Essentials of Regional Anesthesia Now Available

essentials-of-regional-anesthesiaThe textbook Essentials of Regional Anesthesia is now available from online booksellers. All of the chapters are written by Regional Anesthesia fellowship directors and fellows and cover various topics including regional anesthesia procedures and acute pain management for complex patients of all ages and various co-morbidities. This book is full of clinical pearls and also includes over 400 test questions based on the book’s content to assess your knowledge of the subject matter. My chapter, co-authored by my wife who has been educating nurses on regional anesthesia techniques and acute pain management for years, focuses on the practice management aspects of regional anesthesia and offers strategies to develop effective systems that emphasize teamwork with all providers involved in caring for the perioperative patient.

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Point of Care Resource for Regional Anesthesia

visual-guide-to-regional-anesthesiaThe Visual Guide to Regional Anesthesia

This companion to the recently-released Manual of Clinical Anesthesiology (Chu and Fuller, eds.) focuses on what the clinician needs to know when performing the latest ultrasound-guided regional anesthesia procedures. The format of this book is compact and spiral bound, filled with useful cognitive aids, and each page is laminated to make it fluid-proof (perfect for the operating room).

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What Is Anesthesiology?

Anesthesiology is a specialty of medicine.

Anesthesiologists are physicians who promote patient well-being in and out of the operating room. As a diverse group, we can deliver safe anesthesia care in the operating room and procedural areas using a wide array of state-of-the-art technology, provide medical evaluation and consultation for patients before and after surgery, manage pain conditions resulting from surgery or other injuries in the short- and long-term, and discover safer and more effective ways to care for patients in the field of anesthesiology research.

After college, modern anesthesiologists complete four years of medical school then four years of residency training, and many go on to pursue extra years of fellowship training in pediatric or cardiac anesthesiology, acute or chronic pain medicine, critical care medicine, research, or other specialty fields of perioperative care. Anesthesiologists are specialists in the human condition under stress, mastering the areas of physiology and pharmacology, including the body’s response to potent medications.

Team5Great strides in patient safety have been made by anesthesiologists. Specifically, the use of life-like patient simulation in the training of new physicians was pioneered by anesthesiologists. Research conducted by anesthesiologists at the VA Palo Alto, in part, led to the replacement of toxic (and occasionally explosive) anesthetic gases with the safe agents we use today.  It is no exaggeration to say that modern surgery would not exist without the incredible advances in anesthesiology.

I am proud to be an anesthesiologist and follow in the footsteps of giants who have come before me. I have the best job in the world:  helping patients through the stressful experience of surgery, relieving pain, and making new discoveries through research that will hopefully benefit future patients.

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Stanford Regional Anesthesiology and Acute Pain Medicine Fellowship

stanfordThe application cycle for the 2014-15 Stanford Regional Anesthesiology and Acute Pain Medicine Fellowship class is still open for 1 off-cycle spot scheduled to start in Winter 2015.  The application cycle for 2015-16 is also open now and will remain open until Summer 2014.  I co-direct this training program along with Dr. Lindsey Vokach-Brodsky.  In addition to being the only fellowship in this specialty located in Northern California, the Stanford program provides its fellows with a unique training experience in a beautiful setting.  Throughout the training year, various clinical rotations at Stanford Medical Center, Stanford Medicine Outpatient Center, and the VA Palo Alto immerse fellows in an environment focused on teaching them advanced regional anesthesia techniques and perioperative pain medicine.  Fellows have ample opportunity to participate in clinical research projects and to teach basic and intermediate techniques to residents and other practitioners at educational workshops and study anatomy in the cadaver lab.

 

If you are interested in applying, please see the Stanford Anesthesia website for further information.  To compare programs, visit ASRA.com.

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New VA Palo Alto Anesthesiology Website

 

We recently launched the first website for the Anesthesiology and Perioperative Care Service at the VA Palo Alto Health Care System.  As our patient population gets more connected with instant access to information via the incimg0057ternet, it is more important than ever for us to reach out to them.  We know that going through the surgical process is a stressful experience for patients and families.  Through this website, we hope that our Veteran patients will be able to learn more about the cutting-edge anesthesia and pain management services we have to offer them.  We also want our prospective staff, trainees, and colleagues to see the great things we’re doing at the VA Palo Alto these days.  Please visit us at online!

 

 

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Welcome

va_flagsWelcome to EdMariano.com! 

I am an anesthesiologist at the VA Palo Alto Health Care System (VAPAHCS) in Palo Alto, California.  My specialty is regional anesthesia which involves performing a variety of specific nerve block techniques to numb areas of the body for pain control.  Our research has shown that nerve blocks provide patients with the best possible form of pain management after surgery.  At the VAPAHCS, we even use nerve blocks as the primary anesthetic for outpatient surgeries so patients can wake up faster, pain-free, and without the nausea and other side effects associated with general anesthesia.

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