Latest Updates

Evaluation and Treatment of Pediatric Obesity

Nirav K Desai, Samir Softic
    • 2017 Pediatric Obesity-Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practive Guideline
    • 2017 NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children: recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN)

Pancreatic and Adrenal Disorders and Considerations

Jill Yaung, MD
    • Although diabetes mellitus is a frequent disease encountered in the intensive care unit, critically ill patients may have other reasons for glycemic dysfunction.
    • Hyperglycemia may cause multisystem dysfunction and poor outcomes, including increased in-hospital mortality. Hypoglycemia and glucose variability are both independent risk factors for increased mortality.
    • Adrenal insufficiency in critically ill patients without preexisting adrenal disease is known as critical illness-related corticosteroid insufficiency.

Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum

Jon C. Gould, MD, FACS, Kathleen Simon, MD
    • Decreasing pain at access incisions
    • Multi-modal pain management, TAPP block, opioid sparing analgesia.
    • Heated, humidified CO2.

Neuroendocrine Tumors

Daniel A Anaya, MD, Jason B Fleming, MD, Benjamin D Powers, MD

    Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum

    Jon C. Gould, MD, FACS, Kathleen Simon, MD
      • Decreasing pain at access incisions
      • Multi-modal pain management, TAPP block, opioid sparing analgesia.
      • Heated, humidified CO2.

    Anesthetic Management of Intracranial Aneurysms

    Matthew J Hammer, MD, Laura B Hemmer, MD, FASA
      • Endovascular techniques for aneurysm obliteration have increased in popularity. Aneurysm management decisions are best made by a multidisciplinary team, with choice of therapy that considers factors such as the aneurysm’s size, growth, anatomic location, patient’s age, and presence of concomitant intracranial vascular pathologies.
      • Motor-evoked potential monitoring is being increasingly added to the neuromonitoring regimen for intracranial aneurysm clipping. It serves as a real-time monitor of ischemic injury and can impact decision-making in aneurysm surgery.
      • Intraoperative video-angiography is an alternative to the gold-standard method of digital subtraction angiography to assess aneurysm clip placement and surrounding vessel patency. Intraoperative videoangiography most often uses indocyanine green as the dye.
      • Intravenously administered adenosine has emerged both as an alternative to proximal temporary arterial occlusion (such as when proximal temporary arterial occlusion is impractical or unsafe due to small surgical corridors or nearby perforating arteries) and as a rescue maneuver to aid in surgical field visualization during inadvertent intraoperative aneurysm rupture.

    Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum

    Jon C. Gould, MD, FACS, Kathleen Simon, MD
      • Decreasing pain at access incisions
      • Multi-modal pain management, TAPP block, opioid sparing analgesia.
      • Heated, humidified CO2.

    Medical Management of Erectile Dysfunction

    Laith M Alzweri, MD, MRCS, FECSM, Matthew G Cowper, BS, Andrew T Gabrielson, BA, Wayne J Hellstrom, MD, FACS
      • PDE-5 inhibitors remain the gold-standard first-line treatment for erectile dysfunction.
      • Patients who fail pharmacologic therapy may opt for vacuum-assist device, intracavernosal injections, or intraurethral suppository.
      • New regeneration therapies (stem cell, low-intensity shockwave treatment, platelet-rich plasma) have been shown to reconstitute damaged vasculature and endothelium within the corpora cavernosa in animal models; however, human studies are lacking.
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