We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.
These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.
Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".
Host: Em Gootee
https://pubmed.ncbi.nlm.nih.gov/36805142/
Brandt K, Dukleska K, McKeown M, Brancato J, Grossi V, Schoem S, Sacco T, D'Amato J, Bourque MD, Campbell BT. Utilizing a critical airway response team expedites esophageal button battery removal. J Pediatr Surg. 2023 May;58(5):810-813. doi: 10.1016/j.jpedsurg.2023.01.037. Epub 2023 Jan 19. PMID: 36805142.
https://pubmed.ncbi.nlm.nih.gov/38413262/
Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262.
https://pubmed.ncbi.nlm.nih.gov/36494205/
Lai K, Notrica DM, McMahon LE, Kang P, Molitor MS, Egan JC, Bae JO, Hunteman ZM, Ostlie DJ, Lee JH, Padilla BE. Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use. J Pediatr Surg. 2023 Aug;58(8):1435-1439. doi: 10.1016/j.jpedsurg.2022.10.051. Epub 2022 Nov 7. PMID: 36494205.
Type: video · 4 min · posted 2025-01-30 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732 ## Chapters - [0:16](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=16) Esophageal Button Battery Management Algorithm - [1:46](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=106) Breast Milk vs Formula in Gastroschisis - [2:48](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=168) Cryoablation Learning Curve in Nuss Procedures ## Statements - "Connecticut Children's Medical Center implemented an algorithm for managing esophageal button batteries in 2019 that includes activating the critical airway response team" — Eleanor Cisco (clinical) [1:00](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=60) - "The study compared patients presenting with esophageal button batteries before algorithm implementation (2015-2019) with those after implementation (2019-2022)" — Eleanor Cisco (clinical) [1:12](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=72) - "There was a significant reduction in time from chest X-ray to OR for button battery removal after algorithm implementation" — Eleanor Cisco (clinical) [1:25](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=85) - "The algorithm implementation helped children receive needed care faster for esophageal button batteries" — Eleanor Cisco (opinion) [1:34](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=94) - "McMaster University performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis" — Alex Halpern (clinical) [2:08](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=128) - "Infants with exclusive breast milk intake and those with supplemental or exclusive formula intake had similar outcomes in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:17](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=137) - "No significant differences were found between breast milk and formula groups in time to reach full enteral feeds in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:17](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=137) - "No significant differences were found between breast milk and formula groups in duration of parenteral nutrition in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:17](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=137) - "No significant differences were found between breast milk and formula groups in rates of necrotizing enterocolitis in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:17](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=137) - "No significant differences were found between breast milk and formula groups in length of hospital stay in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:17](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=137) - "Formula intake versus exclusive breast milk intake does not affect outcomes in uncomplicated gastroschisis" — Alex Halpern (clinical) [2:38](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=158) - "A retrospective single institution study in Phoenix from 2017 to 2021 examined cryoablation in Nuss procedures" — Cecilia Jenna (clinical) [3:08](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=188) - "The study compared patients undergoing Nuss procedure with cryoanalgesia in the first quarter of experience with the fourth quarter" — Cecilia Jenna (clinical) [3:08](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=188) - "350 patients underwent Nuss procedure with cryoanalgesia in the study period" — Cecilia Jenna (epidemiological) [3:27](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=207) - "Patients in the last quarter were discharged 1.3 days earlier than patients in the first quarter for Nuss procedures with cryoanalgesia" — Cecilia Jenna (clinical) [3:32](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=212) - "Patients in the last quarter required 74% less opioids compared to the first quarter for Nuss procedures with cryoanalgesia" — Cecilia Jenna (clinical) [3:32](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=212) - "Experience plays a role in outcomes for cryoanalgesia in Nuss procedures" — Cecilia Jenna (opinion) [3:44](https://library.globalcastmd.com/watch/quick-literature-updates-episode-16-9732?t=224) ## 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. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai