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Medical Education Innovation Highlights

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At lower volume institutions where neonatologists are very involved with care, switching to early repair when only putting one or two children on ECMO per year for CDH is a challenge and requires whole team buy-in. Update Course Rewind: 2024 Top Ten Key Takeaways · 7:12

Update Course Rewind: 2024 Top Ten Key Takeaways
Join us for a highlight reel of the Top 10 Key Takeaways from the 12th Annual Update Course in Pediatric Surgery. This session covers the latest advances, pract
podcast18:01 · Jul 2026
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Update course rewind: 2024 top ten key takeaways in pediatric surgery
Join us for a highlight reel of the Top 10 Key Takeaways from the 12th Annual Update Course in Pediatric Surgery. This session covers the latest advances, pract
podcast18:01 · Jul 2026
Listen →

Introducing the Transforming Healthcare Podcast: Technology Innovation in Medicine
Coming soon: hosted by Em Tombash, MD - Cincinnati Children
podcast2:36 · Jul 2026
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Transforming healthcare through emerging medical technologies
Coming soon: hosted by Em Tombash, MD - Cincinnati Children
podcast2:36 · Jul 2026
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Introducing the Transforming Healthcare Podcast: Technology Innovation in Medicine
Tom Basch is a research fellow at Cincinnati Children's Hospital Medical Center.
clinicalTom Basch0:10 ↗
Dr. Todd Ponsky is the director of the Clinical Growth and Transformation Lab and a pediatric surgeon at Cincinnati Children's Hospital.
Host summaryTom Basch summarizing a resource — not the host's own clinical position0:21 ↗
Rami Shaben is an assistant professor of instructional technology and learning sciences.
Host summaryTom Basch summarizing a resource — not the host's own clinical position0:28 ↗
According to the American Medical Association, healthcare is a fundamental human good because it affects our opportunity to pursue life goals, reduces pain and suffering, helps prevent premature loss of life, and provides information needed to plan for our lives.
Host summaryTom Basch summarizing a resource — not the host's own clinical position0:42 ↗
The series launched nearly 6 months ago on YouTube and social media with more than 10 videos explaining new concepts of each technology and their applications in medicine.
clinicalTom Basch1:11 ↗
Technologies covered in the series include metaverse, digital twinning, 3D printing, telemedicine, artificial intelligence, and machine learning.
clinicalRami Shaben1:22 ↗
Dr. Matt Bramblett is a pediatric cardiologist at Children's Hospital of Illinois and the University of Illinois College of Medicine.
Host summaryTom Basch summarizing a resource — not the host's own clinical position2:04 ↗
The first episode discusses VR surgical planning and its impacts on everyday cases with Dr. Matt Bramblett.
Host summaryTom Basch summarizing a resource — not the host's own clinical position2:04 ↗
Update Course Rewind: 2024 Top Ten Key Takeaways
Image-guided surgery uses real-time imaging like CT, MRI, ultrasound, or fluoroscopy to improve precision during procedures.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:28 ↗
At Cincinnati Children's, interventional radiologists teach pediatric surgery fellows how to use ultrasound guidance for vascular access.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:53 ↗
You don't have to have a hybrid OR to do surgery-interventional radiology collaboration; it can occur in a regular OR by bringing in an ultrasound machine.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:02 ↗
A hybrid operating room eliminates the need to transfer patients between imaging and surgical areas and combines advanced imaging technology with a traditional surgical setup.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:11 ↗
Cone beam CT is a CT scan performed on a C-arm fluoroscopy unit that rotates around the patient's point of interest, collecting multiple images which are stacked together to create a CT.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:21 ↗
Cone beam CT can be used for identifying and protecting critical structures during surgery and at the end of the case to confirm vessel patency.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:39 ↗
ChatGPT can be used in systematic review and meta-analysis to screen thousands of articles based on title and abstract, with prompts asking it to explain its screening decisions.
Host summaryThe host summarizing the discussion — not the host's own clinical position2:17 ↗
Jenny AI is an academic model that helps with research paper writing by providing suggestions that the user can accept or modify, and includes a built-in chatbot that can research topics, provide relevant answers, cite supporting papers, and format citations.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:05 ↗
ChatGPT can be used to upload a guideline and create a training session with interactive questions for learning specific topics.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:41 ↗
Cryoanalgesia is a minimally invasive procedure to alleviate pain during chest wall surgery by temporarily freezing the nerve.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:24 ↗
For cryoanalgesia in pectus surgery, a double lumen endotracheal tube is used in all patients to deflate the lung on the side of the cryoablation, and the surgeon uses a thoracoscope to guide the cryoprobe through axillary incisions from T3 to T8.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:35 ↗
After cryoanalgesia, intercostal nerve blocks are performed with subpleural injection of 0.25% marcaine with epinephrine, which works immediately as opposed to the 8 to 10 hour delay with the cryo nerve block.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:48 ↗
The cryoanalgesia procedure takes about 15 seconds per interspace with a 2 minute freeze cycle starting at the third rib and working down.
Host summaryThe host summarizing the discussion — not the host's own clinical position4:52 ↗
The double lumen endotracheal tube helps reduce the risk of pneumothorax during cryoanalgesia.
Host summaryThe host summarizing the discussion — not the host's own clinical position5:09 ↗
Cryoanalgesia blocks sometimes don't work when surgeons use a single lumen tube and do the block too far anteriorly.
Host summaryThe host summarizing the discussion — not the host's own clinical position5:13 ↗
Cryoanalgesia is an effective tool for pediatric pectus procedures, controlling pain and decreasing hospital length of stay with few short-term complications.
Host summaryThe host summarizing the discussion — not the host's own clinical position5:24 ↗
The SEER protocol from Michigan used prenatal criteria to guide decisions on offering ECMO versus comfort care for severe unilateral CDH, and outcomes showed that survival was equivalent between groups, revealing clinicians are often wrong about who will benefit from ECMO.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:43 ↗
If there is good prenatal counseling with the parents, ECMO should be pursued for every unilateral isolated CDH.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:58 ↗
At lower volume institutions where neonatologists are very involved with care, switching to early repair when only putting one or two children on ECMO per year for CDH is a challenge and requires whole team buy-in.
opinion7:12 ↗
With bivalirudin anticoagulation, you don't have to wait for the ECMO circuit to equilibrate; it's very fast and you can operate after 8 hours of starting bivalirudin as long as levels are stable, which happens really soon, and it's a much easier surgical repair.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:26 ↗
In cases of very severe isolated unilateral CDH, the patient should be considered a survivor until proven otherwise.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:41 ↗
Early repair while on ECMO is safe and can offer physiological benefits with the optimal window between 8 to 24 hours.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:49 ↗
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