Regional Division
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Dr. Ashley Shilling, MD, & Dr. Chris Sharrow, MD perform a guided ultrasound block.
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Dr. Ashley Shilling, MD, & Dr. Chris Sharrow, MD place the block on a patient.
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Dr. Paul DeMarco, MD instructs a resident during a Regional Anesthesia procedure.
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Dr. Paul DeMarco, MD finesses placing a block with a resident.
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Dr. Ebony Hilton, MD, Dr. Ashley Shilling, MD, & Dr. Paul DeMarco discuss a case at the Outpatient Surgery Center.
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Dr. Peter Amato, MD teaches epidural placement on the Acute Pain Service.
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Acute Pain Service Leadership Team (r to l): Dr. Peter Amato, MD, Steve Morton, RN, & Colleen Blanchard, NP, consult.
About
The Regional and Acute Pain Division at the University of Virginia (UVA) comprises fourteen faculty whose primary focus is treating patients’ acute pain using regional anesthesia and multimodal analgesia. The regional techniques offered include: peripheral nerve blocks, continuous peripheral nerve catheters, and neuraxial procedures. The Regional and Acute Pain Division provides care in three locations: the University of Virginia Medical Center, the Outpatient Surgical Center, and the orthopedic Center at Ivy Road (OCIR). The three locations are home for close to fifty operating rooms.
Our busy clinical division provides consultation and care for both surgical and medical patients. The Division annually performs more than 8,000 peripheral nerve blocks and continuous catheters annually, over 2,500 neuraxial techniques, and participates in perioperative consults daily.
The Acute Pain Service cares for medical and surgical patients within the roughly 800 bed hospital and provides services to patients every day of the year. The Division works closely with all surgical and medical services, providing a high volume of consultations and procedures for the departments of Orthopedic, Plastic, Vascular and General Surgeries. We provide a multidisciplinary approach to optimize patient care and patient outcomes using evidence-based medicine.
Our Division has a robust commitment to teaching, and prides itself on educating fellows, residents, and medical students. There are currently two accredited Regional and Acute Pain Medicine (RAAPM) fellows and two non-accredited fellowship positions. In addition to learning regional and acute pain, we emphasize modern Point of Care Ultrasound (POCUS) education throughout the health system.
A Message from the Division Chief
Iyabo Muse, MD Division Chief of Regional Anesthesia, Associate Professor
The Division of Regional Anesthesiology and Acute Pain Medicine at the University of Virginia consists of experts in the use of regional anesthesia and multimodal pain therapies for management of perioperative pain. We provide exemplary anesthesia care for patients undergoing a variety of surgical procedures from orthopedic procedures such as major joint replacement surgeries and sports medicine, to other surgeries such as plastic, vascular, gynecological, and general surgeries.
All of our faculty are highly skilled and experienced in the use of ultrasound. We currently have 14 faculty members with diverse training and experiences from renowned institutions. Our faculty have received national and international recognition as leaders in advancing the practice of regional anesthesia and hold leadership positions in major anesthesiology societies, such as ASRA, ASA, and SAMBA. They are innovators in education, have won teaching awards, and have taught international courses and workshops.
One of our team goals is to provide individualized patient care for optimal acute pain management utilizing ultrasound-guided peripheral nerve blocks and neuraxial anesthesia to minimize the reliance on opioids in the perioperative setting. The service we provide is a major reason for the success of the various Enhanced Recovery After Surgery (ERAS) protocols, and it allows traditionally inpatient procedures to de done as same-day procedures. Joint replacement surgery is a great example of these procedures. It is very satisfying to see patients walk within hours after surgery with minimal pain and going home feeling comfortable and optimistic about their rehab.
As experts in ultrasound guidance, the regional team have also played an important role in educating and advancing the use of Point of Care Ultrasound (POCUS) for perioperative management of patients at UVA. Not only are we needed for optimal perioperative pain management, we use bedside ultrasound to help evaluate patients’ volume status and diagnose cardiovascular and pulmonary issues in the perioperative setting.
