Top Tweets for #nerveBlock
โก ๐๐๐ ๐ฏ๐ฌ ๐๐
๐ : ๐๐๐ฆ๐ ๐๐ฅ๐๐๐ญ๐ซ๐ข๐๐ข๐ญ๐ฒ ๐๐๐ฆ๐ข๐ฅ๐ฒ, ๐๐จ๐ฆ๐ฉ๐ฅ๐๐ญ๐๐ฅ๐ฒ ๐๐ข๐๐๐๐ซ๐๐ง๐ญ ๐ฉ๐ฎ๐ซ๐ฉ๐จ๐ฌ๐
#RegionalAnesthesia #PNS #RFA #RadiofrequencyAblation #PainMedicine #NerveBlock #AnaesthesiaEducation #MedEd #NervePhysiology
#TipOfTheDay #MyRATips
๐๐ข๐ฉ ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฒ :
๐ท ๐๐๐: ๐๐๐ซ๐ข๐ฉ๐ก๐๐ซ๐๐ฅ ๐๐๐ซ๐ฏ๐ ๐๐ญ๐ข๐ฆ๐ฎ๐ฅ๐๐ญ๐จ๐ซ
โช๏ธ Goal: ๐ง๐๐ซ๐ฏ๐ ๐ฅ๐จ๐๐๐ฅ๐ข๐ณ๐๐ญ๐ข๐จ๐ง / ๐ฌ๐๐๐๐ญ๐ฒ ๐ฆ๐จ๐ง๐ข๐ญ๐จ๐ซ
โช๏ธ Effect: ๐ซ๐๐ฏ๐๐ซ๐ฌ๐ข๐๐ฅ๐ ๐ง๐๐ซ๐ฏ๐ ๐๐๐ฉ๐จ๐ฅ๐๐ซ๐ข๐ณ๐๐ญ๐ข๐จ๐ง
โช๏ธ Clinical endpoint: ๐ฆ๐จ๐ญ๐จ๐ซ ๐ญ๐ฐ๐ข๐ญ๐๐ก
โช๏ธ Current type: ๐๐ฎ๐ฅ๐ฌ๐๐ ๐๐-๐ฅ๐ข๐ค๐ ๐๐๐ญ๐ก๐จ๐๐๐ฅ ๐ฌ๐ญ๐ข๐ฆ๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง
โช๏ธ Frequency: ๐โ๐ ๐๐ณ
โช๏ธ Pulse width: ๐.๐ ๐ฆ๐ฌ / ๐๐๐ ยต๐ฌ
โช๏ธ Practical working current: ๐.๐โ๐.๐ ๐ฆ๐
โช๏ธ Deep/difficult target: ๐.๐โ๐ ๐ฆ๐
โช๏ธ Machine range: ๐-๐/๐ ๐ฆ๐ depending on device
๐ฏ ๐๐๐ ๐๐ฌ๐ค๐ฌ: โ๐๐ก๐๐ซ๐ ๐ข๐ฌ ๐ญ๐ก๐ ๐ง๐๐ซ๐ฏ๐, ๐๐ง๐ ๐ก๐จ๐ฐ ๐๐ฅ๐จ๐ฌ๐ ๐ข๐ฌ ๐ฆ๐ฒ ๐ง๐๐๐๐ฅ๐?โ
๐ท ๐๐
๐: ๐๐๐๐ข๐จ๐๐ซ๐๐ช๐ฎ๐๐ง๐๐ฒ ๐๐๐ฅ๐๐ญ๐ข๐จ๐ง
โช๏ธ Goal: ๐ฉ๐๐ข๐ง ๐ฉ๐๐ญ๐ก๐ฐ๐๐ฒ ๐ฆ๐จ๐๐ข๐๐ข๐๐๐ญ๐ข๐จ๐ง / ๐ฅ๐๐ฌ๐ข๐จ๐ง๐ข๐ง๐
โช๏ธ Effect: ๐ญ๐ก๐๐ซ๐ฆ๐๐ฅ ๐ข๐ง๐ฃ๐ฎ๐ซ๐ฒ ๐จ๐ซ ๐ง๐๐ฎ๐ซ๐จ๐ฆ๐จ๐๐ฎ๐ฅ๐๐ญ๐ข๐จ๐ง
