96 timestamped statements
across 14 topics
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Summaries Ian gave as host are listed separately below.
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.
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.
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.
quotein 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
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 1 · 0:32
epidemiological0.2–2% of catheter removals result in at least part of the catheter being left behind.↗
▶Ep 1 · 0:32
epidemiological5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology).↗
▶Ep 1 · 1:12
clinicalRisk 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 · 1:12
quotethe 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 · 1:31
opinionFor long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line.↗
▶Ep 1 · 2:04
clinicalEndovascular 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
quotein 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
clinicalSurgical venotomy to retrieve a retained catheter carries a risk of bleeding.↗
▶Ep 1 · 2:04
quoteIf 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
epidemiological5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.↗
▶Ep 2 · 0:32
quotein 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
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 2 · 0:32
epidemiologicalThe actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.↗
▶Ep 2 · 1:12
clinicalRisk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.↗
▶Ep 2 · 1:12
quotethe 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
clinicalThere is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.↗
▶Ep 2 · 1:12
clinicalRisk factors for catheter retention include chemotherapy infused through the lines.↗
▶Ep 2 · 1:31
opinionFor long-term chemotherapy, a silastic line should be considered instead of a polyurethane line.↗
▶Ep 2 · 1:42
quoteWe should be considering maybe a silastic line instead of a polyurethane line.↗
▶Ep 2 · 2:04
clinicalIf you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding.↗
▶Ep 2 · 2:04
quoteIf 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
clinicalIn 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
epidemiological5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.↗
▶Ep 3 · 0:32
quotein 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
epidemiologicalThe actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.↗
▶Ep 3 · 0:57
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 3 · 1:12
clinicalRisk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.↗
▶Ep 3 · 1:12
clinicalRisk factors for catheter retention include chemotherapy infusion through the line.↗
▶Ep 3 · 1:12
quotethe 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 · 1:25
clinicalThere is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.↗
▶Ep 3 · 1:46
guidelineThe recommendation would be to go with silastic catheters for long-term chemotherapy cases.↗
▶Ep 3 · 2:10
clinicalSurgical venotomy to retrieve a retained catheter carries a risk of bleeding.↗
▶Ep 3 · 2:16
clinicalIn interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure.↗
▶Ep 3 · 2:16
clinicalIn interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally.↗
▶Ep 3 · 2:31
quotewhenever 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
epidemiologicalMultiple 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
epidemiologicalNo thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years.↗
▶Ep 3 · 2:42
epidemiologicalNo infections were associated with retained catheter fragments in studies with follow-up from months to 5 years.↗
Ian's statements about Catheter Retention40 statements
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 1 · 0:32
quotein 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
epidemiological0.2–2% of catheter removals result in at least part of the catheter being left behind.↗
▶Ep 1 · 0:32
epidemiological5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology).↗
▶Ep 1 · 1:12
quotethe 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
clinicalRisk 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
opinionFor long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line.↗
▶Ep 1 · 2:04
clinicalEndovascular 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
clinicalSurgical venotomy to retrieve a retained catheter carries a risk of bleeding.↗
▶Ep 1 · 2:04
quotein 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
quoteIf 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
epidemiologicalThe actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.↗
▶Ep 2 · 0:32
epidemiological5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.↗
▶Ep 2 · 0:32
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 2 · 0:32
quotein 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
quotethe 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
clinicalRisk factors for catheter retention include chemotherapy infused through the lines.↗
▶Ep 2 · 1:12
clinicalRisk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.↗
▶Ep 2 · 1:12
clinicalThere is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.↗
▶Ep 2 · 1:31
opinionFor long-term chemotherapy, a silastic line should be considered instead of a polyurethane line.↗
▶Ep 2 · 1:42
quoteWe should be considering maybe a silastic line instead of a polyurethane line.↗
▶Ep 2 · 2:04
quoteIf 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
clinicalIf you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding.↗
▶Ep 2 · 2:04
clinicalIn 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
epidemiological5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter.↗
▶Ep 3 · 0:32
quotein 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
epidemiologicalThe actual number of catheters or catheter fragments that get left behind is 0.2 to 2%.↗
▶Ep 3 · 0:57
quoteThe actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%.↗
▶Ep 3 · 1:12
clinicalRisk factors for catheter retention include chemotherapy infusion through the line.↗
▶Ep 3 · 1:12
quotethe 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
clinicalRisk factors for catheter retention include catheters that are indwelling for longer than about a year and a half.↗
▶Ep 3 · 1:25
clinicalThere is an association between polyurethane catheter material and catheter retention when compared with silicone catheters.↗
▶Ep 3 · 1:46
guidelineThe recommendation would be to go with silastic catheters for long-term chemotherapy cases.↗
▶Ep 3 · 2:10
clinicalSurgical venotomy to retrieve a retained catheter carries a risk of bleeding.↗
▶Ep 3 · 2:16
clinicalIn interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure.↗
▶Ep 3 · 2:16
clinicalIn interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally.↗
▶Ep 3 · 2:31
epidemiologicalMultiple 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
quotewhenever 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
epidemiologicalNo infections were associated with retained catheter fragments in studies with follow-up from months to 5 years.↗
▶Ep 3 · 2:42
epidemiologicalNo thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years.↗
Ian's statements about Colorectal / ARM & Hirschsprung1 statement
