Stay Current In Pediatric Surgery podcast

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State Secrets: Inside The Making Of The Electric State

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Family Secrets: Chris Pratt & Millie Bobby Brown Share Stories From Set 22:08

14 dni temu22:08

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Host Francesca Amiker sits down with directors Joe and Anthony Russo, producer Angela Russo-Otstot, stars Millie Bobby Brown and Chris Pratt, and more to uncover how family was the key to building the emotional core of The Electric State . From the Russos’ own experiences growing up in a large Italian family to the film’s central relationship between Michelle and her robot brother Kid Cosmo, family relationships both on and off of the set were the key to bringing The Electric State to life. Listen to more from Netflix Podcasts . State Secrets: Inside the Making of The Electric State is produced by Netflix and Treefort Media.…

Stay Current in Pediatric Surgery

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Through GlobalCastMD’s world-class network of physicians and technology, any health system can provide their doctors access to ongoing mentoring and education. Companies can leverage this same network to more effectively train physicians on products and use it to help train their own sales force. Our educational materials aim to provide entertaining, interactive education for anyone, regardless of geography. We truly are: Dedicated to the rapid advancement of care. Everywhere.

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#Todd Ponsky #StayCurrent: Pediatric Surgery #Pediatrics #Science #Medicine #Surgery #Podcasting Education

Stay Current in Pediatric Surgery

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Stay Current in Pediatric Surgery

1
Update Course Rewind: Highlighting Collaboration from Surgery & Interventional Radiology in the OR 2024 10:20

10 hours temu10:20

10:20

In this Update Course Rewind, Drs. Dan von Allmen, John Racadio, and Timothy Lautz, alongside IR technologist Amanda Wallingford, discuss how strong collaboration between surgery and interventional radiology is transforming patient care at Cincinnati Children’s and beyond. From ultrasound-guided lymph node localization to cone beam CT in a hybrid OR, this session highlights the power of shared expertise and image-guided surgery. Key Highlights: Use of cone beam CT, ultrasound, and fluoroscopy to improve surgical precision Hybrid OR vs. traditional OR: benefits and workarounds Real-life examples: neuroblastoma surgery, vascular malformations, pulmonary nodule localization Preview of emerging tech like augmented reality and holographic overlays for surgical planning This session is marked as a “Blue Square”—a promising newer practice that’s showing significant results and potential. Watch to learn how breaking down silos between teams can elevate outcomes across specialties.…

Stay Current in Pediatric Surgery

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Quick Literature Updates Episode 18 4:23

6 dni temu4:23

4:23

We’re back with eighteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/39083294/ Pilkington M, Nelson G, Pentz B, Marchand T, Lloyd E, Chiu PPL, de Beer D, de Silva N, Else S, Fecteau A, Giuliani S, Hannam S, Howlett A, Lee KS, Levin D, O'Rourke L, Stephen L, Wilson L, Brindle ME. Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care. JAMA Surg. 2024 Sep 1;159(9):1071-1078. doi: 10.1001/jamasurg.2024.2044. PMID: 39083294. https://pubmed.ncbi.nlm.nih.gov/38493027/ Moore EJ, Sawyer SM, King SK, Tien MY, Trajanovska M. Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review. J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23. PMID: 38493027. https://pubmed.ncbi.nlm.nih.gov/36658074/ Zeng G, Zhang Q, Song B, Feng X, Sun J, Mo X, Wu KH. Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study. J Pediatr Surg. 2023 Oct;58(10):1963-1968. doi: 10.1016/j.jpedsurg.2022.11.013. Epub 2022 Nov 29. PMID: 36658074. Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download…

Stay Current in Pediatric Surgery

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Update Course Rewind: Surgical Management of Pilonidal Disease 2024 7:31

7 dni temu7:31

7:31

In this episode of the Pediatric Surgery Update Course Rewind, Dr. Nelson Rosen and Dr. Whit Holcomb discuss advancements in the surgical management of pilonidal disease, emphasizing minimally invasive techniques like the GIPS procedure. Learn how these methods offer faster recovery, fewer complications, and better outcomes for patients. Key Highlights: Minimally Invasive Techniques: The GIPS procedure and hybrid approaches that maximize skin preservation and minimize recovery time. EPSIT Technique: A global perspective on endoscopic management, including its benefits and challenges. Recurrence Prevention: The importance of ongoing hair removal strategies, including laser treatments, to prevent recurrence and improve long-term outcomes. When to Escalate: For cases where minimally invasive approaches fail, off-midline closure options like the Bascom cleft lift offer effective solutions. This video is essential for understanding the evolving management of pilonidal disease and the role of patient-centered care in achieving lasting results. Host: Em Gootee, MD…

