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Summaries Lizzy gave as host
· 1500 summaries
Recaps of other experts' statements, not Lizzy's own clinical position.
Summaries Lizzy gave as host · Abdominal Compartment Syndrome
5 summaries
Open the Abdominal Compartment Syndrome collection →
Quick Literature Updates Episode 20
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Ep 8 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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Ep 8 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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Ep 8 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 8 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 8 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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Summaries Lizzy gave as host · Abdominal Wall Defects
44 summaries
Open the Abdominal Wall Defects collection →
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Ep 42 · 0:00
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Lizzy Lee summarizing a resource: Do children born with gastroschisis perform worse in school compared to age-matched peers without the condition?
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Ep 42 · 0:11
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Lizzy Lee summarizing a resource: This is a retrospective study using educational data from children born between 1991 and 2022.
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Ep 42 · 0:18
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Lizzy Lee summarizing a resource: Researchers used odds ratio and subgroup analysis to compare school performance using the Early Development Instrument or EDI and grade level assessments between 208 children with gastroschisis and over 2000 age-matched controls.
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Ep 42 · 0:33
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Lizzy Lee summarizing a resource: They found that children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 42 · 0:33
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Lizzy Lee summarizing a resource: Children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 42 · 0:41
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Lizzy Lee summarizing a resource: This suggests that children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Ep 42 · 0:41
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Lizzy Lee summarizing a resource: Children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Quick Literature Updates Episode 20
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Ep 42 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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Ep 42 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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Ep 42 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 42 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 42 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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Quick Literature Updates Ep 22
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Ep 43 · 1:03
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Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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Ep 43 · 1:14
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Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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Ep 43 · 1:20
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Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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Ep 43 · 1:26
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Lizzy Lee summarizing a resource: What did they find?
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Ep 43 · 1:27
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Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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Ep 43 · 1:36
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Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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A multi-institutional comparison of management techniques for infants with giant omphalocele
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Ep 45 · 0:00
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Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
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Ep 45 · 0:07
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Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo.
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Ep 45 · 0:07
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Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele.
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Ep 45 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 45 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 45 · 0:24
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Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-stage abdominal closure.
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Ep 45 · 0:24
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Lizzy Lee summarizing a resource: About 8 out of 10 did.
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Ep 45 · 0:25
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Lizzy Lee summarizing a resource: The overall chance of complications was similar across all four treatment methods.
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Ep 45 · 0:25
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Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods.
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Ep 45 · 0:32
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Lizzy Lee summarizing a resource: Almost half of the infants required six months or more before complete abdominal closure could be achieved.
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Ep 45 · 0:32
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Lizzy Lee summarizing a resource: Almost half of the babies needed 6 months or more before the abdomen could be fully closed.
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Ep 45 · 0:38
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Lizzy Lee summarizing a resource: There is no one-size-fits-all treatment for giant omphalocele.
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Ep 45 · 0:38
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Lizzy Lee summarizing a resource: Duoderm silos may be a particularly good option when the goal is single-stage abdominal closure.
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A multi-institutional comparison of management techniques for infants with giant omphalocele
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Ep 46 · 0:00
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Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
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Ep 46 · 0:07
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Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo
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Ep 46 · 0:07
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Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele
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Ep 46 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 46 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery
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Ep 46 · 0:24
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Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-surgery abdominal closure
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Ep 46 · 0:24
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Lizzy Lee summarizing a resource: About 8 out of 10 did.
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Ep 46 · 0:25
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Lizzy Lee summarizing a resource: Complication rates were similar across all four management methods
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Ep 46 · 0:25
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Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods
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Ep 46 · 0:32
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Lizzy Lee summarizing a resource: Almost half of infants required 6 months or more before complete abdominal closure could be achieved
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Ep 46 · 0:38
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Lizzy Lee summarizing a resource: There is no universal best treatment approach for giant omphalocele
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Ep 46 · 0:38
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Lizzy Lee summarizing a resource: There's no one size fits all treatment, but Duoderm silos may be a really good option for certain babies, especially when the goal is closing the abdomen in one step.
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Ep 46 · 0:38
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Lizzy Lee summarizing a resource: Duoderm silos may be particularly beneficial when the goal is single-stage abdominal closure
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Summaries Lizzy gave as host · Acute Pancreatitis
22 summaries
Open the Acute Pancreatitis collection →
Pediatric Pancreatitis: Diagnosis, Causes, and Genetic Insights with Dr. Juan Gurria
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Ep 12 · 0:43
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Lizzy Lee summarizes what Dr. Juan Gurria said: MRI with MRCP gives the best picture of the patient's ductal anatomy in pancreatitis.
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Ep 12 · 0:48
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Lizzy Lee summarizes what Dr. Juan Gurria said: In adults, alcohol and gallstones are the usual causes of pancreatitis.
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Ep 12 · 1:08
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Lizzy Lee summarizes what Dr. Juan Gurria said: Causes of pancreatitis in children include anatomy, trauma, medications, and especially genetics.
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Ep 12 · 1:57
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Lizzy Lee summarizes what Dr. Juan Gurria said: Cincinnati Children's has become the world's largest pediatric pancreatitis center.
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Ep 12 · 2:31
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Lizzy Lee summarizes what Dr. Juan Gurria said: PRSS1 gene mutation causes the pancreas to degrade itself.
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Acute Pancreatitis in Children: Modern Management & Surgical Approaches w/ Dr. Juan Gurria
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Ep 13 · 0:38
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Lizzy Lee summarizes what Dr. Juan Gurria said: If patients are vomiting, nasodujunal feeding should be considered.
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Ep 13 · 0:44
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Lizzy Lee summarizes what Dr. Juan Gurria said: The goal of early feeding is to maintain gut integrity.
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Ep 13 · 0:56
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Lizzy Lee summarizes what Dr. Juan Gurria said: Early nutrition is key to preventing complications including exocrine and endocrine insufficiency, diabetes, and surgery in the future.
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Ep 13 · 1:30
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Lizzy Lee summarizes what Dr. Juan Gurria said: Intervention should wait at least 4 weeks after the episode of acute pancreatitis begins until it becomes walled-off necrosis.
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Ep 13 · 1:53
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Lizzy Lee summarizes what Dr. Juan Gurria said: If sepsis is strongly suspected, start antibiotics such as carbapenem, drain the necrosis, and order cross-sectional imaging.
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Ep 13 · 2:13
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Lizzy Lee summarizes what Dr. Juan Gurria said: The next step in the step-up approach is percutaneous retroperitoneal drainage.
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Ep 13 · 2:17
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Lizzy Lee summarizes what Dr. Juan Gurria said: If drainage fails to resolve sepsis or organ failure, minimally invasive necrosectomy should be attempted.
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Ep 13 · 2:23
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Lizzy Lee summarizes what Dr. Juan Gurria said: Open surgery is the very last resort in management of acute necrotizing pancreatitis.
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Ep 13 · 2:28
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Lizzy Lee summarizes what Dr. Juan Gurria said: In children with acute pancreatitis, enteral feeding should be started as soon as it is tolerated to reduce bacterial translocation.
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Ep 13 · 2:35
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Lizzy Lee summarizes what Dr. Juan Gurria said: Early surgical intervention should be avoided in acute necrotizing pancreatitis.
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Ep 13 · 2:39
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Lizzy Lee summarizes what Dr. Juan Gurria said: Unless there is clinical deterioration, infected necrosis, or persistent organ failure, intervention should be delayed until walled-off necrosis develops, typically about 4 weeks after onset.
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Pancreatitis: Understanding Complications & Management of Fluid Collections w/ Dr. Juan Gurria
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Ep 14 · 0:37
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Lizzy Lee summarizes what Dr. Juan Gurria said: Local complications of acute pancreatitis include pseudocysts, walled-off necrosis, and abscesses.
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Ep 14 · 0:43
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Lizzy Lee summarizes what Dr. Juan Gurria said: The Atlanta classification categorizes fluid collections in acute pancreatitis based on time course.
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Ep 14 · 1:09
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Lizzy Lee summarizes what Dr. Juan Gurria said: Pancreatic fluid collections either resolve on their own within 4 weeks, or if still present after 4 weeks, are more mature and amenable to safer drainage.
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Ep 14 · 1:35
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Lizzy Lee summarizes what Dr. Juan Gurria said: Chronic pancreatitis diagnosis requires abdominal imaging findings plus one of three clinical findings: abdominal pain consistent with pancreatic origin, evidence of exocrine pancreatic insufficiency, or evidence of endocrine pancreatic insufficiency.
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Ep 14 · 1:47
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Lizzy Lee summarizes what Dr. Juan Gurria said: Diabetes is a complication of chronic pancreatitis and screening should be done every year.
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Ep 14 · 2:10
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Lizzy Lee summarizes what Dr. Juan Gurria said: Chronic pancreatitis leads to progressive pancreatic injury including calcifications, atrophy, chronic pain, and exocrine and endocrine pancreatic insufficiency.
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Summaries Lizzy gave as host · Acute Recurrent Pancreatitis
15 summaries
Open the Acute Recurrent Pancreatitis collection →
Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
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Ep 4 · 0:00
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Lizzy Lee summarizing a resource: What if curing a rare pancreatic tumor sets the stage for chronic pancreatitis?
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Ep 4 · 0:09
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Lizzy Lee summarizing a resource: Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
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Ep 4 · 0:15
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Lizzy Lee summarizing a resource: Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
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Ep 4 · 0:22
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Lizzy Lee summarizing a resource: In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
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Ep 4 · 0:25
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Lizzy Lee summarizing a resource: 3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
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Ep 4 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like the CFTR gene variant, or they had pancreas divisum.
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Ep 4 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
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Ep 4 · 0:40
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Lizzy Lee summarizing a resource: Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
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Ep 4 · 0:45
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Lizzy Lee summarizing a resource: Even low grade tumors can carry high stakes consequences.
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Ep 4 · 0:48
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Lizzy Lee summarizing a resource: Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
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Pediatric Pancreatitis: Diagnosis, Causes, and Genetic Insights with Dr. Juan Gurria
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Ep 13 · 0:43
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Lizzy Lee summarizes what Dr. Juan Gurria said: MRI with MRCP gives the best picture of the patient's ductal anatomy in pancreatitis.
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Ep 13 · 0:48
host summary
Lizzy Lee summarizes what Dr. Juan Gurria said: In adults, alcohol and gallstones are the usual causes of pancreatitis.
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Ep 13 · 1:08
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Lizzy Lee summarizes what Dr. Juan Gurria said: Causes of pancreatitis in children include anatomy, trauma, medications, and especially genetics.
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Ep 13 · 1:57
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Lizzy Lee summarizes what Dr. Juan Gurria said: Cincinnati Children's has become the world's largest pediatric pancreatitis center.
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Ep 13 · 2:31
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Lizzy Lee summarizes what Dr. Juan Gurria said: PRSS1 gene mutation causes the pancreas to degrade itself.
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Summaries Lizzy gave as host · Advances in Pediatric Surgery
12 summaries
Open the Advances in Pediatric Surgery collection →
The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
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Ep 3 · 0:00
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Lizzy Lee summarizing a resource: What if we could treat genetic diseases before a baby is even born?
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Ep 3 · 0:14
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Lizzy Lee summarizing a resource: Faster prenatal diagnosis enables detection of many genetic conditions early
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Ep 3 · 0:18
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Lizzy Lee summarizing a resource: Enzyme replacement therapy can be delivered directly to the fetus
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Ep 3 · 0:18
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Lizzy Lee summarizing a resource: Medications can be given to the mother that cross the placenta
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Ep 3 · 0:24
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Lizzy Lee summarizing a resource: Protein therapy can be delivered to the fetus
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Ep 3 · 0:24
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Lizzy Lee summarizing a resource: Stem cells can be delivered to the fetus
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Ep 3 · 0:27
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Lizzy Lee summarizing a resource: The fetus has a more tolerant immune system compared to postnatal life
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Ep 3 · 0:27
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Lizzy Lee summarizing a resource: The fetus has a more permissive blood-brain barrier compared to postnatal life
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Ep 3 · 0:27
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Lizzy Lee summarizing a resource: The fetus actually has some advantages for treatment, a more tolerant immune system and a more permissive blood-brain barrier.
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Ep 3 · 0:34
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Lizzy Lee summarizing a resource: Most fetal therapies for genetic diseases are still experimental
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Ep 3 · 0:38
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Lizzy Lee summarizing a resource: Intervene during fetal development to prevent lifelong disease.
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Ep 3 · 0:38
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Lizzy Lee summarizing a resource: Fetal intervention aims to prevent lifelong disease by treating during fetal development
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Summaries Lizzy gave as host · Aerodigestive / ENT
28 summaries
Open the Aerodigestive / ENT collection →
QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 25 · 0:15
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Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 25 · 0:47
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Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 25 · 0:55
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Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 25 · 1:37
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Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 25 · 2:52
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Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 25 · 2:59
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Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 25 · 3:48
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Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 25 · 3:54
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Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 25 · 4:19
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Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 25 · 4:42
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Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 25 · 5:28
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Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 25 · 5:40
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Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 25 · 6:13
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Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 25 · 6:54
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Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 25 · 7:20
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Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 25 · 7:48
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Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 25 · 8:13
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Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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Ep 25 · 9:15
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Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 25 · 9:26
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Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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Ep 25 · 9:41
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Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Tracheobronchopexy to Avoid Tracheostomy in Esophageal Atresia Patients With Severe Life-Threatening Tracheobronchomalacia
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Ep 26 · 0:00
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Lizzy Lee summarizing a resource: Can performing a tracheobronchopexy help oesophageal atresia patients with severe tracheobronchoalacia avoid getting a tracheostomy?
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Ep 26 · 0:13
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Lizzy Lee summarizing a resource: Tracheobronchomalacia can cause serious breathing problems like blue spells in esophageal atresia patients
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Ep 26 · 0:13
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Lizzy Lee summarizing a resource: Esophageal atresia patients often have tracheobronchomalacia
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Ep 26 · 0:23
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Lizzy Lee summarizing a resource: A retrospective observational study reviewed 80 esophageal atresia patients who underwent tracheobronchopexy at two hospitals between 2013 and 2021
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Ep 26 · 0:33
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Lizzy Lee summarizing a resource: 94% of esophageal atresia patients who underwent tracheobronchopexy were able to avoid a tracheostomy
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Ep 26 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced the need for positive pressure ventilation in esophageal atresia patients
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Ep 26 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced ventilator dependence in esophageal atresia patients
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Ep 26 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced life-threatening breathing events in esophageal atresia patients
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Summaries Lizzy gave as host · Anorectal Malformation
36 summaries
Open the Anorectal Malformation collection →
Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
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Ep 60 · 0:00
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Lizzy Lee summarizing a resource: Does creating a collaborative initiative help with providing high quality pediatric surgical care?
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Ep 60 · 0:10
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Lizzy Lee summarizing a resource: The Finnish Pediatric Surgery Hub was established in 2021 by pediatric surgeons from Finland's five neonatal surgery centers.
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Ep 60 · 0:18
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Lizzy Lee summarizing a resource: The most frequent diagnoses included anorectal malformations, esophageal atresia, and Hirschsprung disease.
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Ep 60 · 0:18
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Lizzy Lee summarizing a resource: The hub performed 34 elective and 6 urgent cases total.
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Ep 60 · 0:28
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Lizzy Lee summarizing a resource: The hub held regular monthly virtual meetings to present new patients, discuss complex cases, and follow up on patients after surgery.
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Ep 60 · 0:36
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Lizzy Lee summarizing a resource: Findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Ep 60 · 0:36
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Lizzy Lee summarizing a resource: Their findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Quick Literature Updates Episode 18
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Ep 61 · 1:10
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society used a modified Delphi technique to develop recommendations for neonatal perioperative care, requiring more than 70% consensus from a multidisciplinary group of experts.
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Ep 61 · 1:10
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS, or the Enhanced Recovery after Surgery Society, used a modified Delphi technique, which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach more than a 70% consensus.
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Ep 61 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use for neonatal surgical patients.
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Ep 61 · 1:43
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines in neonatal surgical care.
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Comparing Loop and Divided Colostomy for Anorectal Malformation: A Systematic Review and Meta-Analysis
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Ep 63 · 0:01
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Lizzy Lee summarizing a resource: Which colostomy is best in pediatric patients with anorectal malformation?
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Ep 63 · 0:10
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Lizzy Lee summarizing a resource: The systematic review and meta-analysis compared clinical outcomes of loop colostomies versus divided colostomies in neonates with anorectal malformations
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Ep 63 · 0:19
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Lizzy Lee summarizing a resource: The review included 11 retrospective cohort studies
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Ep 63 · 0:23
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Lizzy Lee summarizing a resource: There were no significant differences between the two colostomy types in terms of complications such as stoma prolapse, urinary tract infections, and wound infections.
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Ep 63 · 0:23
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Lizzy Lee summarizing a resource: There were no significant differences between the two colostomy types in terms of complications such as stoma prolapse, urinary tract infections, and wound infections
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Ep 63 · 0:31
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Lizzy Lee summarizing a resource: Both colostomies are good options for fecal diversion, with the choice depending on individual patient factors and surgical expertise
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Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
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Ep 67 · 0:00
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Lizzy Lee summarizing a resource: What if the safest move for rectal prolapse after anorectal malformation surgery is not to repair it?
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Ep 67 · 0:11
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Lizzy Lee summarizing a resource: A study examined 85 children treated for rectal prolapse after anorectal malformation surgery
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Ep 67 · 0:16
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Lizzy Lee summarizing a resource: Approximately 30% of children had recurrence of prolapse requiring another repair
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Ep 67 · 0:20
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Lizzy Lee summarizing a resource: Children without symptoms from prolapse at initial presentation were more likely to develop stricture later
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Ep 67 · 0:26
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Lizzy Lee summarizing a resource: Surgical repair of asymptomatic rectal prolapse may not be indicated because the treatment itself carries risks
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Ep 67 · 0:26
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Lizzy Lee summarizing a resource: surgeons need to think twice before rushing into repair if the prolapse isn't causing big symptoms, because the treatment itself can carry risks
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Post Operative Anal Dilatations for the Prevention of Anal Strictures in Children With Anorectal Malformation: A Systematic Review
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Ep 68 · 0:00
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Lizzy Lee summarizing a resource: After reconstructive surgery for anorectal malformations, dilatations are routine, but are they actually necessary?
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Ep 68 · 0:11
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Lizzy Lee summarizing a resource: Routine anal dilatations after surgery for anorectal malformations have been standard since the 1980s
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Ep 68 · 0:18
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Lizzy Lee summarizing a resource: Stricture rates after anorectal malformation surgery range from 0 to almost 40%, even with the classic Pena protocol
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Ep 68 · 0:25
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Lizzy Lee summarizing a resource: Alternative methods like weekly dilatations or skipping dilatations altogether showed similar outcomes to standard protocols
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Ep 68 · 0:32
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Lizzy Lee summarizing a resource: There is insufficient high quality evidence proving that dilatations after anorectal malformation surgery are actually necessary
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Ep 68 · 0:37
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Lizzy Lee summarizing a resource: Bottom line, we might have been doing this for decades without really needing to, and we need more randomized trials to settle the debate.
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Ep 68 · 0:37
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Lizzy Lee summarizing a resource: More randomized trials are needed to determine whether post-operative anal dilatations are necessary
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Quick Literature Updates Ep 23
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Ep 70 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: APSA published best practices for locum tenens surgeons, hospitals and agencies stressing the importance of patient safety and support for surgeons.
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Ep 70 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: The American P Paediatric Surgical Association, APSA published best practices for locum tendon surgeons, hospitals and agencies in this review article.
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Ep 70 · 1:17
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Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance.
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Ep 70 · 1:23
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Lizzy Lee summarizes what Dr. Alex Halpern said: However, hospitals should avoid relying solely on locum tenants pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 70 · 1:23
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Lizzy Lee summarizes what Dr. Alex Halpern said: Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 70 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens agencies should sponsor CME and conduct formal exit interviews.
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Summaries Lizzy gave as host · Appendicitis
8 summaries
Open the Appendicitis collection →
Quick Literature Updates Ep 24
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Ep 12 · 1:03
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The Donnati et al. study was an observational prospective study in Italy from 2013 to 2022 on 468 patients around 15 years old.
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Ep 12 · 1:13
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Surgeons placed 733 pectus bars total across the 468 patients in the Donnati study.
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Ep 12 · 1:21
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bar dislocation is defined as when a pectus bar rotates more than 30 degrees out of place.
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Ep 12 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation.
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Ep 12 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation for pectus repair.
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Ep 12 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 12 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 12 · 1:39
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation is the best technique for preventing bar dislocation in pectus excavatum patients.
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Summaries Lizzy gave as host · Appendicitis
8 summaries
Open the Appendicitis collection →
Quick Literature Updates Ep 24
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Ep 27 · 1:03
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The Donnati et al. study was an observational prospective study in Italy from 2013 to 2022 on 468 patients around 15 years old.
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Ep 27 · 1:13
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Surgeons placed 733 pectus bars total across the 468 patients in the Donnati study.
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Ep 27 · 1:21
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bar dislocation is defined as when a pectus bar rotates more than 30 degrees out of place.
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Ep 27 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation for pectus repair.
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Ep 27 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation.
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Ep 27 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 27 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 27 · 1:39
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation is the best technique for preventing bar dislocation in pectus excavatum patients.
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Summaries Lizzy gave as host · Cardiac Arrest
18 summaries
Open the Cardiac Arrest collection →
Update Course Rewind 2025: Pediatric ECPR: Who Should Receive Extracorporeal Cardiopulmonary Resuscitation?
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Ep 5 · 0:45
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Lizzy Lee summarizing the discussion: ECPR does not replace conventional CPR; it adds temporary heart and lung support while clinicians work to treat a potentially reversible cause of arrest.
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Ep 5 · 1:01
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Lizzy Lee summarizing the discussion: Considerations for ECPR candidacy include likelihood of recovery, whether the underlying disease can be treated, equitable use of resources, and long-term follow-up.
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Ep 5 · 1:27
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Lizzy Lee summarizing the discussion: Choosing the right patient may be the most important decision of the entire resuscitation.
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Ep 5 · 1:35
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Lizzy Lee summarizing the discussion: A child who has had CPR for 30 minutes is not automatically a poor ECPR candidate.
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Ep 5 · 1:49
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Lizzy Lee summarizing the discussion: ECPR is not simply reserved for the sickest patient; it is reserved for patients who still have a realistic chance of recovery if ECMO can buy enough time.
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Ep 5 · 1:54
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Lizzy Lee summarizing the discussion: ECPR candidates have had a witnessed arrest, evidence that organs are still being perfused, and a chance that the underlying disease can be fixed.
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Ep 5 · 2:21
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Lizzy Lee summarizing the discussion: Laboratory data such as pH, potassium, and evidence of circulation provide valuable context for ECPR decision-making.
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Ep 5 · 2:27
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Lizzy Lee summarizing the discussion: Laboratory values and circulation evidence influence ECPR decision-making just as much as the duration of CPR.
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Ep 5 · 2:46
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Lizzy Lee summarizing the discussion: Choosing the right ECPR patient is not about following one laboratory value or one time limit; reversible disease matters most.
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Ep 5 · 2:54
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Lizzy Lee summarizing the discussion: Identifying patients most likely to benefit from ECPR requires combining physiology, clinical judgment, and preparation.
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Update Course Rewind 2025: Key Strategies - Successful Extracorporeal Cardiopulmonary Resuscitation
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Ep 6 · 0:08
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Lizzy Lee summarizing the discussion: The most important part of a successful ECPR case often happens before the patient ever arrests.
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Ep 6 · 0:41
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Lizzy Lee summarizing the discussion: ECPR requires a multidisciplinary team of surgeons, intensivists, perfusionists, nurses, respiratory therapists, and pharmacists.
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Ep 6 · 0:59
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Lizzy Lee summarizing the discussion: Experienced centers often activate the ECMO team early rather than waiting until everyone agrees that the arrest is not reversible.
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Ep 6 · 1:07
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Lizzy Lee summarizing the discussion: One challenge during cannulation is avoiding interruptions in chest compressions.
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Ep 6 · 1:11
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Lizzy Lee summarizing the discussion: Every unnecessary pause in chest compressions can reduce coronary and cerebral perfusion.