Esophagogastric Dissociation for GERD in Severe Neurodisability
▶Ep 4 · 1:01
host summaryIan Glenn summarizing a resource: In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery.↗
▶Ep 4 · 1:01
host summaryIan Glenn summarizing a resource: 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 · 1:13
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The esophagogastric dissociation group had a 4% operative failure rate.↗
▶Ep 4 · 1:13
host summaryIan Glenn summarizing a resource: The Nissen fundoplication group had a 21% operative failure rate.↗
▶Ep 4 · 1:21
host summaryIan Glenn summarizing a resource: The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications between groups was statistically significant.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery.↗
▶Ep 4 · 1:29
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups.↗
▶Ep 4 · 2:03
host summaryIan Glenn summarizing a resource: 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
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen.↗
▶Ep 6 · 1:01
host summaryIan Glenn summarizing a resource: Primary outcome was operative failure, defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery.↗
▶Ep 6 · 1:01
host summaryIan Glenn summarizing a resource: 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 · 1:13
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant.↗
▶Ep 6 · 1:23
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant.↗
▶Ep 6 · 1:39
host summaryIan Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference.↗
▶Ep 6 · 1:46
host summaryIan Glenn summarizing a resource: So there's no statistically significant difference there.↗
▶Ep 6 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:26
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations.↗
Summaries Ian gave as host · Gastroesophageal Reflux Disease28 summaries
Esophagogastric Dissociation for GERD in Severe Neurodisability
▶Ep 4 · 1:01
host summaryIan Glenn summarizing a resource: In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery.↗
▶Ep 4 · 1:01
host summaryIan Glenn summarizing a resource: 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 · 1:13
host summaryIan Glenn summarizing a resource: The esophagogastric dissociation group had a 4% operative failure rate.↗
▶Ep 4 · 1:13
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The Nissen fundoplication group had a 21% operative failure rate.↗
▶Ep 4 · 1:21
host summaryIan Glenn summarizing a resource: The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery.↗
▶Ep 4 · 1:23
host summaryIan Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications between groups was statistically significant.↗
▶Ep 4 · 1:29
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups.↗
▶Ep 4 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:26
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen.↗
▶Ep 6 · 1:01
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant.↗
▶Ep 6 · 1:23
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant.↗
▶Ep 6 · 1:39
host summaryIan Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference.↗
▶Ep 6 · 1:46
host summaryIan Glenn summarizing a resource: So there's no statistically significant difference there.↗
▶Ep 6 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:03
host summaryIan Glenn summarizing a resource: 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 · 2:26
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations.↗
Summaries Ian gave as host · Intussusception1 summary
host summaryIan Glenn summarizing the discussion: 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.↗
Summaries Ian gave as host · Intussusception1 summary
host summaryIan Glenn summarizing the discussion: 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.↗
Summaries Ian gave as host · Short Gut Syndrome1 summary
host summaryIan Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital.↗
Summaries Ian gave as host · Tracheomalacia30 summaries
host summaryIan Glenn summarizing a resource: 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 · 0:16
host summaryIan Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia.↗
▶Ep 1 · 0:35
host summaryIan Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect.↗
▶Ep 1 · 0:44
host summaryIan Glenn summarizing a resource: The authors distinguished between anterior compression (from the aortic arch) and posterior compression (collapse).↗
▶Ep 1 · 0:54
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF.↗
▶Ep 1 · 1:05
host summaryIan Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months.↗
▶Ep 1 · 1:15
host summaryIan Glenn summarizing a resource: Clinical symptoms including cough, barking cough, noisy breathing, and infections improved across the board.↗
▶Ep 1 · 1:25
host summaryIan Glenn summarizing a resource: Patients improved on bronchoscopic evaluation.↗
▶Ep 1 · 1:30
host summaryIan Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement.↗
▶Ep 1 · 1:35
host summaryIan Glenn summarizing a resource: I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease.↗
▶Ep 1 · 1:35
host summaryIan Glenn summarizing a resource: Tracheomalacia is not a homogeneous disease.↗
▶Ep 1 · 1:41
host summaryIan Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation.↗
▶Ep 1 · 1:45
host summaryIan Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both.↗
▶Ep 1 · 1:54
host summaryIan Glenn summarizing a resource: Approximately 20% of patients in the study required both posterior tracheopexy and aortopexy.↗
Posterior Tracheopexy For Severe Tracheomalacia
▶Ep 1 · 0:16
host summaryIan Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia.↗
▶Ep 1 · 0:24
host summaryIan Glenn summarizing a resource: The first author is Hester She and the last author is Russell Jennings.↗
▶Ep 1 · 0:28
host summaryIan Glenn summarizing a resource: The paper examined 98 patients who had severe tracheomalacia with posterior membranous intrusion.↗
▶Ep 1 · 0:35
host summaryIan Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect.↗
▶Ep 1 · 0:44
host summaryIan Glenn summarizing a resource: The study distinguished between anterior compression (from the aortic arch) and posterior compression (collapse).↗
▶Ep 1 · 0:54
host summaryIan Glenn summarizing a resource: 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 summaryIan Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months.↗
▶Ep 1 · 1:05
host summaryIan Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF.↗
▶Ep 1 · 1:15
host summaryIan Glenn summarizing a resource: Clinical symptoms improved pretty much across the board, including cough, barking cough, noisy breathing, and infections.↗
▶Ep 1 · 1:25
host summaryIan Glenn summarizing a resource: Patients improved on bronchoscopic evaluation.↗
▶Ep 1 · 1:30
host summaryIan Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement.↗
▶Ep 1 · 1:35
host summaryIan Glenn summarizing a resource: Tracheomalacia is not one homogeneous disease.↗
▶Ep 1 · 1:41
host summaryIan Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation.↗
▶Ep 1 · 1:45
host summaryIan Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both.↗
▶Ep 1 · 1:54
host summaryIan Glenn summarizing a resource: Almost 20% of patients in the study required both posterior tracheopexy and aortopexy.↗