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Pain management, Opioids Prescriptions and Race
Rita Agarwal MD, Lynne G. Maxwell MD, and Myron Yaster MD
Goyal MK, Johnson TJ, Chamberlain JM, Cook L, Webb M, Drendel AL, Alessandrini E, Bajaj L, Lorch S, Grundmeier RW, Alpern ER; PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN). Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures. Pediatrics. 2020 May;145(5):e20193370. PMID: 32312910
Goyal MK, Drendel AL, Chamberlain JM, Wheeler J, Olsen C, Grundmeier RW, Cook L, Bajaj L, Babcock L, Zorc JJ, Johnson T, Alpern ER; Pediatric Emergency Care Applied Research Network (PECARN) Registry Study Group. Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time. Pediatrics. 2021 Nov;148(5):e2021052481. doi: 10.1542/peds.2021-052481. Epub 2021 Oct 13. PMID: 34645690
Pain is the most common reason most children come to the Emergency Department. Racial disparity in treatment is well recognized but may be changing as less opioids are prescribed to ALL patients.
Anesthesia and neurotoxicity: The problems with animal models and why you should be skeptical
Michael E. Nemergut, MD PhD
Original review article
Feng Gao, Joseph A Wahl, Thomas F Floyd. Anesthesia and neurotoxicity study design, execution, and reporting in the nonhuman primate: A systematic review Paediatr Anaesth. 2022 Apr;32(4):509-521. PMID: 35066973
It is imperative that reporting standards for animal data are comprehensive, consistent, and clear for the benefit of the researcher, the reader, and the public at large.
Tracheal extubation: Landing the plane is as important as takeoff
Myron Yaster MD, Melissa Brooks Peterson MD, and Lynne G. Maxwell MD
Andrew D Weatherall, Renee D Burton, Michael G Cooper, Susan R Humphreys. Developing an Extubation strategy for the difficult pediatric airway-Who, when, why, where, and how? Paediatr Anaesth. 2022 May;32(5):592-599. PMID: 35150181
Disma N, Fiadjoe J. Pediatric difficult extubation: The end of the movie matters! Paediatr Anaesth. 2022 May;32(5):590-591. PMID: 35460161
An additional critical article:
Veyckemans F. Tracheal extubation in children: Planning, technique, and complications. Paediatr Anaesth. 2020 Mar;30(3):331-338. PMID: 31769576
When dealing with a difficult airways we spend most of our time thinking about induction. Extubation can be even more dangerous. The authors present a simple approach – Risk, Ready, Do, Discharge or R2D2.
Intercostal Nerve Cryoablation in the Nuss procedure. Ben Walker presents his personal experience