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Mashup Score: 0
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…
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Mashup Score: 6
Significant knowledge gaps exist in the perioperative pain management of patients with a history of chronic pain, substance use disorder, and/or opioid tolerance as highlighted in the US Health and Human Services Pain Management Best Practices Inter-Agency Task Force 2019 report. The report emphasized the challenges of caring for these populations and the need for multidisciplinary care and a…
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Mashup Score: 0
Introduction Surgical site infiltration with bupivacaine hydrochloride (HCl) is a standard element of postoperative analgesia for soft tissue surgeries, but results in short-lived analgesia. A novel bupivacaine implant, XARACOLL (bupivacaine HCl), is Food and Drug Administration approved for treatment of acute postsurgical pain following adult inguinal herniorrhaphy. This study examined the…
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Mashup Score: 1ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids - 1 year(s) ago
Background The past two decades have seen an increase in cannabis use due to both regulatory changes and an interest in potential therapeutic effects of the substance, yet many aspects of the substance and their health implications remain controversial or unclear. Methods In November 2020, the American Society of Regional Anesthesia and Pain Medicine charged the Cannabis Working Group to develop…
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Mashup Score: 5Buprenorphine management in the perioperative period: educational review and recommendations from a multisociety expert panel - 1 year(s) ago
Background The past two decades have witnessed an epidemic of opioid use disorder (OUD) in the USA, resulting in catastrophic loss of life secondary to opioid overdoses. Medication treatment of opioid use disorder (MOUD) is effective, yet barriers to care continue to result in a large proportion of untreated individuals. Optimal analgesia can be obtained in patients with MOUD within the…
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Mashup Score: 2Population pharmacokinetic and safety analysis of ropivacaine used for erector spinae plane blocks - 1 year(s) ago
Introduction Erector spinae plane blocks have become popular for thoracic surgery. Despite a theoretically favorable safety profile, intercostal spread occurs and systemic toxicity is possible. Pharmacokinetic data are needed to guide safe dosing. Methods Fifteen patients undergoing thoracic surgery received continuous erector spinae plane blocks with ropivacaine 150 mg followed by subsequent…
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Mashup Score: 0Citing retracted literature: a word of caution - 1 year(s) ago
Introduction Inappropriate citation of retracted literature is a common problem in the general medical literature. In 2020, more than 2300 articles were retracted, a dramatic increase from 38 in 2000. By exploring a contemporary series of retractions by one research group, we aimed to evaluate if citations of retracted articles is occurring in the area of regional anesthesiology. Methods Using…
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Mashup Score: 9Perioperative and anesthetic considerations for the management of neuromodulation systems - 1 year(s) ago
The use of neuromodulation systems is increasing for the treatment of various pathologies ranging from movement disorders to urinary incontinence to chronic pain syndromes. While the type of neuromodulation devices varies, they are largely categorized as intracranial (eg, deep brain stimulation), neuraxial (eg, spinal cord stimulation, dorsal root ganglion stimulation, and intrathecal drug…
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Mashup Score: 3Cadaveric study investigating the femoral nerve-sparing volume for pericapsular nerve group (PENG) block - 1 year(s) ago
Background This cadaveric study investigated the maximum effective volume of dye in 90% of cases (MEV90) required to stain the iliac bone between the anterior inferior iliac spine (AIIS) and the iliopubic eminence (IPE) while sparing the femoral nerve during the performance of pericapsular nerve group (PENG) block. Methods In cadaveric hemipelvis specimens, the ultrasound transducer was placed…
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Mashup Score: 13There remains a role for neuraxial anesthesia for hip fracture surgery in the post-REGAIN era - 1 year(s) ago
Two recent, large-scale, randomized controlled trials comparing neuraxial anesthesia with general anesthesia for patients undergoing surgical fixation of a hip fracture have sparked interest in the comparison of general and neuraxial anesthesia. These studies both reported non-superiority between general and neuraxial anesthesia in this patient cohort, yet they have limitations, like their sample…
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The featured editorial board member for May is none other than @ASRA_Society president Dr. David Provenzano, who shares some of his motivation and how he got involved. Check out the short feature here: https://t.co/sXdo6lND69 @sites_brian @dr_rajgupta @ESchwenkMD @DProvenzanoMD