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Summaries Brittany gave as host
· 252 summaries
Recaps of other experts' statements, not Brittany's own clinical position.
Summaries Brittany gave as host · Abdominal Wall Defects
8 summaries
Open the Abdominal Wall Defects collection →
Quick Literature Updates Episode 6
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: Children transported via helicopter had a higher injury severity score than those transported by ground.
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: 1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: 98.7% of children transported by helicopter did not require an emergency intervention.
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: Helicopter transport may be over-utilized in pediatric trauma.
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: firearm injuries are more lethal in children than MVCs and we need to do something about it
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Ep 29 · 1:29
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Brittany Levy summarizing a resource: The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
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Ep 29 · 2:50
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Brittany Levy summarizing a resource: So we might be over utilizing helicopter transport.
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Summaries Brittany gave as host · Aerodigestive / ENT
23 summaries
Open the Aerodigestive / ENT collection →
Laryngotracheal Stenosis
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: Balloon dilation should not be performed on complete tracheal rings due to rupture risk.
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: It's not useful to balloon dilate a tracheal A-frame deformity or an elliptical cricoid, because you've got a framework problem. Endoluminal dilation is best for patients with an intraluminal scar and an intact framework.
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: Balloon dilators are single use and expensive, can be difficult to control when filling to high pressure, and are slippery with risk of watermelon seeding.
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: Balloon dilation delivers all dilation radially with no shear forces involved and can deliver precise high pressure dilation at low risk when the right size balloon is chosen.
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: Endoluminal dilation is best for patients with intraluminal scar and an intact framework.
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Ep 11 · 2:35
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Brittany Levy summarizes what Dr. Michael Rutter said: Balloon dilation achieves nothing in tracheomalacia and is not useful for tracheal A-frame deformity or elliptical cricoid because these are framework problems.
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Ep 11 · 6:27
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Brittany Levy summarizes what Dr. Michael Rutter said: For patients requiring a second dilation, adjunctive scar removing procedures can be beneficial.
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Ep 11 · 6:27
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Brittany Levy summarizes what Dr. Michael Rutter said: Some patients have complete and sustained improvement after a single dilation.
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Ep 11 · 8:31
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Brittany Levy summarizes what Dr. Michael Rutter said: At Cincinnati Children's Hospital, endoscopic dilations have been performed for about 20 years with thousands of patients dilated.
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Ep 11 · 11:52
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Brittany Levy summarizes what Dr. Michael Rutter said: Cases where balloon dilation is not enough include posterior glottic stenosis, greater than grade three posterior subglottic stenosis, and bilateral vocal cord paralysis.
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Ep 11 · 11:52
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Brittany Levy summarizes what Dr. Michael Rutter said: If you choose the right size balloon, the risk of balloon dilation is extraordinarily low.
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Ep 11 · 11:52
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Brittany Levy summarizes what Dr. Michael Rutter said: In patients with intact laryngeal tracheal exoskeleton with fresher thin webs, endoscopic dilation works well, but thick and fixed scar may need adjuvant procedures or open procedure if sequential dilations are unsuccessful.
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Ep 11 · 11:52
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Brittany Levy summarizes what Dr. Michael Rutter said: Everyone can be an airway surgeon, and if you choose the right size balloon, the risk is extraordinarily low.
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Ep 11 · 14:12
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Brittany Levy summarizes what Dr. Michael Rutter said: Significant force is required to anchor the graft under the cut edges of the cricoid.
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Article of Interest: Optimal Timing of Tracheostomy in Injured Adolescents
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: In adolescent trauma patients without TBI, tracheostomy before 3 days resulted in a decreased ICU length of stay by approximately 16 days compared to later tracheostomy.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: At 3 days, there was no difference in overall hospital length of stay between early and late tracheostomy groups.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: Similar trends of decreased ICU length of stay were seen for all adolescent trauma patients regardless of TBI or non-TBI status if they received tracheostomy before 7 days of intubation.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: The article about timing of pediatric tracheostomy after traumatic injury was published in the Journal of Pediatric Critical Care Medicine in 2021.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: The authors analyzed the National Trauma Data Bank and identified over 40,000 adolescent trauma victims who were intubated for more than 24 hours and survived until discharge.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: The study stratified patients into TBI and non-TBI groups and examined tracheostomy timing at 3 and 7 days.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: So at 3 days, there was really no difference in overall hospital length of stay, but in kids that didn't have a TBI, they had a decreased ICU length of stay if they had a tracheostomy before 3 days by about 16 days less than the ICU.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: So what did they find? Well first, they broke it up into kids that had a TBI or a non-TBI and they looked at both 3 and 7 days for a tracheostomy.
