Dr. Elliot Krane begins the interview by describing his early career and observations that pain in pediatrics was not meaningfully managed. After Dr. Krane took a position at the University of Washington, he developed his career path at the intersection of pediatrics and pain/anesthesiology. At his post in Seattle, Dr. Krane worked within a small, close knit pain department that were at the "world's nexus of [Starbucks] coffee and pain management," where he helped advance early pediatric pain practices. Dr. Krane then describes in depth some of the barriers he encountered, such as the myth that children did not meaningfully experience pain, and the role of emerging technology, like the pulse oximeter and the use of portable ultrasound technology, that helped reinforce his practice as an anesthesiologist. Dr. Krane also described some barriers in other departments resisting the practices of pain management sometimes if the pain services are used at all, they will be called too late to significantly help the patient. In the future, Dr. Krane would like to see palliative and pain management services more integrated into the "hospital ecosystem," where the palliative and pain teams are engaged sooner, when they can be most effective.
Pediatric Palliative Care Oral History Project
Bernard Becker Medical Library, Washington University in St. Louis
"Elliot Krane Oral History." (2019). OH154-S20-i01, Bernard Becker Medical Library, Washington University in St. Louis.