American Society of Regional Anesthesia & Pain Medicine
Annual Fall Pain Meeting & Workshops

November 13-16, 2003
Sheraton San Diego Hotel & Marina
San Diego, CA

Objectives

Refresher Course Lectures

Cancer pain: Mechanisms and management
Basic Science: Patrick W. Mantyh, PhD
Clinical Aspects: Oscar A. de Leon-Casasola, MD

• Describe the current state of knowledge of mechanisms and neurophysiologic pathways learned from cancer pain models in basic science research.
• Discuss current evidence to support the modern clinical management of cancer pain.

Spinal stimulation for ischemic pain, (angina/peripheral vascular disease)
Basic Science: Robert Foreman, PhD
Clinical Aspects: Bengt Linderoth, MD, PhD

• Describe important lessons learned about the mechanisms of analgesia associated with spinal stimulation from basic science research.
• Review and discuss clinical evidence to support the use of spinal stimulation as an analgesic modality for ischemic pain states.

Chronic opiate use: Long-term implications, tolerance
Basic Science: Frank Porrecca, PhD
Clinical Aspects: David J. Clark, MD, PhD

• Discuss accumulating basic research describing the potential worrisome implications of opioid therapy in chronic pain states.
• Review current clinical evidence that may support or argue against the use of long-term opiate therapy in the management of pain.

Cannabinoids in pain medicine
Basic Science: T. Philip Malan Jr., MD, PhD
Clinical Aspects: Mark S. Wallace, MD

• Describe the current state of knowledge of the use of cannabinoids in the management of pain ranging from basic research to clinical applications with review of current evidence.
• Discuss issues of inappropriate use of cannabinoids in our culture and comment on long term usage, use for cancer pain, and legality.

Peripheral nerve blocks for chronic pain
James C. Eisenach, MD; Patricia M. Lavand'homme, MD, PhD

• Discuss the role of peripheral nerve blocks as a long-term strategy for chronic pain management. Explain the physiologic basis for new strategies to control peripheral nerve pain through alterations in cytokines and other neurally active substances.

Update on current use of anticonvulsants and other adjuvants; Evidence for utility and pitfalls
F. Michael Ferrante, MD

• Review the current evidence to justify the myriad of anticonvulsants and other adjuvant analgesics in the management of pain.
• Provide an overview of mechanisms of anticonvulsants in pain states and discuss individual drugs including toxicities and side effects.

Pediatric pain management
Elliot Krane, MD

• Describe the key components in the optimal clinical management of pediatric chronic pain states, including assessment and classification of pain, common pediatric pain states and appropriate treatment strategies.

Interventional pain complications: The good, the bad and the ugly
Marc A. Huntoon, MD

• Review key pain procedure-related cases and how the outcome of these cases may affect the practice of the pain medicine specialist.
• Discuss emerging trends in the context of patient safety.