Week in review December 19-24
Myron Yaster MD
Infantile and Childhood Hydrocephalus
Myron Yaster MD and Lynne G. Maxell MD
Review article
Whitehead WE, Weiner HL. Infantile and Childhood Hydrocephalus. N Engl J Med. 2022 Dec 1;387(22):2067-2073. doi: 10.1056/NEJMra2116504. PMID: 36449422
Although the article does not discuss the anesthetic management of shunt or endoscopic 3d ventriculosomy, it is an excellent review of hydrocephalous and its surgical management with great illustrations.
Some sad news to share
John Fiadjoe MD
We share our condolences with a member of our pediatric anesthesiology family Dr. Ethan Lance Sanford, a pediatric anesthesiologist at UT Southwestern Medical Center whose 14 month old daughter Ceci died last week
Inhaled TXA in pulmonary (and post-tonsillectomy) hemorrhage
Myron Yaster MD, Justin L. Lockman MD, MSEd, and Anna Clebone MD
Original article
Erika R O'Neil, Lindsay R Schmees, Karla Resendiz, Henri Justino, Marc M Anders. Inhaled Tranexamic Acid As a Novel Treatment for Pulmonary Hemorrhage in Critically Ill Pediatric Patients: An Observational Study Crit Care Explor. 2020 Jan 29;2(1):e0075. doi: 10.1097/CCE.0000000000000075. eCollection 2020 Jan. PMID: 32166295
Inhaled or endotracheal TXA effectively and safely treated pulmonary hemorrhage in 18 of 19 patients after only a single dose. Prospective studies need to performed to determine optiomal dosing and delivery strategies
Inhaled TXA for post-tonsillectomy hemorrhage
Myron Yaster MD, Melissa Brooks Peterson MD, and Jeremy Prager MD, MBA
Original Article
Erwin DZ, Heichel PD, Wright LM BS, Goldstein NA, McEvoy TP, Earley MA, Meyer AD. Post-tonsillectomy hemorrhage control with nebulized tranexamic acid: A retrospective cohort study. Int J Pediatr Otorhinolaryngol. 2021 Aug;147:110802. doi: 10.1016/j.ijporl.2021.110802. Epub 2021 Jun 12. PMID: 34146910
Raven Spencer, Maxwell Newby, William Hickman, Nathan Williams, Brian Kellermeyer. Efficacy of tranexamic acid (TXA) for post-tonsillectomy hemorrhage. Am J Otolaryngol. 2022 Sep-Oct;43(5):103582. doi: 10.1016/j.amjoto.2022.103582. Epub 2022 Aug 6. PMID: 35988367
3 doses of nebulized TXA may be a safe first-line therapy to decrease the need for operative control of post tonsillar bleeding.
What are you grateful for?
Happy holidays from the executive council of the Pediatric Anesthesia Article of the Day! The PAAD will go on a holiday hiatus and over the next week we’ll repost some of the most read PAADs of the last year. We will return with new reviews on January 3d.
In today’s PAAD we are posting comments from our readers on what they are grateful for.