CICU / Post-op CHD Care
Also covered as: congenital heart disease · severe acute kidney injury · pulmonary hypertension · trisomy 21 · ventricular septal defect · congenital diaphragmatic hernia · pulmonary hypoplasia · malrotation
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Evidence & Research
6 items
Early Tricuspid Valve Surgery for Heart Failure in Congenital Heart Disease
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Rawan Amir, Magalie Ladouceur, David Danford, Jamil Aboulhosn, Petra Antonova, David Baker, Judith Bouchardy, Werner Budts, Luke J Burchill, David S Celermajer, Timothy Cotts, Jonathan Cramer, Payam Dehghani, Flavia Fusco, Mikael Dellborg,
video · 0:46 · May 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in th
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Grant Chappell, Darren Turner, Amir Mehdizadeh-Shrifi, David Lehenbauer, Marco Ricci, Meghan M Chlebowski, Stuart L Goldstein, Awais Ashfaq, David L S Morales
Hemodialysis after infant congenital heart surgery (CHS) for acute kidney injury
video · 0:53 · May 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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This video highlights a recent PubMed article on hemodialysis outcomes in infants following congenital heart surgery (CHS). It reveals that approximately 1% of infants undergoing CHS develop severe acute kidney injury requiring dialysis, wi
video · 0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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This video discusses a PubMed article on dialysis outcomes for infants undergoing congenital heart surgery. It highlights that about 1% of these infants develop severe acute kidney injury requiring dialysis, with a one-year survival rate of
video · 0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
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Lizzy Lee from Cincinnati Children's discusses a study on hemodialysis outcomes in infants after congenital heart surgery (CHS). Approximately 1% of infants undergoing CHS develop severe acute kidney injury (AKI) requiring dialysis, with a
video · 0:53 · Jun 2026
Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis
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Lizzie Lee from Cincinnati Children's discusses a study on pediatric pulmonary vein stenosis (PVS), a rare but serious condition. The research compares surgical and catheter-based interventions, revealing high recurrence rates for both appr
video · 0:57 · Jul 2026
In-Depth Reviews
2 items
Congenital Diaphragmatic Hernia with Dr. Charlie Stolar
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Dr Charlie Stolar discusses key points of CDH with Dr. Todd Ponsky. EDITED BY NICHOLAS BRUNS, MD and IAN GLENN, MD.In this episode, Dr. Charles Stolar from Columbia University College of Physicians and Surgeons and California Pediatric Sur
podcast · 82:05 · Dec 2020
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast · 52:45 · Dec 2020
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Every statement below comes from the recorded discussions, with its speaker and moment.
Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis
Pulmonary vein stenosis is a rare but serious condition where the veins from the lungs to the heart become narrowed
clinicalLizzie Lee0:06 ↗
A study from Cincinnati Children's examined 56 children comparing surgery versus catheter-based interventions for pulmonary vein stenosis
epidemiologicalLizzie Lee0:12 ↗
Over time, catheter-based treatments became the preferred first option for pulmonary vein stenosis
clinicalLizzie Lee0:23 ↗
Surgery was reserved for complex cases involving multiple severely affected veins or other heart defects
clinicalLizzie Lee0:28 ↗
92% of children with pulmonary vein stenosis needed another intervention after initial treatment
epidemiologicalLizzie Lee0:34 ↗
Most reinterventions for pulmonary vein stenosis occurred within the first year after initial treatment
epidemiologicalLizzie Lee0:34 ↗
Recurrence of pulmonary vein stenosis remained common regardless of the initial intervention type
clinicalLizzie Lee0:34 ↗
Pulmonary vein stenosis requires ongoing surveillance, repeated interventions, and a long-term multidisciplinary approach
clinicalLizzie Lee0:48 ↗
Congenital Diaphragmatic Hernia with Dr. Charlie Stolar
CDH diagnosis is usually made at about 20 weeks gestation with routine anatomy scan when ultrasonographers see the stomach in the same cross-sectional plane as the heart
clinicalCharlie Stolar3:37 ↗
CDH should be discussed as a growth arrest of both lungs with the ipsilateral side more severely affected than the contralateral side
clinicalCharlie Stolar4:14 ↗
The lungs are affected at birth by a mix of pulmonary hypoplasia and altered pulmonary vascular resistance with altered transitional circulation
clinicalCharlie Stolar4:23 ↗
CDH is not a surgical emergency but a medical physiologic emergency
clinicalCharlie Stolar5:00 ↗
Diagnosis of CDH alone is not an indication for cesarean section; recommend elective spontaneous vaginal delivery assuming no obstetric issues
guidelineCharlie Stolar5:24 ↗
Antenatal interventions for CDH are no better than investigational and experimental at best
opinionCharlie Stolar6:35 ↗
Babies with CDH should be born at a full service children's facility with availability of ECMO, as maybe 10-15% will benefit from ECMO
guidelineCharlie Stolar7:23 ↗
In single center experiences, presence of liver in chest or stomach in chest is of no prognostic value
clinicalCharlie Stolar8:31 ↗
Lung to head ratio is of no better than limited value except when very low (less than 0.8), where prognosis is concerning
clinicalCharlie Stolar8:42 ↗
Associated congenital heart disease and central nervous system abnormalities augur for poor prognosis
clinicalCharlie Stolar9:07 ↗
If shown 100 children with CDH, 80-85% will survive to become teenagers
epidemiologicalCharlie Stolar10:13 ↗
Steroids have tremendous value for preterm labor under 35 weeks but role in near-term babies (37-39 weeks) with CDH is arguable
clinicalCharlie Stolar10:37 ↗
Exit to ECMO for CDH is nonsense except potentially for investigational protocol using liquid ventilation with perfluorocarbons as trophic agent to provoke lung growth
opinionCharlie Stolar12:06 ↗
Respiratory care strategy requires babies to be breathing spontaneously with no paralysis and minimal sedation
guidelineCharlie Stolar15:12 ↗
ECMO indication is not meeting tissue oxygen requirements despite best medical management, commonly using oxygenation index greater than 40 for 4 hours or more
guidelineCharlie Stolar17:52 ↗
All therapy is guided by preductal oximetry, not postductal, because guiding by postductal will lead to premature and precipitous interventions
guidelineCharlie Stolar19:06 ↗
If preductal saturation is 90% (PAO2 of 65 torr), the brain is doing fine because this is fetal hemoglobin
clinicalCharlie Stolar19:32 ↗
Most babies with CDH don't tolerate conventional ventilator settings and require unconventional mode with 100 breaths per minute, peak pressure turned down to zero, and high gas flow rate
clinicalCharlie Stolar22:49 ↗
Nitric oxide is a waste of money for CDH babies; it's terrific for premature babies with immature lung disease but of no value in CDH
opinionCharlie Stolar25:45 ↗
The best drug for CDH is oxygen
opinionCharlie Stolar26:07 ↗
ECMO gestational age limit has been pushed from 36 weeks down to 35 or 34 weeks, with reports as low as 32 weeks, but intracranial hemorrhage rate increases significantly below 34 weeks
clinicalCharlie Stolar26:22 ↗
The real issue for ECMO candidacy is whether you have a reversible condition - don't start something you can't finish
guidelineCharlie Stolar28:45 ↗