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AnesthesiaExam Podcast

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Education
Health & Fitness
Medicine
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David Rosenblum, MD, creator of ABAStageExam.com for the Basic and Applied Exams in Anesthesiology, AnesthesiaExam and the Pediatric Anesthesia Board review (PedsAE.com) discusses Anesthesiology Board Review and Practice Management.Dr. Rosenblum has also published a children's book:Welwyn Ardsley and the Cosmic Ninjas: Preparing your child and yourself for anesthesia and surgeryAvailable at Amazon.com and www.MyKidsSurgery.com

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David Rosenblum, MD, creator of ABAStageExam.com for the Basic and Applied Exams in Anesthesiology, AnesthesiaExam and the Pediatric Anesthesia Board review (PedsAE.com) discusses Anesthesiology Board Review and Practice Management.Dr. Rosenblum has also published a children's book:Welwyn Ardsley and the Cosmic Ninjas: Preparing your child and yourself for anesthesia and surgeryAvailable at Amazon.com and www.MyKidsSurgery.com

iTunes Ratings

9 Ratings
Average Ratings
7
2
0
0
0

CA-2

By okcdoc - Aug 21 2018
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Great podcast! Perfect information level. There are some lectures I listen to before I take any anesthesia test. Thank you for putting this resource out.

iTunes Ratings

9 Ratings
Average Ratings
7
2
0
0
0

CA-2

By okcdoc - Aug 21 2018
Read more
Great podcast! Perfect information level. There are some lectures I listen to before I take any anesthesia test. Thank you for putting this resource out.
Cover image of AnesthesiaExam Podcast

AnesthesiaExam Podcast

Updated 3 days ago

Read more

David Rosenblum, MD, creator of ABAStageExam.com for the Basic and Applied Exams in Anesthesiology, AnesthesiaExam and the Pediatric Anesthesia Board review (PedsAE.com) discusses Anesthesiology Board Review and Practice Management.Dr. Rosenblum has also published a children's book:Welwyn Ardsley and the Cosmic Ninjas: Preparing your child and yourself for anesthesia and surgeryAvailable at Amazon.com and www.MyKidsSurgery.com

Rank #1: Neuromuscular Blocking Agents- Free Version

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A Brief Review of Neuromuscular Blocking Agents

For the Premium Version, Subscribe here

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For Board Review and Practice Management Updates TEXT the word 

ANESTHESIAEXAM to the number 33444 

For more information, CME credit and MOCA and Primary Board Prep,

For more information, CME credit and MOCA and Primary Anesthesiology Board Prep,

Go to AnesthesiaExam.com

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medicaal Center and AABP Pain Managment

For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com

718 436 7246

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Skeletal Muscle relaxants

Classification

  • Peripherally acting (Neuromuscular blockers)
    1. Pre synaptic neuromuscular blocker
      • Inhibit Ach synthesis: triethylacholine – hemicholinium
      • Inhibit Ach release: Mg, aminoglycosides, botulinum toxin
    2. Post synaptic neuromuscular blocker
      • Competitive (non depolarizing blockers):
        • d- tubocurarine
        • Gallamine
        • Atracurium
        • Pancuronium
        • Vecuronium
      • Depolarizing blockers: succinylcholine (suxamethonium)
  • Centrally acting skeletal muscle relaxants
    1. Baclofen – Diazepam  
  • Direct acting skeletal muscle relaxants
    1. Dantrolene

Mechanism of action

  1. Non depolarizing relaxant drugs
    • All neuromuscular blocking agents used in USA except succinylcholine are classifies as non depolarizing agents
    • When small doses of nondepolarizing muscle relaxants are administered, they act predominantly at nicotinic receptor site by competing with acetylcholine
    • The least potent relaxant (eg. Rocuronium) have the fastest onset and the shortest duration of action
    • In large doses, nondepolarizing drugs enter the pore of ion channel to produce a more intense motor blockade. This action further weakens neuromuscular transmission and diminishes the ability of the cholinesterase inhibitor (eg. Neostigmine, edrophonium, pyridostigmine) to antagonize the effect of non depolarizing muscle relaxants.
    • They also block prejunctional sodium channels. As a result of this action, muscle relaxants interfere with the metabolization of acetylcholine at the nerve ending.
    • Both halothane and succinylcholine increase the intensity and duration of action of pancuronium. (1)