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Ep 13 · 0:00
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Brittany Levy summarizing a resource: So the real question here is when should we provide a tracheostomy for adolescent trauma victims following their traumatic injury?
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Summaries Brittany gave as host · Colorectal / ARM & Hirschsprung
55 summaries
Open the Colorectal / ARM & Hirschsprung collection →
Journal of Pediatric Surgery Article Review: May 2022, CAPS Issue
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Ep 125 · 1:31
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Brittany Levy summarizing the discussion: in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
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Ep 125 · 1:31
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Brittany Levy summarizing the discussion: in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
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Ep 125 · 1:31
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Brittany Levy summarizing the discussion: Motor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.
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Ep 125 · 1:31
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Brittany Levy summarizing the discussion: Motor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.
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Ep 125 · 1:48
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Brittany Levy summarizing the discussion: Mortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.
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Ep 125 · 1:48
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Brittany Levy summarizing the discussion: Mortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.
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Ep 125 · 1:54
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Brittany Levy summarizing the discussion: Despite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.
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Ep 125 · 1:54
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Brittany Levy summarizing the discussion: Despite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.
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Ep 125 · 2:04
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Brittany Levy summarizing the discussion: After adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.
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Ep 125 · 2:04
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Brittany Levy summarizing the discussion: after adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.
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Ep 125 · 2:04
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Brittany Levy summarizing the discussion: after adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.
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Ep 125 · 2:04
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Brittany Levy summarizing the discussion: After adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.
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Ep 125 · 2:21
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Brittany Levy summarizing the discussion: the unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.
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Ep 125 · 2:21
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Brittany Levy summarizing the discussion: the unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.
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Ep 125 · 2:27
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Brittany Levy summarizing the discussion: the case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.
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Ep 125 · 2:27
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Brittany Levy summarizing the discussion: The statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.
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Ep 125 · 2:27
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Brittany Levy summarizing the discussion: the case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.
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Ep 125 · 2:27
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Brittany Levy summarizing the discussion: The statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.
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Ep 125 · 2:51
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Brittany Levy summarizing the discussion: Although we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.
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Ep 125 · 2:51
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Brittany Levy summarizing the discussion: The case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.
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Ep 125 · 2:51
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Brittany Levy summarizing the discussion: Although we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.
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Ep 125 · 2:51
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Brittany Levy summarizing the discussion: The case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: Self-inflicted pediatric gunshot wounds had a case fatality rate of 77%.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: Self-inflicted pediatric gunshot wounds had a case fatality rate of 77%.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.
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Ep 125 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.
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Ep 125 · 4:13
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Brittany Levy summarizing the discussion: A child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.
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Ep 125 · 4:13
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Brittany Levy summarizing the discussion: A child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.
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Ep 125 · 5:49
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Brittany Levy summarizing the discussion: Local interventions like community violence intervention programs can help reduce violence in the community.
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Ep 125 · 5:49
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Brittany Levy summarizing the discussion: Local interventions like community violence intervention programs can help reduce violence in the community.
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Ep 125 · 5:58
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Brittany Levy summarizing the discussion: Policy level changes need to be made around the country to reduce access to firearms and increase safety.
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Ep 125 · 5:58
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Brittany Levy summarizing the discussion: Policy level changes need to be made around the country to reduce access to firearms and increase safety.
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Ep 125 · 6:09
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Brittany Levy summarizing the discussion: Clinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.
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Ep 125 · 6:09
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Brittany Levy summarizing the discussion: Clinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.
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Ep 125 · 7:34
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Brittany Levy summarizing the discussion: We did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.
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Ep 125 · 7:34
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Brittany Levy summarizing the discussion: We did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.
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Ep 125 · 7:48
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Brittany Levy summarizing the discussion: The Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.
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Ep 125 · 7:48
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Brittany Levy summarizing the discussion: The Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.
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Ep 125 · 7:48
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Brittany Levy summarizing the discussion: we used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.
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Ep 125 · 7:48
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Brittany Levy summarizing the discussion: we used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.
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Ep 125 · 8:54
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Brittany Levy summarizing the discussion: It was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.
