Top Tweets for #ipack
Finally neither #IPack nor any opposition but only Corporates are helping @MamataOfficial and returning Her all the TMC corruption money accumulated with the companies
सपा ने I-PAC से तोड़ा नाता: 2027 चुनाव से पहले अखिलेश यादव का बड़ा रणनीतिक दांव… पढ़ें @i_HimanshuDubey की यह रिपोर्ट! 👇🏻
https://t.co/PZ8kMOELIB
#WestBengalElection #AkhileshYadav #IPACK
🚀#Ipack-Ima reaches an all-time high in exhibitor rebookings and prepares to officially unveil the 2028 edition.
👉 A must-attend hub for innovation, partnerships, and the future of processing & packaging. https://t.co/T97qyiUiqM
#revistaide #ide #alimentaciónybebidas
తిరుపతి జిల్లా సత్యవేడు శ్రీసిటీ లోని ఈ ప్యాక్ పరిశ్రమలో భారీ అగ్ని ప్రమాదం.
భారీగా ఎగసి పడుతున్న మంటలు.
సంఘటన స్థలానికి చేరుకున్న ఫైర్ ఇంజన్లు, సిబ్బంది.
#tirupati #satyavedu #sricity #ipack #fireaccident #UANow
విశాఖ పార్లమెంట్ పరిధిలో ఐ పేక్ బృందాలు.
విశాఖ దక్షిణం లో జన సేన తరపున సర్వే.
#Ipack #visakhapatnam #vizagsouth #vizagparliament #UANow
🚫💉 “Goodbye Obturator Block?” – Why Isolated ON Block Is Becoming Obsolete
#RegionalAnaesthesia #ObturatorNerve #TURBT #PENGBlock #HipAnalgesia #KneeAnalgesia #AdductorCanalBlock #DSB #IPACK #PoplitealPlexus #NeuroMuscularBlockade #Anaesthesia #RAInnovation
#TipOfTheDay #MyRATips
Tip of the Day:
Blocking the obturator nerve (ON) separately is gradually becoming less useful in modern regional anaesthesia - because in most clinical scenarios, its role is already covered indirectly or doesn’t solve the real problem. ✅
🧠 1) For Anaesthesia:
ON is already “included”
For surgical anaesthesia, when we perform proximal plexus-level blocks like:
✅ Lumbar plexus block / Lumbosacral plexus block
…the obturator nerve gets covered as part of the plexus itself.
➡️ So a separate ON block adds minimal extra benefit.
🦴 2) For Hip Analgesia:
We target the sensory branches
For hip joint pain, the clinically meaningful component is the sensory articular contribution of ON - and that is already addressed by modern hip blocks like:
✅ PENG block
✅ SIFI block
✅ Iliopsoas plane block
➡️ These are procedure-specific analgesic blocks, not isolated motor-targeting ON blocks.
🦵 3) For Knee Analgesia:
ON sensory components are already covered
✅ Anterior division (sensory component) gets covered in:
Subsartorial plexus block/
Femoral triangle block/DSB
✅ Posterior division contribution gets covered in:
Popliteal plexus block,
ACB,
iPACK,
Popliteal fossa block,
DSB,
4-in-1 block
➡️ So most obturator-linked knee pain pathways are already blocked indirectly.
🩺⚡ 4) Even in TURBT (Lateral Wall Tumours):
ON Block Often Fails
This is where many believe ON block is “mandatory”, but the physiology explains why it can still be unreliable.
✅ The real issue in TURBT:
During lateral bladder wall tumour resection, the obturator nerve can be directly stimulated by cautery, leading to sudden:
⚡ Obturator jerk (adductor spasm)
⚠️ bladder wall injury / perforation risk
🔥 Why ON block becomes ineffective here:
✅ Anything distal to the point of block can still create conduction and stimulate the muscle.
✅ The cautery stimulus is often directly on/near the nerve, not through pain pathways.
So in TURBT, it’s not just about “sensory block”…
➡️ it’s about stopping the efferent motor response.
🎯 5) The core limitation:
You can’t reliably block “ distal to stimulation ”
To fully prevent jerk, ideally the block should be placed:
✅ distal to the expected stimulation point on the nerve
BUT practically…
❌ Obturator nerve has frequent anatomical variations
❌ The stimulation may occur at unpredictable points
❌ Blocking on the common trunk vs individual divisions is hard to standardize
And to make it worse:
⚠️ In 15–30%, an Accessory Obturator Nerve contributes to muscular innervation.
➡️ So even a “perfect” ON block may miss motor supply.
✅ Bottom Line
🔥 In TURBT lateral wall tumours, nothing is fully reliable except direct neuromuscular blockade (NM blockade).
✅ Because the jerk is often due to direct nerve stimulation, and anatomical variations + accessory innervation make isolated ON block unpredictable.
🧠 Final Takeaway
🎯 Target the procedure, not the nerve.
And in TURBT lateral wall resections:
✅ ON block may help sometimes…
🚫 but NM blockade remains the most dependable solution when obturator jerk risk is high.
I-PAC दफ्तर में रेड मामले में सुप्रीम कोर्ट में कल अहम सुनवाई होगी. ED की याचिका पर सुप्रीम कोर्ट कल सुनवाई करेगा. जस्टिस पीके मिश्रा और जस्टिस विपुल पंचोली की बेंच मामले की सुनवाई करेगी.
