Ian Glenn

273 timestamped statements across 14 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Abdominal Wall Defects · episode host Colorectal / ARM & Hirschsprung · episode host Congenital Lung Lesions (CPAM) · episode host Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · episode host Fetal Surgery · episode host Intestinal Failure · episode host Intestinal Rehab · episode host Intestinal Transplant · episode host Motility / Pseudo-obstruction · episode host Short Bowel Syndrome · episode host Single Ventricle / HLHS · guest expert

Featured diaries

▶ Ep 1 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Catheter Fracture
▶ Ep 2 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Catheter Fracture
▶ Ep 1 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Catheter Retention
▶ Ep 2 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Catheter Retention
▶ Ep 25 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Single Ventricle / HLHS
▶ Ep 25 · 1:12
the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Single Ventricle / HLHS

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Abdominal Wall Defects 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 18 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Catheter Fracture 40 entries

Retained Central Venous Catheters

▶ Ep 1 · 0:32
epidemiological 5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology). ↗
▶ Ep 1 · 0:32
epidemiological 0.2–2% of catheter removals result in at least part of the catheter being left behind. ↗
▶ Ep 1 · 0:32
quote in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 1 · 0:32
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 1 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 1 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone. ↗
▶ Ep 1 · 1:31
opinion For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. ↗
▶ Ep 1 · 2:04
quote in an interventional radiology case series, when they tried to go and endovascularly remove the catheters, there was a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗
▶ Ep 1 · 2:04
quote If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. ↗
▶ Ep 1 · 2:04
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 1 · 2:04
clinical Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗

Retained Central Venous Catheters

▶ Ep 2 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 2 · 0:32
quote in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 2 · 0:32
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 2 · 0:32
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 2 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 2 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 2 · 1:12
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 2 · 1:12
clinical Risk factors for catheter retention include chemotherapy infused through the lines. ↗
▶ Ep 2 · 1:31
opinion For long-term chemotherapy, a silastic line should be considered instead of a polyurethane line. ↗
▶ Ep 2 · 1:42
quote We should be considering maybe a silastic line instead of a polyurethane line. ↗
▶ Ep 2 · 2:04
clinical If you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding. ↗
▶ Ep 2 · 2:04
clinical In interventional radiology retrieval, there is a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗
▶ Ep 2 · 2:04
quote If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. ↗

Management of Retained Central Venous Catheters

▶ Ep 3 · 0:32
quote in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 3 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 3 · 0:57
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 3 · 0:57
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 3 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 3 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 3 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line. ↗
▶ Ep 3 · 1:25
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 3 · 1:46
guideline The recommendation would be to go with silastic catheters for long-term chemotherapy cases. ↗
▶ Ep 3 · 2:10
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 3 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. ↗
▶ Ep 3 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. ↗
▶ Ep 3 · 2:31
quote whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. ↗
▶ Ep 3 · 2:31
epidemiological Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. ↗
▶ Ep 3 · 2:42
epidemiological No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
▶ Ep 3 · 2:42
epidemiological No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
Catheter Retention 40 entries

Retained Central Venous Catheters

▶ Ep 1 · 0:32
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 1 · 0:32
quote in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 1 · 0:32
epidemiological 5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology). ↗
▶ Ep 1 · 0:32
epidemiological 0.2–2% of catheter removals result in at least part of the catheter being left behind. ↗
▶ Ep 1 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 1 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone. ↗
▶ Ep 1 · 1:31
opinion For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. ↗
▶ Ep 1 · 2:04
clinical Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗
▶ Ep 1 · 2:04
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 1 · 2:04
quote in an interventional radiology case series, when they tried to go and endovascularly remove the catheters, there was a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗
▶ Ep 1 · 2:04
quote If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. ↗

Retained Central Venous Catheters

▶ Ep 2 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 2 · 0:32
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 2 · 0:32
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 2 · 0:32
quote in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 2 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 2 · 1:12
clinical Risk factors for catheter retention include chemotherapy infused through the lines. ↗
▶ Ep 2 · 1:12
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 2 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 2 · 1:31
opinion For long-term chemotherapy, a silastic line should be considered instead of a polyurethane line. ↗
▶ Ep 2 · 1:42
quote We should be considering maybe a silastic line instead of a polyurethane line. ↗
▶ Ep 2 · 2:04
quote If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. ↗
▶ Ep 2 · 2:04
clinical If you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding. ↗
▶ Ep 2 · 2:04
clinical In interventional radiology retrieval, there is a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. ↗

