Timothy Lautz

35 statements · 1 topic

Featured statements

▶ Ep 52 · 1:13
You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly.
quote · Pectus Excavatum
▶ Ep 52 · 2:52
We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze.
quote · Pectus Excavatum

Nothing matches these filters — clear the search or widen the filters.

Timothy's statements about Pectus Excavatum 35 statements

Open the Pectus Excavatum collection →

Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024

▶ Ep 52 · 0:54
quote We're gonna talk about some of the basics, some of the benefits in thoracotomy, and the novel uses, especially if you start to use percutaneous applications of cryo. ↗
▶ Ep 52 · 1:13
quote You wanna stay far enough posterior, but you also want to stay off of the sympathetic chains so you can visualize this very clearly. ↗
▶ Ep 52 · 1:19
clinical The freeze causes axonal degeneration while the epineurium stays intact ↗
▶ Ep 52 · 1:19
quote You're getting axonal degeneration by the freeze, but at the same time, the epineurium is staying intact. ↗
▶ Ep 52 · 1:47
quote I'm hoping I can convince you that cryo is a really good tool here. ↗
▶ Ep 52 · 1:51
opinion Epidurals are invasive procedures that take time and may or may not be left in fully ↗
▶ Ep 52 · 1:51
quote Epidurals are wonderful, but it is an invasive procedure that takes time, and you may or may not be leaving it fully. ↗
▶ Ep 52 · 2:05
quote We're doing a muscle sparing thoracotomy and then an open direct application of the cryoprobe. ↗
▶ Ep 52 · 2:10
clinical Dr. Lotz's group has performed 300 thoracotomy cases with cryoanalgesia and seen great results ↗
▶ Ep 52 · 2:10
quote We've done 300 attracure cases, and we've seen great results. ↗
▶ Ep 52 · 2:17
clinical For thoracotomies, cryoprobe should be applied 1 to 2 levels above and below the thoracotomy ↗
▶ Ep 52 · 2:17
quote We're going 1 to 2 levels above and below the thoracotomy. ↗
▶ Ep 52 · 2:20
quote You have to be a little bit careful about getting too low. ↗
▶ Ep 52 · 2:32
clinical 60 seconds of cryoprobe application is sufficient ↗
▶ Ep 52 · 2:32
quote 60 seconds is sufficient. ↗
▶ Ep 52 · 2:33
quote We also do temporary intercostal nerve blocks to help for those 1st 8 hours before it sets in. ↗
▶ Ep 52 · 2:33
clinical Temporary intercostal nerve blocks are used to help for the first 8 hours before cryoanalgesia sets in ↗
▶ Ep 52 · 2:39
quote We're using the standard probe down to age 3. ↗
▶ Ep 52 · 2:39
clinical Standard cryoprobe can be used down to age 3 ↗
▶ Ep 52 · 2:42
clinical Dr. Lotz's group has performed cryoanalgesia in children down to about 18 months ↗
▶ Ep 52 · 2:42
quote We've done kids down to about 18 months. ↗
▶ Ep 52 · 2:52
clinical In smaller children, a retractor must hold skin away because limited chest wall musculature could result in skin freeze ↗
▶ Ep 52 · 2:52
quote We get a retractor in and hold the skin away because there's not a lot of chest wall musculature and you could get some skin freeze. ↗
▶ Ep 52 · 3:09
quote So the benefits is there's no epidural, there's no Foley, they're getting up and moving right away. ↗
▶ Ep 52 · 3:09
clinical With cryoanalgesia, patients do not need epidural or Foley catheter and can get up and move right away ↗
▶ Ep 52 · 3:13
quote The pulmonary toilet has been great. ↗
▶ Ep 52 · 3:13
opinion Pulmonary toilet has been great with cryoanalgesia ↗
▶ Ep 52 · 3:15
quote We did a comparison in our group and we saw a 2 to 3-fold reduction in narcotic use during the hospitalization. ↗
▶ Ep 52 · 3:15
clinical Dr. Lotz's group saw a 2 to 3-fold reduction in narcotic use during hospitalization with cryoanalgesia ↗
▶ Ep 52 · 3:28
quote This was our data. ↗
▶ Ep 52 · 3:29
quote We compared what their results were compared to all of the routine group, which was just IV pain med only, but also compared to those that had regional block. ↗
▶ Ep 52 · 3:37
clinical In Dr. Lotz's study, 23 thoracotomies received cryoanalgesia ↗
▶ Ep 52 · 3:37
quote In this study, we had 23 thoracotomies who had cryo. ↗
▶ Ep 52 · 3:50
clinical Dr. Lotz's group now uses cryoanalgesia for all thoracotomies except neonatal cases ↗
▶ Ep 52 · 3:50
quote So 137 versus 533, we're using a lot less opioid, other than our neonatal thoracotomies, and we've gone to using this all the time. ↗