# Perioperative Management & Complications — GCMD Library living collection

Updated: n/a · 4 episodes · 17 cited statements

## Episodes
### MRSA Screening
- [Preventing MRSA infections in pediatric airway surgery through preoperative screening](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143) — podcast · 8:21 · [machine version](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143.md)

### Post-Tonsillectomy Hemorrhage
- [Practice patterns in the management of post-tonsillectomy hemorrhage: An American Society of Pediatric Otolaryngology survey.](https://library.globalcastmd.com/watch/practice-patterns-in-the-management-of-post-tonsillectomy-hemorrhage-an-american-15182) — article · [machine version](https://library.globalcastmd.com/watch/practice-patterns-in-the-management-of-post-tonsillectomy-hemorrhage-an-american-15182.md)

### Button Battery Ingestions
- [Imaging button battery ingestions and insertions in children: a 15-year single-center review](https://library.globalcastmd.com/watch/imaging-button-battery-ingestions-and-insertions-in-children-a-15-year-single-ce-15185) — article · [machine version](https://library.globalcastmd.com/watch/imaging-button-battery-ingestions-and-insertions-in-children-a-15-year-single-ce-15185.md)

### Immunosuppression Complications
- [Airway plaque presenting after alteration of immunosuppression in a pediatric patient remote from heart transplantation](https://library.globalcastmd.com/watch/airway-plaque-presenting-after-alteration-of-immunosuppression-in-a-pediatric-pa-15183) — article · [machine version](https://library.globalcastmd.com/watch/airway-plaque-presenting-after-alteration-of-immunosuppression-in-a-pediatric-pa-15183.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=0) Introduction and MRSA colonization definition (Ep 1)
- [1:27](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=87) Cincinnati protocol development and clinical impact (Ep 1)
- [4:17](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=257) MRSA prevalence in tracheostomy patients and institutional approach (Ep 1)
- [6:44](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=404) Study conclusions and clinical recommendations (Ep 1)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- MRSA (methicillin-resistant Staphylococcus aureus) can cause serious infections in skin and surgical wound sites. — Alessandro de Alarcon (clinical) [Ep 1 · 0:35](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=35)
- Studies in the last decade show an increasing number of MRSA infections both in the community and during surgical procedures globally. — Alessandro de Alarcon (epidemiological) [Ep 1 · 0:58](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=58)
- The increase in resistant bacterial strains is thought to be due to more frequent antibiotic use than in the past. — Alessandro de Alarcon (opinion) [Ep 1 · 1:14](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=74)
- At Cincinnati Children's, a series of patients had severe MRSA infections that led to failure of their airway reconstruction. — Alessandro de Alarcon (clinical) [Ep 1 · 1:27](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=87)
- The Cincinnati protocol screens patients for MRSA prior to airway surgery and treats colonized patients with antibiotics before and during surgery to prevent surgical site infections. — Alessandro de Alarcon (clinical) [Ep 1 · 1:46](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=106)
- MRSA colonization means patients have the bacteria growing in their skin or some body site but it is not causing an infection. — Alessandro de Alarcon (clinical) [Ep 1 · 1:46](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=106)
- Studies show MRSA surgical site infections increase hospital admission costs by up to approximately $62,000. — Alessandro de Alarcon (epidemiological) [Ep 1 · 3:00](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=180)
- MRSA infections can cause rib grafts used in airway reconstructions to die, leading to complete operation failure. — Alessandro de Alarcon (clinical) [Ep 1 · 3:19](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=199)
- A typical airway reconstruction runs around $90,000 in hospital charges or costs. — Alessandro de Alarcon (epidemiological) [Ep 1 · 3:34](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=214)
- Children undergoing airway reconstruction may be in the hospital from anywhere from a couple of weeks to about a month. — Alessandro de Alarcon (clinical) [Ep 1 · 3:34](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=214)
- Surgical site infections have historically been looked at as an accident or something that's not preventable. — Alessandro de Alarcon (opinion) [Ep 1 · 4:31](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=271)
- About one-third of children with tracheostomies screened at Cincinnati Children's are colonized with MRSA. — Alessandro de Alarcon (epidemiological) [Ep 1 · 5:19](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=319)
- Other surgical practices that have published papers about screening and treatment programs typically consider high-risk patient populations as having 8 to 10% MRSA colonization. — Alessandro de Alarcon (epidemiological) [Ep 1 · 5:19](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=319)
- The study design could not prove that the Cincinnati protocol is the perfect protocol. — Alessandro de Alarcon (opinion) [Ep 1 · 7:07](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=427)
- The study showed there was not any increase in MRSA infections in patients that were MRSA positive who received treatment under the protocol. — Alessandro de Alarcon (clinical) [Ep 1 · 7:40](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=460)
- Children with tracheostomies undergoing airway reconstruction are a high-risk patient population that commonly are colonized with MRSA. — Alessandro de Alarcon (clinical) [Ep 1 · 6:48](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=408)
- Places doing a lot of airway reconstruction should have a clinical protocol in place for screening before surgery and treatment of MRSA colonization. — Alessandro de Alarcon (guideline) [Ep 1 · 7:24](https://library.globalcastmd.com/watch/preventing-mrsa-infections-in-pediatric-airway-surgery-through-preoperative-scre-15143?t=444)

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