Question of the Month – July 2017 Welcome to your Question of the Month - July 2017 According to a study by Ivani and colleagues, the optimum concentration of levobupivacaine at 1 ml/kg in a single shot caudal without any additive was 0.2%. What advantage did the 0.2% concentration have over the 0.25% concentration? Was there any impact on analgesia duration? A. Decreased motor blockade, shorter analgesia B. Shorter discharge time, same duration of analgesia C. Lower incidence of cardiac toxicity, shorter analgesia D. Higher level of block, same duration of analgesia Time's up
Question of the Month – June 2017 Welcome to your Case of the Month - June 2017 A 4-year old male with Wilm's tumor is having exploratory laparotomy. He also has a history of severe scoliosis and epidural placement failed. The surgery team requests a "Tap Block". The anesthesia team decides to place a quadratus lumborum block. Which injection site on ultrasound would have a higher chance of paravertebral spread? a) Equal b) Neither c) Left image d) Right image Time's up