โช๏ธ Clinical endpoint: ๐ญ๐๐ฆ๐ฉ๐๐ซ๐๐ญ๐ฎ๐ซ๐-๐๐จ๐ง๐ญ๐ซ๐จ๐ฅ๐ฅ๐๐ ๐ฅ๐๐ฌ๐ข๐จ๐ง
โช๏ธ Current type: ๐ก๐ข๐ ๐ก-๐๐ซ๐๐ช๐ฎ๐๐ง๐๐ฒ ๐๐ ๐๐
๐๐ง๐๐ซ๐ ๐ฒ
โช๏ธ Frequency: ๐๐๐โ๐๐๐ ๐ค๐๐ณ
โช๏ธ Conventional thermal RFA: ๐๐โ๐๐ยฐ๐
โช๏ธ Pulsed RFA: usually limited around ๐๐ยฐ๐
โช๏ธ Lesioning is controlled by ๐ฉ๐จ๐ฐ๐๐ซ, ๐ข๐ฆ๐ฉ๐๐๐๐ง๐๐, ๐ญ๐๐ฆ๐ฉ๐๐ซ๐๐ญ๐ฎ๐ซ๐ ๐๐ง๐ ๐ญ๐ข๐ฆ๐
โช๏ธ It is ๐ง๐จ๐ญ interpreted like PNS mA endpoint
๐ฏ ๐๐
๐ ๐๐ฌ๐ค๐ฌ: โ๐๐๐ง ๐ ๐ฌ๐๐๐๐ฅ๐ฒ ๐ข๐ง๐ญ๐๐ซ๐ซ๐ฎ๐ฉ๐ญ ๐จ๐ซ ๐ฆ๐จ๐๐ข๐๐ฒ ๐ญ๐ก๐ข๐ฌ ๐ฉ๐๐ข๐ง ๐ฉ๐๐ญ๐ก๐ฐ๐๐ฒ?โ
๐ท ๐๐ก๐ฒ ๐๐
๐ ๐ฉ๐ซ๐จ๐๐ฎ๐๐๐ฌ ๐ก๐๐๐ญ
โช๏ธ RFA uses very high-frequency alternating current.
โช๏ธ At this frequency, nerves do not produce ordinary repeated twitching.
โช๏ธ Ions in tissue oscillate rapidly.
โช๏ธ This ionic agitation produces frictional heat.
โช๏ธ Heat around the RF electrode creates a controlled lesion.
๐ท ๐๐ก๐ฒ ๐๐๐ ๐๐๐ง๐ง๐จ๐ญ ๐๐จ ๐๐
๐
PNS lacks:
โ ๏ธ RF generator
โ ๏ธ High-frequency AC output
โ ๏ธ Temperature monitoring
โ ๏ธ Lesion-control algorithm
โ ๏ธ RF cannula compatibility
โ ๏ธ Power/impedance-based lesion control
โ ๏ธ Controlled thermal safety feedback
So, ๐๐๐ ๐๐๐ง ๐ฌ๐ญ๐ข๐ฆ๐ฎ๐ฅ๐๐ญ๐ ๐ ๐ง๐๐ซ๐ฏ๐, ๐๐ฎ๐ญ ๐ข๐ญ ๐๐๐ง๐ง๐จ๐ญ ๐๐๐ฅ๐๐ญ๐ ๐ ๐ง๐๐ซ๐ฏ๐.
