Synopsis
Medical practices and hospitals have adopted Electronic Health Record (EHR) systems that streamline patient information and relevant clinical data. Access to an EHR system with effective exchange of electronic health information is critical in maintaining data consistency and reliability. Human errors that occur during the transcription of data from one field to another, or from a paper to an electronic record, can negatively impact patient care and reduce efficiency. Human transcription errors can occur as early as the scheduling process, with these errors compounding as more individuals touch and re-transcribe the data. Though previous literature have touched upon error rates, they have not addressed the complexity of patient data involved with scheduling.
Disclosures
Nothing to Disclose by any Author
Synopsis
The incidence of Post Dural Puncture Headaches (PDPH) is less than 1% with the use of fluoroscopy. PDPH typically occurs due to accidental dural puncture during initial epidural needle placement. We present a case of a 44 year-old male with history of aplastic anemia who presented with bilateral hand and lower extremity paresthesia with severe allodynia refractory to treatment. The patient experienced significant relief of symptoms after dual thoracic and single cervical SCS lead placement He presented with slow-onset headache after three days from cervical lead tip puncture. To date, there is a paucity of papers describing such an occurrence.
Disclosures
Nothing to disclose by any author
Synopsis
Spinal cord stimulation (SCS) is primarily used to treat persistent back and leg pain following spine surgery, but minimal evidence existed to show efficacy in patients who were surgery naïve. This randomized controlled trial was designed to demonstrate the clinical efficacy of 10kHz SCS in chronic back pain patients who were surgery naïve and not acceptable candidates for surgery. Recently published 12-month results showed profound improvements in pain relief, function, and quality of life with 10kHz SCS over conventional medical management for non-surgical refractory back pain (NSRBP) patients. We now report 18-month results demonstrating the durability of these therapeutic outcomes.
Disclosures
Synopsis
This is the first known published case of its kind on the successful use of cervical spinal cord stimulation for the treatment of chronic and severe pain in the left chest and left shoulder that was of unknown origin despite extensive workup and was refractory to a plethora of treatments including medical management, alternative management, surgery, interventional procedures.
Disclosures
Nothing to Disclose by any Author
Synopsis
There are a multitude of reasons for which neuromodulation devices must occasionally be removed or explanted from a patient. Unfortunately, this process often leads to fractured leads and/or fragments of leads left in the patient, due to limiting design features of current technologies. Here we demonstrate a reliable procedure by which an injectable helical wire structure electrode (Injectrode) may be removed easily, quickly, completely, and robustly from benchtop phantom and preclinical models.
Disclosures
Synopsis
Head/neck cancer patients experience high pain after surgery, putting them at risk for persistent postoperative opioid use. Using a comprehensive CBT-facilitated telehealth platform seems to be beneficial and approachable for head/neck cancer patients (n = 6) to adequately manage pain after surgery, and ultimately taper 100% off post-surgical opioids. Reduction and cessation of new and persistent opioid use after surgery is possible for head/neck cancer patients.
Disclosures
Synopsis
Stellate ganglion cryoablation is a safe, efficacious
treatment option for Complex Regional Pain Syndrome (CRPS) that has good
outcomes and longer lasting effects than ganglion blocks.
Disclosures
Nothing to Disclose
Synopsis
Transitional pain services (TPS) can be effective in addressing chronic postsurgical pain and opioid tapering; however, it has not been used widely or within a solely virtual setting. Using a commercial virtual transitional pain (vTPS) service which identifies patients for chronic pain and opioid dependency risk prior to surgery, we present a case study on a veteran undergoing TJA. Our findings show that providing comprehensive pain management care, including pre- and post-surgery psychological support for a veteran who is at medium-to-high relative risk for chronic pain and opioid dependency after TJA is effective through a virtual TPS program.
Disclosure
Synopsis
The COVID pandemic may have affected gender disparities in research publication, which serves as a proxy for academic productivity and often leads to academic promotion. In the years 2019 and 2020, there was a significant gender-related disparity in actual publications in peer-reviewed high-impact pain journals. In those years, first-author gender did not affect original research where protocols blind reviewers to potential authors' names and other demographics. A gender disparity occurred in non-original research (p=0.047). Bivariate analysis did not show any association between gender and time, suggesting the COVID pandemic did not play a significant role in these disparities.
Disclosures
Nothing to Disclose by any Author
Synopsis
Headache is a common problem worldwide. It can be due to benign or serious conditions. Most of the time the original causes are benign, but it can be disabling that can affect the daily living of individuals and the productivity of community. It is important to know the current prevalence of headaches and the factors that can affect them which can be the leading tool for better assessment and management.
Disclosures
Nothing to disclose by the author.