In recognition of the importance of wellness in medicine, the SPPM Annual Meeting in Orlando opened with a special event focused on connection and relaxation. On Wednesday, March 26th, attendees gathered at the Hawks Landing Golf Course driving range at the Orlando World Center for an evening of driving practice, light hors d’oeuvres, and beverages. […]
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
APRIL 2025 VISUAL PEARL
APRIL 2025 QUESTION OF THE MONTH
A 16‐year‐old patient undergoing an open laparotomy had a T12 epidural placed under standard sterile technique. Because the “loss‐of‐resistance” was not crisp and the resident expressed doubt about catheter placement. In addition to the usual epidural test dose of epinephrine, which of the following published methods can help confirm correct epidural catheter placement in pediatric patients?
Options:
A. Epidural Pressure Waveform Analysis
B. Electrical Stimulation (Tsui Test)
C. Fluoroscopic Guidance with Contrast Injection (Epidurography)
D. Ultrasound Confirmation
E. pH Testing of Aspirated Fluid
F. Combined Spinal-Epidural (CSE) Technique
Answer Choices:
a. A, B, and C
b. A, E, and F
c. B, C, and D
d. All of the above
SPPM 13th Annual Meeting