BrianMIlfeldMDMS (Clinical Investigation)

Anesthesiology • San Diego, CA

Regional Anesthesiology

Professor of Anesthesiology, In Residence

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Office
200 West Arbor Drive, MC 8770
San Diego, CA 92130
Phone+1 619-543-5742

Fax+1 858-683-2003
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Education & Training

University of California (San Francisco)Residency, Anesthesiology, 1997 - 2000
UCLA David Geffen School of Medicine/UCLA Medical CenterInternship, Transitional Year, 1995 - 1996
University of California San Francisco School of MedicineClass of 1995

Certifications & Licensure

CA State Medical License 1997 - 2024
FL State Medical License 2001 - 2007
NC State Medical License 2000 - 2002
American Board of Anesthesiology Anesthesiology

Clinical Trials

Continuous Femoral Nerve Block Following Total Knee Replacement Start of enrollment: 2005 Jan 01
Completed
Not Applicable
Effect of Ambulatory Continuous Femoral Nerve Blocks on Readiness-for-Discharge Following Total Knee Replacement Start of enrollment: 2007 Apr 01
Completed
Not Applicable
Ambulatory Continuous Peripheral Nerve Blocks for Treatment of Post-Amputation Phantom Limb and Stump Pain Start of enrollment: 2008 Oct 01
Completed
Not Applicable
Prevention of Phantom Limb and Stump Pain Using Ambulatory Continuous Peripheral Nerve Blocks: A Pilot Study Start of enrollment: 2008 Oct 01
Terminated
Phase 4
Shoulder Adhesive Capsulitis and Ambulatory Continuous Interscalene Nerve Blocks Start of enrollment: 2008 Sep 01
Terminated
Phase 4
Ultrasound Guidance Versus Electrical Stimulation for Continuous Popliteal-Sciatic Nerve Blocks Start of enrollment: 2008 Apr 01
Completed
Phase 4
Optimization of Catheter Insertion Site for Continuous Peripheral Nerve Blocks Start of enrollment: 2008 Dec 01
Completed
Phase 4
Ultrasound Guidance Versus Electrical Stimulation for Perineural Catheter Insertion Start of enrollment: 2007 Aug 01
Completed
Phase 4
Optimizing Local Anesthetic Concentration for Continuous Lumbar Plexus Nerve Blocks Start of enrollment: 2008 May 01
Completed
Phase 4
Femoral Versus Psoas Continuous Peripheral Nerve Blocks Following Hip Arthroplasty Start of enrollment: 2009 Sep 01
Completed
Phase 4
Perineural Catheter Insertion Distance for Continuous Peripheral Nerve Blocks Start of enrollment: 2009 Nov 01
Completed
Phase 4
Continuous Femoral Nerve Blocks: Relative Effects of Basal Infusion and Bolus Doses on Sensory and Motor Function Start of enrollment: 2010 Jun 01
Completed
Phase 4
Effects of Interscalene Brachial Plexus Nerve Blocks on the Hand and Forearm Start of enrollment: 2010 Oct 01
Completed
Continuous Popliteal Nerve Blocks: Effect of Perineural Catheter Tip Location Relative to the Sciatic Nerve Bifurcation on Postoperative Analgesia Start of enrollment: 2010 Oct 01
Completed
Phase 4
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Relationship Between Intraoperative Intravenous Acetaminophen and Postoperative Opioid Avoidance for Ambulatory Surgical Procedures
Withdrawn
Phase 4
Prevention of Post-Mastectomy Breast Pain Using Ambulatory Continuous Paravertebral Blocks Start of enrollment: 2010 Oct 01
Completed
Phase 4
Effects of Catheter Tip Location Relative to the Femoral Nerve on Sensory and Motor Function Start of enrollment: 2010 Jan 01
Completed
Phase 4
Ultrasound-Guided Continuous Sciatic Nerve Blocks: Popliteal Versus Subgluteal Catheters Start of enrollment: 2011 Mar 01
Terminated
Phase 4
Continuous Infraclavicular Nerve Blocks: Needle Versus Catheter Local Anesthetic Bolus Start of enrollment: 2013 Jan 01
Withdrawn
Phase 4
Treating Phantom Limb Pain Using Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study Start of enrollment: 2013 Dec 01
Completed
Phase 4
Optimizing Local Anesthetic Concentration for Continuous Popliteal-Sciatic Nerve Blocks Start of enrollment: 2013 Jul 01
Completed
Phase 4
Continuous Adductor Canal Nerve Blocks: Relative Effects of a Basal Infusion v. Hourly Bolus Doses Start of enrollment: 2014 Aug 01
Completed
Phase 4
Effects of Catheter Location on Postoperative Analgesia for Continuous Adductor Canal and Popliteal-Sciatic Nerve Blocks Start of enrollment: 2015 Aug 01
Completed
Phase 4
Continuous TAP Blocks: Relative Effects of a Basal Infusion vs. Repeated Bolus Doses Start of enrollment: 2016 Feb 01
Completed
Phase 4
Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty Using the SPRINT Beta System Start of enrollment: 2017 Sep 05
Completed
Not Applicable
Cryoanalgesia to Treat Post-Amputation Phantom Limb Pain: A Department of Defense Funded Multicenter Study Start of enrollment: 2018 Mar 23
Completed
Not Applicable
Improving Postamputation Functioning by Decreasing Phantom Pain With Perioperative Continuous Peripheral Nerve Blocks: A Department of Defense Funded Multicenter Study Start of enrollment: 2018 Mar 23
Enrolling by invitation
Phase 4
Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation: A Department of Defense Funded Multicenter Pilot Study Start of enrollment: 2018 Jul 14
Completed
Not Applicable
Erector Spinae Versus Paravertebral Nerve Blocks for Breast Surgery Start of enrollment: 2018 Jul 12
Completed
Phase 4
Cryoanalgesia to Prevent Acute and Chronic Pain Following Surgery: A Randomized, Double-Masked, Sham-Controlled Study Start of enrollment: 2018 Aug 25
Completed
Not Applicable
Serratus Plane Versus Paravertebral Nerve Blocks for Breast Surgery Start of enrollment: 2019 May 09
Completed
Phase 4
Continuous Erector Spinae Plane Blocks for Rib Fractures Start of enrollment: 2021 May 23
Terminated
Phase 4
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Publications & Presentations

