What type of block do you use for hip surgery?
Which way do you thread the catheter for a femoral block?
Which way do you thread the catheter for a sciatic block?
Which catheter combination do you use for a knee scope?
What is the direction of the needle when performing a lumbar paravertebral block?
What corrections do you make with the needle and catheter when performing an infraclavicular block?
Which infraclavicular landmark do you find most reliable?
What is the role of ultrasound in blocks?
Do you use epinephrine in your local anesthetic?
Where are blocks performed at the University of Iowa Hospitals?
Who does these blocks?
What are your opinions on doing blocks asleep?
What cord do you preferentially block when doing an infraclavicular block?
What are your thoughts on pectoral versus deltoid twitch when performing an interscalene block?
Do you consider a paravertebral block the same as a neuraxial block?
Why would you use a paravertebral block over an epidural block?
Do you find that you get ulnar sparing when using the posterior approach to the interscalene space?
What is the loss of resistance in a cervical paravertebral actually caused by?
What pulse width do you use on your nerve stimulator?
What are your thoughts on blocks in frozen shoulders?
Why do you use loss of resistance with a cervical vertebral block?
How far beyond the tip of the needle to do thread your catheter?
How do you test your infraclavicular block?
What are your thoughts on coagulation and peripheral nerve blocks?
Does blood interfere with the twitch response?
Are twitches affected distal to your blocks?
Do you mix your local anesthetics?
What are your thoughts on glue to keep the catheter in place?
What is the role of the skin bridge?
Do you perform anterior or lateral sciatic blocks?
Do you see neuropathic pain after blocks?
Do you perform blocks in patients with a brachial plexitis?
Do you see muscular pain after your blocks?
What is the maximum length of time that you keep a catheter in place?
Who removes your catheters?
What do you do if you have a negative Raj test?
We used a continuous infraclaviclar catheter for a total elbow recently with great success. Unfortunately, our surgeon no longer wants us to use this technique since he states that he cannot monitor for a compartment syndrome. I believe that we can turn off the infusion if a surgeon wants to perform a neurological assessment. I am interested to know if you have been confronted with this problem and how you would handle it?
Can you tell me if there is more of a chance of nerve damage to do femoral nerve blocks post total knee replacement under spinal in the recovery room?
A number of my associates would prefer to use the continuous femoral nerve block for total knees, but are fearful of the subsequent occurrence of femoral neuropathy or femoral neuralgia.  Is this concern a legitimate?  I would appreciate your thoughts on this matter. Thank you.
Where can I read, or even better still, see how to do these blocks?
Anesthetic anatomy is so different from surgical anatomy. Can you direct me to a good publication that deals with anesthetic anatomy?
How can we arrange regional anesthesia workshops in our area?
What do you think of a transarterial approach to the infraclavicular block?
The surgeons that I work with insist that quadriceps function is important for the rehabilitation of total knee replacement patients. What shall I tell them?
Is there any relationship between epidural block and Epstein-Barr viral infection?
Catheter would not go through needle tip of Arrow kit. Good stimulation of femoral nerve with the needle (lost at 0.3mA) but was unable to feed the catheter despite several manipulations of the needle. Upon taking the needle out of the patient I noted that the catheter was getting caught at the tip at the junction of the catheter edge/stimulating tip. With considerable force the metal tip would protrude further but the plastic outer sheath wouldn’t budge. With even more force i manage to push the catheter through but it seemed there was a small plug of plastic attached at the interface between the plastic and metal of the catheter. I am wondering if it may have been a bit of the insulating material, which somehow got caught on the inside of the needle tip. Do you know how the insulation is applied to the Tuohy needle and if it would be possible for some of it to get inside the needle?
I have just finished watching the cervical paravertebral workshop movie on the RASCI CD.  (I believe it is the second edition CD.) During the narration, lidocaine with epinephrine is discussed as one drug that may be used with this brachial plexus catheter technique.  I thought you taught us not to use epinephrine ever when placing a peripheral nerve catheter.  Please clarify this for me.
Can an infraclavicular block be used for gleno-humeral joint surgery? If yes, what are the concerns with the phrenic nerve? Please tell me a bit about the nerve supply of the shoulder joint.
How can I learn more of continuous nerve blocks at the patient’s home?
How can I get hold of your protocols for home-going catheters:
Is there anywhere that patients can read about regional anesthesia?
Where can I as nurse/physical therapist/family physician get to learn more about nerve blocks?
What is your experience on the value of femoral nerve catheters for post-op pain management for patients undergoing anterior cruciate ligament repair?
I have just been appointed as Chief of Anesthesia at a busy and expanding ortho surgery center. I and another staff anesthesiologist who has attended your workshop in Iowa, are interested in increasing the amount of regional anesthesia performed here. In particular, our surgeons and we are interested in home catheter techniques for both upper and lower extremity surgery. I was wondering if you could share any protocols, patient information about these techniques, post-op discharge instructions, frequency of patient contact at home, etc.
What is your practice for hip fractures in the elderly?
Do you use cervical epidural anesthesia for CEA surgery?
Do you have any experience with PCRA for continuous femoral blocks?
I read in one of your articles that an interscalene block is contraindicated in a frozen shoulder, and that you recommend a cont. cervical PVB?
How can I learn more about the cervical paravertebral block?
What is your experience with CCPVB in kids?
I have had an enquiry from a pain doc at the leading London cancer hospital about the use of brachial plexus catheters for controlling cancer pain caused by malignant infiltration of the brachial plexus (lower roots) - usually secondary to metastatic breast cancer. These patients have tried all conventional analgesics but still have persistent intractable neuropathic pain. He would need to leave the catheters in place for at least a week - ideally longer. Any ideas?
Any more questions?