from soft tissue injury, periosteum, and inflammation remains. PNBs mute these signals and accelerate rehab. 🦠 Excuse #2: "Drug seeps to surgical site → infection" 🧽That’s like fearing soap will cause skin infections because it touches the skin. 📚 Fact: Local anesthetics are sterile and fight bacteria: 🔓 Disrupt membranes ⛔ Inhibit microbial enzymes 🧪 Work better in acidic tissue Translation: They reduce infection risk. 🇬🇧 Excuse #3: "LIA is best; UK protocol for TKR" 🍽True, the UK likes tea - but coffee works too. 📚 Fact: LIA can work, but it’s far from flawless: ⏳ Short-lived analgesia → severe breakthrough pain ⚠️ Risk of LAST from high-volume infiltration 🔩 Joint loosening and infection risk if asepsis lapses 🔄 Redo surgeries in infected or unstable joints Translation: Best practice = multimodal analgesia. Blocks add safety, comfort, and duration. 🚑 Excuse #4: "Blocks contraindicated for trauma patients" ⛑That’s like saying helmets are contraindicated for motorbike riders. 📚 Fact: Blocks reduce opioids, aid physio, and speed recovery. The exception? Suspected compartment syndrome — but that’s a specific, not a blanket, rule. 💪 Excuse #5: "Drug in muscle → swelling → compartment syndrome" 🎈That’s like thinking a cup of tea will swell your stomach until your belt snaps. 📚 Fact: Local anesthetics are anti-inflammatory & anti-edema: 🚫 Inhibit neutrophil migration 💨 Suppress pro-inflammatory cytokines (IL-1, TNF-α) 🧱 Reduce capillary permeability Translation: They reduce swelling, not cause it. 🧩 Excuse #6: "I haven’t touched those nerves, why are you blocking them?" 🎯That’s like saying, I didn’t hit the alarm, so why turn it off while it’s still blaring? 📚 Fact: Pain signals don’t care if you “touched” a nerve. Surgical trauma triggers pain in connected pathways. Blocks interrupt these signals before they even start. 🛑 Excuse #7: "Joint replacement patients don’t feel pain after surgery" 😂That’s like claiming marathon runners don’t get thirsty at the finish line. 📚 Fact: Capsule, ligaments, and periosteum still fire pain signals. Blocks prevent severe rebound once spinal or GA wears off. 📏 Excuse #8: "This is not what we follow, so don’t give" 🛠That’s like refusing power tools because your grandfather used a hammer. 📚 Fact: Medicine evolves - protocols must follow evidence, not nostalgia. Evidence-based practice means using techniques proven to improve safety, comfort, and recovery. ⚡ Excuse #9: "Block can cause permanent neuropathy - not my surgery" 🔌That’s like blaming the electrician for the lights going out when you bulldozed the building. 📚 Fact: Permanent nerve injury from blocks is extremely rare (0.02–0.04%), often less than surgical or positioning-related injury. Proper technique and ultrasound guidance make blocks safer than most surgical retractors. 📜 Excuse #10: "Blocks are just a modern fad - we’ve managed patients for centuries without them" ⏳That’s like rejecting washing hands in surgery because “we managed without it in the 1800s.” 📚 Fact: Modern analgesia is about progress - fewer opioids, faster recovery, better function. History is for learning, not for limiting. 🎯 The Real Harm of a Block Ban 🤕 Unnecessary pain → slower rehab, higher opioids 💊 Opioid side effects → nausea, constipation, respiratory depression 🏥 Longer stays → more cost, fewer beds 🦵 Poor rehab participation → worse function 😔 Lower satisfaction → and they remember 💡 Bottom Line: 🎯Local anesthetics are the Swiss Army knife of perioperative care — analgesic, antimicrobial, anti-inflammatory, anti-edema, neuroprotective. 🎯Refusing them because of myths is like banning umbrellas because “rain helps plants grow.” Yours (block) faithfully, Dr. Local A. Nesthetic 🪄💉

