What’s the Right Pediatric ETT Size?

What’s the Right Pediatric ETT Size?

The pediatric trachea is elliptical at the infraglottic level, with the transverse diameter being narrowest. The endotracheal tube size formula, (age/4) + 3.5, with a cuffed tube makes more sense anatomically.

tPA 4.5 to 9h or Wake-Up Stroke - New Meta-analysis

tPA 4.5 to 9h or Wake-Up Stroke - New Meta-analysis

Compared to the placebo group, patients who presented with ischemic stroke (4.5-9h from onset or wake-up stroke) with salvageable brain tissue identified on perfusion imaging and received tPA, had a slight improvement in functional outcome (mRS of 0-1) at 3 months (36% vs 29%) with higher rates of symptomatic intracerebral hemorrhage (5% vs <1%).

Is IJ or Subclavian Safer Under Ultrasound Guidance?

Is IJ or Subclavian Safer Under Ultrasound Guidance?

In this randomized trial of anesthetized patients, ultrasound-guided internal jugular venous catheters had a lower arterial puncture rate, pneumothorax rate, catheter misplacement, and access time compared to ultrasound-guided subclavian venous catheterization.

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