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Quick Literature Updates Episode 16

Video Published 2025-01-30 Updated 2026-08-01

Timestops (3)

Esophageal Button Battery Management Protocol

Feeding Impact on Necrotizing Enterocolitis

Enhanced Recovery After Pediatric Surgery

Topic Overview

A rapid-fire literature review covering three recent Journal of Pediatric Surgery articles relevant to pediatric surgical practice. The discussion addresses process improvements for esophageal button battery removal through a critical airway response team algorithm, feeding outcomes in uncomplicated gastroschisis comparing exclusive breast milk versus formula supplementation, and the learning curve for cryoablation in Nuss procedures showing reduced hospital stay and opioid use with institutional experience.

Key Takeaways

Critical airway team activation reduced time from X-ray to OR for esophageal button battery removal. (1:00)
Formula supplementation does not worsen feeding outcomes vs exclusive breast milk in uncomplicated gastroschisis. (2:17)
Institutional experience with Nuss cryoablation reduced hospital stay by 1.3 days and opioid use by 74%. (3:32)

Inside this episode

Kai, the Library's AI content creator, listened to this episode and mapped who's speaking, the chapters, key claims, and cases. Every item links to the exact moment in the recording.

AI-enriched

Who's speaking

Em Goddy — host
Eleanor Cisco — guest
Alex Halpern — guest
Cecilia Jenna — guest
Speaker 5

Chapters

0:16Esophageal Button Battery Management Algorithm — Review of Connecticut Children's critical airway response team protocol for expediting button battery removal, showing reduced time from imaging to OR.
1:46Breast Milk vs Formula in Gastroschisis — National cohort study findings on feeding outcomes in uncomplicated gastroschisis, comparing exclusive breast milk to formula supplementation.
2:48Cryoablation Learning Curve in Nuss Procedures — Single-institution experience with cryoanalgesia in Nuss procedures, demonstrating improved outcomes with institutional experience over time.

Key claims

1:00Connecticut Children's Medical Center implemented an algorithm for managing esophageal button batteries in 2019 that includes activating the critical airway response team — Eleanor Cisco
1:12The study compared patients presenting with esophageal button batteries before algorithm implementation (2015-2019) with those after implementation (2019-2022) — Eleanor Cisco
1:25There was a significant reduction in time from chest X-ray to OR for button battery removal after algorithm implementation — Eleanor Cisco
1:34The algorithm implementation helped children receive needed care faster for esophageal button batteries — Eleanor Cisco
2:08McMaster University performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis — Alex Halpern
2:17Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis — Alex Halpern
2:17No significant differences were found between breast milk and formula groups in time to reach full enteral feeds in uncomplicated gastroschisis — Alex Halpern
2:17No significant differences were found between breast milk and formula groups in duration of parenteral nutrition in uncomplicated gastroschisis — Alex Halpern
2:17No significant differences were found between breast milk and formula groups in rates of necrotizing enterocolitis in uncomplicated gastroschisis — Alex Halpern
2:17No significant differences were found between breast milk and formula groups in length of hospital stay in uncomplicated gastroschisis — Alex Halpern
2:38Formula intake versus exclusive breast milk intake does not affect outcomes in uncomplicated gastroschisis — Alex Halpern
3:08A retrospective single institution study in Phoenix from 2017 to 2021 examined cryoablation in Nuss procedures — Cecilia Jenna
3:08The study compared patients undergoing Nuss procedure with cryoanalgesia in the first quarter of experience with the fourth quarter — Cecilia Jenna
3:27350 patients underwent Nuss procedure with cryoanalgesia in the study period — Cecilia Jenna
3:32Patients in the last quarter were discharged 1.3 days earlier than patients in the first quarter for Nuss procedures with cryoanalgesia — Cecilia Jenna
3:32Patients in the last quarter required 74% less opioids compared to the first quarter for Nuss procedures with cryoanalgesia — Cecilia Jenna
3:44Experience plays a role in outcomes for cryoanalgesia in Nuss procedures — Cecilia Jenna

Open questions

What does your institution do for esophageal button batteries?

This episode was analyzed and enriched by Kai, the Library's AI content creator. Every item links to the moment it comes from — click a timestamp to listen in context.

Keywords

esophageal button battery ingestion gastroschisis necrotizing enterocolitis pectus excavatum esophageal button battery removal Nuss procedure cryoablation cryoanalgesia opioids Cincinnati Children's Hospital Medical Center Connecticut Children's Medical Center McMaster University Children's National Phoenix institution

Hashtags

#pediatricsurgery #buttonbattery #gastroschisis #nuss procedure #cryoablation #esophagealbuttonbattery #breastmilk #pediatricresearch #CryoAnalgesia #NussProcedure

Transcript

Hello pediatric surgery family, I'm Em Goddy from Cincinnati Children's Hospital Medical Center, and today our team is gonna deliver the articles that you should know about. We have 3 papers today. All of them are from the Journal of Pediatric Surgery. We don't have much time, so let's start. Our first paper titled Utilizing a Critical Airway Response Team Expedites esophageal button battery removal by Brent et al. This paper is summarized by Eleanor Cisco. She's one of the previous research fellows at Cincinnati Children's. In 2019, the team at Connecticut Children's Medical Center implemented this algorithm for managing esophageal button batteries. It includes activating the critical airway response team. They took a look at patients presenting with esophageal button batteries before algorithm implementation between 2015 and 2019, and patients presenting after algorithm implementation between 2019 and 2022. They found that there was a significant reduction in the time it took from getting the chest X-ray to getting to the OR for button battery removal after they implemented the new algorithm. Based on this data, it looks like the implementation of this algorithm helped the kids get the care they needed faster. What does your institution do for oesophageal button batteries? Let's hear the second paper. Association of Exclusive Breast Milk Intake and Outcomes in Infants with uncomplicated gastroschisis, a national cohort Study by Hutchson et al. and this paper is summarized by Alex Halpern. He's a research fellow at Children's National and collaborates with us to produce these article reviews. The team at McMaster University performed a retrospective review looking at infants born between 2014 and 2022 with uncomplicated gastroschisis. They found that the infants with exclusive breast milk intake and the ones with supplemental or exclusive formula intake had similar outcomes, with no significant differences between the groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of stay in the hospital. So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis. Now moving to the last paper of the day, cryoablation in 350 NUS procedures, evolution of hospital length of stay and opioid use by lie et al. This one is summarized by Cecilia Jenna. She's also one of the previous research fellows at Cincinnati Children's Hospital. This is a retrospective single institution study done in Phoenix from 2017 to 2021, and their aim was to compare patients that underwent NAS procedure with cryoanalgesia in the first quarter of their experience with the fourth quarter of their experience, and what did they find? They had 350 patients that underwent NAS procedure with cryoanalgesia. And what they found is that patients in the last quarter were discharged 1.3 days earlier than patients in the first quarter and also requires 74% less opioids. So it seems that experience really plays a role talking about cryoatissia. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stay Current MD on social media, give us a rating, and subscribe to the YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content. Global Cat MD along with Cincinnati Children's Hospital, sharing knowledge to improve child health around the globe.

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