A 14-year-old young woman with joint hypermobility presented with bilateral anterior knee pain. It started after a soccer tournament 3 years ago with initial presenting symptoms of knee pain and subjective swelling. She was initially treated with rest, modified weight bearing with crutches, knee brace and NSAIDs. The swelling improved, but the knee pain and kinesiophobia persisted. The pain significantly increases with any active or passive knee flexion. She maintains the knees in full extension the majority of time even when she sits.
SPPM 2023 Meeting Highlights
Thank you to all our attendees of our 10th anniversary Annual Meeting in Austin, Texas. We had record attendance this year with attendees joining in-person and virtually. Check out the meeting highlights in our slide show, and we will see you next year in Anaheim, California!
Congratulations to the new SPPM Board Members!
Dear SPPM Members:
We are delighted as a Society to have so many eager, qualified, and enthusiastic members who want to be involved with and contribute to the Society. All of our candidates for office were imminently qualified and deserving of the positions they were running for. It is with great pleasure that we announce the winners of the Society for Pediatric Pain Medicine’s Election:
Secretary-Treasurer: Vidya Chidambaran, MD, MS, FASA
Board of Directors: Elisha Peterson, MD, FAAP; Genevieve D’Souza, MD; Jamie Kitzman, MD, FASA, DABMA
Please also welcome and congratulate our incoming President: Yuan-Chi Lin, MD, MPH
Congratulations to all!
Sincerely,
Rita Agarwal MD, FAAP, FASA (she, her, hers)
Clinical Professor of Anesthesiology
Stanford University, School of Medicine
Past President Society for Pediatric Pain Medicine
Canada’s 1st National Pediatric Pain Standard Has Been Released
Solutions for Kids in Pain (SKIP) and the Health Standards Organization (HSO) have recently released Canada’s first national Pediatric Pain Management standard, establishing a set of guidelines for the delivery of pain management for children from birth to 19 years. The standard provides guidance to health care organizations on how to deliver equitable and quality pain management across hospital settings!
Download the document here: https://store.healthstandards.org/products/pediatric-pain-management-can-hso-13200-2023-e |
Question of the Month – April 2023
A 5-year-old 16kg male (ex-24 week) with an extensive history of abdominal surgeries is scheduled for another exploratory laparotomy. He has a history of short gut syndrome, osteopenia, and prior multi-level thoracic fractures. He also has a superior mesenteric vein thrombus and left common femoral vein thrombus that is managed on prophylactic enoxaparin BID. Hematology will hold the enoxaparin twelve hours prior to the procedure with the plan to restart postoperatively. His parents are appropriately worried as pain control has been challenging in previous surgeries. The pediatric general surgeon consults you for assistance with post-operative pain management plan after his exploratory laparotomy.
Which of the following is the best regional technique for acute postoperative pain control as an epidural is contra-indicated?
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