Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. 

Originally published at JournalFeed, a site that provides daily or weekly literature updates. 

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#1: Avoiding Laryngospasm During Pediatric Sedation – What Are Risk Factors?

Spoon Feed
The prevalence of laryngospasm was 3.3/1000 children. Concurrent URI, airway procedure, and use of combined ketamine + propofol were associated with increased risk.

Source
Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Annals of Emergency Medicine. 2022 Jun22;S0196-0644(22)00323-7.

Spoon Feed
Contrast enhanced CT can help predict the risk of hollow viscus injury after thoracoabdominal gunshot wounds. Specifically, there is low probability of hollow viscus injury in the absence of abdominal free fluid, focal gastrointestinal wall thickness, or fat stranding on CT.

Source
Diagnostic accuracy of computed tomography findings for hollow viscus injuries following thoracoabdominal gunshot wounds. J Trauma Acute Care Surg. 2022 Jul 15. doi: 10.1097/TA.0000000000003743. Online ahead of print.


Spoon Feed
In abdominal stab wound patients without criteria for immediate operative intervention, 24 hours of observation was sufficient to identify a failure of conservative management.

Source
Prospective Evaluation of the Selective Nonoperative Management of Abdominal Stab Wounds: When is it Safe to Discharge? J Trauma Acute Care Surg. 2022 Jul 5. doi: 10.1097/TA.0000000000003733. Epub ahead of print.

Spoon Feed
The proportion of patients that experience awareness with paralysis is alarmingly high; 3.4% were aware of their surroundings but paralyzed, which 3.4% more than what should occur.

Source
Awareness With Paralysis Among Critically Ill Emergency Department Patients: A Prospective Cohort Study. Crit Care Med. 2022 Jul 22. doi: 10.1097/CCM.0000000000005626. Online ahead of print.

 

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