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7. Same-day discharge for pediatric laparoscopic gastrostomy

Author

Dekonenko, Charlene, Svetanoff, Wendy Jo, Osuchukwu, Obiyo O., Pierce, Amy L., Orrick, Beth A., Sayers, Kristen L., Rentea, Rebecca M., Aguayo, Pablo, Fraser, Jason D., Juang, David, Hendrickson, Richard J., Snyder, Charles L., Andrews, Walter S., St. Peter, Shawn D., and Oyetunji, Tolulope A.

Published
2021
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10. Parental Reports on Gastrostomy Tube Feeds: Blenderized Versus Nonblenderized Formula.

Author

Cruz-Centeno, Nelimar, Fraser, James A., Stewart, Shai, Oyetunji, Tolulope A., St. Peter, Shawn D., and Hendrickson, Richard J.

Subjects
SATISFACTION, PARENT attitudes, DESCRIPTIVE statistics, CHI-squared test, ENTERAL feeding, ELEMENTAL diet, CAREGIVERS, DATA analysis software, FEEDING tubes
Abstract

The article presents the discussion on blended feeds were recognized to be much more viscous than formula, raising concern for tube obstructions. Topics include gastrostomy tube placement is among the most common procedures in the pediatric population; and nutrition service can arrange to evaluate and provide recommendations for the patient on the day of surgery.

Published
2024
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11. Peritoneal Access

Author

Hendrickson, Richard J., Andrews, Walter S., Warady, Bradley A, editor, Schaefer, Franz, editor, and Alexander, Steven R., editor

Published
2017
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17. Hepatic artery thrombosis and use of anticoagulants and antiplatelet agents in pediatric liver transplantation.

Author

Feldman, Keith, Heble, Daniel E., Hendrickson, Richard J., and Fischer, Ryan T.

Subjects
HEPATIC artery, ANTICOAGULANTS, LIVER transplantation, PLATELET aggregation inhibitors, HOMOGRAFTS, HEALTH information systems, KIDNEY transplantation
Abstract

Background: Hepatic artery thrombosis (HAT) is a reported complication of 5%–10% of pediatric liver transplantations, rates 3–4 times that seen in adults. Early HAT (seen within 14 days after transplant) can lead to severe allograft damage and possible urgent re‐transplantation. In this report, we present our analysis of HAT in pediatric liver transplant from a national clinical database and examine the association of HAT with anticoagulant or antiplatelet medication administered in the post‐operative period. Methods: Data were obtained from the Pediatric Health Information System database maintained by the Children's Hospital Association. For each liver transplant recipient identified in a 10‐year period, diagnosis, demographic, and medication data were collected and analyzed. Results: Our findings showed an average rate of HAT of 6.3% across 31 centers. Anticoagulant and antiplatelet medication strategies varied distinctly among and even within centers, likely due to the fact there are no consensus guidelines. Notably, in centers with similar medication usage, HAT rates continue to vary. At the patient level, use of aspirin within the first 72 h of transplantation was associated with a decreased risk of HAT, consistent with other reports in the literature. Conclusion: We suggest that concerted efforts to standardize anticoagulation approaches in pediatric liver transplant may be of benefit in the prevention of HAT. A prospective multi‐institutional study of regimen—possibly including aspirin—following transplantation could have significant value. [ABSTRACT FROM AUTHOR]

Published
2024
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21. Duodenal Atresia Repair: A Single-Center Comparative Study

Author

Cruz-Centeno, Nelimar, primary, Stewart, Shai, additional, Marlor, Derek R, additional, Aguayo, Pablo, additional, Rentea, Rebecca M, additional, Hendrickson, Richard J, additional, Juang, David, additional, Snyder, Charles L, additional, Fraser, Jason D, additional, St Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2023
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22. Hypertrophic Pyloric Stenosis Protocol: A Single Center Study

Author

Cruz-Centeno, Nelimar, primary, Fraser, James A., additional, Stewart, Shai, additional, Marlor, Derek R., additional, Rentea, Rebecca M., additional, Aguayo, Pablo, additional, Juang, David, additional, Hendrickson, Richard J., additional, Snyder, Charles L., additional, St Peter, Shawn D., additional, Fraser, Jason D., additional, and Oyetunji, Tolulope A., additional

Published
2023
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23. Exchange of Extracorporeal Membrane Oxygenation Cannulas for Hemodialysis Catheters in Children Requiring Renal Replacement Therapy

Author

Cruz-Centeno, Nelimar, Stewart, Shai, Marlor, Derek R., Rivard, Douglas C., Daniel, John M., Oyetunji, Tolulope A., and Hendrickson, Richard J.

