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Pain Management

Journal Articles

  1. Fitzgibbon DR, Posner KL, Domino KB, Caplan RA, Lee LA, Cheney FW: Chronic pain management: American Society of Anesthesiologists Closed Claims Project. Anesthesiology. 2004 Jan;100(1):98-105. [Abstract, NLM PubMed Link] Order this article from: ASA Closed Claims Project
    1. Frequency and payments of claims associated with chronic pain management by anesthesiologists increased in the 1990s. Brain damage and death were associated with epidural steroid injection only when opioids or local anesthetics were included. Anesthesiologists involved in home care of patients with implanted devices such as morphine pumps and epidural injections or patient-controlled analgesia should be aware of potential complications that may have severe outcomes.
  2. Fitzgibbon DR, Rathmell JP, Michna E, Stephens LS, Posner KL, Domino KB. Malpractice claims associated with medication management for chronic pain. Anesthesiology. 2010 Apr;112(4):948-56. [Abstract, NLM PubMed Link]
    1. Most anesthesia malpractice claims for medication management problems involved patients with a history of risk behaviors commonly associated with medication misuse. Malpractice claims arising from medication management had a high proportion of deaths with both patient and physician contributions to the outcome
  3. Rathmell JP, Michna E, Fitzgibbon DR, Stephens LS, Posner KL, Domino KB. Injury and liability associated with cervical procedures for chronic pain. Anesthesiology. 2011 Apr;114(4):918-26. [Abstract, NLM PubMed Link].
    1. Claims related to procedures performed at the cervical level of the spine represented 22% of recent chronic pain management malpractice claims. Injuries were commonly permanent and disabling.

ASA Newsletter

  1. Kalauokalani, D: Malpractice Claims for Nonoperative Pain Managment: A Growing Pain for Anesthesiologists?. ASA Newsletter 63(6):16-18, 1999. [Full Text]
  2. Fitzgibbon, DR: Liability Arising From Anesthesiology-Based Pain Management in the Nonoperative Setting. ASA Newsletter 65(6): 12-15, 2001. [Full Text; PDF Version]
  3. Domino KB, Fitzgibbon DR: Clinical lessons in chronic pain management from the Closed Claims Project. ASA Newsletter 68(2): 25-7, 2004. [Full Text; PDF Version]
  4. Bird M: Acute Pain Management: A New Area of Liability for Anesthesiologist. ASA Newsletter 71(8), 2007. [Full Text; PDF Version]
  5. Liau DW : Trends in Chronic Pain Management Malpractice Claims. ASA Newsletter 71(8), 2007. [Full Text; PDF Version]
  6. Fitzgibbon DR: Issues related to medication management in chronic pain claims. ASA Newsletter 74(2): 12-13, 2010. [Full Text; PDF Version]

Conference Presentations and ASA Abstracts

  1. Fitzgibbon DR, Posner KL, Lee LA, Domino KB, Cheney FW: ASA Closed Claims Project: Pain Management in the Non-Surgical Setting 1970-1998. Anesthesiology, 95: A957, 2001. [Full Text]
  2. Bird M, Caplan RA, Lee LA, Stephens LS, Domino KB: Liability Associated with Acute Pain Management. Anesthesiology 106: A1743, 2007. [Full Text]
  3. Bird M, Caplan RA, Lee LA, Stephens LS, Domino KB: Liability Associated with Acute Pain Management. Anesthesiology 106: A1743, 2007. [Full Text]
  4. Fitzgibbon DR, Michna E, Rathmell JP, Stephens LS, Domino KB: Medication management in chronic pain malpractice claims. Anesthesiology 111:A1605, 2009.
  5. Rathmell JP, Michna E, Fitzgibbon DR, Stephens LS, Domino KB: The ASA Closed Claims Project: analysis of chronic pain cervical procedure malpractice claims. Anesthesiology 111:A1041, 2009.