Live Event Content
Obstructive Sleep Apnea
Everything in the library about obstructive sleep apnea — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Medical Management
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Postoperative Pediatric Pain Practice Post the Codeine Era: Peri-Operative...
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DuringPeri-Operative Pain Management Course in 2013, Dr. Ibrahim Farid discusses how to manage post-operative pain and improved recovery after surgery in adults and children. Topics covered includeexplanations for under treatment,factors in
video1:01:18 · Jan 2019
Case-Based Learning
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PDC 2020 Practice Gaps
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This clip from the 2020 Pediatric Surgery Update Course features Elizabeth Beierle, MD, Erik Skarsgard, MD, and Robert Cusick, MD presenting 2020’s practice gaps as identified by the American Pediatric Surgical Association’s (APSA) Professi
video1:23:26 · Sep 2020
In-Depth Reviews
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Take My Breath Away - Carolyn Grad, Mark Washam, & Katie Holtman - APP Conference 2026
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This presentation, titled 'Take My Breath Away,' provides a comprehensive overview of pediatric sleep apnea for Advanced Practice Providers. Carolyn Grad, Mark Washam, and Katie Holtman discuss identifying signs and symptoms, various testin
video58:54 · May 2026
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
PDC 2020 Practice Gaps
In the last 40 years, the prevalence of obesity has gone to over 18% of children worldwide
epidemiologicalLiz Byerly6:39 ↗
Kids who are obese and receiving therapy for DVT require closer monitoring of their enoxaparin levels because they can have altered drug metabolism due to obesity
clinicalLiz Byerly7:24 ↗
NASPGHAN and European counterparts recommend screening endoscopy at 10 years of age for esophageal atresia patients, whether or not they're on anti-reflux medications
host_summaryLiz Byerly10:38 ↗
NASPGHAN guidelines recommend screening endoscopy in early adulthood for esophageal atresia patients, and then every 5 to 10 years for adults
host_summaryLiz Byerly11:10 ↗
A significant number of children with repaired esophageal atresia will have esophageal metaplasia or Barrett's esophagus, and symptoms often do not correlate with pathology
clinicalLiz Byerly11:22 ↗
Studies from the Netherlands and Finland showed an increased risk of esophageal carcinoma in patients with repaired esophageal atresia
host_summaryLiz Byerly12:00 ↗
The most likely cause of cardiac arrest during laparoscopy in neonates is pneumopericardium from extraperitoneal insufflation
clinicalLiz Byerly16:22 ↗
A survey of pediatric surgeons in the United States found that 28% had experienced gas embolism during neonatal laparoscopy
host_summaryLiz Byerly16:44 ↗
The problem occurs because insufflation tubing contains air with nitrogen, which is not soluble in blood, unlike carbon dioxide. It's like the baby gets the bends when you insufflate all that air
clinicalLiz Byerly17:52 ↗
End-tidal CO2 is the most sensitive detector of a gas embolism during laparoscopic surgery
clinicalLiz Byerly17:14 ↗
Prevention strategies include turning gas on and flushing tubing of air before connecting it to the patient, which decreases the amount of nitrogen and air delivered
clinicalLiz Byerly19:09 ↗
On thromboelastography, if R time is abnormal, the patient needs FFP. If alpha angle is abnormal, administer cryoprecipitate. If maximum amplitude is abnormal, give platelets. If LY30 shows excessive fibrinolysis, give aminocaproic acid or tranexamic acid
clinicalLiz Byerly27:03 ↗
Canadian CDH Collaborative readiness criteria for surgery include normal blood pressure for age, urine output >1cc/kg/hr, serum lactate <3, FiO2 <50%, preductal saturation around 90%, and pulmonary artery pressures less than systemic
host_summaryEric Skarsgard37:49 ↗
Surgery is a stressor on the pulmonary vascular bed in CDH patients, so we want to see pulmonary artery pressures trending down and less than systemic pressures before operating
clinicalEric Skarsgard38:20 ↗
For CDH patients with predominantly right ventricular dysfunction on echo, treatment options are nitric oxide, sildenafil, and increasingly PGE1, which maintains the ductus open and allows a pop-off vent for the right ventricle
clinicalEric Skarsgard39:47 ↗
A randomized trial of spontaneous pneumothorax showed roughly equivalent lung re-expansion by 8 weeks (high 90%) between conservative management and intervention groups
host_summaryEric Skarsgard50:13 ↗
The spontaneous pneumothorax trial showed a threefold increase in adverse events in the interventional group, including bleeding, need for catheter repositioning, and continuing air leaks
host_summaryEric Skarsgard50:22 ↗
The spontaneous pneumothorax trial showed a twofold increase in twelve-month recurrence rates for patients who received intervention versus conservative management
host_summaryEric Skarsgard50:50 ↗
ATLS 10th edition guidelines recommend limiting crystalloid to not more than 20cc per kilogram in pediatric trauma resuscitation
host_summaryEric Skarsgard56:18 ↗
Giving excessive crystalloid worsens dilutional coagulopathy and increases metabolic acidosis in trauma patients
clinicalEric Skarsgard56:37 ↗
Military data from Afghanistan and Iraq showed that increased use of massive transfusion protocols in pediatric trauma patients correlated with decreased mortality between 2001 and 2013
host_summaryEric Skarsgard57:18 ↗
Early balanced blood product resuscitation (red cells, platelets, and plasma) results in using less blood products overall and significantly improved mortality and morbidity outcomes
host_summaryEric Skarsgard57:58 ↗
Military studies clearly show a survival advantage from use of tranexamic acid in trauma patients
host_summaryEric Skarsgard58:32 ↗
There is no evidence supporting intentional hypotensive resuscitation as a strategy in pediatric trauma
opinionEric Skarsgard58:51 ↗
SCOPE Collaborative guidelines for peritoneal dialysis catheter placement include preoperative antibiotic with gram-positive coverage, downward or lateral exit site placement, and no suture at the exit site
host_summaryTodd Ponsky1:00:21 ↗
Failure rates for dialysis access are quite high: 45% within two months for hemodialysis catheters and 30 to 50% for peritoneal dialysis catheters
host_summaryTodd Ponsky1:03:07 ↗
Analysis of a large international registry shows over 70% of children have a hemodialysis catheter placed and only 26% receive an AV fistula
host_summaryTodd Ponsky1:07:22 ↗
Multiple studies show superior primary and secondary patency rates for AV fistulas compared to catheters in pediatric patients
host_summaryTodd Ponsky1:07:34 ↗
Organizations have recommended considering AV fistula use in children over 20 kg who will require at least 12 months of hemodialysis
host_summaryTodd Ponsky1:08:04 ↗
Half-life of even a living donor kidney is only about 23-24 years, so a 5-year-old receiving a transplant will face retransplant at age 27-28
clinicalEric Skarsgard1:09:16 ↗
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