# Top Themes From The Stay Current App — GCMD Library

This clip from the 2020 Pediatric Surgery Update Course features Alejandra Casar Berazaluce, MD; Alexander Gibbons, MD; Rachel Hanke, MD; presenting the most popular posts in the 2020 version of the Stay Current: Pediatric Surgery App. 

Highlighted Topics Include:
- Anorectal Malformations
- Diaphragmatic Hernia repair
- Esophageal Atresia
- Gastroesophageal Reflux Disease
- Pyloric Stenosis
- Perioperative Management
- Hirschsprung Disease
- Intussusception
- Blunt Solid Organ Injury

Type: video · posted 2020-09-14 Canonical: https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999 ## Chapters - [0:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=0) Introduction to Stay Current App Review - [1:08](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=68) Number 9: Anorectal Malformation - [2:30](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=150) Number 8: Congenital Diaphragmatic Hernia - [4:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=240) Number 7: Esophageal Atresia - [5:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=300) Number 6: GERD - [6:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=360) Number 5: Pyloric Stenosis - [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) Number 4: Perioperative Management - [8:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=480) Number 3: Hirschsprung's Disease - [10:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=600) Number 2: Intussusception - [12:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=720) Number 1: Blunt Trauma ## Statements - "The Stay Current app is viewed by 6,000 pediatric surgeons" (epidemiological) [0:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=0) - "Stay Current Pediatric Surgery was released in February of 2019" (clinical) [0:43](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=43) - "Users have shared over 450 pieces of content approximately 1400 times" (epidemiological) [1:08](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=68) - "Digital anal dilation is safe if the digits are appropriately sized and if the families follow a strict protocol of dilations" (clinical) [1:27](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=87) - "Techniques for laparoscopic CDH treatment include utilizing a needle to decompress bowel laparoscopically" (clinical) [2:30](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=150) - "Creating a pneumothorax allows easier retraction of the hernia sac in laparoscopic CDH repair" (clinical) [2:30](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=150) - "A laparoscopic detectable magnet can be utilized for greater maneuverability of the hernia sac" (clinical) [2:30](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=150) - "The evidence supporting best practices for long gap esophageal atresia is currently low quality" (clinical) [4:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=240) - "Patients with long gap esophageal atresia should receive appropriate long-term follow-up" (guideline) [4:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=240) - "Workup, diagnosis, and treatment of GERD patients is complex" (opinion) [5:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=300) - "The latest recommendation for Nissen fundoplication involves minimal dissection at the GE junction" (guideline) [5:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=300) - "The Nissen wrap should be performed above the left gastric artery" (guideline) [5:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=300) - "Multiple randomized control trials have shown that ad lib feeds are superior or equivalent to protocolized feeds for pyloric stenosis" (clinical) [6:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=360) - "All infants less than 50 weeks post-conceptual age at the time of surgery need some level of observation for apnea monitoring" (guideline) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "NPO guidelines include clears up to two hours preop and breast milk up to four hours preop" (guideline) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "Clinicians tend to be too restrictive with NPO guidelines" (opinion) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "Pre-op antibiotic prophylaxis must be administered within 60 minutes before incision" (guideline) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "Redosing of antibiotics is needed for the duration of the operation" (guideline) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "Generally, antibiotics are not needed after surgery unless the case determines otherwise" (guideline) [7:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=420) - "Hirschsprung's disease is the number one search topic on the app overall" (epidemiological) [8:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=480) - "The transition zone can vary widely depending on the extent of disease with numbers as high as 22 centimeters for total colonic Hirschsprung's disease" (clinical) [8:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=480) - "Coyle et al recommend resecting greater than 5 cm proximally to the normal biopsy to avoid transition zone pull through" (guideline) [8:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=480) - "Management of suspected Hirschsprung's associated enterocolitis includes prompt evaluation of the patient, rectal irrigations with normal saline, NPO, IV fluids, antibiotics and continuous monitoring" (guideline) [8:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=480) - "Patients with intussusception should go to the operating room if they have peritoneal signs or if they fail reduction after three attempts" (guideline) [10:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=600) - "Patients can be safely discharged home after four hours of observation after a successful intussusception reduction" (clinical) [10:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=600) - "Patients with intussusception can have the air enema repeated every hour up to three times as long as there are no signs of peritonitis before operative exploration" (guideline) [10:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=600) - "Patients who are asymptomatic for four hours after a successful intussusception reduction can be discharged from the emergency department" (guideline) [10:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=600) - "Non-operative management should be primarily considered in hemodynamically stable patients with blunt solid organ injuries" (guideline) [12:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=720) - "Angioembolization should be considered for ongoing or delayed bleeding, high grade injuries and early hemodynamic compromise before proceeding to the operating room" (guideline) [12:00](https://library.globalcastmd.com/watch/top-themes-from-the-stay-current-app-2999?t=720) --- Not medical advice · citation policy: https://library.globalcastmd.com/ai