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1. Machine Learning Applied to Registry Data: Development of a Patient-Specific Prediction Model for Blood Transfusion Requirements During Craniofacial Surgery Using the Pediatric Craniofacial Perioperative Registry Dataset

Author

Jalali, Ali, Lonsdale, Hannah, Zamora, Lillian V., Ahumada, Luis, Nguyen, Anh Thy H., Rehman, Mohamed, Fackler, James, Stricker, Paul A., Fernandez, Allison M., Abruzzese, Christopher, Apuya, Jesus, Bhandari, Angelina, Beethe, Amy, Benzon, Hubert, Binstock, Wendy, Bradford, Victoria, Brzenski, Alyssa, Budac, Stefan, Busso, Veronica, Chhabada, Surendrasingh, Chiao, Franklin, Cladis, Franklyn, Claypool, Danielle, Collins, Michael, Correll, Lynnie, Costandi, Andrew, Dabek, Rachel, Dalesio, Nicholas, Echeverry, Piedad, Falcon, Ricardo, Fernandez, Patrick, Fiadjoe, John, Gangadharan, Meera, Gentry, Katherine, Glover, Chris, Goobie, Susan M., Gosman, Amanda, Grivoyannis, Anastasia, Grap, Shannon, Gries, Heike, Griffin, Allison, Hajduk, John, Haas, Thorsten, Hall, Rebecca, Hansen, Jennifer, Hetmaniuk, Mali, Homi, H. Mayumi, Hsieh, Vincent, Huang, Henry, Ingelmo, Pablo, Ivanova, Iskra, Jain, Ranu, Kanmanthreddy, Siri, Kars, Michelle, King, Mike, Koller, John, Kowalczyk-Derderian, Courtney, Kugler, Jane, Labovsky, Kristen, Lakheeram, Indrani, Lazar, Alina, Lee, Andrew, Lee, Jennifer, Luis Martinez, Jose, Masel, Brian, Mason, Aaron, Medellin, Eduardo, Mehta, Vivek, Meier, Petra, Mitzel Levy, Heather, Muhly, Wallis T., Muldowney, Bridget, Nelson, Jonathon, Nicholson, Julie, Nguyen, Kim-Phuong, Nguyen, Thanh, Owens-Stubblefield, Margaret, Pankratz, Matt, Ramesh Parekh, Uma, Patel, Jasmine, Patel, Roshan, Perez-Pradilla, Carolina, Petersen, Timothy, Post, Julian, Poteet-Schwartz, Kim, Ranganathan, Pavithra, Reddy, Srijaya, Reid, Russell, Ricketts, Karene, Rodgers McCormick, Megan, Ryan, Laura, Sbrollini, Kaitlyn, Seidman, Peggy, Singh, Davinder, Singhal, Neil R., Skitt, Rochelle, Soneru, Codruta, Sorial, Emad, Spitznagel, Rachel, Stubbeman, Bobbie, Sunder, Rani, Sung, Wai, Syed, Tariq, Szmuk, Peter, Taicher, Brad M., Taylor, Jenna, Thompson, Douglas, Tretault, Lisa, Ungar-Kastner, Galit, Wieser, John, Wong, Karen, and Yates, Hannah

Published
2021
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2. The Pediatric Craniofacial Collaborative Group (PCCG) Consensus Conference Methodology

