How anesthesiologists numb specific body parts (actual video of a nerve block)
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- Опубліковано 7 чер 2024
- Anesthesiologists can numb specific body parts by performing a nerve block, ie. injecting local anesthesia to block specific nerves. In this video, I perform a nerve block and also talk with Dr. Chang Park, the assistant program director for the Regional Anesthesia & Acute Pain Management fellowship at Mount Sinai Hospital.
🔗 Mount Sinai Hospital's Regional Anesthesia Fellowship: icahn.mssm.edu/education/resi...
0:00 Start
0:35 Adductor canal block (leg)
2:16 What is regional anesthesia?
3:21 Interscalene catheter (arm/shoulder)
4:57 Fellowship training
The patients shown in this video provided written consent for their nerve blocks to be filmed and posted on UA-cam.
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool - Наука та технологія
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i have had a couple of nerve blocks for shoulder surgery, which stopped almost all arm pain for a few days after. I got a bit of a laugh trying to type, only to realize my arm was numb and temporarily paralyzed. watching the nerve block live is fascinating.
Hi Max. I had a nerve block for my rotator cuff repair. It was the best thing ever! I was able to watch the whole process on ultrasound. And the block they put in was a single shot that lasted about 24 hrs. It made going home and recovering very comfortable. I am also getting epidural injections to help with chronic pain. You guys are my favorite Doctors! Always looking forward to your video releases.
sounds like a surreal experience. Were you able to talk to the surgeons during the procedure?
@@lucas29476 I was able to talk with the anesthesiologist during the injection, but for the surgery I was under general anesthesia. But the thing with the shot first is post surgery is much easier. But for the surgery it also helps stop any twitching and reactions to pain. Your body can still feel pain when you're under, but you don't recognize it and can't remember anything. God bless Propafol!. I actually watched the monitor on the ultra sound and followed the path of the needle. The Doc was really cool and explained everything. He was a lot like Dr. Max!
Thanks for the video, Dr Feinstein
As someone who had an arm nerve block for a metacarpal 4 fracture ORIF surgery this was very enlightening!
Best thing I did when I had my complete shoulder replacement was to go for the nerve block they offered. It was optional but man, did it help me through those first hours after waking up.
Wow that was awesome and amazing! I learned a lot! You rock man! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician
Is this something you're interested in pursuing? I find it fascinating! Your vlog just keeps getting better and better!!!
Excellent content as always.
I had a nerve block as well as spinal anesthesia when I recently had ORIF for a bimalleolar ankle fracture. I was so grateful for the numbing effect which lasted over 24hrs as it made the immediate post surgical recovery pretty smooth!
Dr. Feinstein- I am having Interventional Radiology place Mid Line catheter in me before surgery because I have completely destroyed my veins. I was glad that someone had a solution instead of canceling the surgery.
Had shoulder surgery this January and the anesthesiologists missed the nerve block. Woke up in the most extreme pain I ever felt and was yelling for pain relief from the doctors and nurses. They did their best to provide further relief and was sent home (as they refused to admit me as this was an "out patient procedure") while I was still in significant pain. Long story short, it slowly subsided with oral pain killers, but the experience has left me extremely nervous for any future surgeries, enough so that I have been avoiding getting work done or even preliminary exams.
Awesome video as always Max, and what great timing with this one as I'm having a hip arthroscopy next week for a cam impingement and labral repair and during my preop the anesthesiologist suggested a nerve block. Thanks to your videos I don't feel completely in the dark when it comes to what my anesthesic plan will mean.
My doc did that during my hip arthroscopy.
Max,
Thanks for this information!
Excellent. Thank you.
This was great! Inhad regional anesthesia as pain relief following 2 different surgeries. It was wonderful not relying on opioids.
Couldn't agree more. Much better than being reliant on opioids for pain relief. Hope you're better
i had a distal radius fracture repaired last year and I got a nerve block catheter for it. It was cool!
Love your Videos!
This has to be what my moms cousin got when she had a knee replacement because as a biologist/chemist and then president of a university (before retiring) she wanted to be awake during the surgery and I think due to other medical conditions local anesthesia was better for her anyways as opposed to general so it all worked out, absolutely amazing what modern medical technology can do!
I had a nerve block before surgery to fix a broken ankle. I do not remember anything after they came in with the ultrasound machine. Interesting to hear what a nerve block is like.
Had a nerve block for a shoulder surgery... I remember getting the shot as I was in recovery room... It was like a bee sting.
Worked great for three days and when it wore off, OMG the amount of pain from the surgery was horrible!
Awesome! Third year resident fresh out of the regional anesthesia rotation. (✌🏻✌🏻
I have had nerve blocks for some of my surgeries ( shoulder and several foot ) with these I did not have to use any pain meds post op.
