ASRA RAPP

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the role of ASRA's Education in Regional Anesthesia Special Interest Group (SIG) and the current state of education in regional anesthesia. Recorded 05/29/2018.

Guests
- Colin McCartney (@colinjmccartney) - Chair of Anesthesiology and Pain Medicine at University of Ottawa, ON, Canada
- Danielle Ludwin - Associate Professor of Anesthesiology; Columbia University Irving Medical Center
- Jaime Ortiz (@JaimeOrtizMD) - Associate Professor of Anesthesiology; Baylor College of Medicine

Make sure to check out the next two ASRA meetings #ASRAFall18 and #ASRASpring19 by going to www.asra.com for all the details.

Selected References

• Choi S. & McCartney CJ. Evidence base for the use of ultrasound for upper extremity blocks: 2014 update. Reg Anesth Pain Med. 2016; 41(2), 242-50.
• Helwani MA, Saied NN, Asaad B, Rasmussen S, & Fingerman ME. The current role of ultrasound use in teaching regional anesthesia: a survey of residency programs in the United States. Pain Med. 2012;13(10),1342–6.
• Liu SS. Evidence basis for ultrasound-guided block characteristics onset, quality, and duration. Reg Anesth Pain Med. 2016;41(2), 205–20.
• Lerman IR, Souzdalnitski D, Halaszynski T, Dai F, Guirguis M, Narouze SN. Ultrasound-guided regional anesthesia simulation and trainee performance. Technique Reg Anesth Pain Manage. 2014;18(4)110-7.

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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.

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta), Eric Schwenk (@ESchwenkMD), Gary Schwartz (@garyschwartzmd) and many of our friends from around the globe stop by the Exhibit Hall to discuss their second day experience at the ASRA World Congress 2018.  There’s definitely a lot of excitement in the air!  Recorded 04/20/2018.

Hashtags:

• #ASRAWorld18
• #ASRALive

Make sure to check out the next two ASRA meetings #ASRAFall18 and #ASRASpring19 by going to www.asra.com for all the details.

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta), Eric Schwenk (@ESchwenkMD), Gary Schwartz (@garyschwartzmd) and many of our friends from around the globe stop by the Exhibit Hall to discuss their first day experience at the ASRA World Congress. There’s definitely a lot of excitement in the air!  Recorded 04/19/2018.

Hashtags:

• #ASRAWorld18
• #ASRALive

Make sure to check out the next two ASRA meetings #ASRAFall18 and #ASRASpring19 by going to www.asra.com for all the details.

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta), Eric Schwenk (@ESchwenkMD), and Anne Snively (@ASRA_Society) discuss all of the plans for Social Media, online meeting streaming, and in-person get togethers for the ASRA World Congress meeting starting April 18, 2018 in New York City. Recorded 04/03/2018.

Follow these Hashtags during the meeting:

• #ASRAWorld18
• #ASRALive
• #ASRAOpioidCrisis
• #ASRAInnovation

Find all of the Social Media Ambassadors to follow during the meeting at: http://www.asra.com/social

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss management of LAST with the authors of the 2018 updated checklist and guidelines. They are joined by Guy Weinberg (@lipidguy) and Joe Neal (@josephmnealmd). Recorded 02/20/2018.

Resources:

• ASRA LAST Checklist
  (https://www.asra.com/advisory-guidelines/article/3/checklist-for-treatment-of-local-anesthetic-systemic-toxicity)
• LipidRescue.org
• #ASRAWorld18 
• Call for Videos for World Congress
  (https://www.asra.com/page/1532/call-for-videos)

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) are joined by Tina Doshi (@dr_tinadoshi), Andrea Nicol (@andreanicolmd), and Dan Warren (@DanWarrenMD).   Recorded 01/07/2018.

Resources:

• Women in Regional Anesthesia and Pain Medicine Special Interest Group
  (https://www.asra.com/page/1529/women-in-regional-anesthesia-and-pain-medicine)
• Supporting Women in Regional Anesthesia and Pain Medicine (WRAPM): Why You Should Join the Newest ASRA Special Interest Group
  (https://www.asra.com/news/180/supporting-women-in-regional-anesthesia)

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Thanks to The Preps from Philadelphia, PA, for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the innovative and exciting Acute Pain and Regional Program during the upcoming 2018 ASRA World Congress. They are joined by Asokumar Buvanendran (@Kumar_asra), Vincent Chan (@mail2vincechan), Nabil Elkassabany (@nelkassabany), and Jaime Baratta (@jattarab). Recorded 12/17/2017.

Join the ASRA selfie challenge! Print out this picture, take a selfie with it in your home town, and post on social media. Use hashtag #ASRAWorld18, and tag 5 of your friends: https://www.asra.com/page/1457/asra-selfie-challenge

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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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss all of the amazing lectures, workshops and experiences for chronic pain physicians during the upcoming 2018 ASRA World Congress. We are joined by Asokumar Buvanendran (@Kumar_asra), Vincent Chan (@mail2vincechan), and Carlos Pino (@CARLOSPINOMD). Recorded 10/08/2017.

Join the ASRA selfie challenge! Print out this picture, take a selfie with it in your home town, and post on social media. Use hashtag #ASRAWorld18, and tag 5 of your friends: https://www.asra.com/page/1457/asra-selfie-challenge

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Thanks to The Preps from Philadelphia, PA for the music: "The Grind (9 to 5)" 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.

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the challenges and management strategies for patients on buprenorphine in the perioperative period. Our guests for this show are Eugene Viscusi (@EugeneViscusiMD) from the Jefferson University Hospitals in Philadelphia and Gary Schwartz (@garyschwartzmd) from Maimonides Medical Center and AABP LLC in Brooklyn NY. Recorded 09/29/2017.

