Justin Wagner

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

Pectus Excavatum · guest expert

Featured diaries

▶ Ep 26 · 6:02
For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics.
quote · Pectus Excavatum
▶ Ep 26 · 6:02
For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics.
quote · Pectus Excavatum
▶ Ep 2 · 6:02
For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics.
quote · Shortness of Breath On Exertion
▶ Ep 2 · 6:02
For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics.
quote · Shortness of Breath On Exertion

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Pectus Excavatum 26 entries

Update Course Rewind 2021 - Updates in Pectus

▶ Ep 23 · 22:40
clinical Gabapentin is most commonly given once pre-op then 200-300mg three times daily for up to one week post-op; pharmacokinetics suggest starting several days before operation for peak effect. ↗
▶ Ep 23 · 24:10
epidemiological In Texas Children's study, 50% of patients still take opioids two weeks after Nuss procedure. ↗
▶ Ep 23 · 24:40
epidemiological In past five years, hospital length of stay for Nuss procedures has been cut in half through protocol improvements. ↗
▶ Ep 23 · 25:20
clinical In Nebraska protocol without epidurals, catheters, or cryo, length of stay is under two days and patients are off opioids by one week. ↗
▶ Ep 23 · 26:00
epidemiological In Texas Children's study, urinary retention was 8% in cryo group versus 34% in non-cryo group. ↗
▶ Ep 23 · 26:25
epidemiological Bar flippage occurs almost eight times more commonly in cryo group, and allodynia/neuropathy occurs about six times more frequently in cryo group. ↗
▶ Ep 23 · 37:19
clinical Pilegaard technique uses shorter bars placed asymmetrically with right side covering two rib spaces and left side with single stabilizer, resulting in well below 1% bar flip rate. ↗
▶ Ep 23 · 38:10
clinical Computational modeling shows flatter bars focus stress on sternum while bigger curved bars have parasitic forces causing unwanted horizontal and torque action at bar ends. ↗

Update Course Rewind: Pectus Excavatum 2021

▶ Ep 25 · 5:40
clinical Multimodal pain control options include Tylenol, NSAIDs, precedex for gentle wake-up, dexamethasone for post-anesthetic nausea, and ketamine to avoid opioids. ↗
▶ Ep 25 · 5:40
clinical Multimodal pain control options include Tylenol, NSAIDs, precedex for gentle wake-up, dexamethasone for post-anesthetic nausea, and ketamine to avoid opioids. ↗
▶ Ep 25 · 5:55
clinical Non-pharmacologic multimodal approaches include child life specialists, mindfulness resources, and supportive physical therapists. ↗
▶ Ep 25 · 5:55
clinical Non-pharmacologic multimodal approaches include child life specialists, mindfulness resources, and supportive physical therapists. ↗
▶ Ep 25 · 6:02
clinical Dr. Ponsky's best multimodal treatments are preoperative counseling, gabapentin both pre and postoperatively, methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 25 · 6:02
host_summary Dr. Ponsky's best multimodal treatments are preoperative counseling, gabapentin both pre and postoperatively, methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 25 · 6:19
clinical At the institution where Dr. Wagner trained in Nebraska, Steve Rayner achieves length of stay under 2 days with patients off opioids by 1 week. ↗
▶ Ep 25 · 6:19
host_summary At the institution where Dr. Wagner trained in Nebraska, Steve Rayner achieves length of stay under 2 days with patients off opioids by 1 week. ↗
▶ Ep 25 · 7:36
clinical Physics-minded surgeons created a computational model showing that shorter flat bars have more pressure on the sternum compared to traditionally U-shaped bars, making them more stable. ↗
▶ Ep 25 · 7:36
host_summary Physics-minded surgeons created a computational model showing that shorter flat bars have more pressure on the sternum compared to traditionally U-shaped bars, making them more stable. ↗

Update Course Rewind: Pectus Excavatum 2021

▶ Ep 26 · 6:02
quote For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 26 · 6:02
quote For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 26 · 6:02
clinical For multimodal pain therapy, the best treatments are preoperative counseling, gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 26 · 6:02
clinical For multimodal pain therapy, the best treatments are preoperative counseling, gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 26 · 6:19
host_summary In Nebraska, where Steve Rayner practices, length of stay is under 2 days and patients are off opioids by 1 week. ↗
▶ Ep 26 · 6:19
clinical In Nebraska, where Steve Rayner practices, length of stay is under 2 days and patients are off opioids by 1 week. ↗
▶ Ep 26 · 7:40
clinical Computational modeling showed that shorter flat bars have different stress points compared to traditionally U-shaped bars, with shorter bars having more pressure on the sternum and therefore being more stable. ↗
▶ Ep 26 · 7:40
host_summary Computational modeling showed that shorter flat bars have different stress points compared to traditionally U-shaped bars, with shorter bars having more pressure on the sternum and therefore being more stable. ↗
Shortness of Breath On Exertion 13 entries

Update Course Rewind: Pectus Excavatum 2021

▶ Ep 1 · 5:40
clinical Multimodal pain control options include Tylenol, NSAIDs, precedex for gentle wake-up, dexamethasone for post-anesthetic nausea, and ketamine to avoid opioids. ↗
▶ Ep 1 · 5:55
clinical Non-pharmacologic multimodal approaches include child life specialists, mindfulness resources, and supportive physical therapists. ↗
▶ Ep 1 · 6:02
clinical Dr. Ponsky's best multimodal treatments are preoperative counseling, gabapentin both pre and postoperatively, methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 1 · 6:19
clinical At the institution where Dr. Wagner trained in Nebraska, Steve Rayner achieves length of stay under 2 days with patients off opioids by 1 week. ↗
▶ Ep 1 · 7:36
clinical Physics-minded surgeons created a computational model showing that shorter flat bars have more pressure on the sternum compared to traditionally U-shaped bars, making them more stable. ↗

Update Course Rewind: Pectus Excavatum 2021

▶ Ep 2 · 6:02
clinical For multimodal pain therapy, the best treatments are preoperative counseling, gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 2 · 6:02
clinical For multimodal pain therapy, the best treatments are preoperative counseling, gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 2 · 6:02
quote For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 2 · 6:02
quote For multimodal therapy, the best treatments are preoperative counseling. Gabapentin both pre and postoperatively, and then methadone, clonidine, bowel regimen medications, and anti-emetics. ↗
▶ Ep 2 · 6:19
host_summary In Nebraska, where Steve Rayner practices, length of stay is under 2 days and patients are off opioids by 1 week. ↗
▶ Ep 2 · 6:19
clinical In Nebraska, where Steve Rayner practices, length of stay is under 2 days and patients are off opioids by 1 week. ↗
▶ Ep 2 · 7:40
clinical Computational modeling showed that shorter flat bars have different stress points compared to traditionally U-shaped bars, with shorter bars having more pressure on the sternum and therefore being more stable. ↗
▶ Ep 2 · 7:40
host_summary Computational modeling showed that shorter flat bars have different stress points compared to traditionally U-shaped bars, with shorter bars having more pressure on the sternum and therefore being more stable. ↗