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VSA UPDATE

An official publication of the Virginia Society of Anesthesiologists

  • Leadership Messages
    • Patient Safety and Comfort Will Always Be Our Concern
    • Creation of an Acute Pain Service at the VA in Richmond, Virginia: Aims and Outcomes
  • Letter to the Editor
    • Letter to the Editor: Comments on Language Reflecting Gender Bias
  • Theme Articles
    • The Opioid Crisis: Four years later
    • Access to Interventional Pain Management in Virginia
    • Spinal Cord Stimulators and Intrathecal Pumps: Anesthetic Considerations, Perioperative Evaluation, and Management
      By Elysha Dinh, MD
      Fellow, Pain Management, PM&R
      VCU, Richmond, VA
      and Robert J. Trainer DO, MBA
      Anesthesiologist and Pain Management Physician
      Director, Spinal Cord Stimulator Program, CVHCS
      Richmond, VA
    • ERAS Pain Control Protocol Explained
    • The Influence of Sex, Gender, and the “X” Chromosome on the Pain Management Experience
    • Anesthesia Trainees and Pain Management: Learning through the Global Pandemic Lens
  • Practice Spotlight
    • Richmond Spine Interventions and Pain Center
    • Community Memorial Hospital
  • Member News
    • Dr. Marc Huntoon Receives 2020 ASRA Distinguished Service Award
  • Legislative News
    • Dr. Moses Running for the House of Delegates
    • Senator Emmett Hanger Awarded as VSA’s 2020 Legislator of the Year
    • Legislative Update

Pain Medicine

01/21/21

Spinal Cord Stimulators and Intrathecal Pumps: Anesthetic Considerations, Perioperative Evaluation, and Management
By Elysha Dinh, MD
Fellow, Pain Management, PM&R
VCU, Richmond, VA
and Robert J. Trainer DO, MBA
Anesthesiologist and Pain Management Physician
Director, Spinal Cord Stimulator Program, CVHCS
Richmond, VA

Spinal Cord stimulation (SCS) and intrathecal drug delivery systems (IDDS) are becoming increasingly important in the management of chronic pain. It will be progressively more common for the anesthesia team to encounter patients with these devices. This article aims to discuss possible concerns regarding the management of patients with SCS and IDDS in the perioperative … [Read more...] about Spinal Cord Stimulators and Intrathecal Pumps: Anesthetic Considerations, Perioperative Evaluation, and Management
By Elysha Dinh, MD
Fellow, Pain Management, PM&R
VCU, Richmond, VA
and Robert J. Trainer DO, MBA
Anesthesiologist and Pain Management Physician
Director, Spinal Cord Stimulator Program, CVHCS
Richmond, VA

01/21/21

ERAS Pain Control Protocol Explained
By Lynda T. Wells, MBBS
Associate Professor of Anesthesiology
University of Virginia
Charlottesville VA

The significance of pain control in enhanced recovery after surgery (ERAS) was first described by George Washington Crile in 1912. He observed that outcomes for patients who received ether anesthesia alone for surgery did very poorly compared to those who also received nitrous oxide and/or morphine. The best outcomes, he noted, were in patients who received cocaine nerve blocks … [Read more...] about ERAS Pain Control Protocol Explained
By Lynda T. Wells, MBBS
Associate Professor of Anesthesiology
University of Virginia
Charlottesville VA

01/21/21

The Influence of Sex, Gender, and the “X” Chromosome on the Pain Management Experience
By Chinwe Anumudu, MD
Chief Anesthesiology Resident
Virginia Commonwealth University
Richmond, VA
and Denise D. Lester, MD
Anesthesiologist and Pain Physician
Assistant Professor Anesthesiology and Physical Medicine & Rehabilitation
VCU/ MCV/CVHCS
Richmond, VA

