American Society of Regional Anesthesia and Pain Medicine August 2017 - 5
Editorial - in Nabil's Corner
Back to the Future
Did you ever think about what the practice of regional anesthesia
and pain medicine will look like in 10 or 20 years?
I was recently invited as a guest speaker in a class for the
graduate student program in the School of Biomedical Engineering.
The name of the course was "Applied Biomedical Engineering
Innovation in Health Care." The topic was "regional anesthesia
and acute pain medicine: the past, present, and the future."
I am fascinated by the evolution of the practice of regional
anesthesiology and pain medicine. We have definitely come a long
way, from using paraesthesia, to nerve stimulation, to ultrasound.
The software technology of the ultrasound machine is still evolving
to allow better visualization and accurate placement of block
needles. Some of the other innovations that are currently available
include coating of the needles we use with reflective materials,
using nanotechnology and different drug delivery systems to
deliver the local anesthetic around target nerves, and, most
recently, the use of peripheral nerve stimulation as an alternative
for local anesthetic to achieve
postoperative analgesia. All of
these advances are bound to
bring the skill set of regional
anesthesia into the mainstream
practice of anesthesiology. The
one thing that is clear in my
mind is that we should always
look beyond the needle tip.
Practice of regional anesthesia
in the context of acute pain medicine and not the skill set in and of
itself is what will distinguish us as a subspecialty. This concept is
fundamental to the ASRA mission statement as it puts innovations
in research and education as the centerpiece of the society's
mission.
as they tell us about their journeys
through regional anesthesiology and
pain medicine.
We also bring back to you the
problem-based learning discussion
(PBLD) article. This month, the
discussion revolves around use
of regional anesthesia in trauma
patients with rib fractures in the
setting of different clinical scenarios
of anticoagulation. We posted the
Nabil Elkassabany, MD, MSCE
PBLD on Twitter and had more than
ASRA News Editor
500 responses. The stem case was
also posted on the ASRA blog when the Twitter poll was live. If
you like this type of article, please write to us and let us know:
ASRAeditor@asra.com. Also let us know if you have a case that you
would like us to feature or if you would like to comment on a case
scenario and actively participate in the discussion.
"Practice of regional anesthesia in the
context of acute pain medicine and
not the skill set in and of itself is what
will distinguish us as a subspecialty."
In this issue, we bring to you a wide variety of very interesting
topics. Dr Kristopher Schroeder sits down with Dr Joe Neal, past
ASRA president, and asks him about his vision of ASRA and its
mission through the years and how he sees the future. I personally
enjoyed reading this interview and what Dr Neal has to say, and I
am sure you will enjoy it as well. We are planning to continue to
present to you the perspective of the eminent leaders in the field
Special interest groups (SIGs)
are now an integral part
of ASRA offerings. In past
issues, we highlighted the
activity of different SIGs. This
issue features the objectives
and mission of the Resident
and Medical Student Pain
Education SIG.
Pediatric pain management is well covered in this issue in two
articles. Dr Neil Patel discusses a model for systemic approaches
to address coping with pain resulting from intervention during
hospitalization of children for different reasons. Dr Floria Chae also
writes about the importance of an integrated approach for chronic
pain management in the pediatric patient population.
You can also read how our colleagues at the European Society of
Regional Anaesthesia & Pain Therapy worked to spread the practice
of regional anesthesia in different countries.
However, this is not everything. You will 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 August 2017
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American Society of Regional Anesthesia and Pain Medicine August 2017 - No label
American Society of Regional Anesthesia and Pain Medicine August 2017 - 2
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