Discover and read the best of Twitter Threads about #SHNB
Most recents (1)
Today's 8 am #UFE begging to leave hospital at 10.30 am....we found a middle ground 11 am
The secret 🤫: #RadialFirst and #SHNB
#Tweetorial on technique and troubleshooting....
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The secret 🤫: #RadialFirst and #SHNB
#Tweetorial on technique and troubleshooting....
🧵1/
Relevant anatomy:
Sup hypogastric nerve plexus- sympathetic nerve plexus anterior to L5 body
Aortic bifurcation-L4
Venous confluence- L5, L5-S1 disc (*overlies the plexus 😱)
2/
Sup hypogastric nerve plexus- sympathetic nerve plexus anterior to L5 body
Aortic bifurcation-L4
Venous confluence- L5, L5-S1 disc (*overlies the plexus 😱)
2/
Although arterial opacification can be avoided with an angiogram, venous opacification is sometimes inadvertent and maybe seen in nearly 1 in 5 cases.
We still go ahead with #SHNB:
➡️ Adjust needle position
➡️ Multiple aspirations
➡️ Test dose
3/
We still go ahead with #SHNB:
➡️ Adjust needle position
➡️ Multiple aspirations
➡️ Test dose
3/
