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CO2 is good for you!
Myron Yaster MD and Jeffrey R. Gross MD
Derek J Sakata. Carbon Dioxide as the Other Therapeutic Carrier Gas? Anesth Analg. 2022 Jul 1;135(1):60-61. PMID: 35709445
Zhijie Wu, Junjie Yu, Tianhua Zhang, Hongying Tan, Huiting Li 1, Lan Xie, Wenqian Lin, Danping Shen, Longhui Cao. Effects of Etco2 on the Minimum Alveolar Concentration of Sevoflurane that Blunts the Adrenergic Response to Surgical Incision: A Prospective, Randomized, Double-Blinded Trial. Anesth Analg. 2022 Jul 1;135(1):62-70. PMID: 34744156 1
Permissive hypercapnia has many advantages including reducing the MAC of sevoflurane.
Just Say No to NO (Nitric Oxide) Delivered in the Cardiopulmonary Bypass Oxygenator During Cardiac Surgery in Young Children
Susan Nicolson MD, Lindsey Loveland Baptist MD, James DiNardo MD, and Viviane Nasr MD
Schlapbach LJ, Gibbonds KS, Horton S et al. for the NITRIC Study Group, the Australian and New Zeland Intensive Care Society Clinical Trials Group (ANZICSCTG) and ANZICS Paediatric Study Group (PSG). Effect of Nitric Oxide via Cardiopulmonary Bypass On Ventilator-Free Days in Young Children Undergoing Congenital Heart Disease Surgery. JAMA. 2022 Jul 5;328(1):38-47. doi: 10.1001/jama.2022.937 PMID: 35759691
These findings of this study do not support the use of NO delivered into the CPB oxygenator during heart surgery on young children.
Physician Burn Out Part 1
Myron Yaster MD, Amy Benedikt MD, Illana Fromer MD, Rebecca Margolis DO, and Norah Janosy MD
Sinskey JL, Chang JM, Nicholau D, Gropper MA. Quality of Life Improvement: A Novel Framework and Approach to Well-Being. Anesthesiol Clin. 2022 Jun;40(2):415-432. PMID: 35659411
We can all agree burn out is a problem. Let’s stop blaming the victim (us) and going to mandatory wellness lectures. Free pizza is not going to fix this problem.
Myron Yaster MD and Jayant K. Deshpande MD
Olbrecht VA, Uffman JC, Morse RB, Engelhardt T, Tobias JD. Setting a universal standard: Should we benchmark quality outcomes for pediatric anesthesia care? Paediatr Anaesth. 2022 Aug;32(8):892-898. PMID: 35476807
How can we measure quality?