Stephen Lee

13 statements · 5 topics · summaries given as host listed separately

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

Featured statements

▶ Ep 2 · 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 · DVT
▶ Ep 2 · 33:01
Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low
guideline · DVT
▶ Ep 15 · 36:49
Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically
clinical · Abdominal Wall Defects

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Stephen's statements about Abdominal Wall Defects 1 statement

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 15 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
Stephen's statements about DVT 9 statements

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 2 · 33:01
clinical If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 2 · 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 2 · 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 2 · 33:01
guideline Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 2 · 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 2 · 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 2 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
▶ Ep 2 · 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 2 · 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 ↗
Stephen's statements about Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 1 statement

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 21 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
Stephen's statements about Intestinal Rehab 1 statement

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 30 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗
Stephen's statements about Pediatric Oncology 1 statement

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 210 · 36:49
clinical Broad-spectrum antimicrobial therapy for sepsis means extended-spectrum penicillin like piperacillin-tazobactam or ampicillin-sulbactam to cover everything empirically ↗

Summaries Stephen gave as host · 32 summaries

Recaps of other experts' statements, not Stephen's own clinical position.

Summaries Stephen gave as host · Abdominal Wall Defects 8 summaries

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7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 15 · 33:01
host summary Stephen Lee summarizing the discussion: Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 15 · 33:01
host summary Stephen Lee summarizing the discussion: 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 15 · 33:01
host summary Stephen Lee summarizing the discussion: If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 15 · 33:01
host summary Stephen Lee summarizing the discussion: 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 15 · 33:01
host summary Stephen Lee summarizing the discussion: Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 15 · 33:01
host summary Stephen Lee summarizing the discussion: 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 15 · 36:49
host summary Stephen Lee summarizing the discussion: 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 15 · 36:49
host summary Stephen Lee summarizing the discussion: Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
Summaries Stephen gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 8 summaries

Open the Etiologies (Gastroschisis/NEC/Atresia/Volvulus) collection →

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 21 · 33:01
host summary Stephen Lee summarizing the discussion: Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 21 · 33:01
host summary Stephen Lee summarizing the discussion: 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 21 · 33:01
host summary Stephen Lee summarizing the discussion: Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 21 · 33:01
host summary Stephen Lee summarizing the discussion: 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 21 · 33:01
host summary Stephen Lee summarizing the discussion: If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 21 · 33:01
host summary Stephen Lee summarizing the discussion: 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 21 · 36:49
host summary Stephen Lee summarizing the discussion: 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 21 · 36:49
host summary Stephen Lee summarizing the discussion: Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
Summaries Stephen gave as host · Intestinal Rehab 8 summaries

Open the Intestinal Rehab collection →

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 30 · 33:01
host summary Stephen Lee summarizing the discussion: 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 30 · 33:01
host summary Stephen Lee summarizing the discussion: Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 30 · 33:01
host summary Stephen Lee summarizing the discussion: 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 30 · 33:01
host summary Stephen Lee summarizing the discussion: If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 30 · 33:01
host summary Stephen Lee summarizing the discussion: 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 30 · 33:01
host summary Stephen Lee summarizing the discussion: Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 30 · 36:49
host summary Stephen Lee summarizing the discussion: Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
▶ Ep 30 · 36:49
host summary Stephen Lee summarizing the discussion: 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 ↗
Summaries Stephen gave as host · Pediatric Oncology 8 summaries

Open the Pediatric Oncology collection →

7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW

▶ Ep 210 · 33:01
host summary Stephen Lee summarizing the discussion: If hematocrit or hemoglobin is less than 10 in septic patient, transfusion may be indicated ↗
▶ Ep 210 · 33:01
host summary Stephen Lee summarizing the discussion: 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 210 · 33:01
host summary Stephen Lee summarizing the discussion: Stop fluid boluses if you see over-perfusion such as rales on auscultation or enlarged liver ↗
▶ Ep 210 · 33:01
host summary Stephen Lee summarizing the discussion: 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 210 · 33:01
host summary Stephen Lee summarizing the discussion: 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 210 · 33:01
host summary Stephen Lee summarizing the discussion: Hydrocortisone has a role in sepsis for patients who are vasopressor refractory, meaning vasopressors were started and systolic blood pressure remains low ↗
▶ Ep 210 · 36:49
host summary Stephen Lee summarizing the discussion: Draw blood for lactate level and cultures just prior to starting antibiotics in sepsis, but don't delay starting antibiotics while waiting ↗
▶ Ep 210 · 36:49
host summary Stephen Lee summarizing the discussion: 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 ↗