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Hello, pediatric surgery family.

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I'm Em Gootee from Cincinnati Children's Hospital Medical Center.

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Today our team is going to deliver the articles that you should know about.

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We have three papers today.

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All of them are from the Journal of Pediatric Surgery.

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We don't have much time, so let's start.

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Our first paper titled, Utilizing a Critical Airway Response Team, Expedites as a Figural

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Button Battery Removal, by Brent et al.

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This paper is summarized by Elen and Cisco.

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She is one of the previous research fellows at Cincinnati Children's.

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In 2019, the team at Connecticut Children's Medical Center implemented this algorithm

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for managing esophageal button batteries.

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It includes activating the critical airway response team.

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They took a look at patients presenting with esophageal button batteries before algorithm

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implementation between 2015 and 2019, and patients presenting after algorithm implementation

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between 2019 and 2022.

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They found that there was a significant reduction in the time it took from getting the chest

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x-ray to getting to the OR for button battery removal after they implemented the new algorithm.

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Based on this data, it looks like the implementation of this algorithm helped the kids get the

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care they needed faster.

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What does your institution do for esophageal button batteries?

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Let's hear the second paper, Association of Exclusive Breast Milk Intake and Outcomes

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in Infants with Uncomplicated Gastroschisis, a National Cohort Study, by Hudson et al.

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And this paper is summarized by Alex Halpern.

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He is a research fellow at Children's National and collaborates with us to produce these

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article reviews.

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The team at McMaster University performed a retrospective review looking at infants

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born between 2014 and 2022 with uncomplicated gastroschisis.

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They found that the infants with exclusive breast milk intake and the ones with supplemental

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or exclusive formula intake had similar outcomes, with no significant differences between the

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groups in time to reach full and tarot feeds, duration of parenteral nutrition, rates of

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necrotizing and teratocollitis, and length of stay in the hospital.

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So it seems like formula intake versus exclusive breast milk intake does not really affect

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outcomes in uncomplicated gastroschisis.

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Now moving to the last paper of the day, Cryoablation in 350 NUS Procedures, Evolution of Hospital

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Length of Stay and Opioid Use, by Lye et al.

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This one is summarized by Cecilia Fichina.

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She is also one of the previous research fellows at Cincinnati Children's Hospital.

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This is a retrospective single institution study done in Phoenix from 2017 to 2021.

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And their aim was to compare patients that underwent NUS procedure with cryoanalysia

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in the first quarter of their experience with the fourth quarter of their experience.

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And what did they find?

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They had 350 patients that underwent NUS procedure with cryoanalysia.

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What they found is that patients in the last quarter were discharged 1.3 days earlier than

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patients in the first quarter and also require 74% less opioids.

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So it seems that experience really plays a role talking about cryoanalysia.

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Thank you for listening.

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Please check the link in the description below to read each paper.

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We hope you liked this episode.

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