
Spinal Pathologies in Obstetric Anesthesia: Neuraxial Risk Assessment and Decision-Making
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Question of the Day
A 45-year-old man with history of hypertension, tobacco abuse, and peripheral vascular disease presents for evaluation of phantom limb pain following right above-the-knee amputation 4 weeks ago. Which of the following medications is LEAST likely to effectively treat this patient’s pain?
Explanation
Phantom limb pain is a phenomenon in which pain continues to be experienced in a limb that is no longer present. No clear first-line treatment regimen has been identified for this patient population. Many pharmacologic and nonpharmacologic treatments have been used to treat patients with phantom limb pain. Pharmacologic treatments that are frequently used include opioids, antidepressants (tricyclic antidepressants such as amitriptyline), anticonvulsants, gabapentin and pregabalin. Nonpharmacologic treatments include transcutaneous electrical nerve stimulation therapy, deep brain stimulation, spinal cord stimulation, acupuncture, sympathetic blockade, and mirror therapies.
References:
Phantom Limb Pain Weeks SR, Anderson-Barnes VC, Tsao JW. Phantom limb pain: theories and therapies. Neurologist. 2010;16(5):277-286. doi:10.1097/NRL.0b013e3181edf128Weeks SR, Anderson-Barnes VC, Tsao JW. Phantom limb pain: theories and therapies. Neurologist. 2010;16(5):277-286. doi:10.1097/NRL.0b013e3181edf128
OA Series: July 2025
35:32
OA-SOAP Fellows Webinar Series
Spinal Pathologies in Obstetric Anesthesia: Neuraxial Risk Assessment and Decision-MakingTural Alakbarli, MD, MSc, Dalhousie University, Halifax, Nova Scotia, Canada
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29:34
APSF Podcast
OpenAnesthesia and the APSF: Achieving Safe and Quality Anesthesia Care with Education InnovationAllison Bechtel, MD, University of Virginia, Charlottesville, VA
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14:43
PAINTS
Medical Safety PrinciplesMegan Nash, DO, Children’s Hospital Colorado, Aurora, CO, Tyler P. Morrissey, MD, University of Colorado, Aurora, CO
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14:02
PAINTS
Psychological Safety at WorkJoseph M. Sisk, MD, FAAP, University of North Carolina, Chapel Hill, NC
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