Stay Current in Pediatric Surgery

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Colorectal Quiz: Episode 45 - Pelvic Floor Dyssynergia 18:43

14 dni temu18:43

18:43

In this engaging episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, and Erin Teeple dive into the complexities of pelvic floor dyssynergia, an often under-recognized condition impacting bowel and urinary function. Dr. Teeple, the only U.S. surgeon dually trained in pediatric and adult colorectal surgery, shares invaluable insights on diagnosis, treatment, and management strategies. Key Highlights: Patient Case Study: A 17-year-old with unexplained urinary retention and testicular pain leads to a detailed exploration of pelvic floor dysfunction. Diagnostic Tools: The role of SITZ marker studies, defecography, and manual assessments in identifying pelvic floor tightness. Treatment Approaches: From pelvic floor physical therapy to Botox injections for puborectalis relaxation. Collaboration Matters: How pediatric and adult colorectal care intersect for comprehensive management. This episode underscores the importance of a multidisciplinary approach and innovative techniques for treating pelvic floor dysfunction. Don’t forget to download the Stay Current app to access related images and resources, and subscribe for more pediatric surgery content!…

Stay Current in Pediatric Surgery

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Update Course Rewind: MMP-7 & Biliary Atresia Diagnosis 2024 6:25

16 dni temu6:25

6:25

In this Update Course Rewind session, Dr. Greg Tiao, Surgical Director of the Liver Transplantation Program at Cincinnati Children’s, discusses the critical role of MMP-7 as a biomarker in the early diagnosis of biliary atresia. With data showing that every 10-day delay in treatment worsens outcomes by 20% , early detection is essential for improving native liver survival. Key Highlights: Importance of Early Diagnosis: Performing a Kasai procedure before 45 days significantly improves patient outcomes. MMP-7 as a Biomarker: Validated in international studies, MMP-7 is proving to be a powerful diagnostic tool. Challenges in Diagnosis: Distinguishing BA from other neonatal cholestasis conditions remains complex. Global Impact: Lessons from high-incidence regions like China are helping shape best practices in North America. With the integration of MMP-7 testing, pediatric surgery is moving towards earlier diagnosis and intervention, improving the chances of avoiding liver transplant in affected infants. Don’t forget to like, comment, and subscribe for more updates!…

Stay Current in Pediatric Surgery

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Empyema with Dr. Aaron Garrison 13:57

28 dni temu13:57

13:57

Pediatric empyema pneumonia is a lung infection that occurs when pus collects in the pleural space, the area between the lungs and chest wall. In this video, we cover the management of pediatric empyema, including diagnosis, treatment algorithms, imaging, and surgical versus non-surgical approaches with Dr. Aaron Garrison, a pediatric surgeon at Cincinnati Children’s. Host: Brittany Levy Key Takeaways: • Pediatric empyema pneumonia requires a combination of medical and surgical management, but decision-making can be complex. • Community-acquired pneumonia is a leading cause of hospitalization in children, yet bacterial pathogens are detected in only 15% of cases. • Empyema progresses in three stages: exudative, fibrinopurulent, and organizing. The fibrinopurulent stage is when surgical intervention is often needed. • Ultrasound is more sensitive than CT in detecting septations in pleural effusions and avoids radiation exposure. • Chest tube drainage with fibrinolytics (such as TPA) has been shown to be a viable alternative to VATS, reducing hospital stays and costs. • Some children with effusions may not require TPA—clinical improvement within 24 hours of drainage can indicate that it’s unnecessary. • Inhaled foreign bodies, particularly peanuts, can mimic pneumonia and require a high index of suspicion for proper diagnosis. • CT scans are now being used to diagnose airway foreign bodies with high reliability, reducing unnecessary bronchoscopies. Further reading: https://api.semanticscholar.org/CorpusID:53467976 Module 2 . Hemodynamic Disorders, 2015 https://thoracickey.com/nonmalignant-pleural-effusions/ Nonmalignant Pleural Effusions by John E. Heffner https://www.ctsnet.org/article/thoracoscopic-decortication Thoracoscopic Decortication by Christopher Komanapalli https://publications.aap.org/neoreviews/article-abstract/18/9/e564/91880/A-Newborn-with-a-Cyst-in-the-Lung?redirectedFrom=fulltext A Newborn with a Cyst in the Lung by Shabih Manzar, MD; Liaqat H. Khan, MD https://journals.lww.com/ascp/fulltext/2019/07020/management_of_parapneumonic_effusion_and_empyema.1.aspx Singh, S et.al. Management of parapneumonic effusion and empyema. The Journal of Association of Chest Physicians https://pubmed.ncbi.nlm.nih.gov/23164006/ Islam S et.al. The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee https://pubmed.ncbi.nlm.nih.gov/31973927/ Derderian SC et.al. Pediatric empyemas - Has the pendulum swung too far? https://pubmed.ncbi.nlm.nih.gov/26382287/ Long AM et.al. 'Less may be best'-Pediatric parapneumonic effusion and empyema management: Lessons from a UK center…

