Thanks for sharing as my DR told me I need that... and I look just for fun... I totally respect all the healthcare personnel;. Thank you for your professionalism

Very useful, thank you.

Tq

Great primer. Quick question - with landmark technique, how far medially & laterally from ASIS would you go as insertion point? I have heard various distances in cm quoted, curious what you recommend.

@KiJinnChin

Жыл бұрын

See 2:38 in the video. Distances in cm depend on the size of the patient, especially peds vs adults. So difficult to say. I would perhaps suggest basing it on the distance between ASIS and PT in the actual patient - 1/4 to 1/3 of that distance medial and lateral to the ASIS would probably work. Use a single-pop endpoint (AFTER having pierced skin). However another good technique, which I didn't describe here, is to insert close to the ASIS but direct the needle laterally to contact the inner aspect of the iliac crest, and then inject while withdrawing, in a "fanning" technique that will disperse LA in the different fascial planes. This is described in older editions of Cousins' textbook, and my general surgeon does it as well as part of his LA technique for inguinal hernia repairs in adults (he also infiltrates around his planned incision).

@armuk

Жыл бұрын

@@KiJinnChin super, thanks

@sarasantos2264

Жыл бұрын

​​@@KiJinnChin need to do This but i AM afraid....i want to try and leave pregabalin ..i have chronic pain since and inguinal hérnia repair....I am managing This terrible pain, taking pregabalin daily but i cant take these pills to get pregnant..is there any risk to do This block? And about radiofrequency...is it safe? Thank you

Dr. Chin, the approach medial to lateral is only to avoid the difficulty that arises from poking close to the ASIS or is there something else? Thank you for one more nicely done lecture.

@KiJinnChin

Жыл бұрын

Yes, that is one reason. It may also "jet" LA towards the origins of the nerves, which may increase efficacy. However with US, you can always use whatever approach is most ergonomic to you. Out of plane is also a good option.

@lucasgffonseca

Жыл бұрын

@@KiJinnChin Thank you for the answer and your fantastic channel and work!

Nice! Could u also please make a video of chord block if possible.

I have 1973 woman, after inguinal hernia repair (lichtenstein) with 3 months sharp pain in the groin, surgeon aksed mé for help, would you recommend this Block? What mixture would you use? Thank you!

@Tobias27_

2 жыл бұрын

Definitely you should get this block by a pain physician. In Turkey, we often use pulse radiofrequency to modulate this nerve in order to relieve inguinal pain due to hernia surgery.

@Shadowman985

Жыл бұрын

You should use this block to get a confirmation of the cause of the pain, if so then you should use radiofrequency to have a final resolution.

@sarasantos2264

Жыл бұрын

There os any risk to do This? And to do radiofrequency?😢

@sarasantos2264

Жыл бұрын

​@@Shadowman985it is safe to do This? 😢 I need to do but i AM afraid

@sarasantos2264

Жыл бұрын

​@@Tobias27_i need to do...but i AM afraid....there is any risk😢

Question: if this block reduces pain is there a permanent solution? I’m having this block done in a few weeks. Lifelong pelvic/low abdominal pain after being run over across my pelvis. Praying for a miracle that this block helps and there’s a permanent treatment. Tia

@KiJinnChin

Ай бұрын

Sorry to hear about your condition. I cannot offer specific medical advice - however the physician doing the block for you will likely be looking to see if it provides relief. If it does, they should be able to advise on a next step to produce a more permanent result.

@j-bird9765

Ай бұрын

@@KiJinnChin thank you. I just meant in general, are there other procedures available. Not specific to me. I did search online and found ablation or surgery as options. If the block helps I will definitely be discussing those options with my doctor. Thanks for your response.