Anesthesiaexam Podcast

In this episode of the AnesthesiaExam podcast, New York Anesthesiologist, David Rosenblum, MD  delves into the topic of maternal physiological changes during pregnancy and the associated concerns for anesthesia providers. The episode emphasizes the importance of understanding these changes to ensure safe and effective anesthesia management for pregnant patients. Dr. Rosenblum discusses the significant physiological changes that occur during pregnancy, particularly in the cardiovascular, respiratory, and hormonal systems. These changes impact drug distribution, elimination, ventilation, and the risk of aspiration. Throughout the discussion, the host and guest highlight the need for anesthesia providers to stay updated on the latest evidence-based practices and guidelines for managing pregnant patients. They stress the importance of appropriate dosing, ventilation strategies, and addressing the increased risk of aspiration to maintain the well-being of both the mother and the fetus. To further support

Neurosurgery and Regional Anesthesia Claim CME Credit: The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/t3z3kR In this episode, we will explore the various regional anesthesia techniques used in neurosurgery, specifically focusing on blocks for head, neck, and spinal surgeries. Segment 1: Blocks used in Head and Neck Surgeries Scalp Block: The scalp block involves blocking six nerves that provide sensory innervation to the scalp. It is performed by subcutaneous infiltration of local anesthetics (such as bupivacaine, ropivacaine, or levobupivacaine) for each nerve. Ultrasound guidance has improved the precision of block administration. The main indication for a scalp block is awake craniotomy, but it is also used in other procedures like deep brain stimulation and cranioplasty surgery. Scalp block offers advantages such as accurate neurological evaluation, pre-emptive analgesia, and hemodynamic stability during surgery. It also reduces postope

Introduction: Providing anesthesia for pediatric orthopedic patients poses unique challenges for anesthesiologists. The approach must consider the psychological development of the child and the prevalence of respiratory infections. Pain management, management of concomitant diseases, and risk reduction for adverse events are crucial aspects of anesthetic care. This blog post will review the perioperative concerns specific to pediatric orthopedic procedures, discuss pain control methods used, and highlight anesthetic considerations for certain surgeries. Listen to Audio via a Free Preview to our AnesthesiaExam Advanced Board Review Course or stay updated via our newsletter below Claim CME Credit Select Pediatric Perioperative Concerns: Upper Respiratory Tract Infections (URI): Pediatric patients presenting for orthopedic surgery with current or recent URIs pose a challenge for anesthesiologists and surgeons. Children commonly experience URIs with symptoms like a runny nose, cough, and fever. While the vir

Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain! Join digital health leader and Upside Health CEO Rachel Trobman and PainExam.com founder Dr. David Rosenblum in a conversation about the impact of the end of the public health emergency in May could have on your pain management practice. We'll specifically discuss the changes to telehealth and remote patient monitoring. The webinar will close with one of Upside Health's clients outlining the launch and successes of RTM in their practice and be available for Q&A. Course Calendar Regenerative Pain Medicine Course NYC- May 13 Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- July 19, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- August 19th, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine- Sept 15, 2023, San Juan, PR For  up to date Calendar, Click Here! For Board

Regenerative Medicine Journal Club   Dr. Rosenblum reviews a case report discussing Platelet Rich Plasma Intra-discal Injection using ultrasound and fluoroscopy. The author mentions use of ultrasound to avoid the Internal jugular vein, carotid artery, phrenic nerve, esophagus and neural structures.  The author mentions mixing lidocaine with PRP and Dr. Rosenblum comments on his experience and knowledge of the technique.  Dr. Rosenblum mentions the risk of disci tis.     Course Calendar   Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain! Register to our Free Upcoming Practice Management Webinar on April 24th   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023   Regenerative Pain Medicine Course NYC- May 13   Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- July 19, 2023   Ultrasound Guided Regional Anesthesia and Pain