Stay Current in Pediatric Surgery

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QUAD #26 - Use of Ultrashort Echo-Time MRI to Measure Tracheomalacia in Neonates with Esophageal Atresia with Dr. Doug von Allmen 5:51

4 weeks temu5:51

5:51

In this QUAD Conference presentation, Dr. Doug von Allmen from Cincinnati Children’s shares groundbreaking research on using ultrashort echo-time MRI to evaluate tracheomalacia in neonates with esophageal atresia (EA). This innovative imaging technique offers a non-invasive, sedation-free, and radiation-free way to assess airway weakness and create detailed 3D models for better surgical planning. Key Highlights: New Diagnostic Tool: Ultrashort echo-time MRI offers high-resolution imaging without the need for sedation or radiation. Study Findings: Patients with long gap esophageal atresia showed more severe tracheomalacia than those with short gap EA. Pre- and Post-Surgical Analysis: Repair improves upper trachea eccentricity but may worsen the distal trachea postoperatively. Clinical Implications: Long gap EA patients are at higher risk for respiratory complications and require close post-operative monitoring. This research sheds light on how advanced imaging can lead to better diagnosis, treatment, and follow-up care for infants with esophageal atresia and tracheoesophageal fistula (TEF).…

Stay Current in Pediatric Surgery

1
Update Course Rewind: CO2 Laser Use Cases 2024 4:37

5 weeks temu4:37

4:37

In this recap from the 12th Annual Pediatric Surgery Update Course, Dr. Carlos Colunga highlights the potential of CO2 lasers in pediatric surgery. From circumcisions to frenulectomies and pilonidal cyst ablations, CO2 lasers are gaining traction for their precision, reduced pain, and shorter operating times. Key Highlights: Clinical Applications: Successfully used for circumcision, frenulectomy, perianal fistulas, pilonidal cysts, and more. Benefits of CO2 Lasers: Reduced bleeding, lower complication rates, shorter operative times, and improved cosmetic outcomes. Evidence-Based Insights: Meta-analyses show CO2 laser-assisted surgeries have better results than traditional techniques in specific cases. Challenges: High equipment cost, steep learning curve, and the need for specialized training remain barriers to adoption. Join us to explore how CO2 lasers are transforming pediatric surgery and learn about the exciting possibilities for the future! Host: Lizzy Lee, PA-C…

Stay Current in Pediatric Surgery

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Quick Literature Updates Episode 17 4:29

