Under Pressure

Beyond the Pain: Rethinking Nerve Blocks and Compartment Syndrome


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In this episode, Dr. Jonathan Sackier sits down with Dr. Jeff Gadsden, Professor of Anesthesiology and Chief of Orthopedic, Plastic, and Regional Anesthesiology at Duke University Medical Center. Together, they explore the ongoing controversy around using nerve blocks in patients at risk for acute compartment syndrome, the importance of timing and pressure monitoring, and how technology is reshaping the safety profile of these interventions.

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Read the studies discussed in this episode:

  • Lower Extremity Peripheral Nerve Blocks for Patients at Risk for Acute Compartment Syndrome
  • Awake spinal anesthesia facilitates spine surgery in poor surgical candidates: A case series
  • Awake Spinal Fusion Is Associated with Reduced Length of Stay, Opioid Use, and Time to Ambulation Compared to General Anesthesia
  • Single-shot interscalene block with liposomal bupivacaine vs. non-liposomal bupivacaine in shoulder arthroplasty

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Under PressureBy Under Pressure Studios