Gastric Ultrasound in the Setting of GLP1 Use, 3 Parts
OA-POCUS Case of the Month, March 2024
Cognitive Errors
New Vodcast Series: Pediatric Anesthesiology Internet-Based Non-Technical Skills
SPA and Workforce Issues in Pediatric Anesthesiology
OA-SPA Ask the Expert - March 2024
Caudal Epidural Anesthesia in Pediatric Patients
OA-SPA Pediatric Virtual Grand Rounds - Spring 2024
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Mini-reviews on high-yield topics in anesthesiology, critical care, and perioperative medicine.
Summary of the Day
Aortic Stenosis: Etiology, Pathophysiology, and Clinical Presentation
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You are placing a caudal block for a neonate for bilateral inguinal hernia repair. The dural sac in this patient MOST likely extends to which spinal level?
Explanation
The dural sac in the neonate can extend to sacral (S) 3-4. This is lower than the adult, which extends to S2. The lower positioning of the dural sac in the neonate may make a dural puncture more likely during caudal block placement. By one year of age the dural sac has migrated to the adult level of S2. Providing 1 cc/kg of local anesthetic in the caudal route in a neonate or infant will provide a sensory block from S5 to T10. The entry of the caudal block is S5 and the local anesthetic will bathe the nerve roots starting from the bottom of the spinal. The height of the block depends on the age of the patient and the volume of local anesthetic. Patients less than 10 kg will often have easy spread up the neuraxial space. In general, 1 cc/kg of local anesthetic will provide a low thoracic block (T10 block). 1.25 cc/kg will provide a mid thoracic block (T6 block).
OA Series: March 2024
Vodcast
03:51
OA-POCUS Case of the Month
Gastric Ultrasound in the Setting of GLP1 Use, Part 1 of 3Henry Lather, MD, Duke University, Durham, NC, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Vodcast
12:10
OA-POCUS Case of the Month
Gastric Ultrasound in the Setting of GLP1 Use, Part 2 of 3Henry Lather, MD, Duke University, Durham, NC, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Vodcast
05:34
OA-POCUS Case of the Month
Gastric Ultrasound in the Setting of GLP1 Use, Part 3 of 3Henry Lather, MD, Duke University, Durham, NC, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Vodcast
14:24
Pediatric Anesthesiology Internet-Based Non-Technical Skills
Cognitive ErrorsDebnath Chatterjee, MD, FAAP, Children’s Hospital Colorado
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Podcast
22:42
Aditee Ambardekar, MD, MSEd, UT Southwestern
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Vodcast
13:36
OA-SPA Pediatric Anesthesia Virtual Grand Rounds
Caudal Epidural Anesthesia in Pediatric PatientsAdam Von Samek, MD, Icahn School of Medicine at Mount Sinai, Max Feinstein, MD, Columbia University
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