@kijinnchin Avatar @kijinnchin Ki-Jinn Chin

Ki-Jinn Chin posts on YouTube about block, this is, how to, in the the most. They currently have [------] followers and [--] posts still getting attention that total [-----] engagements in the last [--] hours.

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Social topic influence block, this is, how to, in the, nerve, esp, key, safe, attention to, advanced

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Top posts by engagements in the last [--] hours

"How to Make An Effective Bite Block (and prevent ETT occlusion) A bite block is an essential complement to an endotracheal tube (ETT) in general anesthesia for surgery. Jaw clenching during emergence is a well-recognized phenomenon and can result in ETT occlusion failure to ventilate and negative pressure pulmonary edema. This is entirely preventable by the routine placement of a well-constructed bite block. This will also protect the tongue and lips from trauma. The gauze bite block shown here is easy to make from readily-available material in the OR and is associated with little-to-no"
YouTube Link 2024-09-01T12:00Z 33.1K followers, [----] engagements

"Removing Your Adductor Canal Nerve Block Catheter at Home (After Knee Surgery): A Guide for Patients This video will familiarize you with the basic steps for removing your adductor canal nerve block catheter at home after your knee surgery. The exact protocol and equipment used may vary from hospital to hospital. You should seek guidance and advice from your surgeon / anesthesiologist /acute pain service care team who is managing your outpatient nerve block catheter. This video is provided solely for educational purposes and does not constitute the provision of medical care medical advice or"
YouTube Link 2026-02-12T17:36Z 33.1K followers, [---] engagements

"M-TAPA Block: Anatomical Principles [----] This is a brief overview of the anatomical principles underlying the performance of the Modified Thoraco-Abdominal Perichondral Approach (M-TAPA) block which has been proposed as a technique for upper abdominal wall analgesia"
YouTube Link 2023-11-03T20:20Z 33.1K followers, 12.4K engagements

"Pericapsular Nerve Group (PENG) block for hip analgesia The PENG block is a pericapsular/periarticular hip block that can be used to provide analgesia of the hip joint region. For further technical tips - see https://youtu.be/H_tLD8zVxkE 00:24 - Applied anatomy 01:55 - Technical performance 04:43 - Video - PENG with linear probe 05:39 - Video - PENG with curved probe 06:59 - Clinical pearls"
YouTube Link 2020-03-20T23:26Z 33.1K followers, 70K engagements

"PENG Block - Tips n' Tricks A few important considerations to bear in mind when performing a PENG block especially with respect to inadvertent femoral nerve block. Extracted from my talk on "Fascial Plane Blocks for Hip Surgery" - https://youtu.be/SLg9VnAjQmI"
YouTube Link 2022-06-25T05:00Z 33.1K followers, 13.9K engagements

"Lumbar ESP Block - Concepts & Principles [----] This video describes some of the fundamental concepts and anatomical principles around the lumbar erector spinae plane (ESP) block and highlights important differences from the thoracic ESP block. There are subtle but critical considerations around the injection target and endpoint depending on the clinical objective: analgesia of the territory innervated by (a) the dorsal rami or (b) the ventral rami of the spinal nerves. This concept also holds true for the thoracic ESP block (see https://youtu.be/pqeJE9P6mPU) Complement this introductory video"
YouTube Link 2024-05-03T04:00Z 33.1K followers, 12.9K engagements

"Safe & Effective Interscalene Brachial Plexus Block A Step-by-Step Guide The interscalene brachial plexus block is a commonly-used regional anesthesia technique to cover the shoulder clavicle and proximal humerus. Knowledge of the unique anatomy of the C5-C6 nerve roots and proper technique is essential for safe and effective performance. Additional YouTube Resources: Interscalene Catheter Insertion - https://youtu.be/3DOD2elxujw (Arrow CTN set) https://youtu.be/_Qz4b2IoNYE (Pajunk E-cath CON set) Probe Handling & Needling Skills - https://youtu.be/6J2wtC5zOOU (Scanning)"
YouTube Link 2026-02-17T02:23Z 33.1K followers, [---] engagements

"Lumbar ESP Block - for Hip & Lower Limb Analgesia A how-to guide on performing a lumbar ESP block for analgesia in the territory of the lumbar plexus i.e. anterior hip and proximal lower limb. This is essentially a lumbar plexus block-by-proxy. The aim is to produce similar benefits with less risk and complexity. Note that this is different from a lumbar ESP block performed for back pain and spine surgery where the target is the dorsal rami rather than the ventral rami of spinal nerves. A how-to guide for this version of the lumbar ESP block is found here: https://youtu.be/DQuQrlMPLa0 The"
YouTube Link 2024-05-03T04:00Z 21K followers, [----] engagements

