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

Problem Based Learning Discussions

PBLD 1. Billing and compliance in the pain clinic
Douglas G. Merrill, MD

• Describe the current state of regulatory oversight.
• Describe methods of assuring compliance and financial viability.

PBLD 2. Back pain: Differentiation between radiculopathy, facet syndrome, sacroiliac pain and other causes
Christine Peeters-Asdourian, MD
Gilbert Y. Wong, MD

• Differentiate radicular low-back pain from facet syndrome.
• Discuss other source of low-back pain, e.g., sacroiliac joint problems, piriformis syndromes.

PBLD 3. Complex Regional Pain Syndrome (CRPS)
Daniel B. Carr, MD

• Discuss diagnostic tests and therapeutic modalities for complex regional pain syndrome.
• Evaluate the use of spinal cord stimulators in CRPS.

PBLD 4. Central pain
Patricia M. Lavand'Homme, MD

• Describe central pain syndrome.
• Discuss the pharmacologic management of central pain.

PBLD 5. Orofacial pain/trigeminal neuralgia
Richard L. Rauck, MD

• Distinguish trigeminal neuralgia from atypical facial pain.
• Discuss other sources of orofacial pain.

PBLD 6. Multimodal therapy in the perioperative period
Eugene R. Viscusi, MD

• Discuss the options of postoperative pain management in a patient on narcotics for chronic pain
• Evaluate the choices regarding opioids and local anesthetic in postoperative epidural infusions

PBLD 7. Postoperative pain management in the patient on high dose opiates
Timothy J. Brennan, MD, PhD

• Evaluate the different modes of providing analgesia in the opioid tolerant patient.
• Discuss strategies for management of acute versus chronic opiate requirements.

PBLD 8. Management of pain in the elderly/aged population
Daniel B. Carr, MD

• Recognize pain syndromes in the elderly.
• Adopt treatment of pain to the coexisting pathology in the elderly.

PBLD 9. Management of the hostile patient with psychiatric morbidities/substance issues
Robert N. Jamison, PhD

• Discuss potential risks of working with this group of patients.
• Outline specific risk-reducing actions for management.

PBLD 10. Management of complications in pain management (new dural puncture, neurological deficits)
James P. Rathmell, MD

• Evaluate and treat the different complications associated with injection therapy.

PBLD 11. Acute herpes zoster/post herpetic neuralgia
John C. Rowlingson, MD

• Discuss the pathophysiology of pain in PHN.
• Evaluate treatments for PHN.

PBLD 12. Management of the patient on low molecular weight heparin; Plavix and other antiplatelet agents
Terese T. Horlocker, MD

• Learn the implications of anticoagulant therapy on neuraxial blockade.