.

Anesthesiology

Inpatient Pain Service / Chronic Pain Service

Goals:

  • To become facile in the use of medications and regional techniques in the management of acute pain
  • To ensure that those fellows untrained in anesthesiology gain competency in basic principles of airway management, resuscitation, and sedation
  • To appreciate differences in inpatient and outpatient management of acute on chronic pain in an inpatient setting

__________________________________________________________________________

Objectives:

  • To become certified in BLS/ACLS (if not already done) (Certification card) 
  • To learn/review techniques in basic airway management, including a minimum of mask ventilation in 15 patients and endotracheal intubation in 15 patients* 
  • To directly administer sedation in 15 patients*
  • To administer neuraxial analgesia, including a minimum of 15 thoracic or lumbar interlaminar epidural injections or catheters*
  • To document involvement with the assessment and management of 50 patients with acute pain 
  • To demonstrate judgment regarding the appropriate indications and contraindications for the spectrum of regional techniques for analgesia and/or anesthesia
  • To review the ASRA consensus statement for anticoagulation and regional techniques 
  • To safely perform a range of regional techniques, including peripheral nerve blocks and catheters, for analgesia and/or anesthesia 
  • To manage adverse events related to peripheral and neuraxial catheters, maintained longitudinally in inpatients with acute pain 
  • To demonstrate understanding of the pharmacology of local anesthetics and opioids, including relative potencies, expected duration of effect, side effects, and dose-limiting toxicities 
  • To create management plans for inpatients consults who have chronic pain or acute on chronic pain 
  • To facilitate the transition from inpatient to outpatient pain management 

 *If not previously trained in anesthesiology, ACGME IV.A.5.a.1.i-v.

This page was last updated January 16, 2014 and is maintained by