Abstract

Background Pediatric patients requiring extracorporeal membrane oxygenation (ECMO) may require renal replacement therapy even after decannulation. However, data regarding transition from ECMO cannulation to a hemodialysis catheter in pediatric patients is not currently available.Methods Patients <18 years old who had an ECMO cannula exchanged for a hemodialysis catheter during decannulation at a tertiary care children’s center from January 2011 to September 2022 were identified. Data was collected from the electronic medical record.Results A total of 10 patients were included. The cohort was predominantly male (80.0%, n = 8) with a median age of 1 day (IQR 1.0, 24.0). All ECMO cannulations were veno-arterial in the right common carotid artery and internal jugular vein. The median time on ECMO was 8.5 days (IQR 6.0, 15.0). One patient had the venous cannula exchanged for a tunneled hemodialysis catheter during decannulation, two were transitioned to peritoneal dialysis, and seven had the temporary hemodialysis catheter converted to a tunneled catheter by Interventional Radiology (when permanent access was required) at a median time of 10 days (IQR 8.0, 12.5). Of these 7 patients, 28.6% (n = 2) developed catheter-associated infection within 30 days of replacement, with one requiring catheter replacement. Transient bloodstream infection occurred in 10.0% (n = 1) within 30 days of ECMO cannula exchange.Conclusion Venous ECMO cannula exchange for a hemodialysis catheter in children requiring renal replacement therapy after decannulation is possible as a bridge to a permanent hemodialysis or peritoneal catheter if renal function does not recover, while supporting vein preservation.

Published
2024
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24. INSTITUTIONAL OUTCOMES OF BLUNT LIVER & SPLENIC INJURY IN THE ATOMAC ERA

Author

Stewart, Shai, primary, Fraser, James A., additional, Shah, Neal, additional, Rentea, Rebecca M., additional, Aguayo, Pablo, additional, Juang, David, additional, Fraser, Jason D., additional, Snyder, Charles L., additional, Hendrickson, Richard J., additional, St. Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2023
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27. Laparoscopic Gastrostomy in Infants During an Open Abdominal Procedure: A Novel Approach

Author

Stewart, Shai, primary, Briggs, Kayla B., additional, Fraser, James A., additional, Dekonenko, Charlene, additional, Svetanoff, Wendy Jo, additional, Rentea, Rebecca M., additional, Aguayo, Pablo, additional, Juang, David, additional, Hendrickson, Richard J., additional, Snyder, Charles L., additional, St Peter, Shawn D., additional, Oyetunji, Tolulope A., additional, and Fraser, Jason D., additional

Published
2022
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28. Outpatient Botulinum Injections for Early Obstructive Symptoms in Patients with Hirschsprung Disease

Author

Svetanoff, Wendy Jo, primary, Briggs, Kayla, additional, Fraser, James A., additional, Lopez, Joseph, additional, Fraser, Jason D., additional, Juang, David, additional, Aguayo, Pablo, additional, Hendrickson, Richard J., additional, Snyder, Charles L., additional, Oyetunji, Tolulope A., additional, St. Peter, Shawn D., additional, and Rentea, Rebecca M., additional

Published
2022
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29. Review of Perioperative Prophylactic Antibiotic Use during Laparoscopic Cholecystectomy and Subsequent Surgical Site Infection Development at a Single Children's Hospital

Author

Briggs, Kayla B., additional, Fraser, James A., additional, Svetanoff, Wendy Jo, additional, Staszak, Jessica K., additional, Snyder, Charles L., additional, Aguayo, Pablo, additional, Juang, David, additional, Rentea, Rebecca M., additional, Hendrickson, Richard J., additional, Fraser, Jason D., additional, St Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2021
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30. Behind the mask: extended use of surgical masks is not associated with increased risk of surgical site infection

