66 timestamped statements
across 6 topics
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Featured statements
▶Ep 684 · 0:52
Lobectomy for pediatrics is recommended rather than, uh, molecular testing or repeat FNA currently because there is a little bit higher, uh, rate of malignancy, uh, in those populations compared to adults.
For this nodule that would have an intermediate risk of cancer, probably 30% or so, I would not recommend a, a thyroidectomy, um, because they probably only need a hemithyroidectomy.
If you have injury on one side that you've seen with the nerve monitoring. You may want to wait and see if it's just a transient thing that can then recover later.
Implementing same-day discharge requires major process changes including advance family education, nutrition partnership for feeding plans, and setup of pumps and supplies
2025 Pediatric Surgery Update Course - Updates in Enhanced Recovery After Surgery (ERAS) Protocols
▶Ep 9 · 0:36
clinicalERAS stands for Enhanced Recovery After Surgery and consists of many elements and principles that can be applied to most all elective surgeries.↗
▶Ep 9 · 0:36
epidemiologicalAt the speaker's center, opioid prescribing after appendectomy was reduced from 84% to 0% using ERAS principles.↗
▶Ep 9 · 0:36
clinicalSuccessful ERAS implementation requires significant system design, education, and reinforcement of that education.↗
Ben's statements about Esophageal Atresia5 statements
Journal of Pediatric Surgery Article Review: 4th Quarter (Oct-Dec) 2024
▶Ep 60 · 12:18
clinicalDuring the pandemic, limited hospital beds led to consideration of same-day discharge for gastrostomy patients to optimize resource use↗
▶Ep 60 · 12:18
quoteDuring the pandemic and during the pandemic, we found ourselves dealing with a full hospital and limited hospital beds for post-operative patients.↗
▶Ep 60 · 14:30
quoteI thought it was fascinating that the rate of same day discharge had doubled from 2017 to 2021, and we could see a nice uptrend, although there was a little bit of a plateau in the middle.↗
▶Ep 60 · 15:54
clinicalImplementing same-day discharge requires major process changes including advance family education, nutrition partnership for feeding plans, and setup of pumps and supplies↗
▶Ep 60 · 15:54
quoteIt does require major process changes to set up all the education of the family ahead of time, to partner with nutrition if needed, to determine the feeding plan ahead of time, to set up the pump and other supplies if needed.↗
Ben's statements about Fecal Incontinence10 statements
clinicalA 13-year-old male with idiopathic functional constipation presented with daytime and nighttime fecal incontinence, unable to remain clean despite more than 4 years of enema and laxative therapy.↗
2025 Pediatric Surgery Update Course - Updates in Enhanced Recovery After Surgery (ERAS) Protocols
▶Ep 590 · 0:36
clinicalERAS stands for Enhanced Recovery After Surgery and consists of many elements and principles that can be applied to most all elective surgeries.↗
▶Ep 590 · 0:36
epidemiologicalAt the speaker's center, opioid prescribing after appendectomy was reduced from 84% to 0% using ERAS principles.↗
▶Ep 590 · 0:36
clinicalSuccessful ERAS implementation requires significant system design, education, and reinforcement of that education.↗
Update Course Rewind 2025: Nerve Monitoring in Pediatric Thyroid Surgery
▶Ep 684 · 0:52
quoteLobectomy for pediatrics is recommended rather than, uh, molecular testing or repeat FNA currently because there is a little bit higher, uh, rate of malignancy, uh, in those populations compared to adults.↗
▶Ep 684 · 0:52
guidelineFor pediatric patients with Bethesda 3 thyroid nodules, lobectomy is recommended rather than molecular testing or repeat FNA because there is a higher rate of malignancy in pediatric populations compared to adults↗
▶Ep 684 · 1:10
quoteFor this nodule that would have an intermediate risk of cancer, probably 30% or so, I would not recommend a, a thyroidectomy, um, because they probably only need a hemithyroidectomy.↗
▶Ep 684 · 1:10
clinicalFor a nodule with intermediate risk of cancer (approximately 30%), thyroidectomy is not recommended because the patient probably only needs a hemithyroidectomy↗
▶Ep 684 · 1:28
quoteThe 2015 pediatric guidelines recommend it being done by a high volume thyroid surgeon.↗
▶Ep 684 · 1:28
guidelineThe 2015 pediatric guidelines recommend thyroid surgery being done by a high volume thyroid surgeon↗
▶Ep 684 · 2:27
quoteOne recent study published the rate of recurrent laryngeal nerve injury decreasing from 8 to 1.5%. With monitoring.↗
▶Ep 684 · 2:27
clinicalOne recent study published the rate of recurrent laryngeal nerve injury decreasing from 8% to 1.5% with monitoring↗
▶Ep 684 · 2:50
clinicalStudies in adults have shown that nerve monitoring helps identify the nerve more, but maybe doesn't change injury rates↗
▶Ep 684 · 2:50
quoteStudies in adults that have shown that helps you identify the nerve more, but maybe doesn't change injury rates.↗
▶Ep 684 · 2:57
quoteDon't have studies that I've seen in pediatrics showing significant decrease in injury rates, but there are several that do show absolute decrease.↗
▶Ep 684 · 2:57
clinicalThere are no studies in pediatrics showing significant decrease in injury rates with nerve monitoring, but there are several that show absolute decrease↗
▶Ep 684 · 3:20
epidemiologicalRecurrent laryngeal nerve injuries may happen more in children because it's a smaller nerve that may be harder to identify, with a rate of 9% in children versus about 6% in adults↗
