Research Departments & Organizations
Review of the literature, research and scholarly activities that I have been involved are varied, but there is an emphasis on Regional Anesthesia/Acute Pain Medicine and innovative multi-modal approaches to perioperative pain management. Other activities include: advancing the scope of knowledge of frequently used local anesthetics for anesthesia and analgesia, human stress responses, geriatric anesthesia, and perioperative anesthesia assessment. These contributions have enabled a formalized approach to the safe practice of Regional Anesthesia and Pain Medicine. The amount of research knowledge that I have gained while performing bench research has served me well for continuing an approach toward research in both volunteer studies and clinical patient-based protocols.
The foundation gained through these scholarly activities continues to impact and compliment my approaches toward the perioperative pain management of surgical patients. Dependence on the “typical” postoperative approach of administering only opioid analgesics for reducing perioperative pain no longer serves as the “Gold Standard”. This is particularly true in light of the current national opioid abuse epidemic. By incorporating opioid-reducing multimodal pain management strategies, the delivery of perioperative anesthesia care is being revolutionized and is setting new standards in perioperative pain medicine. Continued investigation and development of effective and safe mechanisms of multi-modal pain control, coupled with regional anesthesia, permits surgical patients the benefit of improved patient care while reducing the deleterious side effects of the more commonly practiced narcotics based pain treatment/management modalities.
Extensive Research Description
Areas of scholarship and investigation include identifying the most appropriate drugs/medications (i.e. newly developed and recent FDA approval of liposomal bupivacaine), modifying regional anesthetic approaches, and combining anesthetic treatment modalities (i.e. multimodal pain medicine with local anesthetics as the foundation) to providing for optimal anesthetic therapeutic selections during the perioperative period. Combining standard pain management models with varied therapeutic protocols, rediscovered anesthetic procedures and multimodal approaches to the delivery of anesthesia has permitted a patient- and surgery-specific tailored anesthetic plan. In addition, such continued research could provide objective insight and further develop parameters toward the concept of “pre-emptive” analgesia with the goal of improved surgical care.
Impact from this type of scholarly activity and research will advance and ultimately culminate into an individualized pain management protocol tailored to each surgical patient. Perioperative analgesic therapy and anesthetic administration geared specifically toward the type of surgical procedure and adapted to the specific surgical candidate should become the new standard of care. This impact will change the approach to the practice of anesthesia related to perioperative analgesic choices while focusing upon achieving the most optimal postoperative outcomes. These outcomes which are focused on improving overall patient care, safety, pain management experience, patient satisfaction, and positive economic influence will prove compelling.
- Perioperative pain management in hip and knee replacement surgery. Perioperative pain management in hip and knee replacement surgery. Barrington JW, Halaszynski TM, Sinatra RS, Expert Working Group On Anesthesia And Orthopaedics Critical Issues In Hip And Knee Replacement Arthroplasty FT. Am J Orthop. 2014 Apr;43(4 Suppl):S1-S16.
- Perioperative multimodal anesthesia using regional techniques in the aging surgical patient. Perioperative multimodal anesthesia using regional techniques in the aging surgical patient. Nordquist D, Halaszynski TM. Pain Res Treat. 2014;2014:902174. doi: 10.1155/2014/902174. Epub 2014 Jan 20. Review.
- Influences of the aging process on acute perioperative pain management in elderly and cognitively impaired patients. Influences of the aging process on acute perioperative pain management in elderly and cognitively impaired patients. Halaszynski T. Ochsner J. 2013;13(2):228-47.
- Surgeons Guide to Postsurgical Pain Management in Orthopedic Surgery. 1st Ed. edited by Thomas M. Halaszynski, John Barrington, Raymond Sinatra. West Islip, NY. Professional Communications, INC. 2016; pp. 01- 406.
- Risk Stratification, perioperative and periprocedural management of the patient receiving anticoagulation therapy. Journal of Clinical Anesthesia (JCPA-16-15R1). 2016; 34:586-99.
- Administration of Coagulation-Altering Therapy in the Patient Presenting for Oral Health and Maxillofacial Surgery. Oral Maxillofac Surg Clin North Am. 2016;28(4):443-460. doi: 10.1016/j.coms.2016.06.005. Review.