๐ท ๐๐
๐ ๐ฆ๐๐๐ก๐ข๐ง๐ ๐๐๐ง ๐๐ฅ๐ฌ๐จ ๐ฌ๐ญ๐ข๐ฆ๐ฎ๐ฅ๐๐ญ๐, ๐๐ฎ๐ญ ๐ญ๐ก๐๐ญ ๐ข๐ฌ ๐ง๐จ๐ญ ๐๐๐ฅ๐๐ญ๐ข๐จ๐ง
Before lesioning, RF machines may use stimulation modes:
โช๏ธ Sensory stimulation: ๐๐ ๐๐ณ
โช๏ธ Motor stimulation: ๐ ๐๐ณ
โช๏ธ Purpose: confirm target & avoid unwanted motor injury
But actual RFA lesioning uses ๐ก๐ข๐ ๐ก-๐๐ซ๐๐ช๐ฎ๐๐ง๐๐ฒ ๐๐ ๐๐ง๐๐ซ๐ ๐ฒ, not PNS-style stimulation.
โ
๐
๐๐๐๐ ๐๐๐๐๐๐๐๐๐
๐ธ ๐๐๐ = ๐๐ข๐ง๐๐ฌ ๐ญ๐ก๐ ๐ง๐๐ซ๐ฏ๐
๐ธ ๐๐
๐ = ๐ฆ๐จ๐๐ข๐๐ข๐๐ฌ / ๐ฅ๐๐ฌ๐ข๐จ๐ง๐ฌ ๐ญ๐ก๐ ๐ง๐๐ซ๐ฏ๐
๐ธ ๐๐๐ = ๐ฉ๐ฎ๐ฅ๐ฌ๐๐ ๐๐-๐ฅ๐ข๐ค๐, ๐โ๐ ๐๐ณ
๐ธ ๐๐
๐ = ๐ก๐ข๐ ๐ก-๐๐ซ๐๐ช๐ฎ๐๐ง๐๐ฒ ๐๐, ~๐๐๐โ๐๐๐ ๐ค๐๐ณ
๐ธ ๐๐๐ = ๐ญ๐ฐ๐ข๐ญ๐๐ก
๐ธ ๐๐
๐ = ๐ก๐๐๐ญ / ๐ฅ๐๐ฌ๐ข๐จ๐ง
๐ธ ๐๐๐ ๐๐๐ง๐ง๐จ๐ญ ๐๐จ ๐๐
๐
โก๐๐๐ ๐ฎ๐ฌ๐๐ฌ ๐ฉ๐ฎ๐ฅ๐ฌ๐๐ ๐๐๐ญ๐ก๐จ๐๐๐ฅ ๐๐ฎ๐ซ๐ซ๐๐ง๐ญ ๐ญ๐จ ๐๐ข๐ง๐ ๐ญ๐ก๐ ๐ง๐๐ซ๐ฏ๐
โก๐๐
๐ ๐ฎ๐ฌ๐๐ฌ ๐ก๐ข๐ ๐ก-๐๐ซ๐๐ช๐ฎ๐๐ง๐๐ฒ ๐๐ ๐๐ง๐๐ซ๐ ๐ฒ ๐ญ๐จ ๐ก๐๐๐ญ ๐๐ง๐ ๐ฆ๐จ๐๐ข๐๐ฒ ๐ญ๐ก๐ ๐ง๐๐ซ๐ฏ๐.
