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- Feb 8, 2015
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I grew up giving people a dead arm for 18ish hours. A colleague of mine is advocating for low concentration blocks that give partial analgesia only; he states when patient's wake up they are comfortable, but don't have the dead/freaky sensation. He reckons they discharge early and cope fine.
I'm all for it, but in my mind I block them deep because it lasts longer. Not necessarily for the depth aspect; that's an unwelcome, but acceptable side effect.
I feel that using lower concentrations will result in optimal post op analgesia for a few hours, followed by significant pain thereafter.
I know of another shoulder guy who gets the best of both worlds and just places a catheter, which seems the best option, but I'm not sure how to go about initiating this practice when I hardly do any shoulders in private.
What local are you guys using? Still doing deep blocks like me? Or am I living in the dark ages?
I'm all for it, but in my mind I block them deep because it lasts longer. Not necessarily for the depth aspect; that's an unwelcome, but acceptable side effect.
I feel that using lower concentrations will result in optimal post op analgesia for a few hours, followed by significant pain thereafter.
I know of another shoulder guy who gets the best of both worlds and just places a catheter, which seems the best option, but I'm not sure how to go about initiating this practice when I hardly do any shoulders in private.
What local are you guys using? Still doing deep blocks like me? Or am I living in the dark ages?