Management of Retained Central Venous Catheters

▶ Ep 3 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 3 · 0:32
quote in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 3 · 0:57
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 3 · 0:57
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 3 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 3 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 3 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line. ↗
▶ Ep 3 · 1:25
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 3 · 1:46
guideline The recommendation would be to go with silastic catheters for long-term chemotherapy cases. ↗
▶ Ep 3 · 2:10
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 3 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. ↗
▶ Ep 3 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. ↗
▶ Ep 3 · 2:31
epidemiological Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. ↗
▶ Ep 3 · 2:31
quote whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. ↗
▶ Ep 3 · 2:42
epidemiological No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
▶ Ep 3 · 2:42
epidemiological No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
Colorectal / ARM & Hirschsprung 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 75 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 25 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Gastroesophageal Reflux Disease 30 entries

Esophagogastric Dissociation for GERD in Severe Neurodisability

▶ Ep 4 · 1:01
quote Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. ↗
▶ Ep 4 · 1:01
host_summary In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. ↗
▶ Ep 4 · 1:13
host_summary The esophagogastric dissociation group had a 4% operative failure rate. ↗
▶ Ep 4 · 1:13
quote there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. ↗
▶ Ep 4 · 1:13
host_summary The Nissen fundoplication group had a 21% operative failure rate. ↗
▶ Ep 4 · 1:21
host_summary The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. ↗
▶ Ep 4 · 1:23
host_summary 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. ↗
▶ Ep 4 · 1:23
host_summary 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. ↗
▶ Ep 4 · 1:23
host_summary The difference in continued requirement for anti-reflux medications between groups was statistically significant. ↗
▶ Ep 4 · 1:29
quote 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. ↗
▶ Ep 4 · 1:39
host_summary Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. ↗
▶ Ep 4 · 2:03
host_summary The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. ↗
▶ Ep 4 · 2:03
quote this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. ↗
▶ Ep 4 · 2:26
host_summary The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. ↗
▶ Ep 4 · 2:39
host_summary The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. ↗

Esophagogastric Dissociation for GERD in Severe Neurodisability

▶ Ep 6 · 0:48
host_summary The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen. ↗
▶ Ep 6 · 1:01
quote Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. ↗
▶ Ep 6 · 1:01
host_summary Primary outcome was operative failure, defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. ↗
▶ Ep 6 · 1:13
host_summary There was a 4% failure rate in the esophagogastric dissociation group and a 21% failure rate in the Nissen group. ↗
▶ Ep 6 · 1:21
host_summary The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant. ↗
▶ Ep 6 · 1:23
host_summary 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery, compared to 54% in the Nissen group. ↗
▶ Ep 6 · 1:29
host_summary The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant. ↗
▶ Ep 6 · 1:39
host_summary Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference. ↗
▶ Ep 6 · 1:46
quote So there's no statistically significant difference there. ↗
▶ Ep 6 · 2:03
quote And the authors brought up that this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. ↗
▶ Ep 6 · 2:03
host_summary The lack of statistical significance in failure rates could potentially be a type 2 error where there was actually a difference but the sample size was too small to detect it. ↗
▶ Ep 6 · 2:24
clinical Esophagogastric dissociation is a much bigger surgery than Nissen fundoplication. ↗
▶ Ep 6 · 2:24
quote Yeah, it's definitely a much bigger surgery. ↗
▶ Ep 6 · 2:26
host_summary The study examined perioperative factors including time in the OR, length of hospital stay, need for ICU stay, and time to full feeds, with statistically significant differences following expected trends. ↗
▶ Ep 6 · 2:39
host_summary The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. ↗
Hirschsprung disease 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 30 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Intestinal Failure 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 6 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Intestinal Rehab 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 34 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Intestinal Transplant 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 3 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Motility / Pseudo-obstruction 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 1 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Short Bowel Syndrome 1 entry

Intestinal Failure with Dr. Brad Warner

▶ Ep 1 · 0:04
quote This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. ↗
Single Ventricle / HLHS 121 entries

