Check out the timestamps below to help you navigate through the many topics we discussed.
On This Episode:
In this episode, we’ll explore the evolving landscape of pain management with a focus on non-surgical approaches. While nurse anesthetists are known for their expertise in managing pain in the operating room, this episode delves into the broader and often complex world of chronic pain management. Today we’re joined by Randy Cornelius, DNP, CRNA, ARNP, a current member of the AANA Board of Directors, and Ben Levinson, CRNA, NSPM-C, a credentialed expert in non-surgical pain management. Together, they discuss the latest strategies, treatments, and innovations in the field.
Randy and Ben bring their extensive knowledge and experience to the conversation, offering insights into the physiology of pain, the transition from acute to chronic pain, and the impact of pain on patient outcomes. The discussion covers key topics such as nociception, rebound pain, and the role of neurotransmitters and inflammatory mediators in pain management. The episode also highlights the importance of a multidisciplinary approach in treating non-surgical pain, emphasizing the role of collaboration in improving patient care.
Tune in to gain a deeper understanding of the complexities of pain management and discover the latest advancements that are helping to transform patient care.
Here’s some of what we discuss in this episode:
- The other factors besides influencing the manifestations of pain.
- Neurotransmitters, inflammatory mediators, and pain syndromes and their development.
- Risk Factors and Theories/Patient related factors slides.
- The Assessment, diagnosis, and creating a plan of care of a non-surgical pain patient
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References
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Barry, G., Bailey, J., Sardinha, J., Brousseau, P., & Uppal, V. (2021). Factors associated with rebound pain after peripheral nerve block for ambulatory surgery. British Journal of Anaesthesia, 126 (4), 862-871
Dada, O., Zacarias, A., Ongaigui, C., Escheverria-Villalobos, M., Kushelev, M., Bergese, S., & Moran, K. (2019). Does rebound pain after peripheral nerve block for orthopedic surgery impact postoperative analgesia and opioid consumption? A narrative review. International Journal of Environmental Research and Public Health, 16, 1-12.
Dawson, S., & Loewenstein, S. (2021). Severe rebound pain after peripheral nerve block for ambulatory extremity surgery is an underappreciated problem. Comment on Br J Anaesth 2021; 126: 86271. British Journal Anaesthesia, e204.
Fang, J., Shi, Y, Du, F., Xue, Z., Cang, J., Miao, C., & Zhang, X. (2021). The effect of perineural dexamethasone on rebound pain after ropivacaine single injection nerve block: a randomized controlled trial. BMC Anesthesiology, 21(47), 1-10.
Hade, A., Okano, S., Pelecanos, A., & Chin, A. (2021). Factors associated with low levels of patient satisfaction following peripheral nerve block. Anaesthesia and Intensive Care, 49(2), 125-132.
Hamilton, D. (2021). Rebound pain: distance pain phenomenon or nonentity? British Journal of Anaesthesia, 126(4), 761-763.
Holmberg, A., Hassellund, S., Draegni, T., Nordby, A., Ottesen, F., Gulestol, A., & Raeder, J. (2020). Analgesic effect of intravenous dexamethasone after volar plate surgery for distal radius fracture with brachial plexus block anaesthesia: a prospective, double blinded randomized clinical trial. Anaesthesia, 75,1448- 1460.
Hwang, J., Jang, J., Lee, J., Song, D., Lee, H., Kim, D., Lee, S., Hwang, S., Kim, Y., & Lee, S. (2020). Dexmedetomidine combined with interscalene brachial plexus block has a synergistic effect on relieving postoperative pain after arthroscopic rotator cuff repair. Knee Surgery, Sports Traumatology, Arthroscopy, 28, 2343-2353.
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Morita, S., Oizuma, N., Suenaga, N., Yoshioka, C., Yamane, S., & Tanaka, Y. (2020). Dexamethasone added to levobupivacaine prolongs the duration of interscalene brachial plexus block and decreases rebound pain after arthroscopic rotator cuff repair. J Shoulder Elbow Surg, 29, 1751-1757.
Munoz-Lyeva, F., Cubillos, J., & Chin, K. (2020). Managing rebound pain after regional anesthesia. Korean Journal of Anesthesiology, 73, (5), 372-383.
Nobre, L., Cunha, G., Branco de Sousa, P., Takeda, A., & Ferraro, L. (2019). Peripheral nerve block and rebound pain: literature review. Revista Brasileria de Anestesiologia, 69 (6), 587-593.
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Sunderland, S., Yarnold, C., Head, S., Osborn, J., Purssel, A., Peel, J., & Schwarz, S. (2016). Regional versus general anesthesia and the incidence of unplanned healthcare resource utilization for postoperative pain after wrist fracture surgery: results from a retrospective quality improvement project. Regional Anesthesia Pain Medicine, 41(1), 22-27.
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Zhu, T., Gao, Y., Xu, X., Fu, S., Lin, W., Sun, J. (2020). Effect of ketamine added to ropivacaine in nerve block for postoperative pain management in patients undergoing anterior cruciate ligament reconstruction: A randomized trial. Clinical Therapeutics, 42(5), 882-889.
