jenny, Author at Society for Pediatric Pain Medicine

Question of the Month – March 2025

Studies have shown that animal assisted therapy can be a beneficial part of multimodal management of many various symptoms, ranging from depression and anxiety to acute and chronic pain. Animal-assisted interventions (AAI) have been known to improve discomfort, stress, anxiety, and overall well-being in children and adults. In addition to subjective reports from patients, biomarkers have been used to investigate a positive response to AAI. All of the following objective measures have been utilized indicating a positive response to AAI except:

A. decreased respiratory rate, heart rate, and blood pressure

B. increased oxytocin, endorphins, and serotonin

C. decrease cortisol levels

D. increase salivary alpha-amylase

Correct! Wrong!

Question of the Month - March 2025

Ultrasonogram-Guided Continuous Quadratus Lumborum Block as Pain Management in Pediatric Kidney Transplant Recipients: A Case Series

A recent case series describes the use of ultrasound guided continuous QL blocks to manage perioperative pain in pediatric kidney transplant patients. The case series demonstrated effectiveness for the technique and commented that further steps would include formal ERAS type protocols in the future.

Full paper her: https://www.ectrx.org/forms/ectrxcontentshow.php?year=2025&volume=23&issue=1&supplement=0&makale_no=0&spage_number=72&content_type=FULL%20TEXT

Racial and Ethnic Disparities in Perioperative Pain Management After Pediatric Tonsillectomy

A newly published study in Pediatric Anesthesia sought to examine if there were disparities in perioperative pain management following routine pediatric tonsillectomy. In contrast to existing literature, they found that ethnicity was NOT associated with the likelihood of receiving opioid analgesia nor difference in mean morphine equivalence given, although they did find that Hispanic/Latino identifying patients had less formal pain assessments.

Full study here: https://onlinelibrary.wiley.com/doi/epdf/10.1111/pan.15048

Question of the Month – February 2025

An 8-year-old boy is brought to a local health post in rural Nepal by his parents with complaints of intense pain accompanied by swelling in his left wrist preceded by a fall on outstretched hand. The child is crying constantly and as per the Wong-Baker FACES Pain Rating Scale, he has a pain of “Hurts Worst”. The wrist has a dinner fork like appearance. There are no imaging facilities in the health post and neither anesthesia consults or services. The nearest hospital is over eight hours drive away. Given the limited resources, what is the best pain management approach until he is transported to a higher center?

A. Perform a closed reduction with hematoma block

B. Perform a closed reduction with procedural sedation and analgesia

C. Splint with available materials + NSAID

D. Do nothing and just transport the patient

Correct! Wrong!

Question of the Month - February 2025

Living Well With Chronic Pain – For Teens

US Pain Foundation has released a booklet entitled “Living Well With Chronic Pain: For Teens” available as both print copy or digital booklet.

Follow this link as a useful resource for your adolescent patients living with pain: https://uspainfoundation.org/resources/living-well-with-chronic-pain-for-teens/

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Question of the Month – March 2025

Ultrasonogram-Guided Continuous Quadratus Lumborum Block as Pain Management in Pediatric Kidney Transplant Recipients: A Case Series

Racial and Ethnic Disparities in Perioperative Pain Management After Pediatric Tonsillectomy

Question of the Month – February 2025

Living Well With Chronic Pain – For Teens

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