Jose Peiro

99 timestamped statements across 2 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Fetal Surgery · guest expert

Featured diaries

▶ Ep 22 · 4:25
Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications.
quote · Congenital Pulmonary Airway Malformation
▶ Ep 23 · 4:25
Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications.
quote · Fetal Surgery
▶ Ep 23 · 4:25
Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications.
quote · Fetal Surgery
▶ Ep 22 · 2:29
Open fetal surgery is the most similar to neonatal surgery, so we have the patient in our hands. We can operate in a fetus the same as we operate in a preemie.
quote · Congenital Pulmonary Airway Malformation

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Congenital Pulmonary Airway Malformation 33 entries

Open Fetal Surgery & EXIT Procedure with Dr. Jose Peiro

▶ Ep 22 · 0:33
quote The answer is very easy. It's just because we have prenatal diagnosis. ↗
▶ Ep 22 · 0:38
quote So in other words, we can detect things in utero very early in gestation. ↗
▶ Ep 22 · 0:47
quote The most important is the prenatal ultrasounds. The conventional ultrasounds at mid gestation around 20 weeks will be the best. ↗
▶ Ep 22 · 0:47
clinical Prenatal ultrasound at mid-gestation around 20 weeks is the best tool for detecting fetal malformations, with high detection rates in developed countries. ↗
▶ Ep 22 · 1:27
clinical Doppler ultrasound can assess fetal hemodynamic status by measuring flows in the umbilical artery, ductus venosus, and middle cerebral artery. ↗
▶ Ep 22 · 1:43
clinical Fetal MRI contributes to diagnosis definition after ultrasound, especially for findings in the brain, chest, and abdomen. ↗
▶ Ep 22 · 2:04
quote So that's the goal of fetal intervention. Just try to rescue or improve these conditions. ↗
▶ Ep 22 · 2:13
clinical In gastroschisis, earlier delivery can reduce bowel injury, resulting in less serositis and better recovery. ↗
▶ Ep 22 · 2:29
quote Open fetal surgery is the most similar to neonatal surgery, so we have the patient in our hands. We can operate in a fetus the same as we operate in a preemie. ↗
▶ Ep 22 · 2:37
quote The only problem is we need to open the uterus. ↗
▶ Ep 22 · 3:01
quote For that reason, all the fetal surgeons were trying to go away from fetal surgery, trying to look for minimally invasive surgery. ↗
▶ Ep 22 · 3:12
quote Open fetal surgery still is used for large, solid masses in the chest, for sacrococcial teratomass, and also for spina bifida. ↗
▶ Ep 22 · 3:12
clinical Open fetal surgery is still used for large solid chest masses, sacrococcygeal teratomas, and spina bifida. ↗
▶ Ep 22 · 3:30
clinical Solid CPAM lesions grow rapidly and can cause mediastinal shift, compression of the contralateral lung and heart, leading to hydrops fetalis. ↗
▶ Ep 22 · 3:49
clinical Hydrops fetalis (ascites, pleural effusion, scalp edema, anasarca) is very close to fetal demise and is the usual outcome if untreated. ↗
▶ Ep 22 · 3:57
quote So hydros fetalis is very close to be complete a fetal demise. That is the usual outcome of these babies if we don't do nothing. ↗
▶ Ep 22 · 4:25
quote Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications. ↗
▶ Ep 22 · 4:25
clinical CVR less than 1.6 indicates very low risk of hydrops; CVR greater than 1.6 indicates high risk of hydrops and complications. ↗
▶ Ep 22 · 4:53
quote It's a good rescue in more than half of these babies. So, the other half or 40%, probably don't respond very well. ↗
▶ Ep 22 · 4:53
epidemiological Steroids rescue more than half of CPAM cases; the remaining 40% do not respond well. ↗
▶ Ep 22 · 5:01
clinical Before 30 weeks, cystic CPAM can be treated with a shunt; solid CPAM requires open fetal surgery and lobectomy. ↗
▶ Ep 22 · 5:22
clinical Solid sacrococcygeal teratomas are more dangerous than cystic ones due to rapid growth and vascularization visible on Doppler. ↗
▶ Ep 22 · 5:32
clinical The Altman classification used postnatally can also be applied to prenatal MRI to determine teratoma type and need for intervention. ↗
▶ Ep 22 · 5:51
guideline Open fetal surgery is the gold standard for spina bifida, though other innovations are in development. ↗
▶ Ep 22 · 6:04
clinical Spina bifida originates at approximately 4 weeks of embryonic time when the neural tube fails to close. ↗
▶ Ep 22 · 6:16
clinical In spina bifida, the exposed spinal cord is damaged by contact with amniotic fluid rich in meconium and enzymes (the 'second hit'), progressively destroying neural tissue and nerves. ↗
▶ Ep 22 · 7:28
clinical Hydrocephalus in spina bifida requires ventriculoperitoneal shunting and causes migration disorders and heterotopia. ↗
▶ Ep 22 · 7:51
clinical The rationale for fetal spina bifida repair is to prevent amniotic fluid from touching the nerves and to stop CSF leak. ↗
▶ Ep 22 · 8:34
clinical In fetoscopic spina bifida repair, a collagen patch is introduced through the cannula for duroplasty, maintained with one stitch, followed by primary skin closure or patch. ↗
▶ Ep 22 · 8:58
clinical The EXIT procedure is performed at delivery for conditions that can cause neonatal asphyxia or difficult intubation, such as neck masses compressing the trachea, congenital airway obstruction, or severe micrognathia. ↗
▶ Ep 22 · 9:25
clinical During EXIT, placental oxygenation can be maintained for 1 to 3 hours, providing a controlled situation without need to rush airway securement. ↗
▶ Ep 22 · 9:48
clinical During EXIT for neck teratomas, if intubation is not possible with rigid instruments or laryngoscopy, partial resection of the teratoma can be performed to identify the trachea and then intubate. ↗
▶ Ep 22 · 10:10
clinical Once intubation is achieved during EXIT, the cord is clamped and complete teratoma resection is performed in an adjacent operating room. ↗
Fetal Surgery 66 entries

