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Papers for Discussion:

Borghi B, D'Addabbo M, White PF, et al. The use of prolonged peripheral neural blockade after lower extremity amputation: the effect on symptoms associated with phantom limb syndrome. Anesth Analg 2010; 111:p 1308-15. doi: 10.1213/ANE.0b013e3181f4e848

Gilmore CA, Ilfeld BM, Rosenow JM, et al. Percutaneous 60-day peripheral nerve stimulation implant provides sustained relief of chronic pain following amputation: 12-month follow-up of a randomized, double-blind, placebo-controlled trial. Reg Anesth Pain Med 2020;45:44–51. doi: 10.1136/rapm-2019-100937

Ilfeld BM, Finneran JJ, Abdullah B, et al. Cryoanalgesia to treat phantom limb pain following a trans-femoral (above-knee) amputation: a randomized, sham-controlled pilot study. Reg Anesth Pain Med Published Online First: 01 October 2025. doi: 10.1136/rapm-2025-107116

Speakers:

Brittani Bungart, MD, PhD, is a regional anesthesia and acute pain medicine fellow at Vanderbilt University Medical Center and will join the faculty afterward. She earned her PhD in biomedical engineering from Purdue University’s Weldon School of Biomedical Engineering in 2019 and her MD from the Indiana University School of Medicine in 2021, followed by an anesthesiology residency at Massachusetts General Hospital from 2021 to 2025. Bungart serves as the inaugural chair of regional anesthesia on the ASRA Pain Medicine Resident and Fellow Committee. Her academic interests include local anesthetic dosing, bioinformatics, implementation science, machine learning, spectroscopy, and photoacoustic tomography.

Andrew Thorsen, MD, is a regional anesthesia and acute pain medicine fellow at Vanderbilt University Medical Center. A native Texan, he was born in Austin, raised in Dallas, and earned his medical degree from Baylor College of Medicine in Houston. He completed his anesthesiology residency at Washington University in St. Louis. Outside of medicine, he enjoys walking his two corgis, Jax and Cooper, playing basketball, exploring new restaurants, and keeping up with sports. After fellowship, he plans to pursue a career in academic anesthesiology with a focus on education.

Gerald Rouleau, MD, is a fellow physician in regional anesthesiology and acute pain medicine at Vanderbilt University. He completed his anesthesiology residency and served as administrative chief resident at the University of Colorado in 2025. He holds a master’s degree in epidemiology and biostatistics and has authored multiple peer-reviewed publications. Before medicine, he worked as a statistical analyst at Northwestern University’s Feinberg School of Medicine. He continues to integrate data-driven inquiry, clinical excellence, and compassionate care into his academic and professional pursuits.

Nicholas Statzer, MD, is an assistant professor at Vanderbilt University Medical Center. Originally from St. Louis, Missouri, he earned a bachelor’s degree in biomedical engineering, completed medical school at Michigan State University, residency at the Cleveland Clinic, and fellowship training in acute pain and regional anesthesia at Vanderbilt in 2018. He is assistant director of the Perioperative Medicine and Acute Pain services at Vanderbilt, orthopedic pod leader, and course director for the orthopedic anesthesia resident rotation. His research interests include pain management for acute chest wall trauma and the application of emerging technologies in regional anesthesia.