The patient-specific individual experience and treatment of pain is currently a highly debated point of discussion. No longer are pain management consultants using a “standardized” concept to manage pain in their patients. It is well known that many variables such as our personal immune system and our individual unique gene expressions alter our pain experience even when … [Read more...] about The Influence of Sex, Gender, and the “X” Chromosome on the Pain Management Experience
By Chinwe Anumudu, MD
Chief Anesthesiology Resident
Virginia Commonwealth University
Richmond, VA
and Denise D. Lester, MD
Anesthesiologist and Pain Physician
Assistant Professor Anesthesiology and Physical Medicine & Rehabilitation
VCU/ MCV/CVHCS
Richmond, VA

01/19/21

Access to Interventional Pain Management in Virginia
By Gabriel Beluchukwu, MD
Anesthesiology Research Resident
Virginia Commonwealth University
Richmond, VA

In Virginia, like the rest of the country, pain is one of the most common causes of medical consultation. Pain can be either acute or chronic. Acute pain is the sudden onset of pain sensation triggered by the nervous system secondary to specific events like accident injuries, surgical site pain, child labor and delivery, etc. Acute pain usually resolves following adequate … [Read more...] about Access to Interventional Pain Management in Virginia
By Gabriel Beluchukwu, MD
Anesthesiology Research Resident
Virginia Commonwealth University
Richmond, VA

01/19/21

The Opioid Crisis: Four years later
By Matthew D. Riley, MD
Resident Physician
Department of Anesthesiology
University of Virginia
Charlottesville, VA

With opioid prescriptions and opioid overdoses rising over the last decade and physicians across the country expressing concern, a public health emergency was declared in 2016. The CDC released new prescribing guidelines in efforts to reduce the numbers of opioid prescriptions and doses of narcotics available. Over four years later where do we stand? Together we have made … [Read more...] about The Opioid Crisis: Four years later
By Matthew D. Riley, MD
Resident Physician
Department of Anesthesiology
University of Virginia
Charlottesville, VA

Primary Sidebar

From the Editor

Creation of an Acute Pain Service at the VA in Richmond, Virginia: Aims and Outcomes
By Brooke Albright-Trainer, MD, FASA
Acute Pain Physician, Anesthesiologist, and Intensivist
Central Virginia VA Health Care System
Richmond VA

Special thanks to contributions from Robert Trainer, DO; Allen Ha, PharmD; Mercy Orikogbo, RN; and Diane Ibanez, RN. The Hunter Holmes McGuire VAMC cares for veterans with the most significant and life-threatening disease burden across the VHA system. Our VA in Richmond is one of only a few VA facilities across the nation that has a true … [Read More...]

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ASA From the Editor House of Medicine Member Spotlight MSV Pain Medicine Pandemic Aftermath Physician Wellness Practice Management Practice Spotlight President's Message Regional Meetups Virginia General Assembly VPS Women & Diversity

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VSA Executive Board

Jeffrey A. Green, MD, MSHA, FASA
President
ASA Alternate Director

Marie Sankaran-Raval, MD
President-Elect

Casey N. Dowling, DO, FASA
Secretary

Craig Stopa, MD
Treasurer

Emil D. Engels, MD, MBA, CPC, FASA
Immediate Past President
ASA Director

Administrative Office

VSA
2209 Dickens Road
Richmond, VA 23230-2005
Phone: (804) 565-6356 | Fax: (804) 282-0090
vsa@societyhq.com • www.vsahq.org

Stewart Hinckley
Executive Director
stewart@societyhq.com

Andrew Mann
Association Executive
andrew@societyhq.com

Newsletter Editors

Brooke Trainer, MD
Editor
brooke@vsahq.org

Daniel H. Gouger, MD
Resident Editor
Daniel.Gouger@vcuhealth.org

The VSA Update newsletter is the publication of the Virginia Society of Anesthesiologists, Inc. It is published quarterly.  The VSA encourages physicians to submit announcements of changes in professional status including name changes, mergers, retirements, and additions to their groups, as well as notices of illness or death. Anecdotes of experiences with carriers, hospital administration, patient complaints, or risk management issues may be useful to share with your colleagues. Editorial comment in italics may, on occasion, accompany articles. Letters to the editor, news and comments are welcome and should be directed to: Brooke Trainer, MD

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