Canada - Vast, almost empty and full of innovation
Ronald Raven Barber's Award 2014 and BOA Travelling Fellowship Award 2015
I saw a Professor of plastic surgery - Prof. Don Lalonde - lecture to the British Society for Surgery of the Hand about using local anaesthetic instead of using more invasive means of anaesthesia such as numbing your whole arm (regional anaesthesia) or a general anaesthetic. He has developed a pastient-centred, efficient and inexpensive practice in his home town of St John, New brunswick, Canada based around using local anaesthetic with adrenaline for almost all his operations.
I spent two weeks with him in June 2014 learning his techniques and philosophy. I have adapted this and incorporated it into my own practice.
British Orthopaedic Association Travelling Fellowship Award 2015
I returned in July 2015 to the Foothills Hospital in Calgary, Alberta with a Plastic Surgical colleague - Mr Anthony Barabas. We witnessed firsthand how this unit runs, with over 450 cases a month, all under local anaesthetic. It is one of the largest and busiest dedicated local anaesthetic theatre suits in the world.
Processes and innovation: