Challenging Cases and Complication Management in Pain Medicine

Part I. Non-interventional Pain Therapy

1. Opioid Overdose
Gregory Polston

2. Polypharmacy and Drug-Drug Interactions: Methadone
Randall W. Knoebel, David M. Dickerson

3. Opioid Withdrawal
Mark S. Wallace, Alexander Papp

4. Relationship of Chronic Pain and Suicide
Sheetal Kerkar DeCaria, Vijal Patel

5. Torsades de Pointes After Methadone Treatment
Andrea Shashoua

6. Acute Delirium After Ketamine Infusion for Chronic Pain
Tariq Malik

7. Cardiac Dysrhythmia After Lidocaine Infusion
Andrea Shashoua

8. Alternative Treatments for Local Anesthetic Systemic Toxicity: Therapeutic Hypothermia After Bupivacaine-Induced Cardiac Arrest
Shaan Sudhakaran, Magdalena Anitescu

9. A Case of Serotonin Syndrome in a Patient Receiving Epidural Steroid Injection for Chronic Low Back Pain
Brad Wisler, Honorio T. Benzon

10. The Difficult Pain Patient
Mark S. Wallace, Ajay Wasan

Part II. Interventional Pain Procedures: Neuraxial Procedures

11. Traumatic Spinal Cord Injury After Cervical Interlaminar Epidural Steroid Injections
Bradley Silva, Dalia Elmofty

12. Total Spinal After Cervical Epidural Steroid Injection
Meghan E. Rodes

13. Death After Transforaminal Cervical Epidural Steroid Injection
Irina Khrenova, Mario Pinto

14. Spinal Infarct After Lumbar Transforaminal Epidural Steroid Injection
Khalid M. Malik

15. Motor Weakness After Transforaminal Epidural Steroid Injection
John Kenny, Sheetal Kerkar DeCaria

16. Permanent Paralysis Caused by Epidural Hematoma After Tunneled Catheter Placement
Alina Lazar, Johal Gurbir, Magdalena Anitescu

17. Sheared or Break of Caudal Catheters After Epidural Steroid Injection
Tariq Malik

18. Epidural Abscess After Epidural Steroid Injection in a Patient on TNF-Alpha Inhibitors
Geeta Nagpal

Part III. Interventional Pain Procedures: Sympathetic Chain Blocks and Neurolysis

19. Stroke: A Complication of Stellate Ganglion Block
Ariana Nelson

20. Pneumothorax After Paravertebral Block and Radiofrequency
Christina C. Moore, David M. Dickerson

21. Retroperitoneal Hematoma After Celiac Plexus Block
Ryan Mattie, Ramana K. Naidu

22. Autonomic Insufficiency After Neurolytic Celiac Plexus Block
Mark J. Burish, Ryan Mattie, Ramana K. Naidu

23. Aortic Dissection After Celiac Plexus Block
R. Lee Wagner

24. Ureteral Injury After Lumbar Sympathetic Block
Daniel Levin, Sophy Zheng, Magdalena Anitescu

25. Lower Extremity Weakness Following Neurolytic Superior Hypogastric Block
Jeffrey Hopcian, Bradley Silva, Magdalena Anitescu

26. Discitis Following Transdiscal Approach for Superior Hypogastric Plexus Block
Lucia Daiana Voiculescu, Qian CeCe Chen

Part IV. Interventional Pain Procedures: Implantable Drug Delivery System

27. Complications Related to Catheter Migration
Omar R. Qureshi, Magdalena Anitescu

28. Complications Related to Intrathecal Pump Catheter Infection
Rena Beckerly

29. Intrathecal Pump Malfunction: Flipped, Expired, Stalled, and Malfunctioned Valves and Rotors Leading to Under- and Over-Infusion
Kristen Noon, Lawrence R. Poree, Kenneth Ike, R. Carter W. Jones

30. Seroma or Hygroma Formation After Implantation of an Intrathecal Drug Delivery System or a Spinal Cord Stimulator
Dalia Elmofty

31. Complications of Intrathecal Polypharmacy, Medication Side Effects, and Overdose
Rena Beckerly

32. Intrathecal Medication Withdrawal
Kristen Noon, Mark Wallace, Timothy Furnish

33. Polypharmacy: Neuraxial Anesthesia and Anticoagulation
Randall W. Knoebel, David M. Dickerson

34. Intrathecal Drug Delivery System Infections (Meningitis, Encephalitis, Pump Pocket Contaminants)
Benjamin R. Beal

35. Intrathecal Ziconotide: Complications and Clinical Considerations
Gemayel Lee, Jeffrey Chen

Part V. Interventional Pain Procedures Spinal Cord Stimulator

36. Wound Dehiscence After Intrathecal Pump Implantation for Cancer Pain
Kenneth Justin Naylor, David M. Dickerson

37. Generator and/or Lead Extrusion
Joseph Rabi, Magdalena Anitescu

38. Spinal Cord Stimulator Complications: Lead Migration and Malfunction
Mikiko Murakami, Imanuel Lerman, R. Carter W. Jones

39. Epidural Infection
David R. Walega

Part VI. Interventional Pain Procedures: Kyphoplasty

40. Kyphoplasty in Fibrous Dysplasia
Christina C. Moore, Matthew V. Satterly, Magdalena Anitescu

41. Epidural Cement Leak in Kyphoplasty
Neil Malhotra, Nitin Malhotra, Magdalena Anitescu

42. Vascular Uptake of PMMA After Spinal Procedures
Khalid Malik

43. Increased Pain After Kyphoplasty
Tariq Malik

Part VII. Miscellaneous

44. Pneumothorax After Serratus Anterior Trigger Point Injection
Paul M. Scholten

45. Complications of Occipital Nerve Block
Dalia Elmofty

46. Septic Knee
Paul M. Scholten

47. Bupivacaine-Induced Myonecrosis
David Gordon, Magdalena Anitescu

48. Migration of a Supraclavicular Catheter for Complex Regional Pain Syndrome
Tariq Malik

49. Buprenorphine Challenges in the Perioperative Period
Katherine Kozarek, David M. Dickerson

50. Sensory and Motor Deficit with High Amplitude Stimulation in Spinal Cord Stimulators
Shaan Sudhakaran, Magdalena Anitescu

51. Anterior Epidural Space Lead Placement
Maunuk V. Rana, Simon Willis

52. Epidural Emphysema After Placement of a Thoracic Epidural Catheter
Pavan Rao, Dalia Elmofty

Keywords: Medicine & Public Health, Pain Medicine, Neurology, General Practice / Family Medicine