Open Fetal Surgery & EXIT Procedure with Dr. Jose Peiro

▶ Ep 23 · 0:33
quote The answer is very easy. It's just because we have prenatal diagnosis. ↗
▶ Ep 23 · 0:33
quote The answer is very easy. It's just because we have prenatal diagnosis. ↗
▶ Ep 23 · 0:38
quote So in other words, we can detect things in utero very early in gestation. ↗
▶ Ep 23 · 0:38
quote So in other words, we can detect things in utero very early in gestation. ↗
▶ Ep 23 · 0:47
clinical Prenatal ultrasound at mid-gestation around 20 weeks is the best tool for detecting fetal malformations, with high detection rates in developed countries. ↗
▶ Ep 23 · 0:47
quote The most important is the prenatal ultrasounds. The conventional ultrasounds at mid gestation around 20 weeks will be the best. ↗
▶ Ep 23 · 0:47
clinical Prenatal ultrasound at mid-gestation around 20 weeks is the best tool for detecting fetal malformations, with high detection rates in developed countries. ↗
▶ Ep 23 · 0:47
quote The most important is the prenatal ultrasounds. The conventional ultrasounds at mid gestation around 20 weeks will be the best. ↗
▶ Ep 23 · 1:27
clinical Doppler ultrasound can assess fetal hemodynamic status by measuring flows in the umbilical artery, ductus venosus, and middle cerebral artery. ↗
▶ Ep 23 · 1:27
clinical Doppler ultrasound can assess fetal hemodynamic status by measuring flows in the umbilical artery, ductus venosus, and middle cerebral artery. ↗
▶ Ep 23 · 1:43
clinical Fetal MRI contributes to diagnosis definition after ultrasound, especially for findings in the brain, chest, and abdomen. ↗
▶ Ep 23 · 1:43
clinical Fetal MRI contributes to diagnosis definition after ultrasound, especially for findings in the brain, chest, and abdomen. ↗
▶ Ep 23 · 2:04
quote So that's the goal of fetal intervention. Just try to rescue or improve these conditions. ↗
▶ Ep 23 · 2:04
quote So that's the goal of fetal intervention. Just try to rescue or improve these conditions. ↗
▶ Ep 23 · 2:13
clinical In gastroschisis, earlier delivery can reduce bowel injury, resulting in less serositis and better recovery. ↗
▶ Ep 23 · 2:13
clinical In gastroschisis, earlier delivery can reduce bowel injury, resulting in less serositis and better recovery. ↗
▶ Ep 23 · 2:29
quote Open fetal surgery is the most similar to neonatal surgery, so we have the patient in our hands. We can operate in a fetus the same as we operate in a preemie. ↗
▶ Ep 23 · 2:29
quote Open fetal surgery is the most similar to neonatal surgery, so we have the patient in our hands. We can operate in a fetus the same as we operate in a preemie. ↗
▶ Ep 23 · 2:37
quote The only problem is we need to open the uterus. ↗
▶ Ep 23 · 2:37
quote The only problem is we need to open the uterus. ↗
▶ Ep 23 · 3:01
quote For that reason, all the fetal surgeons were trying to go away from fetal surgery, trying to look for minimally invasive surgery. ↗
▶ Ep 23 · 3:01
quote For that reason, all the fetal surgeons were trying to go away from fetal surgery, trying to look for minimally invasive surgery. ↗
▶ Ep 23 · 3:12
quote Open fetal surgery still is used for large, solid masses in the chest, for sacrococcial teratomass, and also for spina bifida. ↗
▶ Ep 23 · 3:12
clinical Open fetal surgery is still used for large solid chest masses, sacrococcygeal teratomas, and spina bifida. ↗
▶ Ep 23 · 3:12
