Regional Anesthesia in the Community Practice Setting

  • Joseph Marino
  • Brian E. Harrington


The appropriate management of pain has many benefits. Evidence for improved patient outcomes, in particular, has given physicians a popular and professional mandate to better manage pain (Hanna et al., Curr Opin Anaesthesiol 22:672–677, 2009). The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) now requires the recording of pain as a “5th vital sign.” Unfortunately, there is well-publicized evidence that pain continues to be inadequately managed (Apfelbaum et al., Anesth Analg 97:534–540, 2003; McGrath et al., Can J Anesth 51:886–891, 2004).


Multimodal “Time-out,” Code hip Ultrasound guided Physician champion Intralipid Adductor canal 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Joseph Marino
    • 1
  • Brian E. Harrington
    • 2
  1. 1.AnesthesiologyLong Island Jewish Valley StreamGreenlawnUSA
  2. 2.AnesthesiologyBillings Clinic HospitalBillingsUSA

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