In this 332nd episode I welcome Dr. Tom Hickey to the show to discuss Buprenorphine. We discuss it’s pharmacology, safety, use in OUD, Chronic pain, acute perioperative pain, we address some common myths and we talk about future directions.
CME: Link
Random Recs:
In this 290th episode I welcome Drs. Finan and Ehrenkranz to the show to discuss the data on using psilocybin and other psychedelics for treating chronic pain and depression as well as their ongoing study on the topic.
CME: Link
Random Recs:
In this 253rd episode I welcome Drs. Segna, Rayaz, Jaremko and Barnhart to the show to discuss the acute pain service, how to formulate a multimodal acute pain regimen for a patient, and how to think about the various medications involved.
CME: Link
Dr. Barnhart is available at rb******@**mi.edu
Dr. Jaremko is on Twitter @Neuro_Kellie and email kj******@**.edu
Dr. Rayaz is on Twitter @hrayaz1 and email hr*****@**mi.edu
The Regional Pain Group is on Twitter @JHH_NoPainTeam
Random Recs:
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
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:
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
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
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
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/
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
