{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T00:53:50Z","timestamp":1794099230591,"version":"4.8.0"},"reference-count":10,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2021,4,19]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>The practice of ultrasound-guided regional anesthesia (UGRA) by emergency medicine physicians in the emergency department (ED) is increasing. The need for effective alternatives to opioid analgesia in the acute care setting likely exceeds the current capacity of UGRA-trained anesthesia teams. In this daring discourse, we outline several matters of relevance to be considered as protocols are put into place to facilitate the practice of UGRA by emergency medicine physicians in the ED. There are opportunities for collaboration between anesthesiology and emergency medicine societies in guideline development as well as educational resources. The sustained interest in UGRA shown by many emergency medicine physicians should be viewed open-mindedly by anesthesiologists. Failure to collaborate on local and national scales could lead to delays in the development and implementation of patient-centered, safe procedural care, and limit patient access to the benefits of regional anesthesia.<\/jats:p>","DOI":"10.1136\/rapm-2020-102416","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T13:14:24Z","timestamp":1620220464000},"page":"820-821","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Ultrasound-guided regional anesthesia in the emergency department: an argument for multidisciplinary collaboration to increase access while maintaining quality and standards"],"prefix":"10.1136","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1079-206X","authenticated-orcid":false,"given":"Alexander","family":"Stone","sequence":"first","affiliation":[{"name":"Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women\"s Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J","family":"Goldsmith","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Brigham and Women\"s Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles N","family":"Pozner","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Brigham and Women\"s Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7704-3709","authenticated-orcid":false,"given":"Kamen","family":"Vlassakov","sequence":"additional","affiliation":[{"name":"Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women\"s Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"2025101110285004000_46.9.820.1","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1097\/ACO.0000000000000643","article-title":"Regional anesthesia by nonanesthesiologists","volume":"31","author":"Pawa","year":"2018","journal-title":"Curr Opin Anaesthesiol"},{"key":"2025101110285004000_46.9.820.2","unstructured":"Rose P , Woo M . Pro: regional anesthesia outside the operating room: regional anesthesia and pain medicine specialists should help train non-anesthesia specialists how to perform peripheral nerve blocks. ASRA News. Published online 2019 https:\/\/www.asra.com\/asra-news\/article\/170\/pro-regional-anesthesia-outside-the-oper"},{"key":"2025101110285004000_46.9.820.3","unstructured":"Ramlogan R , Nascimento R . Con: regional anesthesia outside the operating room: regional anesthesia and pain medicine specialists should not help train Nonanesthesia specialists to perform peripheral nerve blocks. ASRA News. Published online 2019 https:\/\/www.asra.com\/asra-news\/article\/164\/con-regional-anesthesia-outside-the-oper"},{"key":"2025101110285004000_46.9.820.4","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.05095"},{"key":"2025101110285004000_46.9.820.5","doi-asserted-by":"crossref","first-page":"2433","DOI":"10.1111\/jgs.14386","article-title":"Regional nerve blocks improve pain and functional outcomes in hip fracture: a randomized controlled trial","volume":"64","author":"Morrison","year":"2016","journal-title":"J Am Geriatr Soc"},{"key":"2025101110285004000_46.9.820.6","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1017\/cem.2015.75","article-title":"Regional nerve blocks for hip and femoral neck fractures in the emergency department: a systematic review","volume":"18","author":"Ritcey","year":"2016","journal-title":"CJEM"},{"key":"2025101110285004000_46.9.820.7","first-page":"aet2.10557","article-title":"Defining an Ultrasound\u2010guided regional anesthesia curriculum for emergency medicine","volume":"35","author":"Tucker","year":"2020","journal-title":"AEM Education and Training"},{"key":"2025101110285004000_46.9.820.8","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000286"},{"key":"2025101110285004000_46.9.820.9","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000763"},{"key":"2025101110285004000_46.9.820.10","unstructured":"Statement on Regional Anesthesia , 2017. Available: file:\/\/\/Users\/alexstone\/Downloads\/statement-on-regional-anesthesia.pdf [Accessed 8 Dec 2020]."}],"container-title":["Regional Anesthesia &amp; Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/rapm-2020-102416","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:29:00Z","timestamp":1760203740000},"score":1,"resource":{"primary":{"URL":"https:\/\/rapm.bmj.com\/lookup\/doi\/10.1136\/rapm-2020-102416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,5]]},"references-count":10,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,8,19]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/rapm-2020-102416"],"URL":"https:\/\/doi.org\/10.1136\/rapm-2020-102416","relation":{},"ISSN":["1098-7339","1532-8651"],"issn-type":[{"value":"1098-7339","type":"print"},{"value":"1532-8651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,5]]}}}