Regional Anesthesia Division

The Division of Regional Anesthesia is under the direction of Dr. Eman Nada. The team works closely with surgeons to assure that the patients' entire perioperative experience is pleasant.

Stony Brook University Hospital is one of the largest Trauma Centers in the nation, thereby allowing residents to participate in providing safe and effective anesthesia care to orthopedic trauma, which encompasses spinal fractures, acetabulum, pelvic fractures and multiple extremity fractures. This includes patients with unstable cervical spinals requiring advanced airway management techniques and advanced fluid and coagulation management strategies. The Division of Regional Anesthesia also serves a large patient population requiring total joint replacement, adult spine surgery, elective orthopedic trauma surgery, sports medicine, hand surgery and a variety of plastic surgeries. The Division includes regional anesthesiologists trained in the delivery of state-of-the-art neuroaxial and peripheral nerve blocks for improved patient care. The Division is proud to have participated in the care of patients who have had both hands reattached in an eleven-hour surgical procedure after an industrial accident. This case gained both national and international publicity, demonstrating the excellence of care provided here at Stony Brook University Hospital.


Division Members


Eman Nada, MD, PhD
Chief of Regional Anesthesia
           

  • Eman Nada, MD, PhD is an Associate Professor and Chief of the Division. Before joining our department in June 2021, Dr. Nada did Fellowship training in Neuroanesthesia and Regional Anesthesia/Acute Pain at the Cleveland Clinic.
  • Ramon Abola, MD is the Director of Communication and Deputy Chief Medical Information Officer, Stony Brook Medicine. He is an Associate Editor for BMC Anesthesiology.
  • Syed Azim, MD is an Associate Professor and has an interest in the mechanisms of pain after knee surgery.
  • Lesley Bennici, MD joined our department in 2018 after an Anesthesia Residency at New York University School of Medicine.
  • Amruta Desai, DO, MBA, MPH joined our department in January 2021 after doing a fellowship in Pain Medicine at UMass Medical School.
  • Michelle DeLemos, MD serves as the Assistant Residency Program Director for the department.
  • Xiaojun Guo, MD. Dr. Guo splits his time between the NORA and Regional Anesthesia divisions. His main areas of interest in acupuncture are Influenza prevention and preoperative sedation with acupuncture.
  • Anna Kogan, DO kicks off our "All Day Education Wednesday" with a 6:30 am Keyword Review session for all Residents.
  • Jun Lin, MD, PhD, FASA directs an externally funded research program "Cancer Recurrence and Metastasis following Surgery and Anesthesia".
  • Christopher Page, MD serves as the Medical Director of the Acute Pain Service.
  • Meng Wang, MD, PhD has a doctorate in Neuroscience and is also a member of the General Anesthesia Division.
Residency Training

CA1 residents have a 4-week mandatory rotation closely supervised by the faculty in the division. Typically, residents receive a welcoming e-mail from our educational director explaining what to expect during this rotation, detailed goals and objectives, and a list of the topics needed to be discussed intraoperatively with the faculty during the rotation. We place a lot of emphasis on intraoperative teaching. There is also an exit quiz/ test at the end of the rotation.

This rotation also offers a great learning opportunity for the residents, as the nature of the cases are different every day since our patient population is diverse. Cases could range from an elderly patient with many co-morbidities having a fragility hip fracture to a penetrating multiple Ortho trauma needed advanced airway technique or to manage a complex trauma patient involving multiple specialties with pelvic fracture, to a simple sports related knee arthroscopy or elective joint replacement, spine and breast surgery.

The residents are also exposed to variety of acute pain procedures, and learn how to manage the acute postoperative pain.

Recent Division Activity

The REGAIN trial has been completed. The results were published in The New England Journal of Medicine. REGAIN, a Multicenter randomized controlled trial which compares survival, functional recovery, cognitive outcomes and postoperative adverse events among patients age 50 and older receiving spinal vs GA for hip fracture surgery.

