Dr. Rosenblum quotes and comments on a fantastic review article on Obesity and Chronic Pain.   Narouze S, Souzdalnitski D.  Obesity and Chronic Pain.  Systematic Review of Prevalence and Implications for Pain Practice.  Reg Anesth Pain Med 2015;40:91-111   For Pain Management Board Review go to PainExam.com     DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.      Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Dr. Rosenblum reviews Steve Berman's (Anesthesia Business Consultants) presentation and goes over changes that may impact your practice due to the implementation of the ICD-10.   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.       

Dr. Rosenblum discusses atypical opiate analgesics, such as tramadol and tapentadol   References Benzon Package insert   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

A continuation of last weeks discussion on the ASRA guidelines for the performance of neuraxial procedures in patients, pregnant women and those with drug induced coagulopathy.   Also discussed, herbal supplements and their influence over the clotting pathways. DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.      Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

Dr. Rosenblum discusses ASRA's guidelines to Local anesthetic toxicity and anticoagulation guidelines for patients undergoing neuraxial anesthesia.     DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.      Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

This podcast reviews various drug scheduling classifications, Tramadol, opiate conversions and therapeutic uses. For more information, go to PainExam.com, and look out for future podcasts and audiophiles for Pain Management Board Preparations. References DEA website Benzon HT Essentials of Pain Medicine and Regional Anesthesia Package insert- Tramadol   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

In preparation for the ABA, ABPM and Osteopathic Pain Boards, Dr. Rosenblum discusses neurosurgical procedures that have been performed to treat chronic pain conditions that have not responded to less invasive therapies. DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

After teaching ultrasound guided nerve blocks at the AIUM conference in Orlando, Dr. Rosenblum discusses ultrasound guided pain management performed by Pain physicians and emergency room doctors.   Dr. Rosenblum addresses the issue of:    "protecting one's turf" vs. assisting other specialties in performing pain procedures.   interscalene, axillary, neuroaxial ultrasound pain procedures   Chlorprocaine  References: Wikipedia Drug insert Chlorprocaine   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

Dr. Rosenblum, gives a brief overview of the utility of ultrasound in pain medicine.   TAP, suprascapular nerve, occipital nerve block under ultrasound guidance all reviewed and advantages discussed.   For more information on ultrasound guided pain procedures,  Go to www.Algo-Sonic.com   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

This is the first podcast dedicated to building and growing your pain practice. Dr. Rosenblum describes what to look for in an EMR, and how to avoid expensive mistakes when it comes time to choose the right one. Most of the advice can be applied to any practitioner in any state who struggles with changing over to an electronic medical record. Once again, stay tuned, for more podcasts dedicated to Pain Management Board Review and Managing a Practice.

This is a review of medications for the interventional pain physician. Topics Included: Local anethetics Contrast Steroids   References: Benzon HT et al. "Essentials of Pain Medicine and Regional Anesthesia." copyright 2005  p. 166-179   Lidocaine Pckage insert   Bupivicaine Package insert   Omnipaque  Package insert   DISCLAIMER: Dr. Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author

A review of the work up and management of Complex Regional Pain Syndrome   References Yaguda B, Shekane P, Gharibo C.  Complex Regional Pain Syndrome: Pathophysiology, Diagnosis and Treatment.  Pain Medicine News.  Vol 12, Number 10. Dec. 2014   Veldman PH, Reyen HM, Arntz IE, et al. Signs and Symptoms of reflex sympathetic dystrophy: prosepective study of 829 patients. Lancet. 1993; 342 (8873): 1012-1016   Borchers AT, Gershwin ME. Complex Regional Pain Syndrome: a comprehensive and critical review. Automimmun Rev. 2014;13(3):242-265   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

