
OpenAnesthesia and the APSF: Achieving Safe and Quality Anesthesia Care with Education Innovation
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Question of the Day
A patient with which of the following pain syndromes would MOST likely benefit from a spinal cord stimulator for pain management?
Explanation
A spinal cord stimulator is a pain control technique of neuromodulation that involves implanting electrodes in the posterior epidural space with resultant electrical stimulation of these electrodes by an electrical pulse generator. Spinal cord stimulation is effective for pain relief of neuropathic pain rather than nociceptive pain. Indications for spinal cord stimulators include failed back surgery syndrome, postlaminectomy syndrome, refractory angina pectoris, peripheral vascular disease, and complex regional pain syndrome type 1. Spinal cord stimulation is less likely to be effective in the management of nociceptive pain caused by cancer of the pancreas, sickle cell disease, and chronic pelvic pain.
References:
Wolter T. Spinal cord stimulation for neuropathic pain: current perspectives. J Pain Res. 2014;7:651-663. Published 2014 Nov 18. doi:10.2147/JPR.S37589 Erdek MA, King LM, Ellsworth SG. Pain management and palliative care in pancreatic cancer. Curr Probl Cancer. 2013;37(5):266-272. doi:10.1016/j.currproblcancer.2013.10.003 Spinal Cord StimulationStein C, Kopf A. Anesthesia and Treatment of Chronic Pain. In: Miller’s Anesthesia, 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: Ch. 64, pp. 1898-1918.
OA Series: July 2025
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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