Many anesthesiologists specialize in a specific area of anesthesiology, like pediatrics or orthopedics. Specialized training requires a minimum of 1 – 2 years of training above and beyond medical school and residency programs. PAA employs experts in the following specialties:
Cardiothoracic Anesthesiology requires specialized training to provide care for patients requiring cardiac (heart), thoracic (lung) or vascular (blood vessel) surgery. Although the risk associated with receiving anesthesia remains low, cardiothoracic surgery carries greater risks than many others, mainly due to high incidence of severe coexisting disease and advanced age. PAA anesthesiologists employ state-of-the art monitoring technology, clinical protocols and patient care initiatives to minimize risk.
Pediatric anesthesiology requires specialized training to provide care for infants and children. Most pediatric surgeons prefer to operate alongside a pediatric anesthesiologist. Medical care for children can be complex, as many require more than one surgery or have challenges affecting many parts of the body. A pediatric anesthesiologist is best qualified to evaluate these complex issues and plan a safe anesthetic plan for each child.
Orthopedic anesthesiology requires specialized training to provide care during bone and joint related procedures. General anesthesia and regional anesthesia are often combined during orthopedic procedures to help control post-operative pain and allow for a quicker recovery. Common regional anesthesia techniques include injections of nerve blocks and continuous catheters, providing longer periods of pain relief post-surgery. Short-acting anesthetics and non-narcotic pain medicines are often used in tandem with regional techniques to optimize comfort and the patient experience.
Obstetric anesthesiology requires specialized training to provide care for pregnant women and their babies. PAA’s obstetric anesthesiologists are experts in providing a comfortable and safe anesthetic experience, whether managing the pain of labor or providing anesthesia for cesarean delivery. We understand the intricacies of pregnancy and have the expertise to differentiate normal subtleties from rare complications. We create an anesthetic plan that keeps both mother and baby safe throughout delivery while optimizing the mother’s comfort. We are experienced in routine pregnancies as well as gestational challenges, including premature labor, multiple gestation, pregnancy-induced hypertension, and a host of other conditions.
Neuroanesthesiology requires specialized training to provide care for patients receiving head, neck, brain or spinal procedures. Neuroanesthetic management can have a major effect on the brain and spinal cord through the control of blood flow, blood pressure and energy consumption. PAA’s neuroanesthesiologists have extensive training in brain and spinal cord physiology (function), including blood flow dynamics and metabolism, as well as changes of brain and spinal functions due to disease, intracranial pressure or cerebral edema. Many brain and neck surgeries require the patient to be in a sitting position to give the surgeon a better view and minimize blood loss. These procedures require special anesthesia techniques and additional monitoring to ensure a safe anesthetic result.
Chronic Pain Management
Chronic pain is often defined as pain lasting more than three months. It can occur for many different reasons, including surgery, injury, nerve damage, arthritis, fibromyalgia and musculoskeletal pain, migraine headache, shingles, metabolic problems like diabetes, or phantom limb pain (experienced by amputees). Occasionally, pain has no obvious cause at all. Regardless, pain treatment is complex and can cause more harm than good when not administered by a specialist. Our physicians have the expertise to provide a comprehensive evaluation, accurate diagnosis and effective treatment plan. We also have the skills to administer interventional therapies such as nerve blocks and spinal injections, when appropriate.