Stay Current in Pediatric Surgery

StayCurrent: Pediatric Surgery

Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force. Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are: Dedicated to the rapid advancement of care. Everywhere.

  1. Update Course Rewind 2025: Updates in Central Line Management

    vor 23 Std.

    Update Course Rewind 2025: Updates in Central Line Management

    Dr. Nathan Fagan, a Pediatric Interventional Radiologist from Akron Children's Hospital, presents a clinical scenario on central line management from the 13th Annual Pediatric Surgery Update Course. He discusses diagnosing and managing a malfunctioning subclavian dual-lumen port, highlighting how proper access assessment can prevent unnecessary port removal. The video also covers interventional radiology techniques like sharp recanalization of the Superior Vena Cava (SVC) to restore vascular access for complex patients.

    3 Min.
  2. Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?

    vor 6 Tagen

    Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?

    This video series recaps highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Juan Gurria discusses the pros and cons of robotic surgery in pediatric patients, comparing it to laparoscopic surgery, and exploring its future. The discussion covers surgical proficiency, cost-effectiveness, and various indications for robotic interventions in children. For more information on Dr. Juan Gurria at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

    5 Min.
  3. Vertebral Body Tethering (VBT) for Pediatric Scoliosis: A Comprehensive Guide

    15. Juni

    Vertebral Body Tethering (VBT) for Pediatric Scoliosis: A Comprehensive Guide

    This video, featuring experts from Cincinnati Children's and Akron Children's, provides an in-depth look at Vertebral Body Tethering (VBT) for pediatric scoliosis. It covers clinical scenarios, highlighting VBT's advantages as a minimally invasive, non-fusion alternative to standard spinal fusion. The discussion includes precise timing for the procedure, current indications for patient selection, detailed surgical techniques for thoracic and lumbar approaches, and post-operative outcomes, emphasizing improved recovery times for young athletes. Vertebral Body Tethering (VBT) is an FDA-approved, minimally invasive, non-fusion surgical treatment for growing patients with idiopathic scoliosis. It aims to correct spinal curvature and modulate growth while preserving disc motion, offering benefits like earlier return to sports compared to spinal fusion. Optimal timing for VBT is critical, performed on skeletally immature patients near their peak growth velocity (typically ages 8-15) to avoid overcorrection or tether failure. Indications include moderately severe (40-60 degree) and flexible curves. The surgical approach varies by spinal segment, utilizing thoracoscopic techniques for upper vertebrae and open approaches for lumbar segments, with careful neuro-monitoring. While early outcomes data showed a learning curve with some revision rates, improved patient selection and increased experience are now yielding more successful results. VBT represents a significant shift towards guided growth modulation in pediatric scoliosis.

    6 Min.
  4. Improving Outcomes for Congenital Diaphragmatic Hernia (CDH): Protocol Changes at CCHMC

    9. Juni

    Improving Outcomes for Congenital Diaphragmatic Hernia (CDH): Protocol Changes at CCHMC

    Discover how Cincinnati Children's Hospital implemented protocol changes to significantly improve outcomes for babies with Congenital Diaphragmatic Hernia (CDH). This video details updates in ventilator management, ECMO utilization, blood pressure support, nutrition, and sedation protocols, leading to increased survival rates and reduced mechanical ventilation time. Learn about the evidence-based adjustments that have enhanced care for these complex pediatric patients. For more information on the Fetal Care Center, click here: https://www.cincinnatichildrens.org/service/f/fetal-care

    5 Min.
  5. Congenital Diaphragmatic Hernias (CDH): Improving Outcomes with Advanced Imaging & Nutrition

    9. Juni

    Congenital Diaphragmatic Hernias (CDH): Improving Outcomes with Advanced Imaging & Nutrition

    This video provides a comprehensive overview of Congenital Diaphragmatic Hernias (CDH), a significant birth defect. Dr. Paul Kingma from Cincinnati Children's discusses the incidence, prenatal assessment, and key factors influencing prognosis. The presentation highlights novel research using postnatal MRI, including Ultrashort Echo Time (UTE) MRI, to evaluate lung growth and vascular development, underscoring the critical role of nutrition and weight gain in improving respiratory outcomes for affected infants. For more information on the Fetal Care Center at CCHMC, click here: https://www.cincinnatichildrens.org/service/f/fetal-care

    6 Min.
  6. Video #6 - Hirschsprung & ARM... Rare but Real

    9. Juni

    Video #6 - Hirschsprung & ARM... Rare but Real

    This video, part of the GlobalCastMD series featuring Cincinnati Children's, recaps key highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Jill Knepprath and Dr. Aaron Garrison discuss important updates in colorectal surgery, focusing on Hirschsprung's Disease (HD) and Anorectal Malformation (ARM). The presentation highlights the incidence of these combined conditions, particularly in patients with Trisomy 21, and provides diagnostic considerations for complex cases. For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

    2 Min.
  7. Update Course Rewind 2025: Botox for Hirschsprung’s: Where, When, and Why

    19. Mai

    Update Course Rewind 2025: Botox for Hirschsprung’s: Where, When, and Why

    This video from GlobalCast MD, featuring Cincinnati Children's, recaps key insights from the 13th Annual Pediatric Surgery Update Course on the use of Botox in Hirschsprung's Disease. It discusses current practices, poll results among pediatric surgeons regarding intrasphincteric botox injection during pull-through procedures, and findings from studies on its efficacy in reducing enterocolitis risk. Experts also delve into the challenges of dosing and the role of ultrasound guidance in these injections. For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

    2 Min.
  8. Update Course Rewind 2025: Hirschsprung’s Pull-Through: Why Family Training May Save Lives

    14. Mai

    Update Course Rewind 2025: Hirschsprung’s Pull-Through: Why Family Training May Save Lives

    In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery, Drs. Annie Le-Nguyen, Jamie Harris, and Elizabeth Speck discuss one of the most debated questions in Hirschsprung disease management: when is the best time to perform a pull-through procedure? Key Highlights: Neonatal vs Delayed Pull-Through: Audience opinions were widely split, reflecting the lack of consensus in the field. Some surgeons favor neonatal repair before NICU discharge, while others prefer waiting several months. What the Literature Shows: A 2021 PCPLC retrospective study comparing neonatal versus delayed primary pull-through procedures found no significant difference in enterocolitis rates, postoperative complications, or long-term fecal continence outcomes. Timing Isn’t the Only Factor: The neonatal cohort underwent surgery at a median age of 11 days, while delayed repairs occurred closer to 98 days—yet outcomes remained comparable. The Importance of Home Irrigations: Panelists emphasized that a family’s ability to safely perform rectal irrigations at home may be more important than patient age when deciding surgical timing. Preventing Serious Complications: Inadequate decompression at home can increase the risk of enterocolitis or perforation, making caregiver education and confidence a critical component of successful Hirschsprung management. Individualized Decision-Making: Surgeons should consider family readiness, follow-up access, and irrigation competency when determining the timing of pull-through surgery. This session highlights that while surgical timing remains flexible, empowering families with proper bowel management skills is essential to achieving safe outcomes in Hirschsprung disease. For more information on the Colorectal team at CCHMC, visit here: https://cincinnatichildrens.pulse.ly/264pcddqqh

    2 Min.
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Info

Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force. Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are: Dedicated to the rapid advancement of care. Everywhere.

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