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may be required. You'll need more than just the drugs and catheteriza-
tion kit to run a successful regional program. You'll also need:
• Surgeons' interest.
"Do your surgeons want it?" asks Dr. Rosen. "Can
you get a commitment from key surgeons with case volume?"
Anesthesia providers may be enthusiastic about regional, but without
surgeons' say-so, it won't be the method of choice.
• Skilled hands.
Whether you should recruit a team of specialists to
administer nerve blocks exclusively or assign the utility players han-
dling every case to brush up their knowledge base depends on the
size of your facility and its demand for regional, says Dr. Hudson.
Either way, you'll need anesthesia providers who have the skill sets to
perform advanced regional techniques. The pre-op nurses who'll
assist them should have an understanding and comfort with the
A N E S T H E S I A
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