โก ๐๐๐ ๐๐๐๐๐๐๐๐ ๐๐ ๐๐๐๐๐๐๐๐๐๐๐๐๐ & ๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐
#RegionalAnesthesia #PNS #PeripheralNerveStimulator #NerveBlock #UltrasoundGuidedRA #AnaesthesiaEducation #MedEd #NervePhysiology #RegionalAnaesthesia
#TipOfTheDay #MyRATips
๐๏ฟฝ๏ฟฝ๐ฉ ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฒ :
Peripheral nerve stimulator is not just a โtwitch machine.โ
It is a tool for understanding:
๐ธ Functional needle-nerve proximity
๐ธ Nerve excitability
๐ธ Electrical safety
๐ธ Clinical interpretation
๐ท ๐๐๐๐ ๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐
โช๏ธ Routine start:
๐ธ 1.0โ1.5 mA
๐ธ 0.1 ms / 100 ยตs
๐ธ 1โ2 Hz
โช๏ธ Usual endpoint:
๐ธ 0.3โ0.5 mA
๐ธ 0.1 ms
๐ธ 1โ2 Hz
โช๏ธ Warning response:
โ ๏ธ Twitch at โค0.2โ0.3 mA
โ ๏ธ Possible needleโnerve contact
โ ๏ธ Withdraw slightly and reassess
๐ท ๐๐๐-๐๐๐๐๐๐ ๐๐๐๐๐
โช๏ธ Best practical safety mode:
๐ธ 0.5 mA
๐ธ 0.1 ms
๐ธ 2 Hz
โช๏ธ Use PNS mainly as a safety monitor.
โช๏ธ Final endpoint should be:
๐ธ Correct sonoanatomy
๐ธ Needle tip visibility
๐ธ Safe injectate spread
๐ธ No pain / paresthesia / high pressure
๐ท ๐๐๐-๐๐๐๐ ๐๐ ๐๐๐๐-๐๐๐๐๐๐๐๐
โช๏ธ Start with:
๐ธ 1.0โ1.5 mA
๐ธ 0.1 ms
๐ธ 2 Hz
โช๏ธ Once correct twitch appears:
๐ธ Reduce current gradually
๐ธ Avoid chasing below 0.3โ0.5 mA
๐ธ Never inject with pain, paresthesia, or high pressure
๐ท ๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐
โช๏ธ Start 1.0โ1.5 mA if using PNS localization.
โช๏ธ With USG, use 0.5 mA safety mode.
โช๏ธ Threshold may be slightly higher.
โช๏ธ Absence of twitch at low current does not guarantee safety.
๐ท ๐๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐
โช๏ธ Do not chase low-current twitch.
โช๏ธ Accept twitch at 0.5โ1.0 mA if US spread is correct.
โช๏ธ Neuropathy can raise stimulation threshold.
โช๏ธ Low-current endpoint becomes unreliable.
โก ๐๐๐ฒ ๐ฅ๐ข๐ง๐:
Neuropathy = donโt chase low current.
๐ท ๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐ / ๐๐๐๐๐๐ ๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐
โช๏ธ Treat like pre-existing neuropathy.
โช๏ธ USG should be primary.
โช๏ธ Use PNS 0.5 mA as safety monitor.
โช๏ธ Altered nerve excitability may make threshold unreliable.
๐ท ๐๐๐-๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐
Includes:
๐ธ CKD neuropathy
๐ธ Chemotherapy neuropathy
๐ธ Alcohol-related neuropathy
๐ธ Inherited neuropathy
๐ธ Long-standing metabolic neuropathy
โช๏ธ PNS threshold reflects diseased excitability more than exact distance.
โช๏ธ Use USG, anatomy, pressure, and symptoms together.
๐ท ๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐ / ๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐๐
โช๏ธ PNS may be unreliable.
โช๏ธ Twitch may be weak, absent, delayed, or misleading.
โช๏ธ Depend more on ultrasound and clinical judgement.
โ
๐๐๐๐๐๐ ๐๐๐๐๐
๐ธ Use ultrasound as primary guidance whenever available.
๐ธ Standard RA pulse width: 0.1 ms / 100 ยตs.
๐ธ Standard frequency: 1โ2 Hz.
๐ธ Machine current is not equal to current โfeltโ by the nerve.
๐ธ PNS threshold indicates functional electrical proximity, not exact distance.
๐ธ In neuropathy, absence of twitch at 0.5 mA does NOT mean safety.
