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The PainExam podcast

A podcast featuring PainExam.com's creator David Rosenblum, MD, discussing Pain Management Board Preparation, keywords, and current topics relevant to any physician who practices pain management. David Rosenblum, MD has been preparing physicians for the pain boards since 2008, and is currently the director of Pain Management at Maimonides Medical Center, AABP Pain Management , and CEO of QBazaar.com.
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Now displaying: Category: Education
Apr 14, 2015

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.

 

Apr 7, 2015

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.

 

Mar 31, 2015

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.

Mar 24, 2015

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.

 
Mar 3, 2015

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.

Feb 24, 2015

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

Feb 19, 2015

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.

 
Feb 10, 2015

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.

 

Feb 3, 2015

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

 

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.


 

Jan 28, 2015

An overview of treating pain in pregnancy and lactation.  Dr. Rosenblum reviews medications, teratogenicity and precautions when prescribing medication to pregnant patients.

 

 

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.

 


Jan 22, 2015

This podcast describes the PainExam.com board review, podcast and gives information relating to Dr. Rosenblum's projects and goals. 

It contains recently asked keywords.

For more detailed explanations, and future podcasts, be sure to subscribe to our feeds.

Coming soon: Pain Management Audio Files

For updates, go to PainExam.com

Jan 15, 2015

This is a basic list of keywords to know for the ABA and ABPM examinations in Pain Management.

1