Dr. Faiza Qureshi presenting at the 2021 ASA Meeting

Dr. Shuran Ma (Resident class of 2021) presenting at the 2021 ASA Meeting

Recent Publications
Resident authors denoted by bold type
  • Noll E, Shodhan S, Romeiser JL, Madariaga MC, Page C, Santangelo D, Guo X, Pryor AD, Gan TJ, Bennett-Guerrero E. A randomised controlled pragmatic trial of acupressure therapy on quality of recovery after surgery. Eur J Anaesthesiol. 2019 Apr 5. PMID:30985537
  • Shen E, Calandra C, Geralemou S, Page C, Davis R, Andraous W, Mikell C. The Stony Brook awake craniotomy protocol: A technical note. J Clin Neurosci. 2019 Sep;67:221-225.
  • Maloney LM, Seidman PA, Zach KM, Tewari NK, Tito MF, Page C. Use of gelatin puzzle phantoms to teach medical students isolated ultrasound transducer movements and fundamental concepts. BMC Med Educ. 2020 Jan 29;20(1):26.
  • Maloney LM, Yang AH, Princi RA, Eichert AJ, Hébert DR, Kupec TV, Mertz AE, Vasyltsiv R, Vijaya Kumar TM, Walker GJ, Peralta EJ, Hoffman JL, Yin W, Page C. A COVID-19 Airway Management Innovation with Pragmatic Efficacy Evaluation: The Patient Particle Containment Chamber. Ann Biomed Eng. 2020 Aug 27.
  • Page C, Perez CA, Mavarez-Martinez A, Khan S, Bergese SD. Levorphanol in the Perioperative Setting: Decreasing Opioid Requirements While Improving Pain Management. J Pain Res. 2020 Oct 29;13:2721-2727.
  • Tsui P, Gupta A, Cervoni C, Page C, Sonty N. Pain psychology and perioperative pain management. In: Svider PF, Pashkova AA, Johnson AP (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. 2021.
  • Neuman MD, Feng R, Carson JL, Gaskins LJ, Dillane D, Sessler DI, Sieber F, Magaziner J, Marcantonio ER, Mehta S, Menio D, Ayad S, Stone T, Papp S, Schwenk ES, Elkassabany N, Marshall M, Jaffe JD, Luke C, Sharma B, Azim S, Hymes RA, Chin KJ, Sheppard R, Perlman B, Sappenfield J, Hauck E, Hoeft MA, Giska M, Ranganath Y, Tedore T, Choi S, Li J, Kwofie MK, Nader A, Sanders RD, Allen BFS, Vlassakov K, Kates S, Fleisher LA, Dattilo J, Tierney A, Stephens-Shields AJ, Ellenberg SS; REGAIN Investigators. Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults. N Engl J Med. 2021 Oct 9.
  • Jin Z, Zhu M, Gupta A, Page C, Gan TJ, Bergese SD. Evaluating oliceridine as a treatment option for moderate to severe acute post-operative pain in adults. Expert Opin Pharmacother. 2021 Sep 17.
Recent Presentations
  • Siddique U, Stemke L, Azim S. Intraoperative Massive Pulmonary Embolism Causing Bradyasystolic Arrest During Spinal Surgery. ASA 2019
  • Siddique U, Azim S, Stemke L. Intraoperative Massive PE Causing Bradyasystolic Arrest During Spinal Surgery. PGA 2019
  • Qureshi F, Abola R, Shah A. Review of Hospital Admissions Emergency Department Visits after Surgery at Stony Brook Ambulatory Surgery Care Center. ASA 2021
  • Qureshi F, Abola R. Peri-induction Cardiac Arrest Review. ASA 2021
  • Mitchell D, Pasillao J, Siddique U, Shuminov R, Taft A, Ma S, Miles J, Costa A, Romeiser J, Azim S. Impact of Patient Education on Satisfaction, Anxiety, and Knowledge in Patients Undergoing Adductor Canal Blocks. ASA 2021
  • Kang RS, Nguyen CP, Bennici LA. Perioperative Management Of Autoimmune Polyglandular Syndrome Type 1. ASA 2021
  • Mena S, Desai A. Pain Management in a Parturient on Suboxone with a Complex Right Hip Fracture. ASA 2021
  • Shafai A, Desai A. To decrease or continue high dose buprenorphine periop. ASA 2021
  • Mena S, Gruttadauria M, Factor M, DeLemos M. Spinal Anesthesia in Suspected Brugada Syndrome. ASA 2021