Jonathan Roach

50 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Biliary Atresia · guest expert

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▶ Ep 7 · 0:30
The first potential error trap in biliary tresia is not considering biliary tresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia.
quote · Biliary Atresia
▶ Ep 7 · 0:30
The first potential error trap in biliary tresia is not considering biliary tresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia.
quote · Biliary Atresia

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Biliary Atresia 50 entries

Error Traps and Culture of Safety in Biliary Atresia

▶ Ep 7 · 0:30
clinical The first potential error trap in biliary atresia is not considering biliary atresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia. ↗
▶ Ep 7 · 0:30
quote The first potential error trap in biliary tresia is not considering biliary tresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia. ↗
▶ Ep 7 · 0:30
quote The first potential error trap in biliary tresia is not considering biliary tresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia. ↗
▶ Ep 7 · 0:30
clinical The first potential error trap in biliary atresia is not considering biliary atresia in the differential diagnosis of any newborn greater than 2 weeks of life with hyperbilirubinemia. ↗
▶ Ep 7 · 0:40
quote We consider a direct bilirubin that is greater than 20% of the total or greater than 1.0 to prompt further workup for biliarytresia. ↗
▶ Ep 7 · 0:40
guideline A direct bilirubin greater than 20% of the total or greater than 1.0 prompts further workup for biliary atresia. ↗
▶ Ep 7 · 0:40
quote We consider a direct bilirubin that is greater than 20% of the total or greater than 1.0 to prompt further workup for biliarytresia. ↗
▶ Ep 7 · 0:40
guideline A direct bilirubin greater than 20% of the total or greater than 1.0 prompts further workup for biliary atresia. ↗
▶ Ep 7 · 0:58
quote Alpha one antitrypsin deficiency needs to be ruled out prior to proceeding to the operating room, as this can be a confusing picture intraoperatively. ↗
▶ Ep 7 · 0:58
clinical Alpha-1 antitrypsin deficiency needs to be ruled out prior to proceeding to the operating room, as this can be a confusing picture intraoperatively. ↗
▶ Ep 7 · 0:58
clinical Alpha-1 antitrypsin deficiency needs to be ruled out prior to proceeding to the operating room, as this can be a confusing picture intraoperatively. ↗
▶ Ep 7 · 0:58
quote Alpha one antitrypsin deficiency needs to be ruled out prior to proceeding to the operating room, as this can be a confusing picture intraoperatively. ↗
▶ Ep 7 · 1:07
clinical Ultrasounds are obtained on all biliary atresia patients to look for abnormalities in the gallbladder as well as the triangular cord sign. ↗
▶ Ep 7 · 1:07
clinical Ultrasounds are obtained on all biliary atresia patients to look for abnormalities in the gallbladder as well as the triangular cord sign. ↗
▶ Ep 7 · 1:21
clinical Findings on liver biopsy pathology such as bridging fibrosis, bile duct plugging, and proliferation of bile ducts are all suggestive of biliary atresia. ↗
▶ Ep 7 · 1:21
clinical Findings on liver biopsy pathology such as bridging fibrosis, bile duct plugging, and proliferation of bile ducts are all suggestive of biliary atresia. ↗
▶ Ep 7 · 1:41
opinion If workup is suggestive of biliary atresia, there is no need to wait for the result of every esoteric test prior to proceeding to the operating room. ↗
▶ Ep 7 · 1:41
opinion If workup is suggestive of biliary atresia, there is no need to wait for the result of every esoteric test prior to proceeding to the operating room. ↗
▶ Ep 7 · 1:50
clinical Age at the time of Kasai is the primary determinant of outcome in biliary atresia patients. ↗
▶ Ep 7 · 1:50
quote This is because age at the time of Kasai is the primary determinant of outcome in these patients. ↗
▶ Ep 7 · 1:50
quote This is because age at the time of Kasai is the primary determinant of outcome in these patients. ↗
▶ Ep 7 · 1:50
clinical Age at the time of Kasai is the primary determinant of outcome in biliary atresia patients. ↗
▶ Ep 7 · 2:04
clinical Some gallbladders in biliary atresia do not have lumen, and in these patients further exploration and likely Kasai will proceed. ↗
▶ Ep 7 · 2:04
clinical Some gallbladders in biliary atresia do not have lumen, and in these patients further exploration and likely Kasai will proceed. ↗
