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  • Posted in: ASRA Connect

    Wondering if those of you using adjuncts or liposomal bupivicaine for ACB are noticing any persistent sensory paresthesias (or motor weakness in those that get some motor block). We've had a run of fairly persistent, patchy sensory abnormalities while ...

  • Posted in: ASRA Connect

    We also perform the iPack and ACB immediately after placing spinal in the OR. As others have mentioned, the spinal has barely set up. Regardless, I do not believe that there is significant risk to performing these blocks in an insensate patient with ...

  • Posted in: ASRA Connect

    There is a big difference between the published studies with peri-articular or infiltrated Liposomal Bupiv vs nerve blocks. I agree, Peri-Articular with poor technique is no better than plain Bupiv. With meticulous technique, 48 hours is obtainable. Granted, ...

  • Posted in: ASRA Connect

    Yes, I have had some concern about placing ACB after spinal. However, we do it immediately after spinal, so its not completely set up yet and there is still some sensation and movement. Also, we certainly are using dynamic ultrasound. So I feel safe ...

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