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 – September 2018

Ex 34-week infant who was born to a mother with a history of severe Osteogenesis Imperfecta (OI) and chronic pain on chronic opioid therapy. Throughout her pregnancy, the mother was on methadone 15mg TID, and PRN hydrocodone/acetaminophen (dose weaned from 100 mg/day earlier in pregnancy to 30mg/day in an attempt to limit fetal exposure). The inpatient pain service was consulted for evaluation and treatment of NAS and ongoing pain issues.

Which of the following statements is true?

(a) Immediately starting an opioid infusion is necessary

(b) Neonatal abstinence syndrome presents with unreliable symptoms making diagnosis challenging

(c) Acetaminophen is not considered safe in this patient age group.

(d) Osteogenesis Imperfecta is a potential diagnosis and likely causing pain