The MOTION Study: Minimally Invasive Lumbar Decompression   CME Credit The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/W8x3jd   Journal Club. Minimally Invasive Lumbar Decompression (mild® Procedure) with Conventional Medical Management vs. Conventional Medical Management Alone. Descripton of Procedure, Safety, Technique, study outcome, personal experience with this minimally invasive technique that interventional pain physicians are using to treat neurogenic claudication related to ligamentum flavum hypertrophy.    Dr. Rosenblum discusses spinal stenosis pathophysiology and neurogenic claudication. Dr. Rosenblum also mentions upcoming courses and webinars:     Upcoming Courses and Workshops!   Course Calendar   Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain!   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023 Regenerative Pain Medicine Course NYC- Ma

Biologics and the Peripheral Nerve.   Claim CME The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/TgB18M   Dr. Rosenblum discuss his upcoming talk at the Appalachian Region Spine and Pain Meeting:  Incorporating Ultrasound into a Spine and Pain Practice on April 14-16 2023 and the topics he plans to include: Ultrasound Guided Knee therapies, cluneal nerve, caudal, brachial plexus and more!   Today’s podcast focuses on the risk and benefits of performing PRP injection onto a nerve.  Dr. Rosenblum discusses:    Possible fibrosis of the ulna nerve after using PRP for partial ulnar collateral ligament tears  Best Time for PRP Injection after Nerve Regeneration  Alpha 2-macroglobulin (what is it?)  PRP for moderate to severe carpal tunnel syndrome   Featured Courses!   May 25, 2023 Private Pain Group   Ultrasound Course- NYC (Sold out)   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023 Regenerative Pain Medicine Course NYC

Knee Osteoarthritis and Regenerative Pain Medicine   Claim CME The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/TJXGw0     Dr. Rosenblum reviews the latest evidence comparing Bone Marrow Aspirate and Platelet Rich Plasma for knee pain. He also reviews the latest publication by Di Martino et al’s study which compared Leukocyte-rich PRP vs. Leukocyte-poor PRP in the treatment of knee osteoarthritis.    Upcoming Courses Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023  Regenerative Pain Medicine Course NYC- May 13 Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023 References El-Kadiry, A.EH., Lumbao, C., Salame, N. et al. Bone marrow aspirate concentrate versus platelet-rich plasma for treating knee osteoarthritis: a one-year non-randomized retrospective comparative study. BMC Musculoskelet Disord 23, 23 (2022). https://doi.org/10.1186/s12891-021-04910-5   Hede, Kris, et al.

Carpal Tunnel Syndrome Claim CME The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/JiPKnm   Diagnosis, Pathophysiology, Clinical Findings and Management of the Carpal Tunnel Syndrome  In this episode, we will be discussing Carpal Tunnel Syndrome, a common condition that affects millions of people worldwide. But before we dive into the topic, we want to tell you about a great opportunity to advance your medical knowledge through the NRAP Academy CME courses offered on our website. Discussion on Carpal Tunnel Syndrome: Carpal Tunnel Syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed at the wrist. This compression can lead to pain, numbness, and tingling in the hand and arm, which can be debilitating. There are many causes of Carpal Tunnel Syndrome, including repetitive hand movements, wrist injuries, pregnancy, and medical conditions such as diabetes and thyroid diso

Claim CME  The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/tn70Yk   Dr. Rosenblum discuss a challenging case and reviews the pathology, treatment and evidence for interventional pain in the the treatment of Post Herpetic Neuralgia. Discussed in this podcast: Intrathecal injection of methylprednisolone Dorsal Root Ganglion  Paraveterbral Nerve Block Stellate Ganglion Block Spinal Cord Stimulation Botulinum Toxin Injection And more!   Course Calendar   Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Puerto Rico- Feb. 10, 2023   Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- March 11, 2023   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023 Regenerative Pain Medicine Course NYC- May 13   Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023

