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Did you learn to do them during residency?
Comfortable performing them?
Doing them now as an attending?
Comfortable performing them?
Doing them now as an attending?
My response before seeing other responses:no
no
no
@coffeebythelake are you being asked to do retrobulbar blocks by ophthalmologists?Did you learn to do them during residency?
Comfortable performing them?
Doing them now as an attending?
@coffeebythelake are you being asked to do retrobulbar blocks by ophthalmologists?
It is an antiquated custom as cataract surgery is now mainly done with topical anesthetic.
Coffee, don't you do these fancy blocks in academics? Us private guys do spinal with LMA generals.
Yes, yes, yes. So I'm surprised by the answers here, practices vary wildly across different countries. Where I trained in Brazil, a big part of CA1 is spent doing ophthalmic surgeries. In fact, traditionally, in my residency, it's usually the first anesthesia you do in you life (a peribulbar block). What do you do for these retina/cataract cases? To be fair, cataracts can be done with topical anesthesia, but the retina ones? LMA? GETA?
Sort of. I did a couple with one of the surgeons on my outpatient rotation in residency.
Yes, I was trained in by a colleague.
Yes, some surgeons will do their own, some will request our services for room efficiency (or to defer liability)
Got named in a lawsuit, then eventually dropped when my Crna assisted an opthomologist in the holding area doing a retrobulnar block. The holding area nurse handed him a syringe filled with formalin rather than bupivacaine. The patient was blinded. I was never trained in performing those blocks, and had little interest in learning them.
Same answer for bier block. Never seen one
Yes super high spinal then lma with volume control ventilation with super high volumes at that.@crash2500 You have to say light GA. 🤪
And good for you doing spinal with a SGA for an eye case. I wouldn't think that was a solution but you surprise me constantly.
Yes super high spinal then lma with volume control ventilation with super high volumes at that.
Oh damn.. we would normally avoid high spinals but this must be one of those instances where it is done purposefully.
High spinal technique?
I didn’t go to an ivory tower program, is that the special technique that you all learned?
Is there a paper to support this?
/s
Residency, no. Fellowship, yes a couple, until I started refusing to do them because I was never going to do them in practice, and I almost passed out doing it.
When asked by my fellowship director what I'd do if the surgeon asked me for one, I said I'd tell the surgeon to block the eye. I've never been asked to do one by a surgeon, I had a locums gig ask if I did them, so they could put me with a surgeon who wanted the anesthesiologist to do them, I said no.
Not really a fair comparison there.Next time I will ask ENT and Maxillofacial surgeons to do the intubations for me, lol.
Next time I will ask ENT and Maxillofacial surgeons to do the intubations for me, lol.