Week in review September 12-16
Myron Yaster MD
On “Maintenance Fluids” under Anesthesia: Isotonic or Bust!
Myron Yaster MD, Lynne G. Maxwell MD, and Justin L. Lockman MD MSEd
Original article
Kumar Ratnjeet, Pallavi Pallavi, Urmila Jhamb, Romit Saxena. 0.45% Versus 0.9% Saline in 5% Dextrose as Maintenance Fluids in Children Admitted With Acute Illness: A Randomized Control Trial. Pediatr Emerg Care . 2022 Sep 1;38(9):436-441. PMID: 36040464
Why are hyponatremic solutions still used in children? Dr. Fritz Berry who died last week called for their removal decades ago.
Cognitive Errors in Anesthesiology
Gina Whitney, MD and Debnath Chatterjee, MD, FAAP
Original articles
Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012 Feb;108(2):229-35. PMID: 22157846
Stiegler MP, Tung A. Cognitive processes in anesthesiology decision making. Anesthesiology. 2014 Jan;120(1):204-17. PMID: 24212195
How we make decisions, particularly under stressful conditions is the focus of these articles.
Reader Response
Myron Yaster MD
Mathew Bargas MD commented on CO2 is good for you, Don Tyler MD told the tale of how he was able to obtain IN naloxone, Ethan Stanford MD and Bob Spear MD related their experiences with IV fluids and the risks of hyponatremia, and Charlie Cote MD and Myron Yaster MD reminisced about the late Dr. Fritz Berry.