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Ep 6 · 1:25
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Lizzy Lee summarizing the discussion: High performing ECPR teams continuously measure CPR quality and adjust in real time using physiologic feedback.
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Ep 6 · 1:46
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Lizzy Lee summarizing the discussion: Having two attending surgeons minimizes pauses during compressions because the second attending can check the circuit and make sure you have the right cannula.
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Ep 6 · 1:54
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Lizzy Lee summarizing the discussion: To improve outcomes from ECPR, it's important to prepare before cardiac arrest, practice simulations, activate ECPR early, and measure CPR performance in real time.
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Summaries Lizzy gave as host · CHARGE Syndrome
20 summaries
Open the CHARGE Syndrome collection →
QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 4 · 0:15
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Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 4 · 0:47
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Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 4 · 0:55
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Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 4 · 1:37
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Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 4 · 2:52
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Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 4 · 2:59
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Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 4 · 3:48
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Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 4 · 3:54
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Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 4 · 4:19
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Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 4 · 4:42
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Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 4 · 5:28
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Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 4 · 5:40
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Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 4 · 6:13
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Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 4 · 6:54
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Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 4 · 7:20
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Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 4 · 7:48
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Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 4 · 8:13
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Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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Ep 4 · 9:15
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Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 4 · 9:26
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Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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Ep 4 · 9:41
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Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Summaries Lizzy gave as host · Chronic Pancreatitis
22 summaries
Open the Chronic Pancreatitis collection →
Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
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Ep 10 · 0:00
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Lizzy Lee summarizing a resource: What if curing a rare pancreatic tumor sets the stage for chronic pancreatitis?
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Ep 10 · 0:09
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Lizzy Lee summarizing a resource: Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
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Ep 10 · 0:15
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Lizzy Lee summarizing a resource: Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
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Ep 10 · 0:22
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Lizzy Lee summarizing a resource: In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
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Ep 10 · 0:25
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Lizzy Lee summarizing a resource: 3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
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Ep 10 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
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Ep 10 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like the CFTR gene variant, or they had pancreas divisum.
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Ep 10 · 0:40
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Lizzy Lee summarizing a resource: Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
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Ep 10 · 0:45
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Lizzy Lee summarizing a resource: Even low grade tumors can carry high stakes consequences.
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Ep 10 · 0:48
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Lizzy Lee summarizing a resource: Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
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Surgical Interventions for Pancreatitis in Children: Insights from Dr. Juan Gurria
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Ep 14 · 0:48
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Lizzy Lee summarizes what Dr. Juan Gurria said: The most common reason for surgical intervention in pediatric chronic pancreatitis is severe pain refractory to non-surgical treatment.
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Ep 14 · 0:57
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Lizzy Lee summarizes what Dr. Juan Gurria said: Surgical options for pediatric chronic pancreatitis include drainage, partial resection, and combination drainage-resection, but these do not work for children with hereditary disease.
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Ep 14 · 1:18
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Lizzy Lee summarizes what Dr. Juan Gurria said: An inflammatory head mass in the pancreas of a child should raise suspicion for autoimmune pancreatitis.
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Ep 14 · 1:32
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Lizzy Lee summarizes what Dr. Juan Gurria said: Surgery may be an option for children with large duct disease, strictures, or trauma-related anatomy issues, but genetic causes of pancreatitis need a different strategy.
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Ep 14 · 1:46
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Lizzy Lee summarizes what Dr. Juan Gurria said: Total pancreatectomy with islet autotransplant (TPIAT) removes the pancreas in children with severe refractory disease to control chronic pain.
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Ep 14 · 2:06
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Lizzy Lee summarizes what Dr. Juan Gurria said: In TPIAT, islet cells are transplanted back into the patient through the portal vein, where they take up residence in the liver.
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Ep 14 · 2:30
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Lizzy Lee summarizes what Dr. Juan Gurria said: Dr. Gurria published a 2025 paper showing that Botox injection after pancreatectomy with islet autotransplantation improved gastroparesis in children.
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Ep 14 · 2:53
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Lizzy Lee summarizes what Dr. Juan Gurria said: After TPIAT for chronic pancreatitis, there is an 80% drop in opioid use one month postoperatively, with sustained effect for years.
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Ep 14 · 3:03
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Lizzy Lee summarizes what Dr. Juan Gurria said: Complications after TPIAT can include bleeding or portal vein thrombosis.
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Ep 14 · 3:26
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Lizzy Lee summarizes what Dr. Juan Gurria said: Conventional pancreatic drainage or resection procedures may help children with ductal obstruction, strictures, or trauma-related disease, but are generally not appropriate for hereditary pancreatitis because the underlying genetic process continues to damage the remaining pancreas.
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Ep 14 · 3:42
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Lizzy Lee summarizes what Dr. Juan Gurria said: TPIAT is not a first-line therapy for pancreatitis and requires careful patient selection.
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Ep 14 · 3:48
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Lizzy Lee summarizes what Dr. Juan Gurria said: In appropriately selected patients, TPIAT can provide substantial pain relief, improve quality of life, and achieve acceptable long-term glycemic control.
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Summaries Lizzy gave as host · CICU / Post-op CHD Care
58 summaries
Open the CICU / Post-op CHD Care collection →
Early Tricuspid Valve Surgery for Heart Failure in Congenital Heart Disease
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Ep 3 · 0:00
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Lizzy Lee summarizing a resource: What if fixing a heart valve earlier could prevent heart failure and congenital heart disease?
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Ep 3 · 0:08
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Lizzy Lee summarizing a resource: In adults with transposition of the great arteries, the right ventricle sometimes has to pump blood to the whole body.
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Ep 3 · 0:08
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Lizzy Lee summarizing a resource: The right ventricle was not built to pump blood to the whole body.
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Ep 3 · 0:16
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Lizzy Lee summarizing a resource: Over time, many patients with transposition of the great arteries develop severe tricuspid regurgitation and worsening heart function.
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Ep 3 · 0:25
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Lizzy Lee summarizing a resource: Patients with moderate to severe tricuspid valve leakage but only mild to moderate ventricular dysfunction had better outcomes after surgery.
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Ep 3 · 0:33
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Lizzy Lee summarizing a resource: If the right ventricle was already severely weak, tricuspid valve surgery did not make a difference in outcomes.
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Ep 3 · 0:37
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Lizzy Lee summarizing a resource: In patients with transposition of the great arteries, earlier tricuspid valve surgery can improve outcomes.
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Ep 3 · 0:37
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Lizzy Lee summarizing a resource: Bottom line, in patients with transposition of the great arteries, earlier valve surgery can improve their outcomes.
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 4 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 4 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 4 · 0:14
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Lizzy Lee summarizing a resource: For infants that did not need hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 4 · 0:14
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Lizzy Lee summarizing a resource: For infants that needed hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 4 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 4 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 4 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 4 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 4 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 4 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 5 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 5 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 5 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 5 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 5 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 5 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 5 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 5 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 5 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 5 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 6 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 6 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 6 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 6 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 6 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 6 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 6 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 6 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 6 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 6 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
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Ep 7 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 7 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants develop severe acute kidney injury requiring dialysis after congenital heart surgery
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Ep 7 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants not requiring hemodialysis after congenital heart surgery is 94%
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Ep 7 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants requiring hemodialysis after congenital heart surgery is 46%
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Ep 7 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 7 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 7 · 0:33
host summary
Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 7 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 7 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 7 · 0:44
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Lizzy Lee summarizing a resource: Outcomes for infants requiring dialysis after heart surgery may improve when treated at centers with more experience in using dialysis
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Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis
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Ep 8 · 0:00
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Lizzy Lee summarizing a resource: Can you ever truly fix pulmonary vein stenosis?
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Ep 8 · 0:06
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Lizzy Lee summarizing a resource: Pulmonary vein stenosis is a rare but serious condition where the veins from the lungs to the heart become narrowed
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Ep 8 · 0:12
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Lizzy Lee summarizing a resource: A study from Cincinnati Children's examined 56 children comparing surgery versus catheter-based interventions for pulmonary vein stenosis
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Ep 8 · 0:23
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Lizzy Lee summarizing a resource: Over time, catheter-based treatments became the preferred first option for pulmonary vein stenosis
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Ep 8 · 0:28
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Lizzy Lee summarizing a resource: Surgery was reserved for complex cases involving multiple severely affected veins or other heart defects
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Ep 8 · 0:34
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Lizzy Lee summarizing a resource: 92% of children with pulmonary vein stenosis needed another intervention after initial treatment
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Ep 8 · 0:34
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Lizzy Lee summarizing a resource: Recurrence of pulmonary vein stenosis remained common regardless of the initial intervention type
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Ep 8 · 0:34
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Lizzy Lee summarizing a resource: Most reinterventions for pulmonary vein stenosis occurred within the first year after initial treatment
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Ep 8 · 0:45
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Lizzy Lee summarizing a resource: So pulmonary vein stenosis isn't a one-time fix.
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Ep 8 · 0:48
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Lizzy Lee summarizing a resource: Pulmonary vein stenosis requires ongoing surveillance, repeated interventions, and a long-term multidisciplinary approach
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Summaries Lizzy gave as host · Cleft Lip and Palate
11 summaries
Open the Cleft Lip and Palate collection →
Optimal Outcome Reporting 5 and 8 Years Following Cleft Palate Repair
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Ep 1 · 0:00
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Lizzy Lee summarizing a resource: How do we actually define a successful outcome after cleft palate surgical repair?
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Ep 1 · 0:09
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Lizzy Lee summarizing a resource: There has not been a standardized way to measure outcomes after cleft palate repair
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Ep 1 · 0:14
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Lizzy Lee summarizing a resource: Optimal outcome reporting (OOR) is a new metric for measuring cleft palate repair outcomes
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Ep 1 · 0:20
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Lizzy Lee summarizing a resource: Basically, the best case surgical outcome means one operation, no unintended fistula, and normal speech function.
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Ep 1 · 0:20
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Lizzy Lee summarizing a resource: Best case surgical outcome for cleft palate repair is defined as one operation, no unintended fistula, and normal speech function
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Ep 1 · 0:28
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Lizzy Lee summarizing a resource: About 70% of patients achieve optimal outcome 5 years after cleft palate repair
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Ep 1 · 0:28
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Lizzy Lee summarizing a resource: Nearly 75% of patients achieve optimal outcome 8 years after cleft palate repair
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Ep 1 · 0:39
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Lizzy Lee summarizing a resource: Younger age at surgery is associated with better long-term outcomes after cleft palate repair
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Ep 1 · 0:39
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Lizzy Lee summarizing a resource: Specific cleft types are associated with better long-term outcomes after cleft palate repair
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Ep 1 · 0:39
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Lizzy Lee summarizing a resource: Absence of underlying syndromes is associated with better long-term outcomes after cleft palate repair
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Ep 1 · 0:47
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Lizzy Lee summarizing a resource: Optimal outcome reporting provides surgeons a clear, measurable way to track success
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Summaries Lizzy gave as host · Colorectal / ARM & Hirschsprung
76 summaries
Open the Colorectal / ARM & Hirschsprung collection →
The use of postoperative calibrations in Hirschsprung disease
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Ep 168 · 0:00
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Lizzy Lee summarizing a resource: For patients with Hirschsprung disease who undergo endorectal pull-through surgeries, are daily postoperative anal dilations necessary and effective?
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Ep 168 · 0:13
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Lizzy Lee summarizing a resource: The study was prospective and took place from 2021 to 2023
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Ep 168 · 0:13
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Lizzy Lee summarizing a resource: The study included 33 patients under six months old who underwent endorectal pull-through surgeries
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Ep 168 · 0:24
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Lizzy Lee summarizing a resource: Patients were assigned to either a new non-dilation protocol group or a traditional dilation group
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Ep 168 · 0:30
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Lizzy Lee summarizing a resource: The primary outcomes measured were anastomotic complications, enterocolitis, and constipation
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Ep 168 · 0:37
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Lizzy Lee summarizing a resource: The non-dilation group had less enterocolitis compared to the traditional dilation group
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Ep 168 · 0:37
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Lizzy Lee summarizing a resource: The non-dilation group had less constipation compared to the traditional dilation group
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Ep 168 · 0:37
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Lizzy Lee summarizing a resource: There was no significant difference in anastomotic complications between the two groups
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Ep 168 · 0:46
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Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis
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Ep 168 · 0:46
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Lizzy Lee summarizing a resource: This means that choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis.
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Quick Literature Updates Episode 17
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Ep 172 · 3:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients in 2021 to 2022 who needed stoma reversal.
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Ep 172 · 3:35
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Pakistani stoma reversal trial aimed to compare surgical site infections and cosmetic outcomes of scars in patients receiving purse-string or linear skin closure techniques.
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Ep 172 · 3:44
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Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had much better scar quality compared to the linear closure group for stoma reversal.
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Ep 172 · 3:44
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Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had way fewer surgical site infections compared to the linear closure group for stoma reversal.
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Ep 172 · 3:52
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Lizzy Lee summarizes what Dr. Alex Halpern said: When reversing a stoma, purse-string closure technique is the best way to do it.
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Ep 172 · 3:52
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Lizzy Lee summarizes what Dr. Alex Halpern said: So when reversing a stoma, purse string closure technique is the best way to do it.
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Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
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Ep 173 · 0:00
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Lizzy Lee summarizing a resource: Does creating a collaborative initiative help with providing high quality pediatric surgical care?
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Ep 173 · 0:10
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Lizzy Lee summarizing a resource: The Finnish Pediatric Surgery Hub was established in 2021 by pediatric surgeons from Finland's five neonatal surgery centers.
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Ep 173 · 0:18
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Lizzy Lee summarizing a resource: The most frequent diagnoses included anorectal malformations, esophageal atresia, and Hirschsprung disease.
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Ep 173 · 0:18
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Lizzy Lee summarizing a resource: The hub performed 34 elective and 6 urgent cases total.
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Ep 173 · 0:28
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Lizzy Lee summarizing a resource: The hub held regular monthly virtual meetings to present new patients, discuss complex cases, and follow up on patients after surgery.
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Ep 173 · 0:36
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Lizzy Lee summarizing a resource: Findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Ep 173 · 0:36
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Lizzy Lee summarizing a resource: Their findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Quick Literature Updates Episode 18
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Ep 174 · 1:10
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society used a modified Delphi technique to develop recommendations for neonatal perioperative care, requiring more than 70% consensus from a multidisciplinary group of experts.
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Ep 174 · 1:10
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS, or the Enhanced Recovery after Surgery Society, used a modified Delphi technique, which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach more than a 70% consensus.
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Ep 174 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use for neonatal surgical patients.
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Ep 174 · 1:43
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Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines in neonatal surgical care.
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Comparing Loop and Divided Colostomy for Anorectal Malformation: A Systematic Review and Meta-Analysis
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Ep 176 · 0:01
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Lizzy Lee summarizing a resource: Which colostomy is best in pediatric patients with anorectal malformation?
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Ep 176 · 0:10
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Lizzy Lee summarizing a resource: The systematic review and meta-analysis compared clinical outcomes of loop colostomies versus divided colostomies in neonates with anorectal malformations
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Ep 176 · 0:19
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Lizzy Lee summarizing a resource: The review included 11 retrospective cohort studies
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Ep 176 · 0:23
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Lizzy Lee summarizing a resource: There were no significant differences between the two colostomy types in terms of complications such as stoma prolapse, urinary tract infections, and wound infections
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Ep 176 · 0:23
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Lizzy Lee summarizing a resource: There were no significant differences between the two colostomy types in terms of complications such as stoma prolapse, urinary tract infections, and wound infections.
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Ep 176 · 0:31
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Lizzy Lee summarizing a resource: Both colostomies are good options for fecal diversion, with the choice depending on individual patient factors and surgical expertise
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Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
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Ep 181 · 0:00
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Lizzy Lee summarizing a resource: What if the safest move for rectal prolapse after anorectal malformation surgery is not to repair it?
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Ep 181 · 0:11
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Lizzy Lee summarizing a resource: A study examined 85 children treated for rectal prolapse after anorectal malformation surgery
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Ep 181 · 0:16
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Lizzy Lee summarizing a resource: Approximately 30% of children had recurrence of prolapse requiring another repair
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Ep 181 · 0:20
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Lizzy Lee summarizing a resource: Children without symptoms from prolapse at initial presentation were more likely to develop stricture later
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Ep 181 · 0:26
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Lizzy Lee summarizing a resource: Surgical repair of asymptomatic rectal prolapse may not be indicated because the treatment itself carries risks
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Ep 181 · 0:26
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Lizzy Lee summarizing a resource: surgeons need to think twice before rushing into repair if the prolapse isn't causing big symptoms, because the treatment itself can carry risks
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Post Operative Anal Dilatations for the Prevention of Anal Strictures in Children With Anorectal Malformation: A Systematic Review
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Ep 182 · 0:00
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Lizzy Lee summarizing a resource: After reconstructive surgery for anorectal malformations, dilatations are routine, but are they actually necessary?
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Ep 182 · 0:11
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Lizzy Lee summarizing a resource: Routine anal dilatations after surgery for anorectal malformations have been standard since the 1980s
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Ep 182 · 0:18
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Lizzy Lee summarizing a resource: Stricture rates after anorectal malformation surgery range from 0 to almost 40%, even with the classic Pena protocol
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Ep 182 · 0:25
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Lizzy Lee summarizing a resource: Alternative methods like weekly dilatations or skipping dilatations altogether showed similar outcomes to standard protocols
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Ep 182 · 0:32
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Lizzy Lee summarizing a resource: There is insufficient high quality evidence proving that dilatations after anorectal malformation surgery are actually necessary
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Ep 182 · 0:37
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Lizzy Lee summarizing a resource: More randomized trials are needed to determine whether post-operative anal dilatations are necessary
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Ep 182 · 0:37
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Lizzy Lee summarizing a resource: Bottom line, we might have been doing this for decades without really needing to, and we need more randomized trials to settle the debate.
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Quick Literature Updates Ep 22
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Ep 184 · 1:03
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Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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Ep 184 · 1:14
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Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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Ep 184 · 1:20
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Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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Ep 184 · 1:26
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Lizzy Lee summarizing a resource: What did they find?
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Ep 184 · 1:27
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Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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Ep 184 · 1:36
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Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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Quick Literature Updates Ep 23
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Ep 185 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: APSA published best practices for locum tenens surgeons, hospitals and agencies stressing the importance of patient safety and support for surgeons.
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Ep 185 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: The American P Paediatric Surgical Association, APSA published best practices for locum tendon surgeons, hospitals and agencies in this review article.
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Ep 185 · 1:17
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Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance.
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Ep 185 · 1:23
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Lizzy Lee summarizes what Dr. Alex Halpern said: Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 185 · 1:23
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Lizzy Lee summarizes what Dr. Alex Halpern said: However, hospitals should avoid relying solely on locum tenants pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 185 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens agencies should sponsor CME and conduct formal exit interviews.
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Sacrococcygeal Teratomas in Currarino Syndrome: A Multicenter Review of Tumor Characteristics, Surgical Outcomes, and Recurrence
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Ep 186 · 0:00
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Lizzy Lee summarizing a resource: What if the sacrococcygeal teratomas that we worry most about are actually the least aggressive ones?
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Ep 186 · 0:10
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Lizzy Lee summarizing a resource: A multicenter review examined over 200 sacrococcygeal teratoma cases comparing children with Currarino syndrome to those without it.
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Ep 186 · 0:19
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Lizzy Lee summarizing a resource: Tumors in Currarino patients are almost exclusively Altman type 4, buried deep in the pelvis.
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Ep 186 · 0:19
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Lizzy Lee summarizing a resource: Currarino patients were almost always diagnosed after birth.
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Ep 186 · 0:27
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Lizzy Lee summarizing a resource: Every tumor in the Currarino group was a mature one with no immature or malignant components at all.
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Ep 186 · 0:27
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Lizzy Lee summarizing a resource: Every tumor in the curorinal group was a mature one. There were no immature or malignant components at all.
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Ep 186 · 0:33
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Lizzy Lee summarizing a resource: Currarino-associated tumors were much smaller, around 3 centimeters instead of 8 centimeters.
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Ep 186 · 0:36
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Lizzy Lee summarizing a resource: Recurrence was almost nonexistent in Currarino cases and not significantly different from non-Currarino cases.
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Ep 186 · 0:41
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Lizzy Lee summarizing a resource: Currarino-associated sacrococcygeal teratomas behave incredibly well oncologically, suggesting potential for less aggressive long-term follow-up.
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Ep 186 · 0:41
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Lizzy Lee summarizing a resource: So the message here is that curorino associated sacrococcygeal teratomas behave incredibly well oncologically, which means we may be able to rethink how aggressively we follow these kids long term.
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Quick Literature Updates Ep 26
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Ep 188 · 1:07
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Lizzy Lee summarizes what Dr. Alex Halpern said: Recent literature has been supporting treating appendicitis with antibiotics rather than surgery.
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Ep 188 · 1:07
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Lizzy Lee summarizes what Dr. Alex Halpern said: Recent literature has been supporting treating appendicitis with antibiotics rather than surgery
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Ep 188 · 1:12
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Saint Peter et al. study was a multi-center randomized trial in Canada, the US, Finland, Sweden, and Singapore investigating whether antibiotic treatment is inferior to appendicectomy
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Ep 188 · 1:24
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Lizzy Lee summarizes what Dr. Alex Halpern said: 34% of children treated with antibiotics for appendicitis eventually required surgery within a year compared to only 7% in the surgery group
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Ep 188 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: Children in the antibiotic group had a higher risk of mild to moderate adverse events compared to the surgery group
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Ep 188 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: There were no deaths in either the antibiotic or surgery group for appendicitis treatment
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Ep 188 · 1:39
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Lizzy Lee summarizes what Dr. Alex Halpern said: Antibiotics were not as effective as surgery for treating non-perforated appendicitis in children, as it did not meet the threshold for non-inferiority
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Ep 188 · 1:39
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Lizzy Lee summarizes what Dr. Alex Halpern said: The key takeaway is that antibiotics were not as effective as surgery for treating non-perforated appendicitis in children, as it did not meet the threshold for non-inferiority.
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Summaries Lizzy gave as host · Congenital Diaphragmatic Hernia
5 summaries
Open the Congenital Diaphragmatic Hernia collection →
Quick Literature Updates Episode 20
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Ep 35 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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Ep 35 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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Ep 35 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 35 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 35 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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Summaries Lizzy gave as host · Congenital Diaphragmatic Hernia
5 summaries
Open the Congenital Diaphragmatic Hernia collection →
Quick Literature Updates Episode 20
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Ep 15 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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Ep 15 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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Ep 15 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 15 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 15 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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Summaries Lizzy gave as host · Congenital Diaphragmatic Hernia
5 summaries
Open the Congenital Diaphragmatic Hernia collection →
Quick Literature Updates Episode 20
▶
Ep 10 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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▶
Ep 10 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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▶
Ep 10 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 10 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 10 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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Summaries Lizzy gave as host · Congenital Heart Disease
48 summaries
Open the Congenital Heart Disease collection →
Early Tricuspid Valve Surgery for Heart Failure in Congenital Heart Disease
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Ep 1 · 0:00
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Lizzy Lee summarizing a resource: What if fixing a heart valve earlier could prevent heart failure and congenital heart disease?
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Ep 1 · 0:08
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Lizzy Lee summarizing a resource: In adults with transposition of the great arteries, the right ventricle sometimes has to pump blood to the whole body.
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Ep 1 · 0:08
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Lizzy Lee summarizing a resource: The right ventricle was not built to pump blood to the whole body.
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Ep 1 · 0:16
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Lizzy Lee summarizing a resource: Over time, many patients with transposition of the great arteries develop severe tricuspid regurgitation and worsening heart function.
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Ep 1 · 0:25
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Lizzy Lee summarizing a resource: Patients with moderate to severe tricuspid valve leakage but only mild to moderate ventricular dysfunction had better outcomes after surgery.
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Ep 1 · 0:33
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Lizzy Lee summarizing a resource: If the right ventricle was already severely weak, tricuspid valve surgery did not make a difference in outcomes.
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Ep 1 · 0:37
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Lizzy Lee summarizing a resource: Bottom line, in patients with transposition of the great arteries, earlier valve surgery can improve their outcomes.
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Ep 1 · 0:37
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Lizzy Lee summarizing a resource: In patients with transposition of the great arteries, earlier tricuspid valve surgery can improve outcomes.
