Latest Updates

Evaluation and Management of Cleft Lip and Palate

    •  Lip Taping and nasoalveolar molding pre-operatively can greatly improve surgical outcomes.
    • 3-Dimensional printing used to make nasoalveolar molding appliances

Shock

    • Early recognition of shock is difficult but essential for preservation of cellular and organ function and survival. The earliest clinical signs are nonspecific, with the initial inflammatory response including tachycardia, fevers, or cool or clammy skin. 
    • The approach to shock ultimately requires understanding and correcting its etiology (eg, antibiotics and source control for sepsis, thrombectomy after massive pulmonary embolus, hemorrhage control after trauma, and so forth). However, until these are diagnosed and addressed directly, clinicians ultimately have three approaches in their armamentarium: volume expansion, vasopressors, and cardioactive agents.
    • The PAC was introduced in 1970. Its use increased over the next 3 decades and eventually was considered the standard of care for most critically ill patients. However, the use of PACs declined rapidly after the results of the randomized, controlled trial published in the New England Journal of Medicine revealing no benefit in high-risk surgical patients.

Cardiac System

    • Contemporary understanding of ventricular mechanics with identification of the structure and function of the ventricular myocardial band
    • Detailed description of the anatomic proximity of cardiac structures and how knowledge of this proximity helps prevent intraoperative complications and damage to critical cardiac structures
    • Comprehensive description of aortic root anatomy and mechanics and application of how this anatomy dictates performance of transcatheter aortic valve replacement  

Cardiac System

    • Contemporary understanding of ventricular mechanics with identification of the structure and function of the ventricular myocardial band
    • Detailed description of the anatomic proximity of cardiac structures and how knowledge of this proximity helps prevent intraoperative complications and damage to critical cardiac structures
    • Comprehensive description of aortic root anatomy and mechanics and application of how this anatomy dictates performance of transcatheter aortic valve replacement  

Cardiac System

    • Contemporary understanding of ventricular mechanics with identification of the structure and function of the ventricular myocardial band
    • Detailed description of the anatomic proximity of cardiac structures and how knowledge of this proximity helps prevent intraoperative complications and damage to critical cardiac structures
    • Comprehensive description of aortic root anatomy and mechanics and application of how this anatomy dictates performance of transcatheter aortic valve replacement  

Cardiac System

    • Contemporary understanding of ventricular mechanics with identification of the structure and function of the ventricular myocardial band
    • Detailed description of the anatomic proximity of cardiac structures and how knowledge of this proximity helps prevent intraoperative complications and damage to critical cardiac structures
    • Comprehensive description of aortic root anatomy and mechanics and application of how this anatomy dictates performance of transcatheter aortic valve replacement  

Cardiac System

    • Contemporary understanding of ventricular mechanics with identification of the structure and function of the ventricular myocardial band
    • Detailed description of the anatomic proximity of cardiac structures and how knowledge of this proximity helps prevent intraoperative complications and damage to critical cardiac structures
    • Comprehensive description of aortic root anatomy and mechanics and application of how this anatomy dictates performance of transcatheter aortic valve replacement  

Lip, Cheek, & Scalp Reconstruction

    • Indocyanine green based fluorescent imaging to assess vascular perfusion
    • Allograft dermal skin regeneration: Acellular dermal regeneration templates
    • Microvascular techniques for larger, deeper defects with skin and color matching
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