Author

Fraser, James A., primary, Briggs, Kayla B., additional, Svetanoff, Wendy Jo, additional, Rentea, Rebecca M., additional, Aguayo, Pablo, additional, Juang, David, additional, Fraser, Jason D., additional, Snyder, Charles L., additional, Hendrickson, Richard J., additional, St. Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2021
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35. A Single Institution Experience with Laparoscopic Hernia Repair in 500 Children

Author

Svetanoff, Wendy Jo, primary, Dekonenko, Charlene, additional, Osuchukwu, Obiyo, additional, Hill, Joshua, additional, Rentea, Rebecca M., additional, Juang, David, additional, Snyder, Charles L., additional, Hendrickson, Richard J., additional, Aguayo, Pablo, additional, Fraser, Jason D., additional, St. Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2021
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36. Same-Day Discharge for Pediatric Laparoscopic Gastrostomy

Author

Briggs, Kayla B., primary, Dekonenko, Charlene, additional, Svetanoff, Wendy Jo, additional, Pierce, Amy L., additional, Orrick, Beth A., additional, Sayers, Kristen L., additional, Rentea, Rebecca M., additional, Aguayo, Pablo, additional, Fraser, Jason D., additional, Juang, David, additional, Hendrickson, Richard J., additional, Snyder, Charles L., additional, Andrews, Walter S., additional, St. Peter, Shawn D., additional, and Oyetunji, Tolulope A., additional

Published
2021
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37. Tisagenlecleucel infusion in patients with relapsed/refractory ALL and concurrent serious infection

Author

Hall, Erin M, primary, Yin, Dwight E, additional, Goyal, Rakesh K, additional, Ahmed, Atif A, additional, Mitchell, Grace S, additional, St. Peter, Shawn D, additional, Flatt, Terrie G, additional, Ahmed, Ibrahim A, additional, Li, Weijie, additional, Hendrickson, Richard J, additional, August, Keith J, additional, and Myers, G Doug, additional

Published
2021
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42. Contributors

Author

Abernathy, Brett B., primary, Alexander, Jason Q., additional, Altman, David, additional, Andersen, Nancy C., additional, Anderson, Benjamin O., additional, Babu, Ashok N., additional, Bak, Thomas E., additional, Barnett, Carlton C., additional, Baumgartner, Joel, additional, Baxter, Bernard Timothy, additional, Beauchamp, Kathryn, additional, Belshaw, Allen T., additional, Bensard, Denis D., additional, Biffl, Walter L., additional, Bir, Natasha D., additional, Brew, Elizabeth C., additional, Brinckerhoff, Laurence H., additional, Brown, Jamie M., additional, Cain, Mark P., additional, Calhoun, Kristine E., additional, Callahan, Brian P., additional, Campsen, Jeffrey, additional, Cannon, Anne, additional, Chammas, Mario F., additional, Ciesla, David J., additional, Cleveland, Joseph C., additional, Cothren, C. Clay, additional, Crisostomo, Paul R., additional, Cureton, Elizabeth L., additional, DiMatteo, Laura, additional, Ereso, Alexander Q., additional, Fenoglio, Michael E., additional, Finlayson, Christina A., additional, Fullerton, David A., additional, Geelhoed, Glenn W., additional, Gonzalez, Ricardo J., additional, Gurunluoglu, Raffi, additional, Ha, Richard-Tien V., additional, Haenel, James B., additional, Harken, Alden H., additional, Harken, Tabetha R., additional, Hendrickson, Richard J., additional, Imhoff, Laurel R., additional, Jamshidi, Ramin, additional, Johnson, Jeffrey L., additional, Jones, Darrell N., additional, Jordan, Janeen R., additional, Judkins, Sarah, additional, Karrer, Frederick M., additional, Kashuk, Jeffry L., additional, Keith, Jarrod N., additional, Kim, Fernando J., additional, Kimm, G. Edward, additional, Kulungowski, Ann Marie, additional, Lackey, Adam H., additional, Lepore, Michael L., additional, Liscum, Kathleen R., additional, Luckey, Andrew E., additional, Majure, Joyce A., additional, McCarter, Martin D., additional, McIntyre, Robert C., additional, McMillan, Nadia, additional, McQuiggan, Margaret M., additional, Meacham, Randall B., additional, Meldrum, Daniel R., additional, Meldrum, Kirstan K., additional, Merkow, Ryan P., additional, Moore, Ernest E., additional, Moore, Frederick A., additional, Morgan, Steven J., additional, Nehler, Mark R., additional, Nguyen, Tony T., additional, Norton, Lawrence W., additional, Nydam, Trevor L., additional, Ozer, Kagan, additional, Parsa, Cyrus J., additional, Partrick, David A., additional, Pearlman, Nathan W., additional, Peltz, Erik, additional, Peterson, Steven L., additional, Pomerantz, Marvin, additional, Rabb, Craig H., additional, Raeburn, Christopher D., additional, Reece, T. Brett, additional, Rehring, Thomas F., additional, Ridge, John A., additional, Roach, Jonathan P., additional, Robinson, Thomas N., additional, Roland, Christina L., additional, Rueda, Carlos A., additional, Selzman, Craig H., additional, Singh, Amandeep, additional, Smith, Wade R., additional, Stein, David E., additional, Stiegmann, Gregory V., additional, Stitzenberg, Karyn, additional, Swift, U. Mini B., additional, Vanni, Alex J., additional, Victorino, Gregory P., additional, Whitehill, Thomas A., additional, Worth, Jennifer M., additional, Wright, Franklin L., additional, and Zimmerman, Michael, additional

