Learning Objectives

Session 1: Basic Science: Pain and Sleep

Many pediatric patients in the USA today take opioids and other analgesic medications for a variety of reasons. These medications have a wide spectrum of side effects, less recognized among them their effect on sleep architecture. Untreated or chronic pain also has significant effects on sleep. This session will focus on sleep and its alteration by these medications and underlying conditions.

The Interrelationship of Chronic Pain and Sleep Disturbances
Tonya Palermo, PhD

At the completion of this session, the participant will be able to:

  • Summarize the evidence for the effects of disturbed sleep on pain and response to pain treatment
  • Identify sociodemographic, environmental, and clinical factors associated with risk for sleep disturbances in children with painful conditions
  • Develop strategies to assess and treat sleep disturbances in children with ongoing pain
  • Apply behavioral strategies to decrease sleep problems and improve pain management

Opioids and Sleep
Sapna Kudchadkar, MD

At the completion of this session, the participant will be able to:

  • Review the current understanding of opioids on sleep architecture
  • Discuss the management of patients with obstructive sleep apnea and postoperative sleep disturbances who require appropriate analgesia
  • Develop guidelines for optimizing pain management and sleep

Non-Opioid Analgesics and Sleep
Suresh Kotagal, MD

At the completion of this session, the participant will be able to:

  • Understand the non-opioid analgesics effects on sleep
  • Implement measures in patients with chronic pain to improve sleep patterns
  • Provide optimal care for pediatric pain associated sleep disorders

Session 2: Clinical Science: Acute Pain Management

Monitoring Analgesic Delivery
Terri Voepel-Lewis, PhD, RN

An important aspect of excellent analgesia is the ability to monitor the delivery, effectiveness and adverse effects of administered medications. At the completion of this session, the participant will be able to:

  • Discuss the relevant evidence related to postoperative monitoring of patients receiving analgesic medications
  • Identify several potential pitfalls (e.g., sensitivity, costs) of various clinical monitoring techniques during analgesic use
  • Define the current best practices and recommendations for monitoring children receiving opioid analgesics

Effective Pediatric Regional Anesthesia
John S. Jones, MD

Provision of good post-operative pain management relies on a multi-modal team approach. This can be costly and time consuming in many institutions. The speaker will review practical approaches to creation and provision of effective regional anesthesia services. At the completion of this session, the participant will be able to:

  • Define the effective regional pain program
  • Overcome the obstacles in providing optimal regional pain management
  • Understand regional anesthesia related complications
  • Design a regional anesthesia pain service to facilitate patients’ postoperative recovery

Regional Anesthesia/Analgesia for Cardiac Surgery
David A. Rosen, MD

At the completion of this session, the participant will be able to:

  • Understand the indications and contraindications for regional anesthesia and analgesia for pediatric cardiac surgeries
  • Describe the regional anesthesia and analgesia techniques for pediatric patients with congenital heart disease
  • Provide complementary medical therapies to ease pain for pediatric patients after cardiac surgeries

Session 3: Palliative Care

It is an unfortunate reality that not all patients will recover from their underlying illnesses. Many of these patients will have ongoing and severe difficulties in pain management. Children are an especially vulnerable population for a multitude of reasons. The session on palliative care will address both the need for effective palliative care services and ways to create such opportunities within the participants’ practice.

Advance Pain Management in Pediatric Palliative Care - Multimodal Analgesia Beyond Opioids
Stefan J. Friedrichsdorf, MD

At the completion of this session, the participant will be able to:

  • Appreciate high prevalence of neuropathic pain and visceral in children with serious illnesses
  • Review integral components of multimodal analgesia in pediatric palliative care
  • Evaluate Management of Neuropathic Pain and the Use of Adjuvant Analgesia in Children
  • Develop a step-by-step treatment approach for children with pain with advanced diseases

Regional Anesthesia as Part of Palliative Care
Norbert J. Weidner, MD

At the completion of this session, the participant will be able to:

  • Evaluate options available for regional anesthesia in pediatric pain and palliative care patients
  • Counsel patients and family on the regional anesthesia pain therapy
  • List the side effects of regional palliative care pain management
  • Recognize ethical challenges in regional anesthesia and end of life care

Session 4: Best of Pediatric Pain Research

New literature, techniques and ideas are constantly being developed and published. Keeping up with the latest research in these areas can be challenging. A Panel will present the latest literature and possible future research.

Best of Pediatric Pain Research
Tonya Palermo, PhD; John S. Jones, MD; Stefan J. Friedrichsdorf, MD

At the completion of this session, the participant will be able to:

  • Review recent and significant pediatric pain medicine publications
  • Evaluate the importance of each manuscript to pediatric pain practice
  • Provide directions for future research in pediatric pain medicine

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