pain

Post Dural Puncture Headache (PDPH)

Post dural puncture headache (PDPH) is a potential complication following neuraxial procedures when the dura is punctured and entry into the subarachnoid space permits drainage of cerebrospinal fluid (CSF). In the case of lumbar...

Exparel

Liposomal bupivacaine (Exparel) is a local anesthetic touted for the long duration of its activity. Molecules of bupivacaine are encapsulated within  multivesicular liposomes composed of endogenous lipids like cholesterol and phospholipids; these liposomes undergo...

Multimodal Analgesia

For the last several months, multiple manufacturing delays have led to a nationwide shortage of injectable, intravenous (IV) opioid medications like morphine, hydromorphone, and fentanyl. These medications are routinely utilized in the perioperative and...

Last Week On The Chronic Pain Service

Although this chronic pain management rotation has been very relaxed, the month overall has been very hectic with my fellowship interviews. Many days I've had to catch flights immediately after work or, even better,...

Busy Day On Acute Pain

What a crazy day - the first epidural I've ever had to abandon, a myriad of acute pain consults, continuous block of the brachial plexus at the axilla, rectus sheath block x 6, post-op TAP...

Halfway Done With First Acute Pain Rotation

What a beautiful day in Houston! I'm halfway done with my first acute pain rotation and really enjoying my time back at the #1 cancer hospital in the country - MD Anderson Cancer Center....

Palliative Care Experience

Last Thursday, a good classmate and I had the privilege of visiting a patient with metastatic cancer for our mandatory "palliative care experience." Under the guidance of an attending physician, we explored how the...

Swearing Relieves Pain

Many of us are accustomed to following up a jammed toe, a burned finger, or heck, even a paper cut with a four letter expletive. Ever wonder why? Because it helps relieve pain! According...

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