American Society of Regional Anesthesia and Pain Medicine May 2017 - 5

Editorial - in Nabil's Corner
What Are They Looking for?
I recently had this conversation with one of our senior residents
(J) who chose to return for an elective rotation in the ambulatory
surgical center to get more exposure to regional anesthesia and to
be more acquainted with patients' flow through an efficient surgery
center's operating rooms.
After we were done with the morning round of first start blocks, I
asked him: Did you find a job yet?
J: I interviewed in four places around the area, and I accepted a job
at X hospital.
Me: Are you going to be doing all subspecialties there?
J: Pretty much, they have diverse surgical volume. Dr E [that is me],
do you know what was the one question I was asked in all my four
interviews?
Me: What was that?
J: "Are you comfortable with blocks and regional anesthesia?" They
did not ask me whether I am comfortable doing big vascular or
thoracic cases or whether I am comfortable with line placements or
invasive monitors. Regional anesthesia was the one thing that they
all asked me about.
Me (with a big smile on my face): Well, we are here to help you
learn. Is that next patient ready for a block yet?
The practice of regional
anesthesia has expanded
over the past decade, and
most groups (academic
and private practices)
value having new
partners with this skill
set. This conversation
made me think about
the responsibility we have toward our trainees. We need to help
them think about regional anesthesia as a means to an end goal.
This goal should always be to add value to our patients' surgical
experience. The only way to do this is to think and act like an
acute pain medicine consultant skilled in regional anesthesia and
knowledgeable about all other modalities of treatment for acute
pain.

also a testament to the success of
the ASRA programs in supporting
education and research.
I would like to thank Dr Melanie
Donnelly, the associate editor for
regional anesthesia for the ASRA
News, for her service as her term
ends. Melanie has been instrumental
in the development of the ASRA News
to its current form. I also would like
to welcome Dr Kristopher Schroeder
to the ASRA News family as he takes
over for Melanie. I am sure he will
bring new energy to your ASRA News.

Nabil Elkassabany, MD MSCE
ASRA News Editor

In this issue of the newsletter, Dr Asokumar Buvanendran offers an
interesting inaugural presidential message. His very first message
focuses on research and education as the main pillars of the
ASRA mission. Innovations, defining the impact of our practice on
patients' outcomes, and new discoveries are the end product of
research and the way of the future. We also bring to you in this
issue snippets of the practice experience from different institutions
around the country. You will read how the University of California
at Irvine conforms its care for joint arthroplasty patients to adapt
to the bundled payment model. You will also learn about the
experience of one institution in using stellate ganglion blockade
for treatment of posttraumatic stress disorder in United States
veterans. On a lighter (but a very scientific) note, Dr Veena Graff
explains her effort to apply music therapy in her previous institution
(the University
of Vermont) and
how she plans
to do the same
at the University
of Pennsylvania.
From the same
institution, Dr
Taras Grosh
and colleagues
describe their regional anesthesia group's experience with
mitigating some of the inherent risks of the sitting position in
patients undergoing shoulder arthroscopy by stratifying patients
by their comorbidities. As enhanced recovery protocols become
more popular for different surgical service lines, the University of
Virginia group describes theirits protocol for using intravenous
lidocaine as part of their multimodal regimen for postoperative pain
management in patients undergoing colorectal surgery.

"The only way to add value is to think and act
like an acute pain medicine consultant skilled in
regional anesthesia and knowledgeable about all
other modalities of treatment for acute pain."

The record number of registrants for the ASRA spring meeting in
San Francisco and the diversity of the program this year make me
look forward to the meeting and all that it will have to offer. It is

However, this is not everything we have for you in this issue. You
have to read it all to learn it all!

American Society of Regional Anesthesia and Pain Medicine
2017

5



Table of Contents for the Digital Edition of American Society of Regional Anesthesia and Pain Medicine May 2017

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