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

Andres Missair, Alexandru Visan, Ryan Ivie, Ralf E. Gebhard, Stephen Rivoli, Glenn Woodworth

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Acute 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.

Original languageEnglish (US)
Pages (from-to)529-531
Number of pages3
JournalRegional anesthesia and pain medicine
Issue number6
StatePublished - Jun 1 2021


  • acute pain
  • economics
  • pain management
  • regional anesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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