However, most importantly, what I value most within UVA’s Division of Regional Anesthesia is the camaraderie, collaboration, and support among members of the division, our surgical colleagues, nurse anesthetists, and the regional perioperative nurses. We all have the same goal: ‘providing safe, efficient, and effective care to all of our patients.’
Acute Pain Service (APS)
The Acute Pain Service (APS) care team is here to help navigate patients through their hospitalization more comfortably. Our experienced team is able to add specialized medications or nerve blocks to improve patient pain control. We can also aid the surgical or medical team in utilizing existing pain medications more effectively.
Our physicians are anesthesiologists and/or full-time pain physicians. All have completed additional fellowship training in regional anesthesia and/or pain medicine and are board certified in their fields. Our physicians teach regional anesthesia and pain medicine to residents, fellows, and students who learn to actively manage the service. Many of our doctors are actively involved in pain-related research projects and national societies. Our nurse practitioner and nurse coordinator have many years of experience specific to acute pain management and are empathetic to patient concerns.
Our Division
Iyabo Muse, MD
Dr. Iyabo Muse is the Division Chief of Regional Anesthesia and Acute Pain Medicine for UVA Department of Anesthesiology. She is an Associate Professor of Anesthesiology, specializing in Regional Anesthesia and Acute Pain medicine. Dr. Muse completed her undergraduate education at New York University, receiving a Bachelor of Arts in Chemistry. She then attended medical school at SUNY Upstate Medical University in New York, where she received her Doctor of Medicine degree. Dr. Muse completed her residency in anesthesiology at Montefiore Medical Center/Albert Einstein College of Medicine in Bronx, New York. Afterward, Dr. Muse completed a fellowship in Regional Anesthesiology and Acute Pain Medicine at The Hospital for Special Surgery in New York.She serves on several committees with the American Society of Anesthesiologists (ASA) and is an active member of the American Society of Regional Anesthesiology (ASRA) Pain Medicine. She was nominated to serve as an associate member of the Association of University Anesthesiologists (AUA). Dr. Muse’s clinical focus is on orthopedic procedures for which she provides peripheral nerve blocks, neuraxial anesthesia, and multimodal pain strategies for perioperative pain management. She also teaches residents and fellows the use of Point of Care Ultrasound (POCUS) in the perioperative management of patients. Her research focus includes perioperative pain management using regional anesthesia and multimodal pain strategies, improving healthcare disparities using quality improvement processes, and environmental sustainability projects for the operating room.
Associate Professor
Director of Perioperative Ultrasound
Melissa Byrne, DO, MPH
Dr. Melissa Byrne attended Michigan State University College of Osteopathic Medicine where she received her osteopathic medicine degree. Dr. Byrne holds a Master’s of Public Health from the University of North Carolina Chapel Hill. Following graduation from her anesthesiology residency at the University of Michigan, she took a position at a private practice in Williamsburg, Virginia, before returning to Michigan Medicine for fellowship training in regional and ambulatory anesthesia. She remained on faculty at Michigan Medicine for eight years.
She joins UVA as an Anesthesiology Associate Professor and
Director of Perioperative Ultrasound. Previously, she was a teaching faculty member, Associate Program Director for the Core Residency Program, and Director of Point-of-Care Ultrasound (POCUS) Education at Michigan Medicine.
Dr. Byrne is currently teaching POCUS nationally for the American Society of Regional Anesthesia and Pain Medicine. Her research interests include curriculum design and implementation related to POCUS in graduate medical education. She is a first author on a recent publication on POCUS in clinical practice and is a contributing author on the ASRA Pain Medicine expert panel, which provides recommendations on POCUS education and training for regional anesthesiologists and pain physicians. Her other passions include her family. Dr. Byrne is the wife of a Navy Reserves (now UVA) emergency medicine physician, and the mother of four incredible children.
