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.
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Select Pediatric Perioperative Concerns:
Anesthetic Management for Orthopedic Procedures:
Anesthetic Considerations for Select Pediatric Orthopedic Surgeries: Scoliosis Surgery: Anesthetic concerns during scoliosis surgery include optimizing neuromonitoring signals, managing blood loss, preventing positioning-related injuries, and minimizing the risk of postoperative visual loss.
Pain Management: Pain control for pediatric orthopedic patients involves a multimodal pharmacologic approach to minimize opioid requirements. This approach includes non-opioid analgesics, local anesthetics, and regional anesthesia techniques. Regional anesthesia, such as peripheral nerve blocks and caudal anesthesia, is particularly valuable for postoperative pain control. Recent studies have confirmed the safety of regional anesthesia in the pediatric population.
Pediatric orthopedic surgeries present unique challenges for anesthesiologists. Effective management of preoperative anxiety, careful consideration of upper respiratory tract infections, and appropriate pain control strategies are essential for successful outcomes. Anesthesiologists must tailor their approach to the specific needs of pediatric patients undergoing orthopedic procedures to ensure their safety and well-being.
Reference
Wu JP. Pediatric Anesthesia Concerns and Management for Orthopedic Procedures. Pediatr Clin North Am. 2020 Feb;67(1):71-84. doi: 10.1016/j.pcl.2019.09.006. PMID: 31779838; PMCID: PMC7172179.
Anesthesiology Board Review Newsletter
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 Prep go to www.AnesthesiaExam.com
For more questions Email Rachel Trobman at Rachel@upside.health
References
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
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.
Lin, Chia-Shiang, et al. "Interventional treatments for postherpetic neuralgia: a systematic review." Pain physician22.3 (2019): 209.
David Rosenblum, MD, creator of PainExam.com, AnesthesiaExam.com, PMRExam.com, NRAP Academy and International Pain Academy Co-Founder presents an excerpt from Grand Rounds Given on January 2, 2023 to the Metropolitan Hospital Physical Medicine and Rehabilitation Department.
Reflect on Ultrasound Guided Interventional Spine Procedures and Claim CME Credit
Agenda:
Dr. Rosenblum offers live regional anesthesia, regenerative medicine, board review and interventional pain management CME courses in NY and around the world. For more information, go to www.NRAPpain.org or PainExam.com/events
Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Great Neck Office 516 482 7246
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
For up to date Calendar, Click Here!
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!
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
For up to date Calendar, Click Here!
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
101 Greenwich Street, Suite 8B
New York, NY 10006
Reference
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
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
Dominican Republic: Regional Anesthesia & Pain Ultrasound CME Workshop, Nov 12th, 2022
Physician Networking Event- NYC Nov. 17th, 2022
Physician Networking Event- Nov. 17th, NYC
Join us for our a cool session of networking with your colleagues. Our last event hit the mark, and our docs left happy and excited for the next one. So we've planned it. As always, there will be food and drinks served. Come prepared to speak to others about medicine, healthcare. side gigs, new opportunities for career growth, innovation, fun activities, and more.
NYC Ultrasound Guided Chronic Pain/Regional Anesthesia Training Workshop- Dec. 3rd, 2022
NYC Regenerative Pain Medicine Workshop- Jan. 28th, 2023
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Pain Management Board Review & Refresher Workshop June 10-12, 2023 - TBA
Registration Set to Open Soon...
Podcast Resources:
https://europepmc.org/article/nbk/nbk541041
https://en.wikipedia.org/wiki/Glossopharyngeal_nerve
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
https://apps.apple.com/us/app/the-pain-management-review/id997396714
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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...
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NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022
NSPC's Annual Conference 2022-
THE BUSINESS OF PAIN MEDICINE- Oct. 20th, 2022
IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 30, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
Dominican Republic: Regional Anesthesia & Pain Ultrasound CME Workshop, Nov 12th, 2022
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Podcast Resources:
David Rosenblum, M.D.
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
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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
NSPC's Annual Conference 2022-
THE BUSINESS OF PAIN MEDICINE- Oct. 20th, 2022
IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Podcast Resources:
David Rosenblum, M.D.
