SPPM Logo

Society for Pediatric Pain Medicine

Advancing the practice of pediatric pain management.

SPPM Question of the Month Archives

Click to view the Current Question of the Month

Created Details Topic Keywords Writer Link
08/13/2025AAI can reduce pain, stress, and improve mood; objective responses include lower HR/BP/cortisol and higher oxytocin/endorphins/serotonin; salivary alpha-amylase does not consistently decrease.Animal-Assisted Therapy in Symptom Management Animal-assisted therapy; stress markers; pediatric pain; therapy dogs; alpha-amylase Hannah Hayes, CPNP-AC/PC; Jamie Kitzman, MD, DABMA, FASA; Strider - Facility Dog View Here
08/13/2025Pediatric evidence supports electrical stimulation (Tsui test), ultrasound, and fluoroscopic contrast (epidurography); limited pediatric support for waveform analysis, pH testing, and CSE as confirmatory methods.Confirming Pediatric Epidural Catheter Placement Epidural catheter; pediatric anesthesia; Tsui test; ultrasound; fluoroscopy Carole Lin, MD View Here
08/13/2025Trans-nasal sphenopalatine ganglion block (4% lidocaine) shows rapid, minimally invasive relief in pediatric PDPH by modulating parasympathetic vasodilation and trigeminal nociception.Management of Post‑Dural Puncture Headache (PDPH) PDPH; sphenopalatine ganglion block; pediatric headache; neuraxial Dhiresh Bandaru; Rita Agarwal, MD, FAAP View Here
08/13/2025Avoid prilocaine/benzocaine; use ropivacaine under ultrasound guidance, monitor MetHb (co‑oximetry/ABGs), and have methylene blue available.Anesthesia for Congenital Methemoglobinemia Methemoglobinemia; ropivacaine; methylene blue; ultrasound; pediatric anesthesia Blossom Dharmaraj; Deepa Kattail, MD, MHS, FAAP; Rita Agarwal, MD, FAAP View Here
08/13/2025Adductor canal block plus IPACK provides posterior knee analgesia while preserving motor function and avoiding foot drop seen with sciatic blocks.Motor‑Sparing Analgesia for ACL Reconstruction Adductor canal block plus IPACK provides posterior knee analgesia while preserving motor function and avoiding foot drop seen with sciatic blocks. Michelle Carley, MD; John G. Hagen, MD, MBA, FAAP, FASA; Rita Agarwal, MD, FAAP View Here
05/6/2025Digital Nerve BlocksRegional Anesthesia Acute pain, regional anesthesia Rita Agarwal, MD and Shahabal Khan, Medical Student (M3) View Here
05/6/2025Gabapentin for Periop Pain in Chronic Pain PatientAcute Pain Acute pain, chronic pain Galaxy Li, MD and Mihir Desai MD View Here
05/6/2025Management of Acute Fracture in LIC SettingAcute Pain Acute pain Rita Agarwal, MD and Umanga Luintel, Medical Student (Nepal) Acute View Here
05/6/2025NOWS (November 2024)NOWS NOWS Dhiresh Bandaru, Medical Student, Christina Almgren, MSN, CPNP, and Rita Agarwal, MD, FAAP, FASA View Here
11/5/2024Chronic Pain and Sleep Disturbances in ChildrenChronic Pain Chronic Pain Hana Mahmoud, Undergraduate Student and Vidya Chidambaran, MD, MBBS View Here
11/5/2024Ketamine Misuse and Access Acute Pain Acute Pain, Chronic Pain Aaron Louie, MD and Amber Borucki, MD View Here
11/5/2024Pain Management for IUD Insertion Regional Anesthesia Acute pain, Regional Anesthesia Carla Demerdjian, MBS, BS and Rita Agarwal, MD View Here
08/6/2024SIFi Regional Anesthesia Acute pain, regional anesthesia Mo Esfahanian, MD and Katie Handlogten, MD View Here
07/2/2024Neonatal Opioid Withdrawal Syndrome Chronic Pain Chronic pain Rita Agarwal, MD and Genevieve D'Souza, MD View Here
06/4/2024Slipped Rib SyndromeChronic Pain Chronic Pain Deepa Kattail, MD and Tamara Dubljevic, Medical Student View Here
05/7/2024Epidural catheter for Kasai procedure Acute pain Acute pain, regional anesthesia Christina Almgren, MSN, CPNP and Rita Agarwal, MD View Here
05/7/2024Neuropraxia after peripheral nerve block Regional Anesthesia Acute pain, regional anesthesia Suryakumar Narayanasamy, MD, MBBS and Vidya Chidambaran, MD, MBBS View Here
05/7/2024Persistent postoperative opioid use (PPOU) in children and adolescents Acute pain Acute pain Jamie Kitzman, MD, Amber Borucki, MD, and Rita Agarwal, MD, FAAP, FASA View Here
05/7/2024Ehlers Danlos Syndrome and local anesthetics Regional anesthesia Acute pain, regional anesthesia Tricia Vecchione, MD, MPH and Karen Boretsky, MD View Here