Paul C. DeMarco, MD
Paul C. DeMarco, MD
Dr. DeMarco is an Assistant Professor of Anesthesiology at the University of Virginia. His work encompasses anesthesia care for patients undergoing orthopedic surgery, general surgery, and multiple other surgical subspecialties. He specializes in regional anesthesia, peripheral nerve blocks, and acute pain care.
Dr. DeMarco is interested in education and is active in the Simulation Center at UVA working with and teaching Fourth Year medical students. He is a founding member of the Wellness Special Interest Group through the American Society of Regional Anesthesia and Pain Medicine. He is also involved in Acute Pain Medicine ERAS protocols.
Brittany L. Deiling, DO
Brittany L. Deiling, DO
Dr. Brittany Deiling is an Assistant Professor of Anesthesiology at the University of Virginia. She is one of the faculty members of the Regional Anesthesia and Acute Pain Medicine divisions.
She has particular interest in point-of-care ultrasound. Dr. Deiling is an active member of the American Society of Regional Anesthesia and Pain Medicine.
Read Dr. Deiling’s Full Bio
Link to Dr. Deiling’s Publications
Nabil Elkassabany, MD
Nabil Elkassabany, MD
Dr. Elkassabany is the Vice-Chair of Clinical Operations for the UVA Department of Anesthesiology. He is a Professor of Anesthesiology, specializing in Regional and Acute Pain Medicine. Prior to joining the UVA Anesthesiology Nabil Elkassabany was an Associate Professor in the Department of Anesthesiology and Critical Care at the Perelman School of Medicine, University of Pennsylvania in Philadelphia. He was the Director of the sections of Regional and Orthopedic Anesthesiology. He was also the Director of the Anesthesia Service at the ambulatory surgery facility at Penn Medicine at University City.
Dr. Elkassabany did his undergraduate and medical education at Alexandria University, Egypt. He completed his anesthesia residency training at Cleveland Clinic, Cleveland, Ohio and his regional anesthesia subspecialty training at the University of Florida at Gainesville, Florida. He earned a Master Degree in Clinical Epidemiology and Biostatistics in December 2012 from the Perelman School of Medicine at the University of Pennsylvania and his MBA in December 2021 from the Fox School of Business, Temple University in Philadelphia. Dr. Elkassabany is also the Fellowship Program Director for Regional Anesthesia and Acute Pain Medicine at the University of Pennsylvania.
He was inducted to the Academy of Master Clinicians at the University of Pennsylvania in 2018. His research interest focuses on patients’ outcomes after orthopedic surgery, specifically patients who receive regional anesthesia in different clinical settings. He is especially interested in improving patient outcomes after major joint arthroplasty and defining the value added by regional anesthesia and acute pain medicine to patients’ perioperative experience. Nabil is a member of the Board of Directors for the American Society of Regional Anesthesia and Pain Medicine (ASRA). He also Chairs the Educational Track Subcommittee on Regional Anesthesia and Acute Pain Medicine at the American Society of Anesthesiologists (ASA). Dr. Elkassabany will be starting on July 1st, 2022.
Brett Elmore, MD
Brett Elmore, MD
Dr. Elmore is an Associate Professor of Anesthesiology and an Associate Professor of Orthopedic Surgery at the University of Virginia. Within the Department of Anesthesiology, he serves as the Regional Anesthesia and Acute Pain Medicine Fellowship Director and the Certified Registered Nurse Anesthetist Faculty Liaison.
He is a founding member of the American Society of Regional Anesthesia Physician Mentoring and Leadership Special Interest Group and serves as a Pain Fellowship Committee member of the American Association of Pain Medicine. Dr. Elmore is also a question writer for the American Board of Anesthesiology Basic Examination. His interests within anesthesiology include regional anesthesia and acute pain medicine, clinical anatomy, orthopedic anesthesia, mentorship, education, and multidisciplinary relationships.
