Acute Pain Service

APS

Thank you for visiting our web page. At ACI, we value your trust and are committed to keeping you as comfortable as possible throughout your perioperative experience. Anesthesiologists are physicians with special training in medical and interventional pain management. ACI’s section on Acute Pain Management includes board certified physicians who have spent extra time and training on techniques designed to improve your comfort before, during and after surgery.

Our section includes 24 hour a day, seven days per week acute pain service coverage at our two largest hospitals, IU Methodist Hospital and IU North Hospital. We also have a dedicated team of physicians that provide regional anesthesia at our other hospitals and surgery centers. ACI physicians performed over 10,000 nerve blocks last year to optimize patient comfort and outcomes.

 

ACI acute pain physicians are skilled in the latest ultrasound and catheter based techniques including:

  • Thoracic and lumbar epidural placement
  • Spinal opioid injection
  • Paravertebral catheter placement
  • Epidural blood patch
  • Transverse abdominus plane block
  • Brachial plexus block and catheter management
  • Lumbar plexus block
  • Lower extremity block and catheter placemen

In addition to our perioperative services, ACI physicians are involved in the development of pain management protocols within our hospitals and in association with individual surgical colleagues. We provide for outpatient management of perineural catheters. We have also developed a dedicated block area within Methodist Hospital where the majority of our pain management procedures can be performed comfortably under light sedation. In accordance with our staffing the largest trauma center in the state, ACI also offers round the clock consultation for the management of acute and traumatic pain. Our physicians are actively involved in education and training of other physicians and nursing staff.

 

Thank you again for your interest in our site. ACI physicians understand that the expectation of pain associated with upcoming surgery may provoke a lot of anxiety. We are committed to exceeding your expectations for reasonable pain control. We encourage you to speak with your surgeon or ACI anesthesiologist about what options may be available for optimizing your comfort. You may contact our office and ask to speak with one of our anesthesiologists about your pain management prior to your surgery. For more information regarding regional anesthesia and pain management please visit the following sites.

Lara Pesavento M.D.

David Stark M.D.

Co-Directors, ACI Section on Acute Pain Management

https://www.asra.com/page/40/patient-information

ON-Q* Pump with Select-A-Flow*

 

Undergraduate Education:
The State University of New York at Buffalo, B.S., 1976
Medical Education:
Indiana University School of Medicine, M.D., 1989
Postgraduate Training:
Indiana University School of Medicine, Anesthesiology Internship, 1990
Indiana University School of Medicine, Anesthesiology Residency, 1993
Board Certification: Anesthesiology
Joined ACI: January, 2001
Positions & Committee Memberships:
AIC, ACI Scheduling Oversight Committee

Undergraduate Education:
Yonsei University College of Natural Science, Pre-Med, 2000
Medical Education: 
Yonsei University School of Medicine, 2004
Postgraduate Training:
Samsung Medical Center, Transitional Year, 2006
Morehouse School of Medicine, General Surgery, Preliminary, 2008
Indiana School of Medicine, Anesthesiology Residency, 2011
Board Certification: Anesthesiology
Joined ACI: September, 2011
Committee Memberships: Chart Review Committee – SSSC

Undergraduate Education:
Taylor University, B.A. Biology, 2003
Medical Education: 
University of Michigan School of Medicine, M.D., 2007
Postgraduate Training:
St. Vincent Hospital, Transitional Medicine Internship, 2008
Indiana University School of Medicine, Anesthesiology Residency, 2011
Board Certification: Anesthesiology
Joined ACI: July, 2011
Positions & Committee Memberships:
Methodist APS, Chart Review Committee – SSSC

Undergraduate Education:
Miami University, B.A. Zoology & Italian Studies, 2007
Medical Education:
Wright State University, M.D., 2011
Postgraduate Training:
University of Cincinnati, Internal Medicine, Internship, 2012
Indiana University, Anesthesiology Residency, 2015
Joined ACI: August, 2015

Undergraduate Education:
Indiana University, B.S. Microbiology, 2004
Medical Education: 
Indiana University School of Medicine, M.D., 2008
Postgraduate Training:
Indiana University School of Medicine, Internship, 2009
Indiana University School of Medicine, Anesthesiology Residency, 2012
Joined ACI: July, 2012

