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Live sharp-needle regional
anesthesia demonstrations
This has been found to be an exceptionally effective teaching tool. Live sharp
needle demonstrations have been a tradition at the
University of
Iowa since 2000 started by Dr. Andre Boezaart. The
current RASCI director Dr. Robert Raw has experience of regularly presenting
live sharp needle demonstrations for 10 years in the
USA,
Mexico and
South Africa.
The models are un-sedated and only receive subcutaneous lidocaine
(lignocaine) to diminish the discomfort of dermis puncture with nerve-block
needles. Deeper tissues are
un-anesthetized and no other drugs are injected except for 5% dextrose water for
ultrasound imaging purposes. To date 100% of models used, request to be a model
again and no complication of note has ever occurred.
This reality-show demonstration has real challenges, and seeing the
lecturer need to concentrate and adapt to unexpected unique anatomy variations
in front of an audience has added educational value. Also seeing real live nerve
blocks closes the gap between some hard to explain concepts and complete
understanding of ideas.
Visual images are retained longer in the memory than mental images
created from words only.
The live sharp needle demonstration also proves the lecturer is speaking
from personal experience and not hypothetical text book knowledge.
A picture paints a thousand words in
2-D. A live demonstration paints a million words in 3-D.
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