I am glad anesthesia has upped their game in order to lessen the need for general anesthesia during and narcotics post op!!! I would need some Versed for that!!
When I had mine done for shoulder surgery it was before being knocked out but after they gave me the “I don’t care” meds.
Great video...I would be interested in hearing how a patient is relaxed for a procedure that is invasive enough to need a block?
I suppose a mild sedative is given, but at what point is it called "conscious sedation"? (Which, for construction, means different things for the procedure room used.)
I had a nerve block of my whole right arm in a big surgery removing a 15 cm hemangioma under my skin and all thru my arm. That was very helpful! Although it was very strange. But I still had some pain, but not as bad as before. It lasted about 24 hours I think.
I had the same block for my recent knee surgery. I don't recall any discomfort but then I'd had Versed shortly before.
I’m an Anesthesia Tech and typically do between 15-25 of these everyday. Pretty cool stuff.
Good evening, Dr. Max! I love your videos. I had a nerve block for my breast cancer surgery in May. I just had a partial robotic nephrecotomy last Wednesday and I think they also did a nerve block. I did have a question about my IV's. They placed a prep-op IV in my hand but warned me that I would probably have a 2nd IV during surgery. I woke with two more IV's. One was really swollen on the inside of my elbox and another big bruise on my wrist. I didn't think to ask why the IV's, do you have any idea?
Thank you! They sent me home with oyxcodene and Narcan! I was shocked and surprised about the Narcan and have stopped the oyxcodene a couple days ago!
Guy that the did the anesthesia during my shoulder replacement used the same procedure and my shoulder and arm was numb for 36 hours. I only needed two pain shots and went home the next day instead of the 3 days he told me it would be.
I found this very interesting. Gosh only 2 spots for fellowship? Why is that? Thank u very much! ❤❤ oh I just watched the fellowship video very intense training.❤❤
Fascinating. I thought nerve blocks always go into the spine! That said, this is noooot for me. I've gotta sleep. I'll rather dry-throw up afterwards again and fight with bouts of dizziness till the middle of the night, than be haunted by the sounds, smells and sensations of surgery again. I can still feel the terrible crack of breaking bone from my reloval of all 4 wisdom teeth and they had to double up the local anesthesia. I now learned this may be connected to connective tissue issues and I'm quite likely somewhere on the hypermobility spectrum. Not the only time local tooth anethesia failed and needed re-doing either!
I had a TAP (trans abdominus plane) block for a laparoscopic hiatal hernia repair. The hernia was quite large and the surgery took a little over three hours. The regional nerve block allowed for less pain for me and less opioids after surgery. Less cause for constipation and straining to have a bowel movement after surgery. I'm about to undergo a second surgery for repair of the hernia and will ask for the TAP block again as it benefitted my comfort during and after surgery.
I had the same thing done as well for the same surgery as well. IT STILL HURT! I can't imagine what it would've felt like without the TAP block. I actually had 2 hernias right above one another that they repaired and have a 4" scar on my abdomen. Were you not under general anesthesia as well? I was. I wish you well in your future surgery!
Yes I was under general anesthesia and there was pain. I was in hospital for a day following surgery due to low blood pressure and low respiratory problems. Much less pain strong medication was needed. Thanks for your positive thoughts.@@ryan_torres
Love seeing how you do a nerve block. I had a nerve block on my last foot surgery and they did a nerve block in 2 places on my leg. I think that they had done mine wrong because I hurt so much from this nerve block. The extreme pain was unbearable for 3 days. My doctor told me that they must have missed where it should have gone. I have also had the nerve block before with no issues. Thanks for showing us how it is done. Huggs ❤
Id rather get propofol/haloperidol and some fentanyl than a “nerve block” after reading this comment.
Well all nerve blocks don’t always turn out like mine. It all has to do with the anesthesiologist.
@@theresadavis7440 yea well i know fentanyl works speaking from experience
@@reddbendd make sure you bring up your concerns with your provider / care team if / when applicable so you can get a full picture of the odds of complication!
@@Amber-tu2jo odds of complications w fentanyl r pretty low
I had a nerve block for my 2nd carpal tunnel surgery. Was really painful getting it, but after that no problems.
So is it similar to what you get at a dentist office when you get a filling?
When I had my stent installed, at one point I had 4 IVs in my arms. It was super painful, and I had the routine blood work done every few hours as well. Is it possible that the technician or nurse could use a numbing agent to take away some of the pain of the poke? One cool part of that procedure though was when someone from intensive care came and did an ultrasound IV.
This now has me wondering if there's a relationship between needing higher doses of local anesthetic at the dentist and it wearing off quickly and this type of anesthesia.