"The Superior Trunk Block - Essentials of Ultrasound-Guided Regional Anesthesia A description of how to perform the superior trunk block and why it is a good alternative to the conventional interscalene block for anesthesia or analgesia of the shoulder. 0:52 - Technical Performance of the Block 2:58 - Discussion of Supraclavicular Nerves 4:09 - Clinical Pearls 8:09 - Rationale for Superior Trunk Block vs. Interscalene Block 12:52 - Example of Continuous Superior Trunk Block Catheter 14:35 - Further Examples of Superior Trunk Blocks (3)"
YouTube Link 2019-07-12T03:19Z 30.3K followers, 69.4K engagements

"Three Fundamental Skills That Drive Success in Spinal Anesthesia & Lumbar Puncture Successful dural puncture hinges upon having good foundational technique.This is true even when employing other adjuncts to performance such as ultrasound imaging.The importance of developing finesse and attention to detail often only becomes evident when we struggle in the more challenging patients. This video summarizes what I consider to be the most important skills to practice in all spinal anesthetics or lumbar punctures. 00:40 - Anatomical Knowledge 04:20 - Tactile Awareness 05:40 - Needle Handling Other"
YouTube Link 2025-05-09T04:00Z 28K followers, 12.5K engagements

"Continuous Adductor Canal Block - A "How-To" Guide (feat. Pajunk SonoLong Catheter) This video describes how to use a Pajunk SonoLong nerve block catheter set in the insertion of an adductor canal catheter for total knee replacement surgery. The block technique itself is similar to that described in another video (https://youtu.be/CrbhLS_1V_8) which features an Arrow Stimucath nerve block catheter. (Product shortages necessitated an institutional switch in the kit we use and thus creation of a 2nd educational video for our trainees) 00:00 - Intro & Positioning 00:31 - Equipment List & Prep"
YouTube Link 2023-07-06T01:16Z 29.4K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt 2/3: Hybrid SAX-OOP + LAX-IP Technique The HYBRID SAX-OOP + LAX-IP (short-axis out-of-plane; long-axis in-plane) technique of US-guided arterial line insertion Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE This is an advanced alternative strategy that I find extremely useful to achieve successful and uncomplicated vascular cannulation particularly in challenging anatomy. It helps with precision and to avoid side or back wall punctures with the stylet tip. The principle can be applied to venous cannulation as well."
YouTube Link 2025-05-30T21:54Z 28.4K followers, [----] engagements

"Sedation in Regional Anesthesia - Propofol vs Dexmedetomidine This is an excerpt of a lecture presented at the [----] RA-UK Annual Meeting in Newcastle-upon-Tyne UK on the "The [--] Top Papers of the Past Year". This paper by Shin et al (https://pubmed.ncbi.nlm.nih.gov/36534899/) serves as a jumping-off point to stimulate thought around the optimal way to sedate patients receiving a spinal anesthetic or peripheral nerve block for surgical anesthesia"
YouTube Link 2023-05-19T23:34Z 25.1K followers, [----] engagements

"Ultrasound-Guided Supraclavicular Brachial Plexus Catheter Insertion A brief video demonstrating insertion of a supraclavicular brachial plexus catheter using a catheter-over needle set (Pajunk E-cath). IMO it is important that the catheter should pass between the superior and middle trunks to reach the "corner pocket" to ensure spread to all elements of the plexus during continuous infusion. Please see the excellent video by Dr Jeff Gadsden at Duke Anesthesiology - https://youtu.be/m3GU11ZRzGc - for more info on the basic supraclavicular technique"
YouTube Link 2021-05-22T23:18Z 24.6K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt1/3: FUNDAMENTALS The FUNDAMENTALS of Ultrasound-Guided Arterial Line Insertion Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE US-guided arterial line insertion is a useful adjunct to the anatomical landmark-guided technique (see here: https://youtu.be/sZBEQwVcJ7A ) particularly in high-stakes patients or when anatomy is challenging. Success in these difficult scenarios is increased by attention to certain key principles and maneuvers. These are described here"
YouTube Link 2025-05-30T21:53Z 29.1K followers, [----] engagements

"ESP Blocks for Lower Limb Pain This is a brief summary of the evidence for ESP blocks to manage pain of the lower limb as of October [----]. The content is part of a talk I gave at the Hospital for Special Surgery in October [----] discussing applications of the ESP block beyond the torso"
YouTube Link 2021-10-29T10:00Z 18K followers, [----] engagements

"Paraspinous / Paramedian Approach to Lumbar Puncture / Spinal Anesthesia A guide to the landmark-guided paraspinous / paramedian approach to lumbar puncture spinal or epidural anesthesia. This is very useful in patients with narrowed midline interspinous spaces. The repetition is intentional - as always feel free to skip to the bits you like best Also see links to relevant US-guided neuraxial blocks in difficult patients 0:56 = Video of paraspinous approach in sitting position 2:52 = Step-by-step walkthrough 5:51 = Lateral decubitus position 7:08 = Video of paraspinous approach in lateral"
YouTube Link 2019-10-28T03:05Z 28.8K followers, 61.1K engagements

