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  1. Article ; Online: Beam me up, Scotty! Apple Vision Pro highlights how we could teleport ultrasound-guided regional anesthesia education into the future.

    Gupta, Rajnish K / Pawa, Amit

    Regional anesthesia and pain medicine

    2024  

    Language English
    Publishing date 2024-04-04
    Publishing country England
    Document type Letter
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2024-105424
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluating residual anti-Xa levels following discontinuation of treatment-dose enoxaparin in patients presenting for elective surgery: an infographic.

    Henshaw, Daryl S / Schwenk, Eric S / Gupta, Rajnish K

    Regional anesthesia and pain medicine

    2024  Volume 49, Issue 2, Page(s) 102–103

    MeSH term(s) Humans ; Enoxaparin/adverse effects ; Data Visualization ; Anticoagulants/adverse effects ; Factor Xa Inhibitors/adverse effects ; Venous Thromboembolism
    Chemical Substances Enoxaparin ; Anticoagulants ; Factor Xa Inhibitors
    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2023-104873
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Incidence of persistent opioid use following traumatic injury: an infographic.

    Mauck, Matthew C / Schwenk, Eric S / Gupta, Rajnish K

    Regional anesthesia and pain medicine

    2024  Volume 49, Issue 2, Page(s) 87

    MeSH term(s) Humans ; Analgesics, Opioid/therapeutic use ; Incidence ; Data Visualization ; Opioid-Related Disorders/diagnosis ; Opioid-Related Disorders/epidemiology ; Pain, Postoperative/drug therapy
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2023-104812
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mortality associated with long-term opioid use after lung cancer surgery: an infographic.

    Schwenk, Eric S / Gupta, Rajnish K

    Regional anesthesia and pain medicine

    2022  

    Language English
    Publishing date 2022-09-12
    Publishing country England
    Document type Editorial
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2022-103966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Danger, Danger, Gaston Labat! Does zero-shot artificial intelligence correlate with anticoagulation guidelines recommendations for neuraxial anesthesia?

    Hurley, Nathan C / Gupta, Rajnish K / Schroeder, Kristopher M / Hess, Aaron S

    Regional anesthesia and pain medicine

    2024  

    Abstract: Introduction: Artificial intelligence and large language models (LLMs) have emerged as potentially disruptive technologies in healthcare. In this study GPT-3.5, an accessible LLM, was assessed for its accuracy and reliability in performing guideline- ... ...

    Abstract Introduction: Artificial intelligence and large language models (LLMs) have emerged as potentially disruptive technologies in healthcare. In this study GPT-3.5, an accessible LLM, was assessed for its accuracy and reliability in performing guideline-based evaluation of neuraxial bleeding risk in hypothetical patients on anticoagulation medication. The study also explored the impact of structured prompt guidance on the LLM's performance.
    Methods: A dataset of 10 hypothetical patient stems and 26 anticoagulation profiles (260 unique combinations) was developed based on American Society of Regional Anesthesia and Pain Medicine guidelines. Five prompts were created for the LLM, ranging from minimal guidance to explicit instructions. The model's responses were compared with a "truth table" based on the guidelines. Performance metrics, including accuracy and area under the receiver operating curve (AUC), were used.
    Results: Baseline performance of GPT-3.5 was slightly above chance. With detailed prompts and explicit guidelines, performance improved significantly (AUC 0.70, 95% CI (0.64 to 0.77)). Performance varied among medication classes.
    Discussion: LLMs show potential for assisting in clinical decision making but rely on accurate and relevant prompts. Integration of LLMs should consider safety and privacy concerns. Further research is needed to optimize LLM performance and address complex scenarios. The tested LLM demonstrates potential in assessing neuraxial bleeding risk but relies on precise prompts. LLM integration should be approached cautiously, considering limitations. Future research should focus on optimization and understanding LLM capabilities and limitations in healthcare.
    Language English
    Publishing date 2024-01-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2023-104868
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reply: 'Danger, Danger, Gaston Labat! Does zero-shot artificial intelligence correlate with anticoagulation guideline recommendations for neuraxial anesthesia?'

    Hurley, Nathan C / Gupta, Rajnish K / Schroeder, Kristopher M / Hess, Aaron S

    Regional anesthesia and pain medicine

    2024  

    Language English
    Publishing date 2024-03-14
    Publishing country England
    Document type Letter
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2024-105441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Regional Anesthesia Complications and Contraindications.

