@drchollkim: Local anesthesia during spine surgery blocks both the pain signal and the awareness of pain, even when a patient is already under general anesthesia. I believe in what's called the gate theory of pain. Pain signals and pain awareness are not necessarily linked. So by anesthetizing a patient who is already asleep, you block both. When I went to medical school, we believed that was better, and I have never changed my approach. Share this if someone you know is exploring spine surgery options. #SpineSurgery #MinimallyInvasiveSpine #SpineHealth www.ExcelSpine.com Medical Disclaimer: The information in this video is for educational purposes only and is not intended as medical advice. Surgical procedures shown may not be appropriate for all individuals. Viewing this content does not establish a physician patient relationship. Treatment decisions should be made by qualified healthcare professionals based on individual patient circumstances. @shashankc8 @Shashank

Dr. Choll Kim
Dr. Choll Kim
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Region: US
Tuesday 02 June 2026 17:24:11 GMT
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ckwon117spam
NotTheLion :
for context, when he says "shot", he's signaling the nurses to all take a shot so they stay the same level of buzz
2026-06-05 02:54:33
3080
dancinggdazzie
Remi :
Not just that-- The bigger answer is anesthesia (unconsciousness) does not equal analgesia (pain relief). A patient can be completely unconscious yet still have large vital sign changes and even movement to painful stimuli under general anesthesia.
2026-06-03 01:48:11
5664
thetastethatsmilesback
thetastethatsmilesback :
we love gate theory of pain. dont let that brain even realize
2026-06-03 16:08:31
348
flower_power_bee
Flower power :
Shout out to the X-ray Tech in the room! 🩻
2026-06-02 17:48:49
1242
adamwilson291
adamwilson291 :
Rather poor understanding of gate control theory but okay
2026-06-03 01:33:04
9
charnich74
CruiseProdigy :
I don't need my doctor answering questions, making TT, or doing anything else but focusing on me while doing my surgery.
2026-06-03 13:05:53
140
joeyharder
Joey Harder :
Im glad he does this. Some people can keep awareness as well while under anesthesia
2026-06-02 19:22:05
553
jmoney199012
jmoney :
It also helps reduce post-op pain.
2026-06-04 02:17:07
134
allitcsantos
allitcsantos :
lol as a cst I heard that “nope” one to many times 😂😭
2026-06-03 22:21:31
57
mnpiretti
Meaghan Piretti | RT (R) :
Love when a surgeon is open to answer questions! Thanks for including a rad tech in your video! ❤️🩻
2026-06-02 17:41:54
268
nursemary9
Mary :
The “nope”
2026-06-04 03:08:02
103
crumpsnibbler
Jeppley :
Does it also help with pain management post surgery?
2026-06-05 15:25:14
6
elonsbane
UcantHandleTheTruth :
Is he talking about the Gate Control Theory? If so, that's not really what's going on here.
2026-06-04 09:12:40
5
emily102996
Emily :
Unrelated, but as an X-ray tech, I appreciate how clear he was when directing the tech! “Shot.” “Save that.” “Show me an AP.” Can you teach my surgeons that????
2026-06-03 22:22:10
32
jeffica2
Jess :
Also… it hurts when they wake up
2026-06-03 01:39:47
22
seba6337
Sebastian :
pilots maintain a sterile cockpit, i.e. no superfluous conversation during critical portions of flight. is this not a critical portion of surgery or is that concept not a thing? is this not a distraction?
2026-06-04 03:13:38
9
vodwuar
Vodwuar :
Next surgery I’m asking my surgeon for more local pain control. I woke up in so much pain. Gimme something while I’m still down
2026-06-04 22:15:25
8
.annavictoria
Anna Victoria :
Had a dr tell me “the mind is asleep but the body still feels pain”
2026-06-07 20:08:35
9
berserktwerk
Rebel O'Hara :
YESSSSSSSSSSSSSS if you can jump and talk and pee in your sleep, then you can feel pain in your sleep. Thank you for your work.
2026-06-04 17:17:30
9
onlypooches
OnlyDogs :
There’s nothing to lose by doing it besides the local which is essentially free. It’s a “do no harm” by default method
2026-06-13 16:24:47
8
vinvincevinny
Vinsanity :
local anaesthesia especially if mixed with adrenaline, has vasoconstrictive effects, thus helping with minimising bleeding during the surgical approach to the spine.
2026-06-03 13:55:16
6
thejohn3612a
Janesse :
100% agree. OR nurse here
2026-06-04 17:03:09
6
theadamsfamily030
theADAMSfamily030 :
The flawless "shot" and "AP" while in middle of convo. Flawless! Threw me back to the OR xray
2026-06-03 02:14:33
18
rr142857
Pistachio :
Don’t forget what happens in the recovery room if you don’t use local…. If you like your PACU nurses you will use local
2026-06-04 03:53:45
11
2020busymom
Cele :
Whoop whoop X-ray tech!!! 👏👏
2026-06-03 02:10:41
9
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