September is Pain Awareness Month, a time to raise public awareness of issues in the area of pain and pain management for children and adolescents. Our president, Dr. Yuan-Chi Lin, shares a message for Pain Awareness as pain continues to be an issue that impacts the pediatric population.
Role of Cytokines in Acute and Chronic Postsurgical Pain
Congratulations to SPPM Executive Member, Dr. Vidya Chidambaran for her just released study in Brain, Behavior and Immunity examining the impact of cytokines in the postsurgical development of pain after major musculoskeletal pain. Exciting to see research in this area, as prevention of chronic pain is a global priority in the pain community.
Read the pre-print here: https://www.sciencedirect.com/science/article/abs/pii/S0889159124005877
Question of the Month – September 2024
A 17-year-old male with a history of degloving injury to his left lower extremity following a traumatic ATV accident who has undergone 3 separate reconstructive surgeries, complicated by ongoing burning pain to the left lateral leg/foot. He presents to your clinic for preoperative evaluation preceding his last and most involved surgery. In addition to his home regimen (acetaminophen, celecoxib, amitriptyline, pregabalin, and sometimes oxycodone), his previous perioperative analgesic regimen included sciatic nerve blocks with indwelling catheters, scheduled ketorolac, and oxycodone and IV hydromorphone as needed for breakthrough pain. Despite this, his acute-on-chronic pain has been difficult to treat post-operatively, interfering with his sleep and recovery.
You discuss the option of adding a ketamine infusion to his regimen but the patient is hesitant about receiving ketamine, citing its association with a highly-publicized death of a celebrity. He tearfully describes knowing friends who became mentally altered temporarily after taking ketamine tablets obtained online. You would like to educate your patient about ketamine use in treating pain.
Which of the following statements is TRUE?
Pediatric Pain Management Course
Boston Children’s Hospital is hosting a Pediatric Pain Management course designed for physicians, nurses, psychologists, physical therapists and other clinical staff who care for children with pain conditions. The conference will be focused on the delivery of up to date pain management for children. The aim will be to integrate basic, translational and clinical science with clinical practice updates. Conference sessions will include a combination of lectures, discussions, poster sessions, and more.
More info here: https://bostonchildrens.cloud-cme.com/course/courseoverview?P=1&EID=4454
Virtual Reality To Manage Peri-Interventional Pain, Anxiety and Distress
Many studies have supported the use of virtual reality (VR) in the pediatric population, and a new RCT looked at the impact of VR to help manage venipuncture including port access in oncology patients. Results are promising, and although VR is well supported in the literature, widespread implementation is not yet seen in all healthcare settings.
Read the study here: https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-024-04952-3
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