    Shams, Danial / Sachse, Kaylyn / Statzer, Nicholas / Gupta, Rajnish K

    Anesthesiology clinics

    2024  Volume 42, Issue 2, Page(s) 329–344

    Abstract: Regional anesthesia has a strong role in minimizing post-operative pain, decreasing narcotic use and PONV, and, therefore, speeding discharge times. However, as with any procedure, regional anesthesia has both benefits and risks. It is important to ... ...

    Abstract Regional anesthesia has a strong role in minimizing post-operative pain, decreasing narcotic use and PONV, and, therefore, speeding discharge times. However, as with any procedure, regional anesthesia has both benefits and risks. It is important to identify the complications and contraindications related to regional anesthesia, which patient populations are at highest risk, and how to mitigate those risks to the greatest extent possible. Overall, significant complications secondary to regional anesthesia remain low. While a variety of different regional anesthesia techniques exist, complications tend to fall within 4 broad categories: block failure, bleeding/hematoma, neurological injury, and local anesthetic toxicity.
    MeSH term(s) Humans ; Anesthesia, Conduction/adverse effects ; Anesthesia, Conduction/methods ; Anesthetics, Local/adverse effects ; Postoperative Complications/prevention & control ; Postoperative Complications/etiology ; Contraindications ; Nerve Block/adverse effects ; Nerve Block/methods ; Hemorrhage/prevention & control ; Contraindications, Procedure ; Hematoma/etiology ; Hematoma/prevention & control
    Chemical Substances Anesthetics, Local
    Language English
    Publishing date 2024-02-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2228899-5
    ISSN 2210-3538 ; 1932-2275 ; 0889-8537
    ISSN (online) 2210-3538
    ISSN 1932-2275 ; 0889-8537
    DOI 10.1016/j.anclin.2023.11.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Role of neuromodulation in acute pain settings.

    Tsui, Ban C H / Gupta, Rajnish K

    Regional anesthesia and pain medicine

    2023  Volume 48, Issue 6, Page(s) 338–342

    Abstract: Peripheral nerve stimulation (PNS), a type of neuromodulatory technique, is increasingly used to treat chronic pain syndromes. PNS has also recently gained popularity as a viable adjunct analgesic modality in acute pain settings, where the practice ... ...

    Abstract Peripheral nerve stimulation (PNS), a type of neuromodulatory technique, is increasingly used to treat chronic pain syndromes. PNS has also recently gained popularity as a viable adjunct analgesic modality in acute pain settings, where the practice primarily relies on using boluses or infusion of local anesthetics for nerve blockade, followed by stimulation to extend the analgesia. There is some early promise in PNS for perioperative analgesic control, but considerable obstacles must be addressed before it can be implemented into standard practice. In this daring discourse, we explore the possibilities and constraints of using the PNS paradigm in acute pain.
    MeSH term(s) Humans ; Acute Pain/diagnosis ; Acute Pain/therapy ; Pain Management/methods ; Transcutaneous Electric Nerve Stimulation/methods ; Analgesia/methods ; Analgesics ; Peripheral Nerves
    Chemical Substances Analgesics
    Language English
    Publishing date 2023-04-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2022-103837
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Waking up in pain: an infographic.

    Schwenk, Eric S / Gupta, Rajnish K

    Regional anesthesia and pain medicine

    2021  Volume 46, Issue 11, Page(s) 947

    MeSH term(s) Analgesia ; Data Visualization ; Humans ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control
    Language English
    Publishing date 2021-08-18
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2021-103009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Local anesthetic systemic toxicity in children: a review of recent case reports and current literature - an infographic.

    Gupta, Rajnish K / Schwenk, Eric S

    Regional anesthesia and pain medicine

    2021  Volume 46, Issue 10, Page(s) 915

    MeSH term(s) Anesthesia, Conduction ; Anesthetics, Local/adverse effects ; Child ; Data Visualization ; Drug-Related Side Effects and Adverse Reactions ; Fat Emulsions, Intravenous ; Humans
    Chemical Substances Anesthetics, Local ; Fat Emulsions, Intravenous
    Language English
    Publishing date 2021-07-06
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2021-102993
    Database MEDical Literature Analysis and Retrieval System OnLINE

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