Stephen Lee

36 timestamped statements across 3 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Abdominal Wall Defects · guest expert Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · guest expert Intestinal Rehab · guest expert Pectus Excavatum · episode host

Featured diaries

▶ Ep 16 · 36:49
Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue
guideline · Abdominal Wall Defects
▶ Ep 22 · 36:49
Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue
guideline · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
▶ Ep 31 · 36:49
Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue
guideline · Intestinal Rehab
▶ Ep 16 · 33:01
According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement
guideline · Abdominal Wall Defects
▶ Ep 22 · 33:01
According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement
guideline · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)
▶ Ep 31 · 33:01
According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement
guideline · Intestinal Rehab

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Abdominal Wall Defects 9 entries

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 16 · 33:01
guideline Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 16 · 33:01
clinical For pediatric sepsis, epinephrine is the vasopressor of choice; two randomized trials showed mortality was better with epi in one study and epi had better improvement in systolic blood pressure in the other compared to dopamine ↗
▶ Ep 16 · 33:01
guideline According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement ↗
▶ Ep 16 · 33:01
clinical Must start broad-spectrum antibiotics in sepsis; data shows in adults that if you wait over three hours to start antibiotics in a septic patient, survival goes down ↗
▶ Ep 16 · 33:01
guideline Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 16 · 33:01
clinical If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 16 · 36:49
guideline Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
▶ Ep 16 · 36:49
guideline Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue ↗
▶ Ep 16 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 9 entries

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 22 · 33:01
guideline According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement ↗
▶ Ep 22 · 33:01
guideline Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 22 · 33:01
clinical Must start broad-spectrum antibiotics in sepsis; data shows in adults that if you wait over three hours to start antibiotics in a septic patient, survival goes down ↗
▶ Ep 22 · 33:01
clinical For pediatric sepsis, epinephrine is the vasopressor of choice; two randomized trials showed mortality was better with epi in one study and epi had better improvement in systolic blood pressure in the other compared to dopamine ↗
▶ Ep 22 · 33:01
guideline Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 22 · 33:01
clinical If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 22 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
▶ Ep 22 · 36:49
guideline Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue ↗
▶ Ep 22 · 36:49
guideline Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
Intestinal Rehab 18 entries

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 31 · 33:01
host_summary According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement ↗
▶ Ep 31 · 33:01
guideline Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 31 · 33:01
host_summary Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 31 · 33:01
host_summary Must start broad-spectrum antibiotics in sepsis; data shows in adults that if you wait over three hours to start antibiotics in a septic patient, survival goes down ↗
▶ Ep 31 · 33:01
host_summary If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 31 · 33:01
host_summary For pediatric sepsis, epinephrine is the vasopressor of choice; two randomized trials showed mortality was better with epi in one study and epi had better improvement in systolic blood pressure in the other compared to dopamine ↗
▶ Ep 31 · 33:01
guideline According to Surviving Sepsis Campaign guidelines, give 20 cc per kilo boluses of isotonic fluid up to 60 ml per kilo total, with goal of perfusion improvement ↗
▶ Ep 31 · 33:01
guideline Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 31 · 33:01
clinical Must start broad-spectrum antibiotics in sepsis; data shows in adults that if you wait over three hours to start antibiotics in a septic patient, survival goes down ↗
▶ Ep 31 · 33:01
clinical If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 31 · 33:01
clinical For pediatric sepsis, epinephrine is the vasopressor of choice; two randomized trials showed mortality was better with epi in one study and epi had better improvement in systolic blood pressure in the other compared to dopamine ↗
▶ Ep 31 · 33:01
host_summary Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 31 · 36:49
guideline Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue ↗
▶ Ep 31 · 36:49
guideline Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
▶ Ep 31 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
▶ Ep 31 · 36:49
host_summary Antibiotic stewardship in sepsis means following cultures and titrating antibiotics down or stopping them altogether if in three or four days patients have improved and it's no longer an infectious issue ↗
▶ Ep 31 · 36:49
host_summary Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
▶ Ep 31 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