In 2013 the FDA recommended against the use of codeine in pain medication, or as an antitussive in children less than 12 years of age. In 2015 and 2017 it strengthened its warnings; leading to a contraindication and label changes on codeine containing medications. Click here to view the recommendation. At that time, they added […]
Question of the Month
Your patient is an 8-year-old girl presenting with Ewing's sarcoma of the left scapula. She is scheduled for left chest wall wide resection, left scapula wide resection, multiple muscle transfers and muscle-skin flaps involving the shoulder and arm, along with neurolysis and vessel mobilization. The surgical team is unsure how far they will need to extend the chest wall wide resection. She has a history of severe nausea with opioids. You plan to use a regional anesthetic technique for post-operative pain control as part of your multi-modal regimen.
What is the sensory innervation of the scapula bone (i.e. osteotome)?