Hello, pediatric surgery family.
I'm Em Gootee from Cincinnati Children's Hospital Medical Center.
Today our team is going to deliver the articles that you should know about.
We have three papers today.
All of them are from the Journal of Pediatric Surgery.
We don't have much time, so let's start.
Our first paper titled, Utilizing a Critical Airway Response Team, Expedites as a Figural
Button Battery Removal, by Brent et al.
This paper is summarized by Elen and Cisco.
She is one of the previous research fellows at Cincinnati Children's.
In 2019, the team at Connecticut Children's Medical Center implemented this algorithm
for managing esophageal button batteries.
It includes activating the critical airway response team.
They took a look at patients presenting with esophageal button batteries before algorithm
implementation between 2015 and 2019, and patients presenting after algorithm implementation
between 2019 and 2022.
They found that there was a significant reduction in the time it took from getting the chest
x-ray to getting to the OR for button battery removal after they implemented the new algorithm.
Based on this data, it looks like the implementation of this algorithm helped the kids get the
care they needed faster.
What does your institution do for esophageal button batteries?
Let's hear the second paper, Association of Exclusive Breast Milk Intake and Outcomes
in Infants with Uncomplicated Gastroschisis, a National Cohort Study, by Hudson et al.
And this paper is summarized by Alex Halpern.
He is a research fellow at Children's National and collaborates with us to produce these
article reviews.
The team at McMaster University performed a retrospective review looking at infants
born between 2014 and 2022 with uncomplicated gastroschisis.
They found that the infants with exclusive breast milk intake and the ones with supplemental
or exclusive formula intake had similar outcomes, with no significant differences between the
groups in time to reach full and tarot feeds, duration of parenteral nutrition, rates of
necrotizing and teratocollitis, and length of stay in the hospital.
So it seems like formula intake versus exclusive breast milk intake does not really affect
outcomes in uncomplicated gastroschisis.
Now moving to the last paper of the day, Cryoablation in 350 NUS Procedures, Evolution of Hospital
Length of Stay and Opioid Use, by Lye et al.
This one is summarized by Cecilia Fichina.
She is also one of the previous research fellows at Cincinnati Children's Hospital.
This is a retrospective single institution study done in Phoenix from 2017 to 2021.
And their aim was to compare patients that underwent NUS procedure with cryoanalysia
in the first quarter of their experience with the fourth quarter of their experience.
And what did they find?
They had 350 patients that underwent NUS procedure with cryoanalysia.
What they found is that patients in the last quarter were discharged 1.3 days earlier than
patients in the first quarter and also require 74% less opioids.
So it seems that experience really plays a role talking about cryoanalysia.
Thank you for listening.
Please check the link in the description below to read each paper.
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