clinical Open fetal surgery is still used for large solid chest masses, sacrococcygeal teratomas, and spina bifida. ↗
▶ Ep 23 · 3:12
quote Open fetal surgery still is used for large, solid masses in the chest, for sacrococcial teratomass, and also for spina bifida. ↗
▶ Ep 23 · 3:30
clinical Solid CPAM lesions grow rapidly and can cause mediastinal shift, compression of the contralateral lung and heart, leading to hydrops fetalis. ↗
▶ Ep 23 · 3:30
clinical Solid CPAM lesions grow rapidly and can cause mediastinal shift, compression of the contralateral lung and heart, leading to hydrops fetalis. ↗
▶ Ep 23 · 3:49
clinical Hydrops fetalis (ascites, pleural effusion, scalp edema, anasarca) is very close to fetal demise and is the usual outcome if untreated. ↗
▶ Ep 23 · 3:49
clinical Hydrops fetalis (ascites, pleural effusion, scalp edema, anasarca) is very close to fetal demise and is the usual outcome if untreated. ↗
▶ Ep 23 · 3:57
quote So hydros fetalis is very close to be complete a fetal demise. That is the usual outcome of these babies if we don't do nothing. ↗
▶ Ep 23 · 3:57
quote So hydros fetalis is very close to be complete a fetal demise. That is the usual outcome of these babies if we don't do nothing. ↗
▶ Ep 23 · 4:25
clinical CVR less than 1.6 indicates very low risk of hydrops; CVR greater than 1.6 indicates high risk of hydrops and complications. ↗
▶ Ep 23 · 4:25
quote Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications. ↗
▶ Ep 23 · 4:25
clinical CVR less than 1.6 indicates very low risk of hydrops; CVR greater than 1.6 indicates high risk of hydrops and complications. ↗
▶ Ep 23 · 4:25
quote Everything that measures less than 1.6 is very, very low risk of developed eye drops. On the contrary, more than 1.6, we have high risk of eye drops and complications. ↗
▶ Ep 23 · 4:53
quote It's a good rescue in more than half of these babies. So, the other half or 40%, probably don't respond very well. ↗
▶ Ep 23 · 4:53
epidemiological Steroids rescue more than half of CPAM cases; the remaining 40% do not respond well. ↗
▶ Ep 23 · 4:53
epidemiological Steroids rescue more than half of CPAM cases; the remaining 40% do not respond well. ↗
▶ Ep 23 · 4:53
quote It's a good rescue in more than half of these babies. So, the other half or 40%, probably don't respond very well. ↗
▶ Ep 23 · 5:01
clinical Before 30 weeks, cystic CPAM can be treated with a shunt; solid CPAM requires open fetal surgery and lobectomy. ↗
▶ Ep 23 · 5:01
clinical Before 30 weeks, cystic CPAM can be treated with a shunt; solid CPAM requires open fetal surgery and lobectomy. ↗
▶ Ep 23 · 5:22
clinical Solid sacrococcygeal teratomas are more dangerous than cystic ones due to rapid growth and vascularization visible on Doppler. ↗
▶ Ep 23 · 5:22
clinical Solid sacrococcygeal teratomas are more dangerous than cystic ones due to rapid growth and vascularization visible on Doppler. ↗
▶ Ep 23 · 5:32
clinical The Altman classification used postnatally can also be applied to prenatal MRI to determine teratoma type and need for intervention. ↗
▶ Ep 23 · 5:32
clinical The Altman classification used postnatally can also be applied to prenatal MRI to determine teratoma type and need for intervention. ↗
▶ Ep 23 · 5:51
guideline Open fetal surgery is the gold standard for spina bifida, though other innovations are in development. ↗
▶ Ep 23 · 5:51
