Interventional Pain Procedures
We utilize two brand-new fluoroscopy suites, a state of the art ultrasound machines, and recovery bays. All procedures are staffed by an attending physician.
We house our own adult pain psychologist, massage therapist and PMNR physicians, pediatric pain psychologist, allowing the Fellow to experience the multimodal therapies useful in the treatment of chronic pain.
Acute Pain Management
The fellow will receive comprehensive hands-on training in regional and neuraxial anesthesia. The fellow can expect to perform three to five blocks or epidurals per day on days that he or she is acting as a fellow. These blocks will include supraclavicular, infraclavicular, interscalene, and axillary brachial plexus blocks. Lower extremity blocks will include femoral, sciatic, popliteal, lateral femoral cutaneous, and ankle blocks.
Other blocks will include deep and superficial cervical plexus, lumbar plexus, intercostal, and paravertebral blocks. The majority of these blocks will be single shots, although some will be continuous infusions. All of the aforementioned blocks will be performed under ultrasound guidance, with supplemental instruction in nerve stimulation as necessary. The fellow can expect to perform several thoracic epidurals per day as all major abdominal and chest cases receive thoracic epidurals as part of our comprehensive approach to post surgical pain management.
In addition to the aforementioned hands on training, the fellow will round daily with the acute pain management team and manage all continuous peripheral nerve catheters and thoracic epidurals. The fellow will also participate in the pharmacologic management of post operative pain including, but not limited to the use of opiods and opiates, patient controlled analgesia, and adjunctive medications.
The fellow will also receive formal instruction regarding the use of neuraxial and regional anesthesia including monthly journal clubs in which the fellow is expected to present at least four articles and a didactic lecture series on topics relating to regional anesthesia and acute pain management. In addition, the fellow will be expected to give a grand rounds presentation on a topic of his or her choosing consisting either of independent research or a literature review.