05/7/2024Pudendal nerve block Regional anesthesia Acute pain, regional anesthesia Anushree Doshi, MD and John Campbell, DO View Here
05/7/2024Small fiber neuropathy Chronic pain Chronic pain Blake Windsor, MD View Here
11/7/2023Migraine pain managementChronic pain Chronic pain Pauline K. Wong, DO and Thomas Spain, MD View Here
11/7/2023Chronic post-surgical pain (CPSP) Chronic pain Acute pain, chronic pain Catherine Kato, MD and Galaxy Li, MD View Here
09/5/2023Cryoanalgesia for Acute Pain Management Regional Anesthesia Acute Pain, Regional Anesthesia Deepa Kattail, MD and Mubeena Mistry View Here
08/23/2023Infrapatellar fat pad syndromeChronic pain Chronic pain Jinpu Li, MD and Elisha Peterson, MD, MEd, FAAP, FASA View Here
08/23/2023Periop Management of BuprenorphineAcute pain Acute pain Genevieve D'Souza, MD, FASA View Here
08/23/2023Chronic exertional compartment syndromeChronic pain Chronic pain, regional anesthesia Ahmed Butt, MD and Sharif Mohamad, MD View Here
06/6/2023ESP Block Catheter in Anticoagulated PatientRegional Anesthesia Acute pain, regional anesthesia Vipin Bansal, MD and Jamie Kitzman, MD View Here
04/11/2023Cannabinoids for neuropathic pain Chronic pain Chronic pain Naiyi Sun, MD View Here
04/11/2023Buprenorphine in the perioperative setting Chronic pain Chronic pain, addiction medicine Amber Borucki, MD View Here
04/11/2023Pharmacokinetics of opioids with cytochrome P450 polymorphism Acute pain Acute pain, pharmacology Sophie Pestieau, MD Jinpu Li, MD View Here
01/17/2023CRPSChronic pain Chronic pain Maged Mina , MD View Here
11/8/2022Regional anesthesia for palliative care Acute pain Regional anesthesia Acute pain; regional anesthesia Julie Good, MD Rita Agarwal, MD View Here
10/12/2022LASTAcute Pain Regional Anesthesia Sheri Jones Oguh, MD and Francis W. Kraemer, MD View Here
10/12/2022G6PD deficiency and analgesicsAcute pain Acute pain Jason Brown, MD View Here
09/13/2022Neuraxial anesthesia and pharmacodynamicsRegional anesthesia Regional anesthesia, nerve blocks Katie Handlogten, MD View Here
07/7/2022Substance Use Disorder Acute Pain Acute pain; addiction medicine Rita Agarwal, MD FAAP View Here
06/7/2022Acupuncture Acute Pain Acute pain; acupuncture Jamie Kitzman, MD View Here
05/5/2022Opioid MisuseAcute Pain Acute Pain; Opioids Constance Monitto, MD; Joann Hunsberger, MD, MS View Here
04/5/2022Infant spinal anesthesia Acute Pain Regional Anesthesia Regional anesthesia; acute pain; nerve blocks Amy Beethe, MD Marcellene Franzen, MD View Here
03/8/2022Brachial neuritis, COVID-19Chronic pain Chronic pain Marissa Wiktor, DO William White, DO View Here
02/8/2022Chronic pain due to chronic pancreatitis Chronic pain Chronic pain Rita Agarwal, MD, FAAP and Ms. Beth Larson-Steckler View Here
01/14/2022Chronic pain and sleep disturbanceChronic Pain Chronic pain Alvina Rosales, PhD and Eugene Kim, MD View Here
01/14/2022Virtual reality and acute postoperative painAcute pain Acute pain; technology Marcelino Murillo-Deluquez, MD and Vanessa A. Olbrecht, MD, MBA, FASA View Here
01/14/2022AcupunctureAcute pain Acute pain, acupuncture Jamie Kitzman, MD, DABMA View Here
10/7/2021Peripheral nerve block for sickle cell pain Acute Pain Regional Anesthesia Regional anesthesia; acute pain; nerve blocks Karla Wyatt, MD and Chyong-jy Liu, DO View Here
09/7/2021Pharmacology of gabapentinAcute Pain Chronic Pain Pharmacology, acute pain, chronic pain Galaxy Li, MD and Pulsar Li, MD View Here
08/19/2021ESP Block with CatheterRegional Anesthesia Regional Anesthesia; Acute Pain; Nerve Blocks Carole Lin, MD View Here
08/19/2021HeadachesChronic Pain Propofal, Chronic Headache Thomas Spain, MD View Here
08/19/2021Preoperative AnxietyAcupuncture Yintang, Preoperative Anxiety, Acupuncture Jamie Kitzman, MD View Here
05/4/2021Chronic pain in hypermobility (Ehlers-Danlos)Chronic pain Chronic pain Chris Joseph, DPT Caitlin Thompson, PhD (psychology) View Here
04/1/2021Cytokine Release Syndrome (CRS) from CAR T-cell TherapyChronic pain Chronic pain, cancer pain Viviana Ruiz, MD & Clarice Nguyen, MD View Here
03/2/2021May Thurner syndromeChronic pain Chronic pain Elisha Peterson, MD View Here