โ ๏ธ ๐๐ ๐๐๐ ๐๐๐๐๐๐ ๐๐
:
๐ธ Severe pain
๐ธ Paresthesia
๐ธ High injection pressure
๐ธ Persistent twitch at โค0.2โ0.3 mA
๐ฏ ๐๐๐๐ ๐๐๐๐๐๐๐๐๐ ๐๐๐
๐๐๐๐
0.5 mA โข 0.1 ms โข 2 Hz
as a USG-guided safety monitor.
โก โ
๐
๐๐๐๐ ๐๐๐๐๐๐๐๐๐
๐ธ Routine nerve: 0.3โ0.5 mA endpoint may be acceptable.
๐ธ Neuropathic nerve: donโt chase low current.
๐ธ No twitch at 0.5 mA does not mean safety in neuropathy.
๐ธ Very low-current twitch may mean dangerous needle-nerve proximity.
๐ธ USG + anatomy + injection pressure + patient symptoms decide safety.
Selective nerve blocks can be used as one tool to better understand back or leg pain, so call 609-838-2900 to discuss your symptoms. #NerveBlock #PainManagement #HamiltonNJ #BackPainCare #Sciatica #SpineHealth #LiveAPainFreeLife
Selective nerve blocks may help clarify where back or neck pain is coming fromโcall +16098382900 to ask about evaluation. #NerveBlock #PainManagement #HamiltonNJ #BackPain #NeckPain #SpineCare #ChronicPain
Simple yet oh-so satisfying ๐๐
28 yo F presented to the ED for a forearm laceration. We performed a proximal radial nerve block prior to repair. Look at it float!
#Regionalanesthesia #nerveblock #radialnerveblock #Emergencymedicine #BrookdaleSono #POCUS
Grateful for this wonderful collaboration and kind words.
aQLB continues to evolve. Excited to contribute to this growing field together. ๐
#RegionalAnesthesia #aQLB #PainManagement #Anesthesiology #nerveblock
@Pain_Ther
Excellent collaboration, narrative review on aQLB @unestezist @paindrkoneti @Bubu84csa @EMARIANOMD, aQLB reduces pain scores, opioid consumption and PONV. There is an interesting variant supra-arcuate aQLB https://t.co/hVsSKg2Chu
Steps of toe nerve block technique in under 30 seconds.
#orthopaedics #trauma #NerveBlock #Toe #meded
Advanced Echogenic Technology for Accurate Nerve Blocks
๐ท Send us a DM or email at [email protected] to place your order.
#RegionalAnesthesia #SonoPlex #NerveBlock #UltrasoundGuided #MedicalDevices #Anesthesia #PAJUNK #Hospimedica
After two decades of persistent hiccups causing reflux and vomiting, doctors used ultrasound-guided nerve blocks and pulsed radiofrequency therapy to relieve the condition. #Hiccups #NerveBlock https://t.co/baBdkf13d6
Steps of toe nerve block technique in under 30 seconds.
#orthopaedics #trauma #NerveBlock #Toe #meded
Join us for a Virtual Open House for the Regional Anesthesia & Acute Pain Medicine Fellowship at UC San Diego. #nerveblock #anesthesia #regionalanesthesia #acutepain #anesthesiology
๐ The Ideal Perineural Adjuvant: Hype vs Physiology
#RegionalAnaesthesia #PerineuralAdjuvants #LocalAnaesthetics #NerveBlock #PainManagement #AnesthesiaEducation #KnowBeforeYouBlock
#MyRATips #TipOfTheDay
Tip of the Day:
๐ฏ What Is a Perineural Adjuvant Meant to Do?
๐ธ Prolong sensory analgesia
๐ธ Reduce local anaesthetic requirement
๐ธ Improve block quality and consistency
๐ธ Without increasing neurotoxicity or systemic risk
๐งฌ What an Ideal Adjuvant SHOULD Be?