Read Dr. Elmore’s Full Bio
Link to Dr. Elmore’s Publications
Leon Grinman, DO
Leon Grinman, DO
Dr. Leon Grinman is a Fellow of Regional Anesthesia and part time Clinical Instructor of Anesthesia. After receiving his Bachelor of Arts in Biological Anthropology at Temple University in Philadelphia, he went on to complete his Doctorate in Osteopathic Medicine at Touro College in Middletown NY in 2019. He completed residency at Thomas Jefferson University in Philadelphia in 2023 and started fellowship here at UVA this summer. When not spending time in the Main OR or the Outpatient Surgery Center, Dr. Grinman enjoys hiking with his wife and one-year-old son in the amazing mountains of the Charlottesville area.
Dominic Jose, MD
Dr. Dominic Jose is an Assistant Professor of Anesthesiology at the University of Virginia. After receiving his Bachelors of Science degree in Comprehensive Science from Villanova University in Pennsylvania, he completed his Masters of Biomedical Sciences at The Commonwealth Medical College in Scranton, Pennsylvania. Following his master’s program, he earned his Doctor of Medicine from the Geisinger Commonwealth School of Medicine in 2018.
Dr. Jose first came to the University of Virginia (UVA) as a 4th year medical student for an away anesthesia elective. UVA was lucky enough to match him as a categorical resident in 2018, and shortly afterwards, he was appointed to the Wellness Committee to represent residents and improve wellness within the department. Dr. Jose works primarily in the main operating room, outpatient surgery center, and at the Ivy Road Orthopedic Center.
William C. Manson, MD, Assistant Professor
William C. Manson, MD
Dr. Manson is the Medical Director of Perioperative Medicine at UVA Health. He specializes in regional anesthesiology as well as perioperative medicine. He teaches and performs point-of-care ultrasound (POCUS) at the local and national level.
Dr. Manson serves on the American Society of Anesthesiology (ASA) Editorial Board for Point-of-Care Ultrasound, and is the Vice-Chair for the American Society of Regional Anesthesia Pain Medicine (ASRA) POCUS Special Interest Group. He is the Co-Director for the ASRA POCUS Course. Dr. Manson is currently pursuing a Physician Executive Masters in Business Administration (MBA).
Read Dr. Manson’s Full Bio
Link to Dr. Manson’s Publications
Kenneth R Mullen, MD
Dr. Kenneth Mullen is an Assistant Professor of Anesthesiology. He completed medical school at the University of Kentucky and his anesthesiology residency at the University of Virginia, where he served as a Chief his final year of training. He finished his advanced training with a regional and acute pain fellowship at Duke University.
Dr. Mullen works at the UVA Outpatient Surgery Center and the Main OR on the regional service. He lectures on regional anesthesia to both residents and fellows. He recently gave a departmental Grand Rounds presentation on “Hip Fractures.”
Christopher M. Sharrow, MD
Christopher M. Sharrow, MD
Dr. Sharrow is an Assistant Professor in the Department of Anesthesiology at the University of Virginia. His clinical work focuses on the care of patients undergoing elective and trauma orthopedic surgery, as well as performing and teaching perioperative regional anesthetic techniques.
Prior to joining UVA, Dr. Sharrow served in the roles of president and vice president in a private practice anesthesia group for a total of 8 years. He has an interest in anesthesia practice management and educates residents on the business aspects of anesthesiology. He serves on the clinical compensation and resident selection Department committees.
Ashley M. Shilling, MD
Ashley M. Shilling, MD
Dr. Ashley Shilling is an Associate Professor of Anesthesiology and Orthopedic Surgery at the University of Virginia Medical Center. Her interests include Regional Anesthesia, Ambulatory Anesthesia, Orthopedic Anesthesia and Mentorship development. She enjoys providing care for patients in both inpatient and ambulatory settings, and is passionate about the use regional techniques in the peri-operative period to improve patient care and patient experiences.
