Pain/Regional

PAIN

PROJECT TITLE: Characterizing the Postsurgical Pain Experience
PROJECT FACULTY: David Dickerson, MD
PROJECT DESCRIPTION:
This study was conducted in part with the Pritzker Summer Research Program. We sought to build an automated, electronic health record-driven database for tracking the patient the pain experience after surgery. The study tracks intraoperative and postoperative pain on a numeric rating scale of pain scores. We are hoping to identify trends in the patient experience related to treatment, surgery type, and preoperative comorbidities. We use manual chart review to identify data fidelity within the electronic record to improve data management and patient assessment. We hope to develop an automated tool for institutional quality improvement and various research initiatives. Several residents and fellows are currently participating in this project.

PROJECT TITLE: Comparison of Quality of Pain: Open Tip Single-Terminal Hole with Close Tip Multi-Hole Epidural Catheter in Postsurgical Adult Patients.
PROJECT FACULTY: Tariq Malik, MD
PROJECT DESCRIPTION:
This is a prospective, randomized trial to compare the efficiency of two different epidural catheters. Similar catheters have been tested at the lumbar level; this study is meant to evaluate their efficacy at the thoracic level. Over 600 subjects have been enrolled. (The primary end-point is a comparison between one-sided block vs bilateral block in each group.)

PROJECT TITLE: Analgesia for Patients for Mediate Arcuate Ligament Syndrome Release
PROJECT FACULTY: Magdalena Anitescu, MD
PROJECT DESCRIPTION:
Mediate arcuate ligament syndrome (MALS) is a condition that produces postprandial abdominal pain of various intensities. In select cases, surgery is indicated to release fibrous bands that encase the celiac artery. Our center is one of the pioneers of this treatment. In close collaboration with vascular and pediatric surgery, we initiated a study to identify the best perioperative analgesic plan for patients with MALS undergoing surgery for release.

PROJECT TITLE: Use of Imaging for Bone Marrow Biopsy and Patient Satisfaction
PROJECT FACULTY: Magdalena Anitescu, MD
PROJECT DESCRIPTION: 
Bone marrow biopsy is one procedure to evalutate hematologic disorders. In most cases the biopsy is taken from the iliac crest. Landmarks are identified by palpation. The procedure is associated with pain because of multiple needle adjustments or multiple punctures. If the biopsied specimen is suboptimal, another biopsy must be taken.
Together with the section of hematology-oncology we initiated a study to evaluate the quality of a specimen and patient satisfaction when a bone marrow biopsy is performed using imaging techniques (ultrasound and fluoroscopy).

REGIONAL ANESTHESIA

PROJECT TITLE: Prospective, Randomized, Controlled Study of Continuous Adductor Canal Blockade for Total Knee Arthroplasty Outcomes.
PROJECT FACULTY: David Dickerson, MD
PROJECT DESCRIPTION:
In this study, we are prospectively examining the impact of a postoperatively placed adductor canal catheter for total knee replacement (TKA). The adductor canal contains the distal femoral nerve which, when infiltrated with local anesthetic, creates a sensory block. Residents and fellows are actively participating in patient enrollment, treatment, and data collection. The study examines a comprehensive preventive analgesic method for TKA, tracking postoperative physical function, acute pain control, analgesic consumption, and incidence of chronic postsurgical pain.

PROJECT TITLE: Comparison of Pain Relief after Ultrasound-guided Non-stimulating Interscalene Catheter Placement vs. Stimulating Catheter Placement in Total Shoulder Arthroplasty; a Randomized Study.
PROJECT FACULTY: Tariq Malik, MD
PROJECT DESCRIPTION:
Total shoulder replacement is the third most common joint replacement surgery.  The recovery process is painful. This study is meant to evaluate the effectiveness of pain relief after total shoulder arthroplasty when a catheter is placed in one of two different ways.

PROJECT TITLE: Thoracic Epidural Catheter Placement Using Chest Computed Tomography
PROJECT FACULTY: Tariq Malik, MD
PROJECT DESCRIPTION:
Thoracic epidural catheter placement is a technically challenging procedure because of the anatomy of the thoracic spine. We will use computed tomography to guide replacement. Over 200 subjects are being enrolled in this randomized prospective study.

PROJECT TITLE: Comparison of Ultrasound-guided L5/S1 Epidural Catheter Placement with Standard Epidural Catheter placement: A Randomized Trial.
PROJECT FACULTY: Tariq Malik, MD
PROJECT DESCRIPTION:
We will place an epidural catheter at the Ls/S1 level to improve pain relief in the third stage of labor. Pain relief will be compared after catheter placement at a higher level. The study will also show the value of ultrasound a in labor epidural.