๐ธ Peripherally acting (not central spillover dependent)
๐ธ Reversible, predictable, and dose-dependent
๐ธ Compatible with local anaesthetics
๐ธ Safe for neural tissue
๐ธ Free from long-term neurotoxicity
โ ๏ธ What an Ideal Adjuvant SHOULD NOT Be?
๐ธ A drug that works only after systemic absorption
๐ธ A vasoconstrictor masking duration by ischemia
๐ธ A sedative falsely improving โanalgesiaโ
๐ธ A neurotoxic agent prolonging block by nerve injury
๐ Mechanisms That Truly Make Sense
๐ธ Hyperpolarization of nerve membrane
๐ธ Modulation of ion channels (Naโบ / Kโบ / Caยฒโบ)
๐ธ Reduced ectopic firing and neuronal excitability
๐ธ Anti-inflammatory action around the nerve
๐ธ Microvascular stabilization (not ischemia)
๐งช Reality Check on Common Adjuvants
๐ธฮฑโ-agonists โ prolong block, but partly systemic
๐ธ Dexamethasone โ strong duration effect, perineural vs IV debate
๐ธ Opioids โ poor peripheral rationale
๐ธ Epinephrine โ duration โ quality; ischemia risk
๐ธ Magnesium / Clonidine โ mechanism-dependent, dose-sensitive
โ๏ธ Block Duration โ Block Quality โ Safety
๐ธ Longer block does not always mean better block
๐ธ Prolongation via nerve ischemia or toxicity is not success
๐ธ An adjuvant must respect neural physiology
๐ง Clinical Take-Home
๐ธ The best perineural adjuvant prolongs analgesia without altering nerve health
๐ธ If it works mainly after systemic absorption, itโs not truly perineural
๐ธ Duration should be earned by physiology, not injury
๐ง Mnemonic to Remember:
IDEAL Adjuvant = SAFE
๐ธ S โ Sensory selective
๐ธ A โ Acts peripherally
๐ธ F โ Free from neurotoxicity
๐ธ E โ Evidence-based
Head and Neck Innervation for pain management.
YouTube education: https://t.co/ANMTqm0MkU
Netter Atlas of Human Anatomy: 8th edition
#chronicpain #painrelief #headache #nerveblock #painmanagement
Enjoy learning about truncal regional analgesia:
https://t.co/1zwewF6oSu
#Regionalanalgesia #nerveblock #painrelief #painmanagement
Think innervation!
In this lower limbs innervation course, I walk you through applicable anatomy, causes of pain and nerves injury, nerves blocks and peripheral nerve stimulators applications.
https://t.co/Ii3xeyPSQj
#chronicpain #painphysician #nervepain #nerveblock
Think innervation!
In this upper limbs innervation course, I walk you through applicable anatomy, causes of pain and nerves injury, nerves blocks and peripheral nerves stimulators applications.
https://t.co/uNHYeOuabf
#chronicpain #painphysician #nervepain #nerveblock
Post Traumatic Stress Disorder ๐ซ Stellate Ganglion Block
39 year old female with 9 month history of Chronic PTSD
Needle: 22G 3.5 inch, Havels
U/S FUJIFILM Sonosite, Inc.
Monitoring: EKG, Pulse Ox, NIBP
Medication: 5 ml of 0.5% Ropivacaine
#nerveblock #ultrasound #concierge
https://t.co/VVAELBr8kQ
https://t.co/s5HHFL2MgX
Steps of toe nerve block technique in under 30 seconds.
