‘Infant Cocooning’ Becoming More Popular Among New Parents
BOSTON (CBS) – Angela Keizer and Brian Miller are counting the days until the birth of their baby girl. “This Baby is very unexpected and very special,” Angela said. They didn’t think they would be able to have a baby and so they are taking no chances when she arrives. “We are going to request that family members vaccinate before they see her,” Brian said. They want to make sure everyone is up-to-date with their pertussis, diphtheria and influenza vaccines before they meet the baby. It’s called infant cocooning and it is supported by the American Academy of Pediatrics. According to Dr. Dennis Murray, the idea is to immunize everyone who comes into contact with the baby. “It is an attempt to protect the youngest infants from various types of infectious disease,” he said. One of the greatest concerns is the pertussis or whooping cough because babies can’t get vaccinated until they are two months old. “The latest data would suggest that for those surrounding infants, only about 5% of adults have been vaccinated against pertussis,” Dr. Murray said. Pediatrician Dr. Ari Brown believes asking friends and family to get vaccinated is a reasonable request. “It’s a fine policy as a new parent to say, ‘I don’t want you to come visit unless you are in fact protected,’” she said. Brian and Angela say none of their family members have resisted. “If they do that, they would not...
Where are we currently on vaccines to prevent group A streptococcal infections? Get up-to-date on the recent progress.Current Opinion in Infectious Diseases
Publication date: June 2020Source: European Journal of Surgical Oncology, Volume 46, Issue 6Author(s): Ashleigh Bell, Robert Milligan
I am in PP and most of my colleagues use only sevoflurane for bmt &adenoids - very rarely use propofol or fentanyl. I normally induce with gas, use 2mg/kg propofol to intubate and titrate in 1mcg/kg fentanyl before case in done. Sometimes I even use up to 4mg/kg in older kiddos if they’re light when I go to put the tube in. I’ve been told by multiple more senior colleagues that might be too much. What do other folks do? Also, full disclosure these cases are 15-20 minutes at most. Thanks.
Ramachandran Gopinath, Sangineni K S Dhanalakshmi, Kiran Tejavath, Polapally VenuIndian Journal of Anaesthesia 2020 64(6):453-455
This article describes the challenges in CPPs during COVID-19 pandemic and the use of telemedicine as the rescue management vehicle for CPPs in current scenario.
Conclusion: Intrathecal dexmedetomidine is more efficacious as compared to intravenous dexmedetomidine, due to favourable outcomes in terms of increased duration of postoperative analgesia and reduced rescue analgesic requirement.
Conclusion: Regional techniques for pain management in emergency laparotomies are less preferred, therefore, opioids are the mainstay. Lack of experience is essentially not the primary reason for regional techniques not gaining popularity. Pain management in this group needs a thorough re-evaluation.
Conclusion: Dose calculation in caudal epidural analgesia as per spinal column height-based modified Spiegel formula was more precise than bodyweight-based Takasaki and Armitage formulae.
Conclusion: TES can make an assistant effect on sedation and decrease Cp50 of propofol. But the haemodynamic fluctuations in TES group, especially the HR changes, seem to be more obvious than those in control group.
Conclusions: Hypothyroidism and difficult airways are a common sequel of RT. Selected cancer patients with subclinical hypothyroidism had a smooth perioperative course.