PubMed

Smallest Clinically Meaningful Improvement in Amputation-Related Pain and Brief Pain Inventory Scores as Defined by Patient Reports of Global Improvement After Cryoneu...
Mariano, E. R., Brian M Ilfeld, Cameron R Smith, Alparslan Turan, Matthew E Miller, Rick L Fisher, Andrea M Trescot, Steven P Cohen, James C Eisenach, Daniel I Sessler...> ;Anesthesia and Analgesia. 2024 Mar 14
Percutaneous auricular neuromodulation (nerve stimulation) for the treatment of pain following cholecystectomy and hernia repair: a randomized, double-masked, sham-con...
Brian M Ilfeld, Wendy B Abramson, Brenton Alexander, Jacklynn F Sztain, Engy T Said, Ryan C Broderick, Bryan J Sandler, Jay J Doucet, Laura M Adams, Baharin Abdullah, ...> ;Regional Anesthesia and Pain Medicine. 2024 Feb 21
Treating intractable postamputation pain with wearable, non-invasive, non-thermal, pulsed shortwave (radiofrequency) therapy: a randomized, double-masked, sham-control...
Cha, B., Abdullah, B., Ilfeld, B., Qian, A., Finneran, J., Said, E.> ;Regional Anesthesia and Pain Medicine. 2024 Feb 21
Percutaneous auricular neuromodulation (nerve stimulation) for the treatment of pain following total knee arthroplasty: a randomized, double-masked, sham-controlled pi...
Brian M Ilfeld, John J Finneran 4th, Brenton Alexander, Wendy B Abramson, Jacklynn F Sztain, Scott T Ball, Francis B Gonzales, Baharin Abdullah, Brannon J Cha, Engy T ...> ;Regional Anesthesia and Pain Medicine. 2024 Feb 21
Ultrasound-Guided Percutaneous Cryoneurolysis for Perioperative Analgesia Following Major Lower Extremity Amputation: A Randomized, Participant- and Observer-Masked, S...
Finneran, J., Schwartz, A., Girard, P., Kent, W., Al-Nouri, O., Trescot, A., Ilfeld, B.> ;Cureus. 2024 Feb 1
Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks.
El-Boghdadly, K., Albrecht, E., Wolmarans, M., Mariano, E., Kopp, S., Perlas, A., Thottungal, A., Gadsden, J., Tulgar, S., Adhikary, S., Aguirre, J., Agur, A., Altıpar...> ;Regional Anesthesia and Pain Medicine. 2023 Nov 22
1 citations
Continuous peripheral nerve blocks for analgesia following painful ambulatory surgery: a review with focus on recent developments in infusion technology.
John J Finneran 4th, Brian M Ilfeld> ;Current Opinion in Anaesthesiology. 2023 Oct 1
Thoracic Epidural as a Rescue Analgesic in a Patient with a Continuous Erector Spinae Plane Block for Rib Fractures: A Case Report.
Ian J Coblentz, Brian M Ilfeld, John J Finneran Iv> ;The American Journal of Case Reports. 2023 Apr 18
3 citations
Relative Effects of Various Factors on Ice Ball Formation and Ablation Zone Size During Ultrasound-Guided Percutaneous Cryoneurolysis: A Laboratory Investigation to In...
Engy T Said, Brennan P Marsh-Armstrong, Seth J Fischer, Preetham J Suresh, Matthew W Swisher, Andrea M Trescot, J David Prologo, Baharin Abdullah, Brian M Ilfeld> ;Pain and Therapy. 2023 Jun 1
3 citations
Patient-centered results from a multicenter study of continuous peripheral nerve blocks and postamputation phantom and residual limb pain: secondary outcomes from a ra...
Brian M Ilfeld, Bahareh Khatibi, Kamal Maheshwari, Sarah Madison, Wael Ali Sakr Esa, Edward R Mariano, Michael Kent, Steven Hanling, Daniel I Sessler, James C Eisenach...> ;Regional Anesthesia and Pain Medicine. 2023 Sep 1
Cryoneurolysis: Interest and Caution: Comment.
Brian M Ilfeld, Rochelle Wagner> ;Anesthesiology. 2023 Jul 1
1 citations
Wearable, noninvasive, pulsed shortwave (radiofrequency) therapy for analgesia and opioid sparing following outpatient surgery: A proof-of-concept case series.
Brian M Ilfeld, Engy T Said, Rodney A Gabriel, Brian P Curran, Matthew W Swisher, Garth R Jacobsen, Anne M Wallace, Jay Doucet, Laura M Adams, George J Ventro, Baharin...> ;Pain Practice. 2023 Jun 1
6 citations
Ultrasound-guided Percutaneous Cryoneurolysis to Treat Chronic Postamputation Phantom Limb Pain: A Multicenter Randomized Controlled Trial.
