@RAPMOnline

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

 Hoboken, NJ
rapm.bmj.com
Joined July 2011
  • Tweets4.4K
  • Following81
  • Followers15.5K
1.6KMedia
Good news for IG lovers!!! 🤩 Now you can also find us there at rapm_online Just click and follow: 🔗 bit.ly/3UC4i1L
6
22
7,174
📢 🩸 We invite original research, systematic reviews, and clinical perspectives exploring regional anesthesia in patients with coagulopathy or anticoagulation 🩸📢 📅 Submission Deadline: February 5, 2027 📖 Submit your manuscript here -> bit.ly/45Hzcfh
The image is an informational graphic for a topic collection by Regional Anesthesia & Pain Medicine. The topic is "Regional Anesthesia in Patients with Coagulopathy or Anticoagulation." The deadline for submissions is 5th February 2027, with a button to "Submit your research."

ALT The image is an informational graphic for a topic collection by Regional Anesthesia & Pain Medicine. The topic is "Regional Anesthesia in Patients with Coagulopathy or Anticoagulation." The deadline for submissions is 5th February 2027, with a button to "Submit your research."

2
8
994
🔎 A new RAPM study explores combining ultrasound + micro-endoscopy to guide TAP catheter placement - Direct visualization helped guide catheter advancement - Successful placement within the intended fascial plane - Dye spread reached T8–T12 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
An ultrasound probe is applied to exposed muscle tissue, highlighting the fascial plane. An inset shows an ultrasound image. There's text reading "RAPM" and "Visualizing the Hidden Fascial Plane.

ALT An ultrasound probe is applied to exposed muscle tissue, highlighting the fascial plane. An inset shows an ultrasound image. There's text reading "RAPM" and "Visualizing the Hidden Fascial Plane.

4
2
23
2,134
🧪 LOCAL ANAESTHETIC MIXTURES AND CRYSTALLISATION 💉 In vitro, ultrahigh-frequency ultrasound visualised precipitates in all tested mixtures, most markedly with ropivacaine, lidocaine, and sodium bicarbonate. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
The image is a poster titled "Can Ultrasound Detect Crystals in Local Anaesthetic Mixtures?" It features three ultrasound images showing visualizations of local anaesthetic mixtures over time. The title is placed at the top with additional text at the bottom, "In Vitro Visualisation of Precipitates Over Time," along with a website link labeled "doi.org/10.1136/rapm-2026-102924." The background is blue, and the RAPM logo is in the lower left corner.

ALT The image is a poster titled "Can Ultrasound Detect Crystals in Local Anaesthetic Mixtures?" It features three ultrasound images showing visualizations of local anaesthetic mixtures over time. The title is placed at the top with additional text at the bottom, "In Vitro Visualisation of Precipitates Over Time," along with a website link labeled "doi.org/10.1136/rapm-2026-102924." The background is blue, and the RAPM logo is in the lower left corner.