I’ve had MANY nerve blocks on my left leg with a majority failing due to improper injection and/or catheter placement. The worst was when the destructive nerve condition set off by a botched repair of my broken heel cost me my left leg below the knee. Surgery was at Hershey Med, and it took 3 rounds of block catheters inserted throughout the week for them to finally be placed properly…Ultrasounds showed they were being placed in muscles, tissue near the nerves, etc. It was a nightmare because I felt EVERYTHING, but I was being severely under-medicated because they didn’t believe me when I said the blocks weren’t working until they checked and saw the improper placements 🤦♀️🤦♀️
I am soo sorry that this has happened to you! Nerve blocks 🚫 DO NOT work for everyone! When I had my 1st hip surgeries they did an epidural on me! They DID NOT work AT ALL!!! I was briefly sedated in the perioperative suite and it was placed! I was still able to move my legs and still feel stimuli! I was still going to be put under general anesthesia regardless as it was to help with the post op pain, in addition to the pain pump, and the nurse giving me a bolus shot every 3 hours! The surgery was 6/7 hours longs, it was call a Free Vascularized Fibular Graft! It's done for patients under 50y/o who needs a hip replacement from a degenerative hip disease! When I woke up, the pain was UNBEARABLE, I WAS IN TEARS! The nurse knew something was WRONG before I could say anything when I finally came to in the recovery room! The Anesthesiologist came back, did ultrasound on my back and decided to reposition the epidural, nothing!!! All I did was SHAKE UNCONTROLLABLY! They put morphine, fentanyl, demerol and ketamine in it! This was everytime they repositioned it! But the 3rd time, I said that's it, so they kept l Ioading it with meds that I wasn't allergic to! When they put Demerol in it, I said, "I thought that you didn't have Demerol in the hospital? I knew that you did! I just left a State 10 months ago, who still uses it! And your hospital collaborates with that hospital that was my main hospital and docs that I used and I just transferred my medical records to your facility and clinical offices! You are Duke University Hospital, the BEST hospital system/clinical practice in the State of NC! I left Robert Wood Johnson University Hospital(UMDNJ), the BEST hospital system/clinical practice in the State of NJ! So, they just ended up giving me Ketamine for the first 8-12 hours after surgery! You have 2 wounds one where your fibula was and the other at your hip! Not to mention that you are placed on your side for the entire time of the surgery(6-8 hours)! You have nerves that are cut and some that are transferred from the fibula with 2 main arteries to the hip area! Then the dead bone is drilled out of the hip and the fibula is placed in the area, after it has been processed by the other surgeon in the room! Majority of the su8is done under a microscope, because of the arteries and nerves! First to clip off the ones in the leg 🦵🏿, then to add it to the hip and attach it to regain blood supply again! Now when I have to have ANY surgery from the torso down, they see 👀 that they don't work, yet they think that my black ass is STUPID! Can we just give it a try to see if it will work?, "FUCK NO😂!" But, you know that we will quickly sedate you to do it, "I KNOW, BUT MY ANSWER IS STILL, FUCK NO😁!" I know EXACTLY how all of this works, I am not taking any unnecessary procedures to APPEASE YOU, I AM NOT YOUR N!&&3£, EXCUSE ME?? You heard me, we can read 📚 and write now mAsSa, I am NOT YOUR N!&&3£!! I have to talk GREASY to some of them now, moving from A PROGRESSIVE state to a CoNsErVaTiVe PoOrLy eDuCaTeD dEpLoRaBLe gQp rEicH-WiNg tALiBaN rEpUbLuCuNt J6 dOmEsTiC tErRoRiSt CuLt45 mAgA MoRoNiC iNbReD VoTiNg 🗳 AgAiNsT ThEiR oWn bEsT iNtErEsT rEd sTaTe TrAiLeR pArK 🗑 RaCiSt HiLlBiLly SMoOtH 💩4🧠
@@oranseay2559 I’m so sorry you went through all that! It’s so horrible having an agonizing surgery that leads you to wake up in agony, and the docs or nurses don’t believe you cuz you have a nerve block 🤦♀️🤦♀️ I have so much medical PTSD from countless surgeries and waking up from most screaming in pain due to failed nerve blocks or inadequate post-op medications 🤕
Does local anaesthesia have applications in long term pain management ? As in , targeted pain alleviation rather than systemic.
Interesting vid, as always!!
I had a shoulder block done before rotator cuff surgery, and the anesthesiologist said I had to be awake for the block procedure as a safety measure. Why is that? Thanks Dr Max!
Generally we perform most regional anaesthesia blocks when patient is awake so the patient can feedback if there is any pain or pins and needle (paraesthesia) during the nerve block procedure (which shouldn't happen normally). If there is any significant pain or paraesthesia, it may mean that we are traversing too close to the nerves and injecting any local anaesthetic agent there may risk nerve injuries. With ultrasound, we are trying to inject as close to/within the fascia of the nerve as possible but not too near that we cause nerve injuries.
