Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 301: Master Clinician Part 6: Scott Licata

Feb 9, 2025
Dr. Scott Licata, a pediatric anesthesiologist at Children's Hospital of Pittsburgh, shares his expertise in managing anesthesia for children. He discusses blending medicine with technology to enhance patient care and alleviating anxiety in young patients through effective communication strategies. Insights on critical ventilation techniques during tonsillectomy highlight the importance of careful airway management. Additionally, Dr. Licata emphasizes tailored approaches to pediatric anesthesia and the significance of supportive learning environments for medical trainees.
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ADVICE

Pre-op Engagement and Versed

  • Engage families in pre-op decisions, acknowledging their expertise with their child.
  • Recommend versed for anxiolysis, but respect family preferences and adapt if they refuse.
ADVICE

Parental Presence

  • Address parental presence by focusing on the child's needs.
  • Suggest a trial separation in the hallway; if the child reaches for the parent, they stay.
ADVICE

Versed Administration and Explanation

  • Administer oral versed 20-30 minutes pre-op, aiming for 0.5-0.75 mg/kg.
  • Explain versed's amnestic effect to families, comparing it to "a few too many drinks".
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