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Ep 125 · 8:54
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Brittany Levy summarizing the discussion: It was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.
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Ep 125 · 8:54
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Brittany Levy summarizing the discussion: Hirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.
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Ep 125 · 8:54
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Brittany Levy summarizing the discussion: Hirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.
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Ep 125 · 9:05
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Brittany Levy summarizing the discussion: In the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.
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Ep 125 · 9:05
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Brittany Levy summarizing the discussion: In the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.
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Ep 125 · 9:52
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Brittany Levy summarizing the discussion: Children with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.
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Ep 125 · 9:52
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Brittany Levy summarizing the discussion: Children with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.
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Ep 125 · 10:25
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Brittany Levy summarizing the discussion: Most children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.
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Ep 125 · 10:25
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Brittany Levy summarizing the discussion: Most children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.
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Quick Literature Updates Episode 7
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Ep 138 · 0:47
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Brittany Levy summarizing a resource: Allen et al. studied 277 children with Hirschsprung's disease, approximately half had Soave procedure, one-third had Duhamel, and the rest had Swenson procedure.
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Ep 138 · 0:47
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Brittany Levy summarizing a resource: 217 of the 277 Hirschsprung's disease patients had long-term outcome data available.
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Ep 138 · 0:47
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Brittany Levy summarizing a resource: Duhamel procedure has the lowest risk of incontinence but the highest risk of constipation in school age children with Hirschsprung's disease.
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Summaries Brittany gave as host · Complicated Appendicitis
1 summary
Open the Complicated Appendicitis collection →
Journal of Pediatric Surgery Article Review: March 2022
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Ep 1 · 1:49
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Brittany Levy summarizing the discussion: In Turkey, surgeons prefer open appendectomies in nearly half of children, especially those with lower BMIs.
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Summaries Brittany gave as host · Congenital Esophageal Stenosis
1 summary
Open the Congenital Esophageal Stenosis collection →
Journal of Pediatric Surgery Article Review: March 2022
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Ep 1 · 1:49
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Brittany Levy summarizing the discussion: In Turkey, surgeons prefer open appendectomies in nearly half of children, especially those with lower BMIs.
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Summaries Brittany gave as host · Esophageal Atresia
4 summaries
Open the Esophageal Atresia collection →
Journal of Pediatric Surgery Article Review: February 2022 - BAPS Issue
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Ep 73 · 9:24
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Brittany Levy summarizing the discussion: Kids Operating Room sends a new operating room every 12 days.
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Ep 73 · 10:03
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Brittany Levy summarizing the discussion: Kids Operating Room provides local engineers who recommission equipment, provide training, and offer remote video call support for troubleshooting when equipment problems arise.
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Ep 73 · 10:54
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Brittany Levy summarizing the discussion: Kids Operating Room will have 75 operating rooms open by the end of this year, with the ultimate goal of enough capacity for every child to access care.
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Ep 73 · 10:57
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Brittany Levy summarizing the discussion: I think the end point is where there is enough capacity that every child can access care.
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Summaries Brittany gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
8 summaries
Open the Etiologies (Gastroschisis/NEC/Atresia/Volvulus) collection →
Quick Literature Updates Episode 6
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Ep 48 · 1:29
host summary
Brittany Levy summarizing a resource: Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
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Ep 48 · 1:29
host summary
Brittany Levy summarizing a resource: firearm injuries are more lethal in children than MVCs and we need to do something about it
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Ep 48 · 1:29
host summary
Brittany Levy summarizing a resource: Helicopter transport may be over-utilized in pediatric trauma.
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Ep 48 · 1:29
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Brittany Levy summarizing a resource: 98.7% of children transported by helicopter did not require an emergency intervention.
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Ep 48 · 1:29
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Brittany Levy summarizing a resource: 1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
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Ep 48 · 1:29
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Brittany Levy summarizing a resource: Children transported via helicopter had a higher injury severity score than those transported by ground.
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Ep 48 · 1:29
host summary
Brittany Levy summarizing a resource: The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
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Ep 48 · 2:50
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Brittany Levy summarizing a resource: So we might be over utilizing helicopter transport.
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Summaries Brittany gave as host · Fetal Surgery
13 summaries
Open the Fetal Surgery collection →
Journal of Pediatric Surgery Article Highlights: April 2022
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Ep 20 · 0:34
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Brittany Levy summarizing the discussion: The first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.