▶ Ep 7 · 2:19
clinical To avoid contrast extravasation during cholangiogram, the technique involves mobilizing the gallbladder off the gallbladder fossa, amputating the dome of the gallbladder, inserting the cholangiography catheter directly into the lumen, and tying it off with a silk ligature. ↗
▶ Ep 7 · 2:19
clinical To avoid contrast extravasation during cholangiogram, the technique involves mobilizing the gallbladder off the gallbladder fossa, amputating the dome of the gallbladder, inserting the cholangiography catheter directly into the lumen, and tying it off with a silk ligature. ↗
▶ Ep 7 · 2:40
clinical Vascular variants in biliary atresia may include a preduodenal portal vein, which is rare. ↗
▶ Ep 7 · 2:40
clinical Vascular variants in biliary atresia may include a preduodenal portal vein, which is rare. ↗
▶ Ep 7 · 2:43
clinical More commonly but still rare are confusing branching patterns of the hepatic artery and the portal vein in biliary atresia. ↗
▶ Ep 7 · 2:43
clinical More commonly but still rare are confusing branching patterns of the hepatic artery and the portal vein in biliary atresia. ↗
▶ Ep 7 · 2:51
clinical It is recommended to carry out dissection to the secondary branching of the right and left hepatic arteries, but sometimes this branching can be quite early and dissection needs to occur up to the substance of the liver. ↗
▶ Ep 7 · 2:51
clinical It is recommended to carry out dissection to the secondary branching of the right and left hepatic arteries, but sometimes this branching can be quite early and dissection needs to occur up to the substance of the liver. ↗
▶ Ep 7 · 3:10
quote The most reliable determinant of where the hilar plate exists is between the bifurcation of the right and left portal vein. ↗
▶ Ep 7 · 3:10
clinical The most reliable determinant of where the hilar plate exists is between the bifurcation of the right and left portal vein. ↗
▶ Ep 7 · 3:10
clinical The most reliable determinant of where the hilar plate exists is between the bifurcation of the right and left portal vein. ↗
▶ Ep 7 · 3:10
quote The most reliable determinant of where the hilar plate exists is between the bifurcation of the right and left portal vein. ↗
▶ Ep 7 · 3:19
clinical It is important to dissect the fibrous cone of the biliary remnants down into the bifurcation of the portal vein where small portal branches must be tied off. ↗
▶ Ep 7 · 3:19
clinical It is important to dissect the fibrous cone of the biliary remnants down into the bifurcation of the portal vein where small portal branches must be tied off. ↗
▶ Ep 7 · 3:37
clinical The transection plane of the biliary remnants should be flush with the capsule of the liver so as not to dissect into the substance of the liver nor remain too shallow into the fibrous cone. ↗
▶ Ep 7 · 3:37
clinical The transection plane of the biliary remnants should be flush with the capsule of the liver so as not to dissect into the substance of the liver nor remain too shallow into the fibrous cone. ↗
▶ Ep 7 · 4:00
guideline Due to the results of the START trial, steroids are no longer routinely used in post-Kasai care. ↗
▶ Ep 7 · 4:00
quote Due to the results of the START trial, we no longer routinely use steroids in our post-operative care. ↗
▶ Ep 7 · 4:00
quote Due to the results of the START trial, we no longer routinely use steroids in our post-operative care. ↗
▶ Ep 7 · 4:00
guideline Due to the results of the START trial, steroids are no longer routinely used in post-Kasai care. ↗
▶ Ep 7 · 4:08
opinion The use of antibiotics prophylactically to prevent cholangitis after Kasai is a controversial topic. ↗
▶ Ep 7 · 4:08
opinion The use of antibiotics prophylactically to prevent cholangitis after Kasai is a controversial topic. ↗
▶ Ep 7 · 4:15
clinical Prophylactic antibiotics are currently used on all patients after Kasai at the speaker's institution. ↗
▶ Ep 7 · 4:15
clinical Prophylactic antibiotics are currently used on all patients after Kasai at the speaker's institution. ↗
▶ Ep 7 · 4:23
clinical Biliary atresia patients require long-term follow-up care either with the pediatric surgeon or with the pediatric hepatologist. ↗
▶ Ep 7 · 4:23
clinical Biliary atresia patients require long-term follow-up care either with the pediatric surgeon or with the pediatric hepatologist. ↗