Regional Anesthesia & Pain Medicine

Good news for IG lovers!!! 🤩 Now you can also find us there at rapm_online Just click and follow: 🔗 bit.ly/3UC4i1L

🎧 New on RAPM Focus: Drs. Ryan D’Souza & Nasir Hussain join Dr. Brian Sites to discuss COIs in spinal cord stimulation trials. Can financial ties skew results? Listen now! 🔗 bit.ly/3TGshNp @Ryan_S_DSouzaMD @sites_brian

🧠 Are scoping reviews in neuromodulation falling short? A new RAPM study found none of 7 reviews fully adhered to PRISMA-ScR. ⚠️ Protocols missing ⚠️ Methods vague ⚠️ Scoping ≠ narrative Time to raise the bar. 🔍 doi.org/10.1136/rapm-2… @Ryan_S_DSouzaMD

NSAIDs + dexamethasone > acetaminophen New RAPM study (IV analysis, n=23k): ✅ MMA ↓ pain & opioid use ⚠️ Acetaminophen had little effect 🔥 NSAIDs + dexamethasone = top combo 🔗 doi.org/10.1136/rapm-2… 👥 @lagrahamepi @sherrywren @SMudumbaiDoc #RAPM #Anesthesia #OpioidFree

📣 ⚠️ FIRST-EVER guideline on Infection Control for Regional Anesthesia and Pain Medicine Is it the end of controversies? Why don't you find out! Read this work led by Dr. David Provenzano here: bit.ly/40PKgnG Infographic here: doi.org/10.1136/rapm-2…

Gabapentin ↑ dementia risk in adults 🧠 @RAPMOnline study (n=52k): ▪️ Dementia risk ↑ 29% overall ▪️ Risk >2x in adults <65 ▪️ More prescriptions = more cognitive risk 📖 Full study by @talktogus et al doi.org/10.1136/rapm-2… #Gabapentin #Dementia #RAPM

💊 Lost in conversion? Converting intrathecal to oral opioids isn't as simple as 1:300. This RAPM case report shows: 🧩 Real-life ratios = 1:2 to 1:12 ⚠️ 1:300 may be dangerously outdated 🔗 doi.org/10.1136/rapm-2… By @talktoratan @DoctorSivaMD #Opioids #RAPM

🤖 Are chatbots ready to guide regional anesthesia decisions? A new study in Regional Anesthesia & Pain Medicine evaluated four popular LLMs ChatGPT, Gemini, CoPilot & OpenEvidence using real clinical scenarios. 👇The results raise serious concerns. 🔗 doi.org/10.1136/rapm-2…

🚫💉Opioid-Free Anesthesia in Breast Cancer Surgery? New RCT in RAPM 📢 Opioid-free general anesthesia + regional blocks during breast cancer surgery led to less inflammation, fewer side effects, and similar pain control vs traditional GA! 🔗 doi.org/10.1136/rapm-2…

📱Can a smartphone app reduce post-op opioid use? 💊 The SMART-APP RCT tested a mobile app + clinician tool to cut post-op opioid use. 📝 Results: No significant difference, possibly due to low baseline use. 📖 🔗 doi.org/10.1136/rapm-2…

📢 New in RAPM: First practice advisory for IV management of headache in hospitalized patients! 🧠💉 12 expert statements, 17 evidence-based recommendations, and a call for more RCTs. Big step toward standardizing inpatient headache care. 🔗 doi.org/10.1136/rapm-2…

🩺✍️ Choosing Your Interscalene Path 🔦 Clear needle view or nerve avoidance? This pro-con breaks down the trade-offs for safer, effective regional anesthesia. #RAPM #RegionalAnesthesia @RobertOwenMed @rljohnsonmd 📖 CLICK HERE-> doi.org/10.1136/rapm-2…

🔦 Meet Dr. Kwesi Kwofie, RAPM Associate Editor & Regional Anesthesia leader at Dalhousie. Passionate about pain relief, mentorship & community. Outside work? Family boating & tennis! 🎾⛵ CLICK -> bit.ly/3TWQUW9 #RAPM #RegionalAnesthesia #PainMedicine

🫧 Equating The Stomach: Novel Equation For Gastric Volume A new equation improves volume estimates & supports safe 2hr clear fluid fasting. Safer care, better tools! doi.org/10.1136/rapm-2… @saraamaralMD @Ryan_S_DSouzaMD

🚨 Clavicle Blocks, Redefined The midclavicle block shows balanced periosteal coverage & targeted fracture site staining for midshaft clavicle fractures — with no brachial plexus spread. CLICK HERE -> doi.org/10.1136/rapm-2… @valdes_vilches #RegionalAnesthesia #RAPM

🎧 Music medicine during lumbar blocks? In this RCT (RAPM), music reduced anxiety but not pain. 👉 Most effective in high catastrophizers 👉 Country was the top genre 🎵 Nonpharmacologic, low-risk — high potential. 🔗 doi.org/10.1136/rapm-2… @ColumbanoMD

💡 Is general anesthesia (GA) needed for shoulder arthroscopy? New RAPM study finds regional anesthesia (RA) alone provided better outcomes than GA+RA: 📉 Hypotension: 13% vs 57% ⏱️ PACU: 22 vs 52 min 🏠 Discharge: 96% vs 75% 🔗 Read more here: doi.org/10.1136/rapm-2…

📄 Your science deserves speed. RAPM moves fast: ⏱️ First decision in 11 days* 🎯 Acceptance in 50 days* ✅ Rapid. Rigorous. Respected. Visit RAPM's homepage: bit.ly/3FSlqNE *Mean times from 2024

🧠 Should Sedation During Nerve Blocks Be Personalized? 🔥 High pain catastrophizing = less pain with sedation 😊 Low pain catastrophizing = more satisfaction with reassurance 💡 Tailor care to mindset. 🔗 Read more about this study here: doi.org/10.1136/rapm-2…

🎮 Can VR help in the OR? A new RCT in RAPM found that VR didn’t lower pain during regional anesthesia for hand surgery—but it did reduce anxiety during surgery. 😌 Satisfaction with VR? ➡️ 9/10 🔗Read more about this RCT here: doi.org/10.1136/rapm-2…

💥 Ganglion Impar Block - Relief for Tailbone Pain? Meta-analysis: 📊 11 studies, 625 pts ⬇️Decreased pain throughout study ✅ No serious side effects 🔗 doi.org/10.1136/rapm-2…