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Related Concept Videos

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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
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Updated: Sep 9, 2025

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Where are advanced interventional pain procedures happening?

Sandy Christiansen1, Rosa Garcia2, Daniel A Jimenez3

  • 1Oregon Health & Science University, Department of Anesthesiology and Perioperative Medicine, Portland, OR, USA.

Interventional Pain Medicine
|September 2, 2025
PubMed
Summary

Advanced pain procedures are more common in non-academic settings than academic ones. This study compared device sales to understand practice patterns and inform future pain medicine fellowship training.

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Area of Science:

  • Pain Medicine
  • Interventional Pain Procedures
  • Medical Device Sales

Background:

  • A surge in advanced interventional pain procedures presents a market challenge.
  • Concerns exist regarding the alignment between pain medicine fellowship training and current post-graduate practice.

Purpose of the Study:

  • To compare advanced interventional pain procedure device sales in academic versus non-academic settings.
  • To establish a baseline understanding of current procedural practice patterns.
  • To inform future educational strategies in pain medicine.

Main Methods:

  • A cross-sectional observational study analyzed industry-reported device sales data.
  • Data encompassed academic and non-academic practices across US regions from January 1, 2023, to December 31, 2023.
  • Sales data from six companies for nine distinct procedures were tabulated.

Main Results:

  • Non-academic institutions showed higher relative mean device sales for advanced pain procedures compared to academic institutions.
  • Regional variations were observed, with the West having the lowest academic sales (10%) and the Northeast the highest (22%).
  • Dorsal root ganglion stimulation had the lowest academic sales (4%), while vertebral body cooled radiofrequency for bone tumors had the highest (30%).

Conclusions:

  • Significant differences exist in the adoption of advanced pain procedures between non-academic and academic settings, with non-academic sites leading.
  • Despite the disparity, academic institutions reported device sales for most procedures across various regions.
  • Continuous monitoring of academic training versus practice is crucial for refining future pain medicine educational curricula.