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Regional Anesthesia
Started by hawkslo
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Duke, Virginia Mason, Beth Israel, UCSF, Emory, Wake Forest off the top of my head.
We're getting there, but we still have a ways to go.
We're getting there, but we still have a ways to go.
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I just finished a rotation at OHSU - they do quite a bit of regional. I rotated with a resident during his month providing anesthesia for vascular techniques - he accomplished 1-3 blocks per day. For the most part, surgeons seemed willing to accomodate this emphasis.
I think Galveston probably does more per resident, but mostly because they have a higher resident to case load ratio. Texas Tech does the highest number of chronic pain regional blocks without a doubt, but that is an area that is rapidly growing here at our McDermott Pain Center. Regional for operations are in my mind a separate category.
In our program, when you are the PACU resident, you are responsible for all regional blocks for the day that the acute pain resident cannot do. Your months on VA General are also heavily regional oriented. On your pain management months at Parkland, you will have two weeks as the acute pain resident and will be responsible for blocks for the next day's cases with overflow going to the PACU resident (and you will always have overflow). You also get a number of blocks scattered throughout your general months when the PACU and acute pain residents are too busy with other blocks to do them, as well as on call.
Right now, you can do as many blocks as you want and it all depends on your preparation and eagerness. If you are slow, not prepared, or unwilling, you will get a minimal number of blocks and the rest will either go to other residents, or the patient will not get the benefit of the block because we cannot afford to hold up the OR for a significant amount of time without causing significant consternation.
Back to the original question, yes I feel we do as many as the other programs in Texas.
In our program, when you are the PACU resident, you are responsible for all regional blocks for the day that the acute pain resident cannot do. Your months on VA General are also heavily regional oriented. On your pain management months at Parkland, you will have two weeks as the acute pain resident and will be responsible for blocks for the next day's cases with overflow going to the PACU resident (and you will always have overflow). You also get a number of blocks scattered throughout your general months when the PACU and acute pain residents are too busy with other blocks to do them, as well as on call.
Right now, you can do as many blocks as you want and it all depends on your preparation and eagerness. If you are slow, not prepared, or unwilling, you will get a minimal number of blocks and the rest will either go to other residents, or the patient will not get the benefit of the block because we cannot afford to hold up the OR for a significant amount of time without causing significant consternation.
Back to the original question, yes I feel we do as many as the other programs in Texas.