"Fascia Iliaca Block - a Definitive "How-To" Guide [----] This video describes the principles and performance of what I currently believe to be the simplest approach to a suprainguinal fascia iliaca block. It is suitable for either a single-injection block or a continuous catheter approach. Disclaimer: This video is for informational and educational purposes only. It is not a substitute for professional medical advice or consultation with a health care professional. 00:00 - Intro 00:20 - Clinical Appln 00:55 - Principles 03:12 - Equipment 04:07 - Scanning 07:00 - Scanning demo 08:45 - Needling"
YouTube Link 2024-12-26T22:10Z 25.4K followers, 38.5K engagements

"ESP Block vs. Paravertebral Block WcRAPM Paris [----] This is my presentation from a Pro-Con session with Prof Manoj Karmakar at the World Congress of Regional Anesthesia and Pain Medicine held in Sep [----] in Paris. My aim was primarily to dispel the common myths that surround the ESP block to show that the ESP and paravertebral blocks are closely related and to provide some tips on how to make the ESP work better for our patients. 00:25 Process of discovery 01:10 Updated anatomy 03:15 MRI evidence 05:28 Analgesia vs cutaneous block 08:21 Systemic effect 09:40 - Why choose ESP 12:28 - Spectrum"
YouTube Link 2023-09-08T20:00Z 18K followers, [----] engagements

"Supra-Inguinal Fascia Iliaca (SIFI) Block - the SUPRA-INGUINAL approach A how-to guide to performing a supra-inguinal fascia iliaca (SIFI) block using a needle insertion site ABOVE the inguinal ligament (i.e. a supra-inguinal approach). This is a useful alternative to the infra-inguinal approach to the SIFI block which I describe elsewhere (single-shot - https://youtu.be/aAdvQf3Ck7I catheter - https://youtu.be/y3XrPLUUu5w). It is a simple and safe technique - keep the needle insertion site more lateral close to the ASIS to avoid risk of contact with any critical structures. A continuous"
YouTube Link 2024-04-14T14:00Z 26.8K followers, 33.3K engagements

"Superior Trunk Block - Appropriate LA Spread ("Block Bytes") "Block Bytes" are interesting and hopefully useful snippets of information I've gathered while teaching and performing blocks. Here I highlight how to recognize and correct for suboptimal LA spread in a superior trunk block. See https://youtu.be/938F1O90S34 for an in-depth look at the superior trunk block"
YouTube Link 2020-12-26T15:56Z 29.8K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt 3/3: Superficial Radial Calcified Ulnar Artery Superficial Radial Artery / Ulnar Artery Cannulation Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE The presence of a superficial radial artery (SRA) is a common anomaly and US is very helpful in achieving successful cannulation. This video describes the characteristics associated with a SRA and strategies to address it. THe challenges of a heavily calcified and arteriosclerotic artery are also described along with tips of success. Finally the advanced strategy of US-guided"
YouTube Link 2025-05-30T21:54Z 29.2K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines FULL version Ultrasound-guided arterial line insertion is a useful adjunct to the anatomical landmark-guided technique (see here: https://youtu.be/sZBEQwVcJ7A ) particularly in high-stakes patients or when anatomy is challenging. Success in these difficult scenarios is increased by attention to certain key principles and maneuvers. These are illustrated here with examples from challenging patients. Two advanced alternative strategies are also described: (1) The hybrid short-axis out-of-plane (SAX-OOP) + long-axis in-plane (LAX-IP) approach; and (2)"
YouTube Link 2025-05-30T21:29Z 28.4K followers, 16.5K engagements

"Supra-Inguinal Fascia Iliaca (SIFI) Catheter Insertion - the SUPRA-INGUINAL approach This video describes how to place a supra-inguinal fascia iliaca (SIFI) block catheter using a needle insertion site ABOVE the inguinal ligament. This is a useful alternative when the infrainguinal approach to the SIFI block (https://youtu.be/y3XrPLUUu5w) is not feasible. A catheter-over-needle set (Pajunk E-cath) is used here; however a catheter-through-needle set is also suitable. The single-injection technique of this supra-inguinal SIFI block is described here - https://youtu.be/YCW5yWQWU5Y (This video is"
YouTube Link 2024-04-14T14:00Z 20.7K followers, [----] engagements

"ESP Block - The Preferred Option in Thoracic Surgery ASRA [----] This is my side of a 3-way debate at the ASRA [----] Annual Spring Meeting on "The Preferred RA Technique in Thoracic Surgery". It was a honor to share the stage with giants of RA like Manoj Karmakar and Steve Coppens. There are no simple answers to most clinical questions in anesthesia but it's my hope that you will find this useful and thought-provoking. I believe that ALL [--] techniques we discussed have their place in anesthesia practice - ideally an individual clinician would be comfortable performing all [--] and thus versatile in"
YouTube Link 2025-05-03T21:30Z 27.9K followers, [----] engagements