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Ep 20 · 0:58
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Brittany Levy summarizing the discussion: The study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.
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Ep 20 · 1:14
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Brittany Levy summarizing the discussion: Worm's tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 20 · 1:14
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Brittany Levy summarizing the discussion: Dr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 20 · 1:39
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Brittany Levy summarizing the discussion: The obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.
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Ep 20 · 1:39
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Brittany Levy summarizing the discussion: Dr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.
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Ep 20 · 1:54
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Brittany Levy summarizing the discussion: If half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.
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Ep 20 · 2:13
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Brittany Levy summarizing the discussion: The second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.
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Ep 20 · 2:40
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Brittany Levy summarizing the discussion: The article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.
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Ep 20 · 5:37
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Brittany Levy summarizing the discussion: Many survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.
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Ep 20 · 5:54
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Brittany Levy summarizing the discussion: Dr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.
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Ep 20 · 5:54
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Brittany Levy summarizing the discussion: Fetal surgery is a frontier for pediatric surgery.
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Ep 20 · 6:00
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Brittany Levy summarizing the discussion: It is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.
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Summaries Brittany gave as host · Gastroschisis
8 summaries
Open the Gastroschisis collection →
Quick Literature Updates Episode 6
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Ep 7 · 1:29
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Brittany Levy summarizing a resource: Helicopter transport may be over-utilized in pediatric trauma.
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Ep 7 · 1:29
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Brittany Levy summarizing a resource: 98.7% of children transported by helicopter did not require an emergency intervention.
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Ep 7 · 1:29
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Brittany Levy summarizing a resource: 1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
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Ep 7 · 1:29
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Brittany Levy summarizing a resource: Children transported via helicopter had a higher injury severity score than those transported by ground.
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Ep 7 · 1:29
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Brittany Levy summarizing a resource: Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
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Ep 7 · 1:29
host summary
Brittany Levy summarizing a resource: The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
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Ep 7 · 1:29
host summary
Brittany Levy summarizing a resource: firearm injuries are more lethal in children than MVCs and we need to do something about it
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Ep 7 · 2:50
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Brittany Levy summarizing a resource: So we might be over utilizing helicopter transport.
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Summaries Brittany gave as host · Gunshot Wound
8 summaries
Open the Gunshot Wound collection →
Quick Literature Updates Episode 6
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Ep 2 · 1:29
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Brittany Levy summarizing a resource: firearm injuries are more lethal in children than MVCs and we need to do something about it
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Ep 2 · 1:29
host summary
Brittany Levy summarizing a resource: The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
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Ep 2 · 1:29
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Brittany Levy summarizing a resource: 1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
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Ep 2 · 1:29
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Brittany Levy summarizing a resource: Children transported via helicopter had a higher injury severity score than those transported by ground.
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Ep 2 · 1:29
host summary
Brittany Levy summarizing a resource: Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
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Ep 2 · 1:29
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Brittany Levy summarizing a resource: Helicopter transport may be over-utilized in pediatric trauma.
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Ep 2 · 1:29
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Brittany Levy summarizing a resource: 98.7% of children transported by helicopter did not require an emergency intervention.
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Ep 2 · 2:50
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Brittany Levy summarizing a resource: So we might be over utilizing helicopter transport.
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Summaries Brittany gave as host · Hirschsprung disease
29 summaries
Open the Hirschsprung disease collection →
Journal of Pediatric Surgery Article Review: May 2022, CAPS Issue
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Ep 53 · 1:31
host summary
Brittany Levy summarizing the discussion: Motor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.
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Ep 53 · 1:31
host summary
Brittany Levy summarizing the discussion: in this study, we compared the impact of motor vehicle collisions and firearm violence in pediatric trauma patients, and we chose these two mechanisms of injury as they represent the leading causes of morbidity and mortality in this age group.
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Ep 53 · 1:48
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Brittany Levy summarizing the discussion: Mortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.
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Ep 53 · 1:54
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Brittany Levy summarizing the discussion: Despite lower absolute numbers of children sustaining firearm injuries, the mortality was significantly higher at 7.5%. And that's compared to 1% for motor vehicle collisions.
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Ep 53 · 2:04
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Brittany Levy summarizing the discussion: After adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.
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Ep 53 · 2:04
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Brittany Levy summarizing the discussion: after adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in MPCs.
