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.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

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Question of the Month – August 2020

Mo Esfahanian, MD
Clinical Instructor, Pediatric Anesthesiology




                                                   
Your patient is an 8-year-old girl presenting with Ewing's sarcoma of the left scapula (Figure 1). She is scheduled for left chest wall wide resection, left scapula wide resection, multiple muscle transfers and muscle-skin flaps involving the shoulder and arm, along with neurolysis and vessel mobilization. The surgical team is unsure how far they will need to extend the chest wall wide resection. She has a history of severe nausea with opioids. You plan to use a regional anesthetic technique for post-operative pain control as part of your multi-modal regimen.





Figure 1


What is the sensory innervation of the scapula bone (i.e. osteotome)?

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Upcoming Meeting Information

SPPM 11th Annual Meeting
April 11, 2024
Anaheim Marriott
Anaheim, CA

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Meeting Registration – early registration rates through March 22, 2024
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