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New Controversies Published in Br J Anaesth. 2014;113(6):906-909 Authors: P. Aldam, N. Levy, G. M. Hall Introduction The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable […]
Read MoreA 34 year old morbidly obese stiff person syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. SPS most common manifestations are progressive, including severe muscle rigidity or stiffness affecting the spine and lower extremities more than other muscle groups. SPS have superimposed […]
Read MoreA 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and treated with antiepileptics and tricyclic antidepressants. Minimal analgesia was achieved, which was […]
Read MoreUDT is Essential to Medical Care Pain physicians are at the forefront of providing diverse patient populations with quality medical care that improves lives. Chronic pain is one of the leading reasons why patients visit their doctor—who understands that uncontrolled chronic pain causes unnecessary suffering and can lead to depression. While treatment of chronic pain […]
Read MoreIn recent weeks, the Centers for Medicare & Medicaid Services (CMS) sent correspondence to a number of members, practitioners and billing companies detailing how the PQRS payment adjustment may affect their covered professional services in 2015. CMS sent these letters to Eligible Professional(s) (or their billing companies and departments) noting of their non-participation in the […]
Read MoreThe use of calcitonin to relieve severe, treatment-refractory phantom limb pain (PLP) is reported. After an above-knee leg amputation, a 29-year-old pregnant woman (at eight weeks gestation) reported severe PLP (consistent scores of 9 or 10 on a 10-point pain severity scale). The pain persisted for more than two weeks and was not relieved by […]
Read MoreA 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter […]
Read MoreEpidural injections of corticosteroids to relieve pain — a widespread, off-label use — run the rare risk for blindness, stroke, paralysis, and death, the US Food and Drug Administration (FDA) announced today. The FDA is requiring manufacturers of corticosteroids to revise drug labels to include this warning. In today’s announcement, directed at anesthesiologists and pain […]
Read MoreI thought this was important because occasionally these patients go to the OR. Authors: Arnaout M et al., Crit Care Med 2014 Dec 8; A retrospective cohort study found neurologic causes in 2.3% of survivors. Acute coronary syndrome is the main etiology for out-of-hospital cardiac arrest (OHCA), but identification of patients who arrest secondary to neurologic causes […]
Read MoreOn November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first […]
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