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Ep 53 · 2:21
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Brittany Levy summarizing the discussion: the unfortunate truth is that we can only save children who survive their injuries long enough to make it to the hospital.
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Ep 53 · 2:27
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Brittany Levy summarizing the discussion: the case fatality rate statewide was almost 15% overall, which is twice as high as our institutional mortality rate. And 49 times higher than the case fatality rate statewide for NBCs, which is astounding.
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Ep 53 · 2:27
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Brittany Levy summarizing the discussion: The statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.
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Ep 53 · 2:51
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Brittany Levy summarizing the discussion: Although we saw that the case fatality rate across the state decreased over time for motor vehicle related injuries, the case fatality rate for children injured by firearms rose from 13% to almost 17% over time.
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Ep 53 · 2:51
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Brittany Levy summarizing the discussion: The case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.
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Ep 53 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.
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Ep 53 · 3:13
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Brittany Levy summarizing the discussion: Self-inflicted pediatric gunshot wounds had a case fatality rate of 77%.
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Ep 53 · 3:13
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Brittany Levy summarizing the discussion: The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries, and these injuries had a case fatality rate of 77%, which is Hard to believe.
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Ep 53 · 4:13
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Brittany Levy summarizing the discussion: A child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.
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Ep 53 · 5:49
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Brittany Levy summarizing the discussion: Local interventions like community violence intervention programs can help reduce violence in the community.
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Ep 53 · 5:58
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Brittany Levy summarizing the discussion: Policy level changes need to be made around the country to reduce access to firearms and increase safety.
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Ep 53 · 6:09
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Brittany Levy summarizing the discussion: Clinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.
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Ep 53 · 7:34
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Brittany Levy summarizing the discussion: We did a retrospective kind of cohort study of all the Hirshsprung patients born in Winnipeg, Canada.
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Ep 53 · 7:48
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Brittany Levy summarizing the discussion: we used a provincial data repository that we had available to us called the Manitoba Center for Health Policy, and using that, we found a 10 to 1, uh, match control cohort.
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Ep 53 · 7:48
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Brittany Levy summarizing the discussion: The Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.
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Ep 53 · 8:54
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Brittany Levy summarizing the discussion: It was interesting to see um that the Hirshprung patients performed. Um, just as well as the control cohort, basically from grade 3 or grade school onwards until grade 12 graduation.
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Ep 53 · 8:54
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Brittany Levy summarizing the discussion: Hirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.
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Ep 53 · 9:05
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Brittany Levy summarizing the discussion: In the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.
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Ep 53 · 9:52
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Brittany Levy summarizing the discussion: Children with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.
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Ep 53 · 10:25
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Brittany Levy summarizing the discussion: Most children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.
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Quick Literature Updates Episode 7
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Ep 58 · 0:47
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Brittany Levy summarizing a resource: Allen et al. studied 277 children with Hirschsprung's disease, approximately half had Soave procedure, one-third had Duhamel, and the rest had Swenson procedure.
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Ep 58 · 0:47
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Brittany Levy summarizing a resource: 217 of the 277 Hirschsprung's disease patients had long-term outcome data available.
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Ep 58 · 0:47
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Brittany Levy summarizing a resource: Duhamel procedure has the lowest risk of incontinence but the highest risk of constipation in school age children with Hirschsprung's disease.
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Summaries Brittany gave as host · Intestinal Rehab
11 summaries
Open the Intestinal Rehab collection →
Quick Literature Updates Episode 6
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Ep 70 · 1:29
host summary
Brittany Levy summarizing a resource: 1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: Helicopter transport may be over-utilized in pediatric trauma.
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: firearm injuries are more lethal in children than MVCs and we need to do something about it
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: Children transported via helicopter had a higher injury severity score than those transported by ground.
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
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Ep 70 · 1:29
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Brittany Levy summarizing a resource: 98.7% of children transported by helicopter did not require an emergency intervention.
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Ep 70 · 2:50
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Brittany Levy summarizing a resource: So we might be over utilizing helicopter transport.
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Quick Literature Updates Episode 7
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Ep 71 · 0:47
host summary
Brittany Levy summarizing a resource: Allen et al. studied 277 children with Hirschsprung's disease, approximately half had Soave procedure, one-third had Duhamel, and the rest had Swenson procedure.
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Ep 71 · 0:47
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Brittany Levy summarizing a resource: 217 of the 277 Hirschsprung's disease patients had long-term outcome data available.
