New consensus recommendations have been published in BMJ Pediatrics. Based on expert opinion and evidence in the literature, the guidelines supported the use of acetaminophen and various regional anesthesia techniques to improve analgesia and minimize opioids. Full paper can be found here: https://bmjpaedsopen.bmj.com/content/bmjpo/8/1/e002824.full.pdf
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
OCTOBER 2024 VISUAL PEARL
OCTOBER 2024 QUESTION OF THE MONTH
A 16-year-old nulliparous female presents to the pain clinic for discussion of pain management options around placement of an intrauterine device (IUD) for contraception. She has seen the videos on TikTok1 and is anxious about the potential discomfort during the procedure. She has no significant medical history and is not currently taking any medications. Vital signs are stable. Which of the following is the most effective analgesic technique for pain relief during the procedure?
A. No pain management required
B. Ibuprofen and acetaminophen
C. Paracervical block
D. Pre-procedure anxiolytic
