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/
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
JANUARY 2025 POLL OF THE MONTH
JANUARY 2025 QUESTION OF THE MONTH
A 30kg 8-year-old male with a history of Wilms tumor s/p right nephrectomy at age 5, postoperative nausea and vomiting (PONV), and burning chronic post-surgical pain (CPSP) at right abdominal incision site with numbness, presents for an elective outpatient umbilical hernia repair. The patient had been requiring opioids and gabapentin for his pain until 8 months ago when it resolved. The anesthetic plan includes preoperative acetaminophen, a general anesthetic including 1mcg/kg fentanyl, and post-induction, pre-incision bilateral rectus sheath blocks with 0.6mL/kg of 0.2% ropivacaine with 1:200k epinephrine. Given the patient’s history, which of the following preoperative medications is best suited to decrease postoperative pain and nausea / vomiting?
A. Ketorolac
B. Ketamine
C. Tramadol
D. Gabapentin
SPPM 12th Annual Meeting