Dr. Shilling serves as the Co-Medical Director of UVA’s Ambulatory Surgical Center. She also serves on American Society of Anesthesiologists’ (ASA) Committee on Regional Anesthesia and Acute Pain Medicine and ASA’s Committee on Ambulatory Surgical Care. Dr. Shilling is also involved with the Society of Ambulatory Anesthesia (SAMBA) Regional and Education Committees.
Read Dr. Shilling’s Full Bio
Link to Dr. Shilling’s Publications
Matthew R Thames, MD, MBA
Matthew R Thames, MD, MBA
Dr. Thames is a regional anesthesiologist specializing in peripheral nerve blocks for pain control before, during and after surgery. He completed most of his training at UVA including residency and a fellowship in Regional Anesthesia and Perioperative Management.
He is an Assistant Professor at UVA where his practice includes a mix of inpatient and outpatient anesthesia services as well as coverage of the Acute Pain Service. His clinical interests include all areas of regional anesthesiology as well as operating room efficiency. He currently serves on the Practice Management committee of ASRA.
Acute Pain Service
The Acute Pain Service, under the direction of Peter E. Amato, MD, is a consult team that seeks to improve patient comfort and satisfaction through the use of multiple pharmacologic and interventional therapies. We understand how difficult it can be to deal with longstanding pain or new and severe pain associated with illness or surgery. We are comfortable working with patients who have chronic pain conditions and those who have been taking opioid pain medications for years. Treatment can involve regional anesthesia (the use of local anesthetics to numb pain), oral, intravenous, and topical medications.
We try to limit the use of narcotic pain medications whenever possible, and to recommend appropriate dosing strategies when they are needed. Our patients are those who have just had surgery, those with recent physical trauma, or others with medical problems leading to pain that is hard to control. Most of our patients are adults, but we treat children as well.
Our team is made up of multiple physicians with acute and chronic pain management expertise, anesthesia residents, acute and chronic pain fellows, a skilled nurse practitioner, and an experienced acute pain nurse coordinator. APS Services Include:
Regional Anesthesia
We use local anesthesia to numb part or all areas of pain. We work hand in hand with our regional anesthesia team to block nerves specific to surgical pain. Techniques include epidural and spinal anesthesia, as well as peripheral and truncal nerve blocks. Some of these techniques utilize continuous infusions of local anesthesia through a catheter inserted near nerves.
Multimodal Pain Management
We use various medications that, in combination, will reduce patients’ pain levels. Frequently used medications include acetaminophen, non-steroidal anti-inflammatory medications, muscle relaxants and antispasmodics, nerve pain medications, infusions of local anesthetics and ketamine, and opioids when needed.
ERAS Support
Enhanced Recovery After Surgery (ERAS) protocols are standardized surgical and perioperative care plans specific to many common surgeries at UVA. They are designed to improve pain and function and get patients home sooner. The Acute Pain Service is responsible for providing regional nerve blocks and spinal injections that are part and parcel of many ERAS protocols. We will continue to see many ERAS patients postoperatively as we help to manage their multimodal pain therapies.
Perioperative Pain Consult
Our team can be a resource to the surgical team BEFORE patients undergo surgery. Patients with existing chronic pain, substance abuse disorder (SAD), or who
currently take higher dose opioids to manage their pain, are candidates for a more specialized pain plan. Through a telemedicine visit with patients, we can design a plan for patient care before the surgery date.
Point of Care Ultrasound (POCUS)
The UVA Regional Anesthesia and Acute Pain Medicine program is a leader in Point-of-Care Ultrasound (POCUS). Multiple faculty members have taught at the ASRA POCUS Course, which has been attended by many of our faculty and fellows. This year, all of our RAAPM fellows attended the ASRA POCUS course in the fall of 2021, and one of our current fellows is planning to lead an international POCUS course prior to the end of his fellowship.
POCUS has become an integral component of the practice of regional anesthesiology and pain medicine. Incorporating the familiarity with ultrasound with diagnostic imaging skills creates the ideal adjunct to the procedural focus of regional anesthesiology. Symptomatic patients can be immediately diagnosed with the aid of POCUS, shifting the clinical focus to patient treatment. This is a key field for anesthesiologists of all specialties.