"Paraspinous Spinal Anesthesia & LPs - Essential Principles for Success This is a 6-minute overview of the key principles of the paraspinous (aka paramedian) approach to neuraxial block and lumbar puncture. Its primary purpose is as a resource for "just-in-time" review ahead of performing the technique. Complement it with the more detailed videos found in this playlist - https://www.youtube.com/playlistlist=PLrTgRae0xlkN2Tucs5gZ2JePSqafcNdDn"
YouTube Link 2025-06-09T14:38Z 28.6K followers, [----] engagements

"SUPERIOR TRUNK BLOCK - A 5-Minute "How-To" Guide The Superior Trunk Block is an excellent alternative to the interscalene block for shoulder/clavicle surgery and pain. Reasons why it is my personal first-line choice are outlined here - https://youtu.be/TKCZfRyAJk0 KEY POINTS - Look for and avoid suprascapular and transverse cervical arteries. - Experiment with probe TILT to obtain the clearest view of the superior trunk and its fascial boundaries. - Aim into the middle scalene muscle and away from the superior trunk when piercing the tough deep cervical fascia. - Minimize needle-nerve"
YouTube Link 2023-02-19T23:39Z 30K followers, 37.4K engagements

"Superficial Cervical Plexus Block - a "How-To" Guide A how-to guide on performing an ultrasound-guided superficial cervical plexus nerve block (also called an intermediate cervical plexus block by some). This is safe simple and effective for analgesia of the anterolateral neck. Bilateral blocks should be performed where the site of pain is close to the midline. A more selective block of the lower branches- the supraclavicular nerves is also described. This latter technique can be used as a sole technique for analgesia of the clavicle and is also easily integrated into an interscalene or"
YouTube Link 2024-09-04T04:00Z 32K followers, 23.8K engagements

"US-guided Axillary Brachial Plexus Block - the Simple Guide This is a simple step-by-step guide to the basic principles of safe and effective axillary brachial plexus blockade. A 2nd video with further tips and tricks is here - https://youtu.be/09tkxrGzoDk 00:07 - Indications 00:32 - Preparation 01:10 - Positioning 01:46 - Scanning phase 02:20 - US anatomy 05:04 - Perivascular injection technique 06:12 - Perivascular injection video 07:16 - Perineural injection technique 10:24 - Perineural injection video [--] 13:24 - Perineural injection video [--] 14:53 - Clinical pearls"
YouTube Link 2020-03-16T22:11Z 31.8K followers, 103.4K engagements

"LANDMARK-guided Subclavian Central Line Insertion (in real-time) LANDMARK-guided left subclavian central line insertion using my preferred approach which minimizes the risk of pneumothorax is rapid to perform and is associated with a high success rate. See a more detailed how-to guide at https://youtu.be/SQLd-_C_qCY All content represents my personal opinion and is presented solely for educational purposes. It does not constitute professional medical advice. Patient consent for image capture and recording was obtained"
YouTube Link 2021-01-22T03:26Z 31.8K followers, 440.7K engagements

"Ultrasound-Guided Internal Jugular Vein Cannulation - Principles (Part 1) Part [--] of a 2-part series on US-guided internal jugular vein cannulation. This video discusses the principles I believe are important for safety and success. Part [--] - https://youtu.be/YIh2RVe3FXs This video is for informational and educational purposes only. It is not a substitute for professional medical advice or consultation with a health care professional"
YouTube Link 2021-07-31T21:57Z 31.9K followers, 24.6K engagements

"Which Fascial Plane Blocks in Hip Surgery (2022) A discussion of the principles and evidence for [--] different fascial plane blocks currently used in hip surgery and pain - (1) fascia iliaca block (2) PENG block (3) quadratus lumborum (QL) block (4) lumbar ESP block. This is a slightly extended version of a lecture given at the [----] RA-UK-ISURA conference in Edinburgh"
YouTube Link 2022-05-05T14:57Z 31.8K followers, 22.8K engagements

"LANDMARK-guided Subclavian Central Line Insertion - a How-To Guide A description of the technique I use for landmark-guided subclavian central line insertion that in my opinion is relatively simple and safe. This is a increasingly under-performed procedure but one that has its uses and place. A real-time narrated version of the procedural video can be seen at https://youtu.be/Q7Dfj8xXpfQ All content represents my personal opinion and is presented solely for educational purposes. It does not constitute professional medical advice. Patient consent for image capture and recording was obtained"
YouTube Link 2021-01-22T03:23Z 32K followers, 74.7K engagements

