Week(s) in review March 28-April 8
Myron Yaster MD
Remembering the Classics: The Art of Low Flow Anesthesia
Jeffrey M. Feldman MD, MS, Justn Lockman MD MSEd, Myron Yaster MD
Original article
Jeffrey M Feldman. Managing fresh gas flow to reduce environmental contamination. Anesth Analg. 2012 May;114(5):1093-101. PMID: 2241553
We can reduce inhaled anesthetic waste and pollution by managing fresh gas flow. Here are some tips
Seizures In Neonates With Cardiopulmonary Disease: The Case For Continous EEG Monitoring And Further Studies
Susan Nicolson MD, Jim DiNardo MD, Viviane Nasr MD, Lindsey Loveland Baptist, MD
Original article
Massey SL, Glass HC, Shellhass RA, Bonifacio S, Chang T, Chu C, Cilio MR, Lemmon ME, McCulloch CE, Soul JS, Thomas C, Wusthoff CJ, Xiao R, Abend NS. Characteristic of Neonates with Cardiopulmonary Disease Who Experience Seizures: A Multicenter Study. J Pediatr 2022; 242: 63-72. PMID: 34728245
Neonates with and without cardiac disease experience high rates of seizures.
In memoriam: Dr. Kelly Ann Machovec
Eddie Jooste and the Pediatric Anesthesia Team at Duke.
Cricoid pressure during the rapid sequence intubation: Another “bubbameisa”?
Jayant K. Deshpande MD and Myron Yaster MD
Original review article
Marko Zdravkovic, Mark J Rice, Sorin J Brull. The Clinical Use of Cricoid Pressure: First, Do No Harm. Anesth Analg. 2021 Jan;132(1):261-267. PMID: 31397697
Should we continue to use cricoid pressure?
Anti-transgender health policies
Myron Yaster MD and Nancy Glass MD
Original Article
Harry Barbee, Cameron Deal, Gilbert Gonzales. Anti-Transgender Legislation-A Public Health Concern for Transgender Youth. JAMA Pediatr. 2022 Feb 1;176(2):125-126 PMID: 34747979
Original Article
Tordoff DM, Wanta JW, Collin A, Stepney C, Inwards-Breland DJ, Ahrens K. Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care. JAMA Netw Open. 2022 Feb 1;5(2):e220978. doi: 10.1001/jamanetworkopen.2022.0978. PMID: 35212746
Rather than dealing with real social, racial, and economic problems that face our society and citizenry, the transgender community are collateral damage in the culture wars being raised to drum up voter turn out in the next election cycle. Here’s the current science
A classic revisited: Speed of Inhalational Induction of Anesthesia: Does Intracardiac Shunting Play A Role?
Viviane Nasr MD, Jim DiNardo MD, Susan Nicolson MD, Lindsey Loveland Baptist, MD
Original article
Tanner GE, Angers DG, Barash PG, Mulla A, Miller PL, Rothstein P. Effect of left-to-right, mixed left-to-right, and right-to-left shunts on inhalational anesthetic induction in children: a computer model. Anesth Analg. 1985 Feb;64(2):101-7. PMID: 3970355.
Does a patient with right to left (R-L) intracardiac shunting have a slower or faster induction with an inhalational anesthetic? YES