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Excellent discussion around PCA remifentanil for labor analgesia #ObAnes Dr Desire Onwochei sharing with us of the "unique" circumstances when IV PCA might be useful AFSRA 1/2 reminders: ✅early epidurals do not prolong labor nor do they cause cesareans nejm.org/doi/full/10.10…

All classes of BP-lowering medications, including alpha-blockers, ARBs, ACE inhibitors, beta-blockers and CCBs reduced headache days per month more than placebo. Check out this article published in Cephalalgia doi.pulse.ly/bipcccpvii #migraine #migraine_prevention #JCephalalgia

EEG Spectrograms for practice : patient awake, talking... But delta dominant picture. What drug group typically gives delta wave increase alone? 🙂

1/Do you feel there’s a back-log of findings in a spine MRI report? Everyone talks about discs & facets, but not everyone talks about the endplates. Do you? Do you need to talk about degenerative changes of the endplates (Modic changes)? Here’s thread w/all you need to know!

PDPHs are rare events but when they happen, they can increase the risk of chronic headaches. There are reports of persistent CSF leak diagnosed long after the inciting event. Glad to see these findings being publicised at the OAA 2023. bjanaesthesia.org/article/S0007-…

What's the best NSAID to use in the peri-operative period? Find out in this month’s #BJAEd article. #NSAID #Surgery #BJAJournals #perioperative bjaed.org/article/S2058-… Ed Halvey Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭 Nat Haslam

Opioid sensitivity in treated and untreated obstructive sleep apnoea. New prospective cohort study by Montana et al #opioids #analgesia #OSA bjanaesthesia.org/article/S0007-…

Introducing the ITM Interfascial Block for #Shoulder Pain Relief! 🩺🤝 This groundbreaking approach combines #suprascapular and axillary nerve blocks in a single-site injection. ASRA Pain Medicine Raj Gupta, MD, FASRA Eric Schwenk, M.D., FASA bit.ly/47LMqqm

Decline lateral decubitus position for CT myelogram workup of #CSFleak CSF–Venous Fistulas as shown by Peter Kranz at #RSNA23.

What is the optimal way to determine success for SIJ injections? This paper presents an interesting discourse, suggesting that a single positive SIJ test is sufficient for pain docs to consider offering a diagnostic SIJ injection. Thoughts? pubmed.ncbi.nlm.nih.gov/31393577/

Neuroanatomy geeks, what is the nerve affected here ? Bonus for what is the diagnosis

🔓In August, this retrospective study provided three important clinical conclusions about intrathecal catheters following accidental dural puncture. Do they have proven benefits? Yair Binyamin 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Using implementation science to promote the use of the fascia iliaca blocks in hip fracture care - Canadian Journal of Anesthesia #CJA2023 #Anesthesia #Anesthesiology buff.ly/483ngnF

The one and only Philip Peng （彭文新) at #WSM2024 covering #RegionalAnaesthesia #RegionalAnesthesia for Shoulder surgery. He starts by Quashing the Myth that the Suprascapular Block innervates 70% of the shoulder! Apparently at a max it is 40-45% ! Kariem Ki Jinn Chin

Phantom limb pain is still a difficult condition to treat in 2024. More research is needed to find a better solution for these patients. rapm.bmj.com/content/early/…

Christopher Liu

It is standard of care to test for HLA-B*15:02 prior to starting Carbamazepine and Oxcarbazepine. In this new paper, we discuss the risk of developing SJS/TENS with other anticonvulsants in patients with this allele. journals.lww.com/jpharmacogenet…

Dr. Jansen & Prof. Dahan explore opioid-induced respiratory depression in this #BJAEd review article. Read more about this critical topic to better understand who is at risk (including risk scoring), and the choices of management. Full article available at bjaed.org/article/S2058-…

Dr. Jansen & Prof. Dahan explore opioid-induced respiratory depression in this #BJAEd review article. Read more about this critical topic to better understand who is at risk (including risk scoring), and the choices of management. Full article available at bjaed.org/article/S2058-…

Nice summary for cervical radiculopathy and upper extremity examination.