Click here to subscribe to PAAD!

Anesthesiologist Staffing Ratios
Jayant K. Deshpande MD and Myron Yaster MD

Original article
Burns ML, Saager L, Cassidy RB, Mentz G, Mashour GA, Kheterpal S. Association of Anesthesiologist Staffing Ratio With Surgical Patient Morbidity and Mortality. JAMA Surg. Published online July 20, 2022. doi:10.1001/ jamasurg.2022.2804 PMID: 35857304

This paper raises important concerns in an era where administrators and physicians often define “productivity” primarily by the RVU’s and throughput per attending. What is safe staffing ratios 1:1, 1:2, 1:3, 1:4 or even higher?

“Everything changed when I was 8 and went through a living nightmare”
Rita Agarwal, MD, FAAP, FASA

Original article
David Hootnick, Lindsay Ellingsworth, Rene Mauchin, Amy Caruso Brown.  “It Occupied Her Entire Childhood”: Looking Back on Limb-Lengthening. Pediatrics. 2021 Feb;147(2):e20201055. doi: 10.1542/peds.2020-1055. Epub 2021 Jan 5. PMID: 33402527

Which set of complications is more acceptable to us? Will it be harder knowing that we tried something innovative, and it failed, or that we took a more conservative approach?

Remembering the Classics: Pediatric Perioperative Cardiac Arrest-the POCA Data
Alan Jay Schwartz, MD, MSEd

EEG part 4
Myron Yaster MD, Richard Missett DO, Ian Yuan MD, CD Kurth MD

Original article
Yuan I, Missett RM, Jones-Oguh S, Massa CB, Babus LW, Garcia-Marcinkiewicz AG, Daly Guris RJ, Johnson G, McClung-Pasqualino H, Sequera-Ramos L, Iyer RS, Kurth CD. Implementation of an electroencephalogram-guided propofol anesthesia education program in an academic pediatric anesthesia practice. Paediatr Anaesth. 2022 Jul 6. doi: 10.1111/pan.14520. PMID: 35793171

The use of intraoperative EEG to guide the administration of sevoflurane and propofol will soon be as ubiquitous as pulse oximetry.  This paper discusses how to implement it.