"Continuous Adductor Canal Block with a Pajunk E-Cath - A "How-To" Guide This video describes how to use a Pajunk E-Cath catheter-over needle set in the insertion of an adductor canal catheter for total knee replacement surgery. The fundamentals of the approach and placement of the catheter superficial to the artery in the canal are similar to those described in a previous video with the Arrow Stimucath kit (https://youtu.be/CrbhLS_1V_8). 00:10 - E-Cath Overview 03:21 - PRE vs POSTop insertion 04:55 - Equipment 06:15 - Position 06:40 - Preparation 07:13 - Scanning 08:25 - Needling 10:44 - Tips"
YouTube Link 2025-02-10T14:45Z 32.1K followers, [----] engagements

"Ultrasound-Guided Internal Jugular Vein Cannulation - Walkthrough (Part 2) Part [--] of a 2-video series on US-guided internal jugular vein cannulation. This is a walk-through of a procedure in real-time. Complement it with Part [--] - https://youtu.be/Qjz9a2mMQD0 - which discusses the principles for safe and successful IJV cannulation. This video is for informational and educational purposes only. It is not a substitute for professional medical advice or consultation with a health care professional"
YouTube Link 2021-07-31T21:58Z 31.8K followers, [----] engagements

""How-To" Guide - Paraspinous Lumbar Puncture / Spinal Anesthesia Lateral Position This is a brief review of how to perform spinal anesthesia / lumbar puncture in the lateral position using the paraspinous (paramedian) approach. Note that the [--] operators featured here are junior trainees which I hope helps to illustrate that this is a relatively simple technique yet tremendously useful in difficult patients. Complement this with our comprehensive review article at BJA Education (https://authors.elsevier.com/a/1iG9n7K3e2rzx7 - free-to-access until [--] Feb 2024) and other videos in this channel."
YouTube Link 2023-12-23T11:00Z 32K followers, 35.7K engagements

"US-guided Popliteal Sciatic Nerve Block Description of how to perform a single-injection popliteal sciatic nerve block. This is ideal for foot and ankle surgery in combination with an adductor canal or saphenous nerve block. 00:06 Clinical indications 00:32 Preparation for block 01:33 Positioning for block 02:31 Scanning phase 04:08 Pendulum maneuver for ID of nerves 04:39 Identify injection point at bifurcation 05:47 Needle trajectory and approach 08:08 Needling and injection phase 08:46 Assess and recognize appropriate spread 11:49 In-plane block video 14:27 Out-of-plane block video"
YouTube Link 2020-04-15T19:02Z 31.8K followers, 112.6K engagements

"ESP Block - Where To Inject [----] This is an excerpt from a pro-con session on ESP vs PVB at the World Congress of Regional Anesthesia and Pain Medicine in Sep [----]. I highlight my current thinking on how I perform ESP blocks depending on the effect I am looking for. The full presentation is available here https://youtu.be/VwiviM1dCYE 00:02 - Why ESP has a place 00:21 - Spectrum of ESP-to-PVB 01:43 - US targets in ESP-ITP-PVB 03:14 - Dorsal rami vs Ventral rami coverage 04:42 - Lateral-medial axis of imaging and needling"
YouTube Link 2023-09-08T20:15Z 32.8K followers, 15.2K engagements

"ESP Block - How To Perform It Effectively & Safely (2022) Fundamental principles of performing an ESP (erector spinae plane) block (as per our understanding in 2022). [--]. Identify and clearly visualize the transverse processes (TPs) and fascial planes at the desired level. A curved probe (vs linear) can be helpful if depth is more than 4cm. [--]. Needle visualization with an in-plane approach can be tricky. Make small controlled dynamic scanning probe movements and look for tissue motion to help localize the needle tip. [--]. Aim to land on the edge of the TP (vs the middle) so that the needle can"
YouTube Link 2022-03-20T15:38Z 32.4K followers, 77.6K engagements

"How To Succeed At Arterial Line Insertion (Anatomical Landmark-Guided) Radial arterial cannulation is a core skill in anesthesiology intensive care emergency medicine and other acute care specialities. This video summarizes key principles for success with the anatomical landmark-guided (LMG) technique while minimizing complications. These include: (1) developing a tactile sense for locating the artery by palpation; (2) accurate alignment during cannula advancement; (3) adopting an appropriately shallow trajectory to avoid transfixion (which increases risk of complications such as hematoma"
YouTube Link 2023-11-09T20:45Z 31.5K followers, 201.6K engagements

"Ultrasound-guided subclavian vein cannulation How I Do It A description of my preferred US-guided subclavian vein cannulation approach (starts at 2:18) and why I have chosen to use this one. I also outline how I generally learn new techniques at the beginning of the video. Recommended learning resources that I used are listed below: Millington SJ Lalu MM Boivin M Koenig S. Better With Ultrasound: Subclavian Central Venous Catheter Insertion. Chest. [----] May;155(5):1041-1048. Excellent article that thoroughly discusses various approaches and their pros and cons. PubMed link:"
YouTube Link 2021-10-09T19:58Z 32.4K followers, 102.3K engagements

