Latest Updates

Pediatric Lower Respiratory Tract Emergencies: Bronchiolitis, Pneumonia, and Asthma

    • Bronchiolitis is a clinical diagnosis; supportive therapy including supplemental oxygen, hydration, and nutrition are key.
    • Prematurity, young age, and underlying medical comorbidities predispose patients to severe bronchiolitis.
    • Knowledge of the different pathogens affecting children of various ages paramount to best antibiotic choice
    • Thorough history on patients presenting to the emergency department with asthma symptoms should be obtained; children with significant respiratory distress, hypoxia, suboptimal response to therapy, or poor social situation should be admitted.
    • Current guidelines recommend increasing medical management in a stepwise fashion based on level of control.

Nonobstetric Surgery during Pregnancy: An Overview for Anesthesia Providers

    • We provide a review of the physiologic changes during pregnancy and how they might affect non-obstetric surgery in parturients.
    • We discuss pharmacology as is pertinent in parturients undergoing non-obstetric surgery.
    • Specific considerations for parturients undergoing laparoscopy, trauma or non-obstetric gynecologic surgery are made. 

Nonobstetric Surgery during Pregnancy: An Overview for Anesthesia Providers

    • We provide a review of the physiologic changes during pregnancy and how they might affect non-obstetric surgery in parturients.
    • We discuss pharmacology as is pertinent in parturients undergoing non-obstetric surgery.
    • Specific considerations for parturients undergoing laparoscopy, trauma or non-obstetric gynecologic surgery are made. 

Pain and Chemical Dependency

Sanford M Silverman, MD
    • The use of buprenorphine to treat opioid dependence and pain
    • Epidemiology on prescription drug abuse
    • Comprehensive risk mitigation and exit strategies for pain practitioners using opioids to manage pain

Upper Airway Disorders

Seth Gemme, MD, Robert Partridge, MD, MPH, DTMH , Lawrence Proano, MD, DTMH
    • Randomized controlled trial has shown benefit of topical Tranexamic acid in the control of anterior epistaxis
    • Monoclonal antibody treatment is being studied for treatment of chronic sinusitis
    • Systematic review of adjunct steroid use in peri-tonsillar abscess shows this treatment may result in more rapid recovery
    • Research suggests dexamethasone therapy and/or budesonide aerosols may reduce airway obstruction in epiglottitis
    • Recent seasonal influenza epidemics have shown that acute parotitis is associated with acute influenza A infection

Upper Airway Disorders

Seth Gemme, MD, Robert Partridge, MD, MPH, DTMH , Lawrence Proano, MD, DTMH
    • Randomized controlled trial has shown benefit of topical Tranexamic acid in the control of anterior epistaxis
    • Monoclonal antibody treatment is being studied for treatment of chronic sinusitis
    • Systematic review of adjunct steroid use in peri-tonsillar abscess shows this treatment may result in more rapid recovery
    • Research suggests dexamethasone therapy and/or budesonide aerosols may reduce airway obstruction in epiglottitis
    • Recent seasonal influenza epidemics have shown that acute parotitis is associated with acute influenza A infection

Upper Airway Disorders

Seth Gemme, MD, Robert Partridge, MD, MPH, DTMH , Lawrence Proano, MD, DTMH
    • Randomized controlled trial has shown benefit of topical Tranexamic acid in the control of anterior epistaxis
    • Monoclonal antibody treatment is being studied for treatment of chronic sinusitis
    • Systematic review of adjunct steroid use in peri-tonsillar abscess shows this treatment may result in more rapid recovery
    • Research suggests dexamethasone therapy and/or budesonide aerosols may reduce airway obstruction in epiglottitis
    • Recent seasonal influenza epidemics have shown that acute parotitis is associated with acute influenza A infection

Management of Neuroendocrine Tumors of the Pancreas

Robert CG Martin II, MD, PhD, FACS
    • Endonucleation and minimally invasive techniques are continually investigated for management in subsets of PNETs, providing lower incidence of complications, shorter operative time, and faster recovery.
    • Gene expression biomarkers can be employed for prognostication, possibly playing a role in determining approach to management. For instance, ARX/PDX1, ATRX/DAXX and ALT genes show prognostic value in NF PNETS, including those smaller than 2 cm.
    • Recent evidence suggests that more aggressive indication for surgery may be necessary for certain subets of PNET between 1 cm to 2 cm. Up to 11% of NF PNETs exhibit distant metastasis, suggesting that watchful waiting and follow-up are not optimal approaches to these patients.
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