Alejandro V. Garcia

Robotic median arcuate ligament release in a pediatric surgery center

Stephen Niemiec, Alejandro V. Garcia

PURPOSE: Median arcuate ligament syndrome is characterized by chronic abdominal pain due to compression and neurofibrosis of the celiac trunk. While it frequently presents in adulthood, adolescents can be affected. The syndrome is often treated with an open median arcuate ligament release. …

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Bivalirudin use and Outcomes in Neonates With Congenital Diaphragmatic Hernia Managed With Extracorporeal Life Support

Anne M. Sescleifer, Charbel Chidiac, Zane J. Hellmann, Katherine M. McDermott et autres

OBJECTIVE: To examine national trends in bivalirudin use among neonates with congenital diaphragmatic hernia (CDH) supported with extracorporeal membrane oxygenation (ECMO) and to evaluate its association with mortality and morbidity. SUMMARY BACKGROUND DATA: Preliminary data suggest that first-line anticoagulation of the ECMO …

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Characteristics, management, and outcomes of perioperative cardiac arrest in children undergoing noncardiac surgery procedures: a scoping review

Anisha Nadkarni, Hwang Lc, Donald H. Shaffner, Alejandro V. Garcia et autres

Introduction: The primary goal of this scoping review was to create a comprehensive synthesis of the characteristics, management, and outcomes of perioperative CA events in children undergoing noncardiac surgery. Methods: We conducted electronic searches of PubMed, Embase, and Scopus in February 2024, …

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Exploring hospital volume thresholds for improved sarcoma treatment across different age categories in the United States

Charbel Chidiac, Paul Phan, Katherine M. McDermott, Christine A. Pratilas et autres

INTRODUCTION: Sarcoma management is complex, requiring multidisciplinary care. Previous studies show improved outcomes at high-volume hospitals (HVHs), but optimal volume thresholds remain unclear. The aim was to identify hospital volume thresholds associated with improved survival for sarcoma patients across age groups. METHODS: …

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Point of care ultrasound in pediatric trauma

Erik Su, Alejandro V. Garcia

Point-of-care ultrasound (POCUS) is a critical diagnostic and procedural tool in pediatric trauma care, offering rapid, non-invasive imaging for real-time decision-making. Its applications range from the FAST exam for assessing hemoperitoneum to lung ultrasound for identifying pleural pathology and cardiac imaging for …

Pinpointing a social determinant of surgical disease: the impact of language-concordant care on outcomes for trauma patients

Zachary Obinna Enumah, Latoya A. Stewart, Alejandro V. Garcia

Culturally dexterous and concordant care has emerged as a topic of utmost importance in delivering quality care, including trauma patients in the USA. Numerous studies have demonstrated that approaches considering a patient’s preferred language and culture lead to improved trust and outcomes.1–3 …

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Revisiting Inhaled Nitric Oxide Utilization in Congenital Diaphragmatic Hernia: A National Cohort Study of Major Children’s Hospitals in the United States

Anne M. Sescleifer, Charbel Chidiac, Zane J. Hellmann, Katherine M. McDermott et autres

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Inequities in Pediatric Cancer: Unveiling the Impact of Social Determinants of Health on Survival

Charbel Chidiac, Pallavi Menon, Mark B. Slidell, Shaun M. Kunisaki et autres

BACKGROUND: The implications of sociodemographic factors across a wide range of pediatric cancers remain unclear. This study aims to assess the impact of social determinants of health (SDOH) on the survival rates of children diagnosed with cancer. METHODS: This retrospective cohort study …

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Diversity, Equity and Inclusion: Where Do We Go From Here?

Alejandro V. Garcia

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How We Do It: Video-Based Assessment Conference for Intraoperative Decision Making in Pediatric Surgery

Mitchell G. Bryski, Mollie Freedman-Weiss, Stephen Niemiec, Samuel M. Alaish et autres

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IBD Staging Operations for Children Undergoing Total Colectomy for Ulcerative Colitis: Do They All Need a 3-Stage Approach?

Sophia Y. Chen, Alejandro V. Garcia

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Extracorporeal Membrane Oxygenation Use in Pediatric Trauma: A Report From the National Trauma Data Bank

Mahmoud G El Baassiri, Eric Etchill, Charbel Chidiac, Yara Menassa et autres

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