Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

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Question of the Month – June 2017

Welcome to your Case of the Month - June 2017

A 4-year old male with Wilm's tumor is having exploratory laparotomy. He also has a history of severe scoliosis and epidural placement failed. The surgery team requests a "Tap Block". The anesthesia team decides to place a quadratus lumborum block. Which injection site on ultrasound would have a higher chance of paravertebral spread?