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No Pain No Gain or More Pain Less Gain?
Bishr Haydar MD and Rita Agarwal MD
Duerden EG, Mclean MA, Chau C, Guo T, Mackay M, Chau V, Synnes A, Miller SP, Grunau RE. Neonatal pain, thalamic development and sensory processing behaviour in children born very preterm. Early Hum Dev 2022;170:105617. PMID: 35760006
This study showed a clear correlation/association between painful procedure and changes in thalamic growth and long term neurocognitive deficits. However, correlation does not equal causation.
Liberating the Critically-Ill Child: Pain, Sedation, Delirium and More
Myron Yaster MD, Justin L. Lockman MD MSEd, and Sapna Kudchadkar MD PhD
Heidi A B Smith, James B Besunder, Kristina A Betters, et al. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatr Crit Care Med. 2022 Feb 1;23(2):e74-e110 PMID: 35119438
A comprehensive review of pain, sedation, neuromuscular blockade and delirium management in the PICU.
Burnout Part 2
Myron Yaster MD and Amy Benedikt MD
Jina L Sinskey, Rebecca D Margolis, Amy E Vinson. The Wicked Problem of Physician Well-Being. Anesthesiol Clin. 2022 Jun;40(2):213-223. PMID: 35659395 PMCID: PMC9066294
Treating burnout is akin to treating an abscess. You treat an abscess by incision and drainage (structural change) not by covering it up with a bandaid (yoga, resilience training, and checking the well-being box).
From Dave Moore, MD Pediatric Cardiac Anesthesiologist, Vanderbilt Children’s Hospital and from Lynn Martin MD MBA Seattle Children’s Hospital.