Episode 210: An overview of Pain with Steve Cohen

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 210: An overview of Pain with Steve Cohen
/

In this 210th episode I welcome international pain expert Dr. Steve Cohen to the show to discuss pain in general, how we categorize it, how we try to treat it, and what the future holds.

CME: https://earnc.me/2FktxV

References:

Cohen et al. Chronic Pain 1. Lancet 2021; 397: 2082–97.

Knezevic et al. Low Back Pain. Published online. June 8, 2021. TheLancet.com

Random Recs:

Queen’s Gambit: Link

Shtisel: Link

The NYTimes Morning Newsletter: https://www.nytimes.com/series/us-morning-briefing

Episode 163: Thoracic Wall Blocks with Barbara Versyck

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 163: Thoracic Wall Blocks with Barbara Versyck
/

In this 163rd episode I welcome Dr. Barbara Versyck to the show to discuss thoracic wall blocks. We discuss the types of blocks, what they are used for, and what the evidence is for their efficacy.

CME: https://earnc.me/4hNt3X

References:

Videos: 

Pecs II: https://www.youtube.com/watch?v=YFWneF4pwOA

Serratus Anterior block: https://www.youtube.com/watch?v=K2w46jjMgfMErector

Spinae plane block: https://www.youtube.com/watch?v=EVowRjEFUfk

Literature: 

Chin, Ki Jinn. “Thoracic wall blocks: from paravertebral to retrolaminar to serratus to erector spinae and back again–a review of the evidence.” Best Practice & Research Clinical Anaesthesiology (2019).

Versyck, B., G‐J. van Geffen, and K‐J. Chin. “Analgesic efficacy of the Pecs II block: a systematic review and meta‐analysis.” Anaesthesia 74.5 (2019): 663-673.

Poster: 

https://www.bbraun.com/content/dam/catalog/bbraun/bbraunProductCatalog/S/AEM2015/en-01/b9/thoracic-wall-blocks-forbreastcancersurgery.pdf.bb-.98924081/thoracic-wall-blocks-forbreastcancersurgery.pdf

Episode 155: Opioid-Free Anesthesia with Michael Manning

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 155: Opioid-Free Anesthesia with Michael Manning
/

In this 155th episode I welcome Dr. Michael Manning to the show to discuss opioid-reduced and opioid-free anesthesia. We discuss the downsides of opioid usage and what we can do to reduce our use in our patients or even eliminate it completely.

CME: https://earnc.me/ntZLxe

References:

1. Koepke EJ, Manning EL, Miller TE et al. The rising tide of opioid use and abuse: the role of the anesthesiologist. Perioper Med (Lond) 2018;7:16.

2. Brummett CM, Waljee JF, Goesling J et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg 2017;152:–e170504.

3. Manchikanti L, Helm SI, Fellows B et al. Opioid Epidemic in the United States. Pain Physician 2012;15:ES9–ES38.

4. Gan TJ, Habib AS, Miller TE et al. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin 2014;30:149–60.

The Road Less Stupid: https://www.amazon.com/Road-Less-Stupid-Keith-Cunningham/dp/0984659269

Armchair Expert Interview with Ira Glass: https://armchairexpertpod.com/pods/ira-glass

Episode 138: Lower Extremity Blocks Part 1: Ankle and Sciatic

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 138: Lower Extremity Blocks Part 1: Ankle and Sciatic
/

In this 138th episode I welcome Drs. Segna and Rayaz back to the show to discuss lower extremity nerve blocks. We cover the ankle block and sciatic nerve block approaches today and will cover the anterior leg in a later episode.

CME: https://earnc.me/oFIwW1

The Medium Article: https://medium.com/@admiralcloudberg/the-near-crash-of-air-canada-flight-759-c61094867d45

Episode 136: Keywords part 4: Celiac Plexus Block and Dexmedetomidine

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 136: Keywords part 4: Celiac Plexus Block and Dexmedetomidine
/

In this 136th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, Celiac Plexus Block and Dexmedetomidine.

CME: https://earnc.me/eM03ez

Show Notes by Dr. Brian H Park

Episode 127: Upper Extremity Blocks with Drs. Segna and Rayaz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 127: Upper Extremity Blocks with Drs. Segna and Rayaz
/

In this 127th episode I welcome Drs. Segna and Rayaz to the show to discuss upper extremity nerve blocks. We discuss how they’re done, what they’re done for, and some high yield board style questions that may come up based on them.

CME: https://earnc.me/enjJHh

References:

Hadzic, Admir. Hadzic’s textbook of regional anesthesia and acute pain management. McGraw Hill Professional, 2017.

Hall, Brian A., and Robert C. Chantigian. Anesthesia: A Comprehensive Review E-Book. Elsevier Health Sciences, 2014.

Horlocker, Terese T., Erik Vandermeuelen, Sandra L. Kopp, Wiebke Gogarten, Lisa R. Leffert, and Honorio T. Benzon. “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines.” Regional anesthesia and pain medicine43, no. 3 (2018): 263-309.

Interscalene:

Supraclavicular:

Infraclavicular:

Axillary:

https://www.nysora.com/techniques/upper-extremity/

Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2
/

In this 109th episode we pick up where we left off in episode 108 and discuss the intraoperative use of non-opioid adjuncts.

CME: https://earnc.me/k6e6gK

References:

Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.

Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.

Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.

IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710

Ketamine: https://www.ncbi.nlm.nih.gov/pubmed/29870457

Dextramethorphan: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755866

Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1
/

In this 108th episode I welcome Dr. Mike Grant and Dr. Mark Bicket to the show to discuss various non-opioid adjuncts such as esmolol, ketamine, dexmedetomidine, lidocaine, and magnesium, and the role they may play in multimodal anesthesia. In this episode, part 1, we discuss pre and post-op use. Intraop use will be discussed in episode 109.

CME: https://earnc.me/oDhyER

References:

Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.

Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.

Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.

IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710

Ketamine: https://www.ncbi.nlm.nih.gov/pubmed/29870457

Dextramethorphan: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755866/ R

Episode 76: Pain Pathways with Mark Bicket

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 76: Pain Pathways with Mark Bicket







/

In this episode, episode 76, I welcome Dr. Mark Bicket to the show to discuss pain pathways.  We shape this one around some great board style questions that Mark put together.

CME: https://earnc.me/ogru4S

Episode outline by Brian Park: Pain Pathways Outline

Episode 74: Opioid Crisis Engagement with Chad Brummett

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 74: Opioid Crisis Engagement with Chad Brummett







/

In this episode, episode 74, I welcome Dr. Chad Brummett to the show.  Chad is the co-director of the Opioid Prescribing Engagement Network (OPEN) in Michigan and leads some fantastic and extremely effective initiatives to combat the opioid crisis.  His website has more details and materials for anyone interested in starting similar initiatives elsewhere.  Check it out at Michigan-open.org.

CME: https://earnc.me/uqMyBJ

Outline by Brian Park: Opioid Crisis Engagement outline