"Safe & Effective Interscalene Brachial Plexus Block A Step-by-Step Guide The interscalene brachial plexus block is a commonly-used regional anesthesia technique to cover the shoulder clavicle and proximal humerus. Knowledge of the unique anatomy of the C5-C6 nerve roots and proper technique is essential for safe and effective performance. Additional YouTube Resources: Interscalene Catheter Insertion - https://youtu.be/3DOD2elxujw (Arrow CTN set) https://youtu.be/_Qz4b2IoNYE (Pajunk E-cath CON set) Probe Handling & Needling Skills - https://youtu.be/6J2wtC5zOOU (Scanning)"
YouTube Link 2026-02-17T02:23Z 33.1K followers, [---] engagements

"Removing Your Adductor Canal Nerve Block Catheter at Home (After Knee Surgery): A Guide for Patients This video will familiarize you with the basic steps for removing your adductor canal nerve block catheter at home after your knee surgery. The exact protocol and equipment used may vary from hospital to hospital. You should seek guidance and advice from your surgeon / anesthesiologist /acute pain service care team who is managing your outpatient nerve block catheter. This video is provided solely for educational purposes and does not constitute the provision of medical care medical advice or"
YouTube Link 2026-02-12T17:36Z 33.1K followers, [---] engagements

"Paraspinous Spinal Anesthesia & LPs - Essential Principles for Success This is a 6-minute overview of the key principles of the paraspinous (aka paramedian) approach to neuraxial block and lumbar puncture. Its primary purpose is as a resource for "just-in-time" review ahead of performing the technique. Complement it with the more detailed videos found in this playlist - https://www.youtube.com/playlistlist=PLrTgRae0xlkN2Tucs5gZ2JePSqafcNdDn"
YouTube Link 2025-06-09T14:38Z 28.6K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt 2/3: Hybrid SAX-OOP + LAX-IP Technique The HYBRID SAX-OOP + LAX-IP (short-axis out-of-plane; long-axis in-plane) technique of US-guided arterial line insertion Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE This is an advanced alternative strategy that I find extremely useful to achieve successful and uncomplicated vascular cannulation particularly in challenging anatomy. It helps with precision and to avoid side or back wall punctures with the stylet tip. The principle can be applied to venous cannulation as well."
YouTube Link 2025-05-30T21:54Z 28.4K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt 3/3: Superficial Radial Calcified Ulnar Artery Superficial Radial Artery / Ulnar Artery Cannulation Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE The presence of a superficial radial artery (SRA) is a common anomaly and US is very helpful in achieving successful cannulation. This video describes the characteristics associated with a SRA and strategies to address it. THe challenges of a heavily calcified and arteriosclerotic artery are also described along with tips of success. Finally the advanced strategy of US-guided"
YouTube Link 2025-05-30T21:54Z 29.2K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines Pt1/3: FUNDAMENTALS The FUNDAMENTALS of Ultrasound-Guided Arterial Line Insertion Part [--] of a longer COMPLETE guide - see here: https://youtu.be/g7EiWUpR_NE US-guided arterial line insertion is a useful adjunct to the anatomical landmark-guided technique (see here: https://youtu.be/sZBEQwVcJ7A ) particularly in high-stakes patients or when anatomy is challenging. Success in these difficult scenarios is increased by attention to certain key principles and maneuvers. These are described here"
YouTube Link 2025-05-30T21:53Z 29.1K followers, [----] engagements

"Mastering Ultrasound-Guided Arterial Lines FULL version Ultrasound-guided arterial line insertion is a useful adjunct to the anatomical landmark-guided technique (see here: https://youtu.be/sZBEQwVcJ7A ) particularly in high-stakes patients or when anatomy is challenging. Success in these difficult scenarios is increased by attention to certain key principles and maneuvers. These are illustrated here with examples from challenging patients. Two advanced alternative strategies are also described: (1) The hybrid short-axis out-of-plane (SAX-OOP) + long-axis in-plane (LAX-IP) approach; and (2)"
YouTube Link 2025-05-30T21:29Z 28.4K followers, 16.5K engagements

"Three Fundamental Skills That Drive Success in Spinal Anesthesia & Lumbar Puncture Successful dural puncture hinges upon having good foundational technique.This is true even when employing other adjuncts to performance such as ultrasound imaging.The importance of developing finesse and attention to detail often only becomes evident when we struggle in the more challenging patients. This video summarizes what I consider to be the most important skills to practice in all spinal anesthetics or lumbar punctures. 00:40 - Anatomical Knowledge 04:20 - Tactile Awareness 05:40 - Needle Handling Other"
YouTube Link 2025-05-09T04:00Z 28K followers, 12.5K engagements

