Week in review May 15-19, 2023
Myron Yaster MD
Remember the Classics-Why? Cerebral Embolization From Flushing a Radial Artery Catheter
Alan Jay Schwartz, MS, MSEd
Original article
Weiss M, Balmer C, Cornelius A, Frey B, Bauersfeld U, Baenziger O. Arterial fast bolus flush systems used routinely in neonates and infants cause retrograde embolization of flush solution into the central arterial and cerebral circulation. Can J Anaesth. 2003 Apr;50(4):386-91. doi: 10.1007/BF03021037. PMID: 12670817
Original article
E Lowenstein, J W Little 3rd, H H Lo. Prevention of cerebral embolization from flushing radial-artery cannulas. N Engl J Med. 1971 Dec 16;285(25):1414-5. PMID: 5121208 DOI: 10.1056/NEJM197112162852506
Flushing an arterial catheter with a syringe can cause embolization to the brain with devastating consequences, particularly if the temporal artery is used
Flu vaccine hesitancy
Myron Yaster MD, Kim Strupp MD and Tyler Morrissey MD
Original article
Stephens AB, Hofstetter AM, Stockwell MS. Influenza Vaccine Hesitancy: Scope, Influencing Factors, and Strategic Interventions. Pediatr Clin North Am. 2023 Apr;70(2):227-241. doi: 10.1016/j.pcl.2022.11.003. PMID: 36841592
We have the opportunity of increasing flu vaccination IF a system is put into place NOW to use the preoperative period to recruit patients. Contact Dr. Kim Strup for details. Kim.strupp@childrenscolorado.org
Why Americans feel more pain
Myron Yaster MD and Lynne G. Maxwell MD
Original article
Kristof N. Why American feel more pain? New York Times 05/03/2023 https://www.nytimes.com/2023/05/03/opinion/chronic-pain-america-working-class.html#:~:text=Here's%20what%20we%20do%20know,other%20pressures%20on%20working%20families.
Original article
Gawande AA. Why Americans are dying from despair. The New Yorker 03/16/2020
Deaths of despair, namely suicide, alcoholism and drug addiction have decreased the life span of Americans. The interplay of deaths of despair and chronic pain are highlighted and explained in these articles.
Difficult or impossible face mask ventilation
Myron Yaster MD, Melissa Brooks Peterson, and Francis Veyckemans MD
Original article
Garcia-Marcinkiewicz AG, Lee LK, Haydar B, Fiadjoe JE, Matava CT, Kovatsis PG, Peyton J, Stein ML, Park R, Taicher BM, Templeton TW; PeDI Collaborative. Difficult or impossible facemask ventilation in children with difficult tracheal intubation: a retrospective analysis of the PeDI registry. Br J Anaesth. 2023 Apr 17:S0007-0912(23)00122-8. doi: 10.1016/j.bja.2023.02.035. PMID: 37076335
Another article from SPA’s Pediatric Difficult Intubation Registry highlights patients at risk and what to do in the cannot intubate cannot ventilate scenario.