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12th Annual NYSORA Symposium - September 21 - 22, 2013

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SAVE THESE DATES - 12TH Annual Symposium on Regional Anesthesia, Pain Management and Perioperative Medicine - Marriott Marquis Hotel on Broadway - New York, NY - For more information visit www.NYSORAsymposium.com
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Nerve Stimulators Wanted for Donation!

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Nerve Stimulators are needed for donation to our colleagues in Kenya. NYSORA Team is organizing an Educational Outreach Program in Kenya in August and looking
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Ultrasound Anatomy - Suprascapular Nerve

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Suprascapular Nerve Click on the images below for a high resolution version. Ultrasound transducer position to image the suprascapular artery and nerve Ultrasound image of suprascapular artery and
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NYSORA NEWSLETTER APRIL 2013

The APRIL 2013 NYSORA NEWSLETTER In this issue: Letter from the Editor, Matthew Becker A Call To Action For the Welfare of Our Patients
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Recent Videos

Title:
Lateral Cutaneous Femoral Nerve Block
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Title:
Ultrasound-guided interscalene catheter
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Title:
US POPLITEAL SCIATIC NERVE BLOCK
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How much volume of 0.2% ropivacaine is necessary to accomplish analgesia through a CATHETER after shoulder arthroscopic rotator cuff repair:

Forum Topics

Topic: Regional Anesthesia/Analgesia and Dislocations?!
Started by: Kamen Vlassakov in Regional Anesthesia

Updated:
May 11

Replies: 3
Views: 26

Last Post by:
Ugra Education

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Does continuous regional anesthesia/analgesia increase the incidence of shouder and hip dislocations after total joint replacement?! Is there any evidence? What about specific procedures, such as Reverse/Inverse Shoulder Arthroplasty?
Dear friends,
A few years back when more than half of the total hip arthroplasties around the world were still done under neuraxial anesthesia, a prominent chief of orthopedic surgery was suggesting that epidural analgesia was making patients "too comfortable" and therefore prone to dislocations postoperatively...
In a near-deja-vu scenario, there has been fear expressed by shoulder surgeons about the interscalene block increasing the risk of postoperative shoulder dislocation in patients with reverse or inverse total shoulder arthroplasty (which seem to have more stability problems).
Before I completely waive such concerns aside, I would like to ask you, my brethren/sisters-of-the block needle, for your expert opinion and professional experience. Have you heard of or/and do you share similar concerns? Would this be a good time for us to take a look at the outcomes and maybe find out in an organized scientific fashion?
Many thanks and best regards,
Kamen
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Topic: Combination Agents for Nerve Blocks
Started by: Christopher LaFleur in Regional Anesthesia

Updated:
May 11

Replies: 5
Views: 74

Last Post by:
Jui-An Lin

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Hi all. Have heard of colleagues having excellent results with their InterScalene Blocks for shoulder surgery with combination of 30mL 0.75% bupivicaine mixed with 10mL 2% lidocaine and 8 mg decadron to give final solution of 40mL 0.56% bupivicaine+0.5% lidocaine+8 mg decadron. Analgesia lasts reportedly around 36 hours with a single shot technique administered under US guidance. Wondering if anyone has any experience using the same or similar mix for single shot US guided Femoral nerve blocks for total knee arthroplasty. Concerns seem to be prolonged quadriceps weakness but this is something we experience with continuous femoral nerve catheters and 0.2% ropivicaine infusion when the catheters are left in until post-op day 2. Thank you for any info on this subject.
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Topic: Fentanyl in cardiac and non-cardiac surgery
Started by: Anand Thillaisundaram in General Anesthesia

Updated:
May 05

Replies: 4
Views: 29

Last Post by:
Bruno Carenzi

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I have had recent discussions with colleagues about the use of fentanyl for cardiac and non-cardiac surgery. Very different opinions have been offered for dose and duration of action in adults.
I would like to ask members about their use of fentanyl. This information is for personal interest, and will NOT be published...
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Topic: Spinal for abruptio placenta?
Started by: Andre Louon in Obstetric Anesthesia

Updated:
Aprl 28

Replies: 15
Views: 124

Last Post by:
Abhay Datar

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I was recently presented with a lady with abruptio placenta. While she bled a little bit, her vitals were stable and the baby was OK. I did a quick spinal and the outcomes for both the baby and the mother were good. Was my decision correct or do you believe that abrutio placenta is a contra-indication to doing a spinal?
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Topic: Spinal for abruptio placenta?
Started by: Andre Louon in Obstetric Anesthesia

Updated:
Mar 18

Replies: 14
Views: 111

Last Post by:
Hansel De S M.d.

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I was recently presented with a lady with abruptio placenta. While she bled a little bit, her vitals were stable and the baby was OK. I did a quick spinal and the outcomes for both the baby and the mother were good. Was my decision correct or do you believe that abrutio placenta is a contra-indication to doing a spinal?

Thanks for your advice and opinion.
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