6 weeks temu4:29

4:29

We’re back with seventeenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/37983822/ Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S, Rong L, Zhang Y, Cao G, Li S, Tang ST. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis. Int J Surg. 2024 Feb 1;110(2):891-901. doi: 10.1097/JS9.0000000000000889. PMID: 37983822; PMCID: PMC10871573. https://pubmed.ncbi.nlm.nih.gov/38677965/ Ullrich S, Austin K, Avansino JR, Badillo A, Calkins CM, Crady RC, Durham MM, Fuller MK, Rana A, Reeder RW, Rentea RM, Rollins MD, Saadai P, Speck KE, Wood RJ, van Leeuwen K, Frischer JS; Pediatric Colorectal and Pelvic Learning Consortium. Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium. J Pediatr Surg. 2024 Jul;59(7):1250-1255. doi: 10.1016/j.jpedsurg.2024.03.034. Epub 2024 Mar 18. PMID: 38677965. https://pubmed.ncbi.nlm.nih.gov/37978002/ Ameer A, Mirza MB, Talat N. The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial. J Pediatr Surg. 2024 Jun;59(6):1186-1189. doi: 10.1016/j.jpedsurg.2023.10.062. Epub 2023 Oct 30. PMID: 37978002.…

Stay Current in Pediatric Surgery

1
Colorectal Quiz: Episode 44 - HD Frozen Section 18:29

6 weeks temu18:29

18:29

In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, and Martin Lacher dive into the intricacies of frozen sections and reoperative strategies in Hirschsprung disease. Using a fascinating case of a late-diagnosed Hirschsprung patient, they explore critical decision-making in staged repairs and reoperative pull-through surgeries. Key Highlights: Frozen Section Techniques: Best practices for biopsy marking and pathology review to confirm ganglion cells. Staged Repairs: Why ileostomy followed by a laparoscopic-assisted Swenson pull-through was chosen for this case. Reoperative Strategies: Managing transition zone pull-throughs, early reoperations, and avoiding long-term complications. Surgical Pearls: Insights into laparoscopic port placement, anastomotic site preparation, and collaboration with pathologists for accurate diagnoses. Whether you're a seasoned colorectal surgeon or new to the field, this episode is packed with practical tips and lessons learned. Download the Stay Current app to view related images, X-rays, and resources discussed in the episode.…

Stay Current in Pediatric Surgery

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QUAD #25: Medical Management of Minor Laryngeal Clefts with Dr. Greg Burg 7:12

6 weeks temu7:12

7:12

In this episode, Dr. Greg Burg, a pulmonologist at Cincinnati Children’s, discusses the medical management of minor laryngeal clefts, highlighting a comprehensive approach that includes swallow assessments, pulmonary therapies, and long-term monitoring. Learn how a combination of safe swallowing strategies, dietary modifications, and reactive therapies can help manage aspiration risks in pediatric patients. Key Takeaways: Diagnostic Approach: Importance of bronchoscopy, swallow studies, and chest CT scans in identifying aspiration-related issues. Medical Management: Use of inhaled steroids, macrolide therapy, and saline treatments to reduce inflammation and improve airway clearance. Swallowing & Nutrition: Thickened feeds, pacing, and feeding tube strategies to prevent aspiration. Long-Term Monitoring: Vaccination recommendations, environmental risk reduction, and periodic reassessments to guide further intervention. This discussion provides valuable insights into how a multidisciplinary approach can improve outcomes for children with minor laryngeal clefts. Don’t forget to like, comment, and subscribe for more expert discussions!…

Stay Current in Pediatric Surgery

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Journal of Pediatric Surgery Article Review: 4th Quarter (Oct-Dec) 2024 18:56

7 weeks temu18:56

18:56

We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the fourth quarter of 2024, October, November and December issues. This time we're talking to editors Drs. Mauricio "Tony" Escobar, Mikko Pakarinen, and Pablo Laje joined by authors Drs. Aodhnait Fahy, Anne-Fleur van Hal, John M. Woodward and Ben Ham III. Host: Em Gootee Articles: Fahy AS, Klima DA, Gillam MM, Aprahamian CJ, Kim SS, Kokoska ER, Teeple EA, Weiss RG, Escobar MA Jr. Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA). J Pediatr Surg. 2024 Oct;59(10):161567. doi: 10.1016/j.jpedsurg.2024.04.021. Epub 2024 May 8. PMID: 38806318. https://pubmed.ncbi.nlm.nih.gov/38806318/ van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893. https://pubmed.ncbi.nlm.nih.gov/39089893/ Woodward JM, Chunco C, Brierley SF, Bittner K, Osei H, Harmon CM, Ham PB 3rd. Same-Day Discharge for Elective Pediatric Laparoscopic Gastrostomy Tube Insertion is Safe and Increasing in Frequency; A NSQIP Pediatric Retrospective Review 2017 to 2021. J Pediatr Surg. 2024 Dec;59(12):161665. doi: 10.1016/j.jpedsurg.2024.08.005. Epub 2024 Aug 6. PMID: 39261186. https://pubmed.ncbi.nlm.nih.gov/39261186/…