Rachel Trobman, CEO of Upside Health and David Rosenblum, MD discuss updates to the 2023 Physician Fee Schedule + New Chronic Pain Management Codes, Remote Patient Monitoring and more! Claim CME Credit! This Podcast is not worth any CME Credit, but Credit can be Claimed for reflecting on content: The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/9AX9LN Upcoming Courses and Workshops! Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- Dec 3, 2022 Regenerative Interventional Pain Course NYC- Jan, 28, 2023 Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- March 11, 2023 Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023 Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023 NRAP: NYC Regional Anesthesia and Pain Ultrasound CME Workshop Registration, Sat, Dec 3, 2022 at 7:30 AM |

Larry Kobak, Esq. on CDC Guidelines: What You Need to Know! PendingDec 14, 2022 1 CME Available What you need to know: The Updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain Monday, November 21 at 6:00 pm EDT NYSPS Legal Briefs  New 2022 CDC Guidelines on OPIOID USE FOR TREATMENT OF PAIN The CE experience for this Webinar is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/p1nfCi The Guidelines state very clearly: “Nonopioid therapies are preferred for subacute and chronic pain.” If you are using opioids for subacute or chronic pain, which including both terms, means treating pain for 1 month or more, your chart must contain some justification for the use of opioids. This is an extremely important matter. Appropriate reasons, such as a prior treater, attempted various nonopioid treatments of some kind that failed. There must be a very good reason why opioids were tried. It must be documented.   Larry Kobak, Esq. Senior Counsel Frier Levitt ATTORNEYS AT LAW

Journal Club where David Rosenblum, MD reviews the possible complications related to an intrathecal pump.  Discussed in this podcast: Intrathecal pump malfunction, disconnect, granuloma, infection, MRI compatibility, related malfunctions, and evaluation of pump failure. Claim CME Credit This CME credit is not for listening to the podcast.  No credit is offered for the podcast itself, but reflect on information learned and claim credit.  The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/QzrQ19   Upcoming Workshops   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- Dec 3, 2022   Regenerative Interventional Pain Course NYC- Jan, 28, 2023   Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- March 11, 2023   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023   Pain Management Board Review/Refresher Course

Regenerative Pain Medicine in Knee OA- The Interosseous Injection of BMAC and PRP   In anticipation of NRAP Academy’s upcoming Regenerative Medicine Course, Dr. Rosenblum reviews interosseous injections of PRP and Bone Marrow Aspirate in the treatment of Knee Osteoarthritis.  Dr. Rosenblum reviews key points and quotes Delgado et al in the below article.    Claim CME Credit The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/FOIuSR   Upcoming Courses and Workshops!   Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- Dec 3, 2022   Regenerative Interventional Pain Course NYC- Jan, 28, 2023   Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023   Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023   For  up to date Calendar, Click Here!   Reference Delgado D, Garate A, Vincent H, Bilbao AM, Patel R, Fiz N, Sampson S, Sánchez M. Current concepts in intraosseous Plat

A review of the evidence   David Rosenblum, MD reviews the description and evidence provided by Loibi et al in the published article referenced below.  Dr. Rosenblum discusses personal experiences with treating back pain with regenerative medicine procedures.  Discussed in this podcast: Patient selection Pathophysiology Environment of the disc and it’s impact on MSCs Risks and safety concerns of Intervertebral mesenchymal stem cell transplantation Pain relief and recommendations for MSC injection into the disc in patients suffering from discogenic pain     Claim CME Credit The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/WAltmH     Course Calendar     Ultrasound Training Dominican Republic- November 12, 2022   Physician Networking Event- November 17, 2022   Ultrasound Training NYC- December 3, 2022   Regenerative Interventional Pain Course January 28th, 2023   Ultrasound Training Costa Rica- February 29, 2023   Pain Management Board Rev

