MD
Consultant 1993
PNB 1985 landmark, then NS, USGPNB 2004 - now
I work i a public hospital in Copenhagen (Gentofte university hospital) 30 theaters, perform 15 - 30 surgical plocks a day and 15-25 postoperative blocks a day.
I have a certfication pogram for consultans in order for them to be able to run the asemblyline.
We have 10 block places, and the dayli staff in the block room is 2 consultans and 3 special trained nurses. We have 7 trained consultans and 13 trained nurses to cower that.
The main mantra during the 20 years have been "X - 60" in order to get the surgeon behind the concept - that means that the patient have to be in the block room 60 min. before the surgeon aplay the knife, the patient signed and instruments for the surgery is verified
For surgery out side the trunk I have a consept I have named "A danish model"
no fas ting,
no sedation,
montoring for 20 minutes during the block performance,
supplement block (7%)
no monitoring in the theater
no anaesthesia personel in the theater.
We have tested TKR, mastectomi although that is with full monitoring and anasthesia personel pressent!
Edducational mantras during time:
"Practice before punkture"
"needletip, needletip and needle tip"
"axilary block OOP is the best edducational block"
"Safty rather than mastery"
"inplane - out of plane - no plane"
"The distingtion between a block and a block