Warning: “It’s too hard to inject!”
What about HIGH Injection Pressures? Accidental intraneural or intrafascicular injection, especially under high pressure (>15-20 psi), can lead to permanent nerve injury. Whenever we hear an experienced assistant say these words, they have our attention. At times, it is anticipated, such as when we have excellent needle tip visualization and we know that we are.. read more →
In Case of EMERGENCY, Do THIS!
One of my attendings at UT, Knoxville used to say, “If you earnestly worry about something, it won’t happen.” It was generally taken as a joke to some when it was said. It was like the ‘cure’ to a difficult arterial line insertion was having someone else open another pair of sterile gloves. It is just.. read more →
Acute Pain: How We Treat Pain Really Matters
How we treat Acute Pain Really Matters from cpnbconsulting read more →
Another Team Player
“Everybody here has a voice…and you should listen!” I make this point over and over when I help to implement a CPNB Program. I will go on to say that even if those putting the catheters in place are the best in the world, the outcome of the CPNB Program will still have more to.. read more →
Infrastructure
THE CART AND THE HORSE Improving your nerve block program will come in the form of learning or improving technical skills or from organization of your infrastructure. I commonly emphasize in my lectures about the habit that most people have of focusing primarily or exclusively on learning technical skills in order to build their.. read more →
Teamwork
IT’S NOT ‘YOUR’ PROGRAM Whether or not you are the ‘leader’ (or one of the ‘few leaders’) of your block program, it is very important for you to know your place. I hope that comment sounds shocking to you. I hope that you are interested enough to read further just to know where I.. read more →