Dr. Rosenblum discusses his concerns over:
RFA of the Genicular Nerves being a non reimbursed service when the patient already had them in the past with excellent relief.
Plus a discussion on CMS policy toward Peripheral Nerve Block reimbursement limitations and documentation!
Pain Management, Anesthesiology, PMR Board Review
Upcoming Workshops and Events
| Saturday, October 28, 2023 8:00 AM | |
| Charleston, SC Regional Anesthesia and Pain Ultrasound CME Workshop | Sunday, October 29, 2023 9:00 AM |
| Saturday, November 11, 2023 8:00 AM | |
| Saturday, December 16, 2023 7:30 AM | |
| Saturday, January 6, 2024 7:30 AM |
For up to date Calendar, Click Here!
Drawing from her own experience of transformation from being a burnout physician to regaining, designing, and retaining control of her physician life, Dr. Myrdalis Diaz-Ramirez created the maxAllure Mastermind. It is now her passion to help physicians who feel overwhelmed and lost in medicine to find a new path and control their lives through entrepreneurship.
She is a born and self-made entrepreneur with experience in owning different clinics which she successfully sold in the past. She has also owned other businesses, including an entertainment company. Dr. Myrdalis Díaz-Ramírez is a dual Board-Certified Anesthesiologist and Interventional Pain Management Physician. She is also a Medical Expert,
Professor, Author, Speaker, Podcaster, Entrepreneur, and Mastermind Facilitator. Through her Mastermind, physicians can transform their personal and professional lives. They have been able to define, plan, and execute a designed vision for their life and business that was once only a dream!
Regional Anesthesia and Pain Ultrasound CME Workshop- San Juan, PR | |
Maximizing Profit: Understanding the 2024 Physician Fee Schedule | Wednesday, September 20, 2023 8:00 PM |
Saturday, October 28, 2023 8:00 AM | |
Charleston, SC Regional Anesthesia and Pain Ultrasound CME Workshop | Sunday, October 29, 2023 9:00 AM |
Saturday, November 11, 2023 8:00 AM | |
Saturday, December 16, 2023 7:30 AM | |
Saturday, January 6, 2024 7:30 AM |
Dr. Rosenblum discusses posterior hip pain/buttock pain near scar after Total Hip Arthroplasty. Included in this episode:
Upcoming Pain Management Conferences
Course Calendar
2023
Ultrasound Guided Regional Anesthesia and Pain Medicine- Sept 15, 2023, San Juan, PR
Oct. 28 Regional Anesthesia and Interventional Pain Medicine NYC
Nov.11 Regenerative Pain Medicine Course: NYC
Dec. 16th Regional Anesthesia and Interventional Pain Ultrasound Training NYC
2024
Jan. 6 Regional Anesthesia and Interventional Pain Ultrasound Training NYC
For up to date Calendar, Click Here!
Board Review
References
Pierre Laumonerie https://doi.org/10.1093/pm/pnab061
, Sensory Innervation of the Hip Joint and Referred Pain: A Systematic Review of the Literature, Pain Medicine, Volume 22, Issue 5, May 2021, Pages 1149–1157,Pinho, A.R.; Leite, M.J.; Lixa, J.; Silva, M.R.; Vieira, P.; Nery-Monterroso, J.; Bezerra, M.C.; Alves, H.; Madeira, M.D.; Pereira, P.A. Superior Gluteal Nerve Anatomy and Its Injuries: Aiming for a More Secure Surgical Approach of the Pelvic Region. Diagnostics 2023, 13, 2314. https://doi.org/10.3390/diagnostics13142314
Lung K, Lui F. Anatomy, Abdomen and Pelvis: Superior Gluteal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535408/
David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses: a case of paresthesia in the upper neck realted to C3 and C4 stenosis and considers a selective nerve root block while wondering if a deep cervical plexus block would suffice.
Rational :
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/lubWXJ
Also discussed on this podcast:
The Superficial Cervical Plexus and applications for headache, neck pain, and clavicular fractures.
Caution: Phrenic Nerve
Anatomy
The cervical plexus is a complex network of nerves located in the neck region, originating from the anterior rami (branches) of the cervical spinal nerves, specifically those stemming from the upper cervical segments (C1 to C4). This intricate network serves to provide sensory and motor innervation to various structures within the neck and surrounding areas.
The cervical plexus is positioned within a groove between the longus capitis and the middle scalene muscles in the neck. It is organized into different nerve loops and branches that radiate outwards to supply various regions. The cervical plexus can be divided into deep and superficial components, each with distinct functions and innervation patterns.
