Giving Birth to a Textbook, 3 Local Anaesthetic Tricks, & Live Events

Also: Sneak peek at Foundations, the Sunday quiz, & how to inject LA guide.
Giving Birth to a Textbook, 3 Local Anaesthetic Tricks, & Live Events

In this week's edition

  1. ✍️ Letter from P'Fella
    Giving birth to a textbook (a big one).
  2. 🤓 The Sunday Quiz
    Check back next week!
  3. 🖼️ Image of the Week
    LA calculations summarised.
  4. 🚑 Technique Tip
    How to inject local by Don Lalonde: Video.
  5. 🎈 Upcoming Events
    Foundations launch event: Happening July 26th.
  6. 📘 Foundations Textbook
    Take a peek inside!
  7. 🔥 Articles of the Week
    How to minimise LA pain, does mixing LA work?, & quick LA calculation: With 1-sentence summaries.
  8. 💕 Feedback
    Suggest ideas & give feedback!

A Letter from P'Fella

We Are About to Give Birth to the Textbook....

👋
Creating a textbook from scratch is like trying to do a facelift in a sandstorm — no visibility, constant grit in your eye, and someone's always asking, “Is this really necessary?” Yes. It was. And now it’s real.

What started as a vague, caffeine-fueled dream — “Wouldn’t it be cool if residents had a textbook that didn’t suck?” — somehow turned into hundreds of pages, weekly feedback cycles, too many Google Docs, and something we’re ridiculously proud of. No publisher. No institution. Just us, building what training forgot.

It Took a Village. And Then Some.

Every chapter? Edited, re-edited, and gently (or not-so-gently) torn apart by real trainees and real consultants.

Every diagram? Agonized over by a design team who now knows what a keystone flap is — and probably needs therapy because of it.

Every sentence? Vetted for clarity, relevance, and that mysterious vibe of “useful-but-not-so-dull-you-want-to-die.”

The feedback loop never ended. It was a relay race of red pens and existential dread. But it worked. Because every step of the way, someone cared enough to make it better.

This Isn’t Just a Book. It’s a System Reset.

See, textbooks are usually written in towers — high up, far away, and years out of date by the time they hit your desk. Ours? Built from the ground up by the people in the trenches:

  • Residents who actually have to learn this stuff under pressure.
  • Fellows who still remember what it’s like to fail an OSCE station.
  • Consultants who want you to understand the why, not just memorize the what.

It’s not perfect. But it’s built to keep getting better. That’s the real flex.

Final Draft

Only 500 Copies.

This is just the first edition. Like plastic surgery itself, we built it to evolve quickly, responsively, and in full public view. If you’ve ever thought, “Why isn’t this in the textbook?”. Now’s your chance to fix that.

Because if we’re building the next generation of plastic surgery education, we’re doing it together. No gatekeepers. No committees. Just people who give a damn.

Thanks for sticking with us.

With love,
P Fella ❤️

The Sunday Quiz

Under Development
Check back next week for the fresh edition

Image of the Week

LA Calculations

🖼️
Image of the Week

This week’s image breaks down how to calculate safe doses of local anaesthetic — a must-know for everyone in theatre.

- Maximum safe doses per kg for common LA agents.
- Total allowable dose limits.
- A quick formula for calculating maximum volume based on concentration.

Maximum Volume of Local Anaesthetic
Maximum Volume of Local Anaesthetic

Technique Tip

How to Inject Local by Don Lalonde

🚑
Technique Tip of the Week

This week’s technique tip features a classic from Don Lalonde: how to inject local anaesthetic safely, effectively, and painlessly.

▶️ Watch the video below

Upcoming Events

Foundations Launch Event: Happening July 26th

📅
We’re hosting our first-ever live event to celebrate the launch of Foundations. It’s happening Saturday, 26th July, and you’re invited.

What to Expect:
- A look inside the textbook
- Behind-the-scenes insights
- Webinar by our fellows and experts

More information coming soon!

Sign up below!

Foundations Textbook

Take a Peek Inside

📘
Curious about what Foundations will actually look like?

We're nearly there! While we finalise the full release, here’s a sneak peek at a few sample pages from the textbook. Designed to be practical, structured, and easy to revisit on the job or just before exams.

Got feedback or suggestions? We’d love to hear from you.

Articles of the Week

3 Interesting Articles with One-Sentence Summaries

Minimising Pain During Local Anaesthetic Injection (Strazar, 2013)

Simple adjustments to technique, such as needle gauge, buffering, slow infiltration, and patient communication, can reduce injection pain to just the initial needlestick, even for large tumescent fields.

Ropivacaine Adds No Benefit to WALANT (Gricourt, 2025)

Combining ropivacaine with lidocaine in WALANT surgery did not improve pain relief, quality of recovery, or reduce analgesia use compared to lidocaine alone.

A Simple Method for LA Volume Calculations (Ahmed, 2023)

Calculate safe local anaesthetic volumes on the spot: Multiply the patient’s weight (kg) by the safe dose (mg/kg), then divide by the LA concentration (mg/mL) to get the maximum safe volume

Feedback

I hope you enjoyed it 😄


About the author
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