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One of the greatest lessons I learned in pediatric critical care was from Dr. Mark Rogers at Johns Hopkins Hospital was to not only to take care of the critically ill child, but to extend the same level of care to the family.
Safety of lower limb extremity nerve blocks
David Polaner MD
Geoff Frawley, Vanessa Marchesini, Brian Loh, James Koziol. Pediatric lower limb peripheral nerve blocks: Indications, effectiveness, and the incidence of adverse events. Paediatr Anaesth. 2022 Aug;32(8):946-953. PMID: 35451202
The safety of lower limb peripheral nerve blocks for lower extremity surgery is presented. Four cases of persistent nerve injury occurred in patients who underwent tibial osteotomy.
IV compatibility of analgesics
Myron Yaster MD and Rita Agarwal MD
Edmond O’Loughlin, Yan Ghee Peng, Angela Cheaib, Matthew T V Chan, Robin Williams. Compatibility of intravenous acetaminophen with morphine, fentanyl and ketamine in acute pediatric pain setting. Paediatr Anaesth. 2022 Jul;32(7):862-869. PMID: 35398962
The stability data presented demonstrates that intravenous acetaminophen Perfalgin™ can be safely combined with the potent analgesics in concentrations commonly used in acute pediatric pain setting.
Perioperative respiratory adverse events in T&A patients: Does the premed make a difference?
Myron Yaster MD and Melissa Brooks Peterson MD
Nicholas M Dalesio, Sapna R Kudchadkar. Perioperative Respiratory Adverse Events After Pediatric Adenotonsillectomy-Evaluating the Role of Preoperative Pharmacologic Anxiolysis. JAMA Netw Open. 2022 Aug 1;5(8):e2225482. doi: 10.1001/jamanetworkopen.2022.25482. PMID: 35943746
Fangming Shen, Qin Zhang, Yahui Xu, Xinghe Wang, Jiayi Xia, Chao Chen, He Liu, Yueying Zhang. JAMA Netw Open. 2022 Aug 1;5(8):e2225473. doi: 10.1001/jamanetworkopen.2022.25473. Effect of Intranasal Dexmedetomidine or Midazolam for Premedication on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomy and Adenoidectomy: A Randomized Clinical Trial. PMID: 35943745 PMCID: PMC9364121
Patients premedicated with intranasal dexmedetomidine had fewer perioperative respiratory adverse events (PRAEs) than those treated with midazolam (or saline).