I'm a Better Anesthesiologist Today Than A Year Ago
Posted by Clark Venable on 5/6/2007At the end of this busy week I began to reflect on how this week was different than an average week would have been even a year ago. It was different both for me and for a significant number of my patients. Hopefully, it was as good for patients as it was for me.
For the first ten years after I finished my training I did not believe nerve blocks for extremity surgery were worth doing. Surgeons didn't want to wait for me to do them or for the blocks to 'set up.' Blocks failed a certain amount of the time. There were complications that just didn't happen when 'numbing the big nerve.'
My thoughts on all this changed, not because of a journal article or discussions with a colleague, but because of an article in Wired magazine. The Painful Truth was an article on the use of regional anesthesia to improve medical care to our wounded soldiers in Iraq and Afghanistan:
I took a second look at regional anesthesia and decided to use it in my practice again. This week two elderly ladies had total shoulder replacements after having interscalene blocks. They were pain free for the rest of that day. Six of my patients had knee replacements after femoral and sciatic blocks. They had no pain until the next morning.
With catheter techniques, these pain-free intervals will be measured in days instead of hours. The surgeons are giving us the time to do these techniques because they are hearing about how good they are for patients at their own national meetings. My colleagues who 'didn't do blocks' have learned to do simple femoral nerve blocks and want to learn others.
It was a good week for me because I love seeing patients do well. It was a good week for my patients (whether they knew it or not) because they trusted me enough to let me poke them with a needle once or twice to make their recovery that much easier. By next year I hope to be placing catheters and doing infusions. Thanks, Trip Buckenmaier.
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