#SupremeCourt #IPack #WestBengal #ED #TV9Card
पश्चिम बंगाल की मुख्यमंत्री ममता बनर्जी ने कल I-PAC पर ED की रेड के बाद आज ED खिलाफ रैली निकाला
#WestBengal #MamataBanerjee #TMC #IPACK #ED
మా పార్టీ హార్డ్ డిస్క్ను, అభ్యర్థుల జాబితాను సేకరించడం ఈడీ, అమిత్ షా ల పన్నగామా ?
ఐ పెక్ పై దాడులపై నడి రోడ్డుపై నిలబడి మరీ ప్రశ్నిస్తున్న మమతా బెనర్జీ.
#AmithShah #MamataBenarjee #IPack #ED
Apple is introducing a battery pack for the iPhone Air
📑 Rethinking Posterior Knee Blocks in TKA: Lessons from the PPB vs IPACK Trial 🎯📈
#RegionalAnesthesia #TKA #KneeSurgery #PostoperativePain
#PoplitealPlexusBlock #IPACK #FemoralTriangleBlock #AdductorCanalBlock #DualSubsartorialBlock #TipOfTheDay #MyRATips
Tip of the Day:
🔹 🎯 Same Target, Different Routes
◉ The article compared Popliteal Plexus Block (PPB) with IPACK in TKA.
◉ Anatomically, both infiltrate the popliteal plexus region, covering the same innervation.
◉ No surprise the study showed similar outcomes - both techniques are essentially overlapping.
🔹 📊 Redundancy in Study Design
◉ By combining both with Femoral Triangle Block (FTB), the trial diluted any real difference.
◉ The results largely reaffirm anatomy, rather than providing new clinical insight.
🔹 ⚡ Posterior Pain is Secondary
◉ As highlighted in many pain studies, posterior/intra-articular pain is less troublesome than extra-articular anterior pain.
◉ The FTB remains the major contributor to postoperative analgesia and functional recovery.
🔹 ⏱ Limitation: Preoperative Requirement
◉ Both PPB and IPACK must be performed before incision.
◉ This reduces flexibility in multimodal analgesia planning.
🔹 💉 ACB as a Smarter Option
◉ Literature supports that a true Adductor Canal Block (ACB) often results in popliteal spread, mimicking posterior coverage.
◉ Unlike PPB/IPACK, ACB can be performed postoperatively, alongside FTB → better adaptability.
🔹 🔐 DSB: Toward Complete Coverage
◉ Dual Subsartorial Block (DSB) addresses procedure-specific innervation comprehensively.
◉ A potential single-technique solution eliminating the need for redundant posterior add-ons.
🔹 🏆 Clinical Takeaway
◉ The article essentially compared two faces of the same block.
◉ Future research should move beyond redundancy → focus on FTB-centered strategies with ACB or DSB as practical, flexible, and procedure-specific alternatives.
◉ Research should focus on functional outcomes (rehab, ambulation, satisfaction) rather than comparing mirror-image blocks.
✨ PPB and IPACK are just two roads leading to the same city — different paths, same destination. ✨
#processing
#Ipack-Ima has confirmed its position as the leading international event with a 2025 edition exceeding all expectations.
#revistaide #ide #packaging
Know more👇
https://t.co/s3h7lj4aLQ
If you like the content give a ❤ & 🔁
#premios
The 2025 Best Packaging Awards will be held at #Ipack-Ima, a key event for the packaging industry and a standing appointment to discover high-end packaging solutions.
#revistaide #ide #envasado
Know more👇
https://t.co/BGs42eZXrf
If you like the content give a ❤ & 🔁
'আইপ্যাকের ১০ শতাংশ কর্মী ব্যক্তিগত স্বার্থে...', মদনের সুর এবার হুমায়ুনের গলায়ও!
@AITCofficial #IPack #HumayunKabir #Zee24ghanta
সবিস্তারে পড়ুন....
https://t.co/i1S0pG34J1
#alimentaciónybebidas
#Ipack-Ima shows the new Business Monitor factsheet produced in cooperation with MECS, to discover the future of Production and Operation of Packaging Machines.
#revistaide #ide #tecnología
Know more👇
https://t.co/azd9gEKaLn
Give a ❤ & 🔁
https://t.co/rxgnOYLBWs @LesPlacesDOr #LuxuryFair celebrates their #20th #birthday in 2024 in #LeMeurice #palace, with #packaging, #design but also #hospitality equipment projects.. Such as #MDI, #OlivierLapidus, #IPack, #Kintsugi, #Foilco & even #Gravotech ✨ #LesPlacesDOr #Luxe
More positive feedback on our iPacks thanks to Rajan Pokhrel, Director General of the Civil Aviation Authority of Nepal. Learn more about what we offer today. #iPack 🚁💺
https://t.co/8vNoF2NXfo
Thank you to Viengxay Singkham, Director General of the Department of Civil Aviation of Lao PDR, for your encouraging words. Find out more about our facilitation-based iPacks today! #iPack ✈️🛣
https://t.co/N6XsrFB0yY
Thank you to Viengxay Singkham, Director General of the Department of Civil Aviation of Lao PDR, for your encouraging words. Find out more about our facilitation-based iPacks today! #iPack ✈️🛣
https://t.co/N6XsrFB0yY
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