"ESP Block - The Preferred Option in Thoracic Surgery ASRA [----] This is my side of a 3-way debate at the ASRA [----] Annual Spring Meeting on "The Preferred RA Technique in Thoracic Surgery". It was a honor to share the stage with giants of RA like Manoj Karmakar and Steve Coppens. There are no simple answers to most clinical questions in anesthesia but it's my hope that you will find this useful and thought-provoking. I believe that ALL [--] techniques we discussed have their place in anesthesia practice - ideally an individual clinician would be comfortable performing all [--] and thus versatile in"
YouTube Link 2025-05-03T21:30Z 27.9K followers, [----] engagements

"Continuous Adductor Canal Block with a Pajunk E-Cath - A "How-To" Guide This video describes how to use a Pajunk E-Cath catheter-over needle set in the insertion of an adductor canal catheter for total knee replacement surgery. The fundamentals of the approach and placement of the catheter superficial to the artery in the canal are similar to those described in a previous video with the Arrow Stimucath kit (https://youtu.be/CrbhLS_1V_8). 00:10 - E-Cath Overview 03:21 - PRE vs POSTop insertion 04:55 - Equipment 06:15 - Position 06:40 - Preparation 07:13 - Scanning 08:25 - Needling 10:44 - Tips"
YouTube Link 2025-02-10T14:45Z 32.1K followers, [----] engagements

"Fascia Iliaca Block - a Definitive "How-To" Guide [----] This video describes the principles and performance of what I currently believe to be the simplest approach to a suprainguinal fascia iliaca block. It is suitable for either a single-injection block or a continuous catheter approach. Disclaimer: This video is for informational and educational purposes only. It is not a substitute for professional medical advice or consultation with a health care professional. 00:00 - Intro 00:20 - Clinical Appln 00:55 - Principles 03:12 - Equipment 04:07 - Scanning 07:00 - Scanning demo 08:45 - Needling"
YouTube Link 2024-12-26T22:10Z 25.4K followers, 38.5K engagements

"Superficial Cervical Plexus Block - a "How-To" Guide A how-to guide on performing an ultrasound-guided superficial cervical plexus nerve block (also called an intermediate cervical plexus block by some). This is safe simple and effective for analgesia of the anterolateral neck. Bilateral blocks should be performed where the site of pain is close to the midline. A more selective block of the lower branches- the supraclavicular nerves is also described. This latter technique can be used as a sole technique for analgesia of the clavicle and is also easily integrated into an interscalene or"
YouTube Link 2024-09-04T04:00Z 32K followers, 23.8K engagements

"How to Make An Effective Bite Block (and prevent ETT occlusion) A bite block is an essential complement to an endotracheal tube (ETT) in general anesthesia for surgery. Jaw clenching during emergence is a well-recognized phenomenon and can result in ETT occlusion failure to ventilate and negative pressure pulmonary edema. This is entirely preventable by the routine placement of a well-constructed bite block. This will also protect the tongue and lips from trauma. The gauze bite block shown here is easy to make from readily-available material in the OR and is associated with little-to-no"
YouTube Link 2024-09-01T12:00Z 33.1K followers, [----] engagements

"Lumbar ESP Block - Concepts & Principles [----] This video describes some of the fundamental concepts and anatomical principles around the lumbar erector spinae plane (ESP) block and highlights important differences from the thoracic ESP block. There are subtle but critical considerations around the injection target and endpoint depending on the clinical objective: analgesia of the territory innervated by (a) the dorsal rami or (b) the ventral rami of the spinal nerves. This concept also holds true for the thoracic ESP block (see https://youtu.be/pqeJE9P6mPU) Complement this introductory video"
YouTube Link 2024-05-03T04:00Z 33.1K followers, 12.9K engagements

"Lumbar ESP Block - for Hip & Lower Limb Analgesia A how-to guide on performing a lumbar ESP block for analgesia in the territory of the lumbar plexus i.e. anterior hip and proximal lower limb. This is essentially a lumbar plexus block-by-proxy. The aim is to produce similar benefits with less risk and complexity. Note that this is different from a lumbar ESP block performed for back pain and spine surgery where the target is the dorsal rami rather than the ventral rami of spinal nerves. A how-to guide for this version of the lumbar ESP block is found here: https://youtu.be/DQuQrlMPLa0 The"
YouTube Link 2024-05-03T04:00Z 21K followers, [----] engagements

"Supra-Inguinal Fascia Iliaca (SIFI) Block - the SUPRA-INGUINAL approach A how-to guide to performing a supra-inguinal fascia iliaca (SIFI) block using a needle insertion site ABOVE the inguinal ligament (i.e. a supra-inguinal approach). This is a useful alternative to the infra-inguinal approach to the SIFI block which I describe elsewhere (single-shot - https://youtu.be/aAdvQf3Ck7I catheter - https://youtu.be/y3XrPLUUu5w). It is a simple and safe technique - keep the needle insertion site more lateral close to the ASIS to avoid risk of contact with any critical structures. A continuous"
YouTube Link 2024-04-14T14:00Z 26.8K followers, 33.3K engagements