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 2 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 2 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: For infants that needed hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: For infants that did not need hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 2 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 2 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 2 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 2 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 2 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 2 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 3 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 3 · 0:07
host summary
Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 3 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 3 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 3 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 3 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 3 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 3 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 3 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 3 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 4 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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▶
Ep 4 · 0:07
host summary
Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 4 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 4 · 0:14
host summary
Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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▶
Ep 4 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 4 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 4 · 0:33
host summary
Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 4 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 4 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 4 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
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Ep 3 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 3 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants develop severe acute kidney injury requiring dialysis after congenital heart surgery
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Ep 3 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants requiring hemodialysis after congenital heart surgery is 46%
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Ep 3 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants not requiring hemodialysis after congenital heart surgery is 94%
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Ep 3 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 3 · 0:30
host summary
Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 3 · 0:33
host summary
Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
↗
▶
Ep 3 · 0:33
host summary
Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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▶
Ep 3 · 0:39
host summary
Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 3 · 0:44
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Lizzy Lee summarizing a resource: Outcomes for infants requiring dialysis after heart surgery may improve when treated at centers with more experience in using dialysis
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Summaries Lizzy gave as host · Congenital Lung Lesions (CPAM)
4 summaries
Open the Congenital Lung Lesions (CPAM) collection →
Quick Literature Updates Episode 18
▶
Ep 32 · 1:10
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS, or the Enhanced Recovery after Surgery Society, used a modified Delphi technique, which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach more than a 70% consensus.
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Ep 32 · 1:10
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society used a modified Delphi technique to develop recommendations for neonatal perioperative care, requiring more than 70% consensus from a multidisciplinary group of experts.
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Ep 32 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use for neonatal surgical patients.
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Ep 32 · 1:43
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines in neonatal surgical care.
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Summaries Lizzy gave as host · Congenital Pulmonary Airway Malformation
4 summaries
Open the Congenital Pulmonary Airway Malformation collection →
Quick Literature Updates Episode 18
▶
Ep 9 · 1:10
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society used a modified Delphi technique with a multidisciplinary group of experts to reach more than 70% consensus
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▶
Ep 9 · 1:10
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS, or the Enhanced Recovery after Surgery Society, used a modified Delphi technique, which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach more than a 70% consensus.
↗
▶
Ep 9 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use
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▶
Ep 9 · 1:43
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines
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Summaries Lizzy gave as host · Crohn's Disease
13 summaries
Open the Crohn's Disease collection →
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
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Ep 8 · 1:24
host summary
Lizzy Lee summarizing the discussion: Chronic intestinal inflammation resembling Crohn's disease is now being observed in intestinal failure patients, requiring management with inflammatory bowel disease therapies like biologics.
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Ep 8 · 3:19
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Lizzy Lee summarizing the discussion: A 2012 Pediatric Intestinal Failure Consortium study showed 50% of intestinal failure patients achieved enteral autonomy, while 25% either died or had intestinal transplant.
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Ep 8 · 3:51
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Lizzy Lee summarizing the discussion: Studies from Canada, Michigan, and Spain show that multidisciplinary intestinal rehabilitation teams improve survival.
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Ep 8 · 9:26
host summary
Lizzy Lee summarizing the discussion: Second-generation lipid emulsions attempt to reduce omega-6 exposure by diluting the soybean component.
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Ep 8 · 9:43
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Lizzy Lee summarizing the discussion: Omega-6 fatty acids promote inflammation while omega-3 fatty acids lead to a more anti-inflammatory response.
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Ep 8 · 11:12
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Lizzy Lee summarizing the discussion: In utero, babies receive significant amounts of DHA and arachidonic acid through the placenta, but standard lipid emulsions in TPN fall short of providing these.
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Ep 8 · 13:09
host summary
Lizzy Lee summarizing the discussion: Kitelock addresses three issues of central line complications: organisms, clot/thrombosis, and biofilm.
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Ep 8 · 14:19
host summary
Lizzy Lee summarizing the discussion: Patients with Type 3 short bowel syndrome have the best prognosis because they still have residual ileum.
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Ep 8 · 14:36
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Lizzy Lee summarizing the discussion: The ileum is where GLP-2 is naturally produced.
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Ep 8 · 14:39
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Lizzy Lee summarizing the discussion: Without an ileum, infants cannot generate the necessary GLP-2 hormone surge to drive their own intestinal adaptation.
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Ep 8 · 16:54
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Lizzy Lee summarizing the discussion: Children have much greater adaptive potential than adults because of their inherent gut growth capacity.
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Ep 8 · 17:00
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Lizzy Lee summarizing the discussion: The proportion of children reaching enteral autonomy has improved over the past 20 years.
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Ep 8 · 17:06
host summary
Lizzy Lee summarizing the discussion: Controlling liver disease buys time for intestinal adaptation.
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Summaries Lizzy gave as host · DVT
2 summaries
Open the DVT collection →
Update Course Rewind: DVT Prophylaxis 2024
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Ep 6 · 5:15
host summary
Lizzy Lee summarizing the discussion: Cincinnati Children's has started discharging pediatric trauma patients on aspirin, recognizing the adult data is not perfect but aspirin is effective and better than enoxaparin or nothing
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Ep 6 · 5:15
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Lizzy Lee summarizing the discussion: We have started discharging kids on aspirin, realizing that taking some adult data that is not perfect, but it's effective and it's a lot better than Lovenox and a lot better than nothing.
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Summaries Lizzy gave as host · Eating Disorders
30 summaries
Open the Eating Disorders collection →
Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
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Ep 2 · 0:00
host summary
Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
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Ep 2 · 0:08
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Lizzy Lee summarizing a resource: A national survey examined pediatric weight management programs across the US regarding eating disorder screening practices
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: Most programs are screening for eating disorders but not in a standardized way
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
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Ep 2 · 0:19
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Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
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Ep 2 · 0:19
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Lizzy Lee summarizing a resource: About 60% of programs perform some form of eating disorder screening
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Ep 2 · 0:19
host summary
Lizzy Lee summarizing a resource: Much of the screening is informal, using homegrown questionnaires or clinical judgment rather than validated tools
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Ep 2 · 0:29
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Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
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Ep 2 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable with screening for eating disorders
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▶
Ep 2 · 0:29
host summary
Lizzy Lee summarizing a resource: Medical providers lag behind behavioral health specialists by a wide margin when diagnosing conditions like binge eating disorder
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Ep 2 · 0:39
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Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder management
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Ep 2 · 0:39
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Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
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Ep 2 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they identify as a barrier
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▶
Ep 2 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
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Ep 2 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders in pediatric obesity settings
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Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
▶
Ep 3 · 0:00
host summary
Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
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▶
Ep 3 · 0:08
host summary
Lizzy Lee summarizing a resource: A national survey of pediatric weight management programs across the US was conducted
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▶
Ep 3 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
↗
▶
Ep 3 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way
↗
▶
Ep 3 · 0:19
host summary
Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
↗
▶
Ep 3 · 0:19
host summary
Lizzy Lee summarizing a resource: About 60% of programs are doing some form of screening
↗
▶
Ep 3 · 0:19
host summary
Lizzy Lee summarizing a resource: A lot of screening uses informal, homegrown questionnaires or just clinical judgment rather than validated tools
↗
▶
Ep 3 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening for eating disorders
↗
▶
Ep 3 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
↗
▶
Ep 3 · 0:29
host summary
Lizzy Lee summarizing a resource: When it comes to diagnosing binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin
↗
▶
Ep 3 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
↗
▶
Ep 3 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder diagnosis and management
↗
▶
Ep 3 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
↗
▶
Ep 3 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they find as a barrier
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▶
Ep 3 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders
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Summaries Lizzy gave as host · Enterocolitis
10 summaries
Open the Enterocolitis collection →
The use of postoperative calibrations in Hirschsprung disease
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Ep 21 · 0:00
host summary
Lizzy Lee summarizing a resource: For patients with Hirschsprung disease who undergo endorectal pull-through surgeries, are daily postoperative anal dilations necessary and effective?
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Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The study was prospective and took place from 2021 to 2023
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Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The study included 33 patients under six months old who underwent endorectal pull-through surgeries
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Ep 21 · 0:24
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Lizzy Lee summarizing a resource: Patients were assigned to either a new non-dilation protocol group or a traditional dilation group
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Ep 21 · 0:30
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Lizzy Lee summarizing a resource: The primary outcomes measured were anastomotic complications, enterocolitis, and constipation
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Ep 21 · 0:37
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Lizzy Lee summarizing a resource: The non-dilation group had less enterocolitis compared to the traditional dilation group
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Ep 21 · 0:37
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Lizzy Lee summarizing a resource: There was no significant difference in anastomotic complications between the two groups
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Ep 21 · 0:37
host summary
Lizzy Lee summarizing a resource: The non-dilation group had less constipation compared to the traditional dilation group
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Ep 21 · 0:46
host summary
Lizzy Lee summarizing a resource: This means that choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis.
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Ep 21 · 0:46
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis
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Summaries Lizzy gave as host · Enterocolitis
10 summaries
Open the Enterocolitis collection →
The use of postoperative calibrations in Hirschsprung disease
▶
Ep 21 · 0:00
host summary
Lizzy Lee summarizing a resource: For patients with Hirschsprung disease who undergo endorectal pull-through surgeries, are daily postoperative anal dilations necessary and effective?
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▶
Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The study was prospective and took place from 2021 to 2023
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▶
Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The study included 33 patients under six months old who underwent endorectal pull-through surgeries
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▶
Ep 21 · 0:24
host summary
Lizzy Lee summarizing a resource: Patients were assigned to either a new non-dilation protocol group or a traditional dilation group
↗
▶
Ep 21 · 0:30
host summary
Lizzy Lee summarizing a resource: The primary outcomes measured were anastomotic complications, enterocolitis, and constipation
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▶
Ep 21 · 0:37
host summary
Lizzy Lee summarizing a resource: There was no significant difference in anastomotic complications between the two groups
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▶
Ep 21 · 0:37
host summary
Lizzy Lee summarizing a resource: The non-dilation group had less constipation compared to the traditional dilation group
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▶
Ep 21 · 0:37
host summary
Lizzy Lee summarizing a resource: The non-dilation group had less enterocolitis compared to the traditional dilation group
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▶
Ep 21 · 0:46
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis
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▶
Ep 21 · 0:46
host summary
Lizzy Lee summarizing a resource: This means that choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis.
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Summaries Lizzy gave as host · Esophageal Atresia
45 summaries
Open the Esophageal Atresia collection →
Quick Literature Updates Episode 17
▶
Ep 32 · 3:25
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients in 2021 to 2022 who needed stoma reversal.
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Ep 32 · 3:35
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Pakistani stoma reversal trial aimed to compare surgical site infections and cosmetic outcomes of scars in patients receiving purse-string or linear skin closure techniques.
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Ep 32 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had way fewer surgical site infections compared to the linear closure group for stoma reversal.
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Ep 32 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had much better scar quality compared to the linear closure group for stoma reversal.
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Ep 32 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: When reversing a stoma, purse-string closure technique is the best way to do it.
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Ep 32 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: So when reversing a stoma, purse string closure technique is the best way to do it.
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Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
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Ep 33 · 0:00
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Lizzy Lee summarizing a resource: Does creating a collaborative initiative help with providing high quality pediatric surgical care?
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Ep 33 · 0:10
host summary
Lizzy Lee summarizing a resource: The Finnish Pediatric Surgery Hub was established in 2021 by pediatric surgeons from Finland's five neonatal surgery centers.
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Ep 33 · 0:18
host summary
Lizzy Lee summarizing a resource: The hub performed 34 elective and 6 urgent cases total.
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Ep 33 · 0:18
host summary
Lizzy Lee summarizing a resource: The most frequent diagnoses included anorectal malformations, esophageal atresia, and Hirschsprung disease.
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Ep 33 · 0:28
host summary
Lizzy Lee summarizing a resource: The hub held regular monthly virtual meetings to present new patients, discuss complex cases, and follow up on patients after surgery.
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Ep 33 · 0:36
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Lizzy Lee summarizing a resource: Findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Ep 33 · 0:36
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Lizzy Lee summarizing a resource: Their findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 34 · 0:15
host summary
Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 34 · 0:47
host summary
Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 34 · 0:55
host summary
Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 34 · 1:37
host summary
Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 34 · 2:52
host summary
Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 34 · 2:59
host summary
Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 34 · 3:48
host summary
Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 34 · 3:54
host summary
Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 34 · 4:19
host summary
Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 34 · 4:42
host summary
Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 34 · 5:28
host summary
Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 34 · 5:40
host summary
Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 34 · 6:13
host summary
Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 34 · 6:54
host summary
Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 34 · 7:20
host summary
Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 34 · 7:48
host summary
Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 34 · 8:13
host summary
Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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▶
Ep 34 · 9:15
host summary
Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 34 · 9:26
host summary
Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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▶
Ep 34 · 9:41
host summary
Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Tracheobronchopexy to Avoid Tracheostomy in Esophageal Atresia Patients With Severe Life-Threatening Tracheobronchomalacia
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Ep 35 · 0:00
host summary
Lizzy Lee summarizing a resource: Can performing a tracheobronchopexy help oesophageal atresia patients with severe tracheobronchoalacia avoid getting a tracheostomy?
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▶
Ep 35 · 0:13
host summary
Lizzy Lee summarizing a resource: Tracheobronchomalacia can cause serious breathing problems like blue spells in esophageal atresia patients
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▶
Ep 35 · 0:13
host summary
Lizzy Lee summarizing a resource: Esophageal atresia patients often have tracheobronchomalacia
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▶
Ep 35 · 0:23
host summary
Lizzy Lee summarizing a resource: A retrospective observational study reviewed 80 esophageal atresia patients who underwent tracheobronchopexy at two hospitals between 2013 and 2021
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▶
Ep 35 · 0:33
host summary
Lizzy Lee summarizing a resource: 94% of esophageal atresia patients who underwent tracheobronchopexy were able to avoid a tracheostomy
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▶
Ep 35 · 0:38
host summary
Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced life-threatening breathing events in esophageal atresia patients
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▶
Ep 35 · 0:38
host summary
Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced the need for positive pressure ventilation in esophageal atresia patients
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▶
Ep 35 · 0:38
host summary
Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced ventilator dependence in esophageal atresia patients
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Quick Literature Updates Ep 27
▶
Ep 39 · 1:04
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Van Haal et al. conducted a retrospective cohort study in the Netherlands that included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery.
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▶
Ep 39 · 1:24
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%.
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▶
Ep 39 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy, though routine, has limited predictive value for post-operative tracheomalacia in esophageal atresia patients.
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▶
Ep 39 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia.
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Summaries Lizzy gave as host · Esophageal Atresia
45 summaries
Open the Esophageal Atresia collection →
Quick Literature Updates Episode 17
▶
Ep 60 · 3:25
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients in 2021 to 2022 who needed stoma reversal.
↗
▶
Ep 60 · 3:35
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Pakistani stoma reversal trial aimed to compare surgical site infections and cosmetic outcomes of scars in patients receiving purse-string or linear skin closure techniques.
↗
▶
Ep 60 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had much better scar quality compared to the linear closure group for stoma reversal.
↗
▶
Ep 60 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had way fewer surgical site infections compared to the linear closure group for stoma reversal.
↗
▶
Ep 60 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: When reversing a stoma, purse-string closure technique is the best way to do it.
↗
▶
Ep 60 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: So when reversing a stoma, purse string closure technique is the best way to do it.
↗
Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
▶
Ep 61 · 0:00
host summary
Lizzy Lee summarizing a resource: Does creating a collaborative initiative help with providing high quality pediatric surgical care?
↗
▶
Ep 61 · 0:10
host summary
Lizzy Lee summarizing a resource: The Finnish Pediatric Surgery Hub was established in 2021 by pediatric surgeons from Finland's five neonatal surgery centers.
↗
▶
Ep 61 · 0:18
host summary
Lizzy Lee summarizing a resource: The most frequent diagnoses included anorectal malformations, esophageal atresia, and Hirschsprung disease.
↗
▶
Ep 61 · 0:18
host summary
Lizzy Lee summarizing a resource: The hub performed 34 elective and 6 urgent cases total.
↗
▶
Ep 61 · 0:28
host summary
Lizzy Lee summarizing a resource: The hub held regular monthly virtual meetings to present new patients, discuss complex cases, and follow up on patients after surgery.
↗
▶
Ep 61 · 0:36
host summary
Lizzy Lee summarizing a resource: Their findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Ep 61 · 0:36
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Lizzy Lee summarizing a resource: Findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 63 · 0:15
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Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 63 · 0:47
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Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 63 · 0:55
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Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 63 · 1:37
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Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 63 · 2:52
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Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 63 · 2:59
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Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 63 · 3:48
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Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 63 · 3:54
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Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 63 · 4:19
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Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 63 · 4:42
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Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 63 · 5:28
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Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 63 · 5:40
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Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 63 · 6:13
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Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 63 · 6:54
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Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 63 · 7:20
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Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 63 · 7:48
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Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 63 · 8:13
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Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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Ep 63 · 9:15
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Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 63 · 9:26
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Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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Ep 63 · 9:41
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Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Tracheobronchopexy to Avoid Tracheostomy in Esophageal Atresia Patients With Severe Life-Threatening Tracheobronchomalacia
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Ep 64 · 0:00
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Lizzy Lee summarizing a resource: Can performing a tracheobronchopexy help oesophageal atresia patients with severe tracheobronchoalacia avoid getting a tracheostomy?
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Ep 64 · 0:13
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Lizzy Lee summarizing a resource: Tracheobronchomalacia can cause serious breathing problems like blue spells in esophageal atresia patients
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Ep 64 · 0:13
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Lizzy Lee summarizing a resource: Esophageal atresia patients often have tracheobronchomalacia
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Ep 64 · 0:23
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Lizzy Lee summarizing a resource: A retrospective observational study reviewed 80 esophageal atresia patients who underwent tracheobronchopexy at two hospitals between 2013 and 2021
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Ep 64 · 0:33
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Lizzy Lee summarizing a resource: 94% of esophageal atresia patients who underwent tracheobronchopexy were able to avoid a tracheostomy
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Ep 64 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced ventilator dependence in esophageal atresia patients
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Ep 64 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced the need for positive pressure ventilation in esophageal atresia patients
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Ep 64 · 0:38
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Lizzy Lee summarizing a resource: Tracheobronchopexy significantly reduced life-threatening breathing events in esophageal atresia patients
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Quick Literature Updates Ep 27
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Ep 70 · 1:04
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Lizzy Lee summarizes what Dr. Alex Halpern said: Van Haal et al. conducted a retrospective cohort study in the Netherlands that included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery.
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Ep 70 · 1:24
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%.
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Ep 70 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy, though routine, has limited predictive value for post-operative tracheomalacia in esophageal atresia patients.
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Ep 70 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia.
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Summaries Lizzy gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
41 summaries
Open the Etiologies (Gastroschisis/NEC/Atresia/Volvulus) collection →
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
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Ep 64 · 0:00
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Lizzy Lee summarizing a resource: What's the best surgical approach for infants needing laparotomy, for necrotizing enterocolitis, anastomosis, or stoma formation?
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Ep 64 · 0:13
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Lizzy Lee summarizing a resource: The STAT trial was a randomized controlled trial in 12 centers worldwide.
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Ep 64 · 0:13
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Lizzy Lee summarizing a resource: The STAT trial looked at newborns who underwent laparotomy for necrotizing enterocolitis requiring intestinal resection from 2010 to 2020.
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Ep 64 · 0:26
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Lizzy Lee summarizing a resource: Infants were randomized to two surgical approaches: either anastomosis or stoma formation.
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Ep 64 · 0:31
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Lizzy Lee summarizing a resource: There was no difference in unplanned surgeries between primary anastomosis and stoma formation groups.
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Ep 64 · 0:31
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Lizzy Lee summarizing a resource: There was no difference in mortality between primary anastomosis and stoma formation groups.
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Ep 64 · 0:31
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Lizzy Lee summarizing a resource: Infants undergoing primary anastomosis had a significantly less duration of requiring parenteral nutrition compared to those with stoma formation.
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Ep 64 · 0:43
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Lizzy Lee summarizing a resource: Primary anastomosis is superior for enhancing recovery from necrotizing enterocolitis in infants and does not increase adverse outcomes.
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Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Ep 66 · 0:00
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Lizzy Lee summarizing a resource: Do children born with gastroschisis perform worse in school compared to age-matched peers without the condition?
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Ep 66 · 0:11
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Lizzy Lee summarizing a resource: This is a retrospective study using educational data from children born between 1991 and 2022.
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Ep 66 · 0:18
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Lizzy Lee summarizing a resource: Researchers used odds ratio and subgroup analysis to compare school performance using the Early Development Instrument or EDI and grade level assessments between 208 children with gastroschisis and over 2000 age-matched controls.
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Ep 66 · 0:33
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Lizzy Lee summarizing a resource: They found that children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 66 · 0:33
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Lizzy Lee summarizing a resource: Children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 66 · 0:41
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Lizzy Lee summarizing a resource: This suggests that children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Ep 66 · 0:41
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Lizzy Lee summarizing a resource: Children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Quick Literature Updates Ep 22
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Ep 67 · 1:03
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Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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Ep 67 · 1:14
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Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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Ep 67 · 1:20
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Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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Ep 67 · 1:26
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Lizzy Lee summarizing a resource: What did they find?
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Ep 67 · 1:27
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Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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Ep 67 · 1:36
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Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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Quick Literature Updates Ep 27
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Ep 68 · 1:04
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Lizzy Lee summarizes what Dr. Alex Halpern said: Van Haal et al. conducted a retrospective cohort study in the Netherlands that included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery.
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Ep 68 · 1:24
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%.
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Ep 68 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy, though routine, has limited predictive value for post-operative tracheomalacia in esophageal atresia patients.
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Ep 68 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia.
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Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
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Ep 73 · 0:08
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Lizzy Lee summarizing a resource: Bowel ultrasound is becoming an important tool for diagnosing necrotizing enterocolitis (NEC).
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Ep 73 · 0:19
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Lizzy Lee summarizing a resource: A national survey included more than 100 neonatologists, surgeons, and radiologists from 42 children's hospitals.
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Ep 73 · 0:26
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Lizzy Lee summarizing a resource: While bowel ultrasound was available in 83% of level 4 NICUs, clinicians reported using it inconsistently, most often only when X-rays.
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Ep 73 · 0:26
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Lizzy Lee summarizing a resource: Bowel ultrasound was available in 83% of level 4 NICUs.
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Ep 73 · 0:26
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Lizzy Lee summarizing a resource: Clinicians reported using bowel ultrasound inconsistently, most often only when X-rays were inconclusive.
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Ep 73 · 0:36
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Lizzy Lee summarizing a resource: The biggest barriers weren't the technology itself, they were the lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
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Ep 73 · 0:36
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Lizzy Lee summarizing a resource: The biggest barriers to bowel ultrasound use were lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
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Ep 73 · 0:46
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Lizzy Lee summarizing a resource: Wider adoption of bowel ultrasound for NEC will depend on better evidence, standardized guidelines, and improved clinician training.
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Update Course Rewind 2025: Updates in NEC Management
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Ep 74 · 2:06
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Lizzy Lee summarizing the discussion: For every 10 babies with surgical NEC, an X-ray might only catch one or two in the early stages (based on 13% sensitivity)
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Ep 74 · 2:15
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Lizzy Lee summarizing the discussion: A 2023 study in Pediatric Radiology suggests ultrasound can detect bowel wall thinning, perfusion abnormalities, and silent fluid collections that X-ray misses
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Ep 74 · 5:00
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Lizzy Lee summarizing the discussion: The benefit of primary anastomosis may not be seen in immediate survival but appears in the long run
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Ep 74 · 5:18
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Lizzy Lee summarizing the discussion: In clip-and-drop technique, surgeon removes necrotic segment, staples the ends, and returns in 24-48 hours to check gut hemodynamics before committing to stoma or anastomosis
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Ep 74 · 6:55
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Lizzy Lee summarizing the discussion: In the SAT trial, mortality was similar between primary anastomosis and stoma groups
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Ep 74 · 6:56
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Lizzy Lee summarizing the discussion: Babies who received primary anastomosis got off parenteral nutrition significantly sooner than those with stoma
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Ep 74 · 7:06
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Lizzy Lee summarizing the discussion: Babies with primary anastomosis were able to return to enteral feeds more quickly and had fewer intestinal complications than those with stoma
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Ep 74 · 7:52
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Lizzy Lee summarizing the discussion: Mucous fistula refeeding involves recycling upper stoma output into the lower bowel to keep it healthy
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Summaries Lizzy gave as host · Fetal Surgery
29 summaries
Open the Fetal Surgery collection →
Quick Literature Updates Ep 19
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Ep 24 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: APSA created a peer support program for pediatric surgeons in 2020.
