Congrats to SPPM members Dr. Amber Borucki, Dr. Jamie Kitzman and Dr. Rita Agarwal on their publication in Anesthesia and Analgesia on behalf of our Society on substance use disorders in adolescents and young adults. Read the paper here: https://journals.lww.com/anesthesia-analgesia/fulltext/2024/12000/substance_use_disorders_in_adolescents_and_young.19.aspx?context=featuredarticles&collectionid=4
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
DECEMBER 2024 VISUAL PEARL
DECEMBER 2024 QUESTION OF THE MONTH
A 2-year-old child who weighs 15 kg, undergoes laceration repair of the right index finger in the operating room. The resident does a digital nerve block using 2% lidocaine with epinephrine (1:100,000) and uses 1 ml/side. In the PACU, the anesthesiologists noticed the right index finger appeared pale and less perfused. Which of the following is the most likely cause of this finding?
A. Surgical injury to artery
B. Use of epinephrine in the block
C. Local Anesthesia Systemic Toxicity (LAST)
D. Hypothermia