"Supra-Inguinal Fascia Iliaca (SIFI) Catheter Insertion - the SUPRA-INGUINAL approach This video describes how to place a supra-inguinal fascia iliaca (SIFI) block catheter using a needle insertion site ABOVE the inguinal ligament. This is a useful alternative when the infrainguinal approach to the SIFI block (https://youtu.be/y3XrPLUUu5w) is not feasible. A catheter-over-needle set (Pajunk E-cath) is used here; however a catheter-through-needle set is also suitable. The single-injection technique of this supra-inguinal SIFI block is described here - https://youtu.be/YCW5yWQWU5Y (This video is"
YouTube Link 2024-04-14T14:00Z 20.7K followers, [----] engagements

""How-To" Guide - Paraspinous Lumbar Puncture / Spinal Anesthesia Lateral Position This is a brief review of how to perform spinal anesthesia / lumbar puncture in the lateral position using the paraspinous (paramedian) approach. Note that the [--] operators featured here are junior trainees which I hope helps to illustrate that this is a relatively simple technique yet tremendously useful in difficult patients. Complement this with our comprehensive review article at BJA Education (https://authors.elsevier.com/a/1iG9n7K3e2rzx7 - free-to-access until [--] Feb 2024) and other videos in this channel."
YouTube Link 2023-12-23T11:00Z 32K followers, 35.7K engagements

"How To Succeed At Arterial Line Insertion (Anatomical Landmark-Guided) Radial arterial cannulation is a core skill in anesthesiology intensive care emergency medicine and other acute care specialities. This video summarizes key principles for success with the anatomical landmark-guided (LMG) technique while minimizing complications. These include: (1) developing a tactile sense for locating the artery by palpation; (2) accurate alignment during cannula advancement; (3) adopting an appropriately shallow trajectory to avoid transfixion (which increases risk of complications such as hematoma"
YouTube Link 2023-11-09T20:45Z 31.5K followers, 201.6K engagements

"M-TAPA Block: Anatomical Principles [----] This is a brief overview of the anatomical principles underlying the performance of the Modified Thoraco-Abdominal Perichondral Approach (M-TAPA) block which has been proposed as a technique for upper abdominal wall analgesia"
YouTube Link 2023-11-03T20:20Z 33.1K followers, 12.4K engagements

"ESP Block - Where To Inject [----] This is an excerpt from a pro-con session on ESP vs PVB at the World Congress of Regional Anesthesia and Pain Medicine in Sep [----]. I highlight my current thinking on how I perform ESP blocks depending on the effect I am looking for. The full presentation is available here https://youtu.be/VwiviM1dCYE 00:02 - Why ESP has a place 00:21 - Spectrum of ESP-to-PVB 01:43 - US targets in ESP-ITP-PVB 03:14 - Dorsal rami vs Ventral rami coverage 04:42 - Lateral-medial axis of imaging and needling"
YouTube Link 2023-09-08T20:15Z 32.8K followers, 15.2K engagements

"ESP Block vs. Paravertebral Block WcRAPM Paris [----] This is my presentation from a Pro-Con session with Prof Manoj Karmakar at the World Congress of Regional Anesthesia and Pain Medicine held in Sep [----] in Paris. My aim was primarily to dispel the common myths that surround the ESP block to show that the ESP and paravertebral blocks are closely related and to provide some tips on how to make the ESP work better for our patients. 00:25 Process of discovery 01:10 Updated anatomy 03:15 MRI evidence 05:28 Analgesia vs cutaneous block 08:21 Systemic effect 09:40 - Why choose ESP 12:28 - Spectrum"
YouTube Link 2023-09-08T20:00Z 18K followers, [----] engagements

"Continuous Adductor Canal Block - A "How-To" Guide (feat. Pajunk SonoLong Catheter) This video describes how to use a Pajunk SonoLong nerve block catheter set in the insertion of an adductor canal catheter for total knee replacement surgery. The block technique itself is similar to that described in another video (https://youtu.be/CrbhLS_1V_8) which features an Arrow Stimucath nerve block catheter. (Product shortages necessitated an institutional switch in the kit we use and thus creation of a 2nd educational video for our trainees) 00:00 - Intro & Positioning 00:31 - Equipment List & Prep"
YouTube Link 2023-07-06T01:16Z 29.4K followers, [----] engagements

"Sedation in Regional Anesthesia - Propofol vs Dexmedetomidine This is an excerpt of a lecture presented at the [----] RA-UK Annual Meeting in Newcastle-upon-Tyne UK on the "The [--] Top Papers of the Past Year". This paper by Shin et al (https://pubmed.ncbi.nlm.nih.gov/36534899/) serves as a jumping-off point to stimulate thought around the optimal way to sedate patients receiving a spinal anesthetic or peripheral nerve block for surgical anesthesia"
YouTube Link 2023-05-19T23:34Z 25.1K followers, [----] engagements

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