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Ep 24 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The American Pediatric Surgical Association or the APSA created a peer support program for pediatric surgeons in 2020.
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Ep 24 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The goal of the APSA peer support program was to support surgeons after traumatic events.
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Ep 24 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Their goal was to support surgeons after traumatic events.
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Ep 24 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons were toxic work environments and adverse events.
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Ep 24 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons for the peer support program were toxic work environments and adverse events.
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Ep 24 · 1:20
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Lizzy Lee summarizes what Dr. Carlos Colunga said: 50 surgeons total agreed to receive training on how to be a supporter in the APSA program.
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Ep 24 · 1:25
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Over 80% of trained peer supporters were able to use these peer support skills informally with colleagues, partners, and trainees.
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Ep 24 · 1:31
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The peer support program shows that this type of support system can work really well to help surgeons heal from traumatic experiences and toxic work environments.
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
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Ep 27 · 0:00
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Lizzy Lee summarizing a resource: What if we could treat genetic diseases before a baby is even born?
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Ep 27 · 0:14
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Lizzy Lee summarizing a resource: Faster prenatal diagnosis enables detection of many genetic conditions early
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Ep 27 · 0:18
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Lizzy Lee summarizing a resource: Medications can be given to the mother that cross the placenta
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Ep 27 · 0:18
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Lizzy Lee summarizing a resource: Enzyme replacement therapy can be delivered directly to the fetus
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Ep 27 · 0:24
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Lizzy Lee summarizing a resource: Protein therapy can be delivered to the fetus
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Ep 27 · 0:24
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Lizzy Lee summarizing a resource: Stem cells can be delivered to the fetus
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Ep 27 · 0:27
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Lizzy Lee summarizing a resource: The fetus has a more tolerant immune system compared to postnatal life
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Ep 27 · 0:27
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Lizzy Lee summarizing a resource: The fetus has a more permissive blood-brain barrier compared to postnatal life
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Ep 27 · 0:27
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Lizzy Lee summarizing a resource: The fetus actually has some advantages for treatment, a more tolerant immune system and a more permissive blood-brain barrier.
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Ep 27 · 0:34
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Lizzy Lee summarizing a resource: Most fetal therapies for genetic diseases are still experimental
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Ep 27 · 0:38
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Lizzy Lee summarizing a resource: Fetal intervention aims to prevent lifelong disease by treating during fetal development
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Ep 27 · 0:38
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Lizzy Lee summarizing a resource: Intervene during fetal development to prevent lifelong disease.
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Utility of Fluorescence In Situ Hybridization as a Fetal Surgery Eligibility Criterion for....
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Ep 27 · 0:00
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Lizzy Lee summarizing a resource: What if invasive genetic testing before fetal surgery might not actually change your decision?
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Ep 27 · 0:09
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Lizzy Lee summarizing a resource: Many centers require genetic testing to rule out chromosome abnormalities before fetal surgery, even when ultrasounds and blood tests already look reassuring
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Ep 27 · 0:20
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Lizzy Lee summarizing a resource: Are we adding risk without adding information?
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Ep 27 · 0:23
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Lizzy Lee summarizing a resource: When imaging and cell-free DNA screening showed low risk for aneuploidy, the FISH test matched those results 100% of the time
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Ep 27 · 0:23
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Lizzy Lee summarizing a resource: A study reviewed nearly 1000 pregnancies evaluated for fetal surgery
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Ep 27 · 0:36
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Lizzy Lee summarizing a resource: For low-risk pregnancies, FISH did not provide any new information that changed surgery candidacy
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Ep 27 · 0:36
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Lizzy Lee summarizing a resource: In other words, for low-risk pregnancies, fish didn't provide any new information that changed surgery candidacy.
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Ep 27 · 0:42
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Lizzy Lee summarizing a resource: In carefully selected low-risk cases, non-invasive screening may be enough, potentially avoiding the FISH procedure
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Summaries Lizzy gave as host · Gastroschisis
13 summaries
Open the Gastroschisis collection →
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Ep 26 · 0:00
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Lizzy Lee summarizing a resource: Do children born with gastroschisis perform worse in school compared to age-matched peers without the condition?
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Ep 26 · 0:11
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Lizzy Lee summarizing a resource: This is a retrospective study using educational data from children born between 1991 and 2022.
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Ep 26 · 0:18
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Lizzy Lee summarizing a resource: Researchers used odds ratio and subgroup analysis to compare school performance using the Early Development Instrument or EDI and grade level assessments between 208 children with gastroschisis and over 2000 age-matched controls.
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Ep 26 · 0:33
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Lizzy Lee summarizing a resource: Children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 26 · 0:33
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Lizzy Lee summarizing a resource: They found that children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 26 · 0:41
host summary
Lizzy Lee summarizing a resource: This suggests that children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Ep 26 · 0:41
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Lizzy Lee summarizing a resource: Children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Quick Literature Updates Ep 22
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Ep 27 · 1:03
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Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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Ep 27 · 1:14
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Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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Ep 27 · 1:20
host summary
Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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Ep 27 · 1:26
host summary
Lizzy Lee summarizing a resource: What did they find?
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Ep 27 · 1:27
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Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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Ep 27 · 1:36
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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Summaries Lizzy gave as host · Gastroschisis
13 summaries
Open the Gastroschisis collection →
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Ep 25 · 0:00
host summary
Lizzy Lee summarizing a resource: Do children born with gastroschisis perform worse in school compared to age-matched peers without the condition?
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Ep 25 · 0:11
host summary
Lizzy Lee summarizing a resource: This is a retrospective study using educational data from children born between 1991 and 2022.
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Ep 25 · 0:18
host summary
Lizzy Lee summarizing a resource: Researchers used odds ratio and subgroup analysis to compare school performance using the Early Development Instrument or EDI and grade level assessments between 208 children with gastroschisis and over 2000 age-matched controls.
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Ep 25 · 0:33
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Lizzy Lee summarizing a resource: Children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 25 · 0:33
host summary
Lizzy Lee summarizing a resource: They found that children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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Ep 25 · 0:41
host summary
Lizzy Lee summarizing a resource: Children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Ep 25 · 0:41
host summary
Lizzy Lee summarizing a resource: This suggests that children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Quick Literature Updates Ep 22
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Ep 26 · 1:03
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Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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▶
Ep 26 · 1:14
host summary
Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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▶
Ep 26 · 1:20
host summary
Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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▶
Ep 26 · 1:26
host summary
Lizzy Lee summarizing a resource: What did they find?
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Ep 26 · 1:27
host summary
Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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▶
Ep 26 · 1:36
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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Summaries Lizzy gave as host · Giant Omphalocele
31 summaries
Open the Giant Omphalocele collection →
Quick Literature Updates Episode 20
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Ep 6 · 1:03
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Lizzy Lee summarizes what Dr. Alex Halpern said: Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
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Ep 6 · 1:11
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Lizzy Lee summarizes what Dr. Alex Halpern said: They wanted to know whether thoracoscopic repair has a higher recurrence rate and longer operating room time compared to open repair.
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Ep 6 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
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Ep 6 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
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Ep 6 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
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A multi-institutional comparison of management techniques for infants with giant omphalocele
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Ep 6 · 0:00
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Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
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Ep 6 · 0:07
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Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele.
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Ep 6 · 0:07
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Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo.
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Ep 6 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 6 · 0:19
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Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 6 · 0:24
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Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-stage abdominal closure.
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Ep 6 · 0:24
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Lizzy Lee summarizing a resource: About 8 out of 10 did.
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Ep 6 · 0:25
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Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods.
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Ep 6 · 0:25
host summary
Lizzy Lee summarizing a resource: The overall chance of complications was similar across all four treatment methods.
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Ep 6 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of the infants required six months or more before complete abdominal closure could be achieved.
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Ep 6 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of the babies needed 6 months or more before the abdomen could be fully closed.
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Ep 6 · 0:38
host summary
Lizzy Lee summarizing a resource: Duoderm silos may be a particularly good option when the goal is single-stage abdominal closure.
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Ep 6 · 0:38
host summary
Lizzy Lee summarizing a resource: There is no one-size-fits-all treatment for giant omphalocele.
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A multi-institutional comparison of management techniques for infants with giant omphalocele
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Ep 7 · 0:00
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Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
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Ep 7 · 0:07
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Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele
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Ep 7 · 0:07
host summary
Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo
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Ep 7 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery
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Ep 7 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
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Ep 7 · 0:24
host summary
Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-surgery abdominal closure
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▶
Ep 7 · 0:24
host summary
Lizzy Lee summarizing a resource: About 8 out of 10 did.
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▶
Ep 7 · 0:25
host summary
Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods
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▶
Ep 7 · 0:25
host summary
Lizzy Lee summarizing a resource: Complication rates were similar across all four management methods
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Ep 7 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of infants required 6 months or more before complete abdominal closure could be achieved
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▶
Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: There is no universal best treatment approach for giant omphalocele
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Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: There's no one size fits all treatment, but Duoderm silos may be a really good option for certain babies, especially when the goal is closing the abdomen in one step.
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Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: Duoderm silos may be particularly beneficial when the goal is single-stage abdominal closure
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Summaries Lizzy gave as host · Giant Omphalocele
26 summaries
Open the Giant Omphalocele collection →
A multi-institutional comparison of management techniques for infants with giant omphalocele
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Ep 6 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
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▶
Ep 6 · 0:07
host summary
Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele.
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▶
Ep 6 · 0:07
host summary
Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo.
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▶
Ep 6 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery.
↗
▶
Ep 6 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
↗
▶
Ep 6 · 0:24
host summary
Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-stage abdominal closure.
↗
▶
Ep 6 · 0:24
host summary
Lizzy Lee summarizing a resource: About 8 out of 10 did.
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▶
Ep 6 · 0:25
host summary
Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods.
↗
▶
Ep 6 · 0:25
host summary
Lizzy Lee summarizing a resource: The overall chance of complications was similar across all four treatment methods.
↗
▶
Ep 6 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of the infants required six months or more before complete abdominal closure could be achieved.
↗
▶
Ep 6 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of the babies needed 6 months or more before the abdomen could be fully closed.
↗
▶
Ep 6 · 0:38
host summary
Lizzy Lee summarizing a resource: There is no one-size-fits-all treatment for giant omphalocele.
↗
▶
Ep 6 · 0:38
host summary
Lizzy Lee summarizing a resource: Duoderm silos may be a particularly good option when the goal is single-stage abdominal closure.
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A multi-institutional comparison of management techniques for infants with giant omphalocele
▶
Ep 7 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best way to manage a giantombalocele?
↗
▶
Ep 7 · 0:07
host summary
Lizzy Lee summarizing a resource: Four treatment approaches were compared: paint-and-wait, operative silos, compression techniques, and Duoderm silo
↗
▶
Ep 7 · 0:07
host summary
Lizzy Lee summarizing a resource: The study examined 117 infants with giant omphalocele
↗
▶
Ep 7 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with Duoderm silo were most likely to have their abdomen closed in one surgery
↗
▶
Ep 7 · 0:19
host summary
Lizzy Lee summarizing a resource: Babies treated with the duoderm silo were most likely to have their abdomen closed in one surgery.
↗
▶
Ep 7 · 0:24
host summary
Lizzy Lee summarizing a resource: Approximately 80% of infants treated with Duoderm silo achieved single-surgery abdominal closure
↗
▶
Ep 7 · 0:24
host summary
Lizzy Lee summarizing a resource: About 8 out of 10 did.
↗
▶
Ep 7 · 0:25
host summary
Lizzy Lee summarizing a resource: Some babies treated with operative silos achieved closure sooner than other methods
↗
▶
Ep 7 · 0:25
host summary
Lizzy Lee summarizing a resource: Complication rates were similar across all four management methods
↗
▶
Ep 7 · 0:32
host summary
Lizzy Lee summarizing a resource: Almost half of infants required 6 months or more before complete abdominal closure could be achieved
↗
▶
Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: There is no universal best treatment approach for giant omphalocele
↗
▶
Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: Duoderm silos may be particularly beneficial when the goal is single-stage abdominal closure
↗
▶
Ep 7 · 0:38
host summary
Lizzy Lee summarizing a resource: There's no one size fits all treatment, but Duoderm silos may be a really good option for certain babies, especially when the goal is closing the abdomen in one step.
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Summaries Lizzy gave as host · Hernia Recurrence
21 summaries
Open the Hernia Recurrence collection →
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
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Ep 3 · 0:00
host summary
Lizzy Lee summarizing a resource: Open or laparoscopic hernia repair, which is better for kids?
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Ep 3 · 0:06
host summary
Lizzy Lee summarizing a resource: A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
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Ep 3 · 0:13
host summary
Lizzy Lee summarizing a resource: Approximately 16% of pediatric inguinal hernia repairs in the study were performed laparoscopically.
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Ep 3 · 0:15
host summary
Lizzy Lee summarizing a resource: The majority of pediatric inguinal hernia repairs in the study were open repairs.
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Ep 3 · 0:23
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
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Ep 3 · 0:30
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
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Ep 3 · 0:36
host summary
Lizzy Lee summarizing a resource: The findings comparing laparoscopic and open inguinal hernia repair held up after adjusting for hospital differences and patient factors.
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Ep 3 · 0:40
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
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Ep 3 · 0:40
host summary
Lizzy Lee summarizing a resource: Bottom line, open repair has a lower risk of recurrence, while laparoscopic repair may reduce the chance of needing surgery on the other side.
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Ep 3 · 0:40
host summary
Lizzy Lee summarizing a resource: Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
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A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
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Ep 4 · 0:00
host summary
Lizzy Lee summarizing a resource: Open or laparoscopic hernia repair, which is better for kids?
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▶
Ep 4 · 0:06
host summary
Lizzy Lee summarizing a resource: A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
↗
▶
Ep 4 · 0:13
host summary
Lizzy Lee summarizing a resource: Approximately 16% of the pediatric inguinal hernia repairs in the study were performed laparoscopically.
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▶
Ep 4 · 0:15
host summary
Lizzy Lee summarizing a resource: The majority of pediatric inguinal hernia repairs in the study were open repairs.
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Ep 4 · 0:17
host summary
Lizzy Lee summarizing a resource: The study compared two key outcomes: hernia recurrence on the same side and the need for a second hernia operation later on.
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Ep 4 · 0:23
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
↗
▶
Ep 4 · 0:30
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
↗
▶
Ep 4 · 0:36
host summary
Lizzy Lee summarizing a resource: The findings comparing laparoscopic and open inguinal hernia repair held up even after adjusting for hospital differences and patient factors.
↗
▶
Ep 4 · 0:40
host summary
Lizzy Lee summarizing a resource: Bottom line, open repair has a lower risk of recurrence, while laparoscopic repair may reduce the chance of needing surgery on the other side.
↗
▶
Ep 4 · 0:40
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
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▶
Ep 4 · 0:40
host summary
Lizzy Lee summarizing a resource: Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
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Summaries Lizzy gave as host · Hirschsprung disease
35 summaries
Open the Hirschsprung disease collection →
The use of postoperative calibrations in Hirschsprung disease
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Ep 74 · 0:00
host summary
Lizzy Lee summarizing a resource: For patients with Hirschsprung disease who undergo endorectal pull-through surgeries, are daily postoperative anal dilations necessary and effective?
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Ep 74 · 0:13
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Lizzy Lee summarizing a resource: The study was prospective and took place from 2021 to 2023
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Ep 74 · 0:13
host summary
Lizzy Lee summarizing a resource: The study included 33 patients under six months old who underwent endorectal pull-through surgeries
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Ep 74 · 0:24
host summary
Lizzy Lee summarizing a resource: Patients were assigned to either a new non-dilation protocol group or a traditional dilation group
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Ep 74 · 0:30
host summary
Lizzy Lee summarizing a resource: The primary outcomes measured were anastomotic complications, enterocolitis, and constipation
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Ep 74 · 0:37
host summary
Lizzy Lee summarizing a resource: The non-dilation group had less constipation compared to the traditional dilation group
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Ep 74 · 0:37
host summary
Lizzy Lee summarizing a resource: The non-dilation group had less enterocolitis compared to the traditional dilation group
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Ep 74 · 0:37
host summary
Lizzy Lee summarizing a resource: There was no significant difference in anastomotic complications between the two groups
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Ep 74 · 0:46
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis
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Ep 74 · 0:46
host summary
Lizzy Lee summarizing a resource: This means that choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis.
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Quick Literature Updates Episode 17
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Ep 75 · 3:25
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Children's Hospital in Pakistan conducted a randomized control trial including 124 patients in 2021 to 2022 who needed stoma reversal.
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Ep 75 · 3:35
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The Pakistani stoma reversal trial aimed to compare surgical site infections and cosmetic outcomes of scars in patients receiving purse-string or linear skin closure techniques.
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Ep 75 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had way fewer surgical site infections compared to the linear closure group for stoma reversal.
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Ep 75 · 3:44
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The purse-string closure group had much better scar quality compared to the linear closure group for stoma reversal.
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Ep 75 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: When reversing a stoma, purse-string closure technique is the best way to do it.
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Ep 75 · 3:52
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: So when reversing a stoma, purse string closure technique is the best way to do it.
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Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
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Ep 76 · 0:00
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Lizzy Lee summarizing a resource: Does creating a collaborative initiative help with providing high quality pediatric surgical care?
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Ep 76 · 0:10
host summary
Lizzy Lee summarizing a resource: The Finnish Pediatric Surgery Hub was established in 2021 by pediatric surgeons from Finland's five neonatal surgery centers.
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Ep 76 · 0:18
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Lizzy Lee summarizing a resource: The most frequent diagnoses included anorectal malformations, esophageal atresia, and Hirschsprung disease.
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Ep 76 · 0:18
host summary
Lizzy Lee summarizing a resource: The hub performed 34 elective and 6 urgent cases total.
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Ep 76 · 0:28
host summary
Lizzy Lee summarizing a resource: The hub held regular monthly virtual meetings to present new patients, discuss complex cases, and follow up on patients after surgery.
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Ep 76 · 0:36
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Lizzy Lee summarizing a resource: Findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Ep 76 · 0:36
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Lizzy Lee summarizing a resource: Their findings suggest that the Finnish Pediatric Surgery hub fosters an effective and safe place for sharing surgical expertise and learning.
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Quick Literature Updates Ep 22
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Ep 79 · 1:03
host summary
Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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Ep 79 · 1:14
host summary
Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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Ep 79 · 1:20
host summary
Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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Ep 79 · 1:26
host summary
Lizzy Lee summarizing a resource: What did they find?
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Ep 79 · 1:27
host summary
Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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Ep 79 · 1:36
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
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Quick Literature Updates Ep 23
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Ep 80 · 1:02
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: APSA published best practices for locum tenens surgeons, hospitals and agencies stressing the importance of patient safety and support for surgeons.
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Ep 80 · 1:02
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The American P Paediatric Surgical Association, APSA published best practices for locum tendon surgeons, hospitals and agencies in this review article.
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Ep 80 · 1:17
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance.
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Ep 80 · 1:23
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: However, hospitals should avoid relying solely on locum tenants pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 80 · 1:23
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.
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Ep 80 · 1:32
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Locum tenens agencies should sponsor CME and conduct formal exit interviews.
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Summaries Lizzy gave as host · Hypoplastic Left Heart Syndrome
12 summaries
Open the Hypoplastic Left Heart Syndrome collection →
Outcomes of Fontan Patients Undergoing Combined Heart - Liver Transplantation in Pediatric Hospitals Across the U.S.
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Ep 3 · 0:00
host summary
Lizzy Lee summarizing a resource: What happens when kids who underwent Fontan procedure don't just need a new heart, but a new liver as well.
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Ep 3 · 0:11
host summary
Lizzy Lee summarizing a resource: Liver disease is becoming a rising issue in Fontan patients
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Ep 3 · 0:11
host summary
Lizzy Lee summarizing a resource: More Fontan patients are surviving into adolescence and adulthood
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Ep 3 · 0:11
host summary
Lizzy Lee summarizing a resource: Combined heart-liver transplantation is happening more often in Fontan patients
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Ep 3 · 0:21
host summary
Lizzy Lee summarizing a resource: The study examined children and young adults undergoing combined heart-liver transplant at hospitals across the US in the last few years
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Ep 3 · 0:28
host summary
Lizzy Lee summarizing a resource: Many of the patients in the study had hypoplastic left heart syndrome
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Ep 3 · 0:36
host summary
Lizzy Lee summarizing a resource: About 85% of patients survived at 1 year after combined heart-liver transplant
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Ep 3 · 0:36
host summary
Lizzy Lee summarizing a resource: Long-term outcomes after combined heart-liver transplant were excellent
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Ep 3 · 0:41
host summary
Lizzy Lee summarizing a resource: Three-year survival after combined heart-liver transplant was basically identical to patients who received heart transplant alone
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Ep 3 · 0:48
host summary
Lizzy Lee summarizing a resource: Combined heart-liver transplant is increasingly common for Fontan patients with advanced liver disease
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Ep 3 · 0:48
host summary
Lizzy Lee summarizing a resource: The big takeaway, combined heart liver transplant is effective and increasingly common for Fontan patients with advanced liver disease.
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Ep 3 · 0:48
host summary
Lizzy Lee summarizing a resource: Combined heart-liver transplant is effective for Fontan patients with advanced liver disease
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Summaries Lizzy gave as host · Inguinal Hernia
37 summaries
Open the Inguinal Hernia collection →
The Use of Laryngeal Mask Airway Versus Endotracheal Intubation in Pediatric Laparoscopic Inguinal Hernia Repair: A Randomized Controlled Trial
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Ep 18 · 0:01
host summary
Lizzy Lee summarizing a resource: When kids need laparoscopic surgery, do they really need a breathing tube, or could a less invasive airway work just as well?
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Ep 18 · 0:11
host summary
Lizzy Lee summarizing a resource: In laparoscopic surgery, the traditional airway approach is using endotracheal intubation.
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Ep 18 · 0:21
host summary
Lizzy Lee summarizing a resource: A randomized trial studied 50 kids having laparoscopic hernia repair comparing LMA to endotracheal intubation.
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Ep 18 · 0:26
host summary
Lizzy Lee summarizing a resource: There was no difference in tidal carbon dioxide levels between LMA and endotracheal intubation groups in pediatric laparoscopic hernia repair.
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Ep 18 · 0:26
host summary
Lizzy Lee summarizing a resource: There was no difference in oxygen saturation between LMA and endotracheal intubation groups in pediatric laparoscopic hernia repair.
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Ep 18 · 0:33
host summary
Lizzy Lee summarizing a resource: There was only one desaturation event in the LMA group and one in the endotracheal intubation group.
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Ep 18 · 0:37
host summary
Lizzy Lee summarizing a resource: The takeaway is that for certain laparoscopic surgeries in children, an LMA might be just as safe as a traditional endotracheal tube.
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Ep 18 · 0:37
host summary
Lizzy Lee summarizing a resource: For certain laparoscopic surgeries in children, an LMA might be just as safe as a traditional endotracheal tube.
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Effect of a Pediatric Surgeon's Primarily Performed Technique on Inguinal Hernia Recurrence Rates: A Multicenter Retrospective Cohort Study
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Ep 19 · 0:00
host summary
Lizzy Lee summarizing a resource: Does a surgeon's preferred technique actually affect hernia outcome? This study suggests that yes, it can.
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Ep 19 · 0:09
host summary
Lizzy Lee summarizing a resource: The study examined pediatric inguinal hernia repairs across 21 children's hospitals.
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Ep 19 · 0:15
host summary
Lizzy Lee summarizing a resource: When surgeons who mostly do open repairs performed a laparoscopic repair, the hernia recurrence rate was 3.6%.
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Ep 19 · 0:15
host summary
Lizzy Lee summarizing a resource: When laparoscopic repair was done by surgeons who primarily use that approach, the hernia recurrence rate was 1.7%.
