@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
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
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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
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thetastethatsmilesback :
we love gate theory of pain. dont let that brain even realize
2026-06-03 16:08:31
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Flower power :
Shout out to the X-ray Tech in the room! 🩻
2026-06-02 17:48:49
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adamwilson291 :
Rather poor understanding of gate control theory but okay
2026-06-03 01:33:04
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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
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Joey Harder :
Im glad he does this. Some people can keep awareness as well while under anesthesia
2026-06-02 19:22:05
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jmoney :
It also helps reduce post-op pain.
2026-06-04 02:17:07
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allitcsantos :
lol as a cst I heard that “nope” one to many times 😂😭
2026-06-03 22:21:31
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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
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Mary :
The “nope”
2026-06-04 03:08:02
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Jeppley :
Does it also help with pain management post surgery?
2026-06-05 15:25:14
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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
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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
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Jess :
Also… it hurts when they wake up
2026-06-03 01:39:47
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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
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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
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Anna Victoria :
Had a dr tell me “the mind is asleep but the body still feels pain”
2026-06-07 20:08:35
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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
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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
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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
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Janesse :
100% agree. OR nurse here
2026-06-04 17:03:09
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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
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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
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Cele :
Whoop whoop X-ray tech!!! 👏👏
2026-06-03 02:10:41
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