ACB new approach?

[caligas]

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Thoughts? Anyone using stim like this guy?

 

[psychbender]

Must be nice to have patients with such small thighs.

 

[Maz777]

If you do this for TKAs, every PT will hate you. Everyone's knee will buckle postop. Good luck with that. And you'll likely injure NVM a decent number of times. Don't traverse that fascial layer between sart and VM.

 

[cchoukal]

First, I really appreciate the quality of the video. Second, I've been doing something called a "simplified" adductor canal block, which aims to access the nerve by flooding with local the fascial plane between S and VM, but without passing the needle deep into this space. My thinking was that in the asleep or spinalized patient, this would be safer than inserting the needle deeper, closer to the artery, without being able to see if I was hitting the nerve. According the the author of the above film, however, with this approach, I'd be getting the NVM, but not actually the Saph.

 

[ans2021]

I saw this awhile ago and while I don't use a nerve stimulator, I have been doing local on the VM side and sartorious side. Way better pain control and no issues post op. My entire group started doing this approach and even get the nerves to the skin above sartorious.