Augusto Zani

36 timestamped statements across 3 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · guest expert Intestinal Rehab · guest expert

Featured diaries

Ep 75 · 6:34
You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 107 · 6:34
You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 19 · 6:34
You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 75 · 0:54
We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?
Ep 107 · 0:54
We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?
Ep 19 · 0:54
We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?

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Update Course Rewind 2025: Updates in NEC Management

Ep 75 · 0:54
quote We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?
Ep 75 · 1:51
quote Maybe it's not that popular, but the ultrasound really gives you a lot of more clues that the abdominal X-ray. Abdominal X-rays are highly specific, but very low sensitivity.
Ep 75 · 1:56
clinical Abdominal X-rays for NEC have high specificity but very low sensitivity, with studies showing sensitivity between 13 and 25%
Ep 75 · 2:26
quote We want to know when the baby has surgical neck, when we need to operate. An ultrasound scan can tell you a little bit more about. The bowel, bowel wall thickening, thinning, perfusion, peristalsis, what's inside the abdomen, what happens at the level of the peritoneum and the liver.
Ep 75 · 2:30
clinical Ultrasound can assess bowel wall thickening, thinning, perfusion, peristalsis, intra-abdominal contents, peritoneum, and liver
Ep 75 · 2:59
clinical High-risk ultrasound findings for bowel perforation include pneumoperitoneum, focal fluid collections, and complex fluid
Ep 75 · 3:07
clinical Intermediate-risk ultrasound findings include increased bowel wall echogenicity, absent perfusion, portal venous gas, and bowel thinning and thickening
Ep 75 · 3:56
opinion The majority of surgeons would perform laparotomy rather than drain placement for perforated NEC
Ep 75 · 4:47
clinical In stable babies where approximately 10 cm of necrotic segment is removed for source control, they do not necessarily do poorly afterwards and there is long-term benefit
Ep 75 · 6:34
quote You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 75 · 9:45
quote I think you need to be prepared to have some negative laparotomies. There will be some in which unfortunately, you think it's perforated, actually it's not, but definitely if there's like turbid-free fluid, there's something going on there.
Ep 75 · 9:45
opinion Surgeons need to be prepared to have some negative laparotomies when clinical suspicion is high despite equivocal imaging
Intestinal Rehab 12 entries

Update Course Rewind 2025: Updates in NEC Management

Ep 107 · 0:54
quote We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?
Ep 107 · 1:51
quote Maybe it's not that popular, but the ultrasound really gives you a lot of more clues that the abdominal X-ray. Abdominal X-rays are highly specific, but very low sensitivity.
Ep 107 · 1:56
clinical Abdominal X-rays for NEC have high specificity but very low sensitivity, with studies showing sensitivity between 13 and 25%
Ep 107 · 2:26
quote We want to know when the baby has surgical neck, when we need to operate. An ultrasound scan can tell you a little bit more about. The bowel, bowel wall thickening, thinning, perfusion, peristalsis, what's inside the abdomen, what happens at the level of the peritoneum and the liver.
Ep 107 · 2:30
clinical Ultrasound can assess bowel wall thickening, thinning, perfusion, peristalsis, intra-abdominal contents, peritoneum, and liver
Ep 107 · 2:59
clinical High-risk ultrasound findings for bowel perforation include pneumoperitoneum, focal fluid collections, and complex fluid
Ep 107 · 3:07
clinical Intermediate-risk ultrasound findings include increased bowel wall echogenicity, absent perfusion, portal venous gas, and bowel thinning and thickening
Ep 107 · 3:56
opinion The majority of surgeons would perform laparotomy rather than drain placement for perforated NEC
Ep 107 · 4:47
clinical In stable babies where approximately 10 cm of necrotic segment is removed for source control, they do not necessarily do poorly afterwards and there is long-term benefit
Ep 107 · 6:34
quote You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 107 · 9:45
quote I think you need to be prepared to have some negative laparotomies. There will be some in which unfortunately, you think it's perforated, actually it's not, but definitely if there's like turbid-free fluid, there's something going on there.
Ep 107 · 9:45
opinion Surgeons need to be prepared to have some negative laparotomies when clinical suspicion is high despite equivocal imaging

Update Course Rewind 2025: Updates in NEC Management

Ep 19 · 0:54
quote We still don't know what causes it for our surgeons, how do we really diagnose it? What's the right time to operate? Are there some babies that are too sick to be operated on? And then when we do an operation, which one, when do we restart feeds for these babies, which antibiotics, and for how long do we refeed the mucus fstu if you have one?
Ep 19 · 1:51
quote Maybe it's not that popular, but the ultrasound really gives you a lot of more clues that the abdominal X-ray. Abdominal X-rays are highly specific, but very low sensitivity.
Ep 19 · 1:56
clinical Abdominal X-rays for NEC have high specificity but very low sensitivity, with studies showing sensitivity between 13 and 25%
Ep 19 · 2:26
quote We want to know when the baby has surgical neck, when we need to operate. An ultrasound scan can tell you a little bit more about. The bowel, bowel wall thickening, thinning, perfusion, peristalsis, what's inside the abdomen, what happens at the level of the peritoneum and the liver.
Ep 19 · 2:30
clinical Ultrasound can assess bowel wall thickening, thinning, perfusion, peristalsis, intra-abdominal contents, peritoneum, and liver
Ep 19 · 2:59
clinical High-risk ultrasound findings for bowel perforation include pneumoperitoneum, focal fluid collections, and complex fluid
Ep 19 · 3:07
clinical Intermediate-risk ultrasound findings include increased bowel wall echogenicity, absent perfusion, portal venous gas, and bowel thinning and thickening
Ep 19 · 3:56
opinion The majority of surgeons would perform laparotomy rather than drain placement for perforated NEC
Ep 19 · 4:47
clinical In stable babies where approximately 10 cm of necrotic segment is removed for source control, they do not necessarily do poorly afterwards and there is long-term benefit
Ep 19 · 6:34
quote You're in the middle of the operation, and this means that the baby is hemodynamically stable, and then you would then scrub and go to the computer and go for randomization. Now you can tell you that the fellows, when it was like an anastomosis, were like, oh my God, now we're doing this to 500 grammers, but they were the strongest believers when they saw how these babies progressed afterwards.
Ep 19 · 9:45
opinion Surgeons need to be prepared to have some negative laparotomies when clinical suspicion is high despite equivocal imaging
Ep 19 · 9:45
quote I think you need to be prepared to have some negative laparotomies. There will be some in which unfortunately, you think it's perforated, actually it's not, but definitely if there's like turbid-free fluid, there's something going on there.