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Regional Anesthesia & Pain Medicine @RAPMOnline

RAPM is your authoritative medical source for regional anesthesia and pain knowledge – from pediatric to geriatric. The official journal of ASRA. @ASRA_society

Joined July 2011
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  • Followers 15,352
1,584 Photos and videos
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🧠 Can psychological factors predict success after SCS? 🔍 Key Findings: • Higher depressive burden appears to influence early pain-response dynamics at 6 months. • Certain traits are associated with long-term pain improvement at 12 months. 🔗 doi.org/10.1136/rapm-2025-10… #RAPM
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🦠💡 This new study published in RAPM explores whether individuals with nociceptive low back pain, neuropathic low back pain, and pain-free controls have distinct gut microbial signatures. 🔗 READ HERE -> doi.org/10.1136/rapm-2026-10… #RAPM #PainMedicine #ChronicPain
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🎖️The first military-specific guidelines for neuromodulation have arrived! 🔑 Highlights include command involvement, opioid tapering before trials, occupational requirements, limited-duty periods after procedures, and functional testing. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
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🩻 Looking Beyond Pain Scores 📚 Pilot RCT comparing ESP catheter, intravenous lidocaine infusion, and multimodal analgesia for rib fractures: ✔ Similar pain scores ✔ Similar opioid use ✔ Less delirium with ESP 🔗 doi.org/10.1136/rapm-2026-10… #RegionalAnesthesia #ESPBlock #RAPM
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🚨 Preoperative vitamin D deficiency was linked to higher postoperative pain and increased opioid use after breast cancer surgery. 💡 This study highlights preoperative nutritional optimization. READ HERE -> doi.org/10.1136/rapm-2025-10… #RAPM #PainMedicine #VitaminD #BreastCancer
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🚨GLP-1s Show Promise in Knee OA 💡A large cohort study of patients with knee OA found that GLP-1 use was associated with decreased progression to TKA. Benefits were greatest with longer treatment duration and newer agents. 📖 doi.org/10.1136/rapm-2026-10… #RAPM #GLP1 #PainMedicine
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🧠 Can spinal cord stimulation reduce opioid use? 🔎 This meta-analysis of 43 studies found: ↓ 32% opioid consumption ↓ 18 MME/day at 12 months ↓ 53% odds of continued opioid use after SCS implantation 🔗 doi.org/10.1136/rapm-2026-10… @Ryan_S_DSouzaMD #Neuromodulation #RAPM
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🚨 Subperception DRG stimulation vs sham stimulation in established responders An RCT found subperception DRG stimulation reduced pain vs sham in established responders, with no serious device-related adverse events. LINK -> doi.org/10.1136/rapm-2026-10… #RAPM #DRG #PainMedicine
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🚨 Preoperative vitamin D deficiency was linked to higher postoperative pain and increased opioid use after breast cancer surgery. 💡 This study highlights preoperative nutritional optimization. READ HERE -> doi.org/10.1136/rapm-2025-10… #RAPM #PainMedicine #VitaminD #BreastCancer
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🎙️ New RAPM Focus Episode 51: Alopi Patel, MD, speaks with Sesh Mudumbai, MD, MS, and Oluwatobi “Tobi” Hunter, DNP, on transitional pain services, opioid outcomes, and high-risk surgical veterans. 🎧 Listen here -> rapmfocusbmj.podbean.com/e/e… #RAPM #ChronicPain
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📊 Can early pain predict recovery after knee replacement? In a study of 17,200 patients, two trajectories emerged: low vs high pain. High pain was linked to more opioid use and consultations. ⚠️ Pain in the first 12–24 hours predicted later outcomes. 🔗doi.org/10.1136/rapm-2026-10…
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⚡️From electrical dose to neural dose: redefining SCS In rat pain models: • Only suprathreshold spinal cord stimulation worked • 1.2–1.3×evoked compound action potential threshold gave the best analgesia • Higher doses added no benefit 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
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💉 New approach for axillary nerve block? 📊 Results • 100% nerve identification • Staining of anterior & posterior branches in all specimens • Mean target 0.96 cm from branch bifurcation May offer a simpler alternative to posterior ANB. 🔗 doi.org/10.1136/rapm-2025-10… #RAPM
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💉 New trans-quadrangular space approach for axillary nerve block? 📊 Results • 100% main trunk staining • 83% anterior division • 90% posterior division • No musculocutaneous/posterior cord spread 💡 Promising phrenic-sparing strategy 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
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Facial pain—especially trigeminal neuralgia—is often misdiagnosed. An ASRA RAPM paper debunks common myths: MRI isn’t routine, and neurovascular compression ≠ diagnosis. Bottom line: facial pain is a clinical diagnosis—don’t let imaging lead the way 🔗 doi.org/10.1136/rapm-2025-10…
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💡 Plain vs hyperbaric bupivacaine for spinal TKA—does it matter? A recent RCT says no: both had the same ~33% MAP drop, similar nadir BP, and no difference in vasopressors or side effects Bottom line: baricity didn’t change early hemodynamics 🔗 doi.org/10.1136/rapm-2025-10… #RAPM
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🫀 Regional anesthesia in pediatric cardiac surgery—does it help? 👶 RAPM meta-analysis (31 RCTs) shows ↓ opioids, faster extubation, and shorter ICU stay. But evidence is low quality with high variability. 🔗 doi.org/10.1136/rapm-2025-10… #RAPM #PediatricPain #RegionalAnesthesia
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🔍 PENG block for hip arthroscopy—game changer or not? 📚 A RAPM RCT shows ↓ PACU opioids & shorter stays, but no benefit in 24h opioids, pain, or recovery. 💡 Takeaway: modest early gains, no overall impact. Not ready for routine use. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
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🎙️ New RAPM Focus Podcast 50! 💊 Brian Sites, MD, Eric Schwenk, MD, and Kishor Gandhi, MD, discuss the pros and cons of perioperative gabapentinoids and why a nuanced, patient-specific approach matters. 🔗 rapmfocusbmj.podbean.com/e/e… #RAPM #Anesthesiology #PainMedicine
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Dr. Sites will be at our booth this Friday from 3-4pm at #ASRASPRING26. Come by to connect, ask questions, and get insights on publishing in RAPM!
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