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Ep 19 · 0:27
host summary
Lizzy Lee summarizing a resource: Surgeons who primarily do laparoscopic repairs had similar low recurrence rates whether they operated laparoscopically or open.
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Ep 19 · 0:35
host summary
Lizzy Lee summarizing a resource: This means that surgeons tend to get the best results with the technique they use most often.
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Ep 19 · 0:35
host summary
Lizzy Lee summarizing a resource: Surgeons tend to get the best results with the technique they use most often.
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Ep 19 · 0:39
host summary
Lizzy Lee summarizing a resource: If surgeons split their practice between open and laparoscopic hernia repairs, it is important to maintain strong skills in both so that outcomes can stay consistent.
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A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
▶
Ep 20 · 0:00
host summary
Lizzy Lee summarizing a resource: Open or laparoscopic hernia repair, which is better for kids?
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▶
Ep 20 · 0:06
host summary
Lizzy Lee summarizing a resource: A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
↗
▶
Ep 20 · 0:13
host summary
Lizzy Lee summarizing a resource: Approximately 16% of pediatric inguinal hernia repairs in the study were performed laparoscopically.
↗
▶
Ep 20 · 0:15
host summary
Lizzy Lee summarizing a resource: The majority of pediatric inguinal hernia repairs in the study were open repairs.
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▶
Ep 20 · 0:23
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
↗
▶
Ep 20 · 0:30
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
↗
▶
Ep 20 · 0:36
host summary
Lizzy Lee summarizing a resource: The findings comparing laparoscopic and open inguinal hernia repair held up after adjusting for hospital differences and patient factors.
↗
▶
Ep 20 · 0:40
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
↗
▶
Ep 20 · 0:40
host summary
Lizzy Lee summarizing a resource: Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
↗
▶
Ep 20 · 0:40
host summary
Lizzy Lee summarizing a resource: Bottom line, open repair has a lower risk of recurrence, while laparoscopic repair may reduce the chance of needing surgery on the other side.
↗
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
▶
Ep 21 · 0:00
host summary
Lizzy Lee summarizing a resource: Open or laparoscopic hernia repair, which is better for kids?
↗
▶
Ep 21 · 0:06
host summary
Lizzy Lee summarizing a resource: A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
↗
▶
Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: Approximately 16% of the pediatric inguinal hernia repairs in the study were performed laparoscopically.
↗
▶
Ep 21 · 0:15
host summary
Lizzy Lee summarizing a resource: The majority of pediatric inguinal hernia repairs in the study were open repairs.
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▶
Ep 21 · 0:17
host summary
Lizzy Lee summarizing a resource: The study compared two key outcomes: hernia recurrence on the same side and the need for a second hernia operation later on.
↗
▶
Ep 21 · 0:23
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
↗
▶
Ep 21 · 0:30
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
↗
▶
Ep 21 · 0:36
host summary
Lizzy Lee summarizing a resource: The findings comparing laparoscopic and open inguinal hernia repair held up even after adjusting for hospital differences and patient factors.
↗
▶
Ep 21 · 0:40
host summary
Lizzy Lee summarizing a resource: Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
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▶
Ep 21 · 0:40
host summary
Lizzy Lee summarizing a resource: Bottom line, open repair has a lower risk of recurrence, while laparoscopic repair may reduce the chance of needing surgery on the other side.
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Ep 21 · 0:40
host summary
Lizzy Lee summarizing a resource: Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
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Summaries Lizzy gave as host · Intestinal Failure
27 summaries
Open the Intestinal Failure collection →
Outcomes of Children With Short Bowel Syndrome: Experiences in a Multidisciplinary Intestinal Rehabilitation Unit Over Two Decades
▶
Ep 26 · 0:10
host summary
Lizzy Lee summarizing a resource: This retrospective study examined 64 pediatric patients with short bowel syndrome managed by a multidisciplinary intestinal rehab program between 2001 and 2022.
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▶
Ep 26 · 0:22
host summary
Lizzy Lee summarizing a resource: 78% of patients with short bowel syndrome were able to wean off parenteral nutrition.
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▶
Ep 26 · 0:22
host summary
Lizzy Lee summarizing a resource: 89% of patients with short bowel syndrome in the study survived.
↗
▶
Ep 26 · 0:22
host summary
Lizzy Lee summarizing a resource: Survival rates of children with short bowel syndrome improved over time in the study period.
↗
▶
Ep 26 · 0:31
host summary
Lizzy Lee summarizing a resource: Presence of intestinal failure associated liver disease affected survival in pediatric short bowel syndrome patients.
↗
▶
Ep 26 · 0:31
host summary
Lizzy Lee summarizing a resource: Introduction of fish oil-based parenteral nutrition in 2007 improved survival in pediatric short bowel syndrome patients.
↗
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
▶
Ep 28 · 1:24
host summary
Lizzy Lee summarizing the discussion: Chronic intestinal inflammation resembling Crohn's disease is now being observed in intestinal failure patients, requiring management with inflammatory bowel disease therapies like biologics.
↗
▶
Ep 28 · 3:19
host summary
Lizzy Lee summarizing the discussion: A 2012 Pediatric Intestinal Failure Consortium study showed 50% of intestinal failure patients achieved enteral autonomy, while 25% either died or had intestinal transplant.
↗
▶
Ep 28 · 3:51
host summary
Lizzy Lee summarizing the discussion: Studies from Canada, Michigan, and Spain show that multidisciplinary intestinal rehabilitation teams improve survival.
↗
▶
Ep 28 · 9:26
host summary
Lizzy Lee summarizing the discussion: Second-generation lipid emulsions attempt to reduce omega-6 exposure by diluting the soybean component.
↗
▶
Ep 28 · 9:43
host summary
Lizzy Lee summarizing the discussion: Omega-6 fatty acids promote inflammation while omega-3 fatty acids lead to a more anti-inflammatory response.
↗
▶
Ep 28 · 11:12
host summary
Lizzy Lee summarizing the discussion: In utero, babies receive significant amounts of DHA and arachidonic acid through the placenta, but standard lipid emulsions in TPN fall short of providing these.
↗
▶
Ep 28 · 13:09
host summary
Lizzy Lee summarizing the discussion: Kitelock addresses three issues of central line complications: organisms, clot/thrombosis, and biofilm.
↗
▶
Ep 28 · 14:19
host summary
Lizzy Lee summarizing the discussion: Patients with Type 3 short bowel syndrome have the best prognosis because they still have residual ileum.
↗
▶
Ep 28 · 14:36
host summary
Lizzy Lee summarizing the discussion: The ileum is where GLP-2 is naturally produced.
↗
▶
Ep 28 · 14:39
host summary
Lizzy Lee summarizing the discussion: Without an ileum, infants cannot generate the necessary GLP-2 hormone surge to drive their own intestinal adaptation.
↗
▶
Ep 28 · 16:54
host summary
Lizzy Lee summarizing the discussion: Children have much greater adaptive potential than adults because of their inherent gut growth capacity.
↗
▶
Ep 28 · 17:00
host summary
Lizzy Lee summarizing the discussion: The proportion of children reaching enteral autonomy has improved over the past 20 years.
↗
▶
Ep 28 · 17:06
host summary
Lizzy Lee summarizing the discussion: Controlling liver disease buys time for intestinal adaptation.
↗
Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
▶
Ep 29 · 0:00
host summary
Lizzy Lee summarizing a resource: Can a child's zip code actually change their short bowel syndrome outcomes?
↗
▶
Ep 29 · 0:07
host summary
Lizzy Lee summarizing a resource: This was a retrospective cohort study of children with short bowel syndrome in an intestinal rehabilitation program, followed from 2006 to 2019.
↗
▶
Ep 29 · 0:16
host summary
Lizzy Lee summarizing a resource: The study asked whether social determinants of health predict outcomes like bloodstream infections, liver disease, and achieving enteral autonomy.
↗
▶
Ep 29 · 0:24
host summary
Lizzy Lee summarizing a resource: Social determinants of health do predict outcomes in pediatric short bowel syndrome in real ways.
↗
▶
Ep 29 · 0:24
host summary
Lizzy Lee summarizing a resource: And the answer was yes, in very real ways.
↗
▶
Ep 29 · 0:27
host summary
Lizzy Lee summarizing a resource: Distance from the hospital was associated with higher risks of serious complications in children with short bowel syndrome.
↗
▶
Ep 29 · 0:33
host summary
Lizzy Lee summarizing a resource: Parental education was linked with fewer central line infections in children with short bowel syndrome.
↗
▶
Ep 29 · 0:37
host summary
Lizzy Lee summarizing a resource: Social determinants need to be considered to support families of children with short bowel syndrome better.
↗
Summaries Lizzy gave as host · Intestinal Rehab
68 summaries
Open the Intestinal Rehab collection →
Outcomes of Children With Short Bowel Syndrome: Experiences in a Multidisciplinary Intestinal Rehabilitation Unit Over Two Decades
▶
Ep 93 · 0:10
host summary
Lizzy Lee summarizing a resource: This retrospective study examined 64 pediatric patients with short bowel syndrome managed by a multidisciplinary intestinal rehab program between 2001 and 2022.
↗
▶
Ep 93 · 0:22
host summary
Lizzy Lee summarizing a resource: 78% of patients with short bowel syndrome were able to wean off parenteral nutrition.
↗
▶
Ep 93 · 0:22
host summary
Lizzy Lee summarizing a resource: Survival rates of children with short bowel syndrome improved over time in the study period.
↗
▶
Ep 93 · 0:22
host summary
Lizzy Lee summarizing a resource: 89% of patients with short bowel syndrome in the study survived.
↗
▶
Ep 93 · 0:31
host summary
Lizzy Lee summarizing a resource: Introduction of fish oil-based parenteral nutrition in 2007 improved survival in pediatric short bowel syndrome patients.
↗
▶
Ep 93 · 0:31
host summary
Lizzy Lee summarizing a resource: Presence of intestinal failure associated liver disease affected survival in pediatric short bowel syndrome patients.
↗
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
▶
Ep 95 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best surgical approach for infants needing laparotomy, for necrotizing enterocolitis, anastomosis, or stoma formation?
↗
▶
Ep 95 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial was a randomized controlled trial in 12 centers worldwide.
↗
▶
Ep 95 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial looked at newborns who underwent laparotomy for necrotizing enterocolitis requiring intestinal resection from 2010 to 2020.
↗
▶
Ep 95 · 0:26
host summary
Lizzy Lee summarizing a resource: Infants were randomized to two surgical approaches: either anastomosis or stoma formation.
↗
▶
Ep 95 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in unplanned surgeries between primary anastomosis and stoma formation groups.
↗
▶
Ep 95 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in mortality between primary anastomosis and stoma formation groups.
↗
▶
Ep 95 · 0:31
host summary
Lizzy Lee summarizing a resource: Infants undergoing primary anastomosis had a significantly less duration of requiring parenteral nutrition compared to those with stoma formation.
↗
▶
Ep 95 · 0:43
host summary
Lizzy Lee summarizing a resource: Primary anastomosis is superior for enhancing recovery from necrotizing enterocolitis in infants and does not increase adverse outcomes.
↗
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
▶
Ep 97 · 0:00
host summary
Lizzy Lee summarizing a resource: Do children born with gastroschisis perform worse in school compared to age-matched peers without the condition?
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▶
Ep 97 · 0:11
host summary
Lizzy Lee summarizing a resource: This is a retrospective study using educational data from children born between 1991 and 2022.
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▶
Ep 97 · 0:18
host summary
Lizzy Lee summarizing a resource: Researchers used odds ratio and subgroup analysis to compare school performance using the Early Development Instrument or EDI and grade level assessments between 208 children with gastroschisis and over 2000 age-matched controls.
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▶
Ep 97 · 0:33
host summary
Lizzy Lee summarizing a resource: Children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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▶
Ep 97 · 0:33
host summary
Lizzy Lee summarizing a resource: They found that children with gastroschisis, even those with the simpler form, were significantly more likely to fail middle school assessments.
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▶
Ep 97 · 0:41
host summary
Lizzy Lee summarizing a resource: Children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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▶
Ep 97 · 0:41
host summary
Lizzy Lee summarizing a resource: This suggests that children with gastroschisis may face long-term learning challenges and could benefit from early educational support.
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Quick Literature Updates Ep 22
▶
Ep 98 · 1:03
host summary
Lizzy Lee summarizing a resource: The Beotti et al. prospective study on postoperative calibrations in Hirschsprung disease took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
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▶
Ep 98 · 1:14
host summary
Lizzy Lee summarizing a resource: In the Beotti study, patients were assigned to a new non-dilation protocol group or a traditional dilation group.
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▶
Ep 98 · 1:20
host summary
Lizzy Lee summarizing a resource: The Beotti study primary outcomes were anastomotic complications, enterocolitis, and constipation.
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▶
Ep 98 · 1:26
host summary
Lizzy Lee summarizing a resource: What did they find?
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▶
Ep 98 · 1:27
host summary
Lizzy Lee summarizing a resource: In the Beotti study, there was no significant difference in anastomotic complications between the two groups, but the non-dilation group had less enterocolitis and less constipation.
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▶
Ep 98 · 1:36
host summary
Lizzy Lee summarizing a resource: Choosing not to do postoperative anal dilations after Hirschsprung pull-through may be a good alternative with benefits like lower constipation and enterocolitis.
↗
Quick Literature Updates Ep 27
▶
Ep 99 · 1:04
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Van Haal et al. conducted a retrospective cohort study in the Netherlands that included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery.
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▶
Ep 99 · 1:24
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%.
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▶
Ep 99 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy, though routine, has limited predictive value for post-operative tracheomalacia in esophageal atresia patients.
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▶
Ep 99 · 1:34
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia.
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Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
▶
Ep 105 · 0:08
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound is becoming an important tool for diagnosing necrotizing enterocolitis (NEC).
↗
▶
Ep 105 · 0:19
host summary
Lizzy Lee summarizing a resource: A national survey included more than 100 neonatologists, surgeons, and radiologists from 42 children's hospitals.
↗
▶
Ep 105 · 0:26
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound was available in 83% of level 4 NICUs.
↗
▶
Ep 105 · 0:26
host summary
Lizzy Lee summarizing a resource: While bowel ultrasound was available in 83% of level 4 NICUs, clinicians reported using it inconsistently, most often only when X-rays.
↗
▶
Ep 105 · 0:26
host summary
Lizzy Lee summarizing a resource: Clinicians reported using bowel ultrasound inconsistently, most often only when X-rays were inconclusive.
↗
▶
Ep 105 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers weren't the technology itself, they were the lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
↗
▶
Ep 105 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers to bowel ultrasound use were lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
↗
▶
Ep 105 · 0:46
host summary
Lizzy Lee summarizing a resource: Wider adoption of bowel ultrasound for NEC will depend on better evidence, standardized guidelines, and improved clinician training.
↗
Update Course Rewind 2025: Updates in NEC Management
▶
Ep 106 · 2:06
host summary
Lizzy Lee summarizing the discussion: For every 10 babies with surgical NEC, an X-ray might only catch one or two in the early stages (based on 13% sensitivity)
↗
▶
Ep 106 · 2:15
host summary
Lizzy Lee summarizing the discussion: A 2023 study in Pediatric Radiology suggests ultrasound can detect bowel wall thinning, perfusion abnormalities, and silent fluid collections that X-ray misses
↗
▶
Ep 106 · 5:00
host summary
Lizzy Lee summarizing the discussion: The benefit of primary anastomosis may not be seen in immediate survival but appears in the long run
↗
▶
Ep 106 · 5:18
host summary
Lizzy Lee summarizing the discussion: In clip-and-drop technique, surgeon removes necrotic segment, staples the ends, and returns in 24-48 hours to check gut hemodynamics before committing to stoma or anastomosis
↗
▶
Ep 106 · 6:55
host summary
Lizzy Lee summarizing the discussion: In the SAT trial, mortality was similar between primary anastomosis and stoma groups
↗
▶
Ep 106 · 6:56
host summary
Lizzy Lee summarizing the discussion: Babies who received primary anastomosis got off parenteral nutrition significantly sooner than those with stoma
↗
▶
Ep 106 · 7:06
host summary
Lizzy Lee summarizing the discussion: Babies with primary anastomosis were able to return to enteral feeds more quickly and had fewer intestinal complications than those with stoma
↗
▶
Ep 106 · 7:52
host summary
Lizzy Lee summarizing the discussion: Mucous fistula refeeding involves recycling upper stoma output into the lower bowel to keep it healthy
↗
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
▶
Ep 107 · 1:24
host summary
Lizzy Lee summarizing the discussion: Chronic intestinal inflammation resembling Crohn's disease is now being observed in intestinal failure patients, requiring management with inflammatory bowel disease therapies like biologics.
↗
▶
Ep 107 · 3:19
host summary
Lizzy Lee summarizing the discussion: A 2012 Pediatric Intestinal Failure Consortium study showed 50% of intestinal failure patients achieved enteral autonomy, while 25% either died or had intestinal transplant.
↗
▶
Ep 107 · 3:51
host summary
Lizzy Lee summarizing the discussion: Studies from Canada, Michigan, and Spain show that multidisciplinary intestinal rehabilitation teams improve survival.
↗
▶
Ep 107 · 9:26
host summary
Lizzy Lee summarizing the discussion: Second-generation lipid emulsions attempt to reduce omega-6 exposure by diluting the soybean component.
↗
▶
Ep 107 · 9:43
host summary
Lizzy Lee summarizing the discussion: Omega-6 fatty acids promote inflammation while omega-3 fatty acids lead to a more anti-inflammatory response.
↗
▶
Ep 107 · 11:12
host summary
Lizzy Lee summarizing the discussion: In utero, babies receive significant amounts of DHA and arachidonic acid through the placenta, but standard lipid emulsions in TPN fall short of providing these.
↗
▶
Ep 107 · 13:09
host summary
Lizzy Lee summarizing the discussion: Kitelock addresses three issues of central line complications: organisms, clot/thrombosis, and biofilm.
↗
▶
Ep 107 · 14:19
host summary
Lizzy Lee summarizing the discussion: Patients with Type 3 short bowel syndrome have the best prognosis because they still have residual ileum.
↗
▶
Ep 107 · 14:36
host summary
Lizzy Lee summarizing the discussion: The ileum is where GLP-2 is naturally produced.
↗
▶
Ep 107 · 14:39
host summary
Lizzy Lee summarizing the discussion: Without an ileum, infants cannot generate the necessary GLP-2 hormone surge to drive their own intestinal adaptation.
↗
▶
Ep 107 · 16:54
host summary
Lizzy Lee summarizing the discussion: Children have much greater adaptive potential than adults because of their inherent gut growth capacity.
↗
▶
Ep 107 · 17:00
host summary
Lizzy Lee summarizing the discussion: The proportion of children reaching enteral autonomy has improved over the past 20 years.
↗
▶
Ep 107 · 17:06
host summary
Lizzy Lee summarizing the discussion: Controlling liver disease buys time for intestinal adaptation.
↗
Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
▶
Ep 108 · 0:00
host summary
Lizzy Lee summarizing a resource: Can a child's zip code actually change their short bowel syndrome outcomes?
↗
▶
Ep 108 · 0:07
host summary
Lizzy Lee summarizing a resource: This was a retrospective cohort study of children with short bowel syndrome in an intestinal rehabilitation program, followed from 2006 to 2019.
↗
▶
Ep 108 · 0:16
host summary
Lizzy Lee summarizing a resource: The study asked whether social determinants of health predict outcomes like bloodstream infections, liver disease, and achieving enteral autonomy.
↗
▶
Ep 108 · 0:24
host summary
Lizzy Lee summarizing a resource: And the answer was yes, in very real ways.
↗
▶
Ep 108 · 0:24
host summary
Lizzy Lee summarizing a resource: Social determinants of health do predict outcomes in pediatric short bowel syndrome in real ways.
↗
▶
Ep 108 · 0:27
host summary
Lizzy Lee summarizing a resource: Distance from the hospital was associated with higher risks of serious complications in children with short bowel syndrome.
↗
▶
Ep 108 · 0:33
host summary
Lizzy Lee summarizing a resource: Parental education was linked with fewer central line infections in children with short bowel syndrome.
↗
▶
Ep 108 · 0:37
host summary
Lizzy Lee summarizing a resource: Social determinants need to be considered to support families of children with short bowel syndrome better.
↗
Summaries Lizzy gave as host · Islet Cell / TPIAT
10 summaries
Open the Islet Cell / TPIAT collection →
Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
▶
Ep 4 · 0:00
host summary
Lizzy Lee summarizing a resource: What if curing a rare pancreatic tumor sets the stage for chronic pancreatitis?
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▶
Ep 4 · 0:09
host summary
Lizzy Lee summarizing a resource: Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
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▶
Ep 4 · 0:15
host summary
Lizzy Lee summarizing a resource: Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
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▶
Ep 4 · 0:22
host summary
Lizzy Lee summarizing a resource: In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
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▶
Ep 4 · 0:25
host summary
Lizzy Lee summarizing a resource: 3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
↗
▶
Ep 4 · 0:32
host summary
Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like the CFTR gene variant, or they had pancreas divisum.
↗
▶
Ep 4 · 0:32
host summary
Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
↗
▶
Ep 4 · 0:40
host summary
Lizzy Lee summarizing a resource: Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
↗
▶
Ep 4 · 0:45
host summary
Lizzy Lee summarizing a resource: Even low grade tumors can carry high stakes consequences.
↗
▶
Ep 4 · 0:48
host summary
Lizzy Lee summarizing a resource: Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
↗
Summaries Lizzy gave as host · Necrotizing Enterocolitis
24 summaries
Open the Necrotizing Enterocolitis collection →
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
▶
Ep 21 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best surgical approach for infants needing laparotomy, for necrotizing enterocolitis, anastomosis, or stoma formation?
↗
▶
Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial looked at newborns who underwent laparotomy for necrotizing enterocolitis requiring intestinal resection from 2010 to 2020.
↗
▶
Ep 21 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial was a randomized controlled trial in 12 centers worldwide.
↗
▶
Ep 21 · 0:26
host summary
Lizzy Lee summarizing a resource: Infants were randomized to two surgical approaches: either anastomosis or stoma formation.
↗
▶
Ep 21 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in unplanned surgeries between primary anastomosis and stoma formation groups.
↗
▶
Ep 21 · 0:31
host summary
Lizzy Lee summarizing a resource: Infants undergoing primary anastomosis had a significantly less duration of requiring parenteral nutrition compared to those with stoma formation.
↗
▶
Ep 21 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in mortality between primary anastomosis and stoma formation groups.
↗
▶
Ep 21 · 0:43
host summary
Lizzy Lee summarizing a resource: Primary anastomosis is superior for enhancing recovery from necrotizing enterocolitis in infants and does not increase adverse outcomes.
↗
Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
▶
Ep 22 · 0:08
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound is becoming an important tool for diagnosing necrotizing enterocolitis (NEC).
↗
▶
Ep 22 · 0:19
host summary
Lizzy Lee summarizing a resource: A national survey included more than 100 neonatologists, surgeons, and radiologists from 42 children's hospitals.
↗
▶
Ep 22 · 0:26
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound was available in 83% of level 4 NICUs.
↗
▶
Ep 22 · 0:26
host summary
Lizzy Lee summarizing a resource: While bowel ultrasound was available in 83% of level 4 NICUs, clinicians reported using it inconsistently, most often only when X-rays.
↗
▶
Ep 22 · 0:26
host summary
Lizzy Lee summarizing a resource: Clinicians reported using bowel ultrasound inconsistently, most often only when X-rays were inconclusive.
↗
▶
Ep 22 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers to bowel ultrasound use were lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
↗
▶
Ep 22 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers weren't the technology itself, they were the lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
↗
▶
Ep 22 · 0:46
host summary
Lizzy Lee summarizing a resource: Wider adoption of bowel ultrasound for NEC will depend on better evidence, standardized guidelines, and improved clinician training.
