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UR Medicine


Acute Pain Division


The Acute Pain and Regional Anesthesia Service is also known as the Perioperative Pain Service to demonstrate the focus and expertise of the group of faculty, all of whom have extensive experience in performing peripheral blocks and neuraxial anesthesia. The two main anesthetizing locations are at Sawgrass Ambulatory Surgery Center and Strong Memorial Hospital. The majority of upper extremity peripheral blocks are performed at Sawgrass using ultrasound guidance. It is a busy service with 20 blocks being placed routinely before 3 PM. At Strong, half of the blocks are thoracic epidurals and paravertebrals with the other half being the entire spectrum of peripheral blocks used both as the primary anesthetic and/or post-operative pain control.
Inpatients with catheters are followed daily by the resident who placed the block to provide continuity of care and the best learning experience. While our primary focus is on perioperative pain, we will provide pain consulting services for chronic pain patients in acute pain for whatever reason. We are a level one trauma center so frequently place epidurals for rib fractures. Occasionally our services are needed for procedures on cancer patients as well. The Perioperative Pain Service at Strong regularly rounds on 20 to 25 patients a day with additional single shot peripheral blocks. By the time the resident completes their rotation at both locations, they are comfortable developing a plan involving regional anesthesia and managing these patient both intraoperatively and postoperatively.