Regional Anesthesia & Pain Medicine

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🧠 Can resilience-enhanced CBT improve chronic pain outcomes? 📈 RCT: PRISM-CBT showed • No primary endpoint benefit at 8 wks • Better FIQR at 12 mos vs usual care • Lower pain interference vs usual care and CBT across follow-up 🔗 doi.org/10.1136/rapm-2… #RAPM

🚨 Does Anesthesia Shape Recurrence? 📚 This RCT highlights that spinal anesthesia lowered 2-yr recurrence vs general (~27% vs ~40%) in non-invasive bladder cancer. 🔗 doi.org/10.1136/rapm-2… #RAPM #Anesthesia #PerioperativeMedicine

🎙️ New RAPM Focus SPACE-Postpartum reframes C-section recovery beyond pain scores—tracking Sleep, Pain, Affect, Cognition & Energy to spot early risk for chronic pain. Should postpartum care assess symptom patterns, not just pain? 🔗rapmfocusbmj.podbean.com/e/episode-49sp… #RAPM #WomensHealth

💉 Can ketamine infusions reduce healthcare utilization in chronic pain? 💡 Key findings: • 45% reduction in pain-related healthcare visits • Significant decrease in unplanned utilization vs controls • No significant change in pain scores 🔗 doi.org/10.1136/rapm-2… #RAPM

🧠 Can some SCS candidates safely bypass psychological assessment? Study findings: • Trial-to-implant: 72% vs 70% • 1-year responders: 53% vs 60% • Fast-track pathway reached trial readiness sooner Screening tools may streamline neuromodulation care. doi.org/10.1136/rapm-2…

💉 Do patients with Ehlers-Danlos syndrome respond differently to lidocaine? RCT findings: 🔹No difference at 5 min 🔹Less anesthesia in EDS at 15 min (60% vs 84%) 🔹Less anesthesia at 30 min (53% vs 80%) Read the full article here: doi.org/10.1136/rapm-2… #RAPM #EDS

💡 New Catheter, Less Pain! A novel micropore urethral catheter delivering local anesthetic reduces pain, opioid use, and urinary discomfort after bladder surgery — and patients are more willing to reuse it 🔗 doi.org/10.1136/rapm-2… #Urology #PostOpPain #Innovation #RAPM

💡 Perioperative Methadone in Orthopedic Procedures 💊 Methadone can cut pain & opioid needs in spinal fusions, hip & knee replacements — yet US use is extremely low. Understanding patterns could unlock safer, effective pain care. 🔗 doi.org/10.1136/rapm-2… #RAPM

🔎 Glute Pain Detective Work: Find the Cluneal Nerve New cadaveric mapping pinpoints where superior cluneal nerve branches emerge (~6–7 cm from PSIS). 💡 Target the lateral half of the iliac crest reference line for optimal injection accuracy. 🔗 doi.org/10.1136/rapm-2… #RAPM

💉🦠 Steroid Injections & Vaccines: Pause or Proceed? ✅ New multisociety guidance in RAPM: For non-urgent cases, consider spacing corticosteroid injections ≥1 week before/after COVID-19 or flu vaccination. 🔗 doi.org/10.1136/rapm-2… #RAPM #Vaccines #ChronicPain

🧠Does anesthesia choice during C-section matter beyond the OR? 📚A study of 735K+ births suggests neuraxial anesthesia is linked to lower long-term neurodevelopmental risk vs general anesthesia. Exploratory—but thought-provoking. 🔗 doi.org/10.1136/rapm-2… @Ryan_S_DSouzaMD

🚨 Does Anesthesia Shape Recurrence? 📚 This RCT highlights that spinal anesthesia lowered 2-yr recurrence vs general (~27% vs ~40%) in non-invasive bladder cancer. 🔗 doi.org/10.1136/rapm-2… #RAPM #Anesthesia #PerioperativeMedicine

🚨 Navigating Complex Decisions in CRPS Care 💡 This thought-provoking episode highlights the importance of patient-centered, evidence-informed decision-making in the most complex clinical scenarios of CRPS care. 🎧 LISTEN HERE: rapmfocusbmj.podbean.com/e/long-term-ou… #RAPM #Podcast #CRPS

🧠 Inpatient Management of Refractory Headache 📚 New advisory addresses inpatient refractory headache care with 12 consensus statements & 17 graded recommendations on IV therapies—plus an infographic with key safety tips. 🔗 doi.org/10.1136/rapm-2… ✍🏼 @Ryan_S_DSouzaMD #RAPM

🔬Mechanistic Insights into Dye-Based Spread Model 📚Bupivacaine spreads along muscle fibers and diffuses across fascia—even without visible dye—challenging dye-based block models. 🔗 doi.org/10.1136/rapm-2… 📖 @Ryan_S_DSouzaMD, Hipolito Labandeyra, @csaini525, and Nejc Umek

🚨 Navigating Complex Decisions in CRPS Care 💡 This thought-provoking episode highlights the importance of patient-centered, evidence-informed decision-making in the most complex clinical scenarios of CRPS care. 🎧 LISTEN HERE: rapmfocusbmj.podbean.com/e/long-term-ou… #RAPM #Podcast #CRPS

🎯 A Simple Block, A Big Difference Modified PECS II block improves anterior shoulder analgesia in RA-only arthroscopy: pain 56%→7%, sedation 56%→7%, complete RA 44%→93%. A simple addition to enhance patient comfort. 🔗 doi.org/10.1136/rapm-2… #RAPM

🎙️ CACB Beyond the OR: Rethinking Outpatient TKA 💉 Alopi Patel, MD, with Josh Gleicher, MD, MSc, FRCPC & Hermann dos Santos Fernandes, MD, PhD, discuss outpatient continuous adductor canal block for TKA 🦻🏼 rapmfocusbmj.podbean.com/e/episo

NOW OPEN: 2026 RAPM Editorial Board Applications! Apply here: cognitoforms.com/ASRA/_2026RAPM…

🧠 ASRA Practice Advisory for inpatient headache care • IV DHE ↓ headache frequency & severity • Magnesium, steroids, and dopamine antagonists may help • Ketamine & lidocaine for refractory cases • Evidence mostly low–moderate → RCTs needed 🔗 doi.org/10.1136/rapm-2…