Question of the Month – May 2025

{“questions”:{“opejj”:{“id”:”opejj”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 7-year-old boy (24 kg) undergoes extensive bilateral lower-extremity orthopedic surgery. Epidural catheter placement under general anesthesia proves technically difficult, requiring several needle passes before a catheter is threaded. Twenty-four hours later he develops a bifrontal, throbbing headache with vomiting that is immediately relieved when supine and recurs on sitting or standing. Conservative therapy\u2014including IV […]

Question of the Month – April 2025

{“questions”:{“3dihz”:{“id”:”3dihz”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 16\u2010year\u2010old patient undergoing an open laparotomy had a T12 epidural placed under standard sterile technique. Because the \u201closs\u2010of\u2010resistance\u201d was not crisp and the resident expressed doubt about catheter placement. In addition to the usual epidural test dose of epinephrine, which of the following published methods can help confirm correct epidural catheter placement in pediatric […]

Question of the Month – March 2025

{“questions”:{“lo3qt”:{“id”:”lo3qt”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Studies have shown that animal assisted therapy can be a beneficial part of multimodal management of many various symptoms, ranging from depression and anxiety to acute and chronic pain. Animal-assisted interventions (AAI) have been known to improve discomfort, stress, anxiety, and overall well-being in children and adults. In addition to subjective reports from patients, biomarkers […]

Question of the Month – February 2025

{“questions”:{“43c3d”:{“id”:”43c3d”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”An 8-year-old boy is brought to a local health post in rural Nepal by his parents with complaints of intense pain accompanied by swelling in his left wrist preceded by a fall on outstretched hand. The child is crying constantly and as per the Wong-Baker FACES Pain Rating Scale, he has a pain of \u201cHurts […]

Question of the Month – January 2025

{“questions”:{“l8xg3”:{“id”:”l8xg3″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”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 […]