Posterior Tracheopexy For Severe Tracheomalacia

▶ Ep 1 · 0:16
quote This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. ↗
▶ Ep 1 · 0:16
host_summary The paper by first author Hester Sche and last author Russell Jennings examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. ↗
▶ Ep 1 · 0:35
host_summary All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. ↗
▶ Ep 1 · 0:44
host_summary The authors distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). ↗
▶ Ep 1 · 0:54
host_summary Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. ↗
▶ Ep 1 · 1:05
host_summary 88% of the 98 patients had esophageal atresia with or without TEF. ↗
▶ Ep 1 · 1:05
host_summary Patients were followed anywhere from 1 week to 36 months. ↗
▶ Ep 1 · 1:15
host_summary Clinical symptoms including cough, barking cough, noisy breathing, and infections improved across the board. ↗
▶ Ep 1 · 1:25
host_summary Patients improved on bronchoscopic evaluation. ↗
▶ Ep 1 · 1:30
host_summary Exercise tolerance did not improve statistically but showed a trend towards improvement. ↗
▶ Ep 1 · 1:35
host_summary Tracheomalacia is not a homogeneous disease. ↗
▶ Ep 1 · 1:35
quote I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. ↗
▶ Ep 1 · 1:41
host_summary The paper emphasized the importance of systematic bronchoscopic evaluation. ↗
▶ Ep 1 · 1:45
host_summary Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. ↗
▶ Ep 1 · 1:54
host_summary Approximately 20% of patients in the study required both posterior tracheopexy and aortopexy. ↗
▶ Ep 1 · 1:58
opinion There is a need for standardization in the approach to tracheomalacia. ↗

Posterior Tracheopexy For Severe Tracheomalacia

▶ Ep 2 · 0:16
quote This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. ↗
▶ Ep 2 · 0:24
quote The first author is Hester She and the last author is Russell Jennings. ↗
▶ Ep 2 · 0:28
host_summary The paper examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. ↗
▶ Ep 2 · 0:35
host_summary All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. ↗
▶ Ep 2 · 0:44
host_summary The study distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). ↗
▶ Ep 2 · 0:54
host_summary Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. ↗
▶ Ep 2 · 1:05
host_summary Patients were followed anywhere from 1 week to 36 months. ↗
▶ Ep 2 · 1:05
host_summary 88% of the 98 patients had esophageal atresia with or without TEF. ↗
▶ Ep 2 · 1:15
host_summary Clinical symptoms improved pretty much across the board, including cough, barking cough, noisy breathing, and infections. ↗
▶ Ep 2 · 1:25
host_summary Patients improved on bronchoscopic evaluation. ↗
▶ Ep 2 · 1:30
host_summary Exercise tolerance did not improve statistically but showed a trend towards improvement. ↗
▶ Ep 2 · 1:35
quote I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. ↗
▶ Ep 2 · 1:35
host_summary Tracheomalacia is not one homogeneous disease. ↗
▶ Ep 2 · 1:41
host_summary The paper emphasized the importance of systematic bronchoscopic evaluation. ↗
▶ Ep 2 · 1:45
host_summary Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. ↗
▶ Ep 2 · 1:54
host_summary Almost 20% of patients in the study required both posterior tracheopexy and aortopexy. ↗
▶ Ep 2 · 1:58
opinion There is a need for standardization in the treatment of tracheomalacia. ↗

Esophagogastric Dissociation for GERD in Severe Neurodisability

▶ Ep 3 · 1:01
clinical In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. ↗
▶ Ep 3 · 1:01
quote Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. ↗
▶ Ep 3 · 1:01
host_summary In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. ↗
▶ Ep 3 · 1:01
quote Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. ↗
▶ Ep 3 · 1:13
clinical The esophagogastric dissociation group had a 4% operative failure rate. ↗
▶ Ep 3 · 1:13
host_summary The Nissen fundoplication group had a 21% operative failure rate. ↗
▶ Ep 3 · 1:13
quote there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. ↗
▶ Ep 3 · 1:13
host_summary The esophagogastric dissociation group had a 4% operative failure rate. ↗
▶ Ep 3 · 1:13
clinical The Nissen fundoplication group had a 21% operative failure rate. ↗
▶ Ep 3 · 1:13
quote there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. ↗
▶ Ep 3 · 1:21
clinical The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. ↗
▶ Ep 3 · 1:21
host_summary The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. ↗
▶ Ep 3 · 1:23
host_summary 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. ↗
▶ Ep 3 · 1:23
clinical 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. ↗
▶ Ep 3 · 1:23
clinical The difference in continued requirement for anti-reflux medications between groups was statistically significant. ↗
▶ Ep 3 · 1:23
host_summary The difference in continued requirement for anti-reflux medications between groups was statistically significant. ↗
▶ Ep 3 · 1:23
host_summary 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. ↗
▶ Ep 3 · 1:23
clinical 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. ↗
▶ Ep 3 · 1:29
quote 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. ↗
▶ Ep 3 · 1:29
quote 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. ↗
▶ Ep 3 · 1:39
clinical Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. ↗
▶ Ep 3 · 1:39
host_summary Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. ↗
▶ Ep 3 · 2:03
quote this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. ↗
▶ Ep 3 · 2:03
opinion The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. ↗
▶ Ep 3 · 2:03
quote this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. ↗
▶ Ep 3 · 2:03
host_summary The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. ↗
▶ Ep 3 · 2:26
host_summary The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. ↗
▶ Ep 3 · 2:26
clinical The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. ↗
▶ Ep 3 · 2:39
clinical The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. ↗
▶ Ep 3 · 2:39
host_summary The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. ↗

Intussusception - Soft Tissue Abscess - Pilonidal Cyst - Bleeding Meckel's...

