Wide Awake Local Anaesthesia No Tourniquet
The principle is simple:
With adrenaline in the local anaesthetic mixture = you don't need a tourniquet (which hurts!)
Without a tourniquet = you don't need a regional anaesthetic (to stop the pain of the tourniquet)
Without a regional anaesthetic = you don't need an anaesthetist
Without an anaesthetist / ODP = vastly reduced cost
Less people involved = leaner and more efficient process
Better processes = more patients treated, more efficiently in a more patient-centred manner
So it all starts with the local anaesthetic...
Adrenaline stops bleeding by constricting the tiny blood vessels that cause most bleeding
This also keeps the anaesthetic locally so it lasts for longer (4-5 hours as opposed to 1/2 an hour)
Anaesthetists are needed to give regional or general anaesthetics. They need expensive ultrasound machines, an assistant (ODP), an anaesthetic room, an anaesthetic machine etc.
It is a well-known fact in any walk of life that too many cooks spoil the broth! Less people = greater efficiency.
Being able to control the processes allows me to keep the patient at the centre.