Cervical Plexus: The plexus involves nerve loops and branches that provide both sensory and motor functions. The superficial sensory branches originating from adjacent anterior spinal nerves (C2 to C4) are responsible for providing sensation to specific areas of the skin, particularly in the head, neck, and shoulder regions. These sensory branches include the lesser occipital nerve (C2, C3), great auricular nerve (C2, C3), transverse cervical nerve (C2, C3), and supraclavicular nerves (C3, C4). These nerves typically run posteriorly and then penetrate the prevertebral fascia before reaching the skin and superficial structures.
For Pain Management and Anesethesiology Board Review, go to
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Ultrasound Workshops and Courses
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
Regenerative Pain Medicine Course NYC- November 11, 2023
For up to date Calendar, Click Here!
Refereces
Kim JS, Ko JS, Bang S, Kim H, Lee SY. Cervical plexus block. Korean J Anesthesiol. 2018 Aug;71(4):274-288. doi: 10.4097/kja.d.18.00143. Epub 2018 Jul 4. PMID: 29969890; PMCID: PMC6078883. Read more!
ISPN Dubai 2023
David Rosenblum, MD interviews Reda Tolba, MD on the PainExam Podcast
In this episode, we delve into the realm of Pain Management in the US and the Middle East. Our international pain experts discuss the upcoming ISPN (International Society for Pain and Neuroscience) meeting in Dubai this december.
Dr. Reda Tolba, MD, chairs the Pain Management Department at Cleveland Clinic Abu Dhabi. He's internationally recognized for his contributions to Pain Medicine, boasting a wealth of experience from institutions like Wake Forest University Medical Center and Ochsner Health System.
Dr. David Rosenblum, MD, is the Director of Pain Management at Maimonides Medical Center and a driving force behind pain education platforms like PainExam.com and NRAP Academy. He's a pioneer in ultrasound-guided pain procedures, having trained thousands of physicians online and in person.
Tune in to hear Dr. Tolba's journey to being named Chair of Pain at Cleveland Clinic, Abu Dhabi, and his impressive academic and clinical achievements.Dr. Rosenblum, on the other hand, is known through his contributions to safe pain management protocols, and his mission to spread knowledge through podcasts and educational events.
Patients, interested he's scheduling an appointment with Dr. Rosenblum at his Long Island or Brooklyn Locations can go to AABPpain.com or call 718 436 7246 or 516 482 7246
To learn more about their work and educational initiatives, explore NRAPpain.org and PainExam.com/events. Join us in this episode to uncover insights from these leading figures in Pain Management.
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!
On this episode, Dr. Rosenblum has a chat with Premier Heritage's Greg Alerte.
Greg has over 15 years of experience helping families and small business to achieve their financial goals. As co-owner and Certified Financial Planner at Premier Heritage, he focuses on helping people to preserve and grow their wealth, and to leave a legacy for future generations to build on. Greg’s research and professional opinions, have been quoted in several financial publications, including Wall Street Journal, NerdWallet, Financial Planning magazine, and the Huffington Post. Greg’s favorite quote is by the late Mia Angelou “when you learn teach, when you get give”
For more information, Email: galerte@premier-heritage.com
David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses:
Attend and NRAP Course!
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!
David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses:
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/9GkVWu
Ultrasound Workshops and Courss
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!
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!
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 Anesthesiologists and CRNAs in their board exam preparation, we are offering the NRAP AnesthesiaExam board review course. The course is designed to provide comprehensive coverage of anesthesia with lectures, videos and question bank to ensure candidates are well-prepared for their exams. Listeners are encouraged to visit https://www.nrappain.org/courses/BasicAnesthesiaExam to access more information and register for the course.
The NRAP Academy is offering the exciting opportunity for anesthesia professionals interested in regional anesthesia ultrasound to train at one of our live ultrasound CME workshops. Dr. Rosenblum mentions regional anesthesia ultrasound courses in NY, the US and abroad.
These courses offer valuable hands-on training and insights into the latest techniques. Our course calendar is listed here:
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 more information and to register for the regional anesthesia ultrasound courses,
Reference
Ruth Bedson, MBBS FRCA , Anna Riccoboni, MBChB FRCA, Physiology of pregnancy: clinical anaesthetic implications, Continuing Education in Anaesthesia Critical Care & Pain, Volume 14, Issue 2, April 2014, Pages 69–72, https://doi.org/10.1093/bjaceaccp/mkt036
Neurosurgery and Regional Anesthesia
Claim CME Credit:
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
Segment 2: Blocks used for Spinal Surgeries
Regional anesthesia techniques play a crucial role in neurosurgery, providing effective pain relief and improving patient outcomes. Blocks like scalp block, infraorbital block, trigeminal nerve block, cervical plexus block, and erector spinae block offer numerous advantages in specific procedures. Ultrasound guidance has enhanced the precision and safety of block administration. These techniques contribute to improved surgical outcomes and patient satisfaction in neurosurgical procedures.
Upcoming Courses and Workshops!
Course Calendar
Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain!
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!
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
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!