Paul Yak

12 statements · 1 topic · summaries given as host listed separately

Featured statements

▶ Ep 17 · 1:40

why are we doing anything?

▶ Ep 17 · 4:25

At a hospital set up for neonatal surgery, presence of free air would not change management approach between drain and laparotomy because the baby could be transferred after either treatment

clinical · Necrotizing Enterocolitis

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Paul's statements about Necrotizing Enterocolitis 12 statements

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Update Course Rewind: Laparotomy Over PPD 2022

▶ Ep 17 · 0:50

quote how small is too small to do a laparotomy? ↗

▶ Ep 17 · 1:00

clinical The NEST trial cutoff was around a kilogram for laparotomy safety ↗

▶ Ep 17 · 1:40

quote why are we doing anything? ↗

▶ Ep 17 · 3:00

clinical Surgeons are offering surgery to patients at lower and lower gestational age and size every year ↗

▶ Ep 17 · 3:40

quote If the baby's going to die, they'll die with their laparotomy or a drain. If the baby's going to survive, they'll survive to at least 24 to 48 hours with a laparotomy or a drain, maybe. ↗

▶ Ep 17 · 3:50

opinion For survival outcomes in NEC, the difference between laparotomy and drainage is still not 100% clear based on NEST trial and other evidence ↗

▶ Ep 17 · 4:00

opinion For neurodevelopmental outcomes in NEC, the evidence favoring laparotomy over drainage is clearer than for survival ↗

▶ Ep 17 · 4:05

clinical A drain can buy time for further discussions and decision-making in borderline cases ↗

▶ Ep 17 · 4:15

opinion Working with the neonatology team on the decision to operate is prudent ↗

▶ Ep 17 · 4:25

clinical At a hospital set up for neonatal surgery, presence of free air would not change management approach between drain and laparotomy because the baby could be transferred after either treatment ↗

▶ Ep 17 · 4:40

opinion Neonatology is surviving younger and younger infants, creating a widening gap between what neonatology can survive and what surgery should be doing ↗

▶ Ep 17 · 4:50

quote what they can survive is different than what we should be doing ↗

Summaries Paul gave as host · 4 summaries

Recaps of other experts' statements, not Paul's own clinical position.

Summaries Paul gave as host · Necrotizing Enterocolitis 4 summaries

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Update Course Rewind: Laparotomy Over PPD 2022

▶ Ep 17 · 2:00

host summary Paul Yak summarizing a resource: More recent data from a prospective but non-randomized cohort study from the NICHD Neonatal Research Network showed no difference in survival, intestinal strictures, or intra-abdominal abscesses between laparotomy and drainage ↗

▶ Ep 17 · 2:20

host summary Paul Yak summarizing a resource: NICHD data showed a potential improvement in long-term neurodevelopmental outcomes with laparotomy over drainage ↗

▶ Ep 17 · 2:50

host summary Paul Yak summarizing a resource: About 38% of patients who underwent initial laparotomy developed neurodevelopmental impairment ↗

▶ Ep 17 · 2:55

host summary Paul Yak summarizing a resource: About 68% of patients who underwent primary peritoneal drainage developed later neurodevelopmental impairment ↗