SimKit

Big swollen knee? Aspiration can help right now.
If you can pull off 60–80cc, patients often feel immediate relief. Ortho pearl: after the tap, they often do nothing else—no routine “cocktail” back into the joint. If injections are considered later, it’s usually a separate decision (often discussing viscosupplementation or PRP depending on the case).
Full episode: https://youtu.be/CpT1tsXMbd4
Resources: https://linktr.ee/simkit
Educational only — not medical advice.

At 5 min, both groups were ~7/10 pain. After that, PENG improved pain more at 15/30/60 min. SPID: 63% vs 38%.

Responder rates: ≥33% drop = 28/32 vs 19/32 | ≥50% drop = 24/32 vs 7/32 (PENG vs FIB).

Links: https://linktr.ee/simkit

Full episode: https://youtu.be/Z1Nfm956TNo?si=hfrHj_-IIW1ghUlu

Educational only — not medical advice.

Jason Hine’s bottom line: regional anesthesia should be standard for elderly hip fracture patients. Longtime fascia iliaca user, but he’s shifted toward PENG — and with this study, it may be his preferred approach. Caveats: body habitus, above–inguinal ligament approach, and consider anticoagulation risk. If both are options, he’s reaching for PENG.

Links: https://linktr.ee/simkit

Full episode: https://youtu.be/Z1Nfm956TNo?si=hfrHj_-IIW1ghUlu

Educational only — not medical advice.