  1. Depolarizing relaxant drugs
    1. Phase I block (depolarizing)
      • Succinylcholine is the only available depolarizing neuromuscular blocking drug. (2)
      • It produces a longer effect at the myoneural junction
      • It reacts with the nicotinic receptor to open the channel and cause depolarization of the motor end plate, and this in turn spreads to the adjacent membranes, causing contractions of muscle motor units.
      • Because succinylcholine is not metabolized at the synapse, the depolarized membranes remain depolarized and unresponsive to subsequent impulses
      • This is called Phase I (depolarizing) block, not reversed by cholinesterase inhibitors
    2. Phase II block (desensitizing)
      • With prolonged exposure to succinylcholine, initial end plate depolarization decreases and the membrane become repolarized
      • Despite this repolarization, the membrane cannot be easily depolarized again because it is desensitized
      • The channel block is more important than agonist action at the receptor in phase II of succinylcholine’s neuromuscular blocking action
      • Later in phase II, the characteristics of the blockade are nearly identical to those of a non depolarizing block (ie, a nonsustained twitch response to a titanic stimulus) with possible reversal by acetylcholinesterase inhibitors

  • Succinylcholine produce reversible contracture of intrafusal fibers of the muscle spindle and leads to acceleration of the afferent discharge. (3)
  • Another study by Martin Jeevendra and Duriex Marcel E found that: (4)

              1. Succinylcholine caused initial activation of the muscle AchR followed by desensitization

              2. At clinically relevant concentrations, succinylcholine has no stimulatory or inhibitory interactions                            with α3β2 (presynaptic) or α3β4 (ganglionic) AchRs

              3. High doses of succinylcholine caused inhibition of both α3β2 and α3β4 receptor. 

Pharmacokinetics of neuromuscular blocking drugs

  • Succinylcholine has the fastest onset of action among all the muscle relaxants. (5)
  • The elimination of succinylcholine appears to follow first order kinetics with linear relationship between intensity of the effect and logarithm of the dose. The rate of recovery is independent of dose for each age group. The rate of recovery is faster in children than in infants; the rate of recovery is faster in infants than in adults. The elimination rate constant for infabts was similar to that of children, but is dissimilar from those of adults. (6)

Drug

Elimination

Clearance (mL/kg/min)

Approximate duration of action (minutes)

Approximate potency relative to Tubocurarine

Atracurium

Spontaneous

6.6

20-35

1.5

Cisatracurium

Mostly spontaneous

5-6

25-44

1.5

Doxacurium

Kidney

2.7

> 35

6

Metocurine

Kidney (40%)

1.2

> 35

4

Mivacurium

Plasma ChE

(Butyrylcholinesterase)

70-95

10-20

4

Tubocurarine

Kidney (40%)

2.3-2.4

> 50

1

Pancuronium

Kidney (80%)

1.7-1.8

> 35

6

Pipecuronium

Kidney (60%) and liver

2.5-3.0

> 35

6

Rocuronium

Liver (75-90%) and kidney

2.9

20-35

0.8

Vecuronium

Liver (75-90%) and kidney

3-5.3

20-35

6

Succinylcholine

Plasma ChE (100%)

(Butyrylcholinesterase)

>100

< 8

0.4

Soutce: Bertram G. Katzung, Susan B. Masters and Anthony J. Trevor. Basic amd Clinical Pharmacology. 11th Edition. Chapter 27. Skeletal Muscle Rexants. Page 451-465.

Pharmacology of Neuromuscular blocking drugs

Drug

ED95a (mg/kg)

Intubating dose (mg/kg)

Onset timeb (s)

Clinical durationc(min)

Succinylcholine

0.3

1.0d

60

10

Benzylisoquinolone

Tubocurarine

0.5

0.5-0.6

220

80+

Atracurium

0.23

0.5

110

43

Mivacurium

0.08

0.15-0.2

170

16

Doxacurium

0.025

0.05

250

83

Cisatracurium

0.05

0.1

150

45

Aminosteroids

Pancuronium

0.07

0.1

220

75

Vecuronium

0.05

0.1

180

33

Pipecuronium

0.045

0.08

300

95

Rocuronium

0.3

0.6

75

33

Rapacuronium

1.2

1.5

May 17 2016
5 mins
Play

Rank #2: Methemoglobinemia- A Review from AnesthesiaExam.com

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Reference

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

 