↗
Update Course Rewind 2025: Updates in NEC Management
▶
Ep 23 · 2:06
host summary
Lizzy Lee summarizing the discussion: For every 10 babies with surgical NEC, an X-ray might only catch one or two in the early stages (based on 13% sensitivity)
↗
▶
Ep 23 · 2:15
host summary
Lizzy Lee summarizing the discussion: A 2023 study in Pediatric Radiology suggests ultrasound can detect bowel wall thinning, perfusion abnormalities, and silent fluid collections that X-ray misses
↗
▶
Ep 23 · 5:00
host summary
Lizzy Lee summarizing the discussion: The benefit of primary anastomosis may not be seen in immediate survival but appears in the long run
↗
▶
Ep 23 · 5:18
host summary
Lizzy Lee summarizing the discussion: In clip-and-drop technique, surgeon removes necrotic segment, staples the ends, and returns in 24-48 hours to check gut hemodynamics before committing to stoma or anastomosis
↗
▶
Ep 23 · 6:55
host summary
Lizzy Lee summarizing the discussion: In the SAT trial, mortality was similar between primary anastomosis and stoma groups
↗
▶
Ep 23 · 6:56
host summary
Lizzy Lee summarizing the discussion: Babies who received primary anastomosis got off parenteral nutrition significantly sooner than those with stoma
↗
▶
Ep 23 · 7:06
host summary
Lizzy Lee summarizing the discussion: Babies with primary anastomosis were able to return to enteral feeds more quickly and had fewer intestinal complications than those with stoma
↗
▶
Ep 23 · 7:52
host summary
Lizzy Lee summarizing the discussion: Mucous fistula refeeding involves recycling upper stoma output into the lower bowel to keep it healthy
↗
Summaries Lizzy gave as host · Necrotizing Enterocolitis
24 summaries
Open the Necrotizing Enterocolitis collection →
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
▶
Ep 10 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best surgical approach for infants needing laparotomy, for necrotizing enterocolitis, anastomosis, or stoma formation?
↗
▶
Ep 10 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial looked at newborns who underwent laparotomy for necrotizing enterocolitis requiring intestinal resection from 2010 to 2020.
↗
▶
Ep 10 · 0:13
host summary
Lizzy Lee summarizing a resource: The STAT trial was a randomized controlled trial in 12 centers worldwide.
↗
▶
Ep 10 · 0:26
host summary
Lizzy Lee summarizing a resource: Infants were randomized to two surgical approaches: either anastomosis or stoma formation.
↗
▶
Ep 10 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in unplanned surgeries between primary anastomosis and stoma formation groups.
↗
▶
Ep 10 · 0:31
host summary
Lizzy Lee summarizing a resource: Infants undergoing primary anastomosis had a significantly less duration of requiring parenteral nutrition compared to those with stoma formation.
↗
▶
Ep 10 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in mortality between primary anastomosis and stoma formation groups.
↗
▶
Ep 10 · 0:43
host summary
Lizzy Lee summarizing a resource: Primary anastomosis is superior for enhancing recovery from necrotizing enterocolitis in infants and does not increase adverse outcomes.
↗
Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
▶
Ep 11 · 0:08
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound is becoming an important tool for diagnosing necrotizing enterocolitis (NEC).
↗
▶
Ep 11 · 0:19
host summary
Lizzy Lee summarizing a resource: A national survey included more than 100 neonatologists, surgeons, and radiologists from 42 children's hospitals.
↗
▶
Ep 11 · 0:26
host summary
Lizzy Lee summarizing a resource: While bowel ultrasound was available in 83% of level 4 NICUs, clinicians reported using it inconsistently, most often only when X-rays.
↗
▶
Ep 11 · 0:26
host summary
Lizzy Lee summarizing a resource: Bowel ultrasound was available in 83% of level 4 NICUs.
↗
▶
Ep 11 · 0:26
host summary
Lizzy Lee summarizing a resource: Clinicians reported using bowel ultrasound inconsistently, most often only when X-rays were inconclusive.
↗
▶
Ep 11 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers weren't the technology itself, they were the lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
↗
▶
Ep 11 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers to bowel ultrasound use were lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
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Ep 11 · 0:46
host summary
Lizzy Lee summarizing a resource: Wider adoption of bowel ultrasound for NEC will depend on better evidence, standardized guidelines, and improved clinician training.
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Update Course Rewind 2025: Updates in NEC Management
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Ep 12 · 2:06
host summary
Lizzy Lee summarizing the discussion: For every 10 babies with surgical NEC, an X-ray might only catch one or two in the early stages (based on 13% sensitivity)
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Ep 12 · 2:15
host summary
Lizzy Lee summarizing the discussion: A 2023 study in Pediatric Radiology suggests ultrasound can detect bowel wall thinning, perfusion abnormalities, and silent fluid collections that X-ray misses
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Ep 12 · 5:00
host summary
Lizzy Lee summarizing the discussion: The benefit of primary anastomosis may not be seen in immediate survival but appears in the long run
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Ep 12 · 5:18
host summary
Lizzy Lee summarizing the discussion: In clip-and-drop technique, surgeon removes necrotic segment, staples the ends, and returns in 24-48 hours to check gut hemodynamics before committing to stoma or anastomosis
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Ep 12 · 6:55
host summary
Lizzy Lee summarizing the discussion: In the SAT trial, mortality was similar between primary anastomosis and stoma groups
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Ep 12 · 6:56
host summary
Lizzy Lee summarizing the discussion: Babies who received primary anastomosis got off parenteral nutrition significantly sooner than those with stoma
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Ep 12 · 7:06
host summary
Lizzy Lee summarizing the discussion: Babies with primary anastomosis were able to return to enteral feeds more quickly and had fewer intestinal complications than those with stoma
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Ep 12 · 7:52
host summary
Lizzy Lee summarizing the discussion: Mucous fistula refeeding involves recycling upper stoma output into the lower bowel to keep it healthy
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Summaries Lizzy gave as host · Necrotizing Enterocolitis
24 summaries
Open the Necrotizing Enterocolitis collection →
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
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Ep 26 · 0:00
host summary
Lizzy Lee summarizing a resource: What's the best surgical approach for infants needing laparotomy, for necrotizing enterocolitis, anastomosis, or stoma formation?
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Ep 26 · 0:13
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Lizzy Lee summarizing a resource: The STAT trial was a randomized controlled trial in 12 centers worldwide.
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Ep 26 · 0:13
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Lizzy Lee summarizing a resource: The STAT trial looked at newborns who underwent laparotomy for necrotizing enterocolitis requiring intestinal resection from 2010 to 2020.
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Ep 26 · 0:26
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Lizzy Lee summarizing a resource: Infants were randomized to two surgical approaches: either anastomosis or stoma formation.
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Ep 26 · 0:31
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Lizzy Lee summarizing a resource: There was no difference in unplanned surgeries between primary anastomosis and stoma formation groups.
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Ep 26 · 0:31
host summary
Lizzy Lee summarizing a resource: Infants undergoing primary anastomosis had a significantly less duration of requiring parenteral nutrition compared to those with stoma formation.
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Ep 26 · 0:31
host summary
Lizzy Lee summarizing a resource: There was no difference in mortality between primary anastomosis and stoma formation groups.
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Ep 26 · 0:43
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Lizzy Lee summarizing a resource: Primary anastomosis is superior for enhancing recovery from necrotizing enterocolitis in infants and does not increase adverse outcomes.
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Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
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Ep 31 · 0:08
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Lizzy Lee summarizing a resource: Bowel ultrasound is becoming an important tool for diagnosing necrotizing enterocolitis (NEC).
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Ep 31 · 0:19
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Lizzy Lee summarizing a resource: A national survey included more than 100 neonatologists, surgeons, and radiologists from 42 children's hospitals.
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Ep 31 · 0:26
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Lizzy Lee summarizing a resource: While bowel ultrasound was available in 83% of level 4 NICUs, clinicians reported using it inconsistently, most often only when X-rays.
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Ep 31 · 0:26
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Lizzy Lee summarizing a resource: Clinicians reported using bowel ultrasound inconsistently, most often only when X-rays were inconclusive.
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Ep 31 · 0:26
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Lizzy Lee summarizing a resource: Bowel ultrasound was available in 83% of level 4 NICUs.
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Ep 31 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers weren't the technology itself, they were the lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
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Ep 31 · 0:36
host summary
Lizzy Lee summarizing a resource: The biggest barriers to bowel ultrasound use were lack of standardized protocols, limited provider training, and uncertainty about how bowel ultrasound should guide treatment decisions.
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Ep 31 · 0:46
host summary
Lizzy Lee summarizing a resource: Wider adoption of bowel ultrasound for NEC will depend on better evidence, standardized guidelines, and improved clinician training.
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Update Course Rewind 2025: Updates in NEC Management
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Ep 32 · 2:06
host summary
Lizzy Lee summarizing the discussion: For every 10 babies with surgical NEC, an X-ray might only catch one or two in the early stages (based on 13% sensitivity)
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▶
Ep 32 · 2:15
host summary
Lizzy Lee summarizing the discussion: A 2023 study in Pediatric Radiology suggests ultrasound can detect bowel wall thinning, perfusion abnormalities, and silent fluid collections that X-ray misses
↗
▶
Ep 32 · 5:00
host summary
Lizzy Lee summarizing the discussion: The benefit of primary anastomosis may not be seen in immediate survival but appears in the long run
↗
▶
Ep 32 · 5:18
host summary
Lizzy Lee summarizing the discussion: In clip-and-drop technique, surgeon removes necrotic segment, staples the ends, and returns in 24-48 hours to check gut hemodynamics before committing to stoma or anastomosis
↗
▶
Ep 32 · 6:55
host summary
Lizzy Lee summarizing the discussion: In the SAT trial, mortality was similar between primary anastomosis and stoma groups
↗
▶
Ep 32 · 6:56
host summary
Lizzy Lee summarizing the discussion: Babies who received primary anastomosis got off parenteral nutrition significantly sooner than those with stoma
↗
▶
Ep 32 · 7:06
host summary
Lizzy Lee summarizing the discussion: Babies with primary anastomosis were able to return to enteral feeds more quickly and had fewer intestinal complications than those with stoma
↗
▶
Ep 32 · 7:52
host summary
Lizzy Lee summarizing the discussion: Mucous fistula refeeding involves recycling upper stoma output into the lower bowel to keep it healthy
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Summaries Lizzy gave as host · Neuroblastoma
9 summaries
Open the Neuroblastoma collection →
Quick Literature Updates Ep 19
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Ep 21 · 1:00
host summary
Lizzy Lee summarizes what Dr. Carlos Colunga said: APSA created a peer support program for pediatric surgeons in 2020.
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Ep 21 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The American Pediatric Surgical Association or the APSA created a peer support program for pediatric surgeons in 2020.
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Ep 21 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The goal of the APSA peer support program was to support surgeons after traumatic events.
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Ep 21 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Their goal was to support surgeons after traumatic events.
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Ep 21 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons were toxic work environments and adverse events.
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Ep 21 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons for the peer support program were toxic work environments and adverse events.
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Ep 21 · 1:20
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Lizzy Lee summarizes what Dr. Carlos Colunga said: 50 surgeons total agreed to receive training on how to be a supporter in the APSA program.
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Ep 21 · 1:25
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Over 80% of trained peer supporters were able to use these peer support skills informally with colleagues, partners, and trainees.
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Ep 21 · 1:31
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The peer support program shows that this type of support system can work really well to help surgeons heal from traumatic experiences and toxic work environments.
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Summaries Lizzy gave as host · Non-perforated Appendicitis
8 summaries
Open the Non-perforated Appendicitis collection →
Quick Literature Updates Ep 26
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Ep 4 · 1:07
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Recent literature has been supporting treating appendicitis with antibiotics rather than surgery.
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Ep 4 · 1:07
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: Recent literature has been supporting treating appendicitis with antibiotics rather than surgery
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Ep 4 · 1:12
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Saint Peter et al. study was a multi-center randomized trial in Canada, the US, Finland, Sweden, and Singapore investigating whether antibiotic treatment is inferior to appendicectomy
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Ep 4 · 1:24
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Lizzy Lee summarizes what Dr. Alex Halpern said: 34% of children treated with antibiotics for appendicitis eventually required surgery within a year compared to only 7% in the surgery group
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Ep 4 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: Children in the antibiotic group had a higher risk of mild to moderate adverse events compared to the surgery group
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Ep 4 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: There were no deaths in either the antibiotic or surgery group for appendicitis treatment
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Ep 4 · 1:39
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Lizzy Lee summarizes what Dr. Alex Halpern said: Antibiotics were not as effective as surgery for treating non-perforated appendicitis in children, as it did not meet the threshold for non-inferiority
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Ep 4 · 1:39
host summary
Lizzy Lee summarizes what Dr. Alex Halpern said: The key takeaway is that antibiotics were not as effective as surgery for treating non-perforated appendicitis in children, as it did not meet the threshold for non-inferiority.
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Summaries Lizzy gave as host · Obesity
37 summaries
Open the Obesity collection →
Clinical Research Facilitators, Barriers, and Preferences of Parents of Children With Overweight...
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Ep 29 · 0:00
host summary
Lizzy Lee summarizing a resource: Why is it so hard to enroll families in childhood obesity research?
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Ep 29 · 0:07
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Lizzy Lee summarizing a resource: Researchers surveyed more than 100 parents of children with overweight or obesity to understand what influences their decision to participate in research
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Ep 29 · 0:15
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Lizzy Lee summarizing a resource: Parents reported more reasons to participate in childhood obesity research than reasons not to participate
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Ep 29 · 0:15
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Lizzy Lee summarizing a resource: Mistrust, time demands, and social pressure are barriers that make it harder for parents to participate in childhood obesity research
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Ep 29 · 0:26
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Lizzy Lee summarizing a resource: Research perceptions varied by family characteristics
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Ep 29 · 0:30
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Lizzy Lee summarizing a resource: The takeaway, if we want better childhood obesity research, we need to make studies easier to join, reduce participation burden, and build trust with families from the very beginning.
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Ep 29 · 0:30
host summary
Lizzy Lee summarizing a resource: To improve childhood obesity research, studies need to be easier to join, reduce participation burden, and build trust with families from the beginning
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Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
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Ep 30 · 0:00
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Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
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Ep 30 · 0:08
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Lizzy Lee summarizing a resource: A national survey examined pediatric weight management programs across the US regarding eating disorder screening practices
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Ep 30 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders but not in a standardized way
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Ep 30 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
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Ep 30 · 0:19
host summary
Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
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Ep 30 · 0:19
host summary
Lizzy Lee summarizing a resource: Much of the screening is informal, using homegrown questionnaires or clinical judgment rather than validated tools
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Ep 30 · 0:19
host summary
Lizzy Lee summarizing a resource: About 60% of programs perform some form of eating disorder screening
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Ep 30 · 0:29
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Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
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Ep 30 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable with screening for eating disorders
↗
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Ep 30 · 0:29
host summary
Lizzy Lee summarizing a resource: Medical providers lag behind behavioral health specialists by a wide margin when diagnosing conditions like binge eating disorder
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Ep 30 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder management
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Ep 30 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
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Ep 30 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
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Ep 30 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they identify as a barrier
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Ep 30 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders in pediatric obesity settings
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Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
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Ep 31 · 0:00
host summary
Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
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Ep 31 · 0:08
host summary
Lizzy Lee summarizing a resource: A national survey of pediatric weight management programs across the US was conducted
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Ep 31 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way
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Ep 31 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
↗
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Ep 31 · 0:19
host summary
Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
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Ep 31 · 0:19
host summary
Lizzy Lee summarizing a resource: About 60% of programs are doing some form of screening
↗
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Ep 31 · 0:19
host summary
Lizzy Lee summarizing a resource: A lot of screening uses informal, homegrown questionnaires or just clinical judgment rather than validated tools
↗
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Ep 31 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening for eating disorders
↗
▶
Ep 31 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
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Ep 31 · 0:29
host summary
Lizzy Lee summarizing a resource: When it comes to diagnosing binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin
↗
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Ep 31 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they find as a barrier
↗
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Ep 31 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder diagnosis and management
↗
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Ep 31 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
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Ep 31 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
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Ep 31 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders
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Summaries Lizzy gave as host · Obesity
37 summaries
Open the Obesity collection →
Clinical Research Facilitators, Barriers, and Preferences of Parents of Children With Overweight...
▶
Ep 14 · 0:00
host summary
Lizzy Lee summarizing a resource: Why is it so hard to enroll families in childhood obesity research?
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Ep 14 · 0:07
host summary
Lizzy Lee summarizing a resource: Researchers surveyed more than 100 parents of children with overweight or obesity to understand what influences their decision to participate in research
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Ep 14 · 0:15
host summary
Lizzy Lee summarizing a resource: Mistrust, time demands, and social pressure are barriers that make it harder for parents to participate in childhood obesity research
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▶
Ep 14 · 0:15
host summary
Lizzy Lee summarizing a resource: Parents reported more reasons to participate in childhood obesity research than reasons not to participate
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Ep 14 · 0:26
host summary
Lizzy Lee summarizing a resource: Research perceptions varied by family characteristics
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Ep 14 · 0:30
host summary
Lizzy Lee summarizing a resource: To improve childhood obesity research, studies need to be easier to join, reduce participation burden, and build trust with families from the beginning
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▶
Ep 14 · 0:30
host summary
Lizzy Lee summarizing a resource: The takeaway, if we want better childhood obesity research, we need to make studies easier to join, reduce participation burden, and build trust with families from the very beginning.
↗
Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
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Ep 15 · 0:00
host summary
Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
↗
▶
Ep 15 · 0:08
host summary
Lizzy Lee summarizing a resource: A national survey examined pediatric weight management programs across the US regarding eating disorder screening practices
↗
▶
Ep 15 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders but not in a standardized way
↗
▶
Ep 15 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
↗
▶
Ep 15 · 0:19
host summary
Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
↗
▶
Ep 15 · 0:19
host summary
Lizzy Lee summarizing a resource: Much of the screening is informal, using homegrown questionnaires or clinical judgment rather than validated tools
↗
▶
Ep 15 · 0:19
host summary
Lizzy Lee summarizing a resource: About 60% of programs perform some form of eating disorder screening
↗
▶
Ep 15 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable with screening for eating disorders
↗
▶
Ep 15 · 0:29
host summary
Lizzy Lee summarizing a resource: Medical providers lag behind behavioral health specialists by a wide margin when diagnosing conditions like binge eating disorder
↗
▶
Ep 15 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
↗
▶
Ep 15 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
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▶
Ep 15 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder management
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Ep 15 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
↗
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Ep 15 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they identify as a barrier
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Ep 15 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders in pediatric obesity settings
↗
Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight
▶
Ep 16 · 0:00
host summary
Lizzy Lee summarizing a resource: Are we actually missing diagnosing eating disorders in kids being treated for obesity?
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▶
Ep 16 · 0:08
host summary
Lizzy Lee summarizing a resource: A national survey of pediatric weight management programs across the US was conducted
↗
▶
Ep 16 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way
↗
▶
Ep 16 · 0:14
host summary
Lizzy Lee summarizing a resource: Most programs are screening for eating disorders, but not in a very standardized way.
↗
▶
Ep 16 · 0:19
host summary
Lizzy Lee summarizing a resource: About 3/5% are doing some form of screening, but a lot of it is informal, Homegrown questionnaires or just clinical judgment rather than validated tools.
↗
▶
Ep 16 · 0:19
host summary
Lizzy Lee summarizing a resource: About 60% of programs are doing some form of screening
↗
▶
Ep 16 · 0:19
host summary
Lizzy Lee summarizing a resource: A lot of screening uses informal, homegrown questionnaires or just clinical judgment rather than validated tools
↗
▶
Ep 16 · 0:29
host summary
Lizzy Lee summarizing a resource: When it comes to diagnosing binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin
↗
▶
Ep 16 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening, but when it comes to actually diagnosing things like binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin.
↗
▶
Ep 16 · 0:29
host summary
Lizzy Lee summarizing a resource: Providers are generally comfortable screening for eating disorders
↗
▶
Ep 16 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not knowing how to manage eating disorders they find as a barrier
↗
▶
Ep 16 · 0:39
host summary
Lizzy Lee summarizing a resource: The biggest barriers, clinicians report not being trained enough, not knowing how to manage what they find, and lacking clear treatment pathways.
↗
▶
Ep 16 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report not being trained enough as a barrier to eating disorder diagnosis and management
↗
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Ep 16 · 0:39
host summary
Lizzy Lee summarizing a resource: Clinicians report lacking clear treatment pathways for eating disorders as a barrier
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Ep 16 · 0:47
host summary
Lizzy Lee summarizing a resource: Medical providers may need more training for diagnosis and treatment of eating disorders
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Summaries Lizzy gave as host · Osteosarcoma
8 summaries
Open the Osteosarcoma collection →
Update Course Rewind: Chest Wall Reconstruction 2024
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Ep 5 · 0:00
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Would you know how to reconstruct a chest wall if you needed to?
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Ep 5 · 0:51
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: The histopathology report confirmed an aggressive osteosarcoma.
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Ep 5 · 1:45
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: There is a lack of clear evidence-based guidelines for reconstructive materials, but the priority is long-term durability, aesthetics, function, and accommodating future growth.
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Ep 5 · 3:05
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Instead of using screws that came packaged with the plates, they used a K-wire drill to drill through the remaining ribs and then used Prolene sutures to secure the implant.
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Ep 5 · 3:29
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Permacol is a surgical implant made of a porcine dermal collagen matrix that allows device placement.
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Ep 5 · 4:12
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Doctor Mutch performed a further chest wall reconstruction where they excised the entire sternum, costochondral cartilages, and anterior ribs and replaced it with a cement mesh.
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Ep 5 · 4:45
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: There was one case of minor scoliosis on follow-up, which is being followed by the spinal team and so far has not needed intervention.
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Ep 5 · 5:17
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Bioengineering of tissue replacement and 3D printing may be the way of the future in chest wall reconstructions.
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Summaries Lizzy gave as host · Overweight
7 summaries
Open the Overweight collection →
Clinical Research Facilitators, Barriers, and Preferences of Parents of Children With Overweight...
▶
Ep 4 · 0:00
host summary
Lizzy Lee summarizing a resource: Why is it so hard to enroll families in childhood obesity research?
↗
▶
Ep 4 · 0:07
host summary
Lizzy Lee summarizing a resource: Researchers surveyed more than 100 parents of children with overweight or obesity to understand what influences their decision to participate in research
↗
▶
Ep 4 · 0:15
host summary
Lizzy Lee summarizing a resource: Parents reported more reasons to participate in childhood obesity research than reasons not to participate
↗
▶
Ep 4 · 0:15
host summary
Lizzy Lee summarizing a resource: Mistrust, time demands, and social pressure are barriers that make it harder for parents to participate in childhood obesity research
↗
▶
Ep 4 · 0:26
host summary
Lizzy Lee summarizing a resource: Research perceptions varied by family characteristics
↗
▶
Ep 4 · 0:30
host summary
Lizzy Lee summarizing a resource: The takeaway, if we want better childhood obesity research, we need to make studies easier to join, reduce participation burden, and build trust with families from the very beginning.
↗
▶
Ep 4 · 0:30
host summary
Lizzy Lee summarizing a resource: To improve childhood obesity research, studies need to be easier to join, reduce participation burden, and build trust with families from the beginning
↗
Summaries Lizzy gave as host · Pancreatitis
10 summaries
Open the Pancreatitis collection →
Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
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Ep 25 · 0:00
host summary
Lizzy Lee summarizing a resource: What if curing a rare pancreatic tumor sets the stage for chronic pancreatitis?
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Ep 25 · 0:09
host summary
Lizzy Lee summarizing a resource: Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
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Ep 25 · 0:15
host summary
Lizzy Lee summarizing a resource: Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
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Ep 25 · 0:22
host summary
Lizzy Lee summarizing a resource: In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
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Ep 25 · 0:25
host summary
Lizzy Lee summarizing a resource: 3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
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Ep 25 · 0:32
host summary
Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
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Ep 25 · 0:32
host summary
Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like the CFTR gene variant, or they had pancreas divisum.
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Ep 25 · 0:40
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Lizzy Lee summarizing a resource: Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
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Ep 25 · 0:45
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Lizzy Lee summarizing a resource: Even low grade tumors can carry high stakes consequences.
