jenny, Author at Society for Pediatric Pain Medicine

Error Traps and Preventative Strategies for Adolescent Idiopathic Scoliosis Surgery

Congrats to SPPM members Drs. Vidya Chidambaran and Sophie Pestieau for their recent publication on error traps in AIS surgery! The paper reviews many critical aspects of scoliosis management including the “ failure to optimize postprocedure recovery using enhanced recovery after surgery (ERAS) approaches and preoperative optimization”.

Read the article here: https://onlinelibrary.wiley.com/doi/epdf/10.1111/pan.14735

Question of the Month – August 2023

A 16-year-old male athlete with pectus excavatum is scheduled in the OR for Nuss repair.1 He has previously had general anesthesia at the age of 14, with postoperative nausea and vomiting (PONV) secondary to anesthesia and also post-operative opioids (both intravenous and enteral). Family is requesting a modified anesthetic plan to address his PONV, while also being concerned of the severe pain associated with this procedure. Which plan would be most effective for this patient, to avoid PONV, manage pain efficiently and minimize hospital length of stay?

a) Standardized intraoperative PONV prophylaxis with at least 3 pharmacological agents

b) Minimal intraoperative opioids, and postoperative patient-controlled analgesia (PCA) per standard protocol

c) Total intravenous anesthesia (TIVA) to avoid use of sevoflurane/desflurane

d) Thoracic epidural analgesia

e) Cryoanalgesia performed intraoperatively by surgical team

Correct! Wrong!

Question of the Month - August 2023

ICD-11 Task Force Is Seeking Opinions on Pediatric Specific Chronic Pain Diagnosis

The ICD-11 Task Force of IASP’s Pain in Childhood SIG invites you to share your opinion on the need for pediatric specifications in the ICD-11 chronic pain diagnoses. The inclusion of an independent category for chronic pain in the 11th version of the International Classification of Diseases (ICD-11) has been an important step towards the legitimization and standardization of chronic pain. The goal is to make the ICD-11 diagnoses more applicable to the pediatric population by developing pediatric specifications.

Please submit your initial ideas by 7 August, at this link: https://qfreeaccountssjc1.az1.qualtrics.com/jfe/form/SV_1XmnWzWwOzKtNCS

Substance Use Disorders in Adolescents and Young Adults

Congratulations to SPPM’s Advocacy Committee for their recent publication in Anesthesia & Analgesia on the management of substance use disorders in adolescents and adults! Kudos to our Board Members Drs. Jamie Kitzman and Amber Borucki and SPPM Past President Dr. Rita Agarwal.

Follow the link to read the paper:

https://journals.lww.com/anesthesia-analgesia/Fulltext/9900/Substance_Use_Disorders_in_Adolescents_and_Young.608.aspx

New Chronic Pain Podcast, “What a Pain”

Glyn Williams (Anaesthetist at Great Ormond Street Hospital) and Konrad Jacobs (clinical psychologist, Oxford) have started a new podcast – “What a Pain” – about chronic pain in children and adolescents. Through informal conversations, they hope to learn more about this fascinating topic from researchers, clinicians and patients, but also find out a little bit about them, what makes them tick, and why they ended up working in pain.

You can access it through your normal podcast apps (Spotify, apple, google, etc; search for ‘what a pain’) and here: https://shows.acast.com/what-a-pain

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Error Traps and Preventative Strategies for Adolescent Idiopathic Scoliosis Surgery

Question of the Month – August 2023

ICD-11 Task Force Is Seeking Opinions on Pediatric Specific Chronic Pain Diagnosis

Substance Use Disorders in Adolescents and Young Adults

New Chronic Pain Podcast, “What a Pain”

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