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Ep 71 · 0:47
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Brittany Levy summarizing a resource: Duhamel procedure has the lowest risk of incontinence but the highest risk of constipation in school age children with Hirschsprung's disease.
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Summaries Brittany gave as host · Long Gap Esophageal Atresia
4 summaries
Open the Long Gap Esophageal Atresia collection →
Journal of Pediatric Surgery Article Review: February 2022 - BAPS Issue
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Ep 8 · 9:24
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Brittany Levy summarizing the discussion: Kids Operating Room sends a new operating room every 12 days.
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Ep 8 · 10:03
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Brittany Levy summarizing the discussion: Kids Operating Room provides local engineers who recommission equipment, provide training, and offer remote video call support for troubleshooting when equipment problems arise.
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Ep 8 · 10:54
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Brittany Levy summarizing the discussion: Kids Operating Room will have 75 operating rooms open by the end of this year, with the ultimate goal of enough capacity for every child to access care.
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Ep 8 · 10:57
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Brittany Levy summarizing the discussion: I think the end point is where there is enough capacity that every child can access care.
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Summaries Brittany gave as host · Myelomeningocele
13 summaries
Open the Myelomeningocele collection →
Journal of Pediatric Surgery Article Highlights: April 2022
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Ep 6 · 0:34
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Brittany Levy summarizing the discussion: The first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.
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Ep 6 · 0:58
host summary
Brittany Levy summarizing the discussion: The study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.
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Ep 6 · 1:14
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Brittany Levy summarizing the discussion: Worm's tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 6 · 1:14
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Brittany Levy summarizing the discussion: Dr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 6 · 1:39
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Brittany Levy summarizing the discussion: Dr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.
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Ep 6 · 1:39
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Brittany Levy summarizing the discussion: The obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.
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Ep 6 · 1:54
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Brittany Levy summarizing the discussion: If half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.
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Ep 6 · 2:13
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Brittany Levy summarizing the discussion: The second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.
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Ep 6 · 2:40
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Brittany Levy summarizing the discussion: The article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.
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Ep 6 · 5:37
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Brittany Levy summarizing the discussion: Many survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.
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Ep 6 · 5:54
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Brittany Levy summarizing the discussion: Dr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.
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Ep 6 · 5:54
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Brittany Levy summarizing the discussion: Fetal surgery is a frontier for pediatric surgery.
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Ep 6 · 6:00
host summary
Brittany Levy summarizing the discussion: It is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.
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Summaries Brittany gave as host · Pectus Carinatum
4 summaries
Open the Pectus Carinatum collection →
Quick Literature Updates Episode 5
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Ep 12 · 3:01
host summary
Brittany Levy summarizing a resource: There is no amount of blood transfusion that's futile in pediatric trauma.
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Ep 12 · 3:01
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Brittany Levy summarizing a resource: The study looked at 633 kids receiving massive transfusion protocol: 58 died within the first 24 hours, 78 died after 24 hours, and 575 survived.
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Ep 12 · 3:01
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Brittany Levy summarizing a resource: There was no statistically significant difference in blood transfusion requirements among the three outcome groups (died within 24h, died after 24h, survived).
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Ep 12 · 3:01
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Brittany Levy summarizing a resource: The amount of blood transfusion needed isn't linked to patient outcomes in pediatric trauma.
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Summaries Brittany gave as host · Pediatric Oncology
13 summaries
Open the Pediatric Oncology collection →
Journal of Pediatric Surgery Article Highlights: April 2022
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Ep 370 · 0:34
host summary
Brittany Levy summarizing the discussion: The first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.
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Ep 370 · 0:58
host summary
Brittany Levy summarizing the discussion: The study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.
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Ep 370 · 1:14
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 370 · 1:14
host summary
Brittany Levy summarizing the discussion: Worm's tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 370 · 1:39
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.
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Ep 370 · 1:39
host summary
Brittany Levy summarizing the discussion: The obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.
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Ep 370 · 1:54
host summary
Brittany Levy summarizing the discussion: If half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.
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Ep 370 · 2:13
host summary
Brittany Levy summarizing the discussion: The second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.
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Ep 370 · 2:40
host summary
Brittany Levy summarizing the discussion: The article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.
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Ep 370 · 5:37
host summary
Brittany Levy summarizing the discussion: Many survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.
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Ep 370 · 5:54
host summary
Brittany Levy summarizing the discussion: Fetal surgery is a frontier for pediatric surgery.