The Glossopharyngeal Nerve Revisited- The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/VOw8zH Glossopharyngeal Neuralgia, Anatomy, Pathophysiology, Diagnosis, and Treatment- Dr. Rosenblum reviews Neuralgia and Compression of CN IX pathology, discusses the management, treatment and more.  David Rosenblum MD, pain physician in Great Neck, Long Island discusses the different approaches to treating patients with medications and interventional pain procedures such as nerve blocks, neurolysis and radiofrequency lesioning... Upcoming Events... Want to view the complete events agenda? Click Here Now! IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 30, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot Today! Register Now! NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022! NYSIPP/ NJSIPP's Annual Pain Medicine Symposium Come and join us in New Jersey in November |

Treating long COVID, Parosmia and Anosmia with Stellate Ganglion Blocks- A new application of an old therapy- Dr. Rosenblum reports his experience with a patient who reported long term relief of anosmia and parosmia with a unilateral stellate ganglion block.  Dr. Rosenblum discusses the pathophysiology of the imbalances between the Sympathetic, parasympathetic nervous system, and feedback loops in the Neuro-immune system.  For more information see attached texts. For Ultrasound Training to enable safe application of this therapy go to www.PainExam.com/events Links to PDF files- Stellate ganglion block reduces symptoms of Long Covid- A Case Series- Click here to download Regulation of acute reflectory hyperinflammation in viral and other diseases by SGB- Click here to download   Upcoming Events... Want to view the complete events agenda? Click Here Now! NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot T

Protect and Cover your ASSets! - Interview with attorney Ken Falcon- Is Malpractice insurance enough? Dr. Rosenblum sits down and asks Ken Falcon about protecting assets, trusts, and more. Ken is an attorney practicing in Rockville Center, NY.  For more information, see his contact information below. Ken Falcon Falcon Rappaport & Berkman PLLC 265 Sunrise Highway, Suite 50 (MAIL) Rockville Centre, New York 11570 T: (516) 599-0888 F: (516) 599-0889 Upcoming Events... Want to view the complete events agenda? Click Here Now! NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot Today! Register Now! NSPC's Annual Conference 2022- THE BUSINESS OF PAIN MEDICINE- Oct. 20th, 2022  NSPC's Annual Conference 2022- THE BUSINESS OF PAIN MEDICINE! Lock in Your Spot Today! Register Now! IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022  Advanced Ultrasound Guided Injection Traini

What You Need to Know About CMS' New Chronic Pain Management Codes? - CMS’s Push into Remote Patient Care- Dr. Rosenblum interviews PainExam Podcast Sponsor, Rachel Trobman.  Rachel Trobman is a digital health executive and leader in the remote care space. Her company, Upside Health, is dedicated to transforming pain care and has helped clinicians, health systems and tens of thousands of patients through their product, Branch Health. She is actively involved in legislation surrounding remote billing codes and collaborates with the AMA, CMS and leading law firms... Find out more about Upside Health! https://Upside.health Upcoming Events... Want to view the complete events agenda? Click Here Now! NRAP’s Acute and Chronic Pain Ultrasound CME Workshop in NYC- Sept. 10th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot Today! Register Now! NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock

SoMeDocs Founder, Dana Corriel, MD! - Doctors on Social Media, Physician Entrepreneurship and more! - Dr Rosenblum welcomes his friend and Colleague Dana Corriel, MD.  Dana runs the Facebook group SoMeDocs and has over 40,000 followers across her platform.  Her website doctorsonsocialmedia.com is a platform to help physicians network, showcase and develop their brands. Follow Dana on Facebook at SoMeDocs and get updates on all of her online and offline events and projects. Upcoming Events... Want to view the complete events agenda? Click Here Now! NRAP’s Acute and Chronic Pain Ultrasound CME Workshop in NYC- Sept. 10th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot Today! Register Now! NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022  Advanced Ultrasound Guided Injection Training Workshop! Lock in Your Spot Today! Register Now! IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022  Advanced Ultrasound Guide