General Considerations for Regional Anesthesia Practice

  • Svetla Kurteva
  • Iyabo Olubunmi Muse
  • Karina Gritsenko


Setting up a regional anesthesia service requires a reliable and consistent product as well as a sound business plan. Technological advances in nerve stimulation, ultrasound guidance, and perineural catheters have led to rapid growth in the number and types of peripheral nerve block procedures available to regional anesthesia practitioners. Starting a new regional anesthesia program potentially adds monetary value to a facility’s perioperative services by improving the quality of postoperative analgesia and recovery from surgery, thereby reducing perioperative costs and offering a competitive advantage over other surgical facilities. From the patient’s perspective, a regional anesthesia program provides nonmonetary value by preventing pain and reducing the risk of nausea and vomiting after surgery. The goal of this chapter is to provide initial guidance to the anesthesiologist interested in starting a new regional anesthesiology and acute pain program.


Organization of a regional service Cost savings Staff training Billing CPT codes Block room Regional anesthesia follow-up 



The authors wish to thank Edward R. Mariano and Karley J. Mariano for their significant contribution to the prior edition.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Svetla Kurteva
    • 1
  • Iyabo Olubunmi Muse
    • 2
  • Karina Gritsenko
    • 3
  1. 1.Department of AnesthesiologyMontefiore Medical CenterBronxUSA
  2. 2.Department of AnesthesiologyMontefiore Medical Center, Albert Einstein College of MedicineBronxUSA
  3. 3.Regional Anesthesia and Acute Pain Medicine, Department of AnesthesiologyMontefiore Medical Center, Albert Einstein College of MedicineBronxUSA

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