Published
2009
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43. 30 Years of Flipping the Coin—Heads or Tails?

Author

Svetanoff, Wendy Jo, additional, Dorman, Robert M., additional, Dekonenko, Charlene, additional, Osuchukwu, Obiyo O., additional, Hendrickson, Richard J., additional, Fraser, Jason D., additional, Oyetunji, Tolulope A., additional, and St Peter, Shawn D., additional

Published
2020
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46. Review of Perioperative Prophylactic Antibiotic Use during Laparoscopic Cholecystectomy and Subsequent Surgical Site Infection Development at a Single Children's Hospital.

Author

Briggs, Kayla B., Fraser, James A., Svetanoff, Wendy Jo, Staszak, Jessica K., Snyder, Charles L., Aguayo, Pablo, Juang, David, Rentea, Rebecca M., Hendrickson, Richard J., Fraser, Jason D., St Peter, Shawn D., and Oyetunji, Tolulope A.

Subjects
SURGICAL site infections, CHILDREN'S hospitals, CHOLECYSTECTOMY, CHILD development, LAPAROSCOPIC surgery, ANTIBIOTICS
Abstract

Objectives:  With the rise of antibiotic resistance, the use of prophylactic preoperative antibiotics (PPA) has been questioned in cases with low rates of surgical site infection (SSI). We report PPA usage and SSI rates after elective laparoscopic cholecystectomy at our institution.Materials and Methods:  A retrospective review of children younger than 18 years who underwent elective outpatient laparoscopic cholecystectomy between July 2010 and August 2020 was performed. Demographic, preoperative work-up, antibiotic use, intraoperative characteristics, and SSI data were collected via chart review. SSI was defined as clinical signs of infection that required antibiotics within 30 days of surgery.Results:  A total of 502 patients met the inclusion criteria; 50% were preoperatively diagnosed with symptomatic cholelithiasis, 47% with biliary dyskinesia, 2% with hyperkinetic gallbladder, and 1% with gallbladder polyp(s). The majority were female (78%) and Caucasian (80%). In total, 60% (n = 301) of patients received PPA, while 40% (n = 201) did not; 1.3% (n = 4) of those who received PPA developed SSI, compared with 5.5% (n = 11) of those who did not receive PPA (p = 0.01). Though PPA use was associated with a 77% reduction in the risk of SSI in multivariate analysis (p = 0.01), all SSIs were superficial. One child required readmission for intravenous antibiotics, while the remainder were treated with outpatient antibiotics. Gender, age, body mass index, ethnicity, and preoperative diagnosis did not influence the likelihood of receiving PPA.Conclusion:  Given the relatively low morbidity of the superficial SSI, conservative use of PPA is advised to avoid contributing to antibiotic resistance. [ABSTRACT FROM AUTHOR]

Published
2022
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50. Image of the Month

Author

Hendrickson, Richard J., Killackey, Mary T., Watson, Thomas J., Johnstone, David W., and Feins, Richard H.

Published
2004

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