Subscribe to our mailing list * indicates required Email Address *  

Reference

https://en.wikipedia.org/wiki/Methemoglobinemia

Jun 01 2017
11 mins
Play

Rank #3: Duchenne's Muscular Dystrophy for the Anesthesia Boards

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Reference 

Sutherland TN, Lalwani K. Duchene's Muscular Dystrophy. Pediatric Anesthesia: A Problem Based Learning Approach.p. 323-327

Apr 11 2019
11 mins
Play

Rank #4: Anesthetic Management of Dilated Cardiac Myopathy and Hypertrophic Cardiac Myopathy

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Premium Lecture Available with an AnethesiaExam.com Membership or Premium Podcast Membership References Hypertrophic Cardiomyopathy: A Review

Hensley, Nadia, MD; Dietrich, Jennifer, MD; Nyhan, Daniel, MD; Mitter, Nanhi, MD; Yee, May-Sann, MD; Brady, MaryBeth, MDAnesthesia & Analgesia: March 2015 - Volume 120 - Issue 3 - p 554–569

doi: 10.1213/ANE.0000000000000538   Cardiovascular Anesthesiology: Review Article J Clin Diagn Res. 2013 Jun; 7(6): 1174–1176. Published online 2013 Jun 1. doi: 10.7860/JCDR/2013/5390.3069 PMCID: PMC3708228 PMID: 23905133 Dilated Cardiomyopathy: An Anaesthetic Challenge Haramritpal Kaur,1 Ranjana Khetarpal,2 and Shobha Aggarwal3
Mar 21 2019
19 mins
Play

Rank #5: ACLS Free update as of February 2017

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Dr. Rosenblum, reviews the latest guidelines (as of 2017 for ACLS)

Discussed in this podcast are new revelations bout lidocaine, vasopressin, etc.

References

ACLS.net

AnesthesiaExam Podcast-  Subscription Premium Episodes Now Available

For Board Review and Practice Management Updates TEXT the word 

ANESTHESIAEXAM to the number 33444 

For more information, CME credit and MOCA and Primary Board Prep,

For more information, CME credit and MOCA and Primary Anesthesiology Board Prep,

Go to AnesthesiaExam.com

For Basic and Advanced Anesthesia Exam Review, 

Go to ABAStagedExams.com

For CRNA Board Prep, go to CRNABoardPrep.com

For the Pediatric Anesthesiology Board Review, Go to PedsAE.com

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medicaal Center and AABP Pain Managment

For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com

718 436 7246

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Feb 07 2017
9 mins
Play

Rank #6: The Great Debate- Ketamine For Chronic Pain

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A Fantastic Debate about Ketamine

Featuring Ali Guy, MD and Abishek Achar, MD vs. Romanth Waghamarae, MD and Shayna Sanguinetti, MD

 

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Jul 16 2019
32 mins
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Rank #7: The Medical Marijuana Debate

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Take 2 and Pass...

Take 2 Month CME Membership to

and Pass the Pain Boards,

really,

what did you think we meant?

Alexander Weingarten MD, James Arul MD, Grace Forde MD and Fabienne Saint-Preux MD- Slug it out, as they argue the Pros and Cons of Medical Marijuana at the New York State Pain Society's Annual Spring Meeting

Download the PainExam App for iPhone and Android

Join our AnesthesiaExam Mailing List

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Jul 23 2019
33 mins
Play

Rank #8: ASRA 2018 Guidelines Review

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20% off

Enter ASRA18 at checkout (Valid until June 1, 2018)

Now Available At Amazon.com

Welwyn Ardsley and the Cosmic Ninjas- Preparing your Child and Yourself for Anesthesia and Surgery

Guidelines on Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

  • Aspirin use during spinal cord stimulator trial
  • Serotonin reuptake inhibitors and bleeding risk
  • Herbal and Dietary Supplements and bleeding risk

Reference 

https://www.asra.com/advisory-guidelines/article/10/interventional-spine-and-pain-procedures-in-patients-on-antiplatelet-and-anticoa

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Subscribe to our mailing list * indicates required Email Address *  

 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author. 
 


