Timothy Lotz

70 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

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Ep 52 · 0:54
We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo.
Ep 52 · 0:54
We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo.

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Pectus Excavatum 70 entries

Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024

Ep 52 · 0:54
quote We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo.
Ep 52 · 0:54
quote We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo.
Ep 52 · 1:13
quote You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly.
Ep 52 · 1:13
quote You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly.
Ep 52 · 1:19
quote You're getting axonal degeneration by the freeze, but at the same time, the epineurium is staying intact.
Ep 52 · 1:19
clinical The freeze causes axonal degeneration while the epineurium stays intact
Ep 52 · 1:19
clinical The freeze causes axonal degeneration while the epineurium stays intact
Ep 52 · 1:19
quote You're getting axonal degeneration by the freeze, but at the same time, the epineurium is staying intact.
Ep 52 · 1:47
quote I'm hoping I can convince you that cryo is a really good tool here.
Ep 52 · 1:47
quote I'm hoping I can convince you that cryo is a really good tool here.
Ep 52 · 1:51
quote Epidurals are wonderful, but it is an invasive procedure that takes time, and you may or may not be leaving it fully.
Ep 52 · 1:51
opinion Epidurals are invasive procedures that take time and may or may not be left in fully
Ep 52 · 1:51
quote Epidurals are wonderful, but it is an invasive procedure that takes time, and you may or may not be leaving it fully.
Ep 52 · 1:51
opinion Epidurals are invasive procedures that take time and may or may not be left in fully
Ep 52 · 2:05
quote We're doing a muscle sparing thoracotomy and then an open direct application of the cryoprobe.
Ep 52 · 2:05
quote We're doing a muscle sparing thoracotomy and then an open direct application of the cryoprobe.
Ep 52 · 2:10
clinical Dr. Lotz's group has performed 300 thoracotomy cases with cryoanalgesia and seen great results
Ep 52 · 2:10
clinical Dr. Lotz's group has performed 300 thoracotomy cases with cryoanalgesia and seen great results
Ep 52 · 2:10
quote We've done 300 attracure cases, and we've seen great results.
Ep 52 · 2:10
quote We've done 300 attracure cases, and we've seen great results.
Ep 52 · 2:17
quote We're going 1 to 2 levels above and below the thoracotomy.
Ep 52 · 2:17
clinical For thoracotomies, cryoprobe should be applied 1 to 2 levels above and below the thoracotomy
Ep 52 · 2:17
clinical For thoracotomies, cryoprobe should be applied 1 to 2 levels above and below the thoracotomy
Ep 52 · 2:17
quote We're going 1 to 2 levels above and below the thoracotomy.
Ep 52 · 2:20
quote You have to be a little bit careful about getting too low.
Ep 52 · 2:20
quote You have to be a little bit careful about getting too low.
Ep 52 · 2:32
clinical 60 seconds of cryoprobe application is sufficient
Ep 52 · 2:32
quote 60 seconds is sufficient.
Ep 52 · 2:32
clinical 60 seconds of cryoprobe application is sufficient
Ep 52 · 2:32
quote 60 seconds is sufficient.
Ep 52 · 2:33
quote We also do temporary intercostal nerve blocks to help for those 1st 8 hours before it sets in.
Ep 52 · 2:33
clinical Temporary intercostal nerve blocks are used to help for the first 8 hours before cryoanalgesia sets in
Ep 52 · 2:33
quote We also do temporary intercostal nerve blocks to help for those 1st 8 hours before it sets in.
Ep 52 · 2:33
clinical Temporary intercostal nerve blocks are used to help for the first 8 hours before cryoanalgesia sets in
Ep 52 · 2:39
quote We're using the standard probe down to age 3.
Ep 52 · 2:39
quote We're using the standard probe down to age 3.
Ep 52 · 2:39
clinical Standard cryoprobe can be used down to age 3
Ep 52 · 2:39
clinical Standard cryoprobe can be used down to age 3
Ep 52 · 2:42
quote We've done kids down to about 18 months.
Ep 52 · 2:42
clinical Dr. Lotz's group has performed cryoanalgesia in children down to about 18 months
Ep 52 · 2:42
quote We've done kids down to about 18 months.
Ep 52 · 2:42
clinical Dr. Lotz's group has performed cryoanalgesia in children down to about 18 months
Ep 52 · 2:52
clinical In smaller children, a retractor must hold skin away because limited chest wall musculature could result in skin freeze
Ep 52 · 2:52
quote We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze.
Ep 52 · 2:52
quote We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze.
Ep 52 · 2:52
clinical In smaller children, a retractor must hold skin away because limited chest wall musculature could result in skin freeze
Ep 52 · 3:09
clinical With cryoanalgesia, patients do not need epidural or Foley catheter and can get up and move right away
Ep 52 · 3:09
quote So the benefits is there's no epidural, there's no Foley, they're getting up and moving right away.
Ep 52 · 3:09
quote So the benefits is there's no epidural, there's no Foley, they're getting up and moving right away.
Ep 52 · 3:09
clinical With cryoanalgesia, patients do not need epidural or Foley catheter and can get up and move right away
Ep 52 · 3:13
quote The pulmonary toilet has been great.
Ep 52 · 3:13
quote The pulmonary toilet has been great.
Ep 52 · 3:13
opinion Pulmonary toilet has been great with cryoanalgesia
Ep 52 · 3:13
opinion Pulmonary toilet has been great with cryoanalgesia
Ep 52 · 3:15
clinical Dr. Lotz's group saw a 2 to 3-fold reduction in narcotic use during hospitalization with cryoanalgesia
Ep 52 · 3:15
quote We did a comparison in our group and we saw a 2 to 3-fold reduction in narcotic use during the hospitalization.
Ep 52 · 3:15
clinical Dr. Lotz's group saw a 2 to 3-fold reduction in narcotic use during hospitalization with cryoanalgesia
Ep 52 · 3:15
quote We did a comparison in our group and we saw a 2 to 3-fold reduction in narcotic use during the hospitalization.
Ep 52 · 3:28
quote This was our data.
Ep 52 · 3:28
quote This was our data.
Ep 52 · 3:29
quote We compared what their results were compared to all of the routine group, which was just IV pain med only, but also compared to those that had regional block.
Ep 52 · 3:29
quote We compared what their results were compared to all of the routine group, which was just IV pain med only, but also compared to those that had regional block.
Ep 52 · 3:37
clinical In Dr. Lotz's study, 23 thoracotomies received cryoanalgesia
Ep 52 · 3:37
quote In this study, we had 23 thoracotomies who had cryo.
Ep 52 · 3:37
quote In this study, we had 23 thoracotomies who had cryo.
Ep 52 · 3:37
clinical In Dr. Lotz's study, 23 thoracotomies received cryoanalgesia
Ep 52 · 3:50
quote So 137 versus 533, we're using a lot less opioid, other than our neonatal thoracotomies, and we've gone to using this all the time.
Ep 52 · 3:50
clinical Dr. Lotz's group now uses cryoanalgesia for all thoracotomies except neonatal cases
Ep 52 · 3:50
clinical Dr. Lotz's group now uses cryoanalgesia for all thoracotomies except neonatal cases
Ep 52 · 3:50
quote So 137 versus 533, we're using a lot less opioid, other than our neonatal thoracotomies, and we've gone to using this all the time.