- Maintain a mean arterial blood pressure 85-90 mmHg for 7 days following injury.
- Methylprednisolone is not recommended for treatment of traumatic spinal cord injury.
- Obtain MRI if incomplete neurologic deficit or findings that do not correlate with CT.
Latest Updates
Ophthalmologic Anesthesia: Open Eye Injuries
- Administration of sugammadex to reverse profound neuromuscular blockade in the cannot intubate, cannot ventilate scenario
- Using a remifentanil bolus as an alternative to neuromuscular blockade during intubation
- Regional anesthesia as an alternative for traumatic eye injuries requiring surgery
Cerebral Metabolism and Blood Flow Following Traumatic Brain Injury
- Following brain injury, mechanisms that match nutrient supply to the cerebral metabolic demand are disrupted, leading to changes in the intracranial pressure, cerebral blood flow, and ischemia.
- Understanding the concept of cerebral autoregulation and what it means when it is disrupted can help the clinician prevent secondary brain injury and improve patient outcome.
- Breastfeeding initiation in America rates have improved from 28% in 1970 to 82.5% in 2014.
- Conforming with AAP’s 2012 Policy ACOG’s 2018 Committee opinion states “exclusive breastfeeding is recommended for the first 6 months of life”.
- The USPSTF in 2016 “found insufficient evidence to determine the direct effects of interventions to support breastfeeding on child and maternal health outcomes.”
- Published data support the positive effects of breast milk on brain development especially in premature infants.
Pathophysiology and Treatment of Uric Acid Stones
- Association of uric acid stones with insulin resistance and the metabolic syndrome
- Physiology of decreased urinary ammonium production leads to low urine pH
- Dual-energy CT imaging as diagnostic differentiator between uric acid and calcium stones
- Breastfeeding initiation in America rates have improved from 28% in 1970 to 82.5% in 2014.
- Conforming with AAP’s 2012 Policy ACOG’s 2018 Committee opinion states “exclusive breastfeeding is recommended for the first 6 months of life”.
- The USPSTF in 2016 “found insufficient evidence to determine the direct effects of interventions to support breastfeeding on child and maternal health outcomes.”
- Published data support the positive effects of breast milk on brain development especially in premature infants.
- Neonates and infants have a significant (22%) rate of postoperative nonsurgical complications, likely in part related to organ system immaturity, which far exceeds their rate of surgical complications. Hemodynamic compromise makes up half of the total complications.
- Neonatal thermoregulation is immature, and they are prone to hypothermia due to a variety of mechanisms. Neonatal intensive care unit admission hypothermia has been associated with an increased risk of mortality at ages 1 to 28 days. Maintenance of normothermia is critically important in this population.
- Acute kidney injury is more common than previously thought in the neonatal population and is associated with multiple risk factors including maternal nonsteroidal antiinflammatory drugs, low Apgar score, sepsis, and nephrotoxins. Patients with acute kidney injury are at an increased risk of later chronic kidney disease.
- Victims of the human sex trafficking industry interface with healthcare providers at high rates.
- Warning signs for human sex trafficking have gained greater recognition, and multiple intervention programs have been established to help providers respond to victims of sex trafficking.