We encourage the UVA RAAPM fellows to attend the ASRA POCUS Course to develop a strong foundation in these skills. Once the strong foundation has been established, regional anesthesiology fellows further develop their POCUS skills through regular imaging of patients in the pre-operative and post-operative arenas. The fellows also have the opportunity to coordinate acquisition and interpretation skills through joint education sessions with the critical care fellows. The Regional Anesthesiology division is developing a joint program with the Emergency Medicine Department to further augment opportunities to learn POCUS in the Emergency Department.
Lastly, the regional anesthesiology fellows have the option to complete their ASA certificate in POCUS during their fellowship. William Manson serves on the ASA’s Editorial Board for POCUS and he can directly mentor the fellows in POCUS. The fellow can complete all aspects of the certificate during the fellowship year. This certificate is the recognized marker of competency in POCUS in Anesthesiology.
Total Joint Arthroplasty Enhanced Recovery After Surgery (ERAS)
In collaboration with the Department of Orthopedic surgery, we have created an Orthopedic Surgery Total Joint Arthroplasty (TJA) Enhanced Recovery After Surgery (ERAS) Pathway. The protocol was instituted in 2017 after a thorough review of the literature on best clinical practices. Utilizing data-proven regional, neuraxial, and multimodal analgesic and anesthetic techniques, we provide our patients with comprehensive pain control while still allowing maximal participation in the postoperative rehabilitation process and in an effort to hasten safe and appropriate discharge from the hospital.
We are collecting data on this process and plan to assess patient outcomes in hopes of further improving our patient care at UVA, then publishing the results to influence care on patients globally.
Recent Publications:
Mariano ER, Dickerson DM, Szokol JW, Harned M, Mueller JT, Philip BK, Baratta JL, Gulur P, Robles J, Schroeder KM, Wyatt KEK, Schwalb JM, Schwenk ES, Wardhan R, Kim TS, Higdon KK, Krishnan DG, Shilling AM, Schwartz G, Wiechmann L, Doan LV, Elkassabany NM, Yang SC, Muse IO, Eloy JD, Mehta V, Shah S, Johnson RL, Englesbe MJ, Kallen A, Mukkamala SB, Walton A, Buvanendran A. “A multisociety organizational consensus process to define guiding principles for acute perioperative pain management.” Reg Anesth Pain Med. 2022 Feb;47(2):118-127. doi:10.1136/rapm-2021-103083. Epub 2021 Sep 22. PMID: 34552003.
Thiele RH, Sarosiek BM, Modesitt SC, McMurry TL, Tiouririne M, Martin LW, Blank RS, Shilling A, Browne JA, Bogdonoff DL, Bauer TW, Hedrick TL. “Development and Impact of an Institutional Enhanced Recovery Program on Opioid Use, Length of Stay, and Hospital Costs Within an Academic Medical Center: A Cohort Analysis of 7774 Patients.” Anesth Analg. 2021. Feb1;132(2):442455.doi:10.1213/ANE.0000000000005182. PMID: 33105279.
Manson WC, Blank RS, Martin LW, Alpert SB, Dobrzanski TP, Schneider EB, Ratcliffe SJ, Durieux ME. “An Observational Study of the Pharmacokinetics of Surgeon-Performed Intercostal Nerve Blockade With Liposomal Bupivacaine for Posterior-Lateral Thoracotomy Analgesia.” Anesth Analg. 2020. Dec;131(6):1843-1849. doi:10.1213/ANE.0000000000005115. PMID: 32833710.
Haskins SC, Bronshteyn Y, Perlas A, El-Boghdadly K, Zimmerman J, Silva M, Boretsky K, Chan V, Kruisselbrink R, Byrne M, Hernandez N, Boublik J, Manson WC, Hogg R, Wilkinson JN, Kalagara H, Nejim J, Ramsingh D, Shankar H, Nader A, Souza D, Narouze S. “American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part I: clinical indications.” Reg Anesth Pain Med. 2021 Dec;46(12):1031-1047. doi:10.1136/rapm-2021-102560. Epub 2021 Feb 24. PMID: 33632778.