guideline Open fetal surgery is the gold standard for spina bifida, though other innovations are in development. ↗
▶ Ep 23 · 6:04
clinical Spina bifida originates at approximately 4 weeks of embryonic time when the neural tube fails to close. ↗
▶ Ep 23 · 6:04
clinical Spina bifida originates at approximately 4 weeks of embryonic time when the neural tube fails to close. ↗
▶ Ep 23 · 6:16
clinical In spina bifida, the exposed spinal cord is damaged by contact with amniotic fluid rich in meconium and enzymes (the 'second hit'), progressively destroying neural tissue and nerves. ↗
▶ Ep 23 · 6:16
clinical In spina bifida, the exposed spinal cord is damaged by contact with amniotic fluid rich in meconium and enzymes (the 'second hit'), progressively destroying neural tissue and nerves. ↗
▶ Ep 23 · 7:28
clinical Hydrocephalus in spina bifida requires ventriculoperitoneal shunting and causes migration disorders and heterotopia. ↗
▶ Ep 23 · 7:28
clinical Hydrocephalus in spina bifida requires ventriculoperitoneal shunting and causes migration disorders and heterotopia. ↗
▶ Ep 23 · 7:51
clinical The rationale for fetal spina bifida repair is to prevent amniotic fluid from touching the nerves and to stop CSF leak. ↗
▶ Ep 23 · 7:51
clinical The rationale for fetal spina bifida repair is to prevent amniotic fluid from touching the nerves and to stop CSF leak. ↗
▶ Ep 23 · 8:34
clinical In fetoscopic spina bifida repair, a collagen patch is introduced through the cannula for duroplasty, maintained with one stitch, followed by primary skin closure or patch. ↗
▶ Ep 23 · 8:34
clinical In fetoscopic spina bifida repair, a collagen patch is introduced through the cannula for duroplasty, maintained with one stitch, followed by primary skin closure or patch. ↗
▶ Ep 23 · 8:58
clinical The EXIT procedure is performed at delivery for conditions that can cause neonatal asphyxia or difficult intubation, such as neck masses compressing the trachea, congenital airway obstruction, or severe micrognathia. ↗
▶ Ep 23 · 8:58
clinical The EXIT procedure is performed at delivery for conditions that can cause neonatal asphyxia or difficult intubation, such as neck masses compressing the trachea, congenital airway obstruction, or severe micrognathia. ↗
▶ Ep 23 · 9:25
clinical During EXIT, placental oxygenation can be maintained for 1 to 3 hours, providing a controlled situation without need to rush airway securement. ↗
▶ Ep 23 · 9:25
clinical During EXIT, placental oxygenation can be maintained for 1 to 3 hours, providing a controlled situation without need to rush airway securement. ↗
▶ Ep 23 · 9:48
clinical During EXIT for neck teratomas, if intubation is not possible with rigid instruments or laryngoscopy, partial resection of the teratoma can be performed to identify the trachea and then intubate. ↗
▶ Ep 23 · 9:48
clinical During EXIT for neck teratomas, if intubation is not possible with rigid instruments or laryngoscopy, partial resection of the teratoma can be performed to identify the trachea and then intubate. ↗
▶ Ep 23 · 10:10
clinical Once intubation is achieved during EXIT, the cord is clamped and complete teratoma resection is performed in an adjacent operating room. ↗
▶ Ep 23 · 10:10
clinical Once intubation is achieved during EXIT, the cord is clamped and complete teratoma resection is performed in an adjacent operating room. ↗