“Negotiating a Regional Anesthesia Service”

The American Society of Regional Anesthesia has announced it will be hosting a novel video guided session moderated by Dr Brian Harrington with presenters Eugene Viscusi MD, Edward Mariano MD, and Santhanam Suresh MD.  It will feature submitted videos by ASRA members and a Panel Discussion and an Open Forum.

The Assertive Actuary: A Cautionary Tale.. from the ASA Newsletter

Ronald L. Harter, M.D. is Professor and  Chair of the Department of Anesthesiology, Ohio State University Wexner Medical Center, Columbus, Ohio. He has authored an insightful editorial in December’s ASA Newsletter in his capacity as harter_28Vice Speaker, ASA House of Delegates on professional assertiveness for anesthesiologists.  After introducing  the topic by way of the self-deprecating humor of an actuary friend of his, he urges us to  “embark boldly into … new territory, keeping one foot firmly planted in the O.R., while we stride further into peri-operative leadership.”  The line that caught my eye: “The spectrum of acute pain management options we offer our patients has never been broader, and our skill and expertise at ultrasound-guided regional nerve blocks frequently allows earlier patient discharge and results in high levels of satisfaction for our patients.”

link to Dr Harter’s Article

Redefining Roles in the Changing Landscape of HealthCare

Michael DeCiccaAnesthesiology News in December 2014 includes a thoughtful editorial  by  current CA-2 Anesthesiology resident, Michael DeCicca M.D., of the State University of New York Upstate Medical Center in Syracuse New York.  It is an excellent characterization of the tension between CRNA’s and anesthesiologists as well as a good reminder of what it means to be a “Luddite”.  To further our chosen profession, Dr DeCiccia asks us potential Luddites to “consider the reasons (we) went into anesthesia in the first place,the facets of the specialty that piqued (our) interest, and develop them.”

link to Dr DeCiccia’s Article

Upper Extremity Regional Anesthesia

Illustrations for this review article are by Jennifer Gentry
Illustrations for this review article are by Jennifer Gentry

Pub Med has access available to this review of Upper Extremity Regional Anesthesia, authored by Joseph M. Neal, MD, J.C. Gerancher, MD, Quinn H. Hogan, MD et al.  It is wonderfully illustrated by Jennifer Gentry and provided on the web by US National Library of Medicine and the National Institutes of Health.

Regional Anesthesia “Advertorials” are still available on the web

Peripheral Nerve Block Patient Care
Peripheral Nerve Block Patient Care

I refound this series of informative editorials which I believe were commissioned by B. Braun from 2004 to 2009.  Contributors are quite a few experts in the field of regional anesthesia and acute pain management sharing their opinions on these topics. These are from a time when Regional Anesthesia benefited from strong advocacy and these editorials provided it!

You can get to all the articles by following the three articles which are highlighted. These are linked to all the topics below………..


  • TAP: A New Standard for Abdominal Surgery?
  • Is <0.2mA a reliable indicator of intraneural injection?
  • 5 Top Tips for Block Reimbursement
  • A Breakthrough in Nerve Stimulation
  • A Two-Pronged Approach to PONV Prevention
  • Get Total Knee Patients Moving With Continuous Nerve Blocks
  • Nerve Blocks: The Right Choice in a Down Economy
  • Nerve Blocks: A Hospital CEO’s Perspective
  • Paravertebral Blocks: Benefits Beyond Expectations
  • Blocks Help Hernia Patients Go Home Faster
  • Intra-Articular Infusions or Nerve Blocks?
  • Continuous Nerve Blocks Boost Patient Confidence
  • Yes You Can Get Reimbursed for Nerve Blocks
  • Peripheral Nerve Blocks: A Wise Investment
  • A Surgeon’s View: Dispelling Some Common PNB Myths
  • A Surgeon’s Perspective: The Power of PNBs
  • Acute Pain Nurse: Key to Continuous Infusion Success
  • A Breakthrough in Nerve Stimulation
  • No Pain, Big Gain
  • Our Insurers Pay for Peripheral Nerve Blocks
  • Fortifying Our Future With PNB Training
  • Stimulating Catheters for Outpatient Surgery
  • When Should We Use Stimulating Catheters?
  • What Is Ultrasound’s Role in Peripheral Nerve Blocks?
  • There’s No Better Advertisement than a Happy Patient!
  • Avoiding Post-Lithotripsy Pain
  • Regional Anesthesia Took My Pain From 10 to 0
  • How to Make Peripheral Nerve Blocks Even Safer
  • Helping Patients Understand Regional Blocks
  • Ultrasound and Nerve Stimulation: Perfect Together
  • The Post-Opioid Era
  • Practical Pain Control
  • In Our PACU, Blocks Made Miles of Difference
  • Filling the Analgesic Gap
  • Is Regional Anesthesia More Cost-Efficient?
  • Prime Patients Early for PNB Success
  • With Nerve Blocks, Time is Safety
  • Nerve Blocks Improve Patient Well-Being
  • The PNBs Have It
  • Continuous Peripheral Nerve Blocks: The Jury Is In
  • Is Regional Anesthesia More Cost-Efficient?
  • Block On!
  • Regional Anesthesia: Lessons from Iraq
  • Help is On the Way
  • The Promise of Pediatric Peripheral Nerve Blocks
  • Building a Better Regional Anesthesia Procedure Note
  • Perception is Everything
  • Peripheral Nerve Stimulators Improve Patient Comfort
  • Regional Anesthesia Helps Elderly Patients Stay Alert and On Track
  • 4 Ways to Make Continuous Infusions Run More Smoothly
  • Tips for Managing Orthopedic Regional Anesthesia Patients
  • How to Bill for Regional Anesthesia
  • How to Ease Into Regional Blocks
  • 3 Things to Know About Regional Anesthesia Programs