Please see here for past editions of this section. David Anthony Provenzano, MD, is the president of Pain Diagnostics and Interventional Care in Sewickley, PA, and a member of the executive committee of the medical staff at Western PA Surgery Center. What is your primary specialty? Currently, I am primarily a chronic pain specialist. During the first seven years of my career, I practiced…
Interest in natural language processing, specifically large language models, for clinical applications has exploded in a matter of several months since the introduction of ChatGPT.…
Introduction Intravascular injection of a local anesthetic can lead to life-threatening complications, such as deficits in neurological function after caudal epidural block. This study aimed…
Introduction The Veterans Health Administration (VHA) is the largest healthcare network in the USA and has been a national leader in opioid safety for acute…
Artificial intelligence (AI) tools are currently expanding their influence within healthcare. For pain clinics, unfettered introduction of AI may cause concern in both patients and…
In an accompanying article by Dickerson et al ,[1][1] principles for perioperative pain management in patients with chronic pain, opioid tolerance, and substance use disorder…
Introduction Subanesthetic ketamine infusion has been used for managing refractory headache in inpatient or outpatient infusion settings. Intranasal ketamine may be an alternative option for…
Introduction Continuous interscalene nerve block techniques are an effective form of targeted non-opioid postoperative analgesia for shoulder arthroplasty patients. One of the limiting risks, however,…
When reporting individual drug concentrations or proper pharmacokinetic data, it is important to adequately report the circumstances associated with sampling, storing, analysis methodology and pharmacokinetic…
Introduction This study evaluated the effect of a surgical opioid-avoidance protocol (SOAP) on postoperative pain scores. The primary goal was to demonstrate that the SOAP…
Recent neuromodulation studies used repurposed low-frequency (1–5 Hz) monophasic nerve localization stimulators of 200 µs up to 1 mA[1][1] or specialized high-frequency (100 Hz) biphasic chronic pain…
