In this video, Dr. Charlie Myer IV from Cincinnati Children's Hospital explores the role of laryngeal sensory reinnervation in children with swallowing and aspiration issues, particularly those with nerve injuries impacting both motor and sensory functions. He reviews the significance of combining motor function restoration with sensory reinnervation to improve swallowing and reduce the risk of aspiration.

Key Points Covered:

• Sensory & Motor Balance in Swallowing: Understanding that swallowing involves both motor control and sensory input, and why both are essential for safe swallowing.
• Innovative Reinnervation Technique: Connecting the great auricular nerve to the superior laryngeal nerve to enhance sensation and improve swallowing function.
• Case Study: A 12-year-old patient with high vagal injury, severe aspiration, and lung complications who experienced remarkable improvement after laryngeal sensory reinnervation.
• Results and Challenges: Promising outcomes seen in initial cases, though more research is needed to determine the best timing and long-term effects of this emerging technique.

Join us to learn more about this exciting approach to laryngeal sensory reinnervation and its potential to transform care for children with complex swallowing disorders.

In this recap from our 12th Annual Update Course in Pediatric Surgery, Lizzy Lee introduces a thought-provoking session on Resuscitative Endovascular Balloon Aortic Occlusion (REBOA) for pediatric trauma patients, featuring Drs. Regan Williams and Katie Russell. This emerging technique is categorized as both a Black Diamond (unproven) and Blue Square (newer) practice, sparking valuable discussion among trauma surgeons.

Key Points Discussed:

• What is REBOA? A life-saving procedure used to control bleeding by inflating a balloon in the aorta, buying time for surgical intervention.
• Pediatric Use Challenges: REBOA is rarely performed in pediatric hospitals, making rapid application difficult, and there is no clear survival advantage in pediatric cases.
• Clinical Debate: A case study of a 16-year-old trauma patient illustrates the decision-making process, with most surgeons opting for laparotomy over REBOA.
• Algorithm Comparison: When to use REBOA versus resuscitative thoracotomy, based on guidelines from the Western Trauma Association.

Learn more about this complex and evolving topic in pediatric trauma care. Don’t forget to like, comment, and subscribe for more updates from our 12th Annual Pediatric Surgery Update Course!

In this video, Dr. Carl Backer, renowned pediatric surgeon, shares insights on vascular rings and aortic uncrossing at Cincinnati Children's Hospital. Discover the history, diagnosis, and surgical approaches to these complex congenital anomalies that compress the trachea and esophagus, impacting respiratory and digestive health.

Key Points Covered:

• History of Vascular Rings: From Dr. Robert Gross's first case in 1945 to the techniques established today.
• Diagnostic Process: Importance of chest X-rays, bronchoscopy, CT scans, and echocardiograms in identifying vascular ring anomalies.
• Surgical Techniques: How procedures like dividing double aortic arches or addressing Kommerell's diverticulum relieve pressure on vital structures.
• Fetal Diagnosis Benefits: Early detection has reduced surgery age, hospital stay, and respiratory complications for newborns.

Tune in to learn how Cincinnati Children’s continues to lead in the treatment of vascular rings and congenital airway anomalies. Don’t forget to like, comment, and subscribe for more pediatric surgical content!

Join us for an insightful discussion with Dr. Jose Peiro, pediatric surgeon and director of endoscopic fetal surgery at Cincinnati Children’s Fetal Care Center, which is the highest-volume fetoscopic center in the nation. Dr. Peiro walks us through the importance of fetal surgery, the role of advanced prenatal diagnostics, and groundbreaking techniques like fetoscopy, open fetal surgery, and the EXIT procedure.

Key Topics Covered:

• Prenatal Diagnosis: Utilizing ultrasounds, Doppler, and MRI to detect and evaluate fetal malformations early in gestation.
• Fetal Surgery Techniques: The evolution from open fetal surgery to minimally invasive options like fetoscopy to treat conditions such as Twin to Twin Transfusion Syndrome (TTTS), spina bifida, and congenital diaphragmatic hernia (CDH).
• EXIT Procedure: A life-saving technique performed at birth to ensure a safe airway for babies with obstructions.
• Innovative Outcomes: How fetal surgery has significantly improved survival rates and postnatal outcomes for babies with severe conditions.

Discover how the team at Cincinnati Children’s is pushing the boundaries of fetal care and saving lives before birth. Don't forget to like, comment, and subscribe for more groundbreaking medical content!

We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Colin Martin, Casey Calkins and Whit Holcomb joined by authors Drs. Sarah Ullrich, Jason Frischer, Joanne Baerg, Mark Slidell and Omid Madadi-Sanjani.

