Week in review April 24-29
Myron Yaster MD
Remembering the classics : The Art of Extubation
Francis Veyckemans MD
Original review article
Veyckemans F. Tracheal extubation in children: Planning, technique, and complications. Paediatr Anaesth. 2020 Mar;30(3):331-338. PMID: 31769576
Landing the plane is as important as taking off. Dr. Veyckeman’s discussion of common misadventures following extubation is based on his vast personal experience and an international symposium on the pediatric airway. A must read
Global engagement
Myron Yaster MD, Faye Evans MD, and Zipporah (“Zippy”) Gathuya MD
Original article
Ana Maria Crawford, MD, MSc, FASA; Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F; Elizabeth T. Drum, MD, FAAP, FCPP, FASA. Global Engagement – What Does It Mean? ASA Monitor April 2023, Vol. 87, 16–17. https://pubs.asahq.org/monitor/article/87/4/16/137943/Global-Engagement-What-Does-It-Mean
The need is great. “Why should I be involved and how can I get involved”? This article and website tell you how.
VIP care
Myron Yaster MD, Alan Jay Schwartz MD MSEd, and Lynne G. Maxwell MD
Original article
Gina Shaw. When the Patient Is a ‘Very Important Person’. How to Handle the Ethical and Clinical Minefields of VIP Syndrome. American Annals of Neurology, Neurology Today
breaking your normal routine and behaving differently with VIP patients is where trouble begins…
Antibiotic prophylaxis and surgical site infection
Myron Yaster MD, Genie Heitmiller MD, and Jayant K. Deshpande MD
Original article
Katherine He;Raageswari B Nayak;Alexander C Allori;Brian K Brighton;Robert A Cina;Jonathan S Ellison;Michael J Goretsky;Kris R Jatana;Mark R Proctor;Catherine Grant;Vanessa M Thompson;Marie Iwaniuk;Mark E Cohen;Jacqueline M Saito;Bruce L Hall;Jason G Newland;Clifford Y Ko;Shawn J Rangel. Correlation Between Postoperative Antimicrobial Prophylaxis Use and Surgical Site Infection in Children Undergoing Nonemergent Surgery. JAMA Surg. 2022;157(12):1142-1151. PMID: 36260310
Know when to start, and when to stop antibiotic prophylaxis for SSI prevention. There is no evidence to continue antibiotics after surgical closure of clean wounds.
Reader response
Myron Yaster MD
Dr. Joseph Cravero, Boston Children’s Hospital “It is OK to Cry” commenting on the post from Dr. Ethan Sanford (“Losing Ceci”, April 18, 2023 PAAD). Dr. Charles (“Chuck”) Pribble a pediatric anesthesiologist and intensivist at Primary Children’s Hospital in Salt Lake City commenting on music therapy. Dr. Ken Goldschneider, Cincinnati Children’s Hospital on adding live music in upcoming meetings