A recent case series describes the use of ultrasound guided continuous QL blocks to manage perioperative pain in pediatric kidney transplant patients. The case series demonstrated effectiveness for the technique and commented that further steps would include formal ERAS type protocols in the future. Full paper her: https://www.ectrx.org/forms/ectrxcontentshow.php?year=2025&volume=23&issue=1&supplement=0&makale_no=0&spage_number=72&content_type=FULL%20TEXT
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
FEBRUARY 2025 QUESTION OF THE MONTH
An 8-year-old boy is brought to a local health post in rural Nepal by his parents with complaints of intense pain accompanied by swelling in his left wrist preceded by a fall on outstretched hand. The child is crying constantly and as per the Wong-Baker FACES Pain Rating Scale, he has a pain of “Hurts Worst”. The wrist has a dinner fork like appearance. There are no imaging facilities in the health post and neither anesthesia consults or services. The nearest hospital is over eight hours drive away. Given the limited resources, what is the best pain management approach until he is transported to a higher center?
A. Perform a closed reduction with hematoma block
B. Perform a closed reduction with procedural sedation and analgesia
C. Splint with available materials + NSAID
D. Do nothing and just transport the patient
JANUARY 2025 POLL OF THE MONTH
SPPM 12th Annual Meeting