Selected References

1. Anderson TA, Quaye ANA, Ward EN, Wilens TE, Hilliard PE, Brummett CM. To stop or not, that is the question: acute pain management for the patient on chronic buprenorphine. Anesthesiology. 2017;126:1180–6. https://doi.org/10.1097/ALN.0000000000001633
2. Chen KY, Chen L, Mao J. Buprenorphine-naloxone therapy in pain management. Anesthesiology. 2014;120:1262–74.

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Thanks to The Preps from Philadelphia, PA for the music: "The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) have a wonderful conversation with Kevin Vorenkamp (@kevinvorenkamp), chair of the 16th Annual Pain Medicine Meeting, and Kumar Buvanendran (@kumar_ASRA), president of ASRA, about the exciting speakers, topics, and workshops planned for the November meeting in Lake Buena Vista, FL. Follow the meeting on social media with the hashtag #ASRAFall17. We also give you a sneak preview of the 2018 World Congress on Regional Anesthesia and Pain Medicine to be hosted by ASRA in April 2018 in New York City (#ASRAWorld18). Go to www.asra.com for all the details. 

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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.

Twitter: @ASRA_Society, @dr_rajgupta

Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the value and risks of additives used to extend analgesia with peripheral nerve blocks.  Our guests for this show are Chad Brummett (@drchadb) from the University of Michigan and Brian Williams (williamsba@umpc.edu) from the University of Pittsburgh Medical Center and the VA Pittsburgh Healthcare System.  

Selected References

1. Brummett, C. M., & Williams, B. A. (2011). Additives to local anesthetics for peripheral nerve blockade. International Anesthesiology Clinics, 49(4), 104–116. http://doi.org/10.1097/AIA.0b013e31820e4a49
2. Marhofer, P., & Brummett, C. M. (2016). Safety and efficiency of dexmedetomidine as adjuvant to local anesthetics. Current Opinion in Anaesthesiology, 29(5), 632–637. http://doi.org/10.1097/ACO.0000000000000364
3. Williams, B. A., Butt, M. T., Zeller, J. R., Coffee, S., & Pippi, M. A. (2015). Multimodal perineural analgesia with combined bupivacaine-clonidine-buprenorphine-dexamethasone: safe in vivo and chemically compatible in solution. Pain Medicine (Malden, Mass.), 16(1), 186–198. http://doi.org/10.1111/pme.12592
4. Williams, B. A., Hough, K. A., Tsui, B. Y. K., Ibinson, J. W., Gold, M. S., & Gebhart, G. F. (2011). Neurotoxicity of adjuvants used in perineural anesthesia and analgesia in comparison with ropivacaine. Regional Anesthesia and Pain Medicine, 36(3), 225–230. http://doi.org/10.1097/AAP.0b013e3182176f70

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

 In this episode, Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the origins and implications of the new ACGME accredited Regional Anesthesia and Acute Pain Medicine Fellowship with Ed Mariano (@EMARIANOMD) from the VA Palo Alto and Stanford University, Jaime Baratta (@jattarab) from Jefferson University Hospital in Philadelphia, Brian Allen (@Bfsallen) from Vanderbilt University in Nashville.

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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.

Twitter: @ASRA_Society, @dr_rajgupta

 In this episode, Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) recap some of the highlights from the 2017 ASRA Spring Meeting with Colin McCartney (@colinjmccartney) and Sandy Kopp.

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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.

Twitter: @ASRA_Society, @dr_rajgupta

In this episode, Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD), have face-to-face interviews with a lot of friends regarding their experience at the ASRA Spring Meeting.  This is an audio re-broadcast from Facebook Live on three separate days. #ASRASpring17 

Guests include:
- Ed Mariano (@EMARIANOMD)
- Asokumar Buvanendran (@Kumar_asra)
- Suresh Santhanam (@SanthanamSuresh)
- Andres Missair (@AndresMissair)
- Ki Jinn Chin (@KiJinnChin)
- Dan Warren (@DanWarrenMD)
- Nabil Elkassabany (@nelkassabany)
- Jaime Baratta (@jattarab)
- Gary Schwartz (@garyschwartzmd)
- Kellie Jaremko (@Neuro_Kellie)
- Kanupriya Kumar (@KanupsKumar)

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj, Eric, and Alex describe the tremendous value of the practice management lectures, PBLDs, and workshops at the upcoming 42nd Annual Regional Anesthesiology and Acute Pain Medicine Meeting being held April 6-8, 2017, in San Francisco. #ASRASpring17.

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

Guests:
- Alexandru Visan MD MBA, CEO Executive Cortex Consulting (@executivecortex)

Resource:
ASRA Practice Management Portfolio: https://www.asra.com/page/1334/practice-management-portfolio

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

Raj, Eric, and Nabil discuss the variety of regional anesthesia options for shoulder surgery to avoid phrenic nerve block.

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

Guests:
- Nabil Elkassabany MD, Hospital of the University of Pennsylvania (@nelkassabany)

Article:

• Diaphragm-Sparing Nerve Blocks for Shoulder Surgery
  (http://journals.lww.com/rapm/Fulltext/2017/01000/Diaphragm_Sparing_Nerve_Blocks_for_Shoulder.5.aspx)

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Thanks to The Preps from Philadelphia, PA for the music: “The Grind (9 to 5)" 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. 

Twitter: @ASRA_Society, @dr_rajgupta

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. 

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)

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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. 

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

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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.

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)

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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. 

Twitter: @ASRA_Society, @dr_rajgupta