Standard preoperative workup includes cardiac MRI, genetics referral for connective tissue evaluation, and allergy testing (particularly for nickel and vanadium in bar materials).
In a study of 345 pectus patients undergoing cardiac MRI, 16-22% had abnormal cardiac function at rest with right ventricular ejection fractions less than 50% and left ventricular ejection fractions less than 55%.
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
▶Ep 4 · 6:15
guidelineStandard preoperative workup includes cardiac MRI, genetics referral for connective tissue evaluation, and allergy testing (particularly for nickel and vanadium in bar materials).↗
▶Ep 4 · 6:32
clinicalPatients with connective tissue disorders and hyperflexibility may be at higher risk for chronic pain after pectus repair.↗
Pediatric Surgery Updates for the PCP - Full Show
▶Ep 10 · 8:57
epidemiologicalPectus excavatum occurs in approximately 1 in 300 to 400 people, more commonly in males (80%) than females (20%).↗
▶Ep 10 · 9:20
epidemiologicalPectus excavatum is familial in about 40% of patients and associated with connective tissue diseases (Ehlers-Danlos, Marfan, Pott's disease, hypermobility syndrome) in 10-20% of patients.↗
▶Ep 10 · 9:45
clinicalPectus excavatum is associated with scoliosis in about 30% of patients.↗
▶Ep 10 · 10:50
clinicalSymptoms occur in about 75% of pectus patients and may include exercise intolerance, shortness of breath at rest or with position changes, fatigue, and psychosocial issues.↗
▶Ep 10 · 13:20
clinicalVacuum bell therapy for pectus can completely correct the deformity in 25-40% of patients aged 6-10 years with milder defects and flexible chest walls.↗
▶Ep 10 · 14:40
clinicalUsing erector spinae catheters for pain management after Nuss procedure, patients can be discharged within 2 days and opioid use has been minimized by a factor of 13.↗
▶Ep 10 · 15:20
clinicalA normal Haller index (ratio of chest width to depth at deepest point) is about 2.5 to 2.7; greater than 3.25 may warrant surgical correction.↗
▶Ep 10 · 16:00
clinicalIn a study of 345 pectus patients undergoing cardiac MRI, 16-22% had abnormal cardiac function at rest with right ventricular ejection fractions less than 50% and left ventricular ejection fractions less than 55%.↗
▶Ep 10 · 17:10
clinical33% of pectus patients had abnormal cardiopulmonary exercise tests.↗
Becky's statements about Pectus Excavatum4 statements
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
▶Ep 8 · 6:15
guidelineStandard preoperative workup includes cardiac MRI, genetics referral for connective tissue evaluation, and allergy testing (particularly for nickel and vanadium in bar materials).↗
▶Ep 8 · 6:15
guidelineStandard preoperative workup includes cardiac MRI, genetics referral for connective tissue evaluation, and allergy testing (particularly for nickel and vanadium in bar materials).↗
▶Ep 8 · 6:32
clinicalPatients with connective tissue disorders and hyperflexibility may be at higher risk for chronic pain after pectus repair.↗
▶Ep 8 · 6:32
clinicalPatients with connective tissue disorders and hyperflexibility may be at higher risk for chronic pain after pectus repair.↗
Summaries Becky gave as host
· 2 summaries
Recaps of other experts' statements, not Becky's own clinical position.
Summaries Becky gave as host · Pectus Carinatum2 summaries
host summaryBecky Brown summarizing the discussion: I took a deep breath for the first time in my entire life. It's like putting on a pair of glasses for the first time.↗
▶Ep 10 · 12:30
host summaryBecky Brown summarizing the discussion: I can't keep up with them. I can't go up and down the stairs. I, I get short of breath just walking around. Uh, something needs to be done.↗
