American Society of Regional Anesthesia and Pain Medicine May 2015 - (Page 6)
Editorial - in Nabil's Corner
The Value Within
What has ASRA done for
You may have asked yourself this
question in an attempt to explore the
benefits of membership. I know I did!
For me, in addition to all the
educational service offerings,
ASRA is the community I belong to,
where others and I speak the same
Nabil Elkassabany, MD, MSCE
language, have similar interests,
Editor, ASRA News
and can discuss how to improve the
service we provide to our patients. I have been able to connect
to mentors who volunteer their time, effort, and advice in a very
For the past 3 years, Edward Mariano and a team of dedicated
individuals have brought the ASRA News to a new frontier and
made it an interesting read
for all ASRA members. The
newsletter has become a
window through which we
can discuss issues that are
sometimes beyond the scope
of traditional scientific and
academic periodicals. It has
become a venue where we can
shed light on current events and
topics of interest to our readers.
I kept going back and forth about what I wanted to share with
you. One of the main themes that I believe in as a physician
specializing in regional anesthesia and acute pain medicine is
that the value of what we offer to our patients goes beyond the
needling techniques and the skill set we develop through training
and practice. As one of my mentors, Andre Boezaart, once said,
"A block is not a one-night stand, it is a ring you put around your
finger." It may be a simple metaphor, and for sure may generate
some laughter if you are giving a lecture or a presentation, but its
content and meaning are deep. It speaks to the commitment we
make to our patients to improve their perioperative experience.
This sense of commitment is what we need to teach our residents
and fellows. It also emphasizes the importance of planning for
the whole continuum, from the perioperative period and beyond.
An integral part of the service we offer should be follow-up and
data collection. Highlighting the patients' perspective and how
they perceive our care should be a major focus of research and
academic pursuit. It is incumbent on us to define the value of what
we do, spread this message, and talk about it in different settings.
These goals are more important now than ever, especially in the era
of the "pay for performance" and
Hospital Consumer Assessment of
Healthcare Providers and Systems,
in which patient satisfaction is a
benchmark for the quality of care
"I am looking forward to hearing
your comments, ideas, and
suggestions on how to improve on
your ASRA newsletter and how to
take it to the next level."
You can imagine that Ed, with
his attention to detail and his tireless effort, is definitely a hard
act to follow. The good news is that he and the newsletter team
have set up a system that we can leverage to bring this product to
you on time, every time. I am privileged to take over the position
of Editor of ASRA News with such an outstanding newsletter team
in place. I would like to give credit to Steve Orebaugh and Kevin
Vorenkamp, section editors for regional anesthesia and chronic
pain, respectively. Both of them have made my transition to the new
role easy and seamless. I also want to welcome Melanie Donnelly
to the leadership team of the newsletter as she takes over the role
of the section editor for regional anesthesia as Steve's term ends.
I am hoping we can keep the newsletter's success streak going and
continue to present material you are interested in and look forward
to. Above all, I am looking forward to hearing your comments, ideas,
and suggestions on how to improve on your ASRA newsletter and
how to take it to the next level.
Admittedly, writing my first editorial for ASRA News was a struggle.
In this issue of ASRA News, we
bring to you a couple of timely
articles discussing the use of
regional analgesic techniques
outside the realm of conventional
surgical indications. The first article
discusses the use of regional analgesic techniques for treating
pain related to rib fractures, and the second explores the emerging
role of peripheral nerve blocks in palliative care. Both articles add
another dimension to the potential value we bring to patients as a
As the subspecialty of regional anesthesiology and acute pain
medicine evolves along the path of fellowship accreditation,
we can look back and learn from the experiences of its older
"brother"-pain medicine. Magda Anitescu and David Walega
take us through the evolution of the fellowship-matching process.
On another front, we present to you the cutting-edge research on
how pharmacogenetics plays a role in patient responses to certain
opioids and pain management strategies.
Last but not least, Matthew Kaufman writes about his rather
controversial case series published in 2013 in which he reports
on the association between interscalene blocks and chronic
diaphragmatic dysfunction. In his newsletter article, he discusses
American Society of Regional Anesthesia and Pain Medicine
Table of Contents for the Digital Edition of American Society of Regional Anesthesia and Pain Medicine May 2015
Pharmacogenetics in Monitoring of Chronic Pain Patients: Are We There Yet?
Phrenic Nerve Injury and Interscalene Nerve Block: Have We Learned Anything From the Surgical Treatment of Over 150 Cases of Diaphragmatic Paralysis From Multiple Etiologies?
An Exercise in Negotiation: The Success of the Pain Medicine Fellowship Match
Regional Analgesia for Patients with Acute Rib Fractures
Application of Regional Anesthetic Techniques for Cancer Pain
American Society of Regional Anesthesia and Pain Medicine May 2015