#orthopaedics #trauma #NerveBlock #Toe #orthotwitter #orthoX #meded
๐ง ๐ฌ Why Comparing IV vs Perineural Dexamethasone Is Unscientific
#RegionalAnesthesia #Dexamethasone #Perineural #Intravenous #NerveBlock #Analgesia #ERAS #Anesthesia #PainMedicine #PerioperativeCare #Pharmacology #PatientSafety #FOAMed #medtwitter
#MyRATips #TipOfTheDay
Tip of the Day:
๐ฏ Different objectives: IV = systemic anti-inflammatory/antiemetic; perineural = block prolongation + neuroprotection
๐ฌ Different PK/PD: IV distributes to high-perfusion organs first; perineural creates a local depot with sustained perineural levels
๐ Different sites of action: systemic (IV) vs nerve-level microenvironment (perineural)
๐ Dose โequivalenceโ โ interchangeability: duration modeling informs time, not mechanism or local neuroprotection
1๏ธโฃ Perineural Dexa - Block Prolongation
๐ธ Local vasoconstriction โ slower LA uptake/clearance; sustained levels
๐ธ High local โreservoirโ at the nerve โ reliable, dose-responsive duration
๐ธ Anti-inflammatory milieu at the block site โ less cytokine-driven washout
๐ธ Smoother regression โ less rebound pain; better block quality
2๏ธโฃ Perineural Dexa - Neuroprotection
๐ก๏ธ Suppresses IL-1/IL-6/TNF-ฮฑ โ less perineural inflammation/edema
๐ก๏ธ Anti-fibrotic โ fewer adhesions/tethering; preserved glide planes
๐ก๏ธ Microcirculation support โ improved endoneurial flow/oxygenation
๐ก๏ธ Limits LA neurotoxicity โ less mitochondrial stress/apoptosis
๐ก๏ธ Membrane/C-fiber modulation (proposed) โ fewer ectopic discharges
๐ก๏ธ โ Substance P โ lower risk of neuritis-like pain/dysesthesia
3๏ธโฃ IV Dexa - Systemic Anti-inflammatory & Recovery
๐ Glucocorticoid receptor activation โ broad cytokine suppression
๐ Attenuates surgical stress/HPA axis โ system-wide pain modulation
๐ Antiemetic โ lower PONV and often reduced opioid use
๐ Indirect block effects via central desensitization โ variable vs perineural
4๏ธโฃ Perineural + IV - Dual Benefits
๐ท Complementary targeting: local precision + systemic modulation
๐ท More dependable duration (perineural) + better recovery (IV)
๐ท Less rebound pain, smoother offset, opioid-sparing pathways
๐ท Resilience when one route underperforms (patient/surgical factors)
5๏ธโฃ Dose & Evidence
๐ Duration modeling (e.g., ~8 mg IV โ ~4 mg perineural for time) does not prove interchangeabilityโroutes differ in target-site exposure and neuroprotective impact.
๐ Read the full editorial:
https://t.co/BU8ni8QTDA
๐ก Not versus - synergy: perineural precision + IV recovery = longer, safer relief โช๏ธโจ
Comparison of Penile Block and Caudal Block Applications in PatientsUndergoing Circumcision Surgery
You can see the free full text of the research by Hilmi Sarฤฑ et al.
Link : https://t.co/h0pvzH3zqC
#Caudal #anesthesia #dorsalpenile #nerveblock #male #circumcision
Most Popular Users
Elon Musk 
@elonmusk
240.8M followers
Barack Obama
@barackobama
119.2M followers
Donald J. Trump
@realdonaldtrump
111.7M followers
Cristiano Ronaldo
@cristiano
111.3M followers
Narendra Modi
@narendramodi
107M followers
Rihanna
@rihanna
97.8M followers
NASA
@nasa
92.2M followers
Justin Bieber
@justinbieber
91.1M followers
KATY PERRY
@katyperry
88M followers
Taylor Swift
@taylorswift13
81.9M followers
Lady Gaga
@ladygaga
73.4M followers
Virat Kohli
@imvkohli
70.5M followers
Kim Kardashian
@kimkardashian
70M followers
YouTube
@youtube
68.7M followers
Bill Gates
@billgates
64.1M followers
Neymar Jr
@neymarjr
63.3M followers
The Ellen Show
@theellenshow
62.4M followers
CNN
@cnn
61.9M followers
Selena Gomez
@selenagomez
61.1M followers
X
@x
60.8M followers