Ken Falcon, Falcon Rappaport & Berkman PLLC
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
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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
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022
IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Podcast Resources:
David Rosenblum, M.D.
Rachel Trobman, Upside Health
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
https://apps.apple.com/us/app/the-pain-management-review/id997396714
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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
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022
IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Podcast Resources:
David Rosenblum, M.D.
Dana Corriel, M.D.
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
https://apps.apple.com/us/app/the-pain-management-review/id997396714
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https://www.youtube.com/user/DocRosenblum/videos
Maxallure Mastermind Physician Coaching -
Dr. Rosenblum discusses business, coaching, work life balance and more with Dr. Myrdalis Diaz-Ramirez.
To find out more about her physician coaching program, go to https://www.maxallure.com/affiliate_users/sign_up
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
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022
IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023
Podcast Resources:
David Rosenblum, M.D.
Mydralis Diaz-Ramirez, M.D.
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
https://apps.apple.com/us/app/the-pain-management-review/id997396714
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The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/wVAtJK
ASRA’s Contrast Shortage Position Statement -
Facing supply chain shortages, Dr. Rosenblum review’s ASRA’s position statement on contrast administration. For the full article, click here ...
Subscribe to the NEW International Pain Academy's Newsletter
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
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
Podcast Resources:
Kohan L, Pellis Z, Provenzano DA, et alAmerican Society of Regional Anesthesia and Pain Medicine contrast shortage position statementRegional Anesthesia & Pain Medicine Published Online First: 17 June 2022. doi: 10.1136/rapm-2022-103830
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IPA Pain Management Board Review Course-
Dr. Rosenblum presents his friend and colleague, co-founder of the International Pain Academy, Alaa Abd Elsayed, MD. In this podcast, Dr. Elsayed Dallas 2022 Lecture on the anatomy and physiology of nociception, Dr. Elsayed covers high yield testable material, sample multiple choice questions and pain management board preparation strategies...
Subscribe to the International Pain Academy's Newsletter
Upcoming Events...
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022
ASPN's Annual Conference- July 14th-17th, 2022!
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 | NYNJ-PS 2022
Save the Date! Nov. 3rd-6th, 2022
Clarius Discount!
Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!
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Podcast Resources:
-David Rosenblum, M.D.
-Alaa Abd Elsayed, M.D.
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
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Common Sense Opiate Prescribing-
Dr. Rosenblum interviews Dennis Wichern on his career and consulting experiences...
Upcoming Events...
Advanced Pain Board Review Conference Multi Day June 10-12th, 2022
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022
ASPN's Annual Conference- July 14th-17th, 2022!
Clarius Discount!
Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!
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Podcast Resources:
-David Rosenblum, M.D.
-Dennis Wichern, Former DEA Agent
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How to Implement Digital Health Tools and Billing Codes to Optimize and Grow Your Pain Practice?
The emergence of new CMS codes in the space of remote physiologic monitoring, remote therapeutic monitoring, chronic care management and more offers a unique opportunity for clinicians and practice owners to get reimbursed for bringing digital health tools into their practice. However, if not done correctly, they can increase the clinical and administrative burden and decrease the patient experience. In this webinar, industry experts will explain the details of these codes and the best ways to introduce them into your practice for optimal growth, without taking on additional burden or risk.
***This is a sponsored episode by UpSide Health***
Upcoming Events...
Advanced Pain Board Review Conference Multi Day June 10-12th, 2022
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022
ASPN's Annual Conference- July 14th-17th, 2022!
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Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!
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Podcast Resources:
***This is a sponsored episode by UpSide Health***
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Integrative Medicine and Pain Management?
Dr. Rosenblum Interviews Dr. Gary Kaplan D.O....
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more:
Upcoming Events...
Advanced Pain Board Review Conference Multi Day June 10-12th, 2022
NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022
ASPN's Annual Conference- July 14th-17th, 2022!
Clarius Discount!
Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!
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Podcast Resources:
-David Rosenblum, M.D.
-Gary Kaplan D.O.
https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US
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