Congratulations to several SPPM members who recently published in Anesthesia and Analgesia on trends in management of acute pain for idiopathic scoliosis in the pediatric population. Notably, the study found 24% incidence of chronic postsurgical pain. Read the full study here: https://journals.lww.com/anesthesia-analgesia/fulltext/9900/multi_institutional_study_of_multimodal_analgesia.1093.aspx
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
JANUARY 2025 QUESTION OF THE MONTH
A 30kg 8-year-old male with a history of Wilms tumor s/p right nephrectomy at age 5, postoperative nausea and vomiting (PONV), and burning chronic post-surgical pain (CPSP) at right abdominal incision site with numbness, presents for an elective outpatient umbilical hernia repair. The patient had been requiring opioids and gabapentin for his pain until 8 months ago when it resolved. The anesthetic plan includes preoperative acetaminophen, a general anesthetic including 1mcg/kg fentanyl, and post-induction, pre-incision bilateral rectus sheath blocks with 0.6mL/kg of 0.2% ropivacaine with 1:200k epinephrine. Given the patient’s history, which of the following preoperative medications is best suited to decrease postoperative pain and nausea / vomiting?
A. Ketorolac
B. Ketamine
C. Tramadol
D. Gabapentin
DECEMBER 2024 VISUAL PEARL
SPPM 12th Annual Meeting