For reasons that might not be totally clear, that the earlier you do it, the, the less the bleeding risk was. I think it was in the ballpark of 1% if you operate in less than 24 hours. At 48 hours, it was 5 or 6%. And then after it jumped up to maybe 15%.
Surgical bleeding risk for CDH repair on ECMO was approximately 1% if operated in less than 24 hours, 5-6% at 48 hours, and jumped to maybe 15% after 48 hours.
Journal of Pediatric Surgery Article Review: September 2023
▶Ep 159 · 4:58
clinicalSurgical bleeding risk for CDH repair on ECMO was approximately 1% if operated in less than 24 hours, 5-6% at 48 hours, and jumped to maybe 15% after 48 hours.↗
▶Ep 159 · 4:58
quoteFor reasons that might not be totally clear, that the earlier you do it, the, the less the bleeding risk was. I think it was in the ballpark of 1% if you operate in less than 24 hours. At 48 hours, it was 5 or 6%. And then after it jumped up to maybe 15%.↗
▶Ep 159 · 6:46
quoteIf you only repair off ECMO, there's uh, there's a certain amount who died. Because they never came off ECMO.↗
▶Ep 159 · 6:46
clinicalIf CDH repair is only performed off ECMO, a certain number of patients die because they never came off ECMO.↗
▶Ep 159 · 6:53
clinicalOne key to CDH management is to promote lung growth after repair, optimizing contralateral lung growth rather than ipsilateral lung growth.↗
▶Ep 159 · 6:53
quoteI think one of the keys is to grow, get the lung growth after you do the repair, and do it in such a way that the contralateral lung grows the most and not the ipsilateral lung.↗
Jason's statements about Pectus Carinatum6 statements
Journal of Pediatric Surgery Article Review: September 2023
▶Ep 15 · 4:58
clinicalSurgical bleeding risk for CDH repair on ECMO was approximately 1% if operated in less than 24 hours, 5-6% at 48 hours, and jumped to maybe 15% after 48 hours.↗
▶Ep 15 · 4:58
quoteFor reasons that might not be totally clear, that the earlier you do it, the, the less the bleeding risk was. I think it was in the ballpark of 1% if you operate in less than 24 hours. At 48 hours, it was 5 or 6%. And then after it jumped up to maybe 15%.↗
▶Ep 15 · 6:46
quoteIf you only repair off ECMO, there's uh, there's a certain amount who died. Because they never came off ECMO.↗
▶Ep 15 · 6:46
clinicalIf CDH repair is only performed off ECMO, a certain number of patients die because they never came off ECMO.↗
▶Ep 15 · 6:53
clinicalOne key to CDH management is to promote lung growth after repair, optimizing contralateral lung growth rather than ipsilateral lung growth.↗
▶Ep 15 · 6:53
quoteI think one of the keys is to grow, get the lung growth after you do the repair, and do it in such a way that the contralateral lung grows the most and not the ipsilateral lung.↗
Jason's statements about Pectus Excavatum6 statements
Journal of Pediatric Surgery Article Review: September 2023
▶Ep 42 · 4:58
quoteFor reasons that might not be totally clear, that the earlier you do it, the, the less the bleeding risk was. I think it was in the ballpark of 1% if you operate in less than 24 hours. At 48 hours, it was 5 or 6%. And then after it jumped up to maybe 15%.↗
▶Ep 42 · 4:58
clinicalSurgical bleeding risk for CDH repair on ECMO was approximately 1% if operated in less than 24 hours, 5-6% at 48 hours, and jumped to maybe 15% after 48 hours.↗
▶Ep 42 · 6:46
quoteIf you only repair off ECMO, there's uh, there's a certain amount who died. Because they never came off ECMO.↗
▶Ep 42 · 6:46
clinicalIf CDH repair is only performed off ECMO, a certain number of patients die because they never came off ECMO.↗
▶Ep 42 · 6:53
quoteI think one of the keys is to grow, get the lung growth after you do the repair, and do it in such a way that the contralateral lung grows the most and not the ipsilateral lung.↗
▶Ep 42 · 6:53
clinicalOne key to CDH management is to promote lung growth after repair, optimizing contralateral lung growth rather than ipsilateral lung growth.↗