▶ Ep 4 · 13:04
host_summary The Karydakis flap is superior to excision alone for pilonidal disease and comparable to the modified Limberg flap; the modified elliptical rotation flap has comparable short-term results. ↗

Esophagogastric Dissociation for GERD in Severe Neurodisability

▶ Ep 23 · 0:48
clinical The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen. ↗
▶ Ep 23 · 1:01
clinical Primary outcome was operative failure, defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. ↗
▶ Ep 23 · 1:01
quote Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. ↗
▶ Ep 23 · 1:13
clinical There was a 4% failure rate in the esophagogastric dissociation group and a 21% failure rate in the Nissen group. ↗
▶ Ep 23 · 1:21
clinical The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant. ↗
▶ Ep 23 · 1:23
clinical 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery, compared to 54% in the Nissen group. ↗
▶ Ep 23 · 1:29
clinical The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant. ↗
▶ Ep 23 · 1:39
clinical Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference. ↗
▶ Ep 23 · 1:46
quote So there's no statistically significant difference there. ↗
▶ Ep 23 · 2:03
opinion The lack of statistical significance in failure rates could potentially be a type 2 error where there was actually a difference but the sample size was too small to detect it. ↗
▶ Ep 23 · 2:03
quote And the authors brought up that this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. ↗
▶ Ep 23 · 2:24
clinical Esophagogastric dissociation is a much bigger surgery than Nissen fundoplication. ↗
▶ Ep 23 · 2:24
quote Yeah, it's definitely a much bigger surgery. ↗
▶ Ep 23 · 2:26
clinical The study examined perioperative factors including time in the OR, length of hospital stay, need for ICU stay, and time to full feeds, with statistically significant differences following expected trends. ↗
▶ Ep 23 · 2:39
clinical The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. ↗

Management of Retained Central Venous Catheters

▶ Ep 25 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 25 · 0:32
epidemiological 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. ↗
▶ Ep 25 · 0:32
quote in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 25 · 0:32
quote in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. ↗
▶ Ep 25 · 0:57
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 25 · 0:57
quote The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. ↗
▶ Ep 25 · 0:57
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 25 · 0:57
epidemiological The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. ↗
▶ Ep 25 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 25 · 1:12
quote the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. ↗
▶ Ep 25 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line. ↗
▶ Ep 25 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 25 · 1:12
clinical Risk factors for catheter retention include chemotherapy infusion through the line. ↗
▶ Ep 25 · 1:12
clinical Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. ↗
▶ Ep 25 · 1:25
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 25 · 1:25
clinical There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. ↗
▶ Ep 25 · 1:46
guideline The recommendation would be to go with silastic catheters for long-term chemotherapy cases. ↗
▶ Ep 25 · 1:46
guideline The recommendation would be to go with silastic catheters for long-term chemotherapy cases. ↗
▶ Ep 25 · 2:10
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 25 · 2:10
clinical Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. ↗
▶ Ep 25 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. ↗
▶ Ep 25 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. ↗
▶ Ep 25 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. ↗
▶ Ep 25 · 2:16
clinical In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. ↗
▶ Ep 25 · 2:31
epidemiological Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. ↗
▶ Ep 25 · 2:31
quote whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. ↗
▶ Ep 25 · 2:31
epidemiological Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. ↗
▶ Ep 25 · 2:31
quote whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. ↗
▶ Ep 25 · 2:42
epidemiological No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
▶ Ep 25 · 2:42
epidemiological No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
▶ Ep 25 · 2:42
epidemiological No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗
▶ Ep 25 · 2:42
epidemiological No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. ↗

