Kanika Bowen-Jallow

10 statements · 1 topic · summaries given as host listed separately

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Adult bariatric surgeons use Air Seal technology to maintain stable insufflation pressure second-to-second, allowing procedures at 10 mmHg pressure compared to typical 15 mmHg or higher

clinical · Diabetes

Aprepitant is given in preoperative holding before surgery, while Zofran is used in the OR prior to extubation, to achieve synergistic anti-emetic effect

clinical · Diabetes

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Kanika's statements about Diabetes 10 statements

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Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course

Statement Aprepitant is given 1-2 hours prior to surgery in pre-op and has become standard in patients with high risk for post-operative nausea Open

Statement Pills given in pre-op area have never been observed in the stomach during intraoperative scoping in sleeve gastrectomy cases Open

Statement Minimizing narcotics helps prevent postoperative nausea, achieved by running medications like propofol at low baseline during anesthesia Open

Statement Aprepitant is given in preoperative holding before surgery, while Zofran is used in the OR prior to extubation, to achieve synergistic anti-emetic effect Open

Statement The number one concern after sleeve gastrectomy is nausea, retching, and vomiting Open

Quotation the number one thing we worry about after the sleeve is nausea. Yeah, wretching, vomiting. Open

Statement Haldol is not used for anti-emetic purposes due to sedative effects that interfere with waking patients in the PACU Open

Quotation I think it's surgical. I agree with you. I think it's myth. Open

Statement Adult bariatric surgeons use Air Seal technology to maintain stable insufflation pressure second-to-second, allowing procedures at 10 mmHg pressure compared to typical 15 mmHg or higher Open

Statement Sleeve gastrectomy comprises 90% of pediatric bariatric procedures performed Open

Summaries Kanika gave as host · 8 summaries

Recaps of other experts' statements, not Kanika's own clinical position.

Summaries Kanika gave as host · Diabetes 8 summaries

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Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course

Host summary Kanika Bowen-Jallow summarizing the discussion: ERAS recommendations for bariatric surgery include carbohydrate drink the night before surgery and clear liquids up to 2 hours prior to surgery Open

Host summary Kanika Bowen-Jallow summarizing the discussion: Sugar-free carbohydrate drinks should be used for diabetic patients Open

Host summary Kanika Bowen-Jallow summarizing the discussion: DVT prophylaxis with Lovenox or subcutaneous heparin is administered at the start of the case, but there is no standard recommendation and practices vary greatly among surgeons Open

Host summary Kanika Bowen-Jallow summarizing the discussion: ASMBS recommends using DVT prophylaxis intraoperatively and postoperatively before discharge, but most patients do not go home on DVT prophylaxis unless there is a specific indication such as family history Open

Host summary Kanika Bowen-Jallow summarizing the discussion: New literature demonstrates laparoscopic TAP block is not superior to local infiltration of incisions for pain control Open

Host summary Kanika Bowen-Jallow summarizing the discussion: Total daily acetaminophen dose should not exceed 4000 mg whether given IV or orally, requiring careful tracking of pre-op and post-op doses Open

Host summary Kanika Bowen-Jallow summarizing the discussion: Pure oxycodone immediate-release without acetaminophen is the ERAS-recommended narcotic option if needed, though typically not required or prescribed at discharge Open

Host summary Kanika Bowen-Jallow summarizing the discussion: Operating at lower insufflation pressures results in less TNF-alpha production and decreased postoperative pain Open