Host: Em Gootee

0:00 Introduction

0:57 Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium

6:47 Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations

13:56 Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project

18:12 Summary

Articles:

Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965.

https://pubmed.ncbi.nlm.nih.gov/38677965/

Slidell MB, McAteer J, Miniati D, Sømme S, Wakeman D, Rialon K, Lucas D, Beres A, Chang H, Englum B, Kawaguchi A, Gonzalez K, Speck E, Villalona G, Kulaylat A, Rentea R, Yousef Y, Darderian S, Acker S, St Peter S, Kelley-Quon L, Baird R, Baerg J. Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee). J Pediatr Surg. 2024 Aug;59(8):1408-1417. doi: 10.1016/j.jpedsurg.2024.03.044. Epub 2024 Apr 30. PMID: 38796391.

https://pubmed.ncbi.nlm.nih.gov/38796391/

Madadi-Sanjani O, Kuebler JF, Brendel J, Costanzo S, Granström AL, Aydin E, Loukogeorgakis S, Lacher M, Wiesner S, Domenghino A, Clavien PA, Mutanen A, Eaton S, Ure BM. Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project. J Pediatr Surg. 2024 Sep;59(9):1672-1679. doi: 10.1016/j.jpedsurg.2024.03.022. Epub 2024 Mar 16. PMID: 38582705.

https://pubmed.ncbi.nlm.nih.gov/38582705/

In this video, Dr. Doug von Allmen from Cincinnati Children’s Hospital shares insights into managing innominate artery compression using a transcervical approach. Originally described in the 1940s, this condition is seen in about 30% of children under 2 years old and can lead to tracheomalacia and obstructive symptoms. Dr. von Allmen reviews the procedure, patient selection, and outcomes from his team’s experience with this approach.

Key Highlights:

• Innominate Artery Compression: Causes tracheal compression leading to breathing difficulties, especially in syndromic patients.
• Procedure Overview: A transcervical approach to innominate artery pexy, which includes removing the thymus and lifting the artery to relieve tracheal compression.
• Patient Case: A 6-month-old with a history of esophageal atresia and tracheoesophageal fistula underwent the surgery with successful outcomes.
• Postoperative Results: Improvements in the tracheal lumen, weaning off oxygen, and even decannulation for some patients.

This procedure offers a good alternative in appropriately selected patients, and the team at Cincinnati Children’s Hospital has shown positive results with this approach.

In this episode, we have a guest from the pediatric gynecology department here at Cincinnati Children’s, Dr. Lesley Breech. And she will talk about management of tubal torsion and when to consider salpingectomy.

Host: Em Gootee

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

In this video, Dr. Jose Peiro from Cincinnati Children’s discusses the groundbreaking role of fetoscopy in modern fetal surgery, offering hope for conditions like Twin to Twin Transfusion Syndrome (TTTS), amniotic band syndrome, and congenital diaphragmatic hernia (CDH). Fetoscopy, a minimally invasive technique, allows surgeons to intervene in utero and improve survival outcomes by targeting the root causes of these conditions.

Host: Em Gootee

Key Highlights:

• Twin to Twin Transfusion Syndrome (TTTS): Using fetoscopy to photocoagulate blood vessel connections between twins, reducing the risks for both babies.
• Amniotic Band Syndrome: Releasing amniotic bands in the womb to prevent potential amputations or complications for the developing fetus.
• Congenital Diaphragmatic Hernia (CDH): Performing tracheal occlusion to promote lung development in fetuses with severe CDH, significantly improving survival rates.

In this video, Dr. Sara Zak from Cincinnati Children's Hospital discusses the essential role of flexible bronchoscopy in the management of patients undergoing slide tracheoplasty. She covers its application during the preoperative, intraoperative, and postoperative phases to ensure optimal outcomes.

Key Points:

Preoperative Use: Bronchoscopy helps assess airway anatomy, detect infections, and guide surgical planning for better outcomes.

Intraoperative Use: Ensures proper tube placement, visualizes the airway, and helps clear secretions to avoid complications.

Postoperative Care: Dr. Zak’s retrospective study highlights risk factors predicting the need for urgent bronchoscopy, especially in younger or sicker patients with congenital heart disease or prior airway surgeries.

Join us as we explore how flexible bronchoscopy supports patient care at every stage of slide tracheoplasty and helps reduce post-op complications.

Welcome to this educational video presented by GlobalCastMD and Cincinnati Children's Hospital, where we explore the diagnosis and treatment of acute pancreatitis in children. In collaboration with experts from the Pancreas Care Center, Dr. Maisam A. Abu-El-Haija, Dr. Andrew Trout, and Dr. Juan Gurría, we break down the key points of this critical condition.

Key Topics Covered:

• What is Acute Pancreatitis?: Learn about the inflammation of the pancreas, its causes, and symptoms such as intense upper abdominal pain, nausea, vomiting, and fever.

• Diagnosis: We discuss the criteria for diagnosing acute pancreatitis, including the use of ultrasound, CT, and MRI.

• Treatment: Fluid resuscitation, the importance of early enteral nutrition, and the use of Lactated Ringer's (LR) solution for better outcomes. Plus, why antibiotics are no longer needed in most cases.

This video is part of our series on Pancreatic Pathologies by the Pancreas Care Center at Cincinnati Children's. Stay tuned for more insights to improve child health worldwide!

In this podcast, we cover the basics of neuroblastoma including presentation, differentiation, diagnosis and management with Dr. Meera Kotagal.

Host: Em Gootee

0:00 Introduction

1:00 Case 1

8:31 Case 2

11:39 Case 3

13:02 Summary