Brian M Ilfeld, Cameron R Smith, Alparslan Turan, Edward R Mariano, Matthew E Miller, Rick L Fisher, Andrea M Trescot, Steven P Cohen, James C Eisenach, Daniel I Sessl...> ;Anesthesiology. 2023 Jan 1
14 citations
Preoperative Ultrasound-guided Percutaneous Cryoneurolysis for the Treatment of Pain after Mastectomy: A Randomized, Participant- and Observer-masked, Sham-controlled ...
Brian M Ilfeld, John J Finneran, Matthew W Swisher, Engy T Said, Rodney A Gabriel, Jacklynn F Sztain, Bahareh Khatibi, Ava Armani, Andrea Trescot, Michael C Donohue, A...> ;Anesthesiology. 2022 Nov 1
1 citations
Percutaneous Auricular Nerve Stimulation (Neuromodulation) for Analgesia and Opioid-Sparing Following Knee and Hip Arthroplasty: A Proof-of-Concept Case Series.
John J Finneran 4th, Engy T Said, Scott T Ball, Krishna R Cidambi, Baharin Abdullah, Brian M Ilfeld> ;A&A Practice. 2022 Oct 1
4 citations
Extending Perioperative Analgesia with Ultrasound-Guided, Percutaneous Cryoneurolysis, and Peripheral Nerve Stimulation (Neuromodulation).
Rodney A Gabriel, Brian M Ilfeld> ;Anesthesiology Clinics. 2022 Sep 1
3 citations
A Randomized Controlled Pilot Study Using Ultrasound-Guided Percutaneous Cryoneurolysis of the Infrapatellar Branch of the Saphenous Nerve for Analgesia Following Tota...
Matthew W Swisher, Scott T Ball, Francis B Gonzales, Krishna R Cidambi, Andrea M Trescot, Brian M Ilfeld> ;Pain and Therapy. 2022 Dec 1
2 citations
Treating Intractable Postamputation Pain with Noninvasive, Wearable, Nonthermal, Pulsed Shortwave (Radiofrequency) Therapy: A 12-Patient Case Series.
Brian M Ilfeld, Engy T Said, Baharin Abdullah, John J Finneran Iv> ;The American Journal of Case Reports. 2022 Aug 17
2 citations
Percutaneous auricular nerve stimulation (neuromodulation) for the treatment of pain: A proof-of-concept case report using total joint arthroplasty as a surrogate for ...
Brian M Ilfeld, John J Finneran 4th, Engy T Said, Krishna R Cidambi, Scott T Ball> ;The Journal of Trauma and Acute Care Surgery. 2022 Aug 1
4 citations
Why science is less scientific than we think (and what to do about it): The 2022 Gaston Labat Award Lecture.
Brian M Ilfeld> ;Regional Anesthesia and Pain Medicine. 2022 Jul 1
2 citations
Percutaneous auricular nerve stimulation (neuromodulation) for the treatment of pain following outpatient surgery: a proof-of-concept case series.
Brian M Ilfeld, John J Finneran Iv, David Dalstrom, Anne M Wallace, Baharin Abdullah, Engy T Said> ;Regional Anesthesia and Pain Medicine. 2022 Jun 17
3 citations
Basal Infusion versus Automated Boluses and a Delayed Start Timer for "Continuous" Sciatic Nerve Blocks after Ambulatory Foot and Ankle Surgery: A Randomized Clinical ...
John J Finneran, Engy T Said, Brian P Curran, Matthew W Swisher, Jessica R Black, Rodney A Gabriel, Jacklynn F Sztain, Wendy B Abramson, Brenton Alexander, Michael C D...> ;Anesthesiology. 2022 Jun 1
11 citations
Percutaneous cryoneurolysis of the lateral femoral cutaneous nerve for analgesia following skin grafting: a randomized, controlled pilot study.
John J. Finneran, Adam N Schaar, Matthew W Swisher, Laura N. Godat, Jeanne G. Lee, Sara Higginson, Brian M. Ilfeld> ;Regional Anesthesia and Pain Medicine. 2022 Jan 1
In reply to 'serratus blocks: clinical applications ought to be based on sensory coverage'.
Rodney A. Gabriel, Brian M. Ilfeld> ;Regional Anesthesia and Pain Medicine. 2021 Oct 28
2 citations
Automated Boluses and Delayed-Start Timers Prolong Perineural Local Anesthetic Infusions and Analgesia Following Ankle and Wrist Orthopedic Surgery: A Case-Control Ser...
John J. Finneran, Paola Baskin, William T. Kent, Eric R. Hentzen, Alexandra K. Schwartz, Brian M. Ilfeld> ;Medical Science Monitor. 2021 Sep 28
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Journal Articles