Undergraduate Education:
University of Colorado, Department of Aerospace Engineering Sciences, B.S., 1972
Postgraduate Education:
University of Colorado, M.S. Bioengineering, 1974
University of Colorado, Ph.D. Neurobiology, 1979
Medical Education: 
University of Kansas Medical School, M.D., 1988
Postgraduate Training:
St. Lukes Hospital, Internal Medicine Internship, 1989
Washington University School of Medicine, Anesthesiology Residency, 1991
Board Certification: Anesthesiology
Joined ACI: January, 2001
Positions & Committee Memberships:
ACI Board Representative, ACI Scheduling Oversight Committee

Undergraduate Education:
University of California-Davis, B.S. Wildlife, Fish, and Conservation Biology., 2002
Medical Education: 
St. George’s University School of Medicine, M.D., 2008
Postgraduate Training:
St. Joseph Mercy-Oakland Hospital, Transitional Year, 2009
Indiana University School of Medicine, Anesthesiology Residency, 2012
Joined ACI: July, 2012

Undergraduate Education:
Indiana University Northwest, B.S., 2004
Medical Education:
Indiana University School of Medicine, M.D., 2008
Postgraduate Training:
Wake Forest University Baptist Medical Center, Anesthesiology Residency, 2012
Boston Children’s Hospital, Pediatric Anesthesiology Fellowship, 2013
Joined ACI: August, 2013

Undergraduate Education:
Indiana University, B.S. Chemistry, 2004
Medical Education: 
Indiana University School of Medicine, M.D., 2008
Postgraduate Training:
Sacred Heart Medical Center, Transitional Year, 2009
Indiana University School of Medicine, Anesthesiology Residency, 2012
Joined ACI: July, 2012

Undergraduate Education:
Washington University St. Louis, B.S. Biomedical Engineering, 2001
Graduate Education:
Indiana University, M.S., Anatomy, 2005
Medical Education: 
Indiana University School of Medicine, M.D., 2009
Postgraduate Training:
Ball Memorial Hospital, Transitional Residency, 2010
Indiana University School of Medicine, Anesthesiology Residency, 2013
Joined ACI: July, 2013

Undergraduate Education:
Indiana University, B.A. Philosophy and Biochemistry, 2005
Medical Education:
The University of Chicago Pritzker School of Medicine, M.D., 2009
Postgraduate Training:
Weiss Memorial Hospital, Transitional Year, 2010
Virginia Mason Medical Center, Anesthesiology Residency, 2013
Joined ACI: August, 2013

Undergraduate Education:
Indiana University Purdue University Indianapolis, B.A. Biology, 2003
Medical Education:
Indiana University School of Medicine, M.D., 2007
Postgraduate Training:
Ball Memorial Hospital, Transitional Year, 2008
Indiana University School of Medicine, Anesthesiology Residency, 2011
Board Certification: Anesthesiology
Joined ACI: August, 2011

Undergraduate Education:
Indiana University, B.S. Biochemistry, 1997
Medical Education:
Indiana University School of Medicine, M.D., 2001
Postgraduate Training:
St. Vincent Hospital, Preliminary Medicine Intern, 2002
Mount Sinai Hospital & Georgetown University Hospital, Anesthesiology Residency, 2005
Board Certification: Anesthesiology
Joined ACI: August, 2006
Positions & Committee Memberships:
ACI – APS Co-Director, IUH Medical Executive Committee – North, IUH Ortho Steering Committee – North

Undergraduate Education:
Purdue University, B.S. Spanish, minor in Biology, 2005
Medical Education:
Indiana University School of Medicine, M.D., 2009
Postgraduate Training:
St. Vincent Hospital, Transitional Year, 2010
Indiana University School of Medicine, Anesthesiology Residency, 2013
Joined ACI: July, 2013

Undergraduate Education: 
Tsinghua University, B.S., Electrical Engineering, 2001
Graduate Education:
Purdue University, M.S., Electrical Engineering, 2004
IUPUI, M.S., Biology, 2005
Medical Education: 
Indiana University School of Medicine, M.D., 2009
Postgraduate Training: 
Indiana University School of Medicine, Internal Medicine Intern, 2010
Indiana University School of Medicine, Anesthesiology Residency, 2013
Joined ACI: December, 2014

Undergraduate Education:
Butler University, B.S. Chemistry, 1999
Medical Education:
Indiana University School of Medicine, M.D., 2003
Postgraduate Training:
Indiana University School of Medicine, General Surgery Internship, 2004
Indiana University School of Medicine, Anesthesiology Residency, 2007
Board Certification: Anesthesiology
Joined ACI: July, 2007
Positions:
ACI Board Representative, ACI – APS Co-Director, IUH Conscious Sedation Committee Co-Chair, ISA Board Member