• Reg Anesth Pain Med · Jun 2021

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    Daring discourse: should acute pain medicine be a stand-alone service?

    • Andres Missair, Alexandru Visan, Ryan Ivie, Ralf E Gebhard, Stephen Rivoli, and Glenn Woodworth.
    • Anesthesiology, Division of Acute Pain Medicine, Bruce W Carter VA Medical Center, Miami, Florida, USA andresmissair@hotmail.com.
    • Reg Anesth Pain Med. 2021 Jun 1; 46 (6): 529-531.

    AbstractAcute pain medicine (APM) has been incorporated into healthcare systems in varied manners with some practices implementing a stand-alone acute pain service (APS) staffed by consultants who are not simultaneously providing care in the operating room (OR). In contrast, other practices have developed a concurrent OR-APS model where there is no independent team beyond the intraoperative care providers. There are theoretical advantages of each approach primarily with respect to patient outcomes and financial cost, and there is little evidence to instruct best practice. In this daring discourse, we present two opposing perspectives on whether or not APM should be a stand-alone service. While evidence to guide best practice is limited, our goal is to encourage discussion of the varied APS practice models and research into their impact on outcomes and costs.© American Society of Regional Anesthesia & Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.

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