Author

Derderian, Courtney K., primary, Derderian, Christopher A., additional, Fernandez, Allison, additional, Glover, Chris D., additional, Goobie, Susan, additional, Hansen, Jennifer K., additional, King, Michael, additional, Kugler, Jane, additional, Lang, Shih‐Shan, additional, Meier‐Haran, Petra, additional, Nelson, Olivia, additional, Reddy, Srijaya K., additional, Reid, Russell, additional, Ricketts, Karene, additional, Rottgers, Stephen A., additional, Singh, Davinder, additional, Szmuk, Peter, additional, Taicher, Brad M., additional, Taylor, Jesse, additional, Stricker, Paul A., additional, Abruzzese, Christopher, additional, Bhandari, Angelina, additional, Beethe, Amy, additional, Benzon, Hubert, additional, Binstock, Wendy, additional, Bradford, Victoria, additional, Bradley, James, additional, Brzenski, Alyssa, additional, Budac, Stefan, additional, Busso, Veronica, additional, Chhabada, Surendrasingh, additional, Chiao, Franklin, additional, Cladis, Franklyn, additional, Claypool, Danielle, additional, Collins, Michael, additional, Correll, Lynnie, additional, Costandi, Andrew, additional, Dabek, Rachel, additional, Dalesio, Nicholas, additional, Echeverry, Piedad, additional, Edala, Thejovathi, additional, Falcon, Ricardo, additional, Fernandez, Patrick, additional, Fiadjoe, John, additional, Gangadharan, Meera, additional, Glover, Chris, additional, Goobie, Susan M., additional, Gosman, Amanda, additional, Grivoyannis, Anastasia, additional, Grap, Shannon, additional, Gries, Heike, additional, Griffin, Allison, additional, Hajduk, John, additional, Haas, Thorsten, additional, Hall, Rebecca, additional, Hansen, Jennifer, additional, Hetmaniuk, Mali, additional, Homi, Hercilia M., additional, Hsieh, Vincent, additional, Huang, Henry, additional, Ingelmo, Pablo, additional, Ivanova, Iskra, additional, Jain, Ranu, additional, Kanmanthreddy, Siri, additional, Kars, Michelle, additional, King, Mike, additional, Koller, John, additional, Kowalczyk‐Derderian, Courtney, additional, Labovsky, Kristen, additional, Lakheeram, Indrani, additional, Lazar, Alina, additional, Lee, Andrew, additional, Lee, Jennifer, additional, Martinez, Jose Luis, additional, Mason, Aaron, additional, Medellin, Eduardo, additional, Mehta, Vivek, additional, Meier, Petra, additional, Mitzel Levy, Heather, additional, Muhly, Wallis T., additional, Muldowney, Bridget, additional, Nelson, Jonathon, additional, Nicholson, Julie, additional, Nguyen, Kim‐Phuong, additional, Nguyen, Thanh, additional, Owens‐Stubblefield, Margaret, additional, Pankratz, Matt, additional, Ramesh Parekh, Uma, additional, Patel, Jasmine, additional, Patel, Roshan, additional, Patel, Vikram, additional, Perez‐Pradilla, Carolina, additional, Petersen, Timothy, additional, Post, Julian, additional, Poteet‐Schwartz, Kim, additional, Ranganathan, Pavithra, additional, Reddy, Srijaya, additional, Rodgers McCormick, Megan, additional, Ryan, Laura, additional, Sbrollini, Kaitlyn, additional, Seidman, Peggy, additional, Singhal, Neil R., additional, Skitt, Rochelle, additional, Soneru, Codruta, additional, Sorial, Emad, additional, Spitznagel, Rachel, additional, Stricker, Paul, additional, Stubbeman, Bobbie, additional, Sunder, Rani, additional, Sung, Wai, additional, Syed, Tariq, additional, Taylor, Jenna, additional, Taylor, Kimberly, additional, Thompson, Douglas, additional, Ungar‐Kastner, Galit, additional, Wong, Karen, additional, Yates, Hannah, additional, and Zamora, Lillian, additional

Published
2020
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3. Continuous Epidural Analgesia Versus Continuous Peripheral Nerve Block in Unilateral Lower Extremity Pediatric Orthopedic Surgery: A Matched Case Comparison Study.

Author

Vij N, Singhal NR, Trif D, Llanes A, Fanharawi A, Pankratz M, Khanna S, and Belthur M

Abstract

Introduction Continuous epidural analgesia (CEA) provides effective postoperative pain relief but includes a substantial side effect profile. Continuous peripheral nerve blocks (CPNBs) have fewer side effects and may quicken ambulation. The purpose of this study was to compare the morphine milligram equivalents (MMEs), need for analgesic rescue, visual analog scale (VAS) pain scores, time to ambulation, postoperative blood pressures, length of stay (LOS), and adverse event rates. Methods This was a matched case comparison study of pediatric patients (ages 8-17) undergoing unilateral lower limb surgery (41 CEA and 36 CPNB). Patients with a history of chronic pain, previous lower extremity surgery, and developmental delay were excluded. The Chi-square test and Student's t-test were used, and p-values < 0.05 were considered significant. Results There were no statistically significant differences in demographics or the American Society of Anesthesiologists (ASA) grade. There were no significant differences in postoperative MMEs, the need for analgesic rescue, or VAS scores on any postoperative day. The CEA group had a longer time to ambulation (2.56 ± 0.93 days versus 1.89 ± 0.69 days, p = 0.004). The CEA group demonstrated a higher number of days of systolic hypotension (0.61 ± 0.97 mmHg versus 0.06 ± 0.23 mmHg, p = 0.0009) and diastolic hypotension (1.90 ± 1.24 mmHg versus 1.00 ± 0.93 mmHg, p = 0.0006). There were no significant differences in the length of stay between the CEA and CPNB groups (5.08 versus 4.24, p = 0.28). There was no statistically significant difference between the rates of pruritus, light-headedness, and altered mental status. The CEA group demonstrated higher rates of nausea (51.2% versus 13.9%, p = 0.001), constipation (36.6% versus 8.3%, p = 0.004), urinary retention (9.8% versus 0%, p = 0.006), and average number of minor adverse events per patient (1.02 versus 0.25, p = 0.002). Conclusions CPNBs and CEAs demonstrate equivalent postoperative opioid use after unilateral lower extremity surgery in the pediatric population. In our population, a low complication rate and a decreased time to ambulation were seen in the CPNB group. There may be certain select scenarios priorly managed with a CEA that can be appropriately managed with a CPNB. A prospective multicenter study incorporating patient satisfaction data could further facilitate the incorporation of CPNB in pediatric pain management protocols after orthopedic surgery., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Vij et al.)

Published
2023
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