Apr 24 2018
19 mins
Play

Rank #9: Neuromodulation and Opiates with Dr. Jonathon Carlson

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Dr. Rosenblum interview Jonathon Carlson, MD about his cutting edge work.  Discussed in this podcast

  • Burst DR
  • Latest research 
  • Impact on affect with Burst Stimulation
  • Physician Directed, Industry Independent Research
  • Opiate Utilization across the world

 

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Feb 19 2019
20 mins
Play

Rank #10: Pheochromocytoma in the Pregnant Patient

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Dr. Rosenblum Summarizes a case report and review

Canadian Journal of Anesthesia

February 2004, 51:134 | Cite as

Pheochromocytoma and pregnancy: a case report and review of anesthetic management
  • Geoff Dugas
  • John FullerEmail author
  • Sudha Singh
  • James Watson

 

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DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2017 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Mar 26 2018
12 mins
Play

Rank #11: Ketamine Chronic Pain Guidelines

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Dr. Rosenblum review the lates ASRA Guidelines for Ketamine use in the treatment of chronic pain. 

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and Android

 

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Reference

https://journals.lww.com/rapm/Fulltext/2018/07000/Consensus_Guidelines_on_the_Use_of_Intravenous.11.aspx

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 
 Copyright © 2018 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Jul 17 2018
25 mins
Play

Rank #12: Percutaneous Endoscopic Discectomy

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and Android

Subscribe to our mailing list * indicates required Email Address *  

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2018 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

References

“A COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF CONVENTIONAL DISCECTOMY WITH PERCUTANEOUS ENDOSCOPIC DISCECTOMY” | Sethi | INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH   Home > Vol 6, No 4 (2017) > Sethi   “A COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF CONVENTIONAL DISCECTOMY WITH PERCUTANEOUS ENDOSCOPIC DISCECTOMY” Dr Hardik Sethi, Dr Arvind Bhave, Dr. Sanjay Patil

Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a prospective case series | Neurosurgical Focus, Vol 40, No 2

Neurosurgical Focus Feb 2016 / Vol. 40 / No. 2 / Page E3

 

Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a prospective case series ...Show allShow less Unsuccessful Percutaneous Endoscopic Lumbar Discectomy | Neurosurgery | Oxford Academic   Unsuccessful Percutaneous Endoscopic Lumbar Discectomy: A Single-Center Experience of 10 228 Cases Kyung-Chul Choi, MD, PhD * Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Anyang, Korea Search for other works by this author on: Oxford Academic Google Scholar Kyung-Chul Choi, MD, PhD June-Ho Lee, MD, PhD ‡ Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea Search for other works by this author on: Oxford Academic Google Scholar June-Ho Lee, MD, PhD Jin-Sung Kim, MD, PhD § Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University, Seoul, Korea Search for other works by this author on: Oxford Academic Google Scholar Jin-Sung Kim, MD, PhD Luigi Andrew Sabal, MD, DPBO ¶ Department of Orthopeadics, Wooridul Spine Hospital, Seoul, Korea Search for other works by this author on: Oxford Academic Google Scholar Luigi Andrew Sabal, MD, DPBO Sol Lee, BS ‖ Department of Clinical Research, Wooridul Spine Hospital, Seoul, Korea Search for other works by this author on: Oxford Academic Google Scholar Sol Lee, BS Ho Kim, BS ‖ Department of Clinical Research, Wooridul Spine Hospital, Seoul, Korea Search for other works by this author on: Oxford Academic Google Scholar Ho Kim, BS Sang-Ho Lee, MD, PhD ‡ Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea Disclosure

This study was supported by a grant from the Wooridul Spine Foundation. The authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article.

  Search for other works by this author on: Oxford Academic Google Scholar Sang-Ho Lee, MD, PhD Neurosurgery, Volume 76, Issue 4, 1 April 2015, Pages 372–381,   Pain Physician 2016; 19:E291-E300 • ISSN 2150-1149   Percutaneous Endoscopic Lumbar Discectomy as an Alternative to Open Lumbar Microdiscectomy for Large Lumbar Disc Herniation Kyung-Chul Choi, MD, PhD1, Jin-Sung Kim, MD, PhD2, and Choon-Keun Park, MD, PhD3

--

Jul 31 2018
18 mins
Play

Rank #13: Regional Anesthesiology vs. Interventional Pain Management Fellowship, Sphenopalatine Ganglion Block

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Regional Anesthesiology vs. Interventional Pain Management. Not sure what to pick? Dr. Rosenblum and Resident Marc Dany, MD discuss the pros and cons of both subspecialties and poke fun at drug company marketing tactics.   

