VA Medical Center

The VA Connecticut Healthcare System's West Haven hospital has a long and treasured relationship as a clinical and research campus of Yale University. As such, it serves as a major teaching facility for Yale medical students and resident house staff. The hospital supports 7 operating locations that are staffed by Yale University faculty. Three anesthesia residents rotate at the VA for 4 week rotations. Clinical services encompass a broad range of surgical and other invasive procedures and we serve as a regional referral center for complex cardiac, thoracic, vascular and neurosurgeries. To address the combination of complex surgeries and the high co-morbidity of the patient group the anesthesiology preoperative clinic provides consultative services to optimize the care plan.

Regional anesthetics are frequently employed both for intraprocedural and postprocedural analgesia. In addition we provide specialty acute pain services for the management of preoperative pain. A wide variety of advanced monitoring modalities are used perioperatively These include transpulmonary thermodilution (Pulsion PiCCO), esophageal Doppler (Deltex CardioQ), and near infra-red spectroscopy (Casme Fore-Sight). Anesthesia staff also provides perioperative echocardiography services employing the state of the art Philps 3-D transesophageal imaging system.

Anesthesia Department members are widely invested in research activities. Their work has been internationally recognized in the fields of health systems research, invasive and non-invasive cardia monitoring, fluid therapy and pain.

The department's interventional and diagnostic pain service provides comprehensive care and expertise to a challenging population. For those patients requiring the services of a tertiary care facility with advanced diagnostic, rehabilitation and interventional procedures, the Pain Center at VA Connecticut is the only center in New England which has the capability of providing a full range of interventional pain medicine services. Two senior resident house staff rotate through the VA pain service on 4 week intervals. At the present time, we offer "state of the art" multidisciplinary pain medicine consultative services, as well as, provider education and tertiary referral capacity to the entire Northeast Region.

We enjoy expanded resource such as a "state of the art" procedure suite with fluoroscopy and ultrasound imaging capability and an infusion suite for complex intravenous treatments. The Pain Medicine Service at VA Connecticut is the only facility in the Northeast region which has the capability of performing complex interventional therapies including the implantation of spinal cord and peripheral neuromodulation stimulators. This accounts for approximately 900 procedures per year.

The VA Connecticut Healthcare System remains a vital tertiary care center offering specialty care services to US veterans. It serves as a key component to the clinical, research and educational goals it shares with Yale University.