Skip to main content
Skip to main content
Go to homepage

Grand Rounds: Perioperative Pain Management Minimizing Opioids

03-19-2021

By Tarun Bhalla, MD , Chair of Anesthesia and Pain Medicine, Akron Children's Hospital, Akron, OH

Anesthesiology

More about Tarun Bhalla, MD, MBA, FAAP


Objectives (Educational Content) :

1. Classify methods of pain management using opioid-sparing techniques. 2. Explain the role of ultrasound-guided pediatric regional anesthesia. 3. Demonstrate perioperative pathways including Enhanced Recovery After Surgery (ERAS).

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses

Identified Gap:

Reducing the amount of opioid use in managing pain in the pediatric patient will improve outcomes.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:

03-04-2022

Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.

Disclosure:

Dr. Bhalla has indicated that he has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity. 

Bibliography:

Walker BJ, Long JB, Sathyamoorthy M, Birstler J, Wolf C, Bosenberg AT, Flack SH, Krane EJ, Sethna NF, Suresh S, Taenzer AH, Polaner DM, Martin L, Anderson C, Sunder R, Adams T, Martin L, Pankovich M, Sawardekar A, Birmingham P, Marcelino R, Ramarmurthi RJ, Szmuk P, Ungar GK, Lozano S, Boretsky K, Jain R, Matuszczak M, Petersen TR, Dillow J, Power R, Nguyen K, Lee BH, Chan L, Pineda J, Hutchins J, Mendoza K, Spisak K, Shah A, DelPizzo K, Dong N, Yalamanchili V, Venable C, Williams CA, Chaudahari R, Ohkawa S, Usljebrka H, Bhalla T, Vanzillotta PP, Apiliogullari S, Franklin AD, Ando A, Pestieau SR, Wright C, Rosenbloom J, Anderson T; Pediatric Regional Anesthesia Network Investigators. Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network. Anesthesiology. 2018 Oct;129(4):721-732. doi: 10.1097/ALN.0000000000002372. PMID: 30074928.

Trifa M, Tumin D, Whitaker EE, Bhalla T, Jayanthi VR, Tobias JD. Spinal anesthesia for surgery longer than 60 min in infants: experience from the first 2 years of a spinal anesthesia program. J Anesth. 2018 Aug;32(4):637-640. doi: 10.1007/s00540-018-2517-5. Epub 2018 May 28. PMID: 29808260.

Veneziano G, Iliev P, Tripi J, Martin D, Aldrink J, Bhalla T, Tobias J. Continuous chloroprocaine infusion for thoracic and caudal epidurals as a postoperative analgesia modality in neonates, infants, and children. Paediatr Anaesth. 2016 Jan;26(1):84-91. doi: 10.1111/pan.12807. Epub 2015 Nov 4. PMID: 26530835.