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DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Sep 24 2017
27 mins
Play

Rank #14: Knobology and Lower Extremity Nerve Blocks

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Lower Extremity nerve block review for the Anesthesia Boards

AnesthesiaExam Podcast-  Subscription Premium Episodes Now Available

For Board Review and Practice Management Updates TEXT the word 

ANESTHESIAEXAM to the number 33444 

For more information, CME credit and MOCA and Primary Board Prep,

For more information, CME credit and MOCA and Primary Anesthesiology Board Prep,

Go to AnesthesiaExam.com

For Basic and Advanced Anesthesia Exam Review, 

Go to ABAStagedExams.com

For CRNA Board Prep, go to CRNABoardPrep.com

For the Pediatric Anesthesiology Board Review, Go to PedsAE.com

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medicaal Center and AABP Pain Managment

For evaluation and treatment of a Paianful Disorder, go to www.AABPPain.com

718 436 7246

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Aug 17 2016
25 mins
Play

Rank #15: MILD vs. Epidural Steroid Injections

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Journal Club. MILD vs. LESI in Lumbar Spinal Stenosis

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DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

Copyright © 2018 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

Jan 01 2019
13 mins
Play

Rank #16: The Glossopharyngeal Neuralgia- The Eagle's Syndrome

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A 57 year old male with neck pain, jaw pain and a pain in the throat...

Glossopharyngeal Neuralgia

 

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References

https://en.wikipedia.org/wiki/Eagle_syndrome https://www.google.com/search? https://en.wikipedia.org/wiki/Glossopharyngeal_nerverlz=1C1NHXL_en&q=glossopharyngeal+nerve+block+in+eagle&tbm=isch&source=univ&sa=X&ved=2ahUKEwjCyMPI1qfjAhXTLs0KHewnBAoQ7Al6BAgJEA8&biw=1280&bih=650&dpr=1.25#imgrc=4XqCSWTBHywZ3M: https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.12497--
Jul 09 2019
17 mins
Play

Rank #17: Adductor Canal vs. Genicular Nerve Block for TKA Post Op Pain

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Dr. Rosenblum discusses Post Total Knee Arthroplasty Pain.

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References

https://www.nysora.com/ultrasound-guided-saphenous-subsartoriusadductor-canal-nerve-block http://www.indianjpain.org/article.asp?issn=0970-5333;year=2013;volume=27;issue=1;spage=36;epage=40;aulast=Harshe http://www.painphysicianjournal.com/current/pdf?article=MjgwMg%3D%3D&journal=97 http://www.indianjpain.org/article.asp?issn=0970-5333;year=2013;volume=27;issue=1;spage=36;epage=40;aulast=Harshe

AnesthesiaExam Podcast App For iPhone

and Android

DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. You should regularly consult a physician in matters relating to yours or another’s health. You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. Copyright © 2015 QBazaar.com, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author. 
 


Feb 27 2018
14 mins
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Rank #18: The Bullshit Detector

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Ever been lied to about NPO, or "Emergent Surgeries?"

Dr. Rosenblum gets personal with and explains how to sift through the bullshit

Also, why Fidel Castro played an integral part in your Board Preparation and more!

Oct 16 2018
25 mins
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Rank #19: Minimally Invasive Lumbar Spine Surgery vs. Conventional Surgery for Lumbar Spinal Stenosis

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An Intense Debate between Merritt Kinon, MD, Adam Nasser, MD, Rohit Verma, MD and Kenny Susanto, MD at the NY State Pain Society Annual Meeting 2019

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and Android

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Jun 27 2019
33 mins
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Rank #20: Interview with Corey Hunter, MD- Dorsal Root Ganglion Stimulator

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Dr. Rosenblum interviews Dr. Hunter

Discussed in this Podcast:

  • Dorsal Root Ganglion Stimulation
  • Peripheral Nerve Stimulation
  • Regenerative Therapies
  • Research in a Private Pain Practice

AnesthesiaExam Podcast App For iPhone

and Android

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Feb 12 2019
15 mins
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