A review of the suprascapular, intercostal and paravertebral nerve blocks.  A preview of Dr. Rosenblum's course on the ultrasoung guided suprascapular, intercostal and paravertebral nerve blocks at the 2015 AIUM conference in Orlando.   Reference “Combination of physical treatment with Suprascapular nerve block is a safe and efficacious treatment for the treatment of shoulder pain in frozen and arthritis.”     Abdelshafi ME, Yosry M, Elmulla AF, Al-Shahawy EA, Adou Aly M, Eliewa EA. Relief of chronic shoulder pain: a comparative study of three approaches. Middle East J Anesthesiol. 2011 Feb;21(1):83-92   —“Suprascapular nerve block can be considered the preferred treatment for non-specific shoulder pain because of being as effective as steroid injection with rare side effects.     Taskaynatan MA, Yilmaz B, Ozgul A, Yazicioglu K, Kalyon TA. Suprascapular nerve block versus steroid injection for non-specific shoulder pain. Tohoku J Exp Med. 2005 Jan; 205(1):19-25. —“Suprascapular nerve block is a safe and efficacious treatment for the treatment of shoulder pain in degenerative disease and/or arthritis. It improves pain, disability, and range of movement at the shoulder compared with placebo. It is a useful adjunct treatment for the practicing clinician to assist in the management of a difficult and common clinical problem.”     Shanahan EM, Ahern M, Smith M, Wetherall M, Bresnihan B, FitzGerald O. Suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain. Ann Rheum Dis. 2003 May;62(5):400   —“Ultrasound assisted approach is a simple, reproducible technique in most patients with an easy to understand ultrasound anatomy. Adequate analgesia could be provided through a single puncture and may be an alternative to neuroaxial blocks.”    Dieguez Garcia P, et al. Ultrasound-assisted approach to blocking the intercostal nerves in the mid-axillary line for non-reconstructive breast and axilla surgery. [Article in spanish]. Rev Esp Anestesiol Reanim 2013 Aug-Sep;60(7):365-70.     —In Percutaneous nephrolithotomy (PCNL) with nephrostomy tube placement US-guided intercostal nerve block (ICNB) performed at the 11th and 12th intercostal spaces provided effective analgesia.   Ozkan D, et al. Effect of ultrasound-guided intercostal nerve block on postoperative pain after percutaneous nephrolithotomy : Prospective randomized controlled study. Anaesthetist 2013 Nov 1 [Epub anead of print]   —“Utilization of continous intercostal nerve block (CINB) significantly improves pulmonary function, pain control, and shortens length of stay (LOS) in patients with rib fractures.”   Truitt MS, et al. Continuous intercostal nerve blockade for rib fractures: ready for primetime? J Trauma 2011 Dec;71(6):1548-52.   —“Concurrent combination therapy with proper medications and appropriate intercostal nerve blocks could offer satisfactory pain relief in the majority of elderly patients with Post Herpetic Neuragia (PHN).”   Chau SW, et al. Clinical experience of pain treatment for postherpetic neuralgia in elderly patients. Acta Anesthesiol Taiwan. 2007 Jun;45(2):95-101     —“Ultrasound guided multilevel paravertebral block (PVB) with total intravenous anesthesia provides reliable anesthesia, improves postoperative analgesia.”     Abdallah FW, et al. Ultrasound-guided Multilevel Paravertebral blocks and Total Intravenous Anesthesia Improve the Quality of Recovery after Ambulatory Breast Tumor Resection. Anesthesiology. 2013 Sep 26.   — —“A transverse in-line ultrasound-guided technique improves the feasibility of placing paravertebral nerve block (PVNB) catheters using in a wide range of pediatric patients.”     Boretsky K, et al. Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and chuildren. Paediatr Anaesth. 2013 Jul 27   DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.  Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.  

Acute Pain Management  PainExam.com's David Rosenblum, MD discussses Acute Pain Management. The podcast describes causes of acute pain, its assessment, and treatment options. Some of the items reviewed include: Local Anestetics Gabapentin Tramadol Tapentadol Epidural, nerve blocks and infusion rates. References Canadian Journal of Anesthesia 51: 986-989 Anesthesia and Analgesia 2004; 98:1-3 Drug Package inserts   Normal 0 0 1 114 651 NYU Medical Center 5 1 799 11.1539 0 0 0 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment . You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional . Copyright © 2015 David Rosenblum All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.