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Welcome to the Society for Pediatric Pain Medicine (SPPM), a Society organized within the Society for Pediatric Anesthesia.  The SPPM concept originated with directors and key leaders of acute and chronic pediatric pain medicine programs, who believed there was a need for a new society because of rapid advancement of highly specialized knowledge in the field, a great increase in the numbers of patients, and strong desire for collaboration and advocacy for infants, children, and adolescents with painful conditions.

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?

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