Haskins SC, Bronshteyn Y, Perlas A, El-Boghdadly K, Zimmerman J, Silva M, Boretsky K, Chan V, Kruisselbrink R, Byrne M, Hernandez N, Boublik J, Manson WC, Hogg R, Wilkinson JN, Kalagara H, Nejim J, Ramsingh D, Shankar H, Nader A, Souza D, Narouze S. “American Society of Regional Anesthesia and Pain Medicine expert panel recommendations on point-of-care ultrasound education and training for regional anesthesiologists and pain physicians-part II: recommendations.” Reg Anesth Pain Med. 2021 Dec;46(12):1048-1060. doi: 10.1136/rapm-2021-102561. Epub 2021 Feb 24. PMID: 33632777.
Ongoing Projects:
“Comparison of Liposomal Bupivacaine Versus Non-liposomal Bupivacaine for Total Shoulder Arthroplasty: A Prospective, Double-blinded, Noninferiority Trial.” Enrolling. UVA IRB HSR210190. ClinicalTrials.gov identifier NCT04974385.
“Pericapsular Nerve Group Block for Arthroscopic Hip Surgery: A randomized, placebo-controlled trial. Enrollment completed.” UVA IRB HSR200214. ClinicalTrials.gov identifier NCT04508504.
“Ketamine infusions for acute pain and bladder-related complications. Multi-center retrospective chart review studying rare ketamine induced uropathy.” UVA IRB-exempt study HSR220005.
“Impact of an automated text messaging platform on patient response rates following perioperative single-shot peripheral nerve blockade.” Quality Improvement project. UVA IRB- HSR tracking #23646.
“ERAS for Cervical Brachytherapy. In the process of developing a protocol for epidural anesthesia/analgesia from the surgical procedure involving insertion of implants, through subsequent radiation treatments over the ensuing three-day admission.” Ongoing.
“ERAS for Donor Nephrectomy. Development of a perioperative protocol involving TAP blocks with liposomal bupivacaine to reduce pain and length of stay. Hip fractures quality improvement project.” Collaboration with ED and orthopedic surgery to develop an improved protocol for pain control utilizing regional nerve blocks, as well as improved perioperative optimization and risk stratification for surgery.
“Brachial plexus versus forearm block for endoscopic carpal tunnel release: comparison of efficacy, safety, patient and surgeon satisfaction.” IRB# HSR # 19094. 2018-present.
“Risk factors for rescue peripheral nerve block after hip arthroscopy.” Active IRB Exempt Study #22633. 2020-present.
“Total joint arthroplasty Enhanced Recovery After Surgery (ERAS) Project.” Ongoing.
Regional Anesthesia and Acute Pain Medicine Fellowship
We pride ourselves on our strong and collegial relationships in our Regional Anesthesia and Acute Pain Medicine Fellowship (RAPM) within the Anesthesia Department, and with our surgical and medical colleagues. Learn more about our ACGME-accredited Regional Anesthesia and Acute Pain Medicine (RAPM) Fellowship here.
Clinical experience within the one-year fellowship will include rotations focusing on regional techniques at our 32 bed operating room main hospital campus, our 12 operating room Outpatient Surgical Center (OPSC), and our new Orthopedic Hospital opening summer of 2022.
Our busy division performs more than 8,500 regional blocks and catheters annually for our patients, more than 2,500 neuraxial techniques, and more than 2,100 consults. Through these experiences, our fellows become proficient, confident, and capable of running a prolific service.
Acute Pain Service & POCUS
Our Acute Pain Service provides care for our medical and surgical patients within our 800-bed hospital. Additionally, our fellows provide Point of Care Ultrasound (POCUS) throughout the hospital.