Stay Current in Pediatric Surgery

1
Quick Literature Updates Episode 16 4:23

8 weeks temu4:23

4:23

We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field. These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points. Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates". Host: Em Gootee https://pubmed.ncbi.nlm.nih.gov/36805142/ Brandt K, Dukleska K, McKeown M, Brancato J, Grossi V, Schoem S, Sacco T, D'Amato J, Bourque MD, Campbell BT. Utilizing a critical airway response team expedites esophageal button battery removal. J Pediatr Surg. 2023 May;58(5):810-813. doi: 10.1016/j.jpedsurg.2023.01.037. Epub 2023 Jan 19. PMID: 36805142. https://pubmed.ncbi.nlm.nih.gov/38413262/ Hodgson E, Briatico D, Klapman S, Skarsgard E, Beltempo M, Shah PS, Huisman E, Walton JM, Livingston MH; Canadian Association of Pediatric Surgeons Network (CAPSNet) and Canadian Neonatal Network (CNN) investigators. Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study. J Pediatr Surg. 2024 May;59(5):863-868. doi: 10.1016/j.jpedsurg.2024.01.045. Epub 2024 Feb 3. PMID: 38413262. https://pubmed.ncbi.nlm.nih.gov/36494205/ Lai K, Notrica DM, McMahon LE, Kang P, Molitor MS, Egan JC, Bae JO, Hunteman ZM, Ostlie DJ, Lee JH, Padilla BE. Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use. J Pediatr Surg. 2023 Aug;58(8):1435-1439. doi: 10.1016/j.jpedsurg.2022.10.051. Epub 2022 Nov 7. PMID: 36494205.…

Stay Current in Pediatric Surgery

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Update Course Rewind: Patient Education and Non-Surgical Management of Pilonidal Disease 2024 6:13

9 weeks temu6:13

6:13

In this episode from the 12th Annual Update Course in Pediatric Surgery, Dr. Nelson Rosen discusses non-surgical approaches to managing pilonidal disease, emphasizing the importance of patient education and hygiene. Learn how techniques like hair removal, meticulous hygiene, and lifestyle adjustments can significantly reduce the need for invasive procedures. Key Highlights: Non-Surgical Success Rates: Up to 60-70% of patients experience improvement with non-surgical interventions alone. Hair Removal Techniques: Options include weekly clipping, waxing, Nair-type agents, and even laser removal for long-term maintenance. Hygiene Best Practices: Showering regularly, using washlets, and debunking myths about bathing restrictions for faster healing. Setting Expectations: How to guide patients and families through treatment while balancing realistic outcomes. Join us to explore how non-surgical management can transform the care and recovery of patients with pilonidal disease. Don’t forget to like, comment, and subscribe for more pediatric surgery updates! Host: Em Gootee, MD…

Stay Current in Pediatric Surgery

1
QUAD #24: CHARGE Syndrome, Pulmonary Considerations with Dr. Cherie Torres-Silva 9:05

9 weeks temu9:05

9:05

In this episode, pulmonologist Dr. Cherie Torres-Silva from Cincinnati Children's shares insights on managing pulmonary challenges in patients with CHARGE syndrome. Through a detailed case study, she explores strategies to address chronic aspiration, airway clearance limitations, and recurrent infections. Key Highlights: Challenges in CHARGE Syndrome: Understanding how aspiration, obstructive sleep apnea (OSA), and recurrent infections intersect in CHARGE patients. Management Strategies: Improving airway clearance with therapies like intrapulmonary percussion and thinning secretions using hypertonic saline. Infection Prevention: The role of dental hygiene, prophylactic antibiotics (e.g., inhaled tobramycin), and balancing the risks of antibiotic resistance. Individualized Care: Tailoring treatments based on respiratory cultures and underlying comorbidities such as hypotonia and restrictive lung disease. Learn how a multidisciplinary approach can improve outcomes for CHARGE patients with complex pulmonary issues. Don’t forget to like, comment, and subscribe for more insights! Host: Em Gootee, MD…

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