The Anesthesiology specialties listed below are areas where our department has significant focus and involvement. There are additional areas of Anesthesiology specialization including transplant, chronic pain management, geriatrics, bariatrics, etc. for which we also provide care. For just about any area of surgical or procedural specialization there is an associated area of specialization in Anesthesiology primarily because each different type of surgery may involve a different subset of patients and different set of preoperative concerns, intra-operative requirements and clinical consequences. Long Island Anesthesiologists engages in ongoing efforts to build and maintain expertise in all areas of specialization where our services are requested. And individually, our physicians are committed to providing the highest standard of care in all our clinical settings. Please refer to our “Annual Clinical Initiatives” for more information about our ongoing quality improvement and academic endeavors.
This area of specialization involves the use of extremity and spinal nerve blocks to eliminate sensation and movement from select “regions” of the body for the purposes of surgery, or to anesthetize partially a region of the body for the purpose of post-operative pain relief. Regional Anesthesia and nerve blocks are used for many types of surgery and may be combined with sedation, neuraxial or general anesthesia. Their use is especially common in the setting of orthopedic surgery. All of our anesthesiologists are skilled in routine regional anesthetic techniques and several of our physicians have advanced training in traditional and ultrasound guided regional anesthesia for surgery, perioperative pain relief and acute pain management.
Specialized anesthesia for neurosurgery relates primarily to surgeries or procedures around the brain and spinal cord. In our department, these surgeries include major and minor spine surgery, pediatric scoliosis repair, cranial surgeries possibly related to hemorrhage, trauma or tumors, and procedures for the treatment of chronic pain. Specialized monitoring and anesthetic techniques are used in these cases for neuroprotection and to help patients achieve the best outcomes possible. Our department includes members who have trained and worked as Neuroanesthesiologists at some of the busiest neurosurgical centers in the area, and all of our Anesthesiologists regularly care for neurosurgical patients.
Much of general Anesthesiology practice involves critical or intensive care. Life sustaining and life saving measures are regularly provided in the operating room. Also, the Post Anesthesia Care Unit (PACU) or recovery room is considered an intensive area and functions as an extension of the ICU. All anesthesiologists spend a considerable amount of their training taking care of patients in intensive care units. Additionally, our department has anesthesiologists who have obtained further training and board certification in Critical Care allowing them to provide care to patients beyond the PACU and through the duration of critical illness. These members of our physician team help to maintain and advance the practice of Critical Care Medicine throughout our practice both in and out of the hospital.
Acute Pain Management is primarily concerned with providing optimal relief from pain in the immediate period and first few days after surgery. Our Anesthesiologists have the additional goal of facilitating full and rapid recovery from the surgery itself. Surgical recovery may require limiting the use of medications that limit movement or have systemic side effects such as sedation, decreased bowel motility or confusion. Our physicians and dedicated nurse practitioner on our Acute Pain Service work closely with surgeons and patients to strike the best possible balance between these sometimes competing needs. There are several modalities used to adapt our post operative pain management to your needs:
– Preoperative medication initiation
– Intra-operative preconditioning
– IV PCA
– Single Shot, Continuous or patient controlled Epidural Analgesia
– Single Shot or Continuous Peripheral Nerve Blocks
– Abdominal Wall Blocks
– optimized adjuvant analgesics
One or more of these methods may be used simultaneously. Patients are seen by the Acute Pain Management Service on the day of surgery and daily thereafter until their pain has diminished or becomes manageable by standard oral analgesic regimens.