ASRA RAPP Podcast Series

Join hosts Dr. Raj Gupta and Dr. Eric Schwenk as they address hot topics in regional anesthesia and pain medicine featuring guests from the ASRA community. The Regional Anesthesia and Pain Podcast (RAPP) features authors of significant publications to help explain their work, debates on the merits and pitfalls of new technology and therapy, and information on important events where you can participate with the ASRA community in person.  

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Episode Date of Recording Title Run Time
16 9/29/2017

Acute Pain Management for Patients on Buprenorphine

35:19
15 8/17/2017

Preview of the ASRA Pain Medicine Meeting

37:59
14 8/10/2017

Additives for Peripheral Nerve Blocks

38:47
13 6/19/2017

Accreditation of the Regional Anesthesia Fellowship

34:34
12 4/28/2017

Recap of the 2017 ASRA Spring Meeting

32:52
11 4/6/2017

Live from the ASRA Spring 2017 Meeting in San Francisco

1:13:38
10 2/22/2017

Practice Management Portfolio

41:17
9 1/31/2017

Phrenic Nerve-Sparing Regional Anesthesia for Shoulder Surgery

40:46
8 12/6/2016 DRG Stimulation and HF10 Spinal Cord Stimulation for Chronic Pain 36:03
7 10/27/2016 Education in Regional Anesthesia 38:35
6 9/27/2016 Does Regional Anesthesia Affect Outcomes After Joint Surgery? 32:04
5 8/10/2016 Point-of-Care Ultrasound 34:19
4 7/26/2016 Perioperative Ketamine 37:28
3 6/27/2016 The Opioid Epidemic 36:08
2 5/12/2016 ACB Versus FNB for Knee Surgery 37:28
1 4/19/2016 Recap of ASRA Spring Meeting 2016 50:12

Episode 16: Acute Pain Management for Patients on Buprenorphine

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.
  2. Chen KY, Chen L, Mao J. Buprenorphine-naloxone therapy in pain management. Anesthesiology. 2014; 120:1262–74.

Episode 15: Preview of the ASRA Pain Medicine Meeting

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. 


Episode 14: Additives for Peripheral Nerve Blocks

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

Episode 13: Accreditation of the Regional Anesthesia Fellowship

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.


Episode 12: Recap of the 2017 ASRA Spring Meeting

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.


Episode 11: Live from the ASRA Spring 2017 Meeting in San Francisco

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)


Episode 10: Practice Management Portfolio

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)


Episode 9: Phrenic Nerve-Sparing Regional Anesthesia for Shoulder Surgery

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:

Episode 8: DRG Stimulation and HF10 Spinal Cord Stimulation  for Chronic Pain

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:


Episode 7: Education in Regional Anesthesia

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 
• Determining the Learning Curve for Acquiring Core Sonographic Skills for Ultrasound-Guided Axillary Brachial Plexus Block 
A Randomized Controlled Trial of Ultrasound Versus Nerve Stimulator Guidance for Axillary Brachial Plexus Block  
• Learning and Teaching Motor Skills in Regional Anesthesia - A Different Perspective 


Episode 6: Does Regional Anesthesia Affect Outcomes After Joint Surgery?

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


Episode 5: Point-of-Care Ultrasound

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 (@jan1boublik)
- Stephen Haskins, Hospital for Special Surgery (@shaskinsMD)


Episode 4: Perioperative Ketamine

Raj Gupta, Eric Schwenk, Chris Sobey, and Jaime Baratta discuss the pros and cons of using ketamine for analgesia and with the hope to reduce perioperative opioid consumption.

Video: https://youtu.be/hSmqVAn0DMQ

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

Guests:
- Chris Sobey, MD, Vanderbilt University Medical Center (@dextermorgansr)
- Jaime Baratta, MD, Sidney Kimmel Medical College at Thomas Jefferson University (@jattarab)


Episode 3: The Opioid Epidemic

Raj and Eric discuss the current status of the opioid epidemic with their guests Dr. Ed Mariano and Dr. Anita Gupta.

What is the significance of the American Medical Association’s decision to no longer have pain as the 5th vital sign? Where did this problem arise from? What is the role of physicians in helping solve this problem?

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

Guests:
- Edward R. Mariano, MD, MAS, Stanford University and VA Palo Alto Health System (@EMARIANOMD)
- Anita Gupta, DO, PharmD, Drexel University School of Medicine (@DocAnitaGupta)


Episode 2: ACB Versus FNB for Knee Surgery

Both adductor canal block (ACB) and femoral nerve block (FNB) are frequently used for knee surgery (i.e., ACL, TKA). In this episode of RAPP, physicians discuss "Adductor Canal Blocks Versus Femoral Nerve Blocks for Knee Surgery." Which is better? Is one better for ACL versus total knee arthroplasty? What problems are encountered? Join our guests for an enlightening discussion about this current and important topic.


Hosts:
- Raj Gupta, MD, Vanderbilt University
- Eric Schwenk, MD, Sidney Kimmel Medical College at Thomas Jefferson University

Guests:
- Stephen Choi, MD, Sunnybrook Health Sciences Centre at the University of Toronto
- Nabil Elkassabany, MD, Hospital of the University of Pennsylvania and the Veteran's Administration Medical Center
- Nasir Hussain, Central Michigan University College of Medicine
- Tony Machi, MD, UT Southwestern
- Sarah Madison, MD, Stanford University


Episode 1: Recap of ASRA Spring Meeting 2016

Hosts Rajnish Gupta, MD, and Eric Schwenk, MD, are joined by Drs Jeff Gadsden, Rosie Hogg, Ankeet Udani, and Nabil Elkassabany for a recap of some of the highlights from the 41st Annual Regional Anesthesiology and Acute Pain Medicine Meeting held March 31-April 2, 2016, in New Orleans, LA.

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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.