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Association of Neighborhood Opportunity With Pediatric Day of Surgery Cancellations
December 2024! GHE Ask the Experts
Sciatic Nerve Testing for Chronic Pain Diagnoses
December 2024 Episode of SPPM Visual Pearls
Suprainguinal Fascia Iliaca Block
New Series! OA-Regional Anesthesia Block of the Month
Adrenal Insufficiency for the Pediatric Anesthesiologist
OA-SPA Pediatric Anesthesia Virtual Grand Rounds - Winter 2024
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Question of the Day
Which of the following is MOST correct regarding red blood cells in the capillary of an extremity when compared to red blood cells in the pulmonary veins?
Explanation
RBCs possess many adaptations to facilitate maximal unloading of oxygen at peripheral tissues with maximal transport of CO2 back to the lungs. The Bohr effect facilitates the rightward shift of the oxyhemoglobin dissociation curve (thereby increasing the P50 of hemoglobin), where oxygen is more easily unloaded with increased levels of 2,3-DPG. Meanwhile, the Haldane effect refers to the increased affinity for CO2 that deoxyhemoglobin has when compared with oxyhemoglobin. This optimizes transport of CO2 from the periphery (deoxygenated hemoglobin picks up a maximum amount of CO2 at peripheral tissues), and also optimizes the amount of CO2 unloading that occurs in the lungs (oxygenated hemoglobin will have a lower affinity for CO2 and will therefore unload CO2 in the lungs). This change in affinity is made possible via a rightward shift in the carbonic acid-bicarbonate buffer equation such that H+ is produced, thus increasing the affinity of CO2 for hemoglobin.
References:
Oxygen PhysiologyOA Series: December 2024
17:03
OA Global Health Equity Ask the Expert
Association of Neighborhood Opportunity With Pediatric Day of Surgery CancellationsCopy link
44:44
Cardiac Anesthesia Ask the Expert
Everything You Wanted to Know about Cardiopulmonary Bypass, But Were Afraid to Ask, Part 2Ellen Richter, MD, FASE, Emory University Hospital, Atlanta, GA
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22:45
OA-SPA Pediatric Anesthesia Virtual Grand Rounds
Adrenal Insufficiency for the Pediatric AnesthesiologistMelinda Pierce, MD, MCR, Seattle Children's Hospital, Seattle, WA
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02:00
OA-Regional Anesthesia Block of the Month
Suprainguinal Fascia Iliaca BlockMelody Herman, MD, Atrium Health Carolinas Medical Center, Charlotte, NC
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03:44
SPPM Visual Pearls
Sciatic Nerve Testing for Chronic Pain DiagnosesDrew Jones, PT, DPT, TPS, FAAOMPT, Texas Children's Hospital, Houston, TX, Henry Huang, MD, Texas Children's Hospital Pain Clinic, Houston, TX
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