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2022 Pediatric Surgery Update Course – APSA PDC Updates

In this session, members of the APSA Professional Development Committee (PDC) discussed the latest top articles and practice updates. We were joined by Drs. Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder.

Topics and articles discussed:

1. Implicit/explicit bias
https://publications.aap.org/pediatrics/article/148/6/e2021052758/183384/Microaggressions-Privileged-Observers-Duty-to-Act

2. Fetal tracheal occlusion (FETO) for congenital diaphragmatic hernia (CDH)
https://www.nejm.org/doi/full/10.1056/NEJMoa2027030

https://www.nejm.org/doi/full/10.1056/NEJMoa2026983

https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/pd.5859

3. Preoperative fasting guidelines
https://www.euroespa.com/science-education/specialized-sections/espa-guidelines

https://www.asahq.org/standards-and-guidelines

4. Intraoperative radiation safety
https://pssjournal.biomedcentral.com/articles/10.1186/s13037-016-0115-8

https://www.imagewisely.org/imaging-modalities/fluoroscopy/modern-imaging-systems

5. CT evaluation of suspected airway foreign body
https://www.sciencedirect.com/science/article/pii/S0022346819306979

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1442-200X.2010.03299.x

https://link.springer.com/article/10.1007/s10140-020-01764-7

6. Congenital lung lesions
https://publications.aap.org/pediatrics/article/147/4/e2020028357/180814/Pleuropulmonary-Blastoma-in-Pediatric-Lung-Lesions

https://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.29032

7. Antibiotics in complicated appendicitis
https://www.ingentaconnect.com/content/wk/sla/2021/00000274/00000006/art00379

https://journals.lww.com/annalsofsurgery/Fulltext/2021/09000/IMPPACT__Intravenous_Monotherapy_for_Postoperative.2.aspx

8. Mechanical bowel preparation
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001544.pub4/full

https://jamanetwork.com/journals/jamasurgery/article-abstract/1654849

https://journals.lww.com/annalsofsurgery/FullText/2013/03000/Antibiotic_Choice_Is_Independently_Associated_With.15.aspx

9. NEST trial for necrotizing enterocolitis
https://journals.lww.com/annalsofsurgery/fulltext/2021/10000/initial_laparotomy_versus_peritoneal_drainage_in.27.aspx

10. Neuroblastoma staging
https://www.ingentaconnect.com/content/wk/jco/2021/00000039/00000029/art00005

00:00 Introduction
01:54 Implicit/explicit bias
06:47 Fetal tracheal occlusion (FETO) for congenital diaphragmatic hernia (CDH)
13:10 Preoperative fasting guidelines
18:17 Intraoperative radiation safety
32:37 CT evaluation of suspected airway foreign body
37:40 Congenital lung lesions
47:24 Antibiotics in complicated appendicitis
49:47 Mechanical bowel preparation
51:29 NEST trial for necrotizing enterocolitis
61:37 Neuroblastoma staging

The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know!

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