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Ep 370 · 5:54
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.
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Ep 370 · 6:00
host summary
Brittany Levy summarizing the discussion: It is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.
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Summaries Brittany gave as host · Short Bowel Syndrome
3 summaries
Open the Short Bowel Syndrome collection →
Quick Literature Updates Episode 7
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Ep 6 · 0:47
host summary
Brittany Levy summarizing a resource: 217 of the 277 Hirschsprung's disease patients had long-term outcome data available.
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Ep 6 · 0:47
host summary
Brittany Levy summarizing a resource: Allen et al. studied 277 children with Hirschsprung's disease, approximately half had Soave procedure, one-third had Duhamel, and the rest had Swenson procedure.
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Ep 6 · 0:47
host summary
Brittany Levy summarizing a resource: Duhamel procedure has the lowest risk of incontinence but the highest risk of constipation in school age children with Hirschsprung's disease.
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Summaries Brittany gave as host · Tracheomalacia
22 summaries
Open the Tracheomalacia collection →
QUAD #17 - Innominate Artery Compression and Management Through The Neck - Dr. Doug von Allmen
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Ep 6 · 1:00
host summary
Brittany Levy summarizing a resource: Innominate artery compression was initially described in the 1940s by Gross et al.
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Ep 6 · 1:15
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Brittany Levy summarizing a resource: Innominate artery compression occurs in about 30% of children under 2 years old
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Ep 6 · 1:25
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Brittany Levy summarizing a resource: Partial innominate artery compression can be seen commonly on routine bronchoscopies
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Ep 6 · 1:35
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Brittany Levy summarizing a resource: Many patients with innominate artery compression are asymptomatic and do not need intervention
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Ep 6 · 1:45
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Brittany Levy summarizing a resource: Intervention should be considered when innominate artery compression is associated with tracheomalacia or obstructive symptoms
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Ep 6 · 2:00
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Brittany Levy summarizing a resource: Morbido et al. described a cervical approach to the innominate artery using a partial sternotomy
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Ep 6 · 2:10
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Brittany Levy summarizing a resource: Yardley's group performed the procedure on 22 patients through a lower transverse cervical incision
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Ep 6 · 2:20
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Brittany Levy summarizing a resource: Yardley's group achieved improvement in tracheal lumen of 35 to 80% in their series
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Ep 6 · 2:28
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Brittany Levy summarizing a resource: Yardley's group saw improvement in symptoms in 72% of their patients
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Ep 6 · 2:35
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Brittany Levy summarizing a resource: Syndromic patients had inferior outcomes with the cervical approach in Yardley's series
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Ep 6 · 2:55
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Brittany Levy summarizing a resource: The case patient was a six-month-old with long gap esophageal atresia who had undergone a prior repair attempt with proximal pouch perforation and issues with TEF ligation
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Ep 6 · 3:15
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Brittany Levy summarizing a resource: The case patient had a right-sided esophagostomy, right vocal cord paralysis, and required CPAP of 8
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Ep 6 · 3:55
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Brittany Levy summarizing a resource: It is important to try not to dissect between the artery and the trachea during the procedure
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Ep 6 · 4:05
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Brittany Levy summarizing a resource: The goal is to pull the artery forward and also drag the anterior tracheal wall forward
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Ep 6 · 4:13
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Brittany Levy summarizing a resource: The cervical approach provides a good view of the anterior tracheal wall allowing placement of an anterior tracheopexy stitch if needed
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Ep 6 · 4:25
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Brittany Levy summarizing a resource: Post-operative bronchoscopy showed improvement of the tracheal lumen in the case patient
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Ep 6 · 4:33
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Brittany Levy summarizing a resource: The case patient was weaned off oxygen and discharged home on room air
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Ep 6 · 4:40
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Brittany Levy summarizing a resource: At Cincinnati Children's Hospital, 2 out of 3 patients with tracheostomies were decannulated after the procedure
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Ep 6 · 4:50
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Brittany Levy summarizing a resource: Some patients at Cincinnati Children's Hospital were discharged in 24 to 48 hours after the procedure
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Ep 6 · 4:58
host summary
Brittany Levy summarizing a resource: Patients with reduced room in the thoracic outlet may have inferior outcomes
