Aprotinin: Pharmacological Benefits and Safety
Meta-analysis Year of publication No. of patients No. of studies OR (CI 95 %) OR (CI 95 %) OR (CI 95 %) – – – – Aprotinin vs. tranexamic acid…
Role of Insulin in Reducing Mortality in the Perioperative Period
Route of administration Insulin Onset of action Peak of action Effective duration of action Subcutaneous Regular human insulin 30–60 min 2–3 h 4–6 h ” Rapid-acting analogues (aspart, lispro, glulisine)…
Critical Care
(1) Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA (2) Harvard Medical School, Boston, MA, USA KeywordsECMOOxygenation indexPancreatitisARDSAlveolar-arterial gradientIntracranial pressure A 4-year-old with gram-negative sepsis…
Cardiac III
Norwood with RV-PA conduit (Sano) The Norwood procedure (Stage 1 palliation) as it applies to HLHS involves resection of the intra-atrial septum to allow unrestricted delivery of pulmonary venous blood…
Cardiac II
Preoperative Evaluation Questions 1. What is the difference between a single-inlet and a double-inlet ventricle? Why would it matter? What are the morphologic components of any ventricle? Is it important…
Endocrinopathies
(1) Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA (2) Harvard Medical School, Boston, MA, USA KeywordsCraniopharyngiomaAntidiuretic hormoneAcromegalyAmbiguous genitaliaHypothyroidismDiabetes mellitus An 8-year-old girl, 22 kg,…
Newborn Emergencies
(1) Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA (2) Harvard Medical School, Boston, MA, USA KeywordsPyloric stenosisEsophageal atresiaGastroschisisOmphaloceleCongenital diaphragmatic herniaSacrococcygeal teratomaCongenital lobar emphysemaVATER association…
Postanesthesia Care Unit (PACU)
Q=volumetric flow rate μ=viscosity, lb·sec/in2 L=tube length, in. R=tube radius, in. Some risk factors have been identified for the development of this problem. Tight-fitting endotracheal tubes, movement of the…
Behavioral Issues
(1) Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA (2) Harvard Medical School, Boston, MA, USA KeywordsAutismRisperidonePervasive developmental delayAnxietyEmergence deliriumMidazolam A 5-year-old with autism spectrum…
