ASRA RAPP

Raj, Eric, Gary, and Larry discuss the differences between spinal cord stimulator, high-frequency SCS, and dorsal root ganglion (DRG) stimulation.

Hosts:

- Raj Gupta MD, Vanderbilt University Medical Center (@dr_rajgupta)
- Eric Schwenk MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:

- Gary Schwartz MD, Maimonides Medical Center and AABP (@garyschwartzmd)
- Larry Epstein MD, Mount Sinai Hospital (@gdtrfb58)

Articles:

• A Multicenter, Prospective Trial to Assess the Safety and Performance of the Spinal Modulation Dorsal Root Ganglion Neurostimulator System in the Treatment of Chronic Pain
  (http://onlinelibrary.wiley.com/doi/10.1111/ner.12072/full#ner12072)
• Dorsal Root Ganglion (DRG) Stimulation in the Treatment of Phantom Limb Pain (PLP)
  (http://onlinelibrary.wiley.com/doi/10.1111/ner.12338/full#ner12338)
• One-Year Outcomes of Spinal Cord Stimulation of the Dorsal Root Ganglion in the Treatment of Chronic Neuropathic Pain
  (http://onlinelibrary.wiley.com/doi/10.1111/ner.12228/full#ner12228)
• Sustained Effectiveness of 10 kHz High-Frequency Spinal Cord Stimulation for Patients with Chronic, Low Back Pain: 24-month Results of a Prospective Multicenter Study
  (http://painmedicine.oxfordjournals.org/content/15/3/347.long)
• 10-kHz High-Frequency SCS Therapy: A Clinical Summary
  (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660894/)

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Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums. 

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Raj, Eric, Ed, and Colin discuss the state of education in regional anesthesia and the role of simulation in this training.

Hosts:

- Raj Gupta, MD, Vanderbilt University Medical Center (@dr_rajgupta)
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:

- Ed Mariano, MD, Stanford University & VA Palo Alto Health Care (@Emarianomd)
- Colin McCartney, MBChB PhD, University of Ottawa & The Ottawa Hospital (@colinjmccartney)

Articles:

• Education in Ultrasound-Guided Regional Anesthesia: Lots of Learning Left To Do (http://journals.lww.com/rapm/Citation/2016/11000/Education_in_Ultrasound_Guided_Regional.1.aspx)
• Determining the Learning Curve for Acquiring Core Sonographic Skills for Ultrasound-Guided Axillary Brachial Plexus Block
  (http://journals.lww.com/rapm/Abstract/2016/11000/Determining_the_Learning_Curve_for_Acquiring_Core.3.aspx)
• A Randomized Controlled Trial of Ultrasound Versus Nerve Stimulator Guidance for Axillary Brachial Plexus Block 
  (http://journals.lww.com/rapm/Abstract/2016/11000/A_Randomized_Controlled_Trial_of_Ultrasound_Versus.4.aspx)
• Learning and Teaching Motor Skills in Regional Anesthesia - A Different Perspective
  (http://journals.lww.com/rapm/Abstract/2014/05000/Learning_and_Teaching_Motor_Skills_in_Regional.13.aspx)

 _____
Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums. 

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Raj, Eric, Chris, Laura, and Mark discuss the impact of regional anesthesia to surgical site infections and mortality after joint surgery.

Hosts:
- Raj Gupta, MD, Vanderbilt University Medical Center (@dr_rajgupta)
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:
- Christopher Wu, MD, Johns Hopkins University School of Medicine
- Laura Lahaye, MD, Virginia Commonwealth University
- Mark Neuman, MD, Hospital of the University of Pennsylvania

_____
Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums.

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta, Eric Schwenk, Anahi Perlas, Jan Boublik, Stephen Haskins discuss point-of-care ultrasound (POCUS) and where its place is in modern anesthesiology practice.

Hosts:
- Raj Gupta, MD, Vanderbilt University Medical Center (@dr_rajgupta)
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:
- Anahi Perlas, University Health Network, Toronto Western Hospital (@PerlasAnahi)
- Jan Boublik, Stanford University School of Medicine (@janboublikMDphD)
- Stephen Haskins, Hospital for Special Surgery (@shaskinsMD)

_____
Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums. 

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta, Eric Schwenk, Chris Sobey, and Jaime Baratta discuss the pros and cons of using ketamine for analgesia and with the hope to reduce perioperative opioid consumption.

Video: https://youtu.be/hSmqVAn0DMQ

Hosts:
- Raj Gupta, MD, Vanderbilt University Medical Center (@dr_rajgupta)
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:
- Chris Sobey, MD, Vanderbilt University Medical Center (@dextermorgansr)
- Jaime Baratta, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@jattarab)

_____
Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums. 

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Raj and Eric discuss the current status of the opioid epidemic with their guests Dr. Ed Mariano and Dr. Anita Gupta.

What is the significance of the American Medical Association’s decision to no longer have pain as the 5th vital sign? Where did this problem arise from? What is the role of physicians in helping solve this problem?

Hosts:
- Raj Gupta, MD, Vanderbilt University (@dr_rajgupta)
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@ESchwenkMD)

Guests:
- Edward R. Mariano, MD, MAS, Stanford University and VA Palo Alto Health System (@EMARIANOMD)
- Anita Gupta, DO, PharmD, Drexel University School of Medicine (@DocAnitaGupta)

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Thanks to The Preps from Philadelphia, PA for the music: “Winter Wonderland". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums.

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Both adductor canal block (ACB) and femoral nerve block (FNB) are frequently used for knee surgery (ie, ACL, TKA). In this episode of RAPP, physicians discuss "Adductor Canal Blocks Versus Femoral Nerve Blocks for Knee Surgery." Which is better? Is one better for ACL versus total knee arthroplasty? What problems are encountered? Join our guests for an enlightening discussion about this current and important topic.

Hosts:
- Raj Gupta, MD, Vanderbilt University
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University

Guests:
- Stephen Choi, MD, Sunnybrook Health Sciences Centre at the University of Toronto
- Nabil Elkassabany, MD, Hospital of the University of Pennsylvania and the Veteran's Administration Medical Center
- Nasir Hussain, Central Michigan University College of Medicine
- Tony Machi, MD, UT Southwestern
- Sarah Madison, MD, Stanford University

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Thanks to The Preps from Philadelphia, PA for the music: “Funkcore" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums.

Support the show

Twitter: @ASRA_Society, @dr_rajgupta

Hosts Rajnish Gupta, MD, and Eric Schwenk, MD, are joined by Drs. Jeff Gadsden, Rosie Hogg, Ankeet Udani, and Nabil Elkassabany for a recap of some of the highlights from the 41st Annual Regional Anesthesiology and Acute Pain Medicine Meeting held March 31-April 2, 2016, in New Orleans, LA.

Support the show

Twitter: @ASRA_Society, @dr_rajgupta