$KartikBSonawane's tweet photo. Breaking Myths, Not Bones: A Friendly Letter from Your Block Doc 🦴💉 #RegionalAnesthesia #NerveBlocks #PainFreeSurgery #BreakingMyths #MythBusting #BlockDoc #AnesthesiaEducation #LIA #TraumaCare #OrthopaedicMyths #TipOfTheDay #MyRATips Tip of the Day: 📜 Dear Sir Bones, From the desk of "The Anesthetist Who Blocks But Never Blocks Progress" Your reasons for banning peripheral nerve blocks (PNBs) are so imaginative they could fill a stand-up special. Unfortunately, in the theatre, patients aren’t laughing. Here’s my myth-by-myth reply — fun to read, hard to refute. 💥 Excuse #1: "Once fracture fixed, there is no pain anyway" 🧠That’s like saying once a tooth is pulled, the nerve endings won’t notice. 📚 Fact: Fixation stops instability, but pain from soft tissue injury, periosteum, and inflammation remains. PNBs mute these signals and accelerate rehab. 🦠 Excuse #2: "Drug seeps to surgical site → infection" 🧽That’s like fearing soap will cause skin infections because it touches the skin. 📚 Fact: Local anesthetics are sterile and fight bacteria: 🔓 Disrupt membranes ⛔ Inhibit microbial enzymes 🧪 Work better in acidic tissue Translation: They reduce infection risk. 🇬🇧 Excuse #3: "LIA is best; UK protocol for TKR" 🍽True, the UK likes tea - but coffee works too. 📚 Fact: LIA can work, but it’s far from flawless: ⏳ Short-lived analgesia → severe breakthrough pain ⚠️ Risk of LAST from high-volume infiltration 🔩 Joint loosening and infection risk if asepsis lapses 🔄 Redo surgeries in infected or unstable joints Translation: Best practice = multimodal analgesia. Blocks add safety, comfort, and duration. 🚑 Excuse #4: "Blocks contraindicated for trauma patients" ⛑That’s like saying helmets are contraindicated for motorbike riders. 📚 Fact: Blocks reduce opioids, aid physio, and speed recovery. The exception? Suspected compartment syndrome — but that’s a specific, not a blanket, rule. 💪 Excuse #5: "Drug in muscle → swelling → compartment syndrome" 🎈That’s like thinking a cup of tea will swell your stomach until your belt snaps. 📚 Fact: Local anesthetics are anti-inflammatory & anti-edema: 🚫 Inhibit neutrophil migration 💨 Suppress pro-inflammatory cytokines (IL-1, TNF-α) 🧱 Reduce capillary permeability Translation: They reduce swelling, not cause it. 🧩 Excuse #6: "I haven’t touched those nerves, why are you blocking them?" 🎯That’s like saying, I didn’t hit the alarm, so why turn it off while it’s still blaring? 📚 Fact: Pain signals don’t care if you “touched” a nerve. Surgical trauma triggers pain in connected pathways. Blocks interrupt these signals before they even start. 🛑 Excuse #7: "Joint replacement patients don’t feel pain after surgery" 😂That’s like claiming marathon runners don’t get thirsty at the finish line. 📚 Fact: Capsule, ligaments, and periosteum still fire pain signals. Blocks prevent severe rebound once spinal or GA wears off. 📏 Excuse #8: "This is not what we follow, so don’t give" 🛠That’s like refusing power tools because your grandfather used a hammer. 📚 Fact: Medicine evolves - protocols must follow evidence, not nostalgia. Evidence-based practice means using techniques proven to improve safety, comfort, and recovery. ⚡ Excuse #9: "Block can cause permanent neuropathy - not my surgery" 🔌That’s like blaming the electrician for the lights going out when you bulldozed the building. 📚 Fact: Permanent nerve injury from blocks is extremely rare (0.02–0.04%), often less than surgical or positioning-related injury. Proper technique and ultrasound guidance make blocks safer than most surgical retractors. 📜 Excuse #10: "Blocks are just a modern fad - we’ve managed patients for centuries without them" ⏳That’s like rejecting washing hands in surgery because “we managed without it in the 1800s.” 📚 Fact: Modern analgesia is about progress - fewer opioids, faster recovery, better function. History is for learning, not for limiting. 🎯 The Real Harm of a Block Ban 🤕 Unnecessary pain → slower rehab, higher opioids 💊 Opioid side effects → nausea, constipation, respiratory depression 🏥 Longer stays → more cost, fewer beds 🦵 Poor rehab participation → worse function 😔 Lower satisfaction → and they remember 💡 Bottom Line: 🎯Local anesthetics are the Swiss Army knife of perioperative care — analgesic, antimicrobial, anti-inflammatory, anti-edema, neuroprotective. 🎯Refusing them because of myths is like banning umbrellas because “rain helps plants grow.” Yours (block) faithfully, Dr. Local A. Nesthetic 🪄💉$

Kishan Patel @KishanPatelMD

about 3 years ago

Just a few years ago @EMARIANOMD helped me decide my fellowship choice when I was debating subspecialties and I couldn’t be happier with my choice. #ASRASpring23 #ASRA100 #blockdoc #regionalanesthesia @SretroPMD @KalagaraHari @AlbertoArdonMD @Sindhu_Nimma @BojaxhiMD

KishanPatelMD's tweet photo. Just a few years ago @EMARIANOMD helped me decide my fellowship choice when I was debating subspecialties and I couldn’t be happier with my choice. #ASRASpring23 #ASRA100 #blockdoc #regionalanesthesia @SretroPMD @KalagaraHari @AlbertoArdonMD @Sindhu_Nimma @BojaxhiMD https://t.co/miDX5beAAh

Kishan Patel @KishanPatelMD

about 3 years ago

#ASRA100 national conference is this week! Come check out our poster on External Oblique Intercostal nerve block for subcostal incisions and our podium presentation on incidence of TNS with Mepivacaine spinals for HOLEP procedure! #regionalanesthesia #anesthesiology #blockdoc