Week in review November 14-19
Myron Yaster MD
How to slay a vampire: When some ideas just won’t die
Myron Yaster MD, Jayant K Deshpande MD MPH, and Justin L. Lockman MD, MSEd
Original article
Cashen K, et al. Sodium Bicarbonate Use During Pediatric Cardiopulmonary Resuscitation: A Secondary Analysis of the ICU-RESUScitation Project Trial. Pediatr Crit Care Med. 2022 Oct 1;23(10):784-792. doi: 10.1097/PCC.0000000000003045. Epub 2022 Jul 26. PMID: 35880872; PMCID: PMC9529841.
Editorial
DelSignore L. Sodium Bicarbonate and Poor Outcomes in Cardiopulmonary Resuscitation: Coincidence or Culprit? Pediatr Crit Care Med. 2022 Oct 1;23(10):848-851. doi: 10.1097/PCC.0000000000003059. Epub 2022 Oct 3. PMID: 36190362.
the routine use of sodium bicarbonate in CPR is also no longer recommended.
Rescue Rx for PONV
Katherine S. Klockau PharmD, Myron Yaster MD, and Melissa Brooks Peterson MD
Review article
Gan TJ, Jin Z, Meyer TA. Rescue Treatment of Postoperative Nausea and Vomiting: A Systematic Review of Current Clinical Evidence. Anesth Analg. 2022 Nov 1;135(5):986-1000. PMID: 36048730
Many of the oral drugs we routinely use for prophylaxis and/or rescue PONV are not labeled for use in pediatric PONV by the U.S. FDA.
Wildfire smoke and adverse respiratory perioperative events
Myron Yaster MD and Lynne G. Maxwell MD
Original article
Marsh, B. , Kolodzie, K. , Robinowitz, D., Jacobson, A., Ferschl, M. (2022). Wildfire Smoke Exposure Is Associated with Adverse Respiratory Events under General Anesthesia in At-risk Pediatric Patients. Anesthesiology, 137 (5), 543-554. doi: 10.1097/ALN.0000000000004344. PMID: 35950818
Editorial
von Ungern-Sternberg, B. & Grigg, J. (2022). If We Destroy Nature – We Destroy Ourselves. Anesthesiology, 137 (5), 524-525. doi: 10.1097/ALN.0000000000004393. PMID: 36264091
unhealthy air quality index (greater than 100) due to wildfire smoke would increase the risk of an adverse respiratory event under general anesthesia in the pediatric population
Postoperative respiratory complications following neuromuscular blockade: Does the reversal agent matter?
Myron Yaster MD and Debra Faulk MD
Original article
Ralph J Beltran, Christian Mpody, Olubukola O Nafiu, Joseph D Tobias. Association of Sugammadex or Neostigmine With Major Postoperative Pulmonary Complications in Children. Anesth Analg. 2022 Nov 1;135(5):1041-1047. PMID: 35020682
how and when you monitor the neuromuscular blockade matters…a lot!