Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

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Question of the Month – March 2021

Welcome to your Question of the Month - March 2021

March's question is written by:


Clarice Nguyen, MD
Combined Pediatrics and Anesthesiology Resident
Department of Anesthesiology
Department of Pediatrics
Stanford University

AND


Viviana F. Ruiz, MD
Pediatric Anesthesiology Fellow
Lucile Packard Children's Hospital
Stanford University




An 11-year-old female with a history of precursor B cell acute lymphoblastic leukemia (ALL) is admitted to your pediatric hospital after she was found to have a medullary relapse. The patient has already undergone two rounds of chemotherapy and is now undergoing Chimeric Antigen Receptor (CAR) T-cell therapy.  The patient also has a history of chronic peripheral neuropathy and low back pain and is on scheduled hydromorphone. Four days after starting CAR T-cell therapy the patient develops flu-like symptoms, including fever, headache, and severe muscle and joint pain. Blood cultures have been negative to date. You are consulted to help manage the patient’s acute on chronic pain during CAR T-Cell treatment. Which of the following would BEST address this patient’s current pain symptoms?




 

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Are You Interested in Palliative Care as Part of Your Pain Management Work?

Pediatric Palliative Care (PedPalASCNET) is a multidisciplinary research team with a focus on pediatric palliative and end-of-life care. Every month they collate relevant research articles related to pediatric palliative care. The latest citation list can be found here: https://pedpalascnetlibrary.omeka.net/collections/show/65

Question of the Month – February 2021

Welcome to your Question of the Month - February 2021

February's Question is written by:

Elisha Peterson, MD, FAAP
Director of Chronic Pain, Division of Anesthesiology, Pain and Perioperative Medicine
Children's National Hospital




A 17-year-old young woman presented to the chronic pain clinic complaining of left buttock pain that radiated down to her left knee.  She described her left leg as aching and feeling heavy.  Other than taking an oral contraceptive for dysmenorrhea, she was otherwise healthy.


Her physical exam was notable for positive faber and fair maneuvers.  No allodynia, tender points, trigger points, or trochanteric bursitis were appreciated.  Her left leg had venous varicosities and appeared dusky with coolness to the touch compared to the right.  Images revealed no neuroforaminal narrowing, normal piriformis and sciatic nerve and no sacroiliitis noted but an abnormality in venous drainage was noted, that would be better correlated with a pelvic CT. 


Which of the following syndromes is most suggested by the presentation outlined above?

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SKIP (Solutions for Kids in Pain) Report

SKIP (Solutions for Kids in Pain) has recently released their one year report on their work addressing identified challenges faced by children, caregivers, health professionals, administrators, and policy makers in relation to pain.  CLICK HERE to read the report.

Question of the Month – January 2021

Welcome to your Question of the Month - January 2021


January's Question of the Month is written by:    








                                                    







Elizabeth O'Brien, MD
Pediatric Anesthesiology Fellow
Department of Anesthesiology and Critical Care
Children’s Hospital of Philadelphia


An 8-year-old female with a history of a cleft lip and palate status post staged primary repairs of both defects presents for an alveolar cleft graft. The surgical team intends to use a pyramidal bone block from the anterior iliac crest for the graft site. The patient reports hives with morphine and a history of postoperative nausea/vomiting. As part of an opioid-sparing multimodal analgesic plan, you offer to place a transversalis fascia plane block for post-op pain control. Identify the location for local anesthetic deposition for a successful block:

Figure 1

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Upcoming Meeting Information

SPPM 13th Annual Meeting
March 12, 2026
Sheraton Denver Downtown
Denver, CO

 

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