1 00:00:00,000 --> 00:00:18,340 Hello, pediatric surgery family. 2 00:00:18,340 --> 00:00:22,120 I'm Em Gootee from Cincinnati Children's Hospital Medical Center. 3 00:00:22,120 --> 00:00:31,600 Today, our team is going to deliver the articles that you should know about. 4 00:00:31,600 --> 00:00:33,960 As always, we have three papers today. 5 00:00:33,960 --> 00:00:39,680 Two of them are from the Journal of Pediatric Surgery and one of them is from JAMA Surgery. 6 00:00:39,680 --> 00:00:48,160 We don't have much time, so let's start. 7 00:00:48,160 --> 00:00:53,720 Our first paper titled Enhanced Recovery After Surgery or ERAS, Society Recommendations for 8 00:00:53,720 --> 00:00:57,940 Neonatal Perioperative Care by Pilkington et al. 9 00:00:57,940 --> 00:01:02,680 This paper is summarized by Lizzy Lee, a physician associate by profession and a member of our 10 00:01:02,680 --> 00:01:10,680 team here at Cincinnati Children's, dedicated to creating content for pediatric surgery. 11 00:01:10,680 --> 00:01:16,360 The ERAS or the Enhanced Recovery After Surgery Society used a modified Delphi technique, 12 00:01:16,360 --> 00:01:20,680 which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach 13 00:01:20,680 --> 00:01:23,440 more than a 70% consensus. 14 00:01:23,440 --> 00:01:27,000 Their goal was to develop recommendations that NICUs can use to take care of the newborns 15 00:01:27,000 --> 00:01:31,560 during and after surgery, focusing on the needs that they have when they are undergoing 16 00:01:31,560 --> 00:01:33,680 different types of surgeries. 17 00:01:33,680 --> 00:01:35,040 So what did they come up with? 18 00:01:35,040 --> 00:01:40,040 They agreed on 16 recommendations covering 11 topics like team communication, pre-surgery 19 00:01:40,040 --> 00:01:43,440 fasting, temperature control, and antibiotic use. 20 00:01:43,440 --> 00:01:48,080 However, they did not have enough data to make recommendations about things like nasogastric 21 00:01:48,080 --> 00:01:50,120 tubes and central lines. 22 00:01:50,120 --> 00:01:55,040 These new guidelines will help improve care for NICU patients undergoing surgery. 23 00:01:55,040 --> 00:01:57,680 Great! 24 00:01:57,680 --> 00:02:02,040 Let's hear our second paper, Transition from Pediatric to Adult Health Care for Colorectal 25 00:02:02,040 --> 00:02:06,120 Conditions, a systematic review by Moore et al. 26 00:02:06,120 --> 00:02:08,240 And this paper is summarized by Alex Halpern. 27 00:02:08,240 --> 00:02:12,320 He is a research fellow at Children's National and collaborates with us to produce these 28 00:02:12,320 --> 00:02:15,640 article reviews. 29 00:02:15,640 --> 00:02:20,280 The team from Melbourne, Australia performed a systematic review and meta-analysis trying 30 00:02:20,280 --> 00:02:21,600 to answer this question. 31 00:02:21,600 --> 00:02:24,160 They found 8 studies on this topic. 32 00:02:24,160 --> 00:02:28,520 These studies agreed that transitional care should start early in adolescence and found 33 00:02:28,520 --> 00:02:33,840 little evidence that this transfer is happening in a coordinated or timely fashion. 34 00:02:33,840 --> 00:02:36,880 No models of transition care were identified. 35 00:02:36,880 --> 00:02:41,880 So it seems like more work is needed to ensure that these children with anorectal malformations 36 00:02:41,880 --> 00:02:51,080 and Hirschbren's disease continue to receive optimal care as they grow older. 37 00:02:51,080 --> 00:02:55,640 Now moving to the last paper of the day, Clinical Symptoms Affect Treatment and Prognosis in 38 00:02:55,640 --> 00:03:01,280 Pediatric Patients with Congenital Pulmonary Airway Malformation, or CPAMP, a propensity 39 00:03:01,280 --> 00:03:05,600 score matching retrospective cohort study by Zeng et al. 40 00:03:05,600 --> 00:03:08,120 This paper is summarized by Cecilia Gijena. 41 00:03:08,120 --> 00:03:12,120 She is one of the previous research fellows at Cincinnati Children's. 42 00:03:12,120 --> 00:03:18,800 This is a retrospective study that aimed to investigate the safety and efficacy of surgical 43 00:03:18,800 --> 00:03:21,920 treatment for asymptomatic symptoms. 44 00:03:21,920 --> 00:03:28,080 They had 110 patients and what they found is that patients that underwent surgery before 45 00:03:28,080 --> 00:03:35,200 they became symptomatic had shorter length of stay, shorter mechanical ventilation after 46 00:03:35,200 --> 00:03:41,680 surgery and shorter operating times, with no significant difference in conversion or 47 00:03:41,680 --> 00:03:44,080 post-op complications. 48 00:03:44,080 --> 00:03:49,400 So it seems that it's safer to operate these patients before they become symptomatic. 49 00:03:49,400 --> 00:03:53,560 Thank you for listening. 50 00:03:53,560 --> 00:03:56,160 Please check the link in the description below to read each paper. 51 00:03:56,160 --> 00:03:58,440 We hope you liked this episode. 52 00:03:58,440 --> 00:04:02,760 Please follow Staker and MD on social media, give us a rating and subscribe to our YouTube 53 00:04:02,760 --> 00:04:07,880 channel and don't forget to download the Staker app on the App Store or Play Store for tons 54 00:04:07,880 --> 00:04:15,320 of content. 55 00:04:15,320 --> 00:04:20,700 Global Cast MD, along with Cincinnati Children's Hospital, sharing knowledge to improve child 56 00:04:20,700 --> 00:04:33,120 health around the globe.