▶Ep 684 · 3:22
quoteIt's a smaller nerve may be harder to identify. The rate in children's 9% versus about 6%.↗
▶Ep 684 · 3:38
quoteIf you have injury on one side that you've seen with the nerve monitoring. You may want to wait and see if it's just a transient thing that can then recover later.↗
▶Ep 684 · 3:38
clinicalIf injury is detected on one side with nerve monitoring, the surgeon may want to wait and see if it's just a transient thing that can recover later↗
▶Ep 684 · 3:49
opinionExpense is one consideration as a downside to nerve monitoring, and some have questioned its use if it doesn't change injury rates or outcomes↗
▶Ep 684 · 4:04
clinicalRecent endotracheal tube electrode publications show nerve monitoring has been tried in children down to age 0↗
▶Ep 684 · 4:28
clinicalNerve monitoring is most beneficial when doing a total thyroidectomy where the contralateral cord is paralyzed, to help decrease the risk of tracheotomy with bilateral paralysis↗
▶Ep 684 · 5:00
clinicalA recent paper suggested that if you adjust the size criteria in TIRRADS, it actually performs better than the 2015 pediatric guidelines↗
Ben's statements about Thyroid Nodule20 statements
Update Course Rewind 2025: Nerve Monitoring in Pediatric Thyroid Surgery
▶Ep 3 · 0:52
quoteLobectomy for pediatrics is recommended rather than, uh, molecular testing or repeat FNA currently because there is a little bit higher, uh, rate of malignancy, uh, in those populations compared to adults.↗
▶Ep 3 · 0:52
guidelineFor pediatric patients with Bethesda 3 thyroid nodules, lobectomy is recommended rather than molecular testing or repeat FNA because there is a higher rate of malignancy in pediatric populations compared to adults↗
▶Ep 3 · 1:10
clinicalFor a nodule with intermediate risk of cancer (approximately 30%), thyroidectomy is not recommended because the patient probably only needs a hemithyroidectomy↗
▶Ep 3 · 1:10
quoteFor this nodule that would have an intermediate risk of cancer, probably 30% or so, I would not recommend a, a thyroidectomy, um, because they probably only need a hemithyroidectomy.↗
▶Ep 3 · 1:28
guidelineThe 2015 pediatric guidelines recommend thyroid surgery being done by a high volume thyroid surgeon↗
▶Ep 3 · 1:28
quoteThe 2015 pediatric guidelines recommend it being done by a high volume thyroid surgeon.↗
▶Ep 3 · 2:27
quoteOne recent study published the rate of recurrent laryngeal nerve injury decreasing from 8 to 1.5%. With monitoring.↗
▶Ep 3 · 2:27
clinicalOne recent study published the rate of recurrent laryngeal nerve injury decreasing from 8% to 1.5% with monitoring↗
▶Ep 3 · 2:50
clinicalStudies in adults have shown that nerve monitoring helps identify the nerve more, but maybe doesn't change injury rates↗
▶Ep 3 · 2:50
quoteStudies in adults that have shown that helps you identify the nerve more, but maybe doesn't change injury rates.↗
▶Ep 3 · 2:57
quoteDon't have studies that I've seen in pediatrics showing significant decrease in injury rates, but there are several that do show absolute decrease.↗
▶Ep 3 · 2:57
clinicalThere are no studies in pediatrics showing significant decrease in injury rates with nerve monitoring, but there are several that show absolute decrease↗
▶Ep 3 · 3:20
epidemiologicalRecurrent laryngeal nerve injuries may happen more in children because it's a smaller nerve that may be harder to identify, with a rate of 9% in children versus about 6% in adults↗
▶Ep 3 · 3:22
quoteIt's a smaller nerve may be harder to identify. The rate in children's 9% versus about 6%.↗
▶Ep 3 · 3:38
quoteIf you have injury on one side that you've seen with the nerve monitoring. You may want to wait and see if it's just a transient thing that can then recover later.↗
▶Ep 3 · 3:38
clinicalIf injury is detected on one side with nerve monitoring, the surgeon may want to wait and see if it's just a transient thing that can recover later↗
▶Ep 3 · 3:49
opinionExpense is one consideration as a downside to nerve monitoring, and some have questioned its use if it doesn't change injury rates or outcomes↗
▶Ep 3 · 4:04
clinicalRecent endotracheal tube electrode publications show nerve monitoring has been tried in children down to age 0↗
▶Ep 3 · 4:28
clinicalNerve monitoring is most beneficial when doing a total thyroidectomy where the contralateral cord is paralyzed, to help decrease the risk of tracheotomy with bilateral paralysis↗
▶Ep 3 · 5:00
clinicalA recent paper suggested that if you adjust the size criteria in TIRRADS, it actually performs better than the 2015 pediatric guidelines↗
Journal of Pediatric Surgery Article Review: 4th Quarter (Oct-Dec) 2024
▶Ep 8 · 12:18
quoteDuring the pandemic and during the pandemic, we found ourselves dealing with a full hospital and limited hospital beds for post-operative patients.↗
▶Ep 8 · 12:18
clinicalDuring the pandemic, limited hospital beds led to consideration of same-day discharge for gastrostomy patients to optimize resource use↗
▶Ep 8 · 14:30
quoteI thought it was fascinating that the rate of same day discharge had doubled from 2017 to 2021, and we could see a nice uptrend, although there was a little bit of a plateau in the middle.↗
▶Ep 8 · 15:54
clinicalImplementing same-day discharge requires major process changes including advance family education, nutrition partnership for feeding plans, and setup of pumps and supplies↗
▶Ep 8 · 15:54
quoteIt does require major process changes to set up all the education of the family ahead of time, to partner with nutrition if needed, to determine the feeding plan ahead of time, to set up the pump and other supplies if needed.↗
