regional

Neuraxial Anesthetics And Anatomy

Understanding neuraxial anatomy is an essential part to successfully perform epidural and spinal (intrathecal) anesthetics. Here's a schematic outlining the layers we encounter when performing these procedures: A: skinB: subcutaneous tissueC: supraspinous ligamentD: interspinous ligamentE:...

Beginning My Last Month Of Regional Anesthesiology

This will be my third dedicated month of regional anesthesiology in residency, and coupled with all the peripheral nerve blocks I've performed on call, it's amazing how far I've come in three short years. I...

Finished With Regional Anesthesia – Onto Cardiothoracic Anesthesia

What an absolutely incredible month! With weekends off, a week of vacation, Christmas Eve/Day off, and two academic days off to partake in Baylor Med's anesthesiology residency interview days, I only worked a total...

Halfway Done With Regional Anesthesia

I'm a little over halfway done with my regional anesthesia rotation and have accrued more neuraxial and peripheral nerve blocks than I could have ever imagined. There's something incredibly gratifying about doing blocks one...

Should I Get An Epidural During Labor? Yes!

Epidurals are routinely used to provide analgesia during the labor process. Many women swear by them and will request for an epidural even before they are committed to labor by the obstetrician. Others try to...

The Evolution Of My Epidural Technique

Prior to my current rotation on the acute pain service, I had three months of obstetric anesthesia - the world of lumbar epidurals for labor analgesia and surgical anesthesia. I experimented with several epidural techniques but...

Finished With Regional Anesthesia As A CA-1

I've officially finished my month as the junior resident on the regional anesthesia service. I'll be revisiting this rotation either as a CA-2 or 3, so this was a great opportunity to lay the...

Upper Extremity Blocks

Upper extremity nerve blocks involve blocking the brachial plexus at different points - the major blocks are interscalene, supraclavicular, infraclavicular, and axillary. So how do we decide which blocks are appropriate for a given surgery?...

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