Garrett Barry

Sign up now! Blocks for upper limb arthroplasty
#CASAM2025

This is always a fun one.
Should be a good review of tried, tested, and true brachial plexus blocks.

@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@bilih.bsky.social

Haha this is even harder than @ropivacaine.bsky.social’s RA rotation quiz!

I’m starting to warm up to this Tegaderm idea 💡☺️

There are two microG analogues:
- Underwater
- Parabolic flight

Each have challenges…

🧵 1/5

@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@andrewjarvey.bsky.social

Save the date 🗓️- largest #regionalanesthesia meeting #ASRASPRING25 #ASRA50 #RAsky #Ansky
⭐️ Lectures
⭐️ Workshops #POCUS
⭐️ Networking
@emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social

A few of mine too😜
@gehealthcare.bsky.social @dr-amit-pawa.bsky.social #POCUS #ECHOSKY #Echofirst

I love the idea of those big US screens above the patient stretchers. Great for teaching 👌

Funding for New Clinical Innovation Projects Deadline June 28 | PHC Med Staff Providence staff and clinicians have received funding for four new projects that will help detect cardiac arrest, improve pain management, reduce readmissions after heart failure, and improve clinicia...

My colleague Michael Jew has brought cryo to our shop. Main use has been intercostals for rib fractures, and it has been a game changer! I'm sure this will spread. See the bottom of the listed page for a short synopsis of his innovation project:

search.app?link=https%3...

Ideal to have 1 block room nurse : 2 patient ratio, as well as an anesthetic assistant per anesthetist performing blocks.

Personally I like Sonosite. We have the XPort, but newer PX looks great. How does Mindray compare?

Growth mindset, innovation, good snacks, shenanigans (when appropriate)

These rules are very wise

4/ I ❤️ regional for both my remote&rural and my big hospital stuff but also follow rule 4 (see pic) - sorry if that’s heresy in this group 😱

Maybe just a question in general but what’s the status of Cryoneurolysis? Who’s doing this in their practice?

Eg:
Geniculate nerves for TKA
Suprascapular n for shoulder
Amputation pain
Intercostal nerves for thoracic surgery

Agreed. So many random accounts floating around, who knows how many were actual people.

I deleted the X app because it became too filled with garbage and click baity threads. Waste of time.

One use I am exploring is uploading a large number of studies on a particular topic and asking it questions and mining the outcome data. Also trying it to quickly assess risk of bias domains.

Uncertain on reliability

#RAsky #ansky @son-of-caine.bsky.social @dr-amit-pawa.bsky.social @bobfunn.bsky.social @emarianomd.bsky.social @nottheflyhalf.bsky.social @bilih.bsky.social @petermerjavy.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @maggieholtzmd.bsky.social
…still figuring out who’s on this…

What is your Dream Block Room / Service?

I want to crowd source a thread of the:
- best layout/environment
- best equipment
- optimal staffing setup
- highest value procedures
- best evidence for better patient outcomes

Ambitious, I know, but may help each other identify gaps.

GO!

The pathway of injectate spread during thoracic intertransverse process (ITP) block: Micro-computed tomography findings and anatomical evaluations - PubMed The space posterior to the superior costotransverse ligament, the target area for ITP blocks, has potential anatomical pathways to the thoracic paravertebral space. The costotransverse foramen and the...

Or do the new style of “ESP”! Go one layer deeper. Puncture the thoracolumbar fascia, enter 2mm into the costotransverse space.

Is it a “ESP 2.0” or an old fashioned ITP?

🤷🏻‍♂️ but I bet it works better.

pubmed.ncbi.nlm.nih.gov/35021139/

I’ve created a starter pack for #RegionalAnesthesiologists and #RegionalAnesthetists around the world.

Let me know who to add to this list and share it with your friends!

#Anesthesia #Ansky
@dr-amit-pawa.bsky.social @emarianomd.bsky.social
go.bsky.app/FkqtrRc