Week in review May 29-June 3, 2023
Myron Yaster MD
OK, We Know There is an Opioid Crisis But What Can We Do About It?
Rita Agarwal MD
Original article
Adler AC, Bryant BE, Baszynski D, Lee A, Medellin E, McCarthy J, White A, Nathanson BH, Chandrakantan A. The impact of planned parental follow-up on compliance with opioids disposal following pediatric surgery. Paediatr Anaesth. 2022 Aug;32(8):970-972. doi: 10.1111/pan.14467. PMID: 35445783
The addition of a reminder phone call increased the opioid disposal or return rate to approximately 40% vs 20% without the phone call.
Prehospital blood transfusion in pediatric trauma
Myron Yaster MD, Justin L. Lockman MD MSEd, Shawn Jackson MD
Original article
Katrina M Morgan, Elissa Abou-Khalil, Stephen Strotmeyer, Ward M Richardson, Barbara A Gaines, Christine M Leeper. Association of Prehospital Transfusion With Mortality in Pediatric Trauma. JAMA Pediatr. 2023 May 22;e231291. doi: 10.1001/jamapediatrics.2023.1291. PMID: 37213096
Prehospital transfusion of blood and blood products improves survival in pediatric trauma patients. There are lots of hurdles to overcome to make this possible on a wide scale.
Sevoflurane and seizures
Jerry Y. Chao MD and Elissa G. Yozawitz MD
Original article
Jerry Y Chao, Alan D Legatt, Elissa G Yozawitz, David C Adams, Ellise S Delphin, Shlomo Shinnar. Electroencephalographic Findings and Clinical Behavior During Induction of Anesthesia With Sevoflurane in Human Infants: A Prospective Observational Study. Anesth Analg . 2020 Jun;130(6):e161-e164. doi: 10.1213/ANE.0000000000004380. PMID: 31453873
Original article
Jerry Y Chao, Matthew Tam, Alexander Ferrera, Daria Ivenitsky, Luciana Gizzo, Rachel Schwartz, Alan D Legatt, Elissa G Yozawitz, Yungtai Lo, Guohua Li, Shlomo Shinnar. Epileptiform discharges, electrographic seizures, and electroclinical seizures during paediatric sevoflurane anaesthesia: a systematic review and proposal for standard definitions. Br J Anaesth. 2023 Jan;130(1):e18-e21. doi: 10.1016/j.bja.2022.09.021. PMID: 36333161
Do children anesthetized with sevoflurane have EEGs consistent with sizures? Maybe although what it means is unclear. Chao and Yozawitz propose a new classification to help understand this.