The Division of Veterans Administration (VA) Anesthesia provides
anesthesia at the VA Medical Center in Northport for General Surgery,
Vascular Surgery, Thoracic Surgery, Otolaryngology, Urology,
Ophthalmology, Plastic Surgery, Orthopaedics, Psychiatry, Oral Surgery,
Gynecology and Podiatry. The service also provides care for
cardioversion, endoscopy and special procedures. There are ample
opportunities to provide regional anesthesia, such as axillary blocks,
ankle blocks, epidural and spinal anesthesia, and other more
specialized blocks. In addition, Pre-Admission Testing (PAT), and the
Pain Clinic fall within the Division of VA Anesthesia. We anticipate
continued growth in all areas.
The Division of VA Anesthesia provides a complete and diverse
experience to residents rotating at the VA. The residents receive a
monthly orientation, and daily morning lectures on pertinent topics/
cases. They receive individualized and personalized instruction on the
basics of anesthesia as well as taking care of more complex patients
with coexisting diseases. Senior residents are usually assigned to the
more difficult cases. CA-1, CA-2 and CA-3 residents are on call
one-on-one with an attending. Unique to the VA is the experience all of
our residents gain in PAT. All patients are interviewed by residents
and then reviewed with an attending. This review is an essential part
of the resident’s education, i.e., evaluation of patient’s coexisting
diseases in relation to anesthesia, the anesthetic plan/technique. VA
residents are not assigned to the Pain Clinic, but since it is in close
proximity to the OR many residents can actively participate in pain
procedures/evaluations. Procedures in the Pain Clinic consist of:
trigger point injections, epidural steroid injections, stellate
ganglion blocks, peripheral nerve blocks, celiac plexus blocks, facet
joint injections and radiofrequency.
Overall, the Division of VA Anesthesia provides a diverse and
well-rounded experience for the residents on rotation. The VA
population is complex and demanding and this makes for a positive
educational experience for all of the residents.