Quick Literature Updates Episode 16

Connecticut Children's Medical Center implemented an algorithm for managing esophageal button batteries in 2019 that includes activating the critical airway response team.

The Brent et al. study compared patients presenting with esophageal button batteries before algorithm implementation (2015-2019) to those after implementation (2019-2022).

There was a significant reduction in time from chest X-ray to OR for button battery removal after implementing the new algorithm at Connecticut Children's.

The McMaster University team performed a retrospective review of infants born between 2014 and 2022 with uncomplicated gastroschisis.

Infants with uncomplicated gastroschisis who received exclusive breast milk had similar outcomes to those with supplemental or exclusive formula intake.

In uncomplicated gastroschisis, there were no significant differences between exclusive breast milk and formula groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis, and length of hospital stay.

The Phoenix study by Lie et al. was a retrospective single institution study from 2017 to 2021 comparing patients who underwent Nuss procedure with cryoanalgesia in the first quarter versus the fourth quarter of their experience.

The Phoenix study included 350 patients who underwent Nuss procedure with cryoanalgesia.

Patients in the last quarter of the Phoenix cryoablation experience were discharged 1.3 days earlier than patients in the first quarter.

Patients in the last quarter of the Phoenix cryoablation experience required 74% less opioids than those in the first quarter.

Experience plays a role in outcomes when using cryoanalgesia for Nuss procedures.