02/2/2021Transversalis fascia plane (TFP) blockRegional anesthesia Regional anesthesia; acute pain; nerve blocks Elizabeth O'Brien, MD View Here
01/5/2021Mexilitine for chronic pain managementChronic pain Chronic pain, sickle cell disease Dr. Ashlee Holman View Here
12/1/2020EpiduralAcute pain Acute pain, regional anesthesia; epidural Catherine Dietrich, MD and Christina Almgren, MS, RN, CPNP View Here
11/2/2020Stellate ganglion block for CRPSChronic pain Chronic pain, intervention Dr. Ingy Iskander View Here
10/5/2020Sensory Innervation of the Scapula BoneRegional Anesthesia Regional Anesthesia, Nerve Blocks Dr. Mohammad Esfahanian View Here
08/1/2020suprazygomatic maxillary nerve blockRegional anesthesia Regional anesthesia, nerve blocks Dr. Petrus Paulus Steyn View Here
07/1/2020Chronic headache management with AimovigChronic pain Chronic pain, headache, pharmacology Dr. Tommy Spain View Here
06/1/2020Physician examination of a hypermobile patient; Hawkins-Kennedy testChronic pain Chronic pain, hypermobility Dr. Zvonimir Bebic View Here
05/1/2020Covid and impact on chronic pain clinicsChronic pain Chronic pain, virtual medicine Dr. Amber Borucki View Here
04/1/2020ACNES & TAP blocksRegional Chronic pain, regional anesthesia Dr. Jared Hylton View Here
03/1/2020Pharmacological treatment of functional dyspepsiaChronic pain Chronic pain, pharmacology Dr. Deepa Kattail View Here
02/1/2020Opioids (tramadol) for acute pain managementAcute Pain Chronic pain Dr. Elizabeth Pedigo View Here
01/1/2020Side effects of peripheral nerve blocksRegional anesthesia Regional anesthesia, nerve blocks Dr. Petrus Paulus Steyn View Here
12/1/2019Interdisciplinary care in chronic pain managementChronic Pain Chronic pain, psychology Patricia Richardson, PhD (psychology) View Here
11/1/2019Management of chronic low back painChronic pain Chronic pain, physiotherapy Dr. Ben Ekstrom View Here
10/1/2019Acute pain-spinal fusionAcute pain Acute pain, opioids, spinal fusion Dr. Tim Casias View Here
09/1/2019Nerve blocks for headacheRegional anesthesia Regional anesthesia, nerve blocks, headache Dr. Genevieve D'Souza View Here
08/1/2019Chronic pain interdisciplinary approachChronic pain Chronic pain, psychology, physiotherapy Dr.Deepa Kattail View Here
07/1/2019Suprazygomatic Maxillary Nerve block for cleft palate repairRegional anesthesia Regional anesthesia, nerve blocks Dr. Sam Nia View Here
06/1/2019Carnett's sign-abd painAcute pain Chronic pain Dr. Bob Wilder View Here
05/1/2019Ehler Danlos teen with anxiety and persistent postoperative painChronic pain Regional anesthesia, nerve blocks Franklin Chiao MD View Here
04/1/2019CRPSRegional anesthesia Chronic pain, CRPS Dr. Tim Casias View Here
02/1/2019ESP block (?)Regional anesthesia Chronic pain, hypermobility, psychology Dr. Michelle Kars View Here
11/1/2018Nerve blocks for hypospadias repairRegional Anesthesia Regional anesthesia, nerve blocks, epidural Rani Sunder MD & Franklin Chiao MD View Here
10/1/2018CRPS, ketamine infusionChronic pain Chronic pain, CRPS, ketamine Deepa Kattail, MD & Anjana Kundu, MD View Here
09/1/2018Neonatal abstinence syndrome, methadone exposureChronic pain Chronic pain, neonatal abstinence syndrome (NAS) View Here
07/1/2018Thoracic epidural for infant, CCAM, LASTRegional Anesthesia Regional anesthesia, epidural, local anesthetics Jennifer Zieg, MD View Here
05/1/2018Epidural for acute postop painRegional Anesthesia Regional anesthesia, epidural, cancer View Here
01/1/2018Epidural for acute postop pain, neonateRegional Anesthesia Regional anesthesia, epidural, neonate View Here
11/1/2017Epidural for acute postop pain, osteosarcoma resection, postpuncture dural headacheRegional Anesthesia Regional anesthesia, epidural, post-puncture dural headache View Here
09/1/2017Spinal anesthesia in infant, successRegional Anesthesia Regional anesthesia, spinal View Here
07/1/2017Caudal epidural, local anesthetic dosingRegional Anesthesia Regional anesthesia, epidural, local anesthetics View Here
06/1/2017Wilm's tumour, epiduralRegional Anesthesia Regional anesthesia, epidural, cancer View Here
Created Details Topic Keywords Writer Link