StayCurrentMD · Update Course Rewind: 2024 Top Ten Key Takeaways
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Video18 min·Published Jun 2025

Update Course Rewind: 2024 Top Ten Key Takeaways

With Dr. Dr. Todd Ponsky · StayCurrentMD
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What the experts said31 expert statements
Cross-training occurs at Cincinnati Children's with interventional radiologists teaching pediatric surgery fellows ultrasound guidance for vascular access
Clinical
Hybrid OR collaboration can occur in regular OR by bringing in an ultrasound machine without requiring a dedicated hybrid OR
Clinical
Cone beam CT is performed on a C-arm fluoroscopy unit that rotates around the patient collecting multiple images stacked together to create a CT
Clinical
ChatGPT can screen thousands of articles in systematic review based on title and abstract with explanation column for decision rationale
Clinical
Jenny AI can provide relevant answers, cite supporting papers, and format citations according to preferred style
Clinical
Double lumen endotracheal tube deflates the lung on the side of cryoablation for thoracoscopic guidance
Clinical
Cryoanalgesia targets T3 to T8 with 2-minute freeze cycles per interspace
Clinical
Subpleural injection with 0.25% marcaine with epinephrine works immediately versus 8-10 hour delay with cryo nerve block
Clinical
Double lumen endotracheal tube reduces risk of pneumothorax during cryoanalgesia
Clinical
Cryoanalgesia blocks fail when surgeons use single lumen tube and perform block too far anteriorly
Clinical
Majority of centers still do VA ECMO primarily for CDH babies
Epidemiological
Michigan SER Protocol showed survival was equivalent between ECMO and comfort care groups for severe unilateral CDH based on prenatal criteria
Clinical
With biovalrudin ECMO management, surgical repair can proceed after 8 hours once levels are stable
Clinical
Early repair while on ECMO is safe with optimal window between 8 to 24 hours
Clinical
CO2 laser operates in spectrum of 920 to 1400 nm which is well absorbed by water
Clinical
CO2 laser circumcision using sleeve technique with dorsal slit and cyanoacrylate adhesive had 3% complication rate in 56 cases
Clinical
CO2 laser frenulectomy in 47 patients showed low pain profile with no suture required
Clinical
Autofluorescence in randomized controlled trial from France reduced rates of hypoparathyroidism and hypocalcemia following thyroidectomy
Clinical
Parathyroids naturally autofluoresce at specific wavelength without injection
Clinical
Hypocalcemia rates were about 50% lower with autofluorescence use versus not using it
Clinical
Surgery-first pathway for pediatric cholelithiasis reduces resource utilization including MRCP
Clinical
ERCP causes pancreatitis 10% of the time regardless of operator skill
Clinical
Stone clearance rate reflected by negative intraoperative cholangiogram was 86% with surgery-first approach
Clinical
Success rate was in the 90s with simple flushing or catheter manipulation of common bile duct or reaming the sphincter
Clinical
Every 10 day delay in biliary atresia treatment worsens outcomes by 20% according to Midwest study data
Epidemiological
MMP-7 sensitivity is pretty good but cutoffs vary between teams because the assay is still evolving
Clinical
Cincinnati Children's commitment is Kasai procedure within 7 days of biliary atresia patient presentation
Guideline
REBOA can be performed in pediatric patients but is rarely done with no clear survival advantage over laparotomy
Clinical
Patients presenting with wounds as initial presentation for pilonidal tend to not always reach full healing with minimally invasive approach
Clinical
US Army clinic with captive patient population implementing weekly shaving protocol observed dramatic improvement and significantly reduced need for surgical intervention in pilonidal disease
Clinical
Clipping is probably the easiest and simplest approach for pilonidal disease hair removal when parent or active caregiver is involved, recommended once weekly
Clinical