Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S4 E2: "Block Box 11: Our convo with Bo Gottshau and Philip Peng!"
Jan 27, 2026
Philip Peng, a regional anesthesia innovator from Toronto, and Bo Gottshau, a high-volume Copenhagen regional anesthesiologist, join a lively convo. They explore pushing ambulatory surgery limits, novel shoulder blocks like the 'SEXY' phrenic-sparing idea, scalable block-room workflows, training and naming strategies for new blocks. Short, punchy discussion on practice, teaching, and innovation.
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Train Specifically For Surgical Blocks
- Train clinicians to perform surgical-level blocks, not just postoperative analgesia.
- Bo Gottshau requires ~3 months supervised practice and certification before a doctor runs the block room alone, with routine ability to supplement blocks intraoperatively.
High-Volume Block Rooms Shift Hospital Economics
- Running a high-volume block service changes perioperative workflows and economics.
- Bo's unit does 20–35 blocks/day across 10 block stations, enabling one extra general case per day and convincing administrators to expand the model.
Consider Non-Fasting Pathways For Limb Surgery
- Consider non-fasting pathways for selected limb surgeries under regional anesthesia with clear institutional governance.
- Bo's center performs awake limb surgery without fasting or intraoperative anesthesia personnel, monitoring patients only during the 20-minute block period.