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SPA Newsletter.
Out and About the ASAPediatric Panel: Pediatric Pain ManagementModerated by Charles B. Berde, MD, PhDReviewed by: Thomas J. Mancuso, MD, FAAP Panel members Joseph Tobias, MD; Yuan-Chi Lin, MD, MPH; and Thomas Mancuso, MD discussed many important areas in the specialty of pediatric anesthesiology. Dr. Tobias, Professor of Pediatrics and Anesthesiology, University of Missouri, reviewed systemic analgesics in pediatrics. In his talk, "What's New in Pediatric Analgesics", he discussed the newer synthetic opioid, remifentanil, and the published literature on its use in children. Dr. Tobias also reviewed the newer cyclooxygenase-2 inhibitors and the data about safety and efficacy in pediatrics, including the recently released intravenous preparation. The medication dexmetatomidine has been studied for some years but has only recently been evaluated in pediatrics and Dr. Tobias reviewed not only that data but some pertinent other studies as well. Based on the presentation of Dr. Tobias, this drug may hold considerable promise for use in pediatrics. Dr. Lin, Medical Director of Acupuncture, Children's Hospital Boston, presented "Alternative Modes of Pediatric Analgesia". Dr. Lin discussed the many alternative and complimentary medicine approaches available to treat pain in children. He reviewed this vast area in a thoughtful and scientific manner as only one so prominent as he in the field could do. Dr. Lin is a strong proponent of complimentary medicine but also a leader in the quest to study these therapies in a scientific manner and his balanced presentation reflected this. Charles Berde, MD, PhD, Director of the Pain Treatment Service at Children's Hospital, Boston, reviewed regional analgesia in pediatrics. His presentation was remarkably broad and touched all the important new developments in the field without getting immersed minute detail. Dr. Berde discussed the advantages of regional analgesia, the pitfalls with the application of regional techniques in pediatrics and deftly included important scientific underpinnings of the practice in his relatively brief yet complete discussion. His talk brought together the thorough patient understanding of a practicing clinician with the scientific rigor of an investigator. Thomas Mancuso, MD, Director for the Anesthesia Sedation Service at Children's Hospital, Boston, discussed the provision of sedation and analgesia to children undergoing painful diagnostic and therapeutic procedures. He reviewed this clinical problem from the perspective of a pediatric anesthesiologist. He also discussed the approach that other pediatric specialists have undertaken with this difficult clinical problem and reviewed the role the department of anesthesiology can play in helping the non-anesthesiologist provide the important clinical care to children undergoing these painful procedures. Table of Contents
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