Show Notes
This video, featuring experts from Cincinnati Children's, discusses the challenging management of recurrent tracheoesophageal fistula (TEF) years after initial repair. Dr. Douglas von Allmen presents a clinical scenario and highlights the risk of recurrent laryngeal nerve (RLN) injury during re-repair. The episode emphasizes a transtracheal approach to improve surgical exposure and minimize potential harm to the RLN, thereby reducing long-term voice and aspiration issues.
More from Stay Current in Pediatric Surgery
This GlobalCastMD video features Lizzy Lee, PA-C from Cincinnati Children's, along with Drs. Juan Gurria and David Rothstein, discussing the critical decision of neck versus femoral cannulation in pediatric ECPR. They explore the nuanced factors influencing the optimal cannulation site, including patient size, anatomy, clinical condition, and potential risks like stroke and limb ischemia. The debate also covers vessel management post-ECMO, highlighting the importance of long-term surveillance for vascular integrity.
Discover essential strategies for successful ECPR (Extracorporeal Cardiopulmonary Resuscitation) in pediatric patients. This video, featuring Dr. Juan Gurria from Cincinnati Children's and Dr. David Rothstein from Seattle Children's, emphasizes pre-arrest preparation, simulation, early ECMO team activation, and real-time CPR quality measurement. Learn how multidisciplinary team coordination and avoiding compression pauses can improve patient outcomes during critical cardiac events. This content is part of the 13th Annual Pediatric Surgery Update Course.
Explore the critical question of pediatric ECPR candidacy with Dr. Juan Gurria from Cincinnati Children's and Dr. David Rothstein from Seattle Children's Hospital. This video defines ECPR as extra corporeal cardiopulmonary resuscitation, highlighting its role as a temporary heart and lung support (ECMO) to treat reversible causes of cardiac arrest. Learn about key considerations for patient selection, including likelihood of recovery, underlying disease treatability, resource allocation, and long-term follow-up.
This educational video provides a comprehensive overview of craniosynostosis, detailing the anatomy of infant skull sutures and their role in brain growth. Dr. Jesse Skoch, a Pediatric Neurosurgeon at Cincinnati Children's, explains Virchow's Law, distinguishing between different types of premature suture fusion and their impact on head shape. The video also covers diagnostic methods, including the importance of physical examination and 3D CT scans, as well as considerations for surgical timing and risk of elevated intracranial pressure.
This video, featuring Dr. Juan Gurria from Cincinnati Children's, discusses surgical interventions for chronic pancreatitis in children. It covers indications for surgery, various treatment options like drainage and resection, and the complex considerations for genetic and hereditary forms of the disease. A key focus is on Total Pancreatectomy with Islet Auto-Transplant (TPIAT), including its procedure, benefits in pain and opioid reduction, and management of potential complications like gastroparesis and thrombosis.