Do we need Bowel Prep

▶ Ep 26 · 0:35
clinical Adult prospective randomized trials show mechanical bowel prep alone does no good or probably harms patients ↗
▶ Ep 26 · 0:35
quote Mechanical bowel prep alone in adults is doing them no good or probably harming them, and oral antibiotics that aren't absorbed are probably a good idea. ↗
▶ Ep 26 · 0:41
clinical Oral antibiotics that are not absorbed are probably beneficial in adult colorectal surgery ↗
▶ Ep 26 · 0:51
clinical One pediatric study showed mechanical bowel prep by itself led to longer hospital stays in children ↗
▶ Ep 26 · 0:51
clinical In one pediatric study, addition of antibiotics to mechanical bowel prep did not make any difference in outcomes ↗
▶ Ep 26 · 0:51
quote One study showed that mechanical bowel prep by itself led to a higher rate of infection and longer hospital stays in kids, and addition of antibiotics didn't make any difference. ↗
▶ Ep 26 · 0:51
clinical One pediatric study showed mechanical bowel prep by itself led to higher infection rates in children ↗
▶ Ep 26 · 1:01
clinical Another pediatric study showed mechanical bowel prep with oral antibiotics made no difference compared to no prep ↗
▶ Ep 26 · 1:07
opinion For pediatric colostomy takedown, it is reasonable to omit both mechanical bowel prep and oral antibiotics ↗
▶ Ep 26 · 1:07
quote I think for your patient, it probably makes sense to not do either one. ↗
Tracheomalacia 33 entries

Posterior Tracheopexy For Severe Tracheomalacia

▶ Ep 1 · 0:16
quote This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. ↗
▶ Ep 1 · 0:16
host_summary The paper by first author Hester Sche and last author Russell Jennings examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. ↗
▶ Ep 1 · 0:35
host_summary All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. ↗
▶ Ep 1 · 0:44
host_summary The authors distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). ↗
▶ Ep 1 · 0:54
host_summary Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. ↗
▶ Ep 1 · 1:05
host_summary 88% of the 98 patients had esophageal atresia with or without TEF. ↗
▶ Ep 1 · 1:05
host_summary Patients were followed anywhere from 1 week to 36 months. ↗
▶ Ep 1 · 1:15
host_summary Clinical symptoms including cough, barking cough, noisy breathing, and infections improved across the board. ↗
▶ Ep 1 · 1:25
host_summary Patients improved on bronchoscopic evaluation. ↗
▶ Ep 1 · 1:30
host_summary Exercise tolerance did not improve statistically but showed a trend towards improvement. ↗
▶ Ep 1 · 1:35
quote I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. ↗
▶ Ep 1 · 1:35
host_summary Tracheomalacia is not a homogeneous disease. ↗
▶ Ep 1 · 1:41
host_summary The paper emphasized the importance of systematic bronchoscopic evaluation. ↗
▶ Ep 1 · 1:45
host_summary Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. ↗
▶ Ep 1 · 1:54
host_summary Approximately 20% of patients in the study required both posterior tracheopexy and aortopexy. ↗
▶ Ep 1 · 1:58
opinion There is a need for standardization in the approach to tracheomalacia. ↗

Posterior Tracheopexy For Severe Tracheomalacia

▶ Ep 2 · 0:16
quote This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. ↗
▶ Ep 2 · 0:24
quote The first author is Hester She and the last author is Russell Jennings. ↗
▶ Ep 2 · 0:28
host_summary The paper examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. ↗
▶ Ep 2 · 0:35
host_summary All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. ↗
▶ Ep 2 · 0:44
host_summary The study distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). ↗
▶ Ep 2 · 0:54
host_summary Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. ↗
▶ Ep 2 · 1:05
host_summary 88% of the 98 patients had esophageal atresia with or without TEF. ↗
▶ Ep 2 · 1:05
host_summary Patients were followed anywhere from 1 week to 36 months. ↗
▶ Ep 2 · 1:15
host_summary Clinical symptoms improved pretty much across the board, including cough, barking cough, noisy breathing, and infections. ↗
▶ Ep 2 · 1:25
host_summary Patients improved on bronchoscopic evaluation. ↗
▶ Ep 2 · 1:30
host_summary Exercise tolerance did not improve statistically but showed a trend towards improvement. ↗
▶ Ep 2 · 1:35
quote I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. ↗
▶ Ep 2 · 1:35
host_summary Tracheomalacia is not one homogeneous disease. ↗
▶ Ep 2 · 1:41
host_summary The paper emphasized the importance of systematic bronchoscopic evaluation. ↗
▶ Ep 2 · 1:45
host_summary Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. ↗
▶ Ep 2 · 1:54
host_summary Almost 20% of patients in the study required both posterior tracheopexy and aortopexy. ↗
▶ Ep 2 · 1:58
opinion There is a need for standardization in the treatment of tracheomalacia. ↗