Dr. Feinstein: Could you make a video about Dental Anesthesia? In my experience, dental anesthesia is not very effective, I want to know why. Also, there are many children go under GA just take out a tooth! Except GA, any other options?
I've had all kinds of anesthetic agent used on me. I have never had a problem with it. Last time was on the 22.of this month for a cornea transplant. First they used Twilight on the IV. Second was drops in the eye. Third was blocks.on eye and neck. Like clockwork.
I will tell you that one of the most painful procedures I've had is called a ring block. Mother of God that was painful. I don't know if the Urologist needed to use topical first but that was truly painful.
I had a nerve block when I had my basal joint replaced (base of thumb.) I always say strange things when I’m coming to so my kids like to be there. Well only my middle daughter could be there as she was off work for my surgery. I came to, but not completely yet. They had my arm at a 45 degree angle inside what they called a “cheese.” It was a foam triangle and was yellow. They had propped it up on a table beside me. Well I came to and looked over and started crying very hard, my daughter said she ran over and hugged me and asked what was wrong. I said “tell the nurses to give back the person’s arm who was next to me, that I had my own.” I could not feel my arm even a little so I thought it wasn’t mine. 😂
I had one done I mean it was painless but boy it’s intense it my leg kept shaking they kept injecting lidocaine or something of the sort, it was just crazy!
For some reason these blocks cussed my blood pressure to drop. So it just easier with general anesthesia. They don’t have a clue why, I just had ankle surgery and they tried it again and the same thing happened. So they had to stop, until they could get my blood pressure back up. Then just use general.
Thank you for your nice video😍I liked it !!! Would u pls make a video about anesthesiologist job in America?
I wanna become anesthesiologist in the future but I'm a kid now 😭😔
Really interesting. I'm familiar with blocks that are used for surgery on the extremities, but wasn't aware that it was feasible to use regional anesthesia for abdominal surgery.
dr how can I become nurse anesthesia in Africa
Still remember how ot felt (or not😅) when I got a shot of lidocaine in my fractured left pinky finger as a traumatologist tried to get it straightened
Thank you for your amazing videos! I would love to see you make a video with an anesthesia tech because I am interested in getting into this field from pharmacy tech.
I did, you can search for it!
Can you please explain why your legs become so crampy after receiving anesthesia from a anesthesiologist?
Secondly the reason why it happens?
Good video, but my popliteal block for foot surgery was awful. It was an unpleasant procedure and didn’t work. Anesthesiologist blamed my “weird anatomy.” 😢
I have those in my back. I prefer to be awake. The first shot to numb the area is horrific, but I feel no pain afterward.
I had a catheter for my kneecap repair surgery but it didn’t do anything to block the pain 😢The pain doc asked me if I wanted to take it home with me and I said no, take it out. So I ended up on push button dilaudid for the the rest of my hospital stay, and oxycodone at home, transitioning to Tylenol
Isn't it less risky and less painful to just do epidural ? This looks extremely painful to inject a huge needle so deep in.
I had a nerve block 9 months ago when I had rotator cuff surgery at age 71 to repair 3 complete tears and the anesthesiologist was fantastic, while I was in the pre surgery area all I remember is him added something into my already prepped IV and the next thing that I remember (bam) I was done in recovery, the block worked for 36 hours then I took my first dose of pain medication and stopped because I had applied ice (bags of frozen peas) once I got home and for the days afterwards as they conformed nicely to the shape around the shoulder area and I really didn't have much pain to worry about at all.😊
Does anyone else want to punch the guy that says “little pinch” like the urologist that every time I saw him had to tell me he was “fellow ship trained”.
I want to know how the UK seems to have settled on saying it's a "scratch" feeling. No scratch has ever felt like a needle.
Promo-SM ☹️
Hold on, the other doctor’s blaming the opioid crisis for not administering general anaesthesia? He does know the body feels physiological pain no matter the sedation or analgesia, right? I mean, just, that at its most fundamental level, that argument is inane.
That comment stood out to me too. Doctors went so far in the opposite direction that it's so incredibly difficult to get proper pain management, especially when dealing with chronic pain. Yes opioids can be addictive but sometimes they act like everyone who takes them is going to end up being an addict. I know someone who deals with chronic pain from quite advanced arthritis and they had one pain specialist tell them to take Tylenol because they didn't qualify for an opioid. An opioid they were already being prescribed by their general practitioner who referred them to the pain specialist for that treatment to be continued.
Using less opioids is better…except when they are used appropriately then it really isn’t an issue…