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Karen Kathan

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FDA Warns about Serious Breathing Problems with Seizure and Nerve Pain Medicines Gabapentin

The U.S. Food and Drug Administration is warning that serious breathing difficulties may occur in patients using gabapentin (Neurontin, Gralise, Horizant) or pregabalin (Lyrica, Lyrica CR) who have respiratory risk factors. These include the use of opioid pain medicines and other drugs that depress the central nervous system, and conditions such as chronic obstructive pulmonary disease (COPD) that reduce lung function. The elderly are also at higher risk.  

Long-Term Safety and Efficacy of Closed-Loop Spinal Cord Stimulation to Treat Chronic Back and Leg Pain (Evoke): A Double-Blind, Randomised, Controlled Trial.

Summary: Background: Spinal cord stimulation has been an established treatment for chronic back and leg pain for more than 50 years; however, outcomes are variable and unpredictable, and objective evidence of the mechanism of action is needed. A novel spinal cord stimulation system provides the first in vivo, real-time, continuous objective measure of spinal cord activation in response to therapy via recorded evoked compound action potentials (ECAPs) in patients during daily use. 

How We Fail Black Patients in Pain

An expert looks at how false notions and hidden biases fuel inadequate treatment of minorities’ pain, highlighting the importance of removing as much individual discretion and bias as possible. The article includes resources clinicians and institutions can use to practice more equitable pain treatment, such as the CDC Guideline for Prescribing Opioids for Chronic Pain and AAPM’s guidance on implementing the CDC Guideline.

Continuous Nerve Block vs Combination of Single Block Plus Intravenous Lidocaine for Postoperative Pain

Brief Summary:A multimodal analgesic regimen including regional anesthesia is used at UPMC Shadyside for primary thoracic and major abdominal surgeries. The current standard-of-care regional anesthesia techniques include Erector Spinae Plane (ESP) block for video assisted thorascopic surgery (VATS) and Quadratus Lumborum (QL) block for major abdominal surgery. 

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AAPM

American Academy of Pain Medicine