Dear Colleagues, Thank you for being part of SPPM, a Society dedicated to “Better Care of Children in Pain.” Your work, engagement and the vital contributions to pediatric pain management have made a difference to children’s lives, but together we can strive to do even more. On this Giving Tuesday, December 3, 2024, when communities, […]
QUESTION OF THE MONTH/VISUAL PEARLS/POLLS OF THE MONTH
DECEMBER 2024 QUESTION OF THE MONTH
A 2-year-old child who weighs 15 kg, undergoes laceration repair of the right index finger in the operating room. The resident does a digital nerve block using 2% lidocaine with epinephrine (1:100,000) and uses 1 ml/side. In the PACU, the anesthesiologists noticed the right index finger appeared pale and less perfused. Which of the following is the most likely cause of this finding?
A. Surgical injury to artery
B. Use of epinephrine in the block
C. Local Anesthesia Systemic Toxicity (LAST)
D. Hypothermia
NOVEMBER 2024 POLL OF THE MONTH