Suture-Catheters Compared with Traditional Catheters: Reply
John J Finneran, Brian M Ilfeld, Anesthesiology

Lectures

Anesthesia Camp- Laguna Beach (2012)
Duke University School of Medicine, Laguna Beach, California - 9/20/2012
Laguna Beach Anesthesia Camp
Destination CME, Laguna Beach, California - 9/20/2012
Your Career Development Plan for a Mentored Research Training Program: Presentation and Substance
University of California, San Diego, San Diego, CA, USA. - 10/13/2014

Authored Content

Suture-Catheters Compared with Traditional Catheters: ReplyJuly 2020

Press Mentions

Brian Ilfeld, MD, Will Receive ASRA Pain Medicine’s Prestigious Gaston Labat AwardMarch 1st, 2022
Multi-Center Study Demonstrates Significant Reductions in Postoperative Pain and Opioid Use Following Peripheral Nerve Stimulation TreatmentApril 26th, 2021
Femoral Perineural Infusions Effective for First Day of Post-Op TKA PainOctober 28th, 2015

Grant Support

Clinical Trial: Effect Of Continuous Femoral Nerve Block On Discharge FollowingNational Center For Research Resources2008–2010
Clinical Trial: Perineural Anesthetic Infusion After Joint ReplacementNational Center For Research Resources2008–2009
Perineural Anesthetic Infusion After Joint ReplacementNational Institute Of General Medical Sciences2006–2009
Improving Postoperative Rehabilitation Following Total HIP Arthroplasty With PenNational Center For Research Resources2005–2006
Improving Postop Rehab Following Knee Arthroplasty W/Perineural Local Anes InfusNational Center For Research Resources2005–2006
Improving Postoperative Rehabilitation Following Major Orthopedic SurgeryNational Center For Research Resources2004–2006
Perineural Anesthetic Infusion After Joint ReplacementNational Institute Of General Medical Sciences2005

Hospital Affiliations

UC San Diego Medical Center - HillcrestSan Diego, California