Update Course Rewind 2025: ECMO Cannulation in ECPR: Neck vs. Femoral Approach in Pediatric Patients

This GlobalCastMD video features Lizzy Lee, PA-C from Cincinnati Children's, along with Drs. Juan Gurria and David Rothstein, discussing the critical decision of neck versus femoral cannulation in pediatric ECPR. They explore the nuanced factors influencing the optimal cannulation site, including patient size, anatomy, clinical condition, and potential risks like stroke and limb ischemia. The debate also covers vessel management post-ECMO, highlighting the importance of long-term surveillance for vascular integrity. To learn more about Pediatric Surgery at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/service/s/surgery

Explore the critical question of pediatric ECPR candidacy with Dr. Juan Gurria from Cincinnati Children's and Dr. David Rothstein from Seattle Children's Hospital. This video defines ECPR as extra corporeal cardiopulmonary resuscitation, highlighting its role as a temporary heart and lung support (ECMO) to treat reversible causes of cardiac arrest. Learn about key considerations for patient selection, including likelihood of recovery, underlying disease treatability, resource allocation, and long-term follow-up. To learn more about Pediatric Surgery at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/service/s/surgery

Discover essential strategies for successful ECPR (Extracorporeal Cardiopulmonary Resuscitation) in pediatric patients. This video, featuring Dr. Juan Gurria from Cincinnati Children's and Dr. David Rothstein from Seattle Children's, emphasizes pre-arrest preparation, simulation, early ECMO team activation, and real-time CPR quality measurement. Learn how multidisciplinary team coordination and avoiding compression pauses can improve patient outcomes during critical cardiac events. This content is part of the 13th Annual Pediatric Surgery Update Course. To learn more about Pediatric Surgery at Cincinnati Children's, click here: https://www.cincinnatichildrens.org/service/s/surgery

This educational video provides a comprehensive overview of craniosynostosis, detailing the anatomy of infant skull sutures and their role in brain growth. Dr. Jesse Skoch, a Pediatric Neurosurgeon at Cincinnati Children's, explains Virchow's Law, distinguishing between different types of premature suture fusion and their impact on head shape. The video also covers diagnostic methods, including the importance of physical examination and 3D CT scans, as well as considerations for surgical timing and risk of elevated intracranial pressure. To watch the full video, visit here; https://library.globalcastmd.com/watch/craniosynostosis-explained-infant-skull-sutures-growth-diagnosis-treatment-with-15871For more information on the Plastic Surgery team at CCHMC, visit here: https://www.cincinnatichildrens.org/service/p/plastic For more information on the Cleft and Craniofacial Center at CCHMC, visit here: https://www.cincinnatichildrens.org/service/c/craniofacial

This video, featuring Dr. Juan Gurria from Cincinnati Children's, discusses surgical interventions for chronic pancreatitis in children. It covers indications for surgery, various treatment options like drainage and resection, and the complex considerations for genetic and hereditary forms of the disease. A key focus is on Total Pancreatectomy with Islet Auto-Transplant (TPIAT), including its procedure, benefits in pain and opioid reduction, and management of potential complications like gastroparesis and thrombosis. To learn more about the Pancreas Care Center at Cincinnati Children's, visit this website: https://www.cincinnatichildrens.org/service/p/pancreas-care To learn more about Dr. Juan Gurria, visit this website: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

This video, featuring Dr. Juan Gurria from Cincinnati Children's, discusses the complications of pancreatitis in children, focusing on pancreatic fluid collections and the transition to chronic pancreatitis. It explains the Atlanta classification for acute fluid collections, pseudocysts, and walled-off necrosis, emphasizing a cautious approach to drainage. Additionally, Dr. Gurria outlines diagnostic criteria for chronic pancreatitis and its various long-term sequelae. To learn more about the Pancreas Care Center at Cincinnati Children's, visit this website: https://www.cincinnatichildrens.org/service/p/pancreas-care To learn more about Dr. Juan Gurria, visit this website: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

This video, featuring Dr. Juan Gurria from Cincinnati Children's, discusses the acute management of pancreatitis in children. It covers critical aspects like early enteral nutrition to maintain gut integrity, the appropriate use of intravenous fluids, and the step-up approach for surgical intervention in necrotizing pancreatitis. Learn why 'rest the pancreas' is an outdated concept and how modern practices focus on protecting the gut and minimizing invasive procedures. To learn more about the Pancreas Care Center at Cincinnati Children's, visit this website: https://www.cincinnatichildrens.org/service/p/pancreas-care To learn more about Dr. Juan Gurria, visit this website: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

Dr. Juan Gurria from Cincinnati Children's discusses pancreatitis in children, detailing diagnostic criteria including clinical symptoms, elevated serum lipase, and imaging like MRI with MRCP. He emphasizes that pediatric pancreatitis has different etiologies than in adults, focusing on anatomical abnormalities, trauma, medications, and crucially, genetic mutations. The video highlights the PRSS1 gene mutation and its aggressive impact on young patients, increasing their risk for pancreatic cancer. To learn more about the Pancreas Care Center at Cincinnati Children's, visit this website: https://www.cincinnatichildrens.org/service/p/pancreas-care To learn more about Dr. Juan Gurria, visit this website: https://www.cincinnatichildrens.org/bio/g/juan-pablo-gurria

Learn the procedural aspects of Fetoscopic Endoluminal Tracheal Occlusion (FETO) with Beth Rymeski, DO, a Pediatric Surgeon from Cincinnati Children's. This video details the steps of using a fetoscope to insert and inflate a balloon in the fetal trachea, a technique designed to prevent pulmonary hypoplasia in congenital diaphragmatic hernia (CDH) babies by promoting lung expansion. Witness real-life intraoperative footage demonstrating navigation challenges and balloon placement strategies during this complex fetal intervention.

This video presents a complex case of severe Congenital Diaphragmatic Hernia (CDH) managed with Fetal Endoscopic Tracheal Occlusion (FETO). Dr. Beth Rymeski from Cincinnati Children's discusses the prenatal diagnosis, the FETO procedure, and the challenging postnatal course. The case highlights unexpected congenital anomalies found at birth despite extensive prenatal imaging and the limitations of current diagnostic and interventional approaches.