“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

Study Examines Nerve Block Records Development

A paper co-written by John Charles Gerancher looks closely at the peripheral nerve block (PNB), its popularity, and PNB methods of documentation in circulation. The study attributes the growth of PNB to several developments, including the increasing technical sophistication of instruments and the varying number of anesthetics on the market. However, John Gerancher and his co-authors note that PNB procedures have become more difficult to document owing to limited space provided on anesthesia records. This is problematic because precise records are absolutely essential to proper billing and compliance with regulatory statutes.

Drawing on information collected from PNB practitioners and institutional providers throughout North America, the study’s authors designed a form that allows for the proper and complete documentation of PNB procedures. Of course, to fully utilize the form, hospitals and other establishments may have to change minor details like abbreviations.

JC Gerancher’s paper appeared in the journal Regional Anesthesia and Pain Medicine under the title “Development of a Standardized Peripheral Nerve Block Procedure Note Form.”

Dr. John Gerancher: Helping Parents of Children with Visual Impairment

Author, educator, and physician John Charles “JC” Gerancher has been a longtime supporter of charitable efforts to help individuals who are impacted by visual impairments and blindness, such as Winston-Salem Industries for the Blind and the North Carolina Association for Parents of Children with Visual Impairments (NC-APVI).

A non-profit organization affiliated with the National Association for Parents of Children with Visual Impairments, NC-APVI has focused on reaching out to families with children who have visual impairments in order to provide support and access to useful resources within North Carolina and across the country. With the help of supporters like John Gerancher, NC-APVI has a variety of methods for reaching out to its members and other families in the community.

NC-APVI utilizes numerous methods for communicating with its members and the public, including a newsletter and access to a quarterly journal, Awareness. Members also enjoy such benefits as national and local conferences, networks for parents with children with rare eye conditions, and the opportunity to work alongside fellow parents and professionals in advocating for greater recognition of visual impairment and blindness. The organization also offers numerous events, from social gatherings like the annual Pumpkins & Prizes Party to seminars on the use of iPads for students with visual impairments.

To learn more about the organization or to find out how you can help, visit www.nc-apvi.org.

John Gerancher on Wake Forest University’s Regional Anesthesia and Acute Pain Management Section

The Regional Anesthesia and Acute Pain Management Section at Wake Forest University’s Baptist Medical Center focuses on three main areas: patient care, resident education, and clinical research. The first involves improving patient outcomes by practicing regional anesthesia or acute pain management, rather than local or general anesthesia, when appropriate. While some patients and surgeries are not good candidates for regional anesthesia, those that are often have improved outcomes compared to traditional anesthesia techniques.

The resident education arm of the Section involves training new anesthesiologists in the practices and principles of regional anesthesiology during a focused one-month rotation in the department. Thanks to the work of these residents and their supervisors, hundreds of patients at Baptist Medical Center successfully receive regional anesthesia every month.

Through the research arm of the Section, practitioners document their work, discover optimal treatment techniques, and standardize and publicize those that prove most effective in improving patient results to advance the field.

About John Gerancher

Anesthesiologist John Charles “JC” Gerancher designed and implemented the Regional Anesthesia and Acute Pain Management Section at Wake Forest University, serving as its Section Head for several years. He holds an MD from the University of Pennsylvania Medical School.