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Ep 6 · 5:06
host summary
Brittany Levy summarizing a resource: Cincinnati Children's Hospital team found that patients with less than 1 centimeter of space between the innominate artery and the back of the sternum on CT had inferior results
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Ep 6 · 5:20
host summary
Brittany Levy summarizing a resource: Ideal candidates have the innominate artery positioned high and easy to access through the neck
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Summaries Brittany gave as host · Trauma
11 summaries
Open the Trauma collection →
APSA Article of Interest: REBOA in Pediatric Trauma
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Ep 8 · 0:00
host summary
Brittany Levy summarizing a resource: The technology might need some modifications for pediatric use
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: REBOA has not made it into prime time for pediatric trauma yet
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: Only 30% of pediatric patients who received REBOA survived
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: REBOA improved hemodynamics in the pediatric population studied
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: All 11 pediatric patients who received REBOA were adolescents with a median age of 17
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: Over seven years, there were only 11 patients in the AAST REBOA registry that were less than 18 years old that had a REBOA placed
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: REBOA is not used at all centers even in adults
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: REBOA is a minimally invasive method of hemorrhage control where a sheath is introduced into the aorta via femoral arterial access and inflated to occlude arterial flow in zone one, two, or three of the thoracic or abdominal aorta
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Ep 8 · 0:00
host summary
Brittany Levy summarizing a resource: REBOA stands for resuscitative endovascular balloon occlusion of the aorta
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: REBOA has been gaining popularity for trauma and non-trauma indications in adult centers
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Ep 8 · 0:00
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Brittany Levy summarizing a resource: A better identification strategy is needed to know what patients would benefit from REBOA intervention
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Summaries Brittany gave as host · Wilms Tumor
13 summaries
Open the Wilms Tumor collection →
Journal of Pediatric Surgery Article Highlights: April 2022
▶
Ep 12 · 0:34
host summary
Brittany Levy summarizing the discussion: The first article examines surgical management, staging and outcomes of Wilms tumors with intravascular extension, using results from the SIOP (International Society of Pediatric Oncology) Renal Tumor Study.
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Ep 12 · 0:58
host summary
Brittany Levy summarizing the discussion: The study looked at children with Wilms tumor where tumor thrombus extended into the renal vein and provided outcomes for when complete resection of tumor thrombus was successful versus when it was not.
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Ep 12 · 1:14
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam states that Wilms tumor has been a great success story for pediatric surgery and pediatric oncology.
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Ep 12 · 1:14
host summary
Brittany Levy summarizing the discussion: Worm's tumor has been a great success story for pediatric surgery and pediatric oncology.
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▶
Ep 12 · 1:39
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam suggests improving outcomes by identifying subgroups of patients who are still not doing well and trying to improve care in those particular areas.
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Ep 12 · 1:39
host summary
Brittany Levy summarizing the discussion: The obvious thing to do is to identify areas, uh, subgroups of patients who are not, still not doing so well and try to improve in this. Particular area.
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Ep 12 · 1:54
host summary
Brittany Levy summarizing the discussion: If half of Wilms tumor patients have complete tumor removal and half do not, and there is an outcome difference, then surgeons should still try hard to remove all of the tumor.
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Ep 12 · 2:13
host summary
Brittany Levy summarizing the discussion: The second article examines efficacy of clinical grade human placental mesenchymal stromal cells in fetal ovine myelomeningocele repair.
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Ep 12 · 2:40
host summary
Brittany Levy summarizing the discussion: The article discussed use of mesenchymal stromal cells on an extracellular matrix in ovine fetuses to determine if there was a benefit to motor function in fetal lambs given the intervention.
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▶
Ep 12 · 5:37
host summary
Brittany Levy summarizing the discussion: Many survey respondents reported receiving fetal training during their pediatric surgery fellowship training, yet when the question was posed differently, many responded that they did not have exposure to fetal surgery during fellowship training.
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▶
Ep 12 · 5:54
host summary
Brittany Levy summarizing the discussion: Dr. Paul Tam states that fetal surgery is a frontier for pediatric surgery and the survey provides a reality check on how to develop a treatment which remains rare and often experimental.
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▶
Ep 12 · 5:54
host summary
Brittany Levy summarizing the discussion: Fetal surgery is a frontier for pediatric surgery.
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Ep 12 · 6:00
host summary
Brittany Levy summarizing the discussion: It is thought provoking. I felt that this survey gives us a reality check on how we should develop a front. treatment which up to this stage remains rare and often experimental.
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