RT Book, Section A1 Tresgallo, Mary E. A2 Houck, Philipp J. A2 Haché, Manon A2 Sun, Lena S. SR Print(0) ID 1105554311 T1 POSTOPERATIVE PAIN MANAGEMENT IN SICKLE CELL DISEASE FOR LAPAROSCOPIC CHOLECYSTECTOMY T2 Handbook of Pediatric Anesthesia YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176935-8 LK accesspediatrics.mhmedical.com/content.aspx?aid=1105554311 RD 2024/03/28 AB A 16-year-old male patient with sickle cell disease is scheduled for a cholecystectomy. He has been having biliary colic for 3 months; recent ultrasonography confirms cholelithiasis. Past medical history is significant for multiple hospitalizations for management of vaso-occlusive crisis (VOC), once for acute chest syndrome (ACS) at age 11, and once for splenectomy at age 3. His home medication regimen includes hydroxyurea, penicillin, and folic acid. His usual site of VOC pain is in his legs, back, and chest. His inpatient pain management regimen during his last VOC hospitalization included a morphine sulfate patient-controlled analgesia (PCA) and nonsteroidal anti-inflammatory medication. He has taken no opioid for the last 6 months.