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Ep 25 · 0:48
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Lizzy Lee summarizing a resource: Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
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Summaries Lizzy gave as host · Pectus Excavatum
72 summaries
Open the Pectus Excavatum collection →
Pectus Bar Dislocation: Comparison Between Three Different Stabilization Techniques Adopted in a Single Centre
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Ep 45 · 0:13
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Lizzy Lee summarizing a resource: The study was an observational perspective study conducted in Italy from 2013 to 2022.
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Ep 45 · 0:13
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Lizzy Lee summarizing a resource: The study included 468 patients around 15 years old.
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Ep 45 · 0:23
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Lizzy Lee summarizing a resource: Surgeons placed 733 bars total across the patient cohort.
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Ep 45 · 0:31
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Lizzy Lee summarizing a resource: Bar dislocation is defined as when a bar rotates more than 30 degrees out of place.
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Ep 45 · 0:31
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Lizzy Lee summarizing a resource: Dislocation is when a bar rotates more than 30 degrees out of place.
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Ep 45 · 0:43
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Lizzy Lee summarizing a resource: None of the patients with bridge fixation had dislocated bars.
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Ep 45 · 0:43
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Lizzy Lee summarizing a resource: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Update Course Rewind: Cryoanalgesia in Pectus Cases 2024
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Ep 46 · 0:57
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Lizzy Lee summarizes what Dr. John DiFiore said: Cryoanalgesia is a minimally invasive procedure to repair pectus excavatum or alleviate pain during surgery on the chest wall that temporarily blocks nerve conduction along peripheral nerve pathways and relieves pain by freezing the affected nerve.
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Ep 46 · 1:30
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Lizzy Lee summarizes what Dr. John DiFiore said: The freeze point is in the posterior axillary line, 4 centimeters from the vertebral column.
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Ep 46 · 1:36
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Lizzy Lee summarizes what Dr. John DiFiore said: With the original cryoprobe, it's a 2-minute freeze cycle.
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Ep 46 · 2:02
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Lizzy Lee summarizes what Dr. John DiFiore said: Subpleural injection with 0.25% marcaine with epinephrine works immediately, as opposed to the 8 to 10 hour delay with the cryo nerve block.
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Ep 46 · 2:13
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Lizzy Lee summarizes what Dr. John DiFiore said: Subpleural injection takes only 15 seconds per interspace.
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Ep 46 · 2:26
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Lizzy Lee summarizes what Dr. John DiFiore said: 50% of the update course audience has never used cryoanalgesia.
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Ep 46 · 2:33
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Lizzy Lee summarizes what Dr. John DiFiore said: About 40% of the update course responders answered that cost is the main reason they don't use cryoanalgesia.
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Ep 46 · 2:55
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Lizzy Lee summarizes what Dr. John DiFiore said: Doing T3 to T8 bilaterally with the new probe saves almost 30 minutes.
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Ep 46 · 3:10
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Lizzy Lee summarizes what Dr. John DiFiore said: The new probe has improved shaft insulation so that it can actually touch the lung, since it only reaches room temperature.
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Ep 46 · 3:48
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Lizzy Lee summarizes what Dr. John DiFiore said: The Chicago study was limited because they did not measure pain scores or compare the 1 minute freeze cycle directly to 2-minute freeze cycles.
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Ep 46 · 4:13
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Lizzy Lee summarizes what Dr. John DiFiore said: There is a risk of pneumothorax from the lung tearing after inadvertent adhesion to the cryoprobe.
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Ep 46 · 4:19
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Lizzy Lee summarizes what Dr. John DiFiore said: The double lumen endotracheal tube helps minimize pneumothorax risk by deflating the lung and maximizing working space so that the cryoprobe does not touch the lung.
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Ep 46 · 4:39
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Lizzy Lee summarizes what Dr. John DiFiore said: A major advantage of the double lumen tube over the single lumen tube is that it helps prevent the nerve block from being done too far anteriorly, which will make the nerve block ineffective.
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Ep 46 · 5:13
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Lizzy Lee summarizes what Dr. John DiFiore said: Doctor Sung Kim did a cadaver study at UCSF showing that 18% of the lateral cutaneous branch nerves are posterior to the mid axillary line.
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Ep 46 · 5:31
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Lizzy Lee summarizes what Dr. John DiFiore said: Some surgeons have success with using a single lumen tube doing a mediastinal dissection, going across from the right to the left side.
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Ep 46 · 5:58
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Lizzy Lee summarizes what Dr. John DiFiore said: In a small group of patients, Doctor Kim cryoablated the main intercostal nerve at the bottom of the rib and the collateral branch at the top of the rib below it.
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Ep 46 · 6:12
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Lizzy Lee summarizes what Dr. John DiFiore said: As you move down toward T7 and T8, the interspace will widen enough to freeze both the main nerve and collateral branch.
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Ep 46 · 6:32
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Lizzy Lee summarizes what Dr. John DiFiore said: In the UCSF study, when they did 2 freeze points per interspace on 22 patients, the length of stay decreased from 2 days to 1 day.
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Ep 46 · 6:42
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Lizzy Lee summarizes what Dr. John DiFiore said: In the UCSF study, 9 out of the 22 patients reported pain scores of 0.
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Ep 46 · 7:00
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Lizzy Lee summarizes what Dr. John DiFiore said: Cryoanalgesia controls pain and decreases hospital length of stay with few short-term complications.
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Six Years of Quality Improvement in Pectus Excavatum Repair: Implementation of Intercostal Nerve Cryoablation and ERAS Protocols for Patients Undergoing Nuss Procedure
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Ep 47 · 0:00
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Lizzy Lee summarizing a resource: How do intercostal nerve cryoablation and enhanced recovery after surgery, also known as ARIS protocols, affect pain management, opioid use, length of stay, and recovery in pectus excavatum patients undergoing the NES procedure?
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Ep 47 · 0:19
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Lizzy Lee summarizing a resource: The study was a retrospective cohort study that looked at 62 patients from 2017 to 2023
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Ep 47 · 0:25
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Lizzy Lee summarizing a resource: Intercostal nerve cryoablation slightly increased early postoperative pain in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:25
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Lizzy Lee summarizing a resource: Intercostal nerve cryoablation slightly increased surgery time in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:25
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Lizzy Lee summarizing a resource: Intercostal nerve cryoablation significantly reduced opioid use in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:25
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Lizzy Lee summarizing a resource: Intercostal nerve cryoablation significantly reduced hospital stays in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:36
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Lizzy Lee summarizing a resource: Adding ERAS protocols to cryoablation further reduced early pain scores in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:36
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Lizzy Lee summarizing a resource: Adding ERAS protocols to cryoablation further reduced opioid needs in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:40
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Lizzy Lee summarizing a resource: Combining cryoablation and ERAS protocols leads to better outcomes and pain management in pectus excavatum patients undergoing the Nuss procedure
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Ep 47 · 0:40
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Lizzy Lee summarizing a resource: These findings suggest that combining cryoablation and ARR protocols leads to better outcomes and pain management.
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Cardiopulmonary Impact of the Minimally Invasive Repair of Pectus Excavatum in Pediatric Patients: A Prospective Pilot Study
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Ep 49 · 0:00
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Lizzy Lee summarizing a resource: Does minimally invasive repair of pectus excavatum improve heart and lung function during exercise in pediatric patients?
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Ep 49 · 0:12
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Lizzy Lee summarizing a resource: Study included patients under 18 who had cardiopulmonary exercise testing before minimally invasive repair of pectus excavatum and then after removal of their pectus bar
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Ep 49 · 0:12
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Lizzy Lee summarizing a resource: This was a prospective pilot study
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Ep 49 · 0:24
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Lizzy Lee summarizing a resource: Results showed a significant improvement in O2 pulse after the repair
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Ep 49 · 0:24
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Lizzy Lee summarizing a resource: O2 pulse is a measure of how much oxygen the heart pumps per beat
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Ep 49 · 0:24
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Lizzy Lee summarizing a resource: Improved O2 pulse suggests better heart function after the repair
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Ep 49 · 0:24
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Lizzy Lee summarizing a resource: 25 patients total completed both tests
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Ep 49 · 0:37
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Lizzy Lee summarizing a resource: The improvement may reflect relief of cardiac compression that was present preoperatively due to pectus excavatum
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Ep 49 · 0:43
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Lizzy Lee summarizing a resource: The main takeaway is that minimally invasive repair of pectus excavatum does appear to improve heart performance during exercise.
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Ep 49 · 0:43
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Lizzy Lee summarizing a resource: Minimally invasive repair of pectus excavatum does appear to improve heart performance during exercise
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Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024
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Ep 52 · 1:02
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Lizzy Lee summarizes what Dr. Timothy Lautz said: Cryoanalgesia temporarily blocks nerve conduction along peripheral nerve pathways by freezing the affected nerve
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Ep 52 · 1:25
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Lizzy Lee summarizes what Dr. Timothy Lautz said: When fibrous outer neural structures remain intact, axons can regenerate in 4 to 6 weeks
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Ep 52 · 1:57
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Lizzy Lee summarizes what Dr. Timothy Lautz said: Epidurals usually only give pain relief for a few days
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Ep 52 · 1:57
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Lizzy Lee summarizes what Dr. Timothy Lautz said: Cryoanalgesia can help with pain control all through the recovery period
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Ep 52 · 2:23
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Lizzy Lee summarizes what Dr. Timothy Lautz said: At T10 level or lower, cryoanalgesia can cause pseudohernias on the abdominal wall from affecting motor branches
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Ep 52 · 2:44
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Lizzy Lee summarizes what Dr. Timothy Lautz said: A cardiac probe used for ablations can be used in smaller children
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Ep 52 · 2:58
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Lizzy Lee summarizes what Dr. Timothy Lautz said: The newest probe has shaft insulation that only reaches room temperature, eliminating skin freeze risk as only the probe tip gets cold
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Ep 52 · 3:21
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Lizzy Lee summarizes what Dr. Timothy Lautz said: Patients were able to be discharged home without any narcotic prescriptions
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Ep 52 · 3:24
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Lizzy Lee summarizes what Dr. Timothy Lautz said: With cryoanalgesia, surgeons do not have to wait for a regional anesthesia team
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Ep 52 · 3:40
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Lizzy Lee summarizes what Dr. Timothy Lautz said: The intercostal nerve cryoablation group used 137 oral morphine equivalents during hospital stay compared to 533 in the regional nerve block group
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Update Course Rewind: Part 2 Non-Pectus Uses of Cryoanalgesia 2024
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Ep 53 · 0:56
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Lizzy Lee summarizing the discussion: Cryoablation is not limited to thoracotomy or thoracoscopy; there are novel ways to use cryotherapy in a percutaneous approach.
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Ep 53 · 1:21
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Lizzy Lee summarizing the discussion: Slipping rib syndrome is a condition with cartilaginous union at the end of the ribs, particularly for floating ribs but also for false ribs.
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Ep 53 · 1:58
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Lizzy Lee summarizing the discussion: Slipping rib syndrome is more common in teenage girls than boys.
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Ep 53 · 2:01
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Lizzy Lee summarizing the discussion: Patients with slipping rib syndrome often present with somatic tenderness of the abdominal wall that can be elicited by asking them to flex or crunch their abdominal muscles, but they really won't have a visceral type tenderness.
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Ep 53 · 2:25
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Lizzy Lee summarizing the discussion: If patients get pain relief from the intercostal block with ropivacaine and dexamethasone, the next step is to refer them to interventional radiology for ultrasound-guided cryotherapy.
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Ep 53 · 3:13
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Lizzy Lee summarizing the discussion: Outcomes from using cryoablation for slipping rib syndrome included reduced pain scores, reduced narcotic use, and shorter length of stay in the hospital.
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Ep 53 · 3:19
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Lizzy Lee summarizing the discussion: Patients treated with cryoablation for slipping rib syndrome were able to resume normal activities much earlier.
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Quick Literature Updates Ep 24
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Ep 54 · 1:03
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The Donnati et al. study was an observational prospective study in Italy from 2013 to 2022 on 468 patients around 15 years old.
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Ep 54 · 1:13
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Surgeons placed 733 pectus bars total across the 468 patients in the Donnati study.
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Ep 54 · 1:21
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bar dislocation is defined as when a pectus bar rotates more than 30 degrees out of place.
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Ep 54 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation.
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Ep 54 · 1:28
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation was significantly more stable than single bar fixation for pectus repair.
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Ep 54 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 54 · 1:33
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Lizzy Lee summarizes what Dr. Carlos Colunga said: None of the patients with bridge fixation had dislocated bars compared to those who underwent the single bar technique.
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Ep 54 · 1:39
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Bridge fixation is the best technique for preventing bar dislocation in pectus excavatum patients.
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Summaries Lizzy gave as host · Pediatric Oncology
58 summaries
Open the Pediatric Oncology collection →
Quick Literature Updates Ep 19
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Ep 565 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: APSA created a peer support program for pediatric surgeons in 2020.
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Ep 565 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The American Pediatric Surgical Association or the APSA created a peer support program for pediatric surgeons in 2020.
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Ep 565 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The goal of the APSA peer support program was to support surgeons after traumatic events.
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Ep 565 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Their goal was to support surgeons after traumatic events.
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Ep 565 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons for the peer support program were toxic work environments and adverse events.
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Ep 565 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons were toxic work environments and adverse events.
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Ep 565 · 1:20
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Lizzy Lee summarizes what Dr. Carlos Colunga said: 50 surgeons total agreed to receive training on how to be a supporter in the APSA program.
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Ep 565 · 1:25
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Over 80% of trained peer supporters were able to use these peer support skills informally with colleagues, partners, and trainees.
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Ep 565 · 1:31
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The peer support program shows that this type of support system can work really well to help surgeons heal from traumatic experiences and toxic work environments.
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Update Course Rewind: Chest Wall Reconstruction 2024
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Ep 588 · 0:00
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Would you know how to reconstruct a chest wall if you needed to?
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Ep 588 · 0:51
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Lizzy Lee summarizes what Dr. Margaret Mutch said: The histopathology report confirmed an aggressive osteosarcoma.
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Ep 588 · 1:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There is a lack of clear evidence-based guidelines for reconstructive materials, but the priority is long-term durability, aesthetics, function, and accommodating future growth.
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Ep 588 · 3:05
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Instead of using screws that came packaged with the plates, they used a K-wire drill to drill through the remaining ribs and then used Prolene sutures to secure the implant.
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Ep 588 · 3:29
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Permacol is a surgical implant made of a porcine dermal collagen matrix that allows device placement.
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Ep 588 · 4:12
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Doctor Mutch performed a further chest wall reconstruction where they excised the entire sternum, costochondral cartilages, and anterior ribs and replaced it with a cement mesh.
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Ep 588 · 4:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There was one case of minor scoliosis on follow-up, which is being followed by the spinal team and so far has not needed intervention.
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Ep 588 · 5:17
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Bioengineering of tissue replacement and 3D printing may be the way of the future in chest wall reconstructions.
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Update Course Rewind: Updates in Wilms Management 2024
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Ep 595 · 0:09
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Lizzy Lee summarizing the discussion: Hello pediatric surgery family. I'm Lizzie Lee from Cincinnati Children's Hospital Medical Center.
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Ep 595 · 1:54
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Lizzy Lee summarizing the discussion: Loss of heterozygosity is the loss of genetic diversity in tumor cells and can indicate more aggressive disease in Wilms tumor.
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Ep 595 · 2:02
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Lizzy Lee summarizing the discussion: Gain of 1Q refers to an extra copy of a section of chromosome 1, which is linked to worse outcomes in some cancers.
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Ep 595 · 3:15
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Lizzy Lee summarizing the discussion: According to Children's Oncology Group updates, adverse biologic factors are associated with worse prognosis in stage 2 patients, but not in stage 1 favorable histology Wilms tumor patients.
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Ep 595 · 3:30
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Lizzy Lee summarizing the discussion: The North American COG approach often involves immediate surgery, while the European SIOP approach typically starts with chemotherapy before surgery.
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Ep 595 · 3:49
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Lizzy Lee summarizing the discussion: Genetic markers like loss of heterozygosity at specific chromosomes can indicate a higher risk of cancer recurrence and guide decisions about adding chemotherapy treatments.
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Appendectomy vs Right Hemicolectomy for Pediatric Neuroendocrine Tumor of the Appendix
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Ep 596 · 0:00
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Lizzy Lee summarizing a resource: What if I told you kids with appendix tumors might not need the big surgery that doctors have been doing for decades?
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Ep 596 · 0:06
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Lizzy Lee summarizing a resource: The speaker is affiliated with Cincinnati Children's Hospital
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Ep 596 · 0:10
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Lizzy Lee summarizing a resource: Traditionally, kids with neuroendocrine appendix tumors have been treated the same way as adults with a right hemicolectomy.
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Ep 596 · 0:10
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Lizzy Lee summarizing a resource: Traditionally, children with neuroendocrine appendix tumors have been treated the same way as adults with right hemicolectomy
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Ep 596 · 0:19
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Lizzy Lee summarizing a resource: A new national study examined over 1,300 children with neuroendocrine appendix tumors
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Ep 596 · 0:24
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Lizzy Lee summarizing a resource: Survival rates were approximately 99% whether patients had appendectomy or right hemicolectomy, even with larger tumors or positive margins
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Ep 596 · 0:24
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Lizzy Lee summarizing a resource: Even when the tumors were larger or had positive margins, survival rates were almost perfect, like 99%, whether they just had an appendectomy or the bigger colectomy surgery.
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Ep 596 · 0:35
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Lizzy Lee summarizing a resource: For pediatric patients, appendectomy alone is safe and effective for neuroendocrine tumors of the appendix
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Ep 596 · 0:35
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Lizzy Lee summarizing a resource: Appendectomy avoids putting pediatric patients through a much bigger operation with no added survival benefit compared to right hemicolectomy
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Ep 596 · 0:35
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Lizzy Lee summarizing a resource: So the big takeaway, for kids, appendectomy alone is not only enough, it's safe, effective, and avoids putting them through a much bigger operation for no added benefit.
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Quick Literature Updates Ep 21
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Ep 601 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: Pediatric trauma patients are at high risk for developing venous thromboembolism (VTE).
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Ep 601 · 1:09
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Wita et al. cohort study was conducted from 2019 to 2022 in eight pediatric trauma centers and included patients younger than 18 years old.
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Ep 601 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Among 460 high-risk pediatric trauma patients, more than half received chemical VTE prophylaxis.
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Ep 601 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Delaying blood thinners beyond 24 hours of hospital arrival increases the risk of blood clots in pediatric trauma patients.
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Ep 601 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: VTE prophylaxis is safe and effective for pediatric trauma patients and needs to be started within 24 hours of admission.
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Sacrococcygeal Teratomas in Currarino Syndrome: A Multicenter Review of Tumor Characteristics, Surgical Outcomes, and Recurrence
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Ep 615 · 0:00
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Lizzy Lee summarizing a resource: What if the sacrococcygeal teratomas that we worry most about are actually the least aggressive ones?
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Ep 615 · 0:10
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Lizzy Lee summarizing a resource: A multicenter review examined over 200 sacrococcygeal teratoma cases comparing children with Currarino syndrome to those without it.
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Ep 615 · 0:19
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Lizzy Lee summarizing a resource: Currarino patients were almost always diagnosed after birth.
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Ep 615 · 0:19
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Lizzy Lee summarizing a resource: Tumors in Currarino patients are almost exclusively Altman type 4, buried deep in the pelvis.
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Ep 615 · 0:27
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Lizzy Lee summarizing a resource: Every tumor in the curorinal group was a mature one. There were no immature or malignant components at all.
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Ep 615 · 0:27
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Lizzy Lee summarizing a resource: Every tumor in the Currarino group was a mature one with no immature or malignant components at all.
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Ep 615 · 0:33
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Lizzy Lee summarizing a resource: Currarino-associated tumors were much smaller, around 3 centimeters instead of 8 centimeters.
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Ep 615 · 0:36
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Lizzy Lee summarizing a resource: Recurrence was almost nonexistent in Currarino cases and not significantly different from non-Currarino cases.
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Ep 615 · 0:41
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Lizzy Lee summarizing a resource: So the message here is that curorino associated sacrococcygeal teratomas behave incredibly well oncologically, which means we may be able to rethink how aggressively we follow these kids long term.
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Ep 615 · 0:41
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Lizzy Lee summarizing a resource: Currarino-associated sacrococcygeal teratomas behave incredibly well oncologically, suggesting potential for less aggressive long-term follow-up.
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Pancreatitis in pediatric patients with pancreatic solid pseudopapillary neoplasms- a single center experience
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Ep 665 · 0:00
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Lizzy Lee summarizing a resource: What if curing a rare pancreatic tumor sets the stage for chronic pancreatitis?
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Ep 665 · 0:09
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Lizzy Lee summarizing a resource: Solid pseudopapillary neoplasms are one of the most frequent pancreatic tumors in pediatric patients
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Ep 665 · 0:15
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Lizzy Lee summarizing a resource: Surgery for solid pseudopapillary neoplasms is usually curative and outcomes are excellent
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Ep 665 · 0:22
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Lizzy Lee summarizing a resource: In a single center study, 10 adolescent girls underwent surgical resection for solid pseudopapillary neoplasms
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Ep 665 · 0:25
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Lizzy Lee summarizing a resource: 3 out of 10 patients developed acute recurrent or chronic pancreatitis after resection
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Ep 665 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like CFTR gene variants or pancreas divisum
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Ep 665 · 0:32
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Lizzy Lee summarizing a resource: Every patient who developed ongoing pancreatitis had genetic risk factors like the CFTR gene variant, or they had pancreas divisum.
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Ep 665 · 0:40
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Lizzy Lee summarizing a resource: Some patients with post-resection pancreatitis ultimately required completion pancreatectomy
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Ep 665 · 0:45
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Lizzy Lee summarizing a resource: Even low grade tumors can carry high stakes consequences.
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Ep 665 · 0:48
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Lizzy Lee summarizing a resource: Identifying genetic and anatomic risk factors before surgery may change management of patients with solid pseudopapillary neoplasms
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Summaries Lizzy gave as host · Peritoneal Dialysis Access
40 summaries
Open the Peritoneal Dialysis Access collection →
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 9 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 9 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 9 · 0:14
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Lizzy Lee summarizing a resource: For infants that did not need hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 9 · 0:14
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Lizzy Lee summarizing a resource: For infants that needed hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 9 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 9 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 9 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 9 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 9 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 9 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 10 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 10 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 10 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 10 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 10 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 10 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 10 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 10 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 10 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 10 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 11 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 11 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 11 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 11 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 11 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 11 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 11 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 11 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 11 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 11 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
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Ep 12 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 12 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants develop severe acute kidney injury requiring dialysis after congenital heart surgery
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Ep 12 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants not requiring hemodialysis after congenital heart surgery is 94%
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Ep 12 · 0:14
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Lizzy Lee summarizing a resource: One-year survival for infants requiring hemodialysis after congenital heart surgery is 46%
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Ep 12 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 12 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 12 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 12 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 12 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 12 · 0:44
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Lizzy Lee summarizing a resource: Outcomes for infants requiring dialysis after heart surgery may improve when treated at centers with more experience in using dialysis
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Summaries Lizzy gave as host · Publications
20 summaries
Open the Publications collection →
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 1 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 1 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 1 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 1 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 1 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 1 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 1 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 1 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 1 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 1 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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Ep 2 · 0:00
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Lizzy Lee summarizing a resource: Does it matter where a baby receives care after heart surgery?
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Ep 2 · 0:07
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Lizzy Lee summarizing a resource: 1% of infants can develop severe acute kidney injury and require dialysis after congenital heart surgery
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: For infants needing hemodialysis after congenital heart surgery, one-year survival was 46%
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Ep 2 · 0:14
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Lizzy Lee summarizing a resource: For infants not needing hemodialysis after congenital heart surgery, one-year survival was 94%
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Ep 2 · 0:23
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Lizzy Lee summarizing a resource: Most infants requiring dialysis after congenital heart surgery received continuous renal replacement therapy rather than intermittent dialysis
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Ep 2 · 0:30
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Lizzy Lee summarizing a resource: Where the baby was treated mattered a lot.