4
8
1
19
2,381
💉 A new RAPM study of 404 patients undergoing minimally invasive thoracic surgery found that compared TPVB vs ESPB. TPVC was associated with: • Less PACU opioid use • An 118-minute shorter PACU stay • 1.2 fewer hospital days 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
5
3
16
1,335
🧠 Can we fast-track SCS Safely? 💡 A screening tool was used to identify patients who need formal psych evals prior to SCS and found that the tool may reduce delays to SCS without compromising outcomes in select patients. ✍️ Xiao et al. 🔗 doi.org/10.1136/rapm-2025-10… #RAPM
2
4
620
📊 Can taVNS prevent rebound pain after shoulder surgery? A new RCT in RAPM shows taVNS after ISB cut rebound pain to 20% (vs 43.3% control). It safely lowered postoperative pain & improved sleep. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
2
4
7
852
📢 Can stimulating the vagus nerve change chronic pain after trauma? 📖 A new case report describes the first use of ultrasound-guided percutaneous temporary vagus nerve stimulation for refractory post-traumatic chronic pain and PTSD. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
3
5
13
1,107
🎙️ NEW RAPM PODCAST | Episode 55 🥼 RAPM, Editor-in-Chief Brian Sites, MD, sits down with Edward Yap, MD, and David Zeltser, MD about perioperative outcomes and postoperative health care utilization. 🎧 rapmfocusbmj.podbean.com/e/e… #RAPM
1
4
779
💉 Hypospadias Repair: Which Block Wins? 📢 Caudal and penile blocks had similar rates of urethrocutaneous fistula formation, but caudal blocks provided better perioperative analgesia and reduced opioid usage. Findings remain exploratory. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
3
1
8
880
💉Could perioperative peripheral nerve blocks be associated with phantom limb syndrome (PLS) after below-knee amputation? The association persisted across comorbidity subgroups—but does this mean PNBs cause PLS? Not necessarily. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
2
9
1,205
💉 Does perioperative IV lidocaine provide the same analgesic benefit across spine surgeries? 💡 The takeaway: IV lidocaine may be an effective opioid-sparing adjunct in spine surgery—but it may depend on what operation is being performed. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
1
7
28
2,212
🧪 Can a hydrogel turn a short-acting local anesthetic into a long-lasting nerve block? A new preclinical study evaluated an in situ-forming poloxamer–alginate hydrogel delivering ropivacaine for sciatic nerve blockade in sheep. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
1
4
788
🔍 What if gastric point-of-care ultrasound is indeterminate? Review of 65 studies: • 32 reported ≥1 indeterminate scan • Reporting was inconsistent • An indeterminate scan is non-diagnostic, not low risk Read more here: doi.org/10.1136/rapm-2026-10… #RAPM
3
8
1
20
1,341
🩺 Does DNR status affect access to regional analgesia? In >760,000 fracture admissions: • Rib fractures: 24% lower odds with DNR status • Hip fractures: no association • Largest gap: least frail rib fracture patients Read here -> doi.org/10.1136/rapm-2026-10… #RAPM
2
3
5
810
🦵 Continuous vs single-injection adductor canal block after knee replacement: • No difference in opioid use at 24–48h • Similar pain & functional recovery • Catheter buckling occurred in 7% Is the extra complexity worth it? Read here -> doi.org/10.1136/rapm-2026-10… #RAPM
1
2
3
876
🦵Continuous femoral vs adductor canal block after ACL surgery: • No difference in average pain over 48h • Lower immediate pain with femoral block • Exploratory: fewer patients used >50 MME Read here - doi.org/10.1136/rapm-2026-10… #RegionalAnesthesia #PainMedicine #RAPM
2
7
19
1,340
🚨 Special Edition Alert! ✍️ Guest-edited by Sam Eldabe, MB ChB, FRCA, FFPMRCA, and Salim Hayek, MD, PhD. 📖 This special issue explores the past, present, and future of intrathecal drug delivery for treating chronic pain. 🔗 Explore the issue here -> rapm.bmj.com/content/51/9?ut…
1
2
768
🦶 Five terminal nerves of the foot, blocked through only two skin punctures. In 80 outpatients having foot surgery, this ultrasound-guided ankle block achieved surgical anesthesia in 96% of cases. 🔗 doi.org/10.1136/rapm-2026-10… #RegionalAnesthesia #RAPM
1
36
1
103
6,714
📢 In a mouse model of neuropathic pain, protein tyrosine phosphatase 1B in dorsal root ganglion nociceptors activated a Src/GluN2B pathway, increasing presynaptic glutamate release. ✅ Targeted knockdown reduced pain hypersensitivity. 🔗 doi.org/10.1136/rapm-2026-10… #RAPM
1
1
777
📢 🩸 We invite original research, systematic reviews, and clinical perspectives exploring regional anesthesia in patients with coagulopathy or anticoagulation 🩸📢 📅 Submission Deadline: February 5, 2027 📖 Submit your manuscript here -> bit.ly/45Hzcfh
The image is an informational graphic for a topic collection by Regional Anesthesia & Pain Medicine. The topic is "Regional Anesthesia in Patients with Coagulopathy or Anticoagulation." The deadline for submissions is 5th February 2027, with a button to "Submit your research."

ALT The image is an informational graphic for a topic collection by Regional Anesthesia & Pain Medicine. The topic is "Regional Anesthesia in Patients with Coagulopathy or Anticoagulation." The deadline for submissions is 5th February 2027, with a button to "Submit your research."

1
3
707
Load more