That machine would sell like sliced bread.

We could use the freed-up space for a built-in espresso machine. That way the machine size could stay the same.

I hate those days. Tomorrow will (most likely) be better!

Yes, I see your point. I think the ability to use an algorithm rather than just follow it comes with experience.

There should be a prompt on the machine if mechanical ventilator is selected and no volatile is detected:

TIVA running adequately? / Turn on vaporiser!

So, to this biased, UK-based anaesthetist, my interpretation of the same evidence as seen by the US-based orthopaedic surgeons (no doubt just as keen to do the best for their patients) is that perioperative nerve blocks improve short-term, humanitarian outcomes with few disadvantages.

This is absolutely true. And yet during training it gets hammered into you that you should make it work somehow because otherwise you fail your patients. That it is actually the other way round took me a long time to realise and made me give up my old job.

Ok let's unpack this. How often does awareness occur other than where either
1) there's a known risk of awareness (e.g. GA C-section, emergency surgery, morbid obesity etc.) i.e. you'd be primed to discuss it
2)you deserve to be sued because it's reasonable for pts to assume they will be asleep?

They used different dosages for both blocks. Peng was 0,375% of levobupi and FICB was 0,25%. Imo this is a major issue, that is not discussed by the authors. Yes they used 75mg in total in both blocks, bc FICB needs more volume, but a higher concentration will always act faster and stronger.