Wow the tegaderm over the catheter-syringe-adaptor connection is genius. I will certainly try this. My institution has the Bbraun “alligator clip” style adaptor and they are notorious for coming open/disconnecting and the supplied sticker-label is often insufficient.
@@uramalakia @Clarkson350 Actually no, the patient is awake throughout the process (1-2mg of midazolam is all we tend to give for anxiolysis). The procedure is very well tolerated. Once the skin puncture site has been infiltrated with local anesthesia, incision with the stillett & the Tuohy needle insertion are painless for the patient. Following the interfascial plane under sartorius muscle also seems to produce little discomfort (vs an intramuscular track). But I would agree tha,t personally, I would prefer a needle that was less blunt.
Very meticulous and detailed explanation Dr Chin. Left no room for any questions. We routinely use this block to provide pain relief in our total knee patients but not the interfascial plane technique. Will follow your technique tomorrow as also your brilliant tip of rubbing an alcohol swab over the micropore tape. Your videos are always top notch. Thank you so much for refining our techniques in regional anaesthesia and nerve blocks.
@@chandrikakamath2707 Thanks so much for the generous comments. Would love to hear how you get on, and to share knowledge about the optimal way to employ CACB to maximize analgesic benefit in TKR and reduce any failures.
Beautiful assembly. ❤
Always a pleasure to watch a master at work.
Wow the tegaderm over the catheter-syringe-adaptor connection is genius. I will certainly try this. My institution has the Bbraun “alligator clip” style adaptor and they are notorious for coming open/disconnecting and the supplied sticker-label is often insufficient.
Good to know it's an issue with the BBraun as well - we may be trialing some of those in the new future. Thanks for the insight!
How does the catheter work with the tourniquet afterwards? Any concern? Can the tourniquet simply be placed over the catheter?
Yes, the tourniquet can be placed over the catheter.
The insertion looked like it would damage tissues and really hurt. After seeing this video I would avoid the catheter option.
I'm guessing the patient already recieved a subarachnoidal block prior to this and feels no pain as a result.
@@uramalakia @Clarkson350 Actually no, the patient is awake throughout the process (1-2mg of midazolam is all we tend to give for anxiolysis). The procedure is very well tolerated. Once the skin puncture site has been infiltrated with local anesthesia, incision with the stillett & the Tuohy needle insertion are painless for the patient. Following the interfascial plane under sartorius muscle also seems to produce little discomfort (vs an intramuscular track).
But I would agree tha,t personally, I would prefer a needle that was less blunt.
Very meticulous and detailed explanation Dr Chin. Left no room for any questions. We routinely use this block to provide pain relief in our total knee patients but not the interfascial plane technique. Will follow your technique tomorrow as also your brilliant tip of rubbing an alcohol swab over the micropore tape. Your videos are always top notch. Thank you so much for refining our techniques in regional anaesthesia and nerve blocks.
@@chandrikakamath2707 Thanks so much for the generous comments. Would love to hear how you get on, and to share knowledge about the optimal way to employ CACB to maximize analgesic benefit in TKR and reduce any failures.