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Ep 2 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had double the 1-year survival rate for infants after congenital heart surgery
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Ep 2 · 0:33
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Lizzy Lee summarizing a resource: Hospitals that use dialysis more frequently had 3 times higher hospital survival for infants after congenital heart surgery
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Ep 2 · 0:39
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Lizzy Lee summarizing a resource: Dialysis after infant heart surgery is rare
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Ep 2 · 0:44
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Lizzy Lee summarizing a resource: Outcomes may improve when infants requiring dialysis after heart surgery are treated at a center with more experience in using dialysis
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Summaries Lizzy gave as host · Rectal Prolapse
6 summaries
Open the Rectal Prolapse collection →
Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
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Ep 5 · 0:00
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Lizzy Lee summarizing a resource: What if the safest move for rectal prolapse after anorectal malformation surgery is not to repair it?
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Ep 5 · 0:11
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Lizzy Lee summarizing a resource: A study examined 85 children treated for rectal prolapse after anorectal malformation surgery
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Ep 5 · 0:16
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Lizzy Lee summarizing a resource: Approximately 30% of children had recurrence of prolapse requiring another repair
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Ep 5 · 0:20
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Lizzy Lee summarizing a resource: Children without symptoms from prolapse at initial presentation were more likely to develop stricture later
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Ep 5 · 0:26
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Lizzy Lee summarizing a resource: surgeons need to think twice before rushing into repair if the prolapse isn't causing big symptoms, because the treatment itself can carry risks
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Ep 5 · 0:26
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Lizzy Lee summarizing a resource: Surgical repair of asymptomatic rectal prolapse may not be indicated because the treatment itself carries risks
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Summaries Lizzy gave as host · Sarcoma (Ewing/Rhabdo)
16 summaries
Open the Sarcoma (Ewing/Rhabdo) collection →
Update Course Rewind: Chest Wall Reconstruction 2024
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Ep 30 · 0:00
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Would you know how to reconstruct a chest wall if you needed to?
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Ep 30 · 0:00
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Would you know how to reconstruct a chest wall if you needed to?
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Ep 30 · 0:51
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Lizzy Lee summarizes what Dr. Margaret Mutch said: The histopathology report confirmed an aggressive osteosarcoma.
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Ep 30 · 0:51
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Lizzy Lee summarizes what Dr. Margaret Mutch said: The histopathology report confirmed an aggressive osteosarcoma.
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Ep 30 · 1:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There is a lack of clear evidence-based guidelines for reconstructive materials, but the priority is long-term durability, aesthetics, function, and accommodating future growth.
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Ep 30 · 1:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There is a lack of clear evidence-based guidelines for reconstructive materials, but the priority is long-term durability, aesthetics, function, and accommodating future growth.
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Ep 30 · 3:05
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Instead of using screws that came packaged with the plates, they used a K-wire drill to drill through the remaining ribs and then used Prolene sutures to secure the implant.
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Ep 30 · 3:05
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Instead of using screws that came packaged with the plates, they used a K-wire drill to drill through the remaining ribs and then used Prolene sutures to secure the implant.
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Ep 30 · 3:29
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Permacol is a surgical implant made of a porcine dermal collagen matrix that allows device placement.
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Ep 30 · 3:29
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Permacol is a surgical implant made of a porcine dermal collagen matrix that allows device placement.
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Ep 30 · 4:12
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Doctor Mutch performed a further chest wall reconstruction where they excised the entire sternum, costochondral cartilages, and anterior ribs and replaced it with a cement mesh.
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Ep 30 · 4:12
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Doctor Mutch performed a further chest wall reconstruction where they excised the entire sternum, costochondral cartilages, and anterior ribs and replaced it with a cement mesh.
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Ep 30 · 4:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There was one case of minor scoliosis on follow-up, which is being followed by the spinal team and so far has not needed intervention.
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Ep 30 · 4:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There was one case of minor scoliosis on follow-up, which is being followed by the spinal team and so far has not needed intervention.
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Ep 30 · 5:17
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Bioengineering of tissue replacement and 3D printing may be the way of the future in chest wall reconstructions.
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Ep 30 · 5:17
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Bioengineering of tissue replacement and 3D printing may be the way of the future in chest wall reconstructions.
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Summaries Lizzy gave as host · Short Bowel Syndrome
14 summaries
Open the Short Bowel Syndrome collection →
Outcomes of Children With Short Bowel Syndrome: Experiences in a Multidisciplinary Intestinal Rehabilitation Unit Over Two Decades
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Ep 8 · 0:10
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Lizzy Lee summarizing a resource: This retrospective study examined 64 pediatric patients with short bowel syndrome managed by a multidisciplinary intestinal rehab program between 2001 and 2022.
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Ep 8 · 0:22
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Lizzy Lee summarizing a resource: Survival rates of children with short bowel syndrome improved over time in the study period.
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Ep 8 · 0:22
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Lizzy Lee summarizing a resource: 89% of patients with short bowel syndrome in the study survived.
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Ep 8 · 0:22
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Lizzy Lee summarizing a resource: 78% of patients with short bowel syndrome were able to wean off parenteral nutrition.
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Ep 8 · 0:31
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Lizzy Lee summarizing a resource: Presence of intestinal failure associated liver disease affected survival in pediatric short bowel syndrome patients.
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Ep 8 · 0:31
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Lizzy Lee summarizing a resource: Introduction of fish oil-based parenteral nutrition in 2007 improved survival in pediatric short bowel syndrome patients.
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Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
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Ep 10 · 0:00
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Lizzy Lee summarizing a resource: Can a child's zip code actually change their short bowel syndrome outcomes?
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Ep 10 · 0:07
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Lizzy Lee summarizing a resource: This was a retrospective cohort study of children with short bowel syndrome in an intestinal rehabilitation program, followed from 2006 to 2019.
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Ep 10 · 0:16
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Lizzy Lee summarizing a resource: The study asked whether social determinants of health predict outcomes like bloodstream infections, liver disease, and achieving enteral autonomy.
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Ep 10 · 0:24
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Lizzy Lee summarizing a resource: And the answer was yes, in very real ways.
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Ep 10 · 0:24
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Lizzy Lee summarizing a resource: Social determinants of health do predict outcomes in pediatric short bowel syndrome in real ways.
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Ep 10 · 0:27
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Lizzy Lee summarizing a resource: Distance from the hospital was associated with higher risks of serious complications in children with short bowel syndrome.
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Ep 10 · 0:33
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Lizzy Lee summarizing a resource: Parental education was linked with fewer central line infections in children with short bowel syndrome.
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Ep 10 · 0:37
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Lizzy Lee summarizing a resource: Social determinants need to be considered to support families of children with short bowel syndrome better.
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Summaries Lizzy gave as host · Single Ventricle / HLHS
22 summaries
Open the Single Ventricle / HLHS collection →
Outcomes of Fontan Patients Undergoing Combined Heart - Liver Transplantation in Pediatric Hospitals Across the U.S.
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Ep 35 · 0:00
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Lizzy Lee summarizing a resource: What happens when kids who underwent Fontan procedure don't just need a new heart, but a new liver as well.
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Ep 35 · 0:11
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Lizzy Lee summarizing a resource: Liver disease is becoming a rising issue in Fontan patients
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Ep 35 · 0:11
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Lizzy Lee summarizing a resource: Combined heart-liver transplantation is happening more often in Fontan patients
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Ep 35 · 0:11
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Lizzy Lee summarizing a resource: More Fontan patients are surviving into adolescence and adulthood
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Ep 35 · 0:21
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Lizzy Lee summarizing a resource: The study examined children and young adults undergoing combined heart-liver transplant at hospitals across the US in the last few years
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Ep 35 · 0:28
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Lizzy Lee summarizing a resource: Many of the patients in the study had hypoplastic left heart syndrome
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Ep 35 · 0:36
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Lizzy Lee summarizing a resource: About 85% of patients survived at 1 year after combined heart-liver transplant
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Ep 35 · 0:36
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Lizzy Lee summarizing a resource: Long-term outcomes after combined heart-liver transplant were excellent
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Ep 35 · 0:41
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Lizzy Lee summarizing a resource: Three-year survival after combined heart-liver transplant was basically identical to patients who received heart transplant alone
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Ep 35 · 0:48
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Lizzy Lee summarizing a resource: Combined heart-liver transplant is effective for Fontan patients with advanced liver disease
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Ep 35 · 0:48
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Lizzy Lee summarizing a resource: The big takeaway, combined heart liver transplant is effective and increasingly common for Fontan patients with advanced liver disease.
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Ep 35 · 0:48
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Lizzy Lee summarizing a resource: Combined heart-liver transplant is increasingly common for Fontan patients with advanced liver disease
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Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis
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Ep 14 · 0:00
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Lizzy Lee summarizing a resource: Can you ever truly fix pulmonary vein stenosis?
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Ep 14 · 0:06
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Lizzy Lee summarizing a resource: Pulmonary vein stenosis is a rare but serious condition where the veins from the lungs to the heart become narrowed
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Ep 14 · 0:12
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Lizzy Lee summarizing a resource: A study from Cincinnati Children's examined 56 children comparing surgery versus catheter-based interventions for pulmonary vein stenosis
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Ep 14 · 0:23
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Lizzy Lee summarizing a resource: Over time, catheter-based treatments became the preferred first option for pulmonary vein stenosis
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Ep 14 · 0:28
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Lizzy Lee summarizing a resource: Surgery was reserved for complex cases involving multiple severely affected veins or other heart defects
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Ep 14 · 0:34
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Lizzy Lee summarizing a resource: 92% of children with pulmonary vein stenosis needed another intervention after initial treatment
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Ep 14 · 0:34
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Lizzy Lee summarizing a resource: Recurrence of pulmonary vein stenosis remained common regardless of the initial intervention type
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Ep 14 · 0:34
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Lizzy Lee summarizing a resource: Most reinterventions for pulmonary vein stenosis occurred within the first year after initial treatment
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Ep 14 · 0:45
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Lizzy Lee summarizing a resource: So pulmonary vein stenosis isn't a one-time fix.
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Ep 14 · 0:48
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Lizzy Lee summarizing a resource: Pulmonary vein stenosis requires ongoing surveillance, repeated interventions, and a long-term multidisciplinary approach
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Summaries Lizzy gave as host · Slipping Rib Syndrome
7 summaries
Open the Slipping Rib Syndrome collection →
Update Course Rewind: Part 2 Non-Pectus Uses of Cryoanalgesia 2024
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Ep 3 · 0:56
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Lizzy Lee summarizing the discussion: Cryoablation is not limited to thoracotomy or thoracoscopy; there are novel ways to use cryotherapy in a percutaneous approach.
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Ep 3 · 1:21
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Lizzy Lee summarizing the discussion: Slipping rib syndrome is a condition with cartilaginous union at the end of the ribs, particularly for floating ribs but also for false ribs.
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Ep 3 · 1:58
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Lizzy Lee summarizing the discussion: Slipping rib syndrome is more common in teenage girls than boys.
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Ep 3 · 2:01
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Lizzy Lee summarizing the discussion: Patients with slipping rib syndrome often present with somatic tenderness of the abdominal wall that can be elicited by asking them to flex or crunch their abdominal muscles, but they really won't have a visceral type tenderness.
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Ep 3 · 2:25
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Lizzy Lee summarizing the discussion: If patients get pain relief from the intercostal block with ropivacaine and dexamethasone, the next step is to refer them to interventional radiology for ultrasound-guided cryotherapy.
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Ep 3 · 3:13
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Lizzy Lee summarizing the discussion: Outcomes from using cryoablation for slipping rib syndrome included reduced pain scores, reduced narcotic use, and shorter length of stay in the hospital.
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Ep 3 · 3:19
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Lizzy Lee summarizing the discussion: Patients treated with cryoablation for slipping rib syndrome were able to resume normal activities much earlier.
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Summaries Lizzy gave as host · Soft Tissue Sarcoma (lymph nodes)
18 summaries
Open the Soft Tissue Sarcoma (lymph nodes) collection →
Update Course Rewind: Chest Wall Reconstruction 2024
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Ep 13 · 0:00
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Would you know how to reconstruct a chest wall if you needed to?
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Ep 13 · 0:51
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: The histopathology report confirmed an aggressive osteosarcoma.
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Ep 13 · 1:45
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Lizzy Lee summarizes what Dr. Margaret Mutch said: There is a lack of clear evidence-based guidelines for reconstructive materials, but the priority is long-term durability, aesthetics, function, and accommodating future growth.
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▶
Ep 13 · 3:05
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Instead of using screws that came packaged with the plates, they used a K-wire drill to drill through the remaining ribs and then used Prolene sutures to secure the implant.
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▶
Ep 13 · 3:29
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Permacol is a surgical implant made of a porcine dermal collagen matrix that allows device placement.
↗
▶
Ep 13 · 4:12
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: Doctor Mutch performed a further chest wall reconstruction where they excised the entire sternum, costochondral cartilages, and anterior ribs and replaced it with a cement mesh.
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Ep 13 · 4:45
host summary
Lizzy Lee summarizes what Dr. Margaret Mutch said: There was one case of minor scoliosis on follow-up, which is being followed by the spinal team and so far has not needed intervention.
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Ep 13 · 5:17
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Lizzy Lee summarizes what Dr. Margaret Mutch said: Bioengineering of tissue replacement and 3D printing may be the way of the future in chest wall reconstructions.
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Appendectomy vs Right Hemicolectomy for Pediatric Neuroendocrine Tumor of the Appendix
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Ep 14 · 0:00
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Lizzy Lee summarizing a resource: What if I told you kids with appendix tumors might not need the big surgery that doctors have been doing for decades?
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Ep 14 · 0:06
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Lizzy Lee summarizing a resource: The speaker is affiliated with Cincinnati Children's Hospital
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Ep 14 · 0:10
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Lizzy Lee summarizing a resource: Traditionally, kids with neuroendocrine appendix tumors have been treated the same way as adults with a right hemicolectomy.
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Ep 14 · 0:10
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Lizzy Lee summarizing a resource: Traditionally, children with neuroendocrine appendix tumors have been treated the same way as adults with right hemicolectomy
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Ep 14 · 0:19
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Lizzy Lee summarizing a resource: A new national study examined over 1,300 children with neuroendocrine appendix tumors
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Ep 14 · 0:24
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Lizzy Lee summarizing a resource: Even when the tumors were larger or had positive margins, survival rates were almost perfect, like 99%, whether they just had an appendectomy or the bigger colectomy surgery.
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Ep 14 · 0:24
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Lizzy Lee summarizing a resource: Survival rates were approximately 99% whether patients had appendectomy or right hemicolectomy, even with larger tumors or positive margins
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Ep 14 · 0:35
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Lizzy Lee summarizing a resource: For pediatric patients, appendectomy alone is safe and effective for neuroendocrine tumors of the appendix
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Ep 14 · 0:35
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Lizzy Lee summarizing a resource: So the big takeaway, for kids, appendectomy alone is not only enough, it's safe, effective, and avoids putting them through a much bigger operation for no added benefit.
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Ep 14 · 0:35
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Lizzy Lee summarizing a resource: Appendectomy avoids putting pediatric patients through a much bigger operation with no added survival benefit compared to right hemicolectomy
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Summaries Lizzy gave as host · Surgical Site Infections
9 summaries
Open the Surgical Site Infections collection →
Surgical Site Infections and Perioperative Antibiotic Use in Children with Medical Complexity
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Ep 10 · 0:07
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Lizzy Lee summarizing a resource: Children with medical complexity face a much higher risk of surgical site infections than other patients.
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Ep 10 · 0:07
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Lizzy Lee summarizing a resource: Children with medical complexity face a much higher risk of surgical site infections than other patients.
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Ep 10 · 0:13
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Lizzy Lee summarizing a resource: The answer to preventing SSI in medically complex children is not simply giving them more antibiotics.
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Ep 10 · 0:17
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Lizzy Lee summarizing a resource: Standardized infection prevention practices include preoperative bathing, proper skin cleaning, screening certain patients for MRSA, and careful wound care.
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Ep 10 · 0:26
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Lizzy Lee summarizing a resource: The standard antibiotics used before surgery (like cefazolin) are usually enough, even for medically complex children.
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Ep 10 · 0:26
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Lizzy Lee summarizing a resource: The standard antibiotics we already use before surgery are usually enough, like ebazolin, even for medically complex children.
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Ep 10 · 0:35
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Lizzy Lee summarizing a resource: One opportunity to improve care is making sure children who are not truly allergic to beta-lactam antibiotics can still receive the most effective medication.
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Ep 10 · 0:44
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Lizzy Lee summarizing a resource: Preventing surgical site infections takes a team of nurses, surgeons, and specialists.
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Ep 10 · 0:44
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Lizzy Lee summarizing a resource: The biggest takeaway is that preventing surgical site infections takes a team of nurses, surgeons, and specialists.
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Summaries Lizzy gave as host · Tracheoesophageal Fistula
20 summaries
Open the Tracheoesophageal Fistula collection →
QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 21 · 0:15
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Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 21 · 0:47
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Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 21 · 0:55
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Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 21 · 1:37
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Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 21 · 2:52
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Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 21 · 2:59
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Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 21 · 3:48
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Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 21 · 3:54
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Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 21 · 4:19
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Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 21 · 4:42
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Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 21 · 5:28
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Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 21 · 5:40
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Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 21 · 6:13
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Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 21 · 6:54
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Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 21 · 7:20
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Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 21 · 7:48
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Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 21 · 8:13
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Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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Ep 21 · 9:15
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Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 21 · 9:26
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Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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Ep 21 · 9:41
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Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Summaries Lizzy gave as host · Tracheoesophageal Fistula
20 summaries
Open the Tracheoesophageal Fistula collection →
QUAD #27 - Multidisciplinary - How Do Teams Enhance Outcomes by the CCHMC ADEC Team
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Ep 26 · 0:15
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Lizzy Lee summarizing the discussion: Cincinnati Children's Hospital hosted the Quad Conference in October 2022, combining four conferences: International Organization for Esophageal Atresia, Aerodigestive Society Conference, Cincinnati Children's Airway Course, and Cincinnati Children's Pediatric Dysphagia Series.
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Ep 26 · 0:47
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Lizzy Lee summarizing the discussion: Cincinnati Children's has one of the largest aerodigestive centers in the world.
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Ep 26 · 0:55
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Lizzy Lee summarizing the discussion: The expert multidisciplinary team includes speech pathology, otolaryngology, gastroenterology, pulmonology, and pediatric general surgery.
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Ep 26 · 1:37
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Lizzy Lee summarizing the discussion: The center provides coordinated multidisciplinary care to children with congenital or acquired complex digestive and airway disorders.
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Ep 26 · 2:52
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Lizzy Lee summarizing the discussion: Video fluoroscopic swallowing study analyzes different phases of swallowing.
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Ep 26 · 2:59
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Lizzy Lee summarizing the discussion: FEES (fiber optic endoscopic evaluation of swallowing study) allows visualization of pharyngeal and laryngeal structures and assessment of function, aspiration, and residual after each swallow.
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Ep 26 · 3:48
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Lizzy Lee summarizing the discussion: ENT looks at swallowing study results and helps stratify the risk of proceeding with airway reconstruction and decannulation.
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Ep 26 · 3:54
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Lizzy Lee summarizing the discussion: In aerodigestive patients, ENT performs esophageal and airway reconstruction, cleft repair, drool procedures, and manages vocal folds and mobility.
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Ep 26 · 4:19
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Lizzy Lee summarizing the discussion: GERD pathophysiology includes an incompetent lower esophageal sphincter.
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Ep 26 · 4:42
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Lizzy Lee summarizing the discussion: General signs and symptoms of GERD include regurgitation, vomiting, and heartburn.
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Ep 26 · 5:28
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Lizzy Lee summarizing the discussion: Data shows an increase in airway surgery complications in patients who were later found to have eosinophilic esophagitis.
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Ep 26 · 5:40
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Lizzy Lee summarizing the discussion: Anatomic issues in aerodigestive patients include strictures that need balloon dilations or stenting.
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Ep 26 · 6:13
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Lizzy Lee summarizing the discussion: When 25 patients in the aerodigestive program were assessed, 76% of them had a feeding disorder.
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Ep 26 · 6:54
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Lizzy Lee summarizing the discussion: Patients at risk for pulmonary insufficiency include preemies with chronic lung disease, patients with restrictive lung disease, congenital or acquired abnormalities, and heart disease like pulmonary hypertension.
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Ep 26 · 7:20
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Lizzy Lee summarizing the discussion: Underlying pulmonary insufficiency should be suspected if patients have had complicated respiratory infections requiring positive pressure ventilation.
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Ep 26 · 7:48
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Lizzy Lee summarizing the discussion: Risk factors for upper airway obstruction include airway abnormalities like mid-face hypoplasia, skeletal dysplasia, decreased muscle tone, and syndromes associated with airway obstruction.
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Ep 26 · 8:13
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Lizzy Lee summarizing the discussion: Risk factors for lower airway obstruction include acquired or congenital thoracic deformities and those who had thoracotomies done in the past.
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Ep 26 · 9:15
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Lizzy Lee summarizing the discussion: For patients with ventilatory insufficiency, the pulmonologist determines if the child still needs ventilatory support and whether they are ready for decannulation.
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Ep 26 · 9:26
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Lizzy Lee summarizing the discussion: The pulmonologist assesses how ready the patient is for weaning from the vent and whether they can start or advance feeding.
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Ep 26 · 9:41
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Lizzy Lee summarizing the discussion: In the NICU, general surgeons obtain feeding access, manage anorectal malformations, and perform surgical procedures such as tracheopexies and lung resections.
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Summaries Lizzy gave as host · Tracheomalacia
13 summaries
Open the Tracheomalacia collection →
Quick Literature Updates Ep 19
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Ep 10 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The American Pediatric Surgical Association or the APSA created a peer support program for pediatric surgeons in 2020.
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Ep 10 · 1:00
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Lizzy Lee summarizes what Dr. Carlos Colunga said: APSA created a peer support program for pediatric surgeons in 2020.
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Ep 10 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The goal of the APSA peer support program was to support surgeons after traumatic events.
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Ep 10 · 1:12
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Their goal was to support surgeons after traumatic events.
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Ep 10 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons were toxic work environments and adverse events.
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Ep 10 · 1:16
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The most common referral reasons for the peer support program were toxic work environments and adverse events.
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Ep 10 · 1:20
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Lizzy Lee summarizes what Dr. Carlos Colunga said: 50 surgeons total agreed to receive training on how to be a supporter in the APSA program.
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Ep 10 · 1:25
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Lizzy Lee summarizes what Dr. Carlos Colunga said: Over 80% of trained peer supporters were able to use these peer support skills informally with colleagues, partners, and trainees.
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Ep 10 · 1:31
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Lizzy Lee summarizes what Dr. Carlos Colunga said: The peer support program shows that this type of support system can work really well to help surgeons heal from traumatic experiences and toxic work environments.
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Quick Literature Updates Ep 27
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Ep 12 · 1:04
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Lizzy Lee summarizes what Dr. Alex Halpern said: Van Haal et al. conducted a retrospective cohort study in the Netherlands that included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery.
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Ep 12 · 1:24
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%.
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Ep 12 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia.
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Ep 12 · 1:34
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Lizzy Lee summarizes what Dr. Alex Halpern said: Preoperative tracheobronchoscopy, though routine, has limited predictive value for post-operative tracheomalacia in esophageal atresia patients.
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Summaries Lizzy gave as host · Venous Thromboembolism
5 summaries
Open the Venous Thromboembolism collection →
Quick Literature Updates Ep 21
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Ep 3 · 1:02
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Lizzy Lee summarizes what Dr. Alex Halpern said: Pediatric trauma patients are at high risk for developing venous thromboembolism (VTE).
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Ep 3 · 1:09
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Lizzy Lee summarizes what Dr. Alex Halpern said: The Wita et al. cohort study was conducted from 2019 to 2022 in eight pediatric trauma centers and included patients younger than 18 years old.
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Ep 3 · 1:18
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Lizzy Lee summarizes what Dr. Alex Halpern said: Among 460 high-risk pediatric trauma patients, more than half received chemical VTE prophylaxis.
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Ep 3 · 1:25
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Lizzy Lee summarizes what Dr. Alex Halpern said: Delaying blood thinners beyond 24 hours of hospital arrival increases the risk of blood clots in pediatric trauma patients.
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Ep 3 · 1:32
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Lizzy Lee summarizes what Dr. Alex Halpern said: VTE prophylaxis is safe and effective for pediatric trauma patients and needs to be started within 24 hours of admission.
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