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Innovations in the Management of Pectus Deformities – A Holistic Approach

Aired on 9.29.2015
FREE
Innovations in the Management of Pectus Deformities – A Holistic Approach
Join the multidisciplinary team from the Cincinnati Children’s Hospital Pectus Program as they discuss holistic and innovative approaches to the management of pectus deformities including preoperative assessment and imaging, advances in operative techniques for both primary and redo or complex cases of pectus excavatum in both pediatric and adult patients, management of complications, postoperative pain management, and enhancing the overall patient/family experience. The symposium will be broadcast live to a virtual audience from Cincinnati, OH. This 4 hour symposium is designed to give an update on the management of pectus deformities in both children and adults through case based presentations and faculty discussion and debate. An expert, multidisciplinary panel dedicated to the care of patients with pectus deformities will include pediatric and adult surgeons, radiologists, cardiologists, geneticists, anesthesiology pain team, advanced nurse practitioners, and a patient/family who has undergone the procedure. Audience and faculty engagement and interaction is encouraged through live chat, polling questions, and phone in question and answers sessions throughout the show.

Description

The team from the Cincinnati Children’s Hospital Pectus Program will be discussing holistic and innovative approaches to the management of pectus deformities including preoperative assessment and imaging, advances in operative techniques for both primary and redo or complex cases of pectus excavatum in both pediatric and adult patients, management of complications, postoperative pain management, and enhancing the overall patient/family experience. The symposium will be broadcast live to a virtual audience from Cincinnati, OH. This 4 hour symposium is designed to give an update on the management of pectus deformities in both children and adults through case based presentations and faculty discussion and debate. An expert, multidisciplinary panel dedicated to the care of patients with pectus deformities will include pediatric and adult surgeons, radiologists, cardiologists, geneticists, anesthesiology pain team, advanced nurse practitioners, and a patient/family who have undergone the procedure.

Directors & Faculty

Directors

Victor F. Garcia, MD, FACS, FAAP

Founding Director, Trauma Services,Professor, UC Department of Surgery Victor Garcia, MD, graduated from West Point, the University of Pennsylvania School of Medicine, studied pediatric surgery under C. Everett Koop, and was Walter Reed’s chief of General/Pediatric Surgery. Vic founded Children’s Trauma Center and led the effort to establish the country’s first Pediatric Weight Loss Surgery Center.  For his ongoing work to eliminate childhood health and social disparities, he has received numerous awards and commendations to include the Martin Luther King Humanitarian Award and the National Jefferson Award. Vic has an uncompromising belief in the power of systems thinking and stakeholder engagement to solve society’s most intractable problems.

Rebeccah L. Brown, MD

Dr. Brown is the Associate Director of Trauma Services at Cincinnati Children’s Hospital Medical Center and is Associate Professor of Clinical Surgery and Pediatrics at the University of Cincinnati College of Medicine. She is Director and Co-Founder of the Buckle Up for Life program, a community-based motor vehicle injury prevention program addressing disparities in the Hispanic and African-American communities which is funded through a grant from Toyota. Her research interests lie in trauma and injury prevention.


Additional Faculty

Cole Goodridge, Former Patient

Currently a senior nursing student at Northern Kentucky University and works as a patient care assistant for Cincinnati Children's Vascular Access Team.  Cole had a reconstructive Nuss Procedure performed at the age of 21 years old to correct an earlier surgery when he was a toddler. Due to this procedure, he feels he has never been better, both physically or mentally. 

Staci Loer-Fisher, RN, BSN, LMT

Staci Loer-Fisher, BSN, RN, LMT, has practiced Integrative Care modalities for over 10 years in private practice and in the hospital setting. She is now the primary care provider of alternative modalities with post-operative Pectus Excavatum, Transplant, GI, and Colorectal patients. Staci brings her knowledge of nursing care theories, evidence based practice and expertise of alternative/complementary modalities as an adjunct to the excellent care she provides to patients at CCHMC.

Jaimie Joosten

Physical Therapist I, Division of Occupational Therapy and Physical Therapy

Emily J. McKenna, MSN, APRN, FNP

Nurse Practitioner, Division of Pediatric General and Thoracic Surgery

Christina A. Bates, MSN, APRN, CPNP

Nurse Practitioner, Division of General and Thoracic Surgery

Senthilkumar Sadhasivam, MD, MPH

Dr. Sadhasivam is a Professor at The UC Department of Anesthesia with interests in Pediatric pain management; regional anesthesia; clinical research on improving perioperative outcomes.

Derek E. Neilson, MD

Dr. Neilson studies genetic contributions to the disorder acute necrotizing encephalopathy (ANE), in which children are predisposed to devastating neurologic injury following common infections. Research involving families with recurrent ANE has revealed a candidate gene which is now being studied in mouse and cellular models.

Eric J. Crotty, MD

Eric J. Crotty, PhD, was raised in Cork, Ireland and received his MB, BCh, BAO degree from the University of College Cork, graduating in 1990. Having worked for three years in pediatrics, he undertook a radiology residency program from 1995 to 1999. Subsequently he did a fellowship year in thoracic imaging at Duke University Medical Center, from July 1999 to June 2000, followed by a pediatric radiology fellowship year at Cincinnati Children's Hospital Medical Center from July 2000 to June 2001. He later joined the staff at Cincinnati Children's. He currently is the program director of the Pediatric Radiology Fellowship Program. His interests include education, and cardio thoracic imaging.

Michael D. Taylor, MD

Michael Taylor, MD, joined the Heart Institute in July, 2010 as the director of Advanced Imaging Innovation. He was previously the director of cardiac magnetic resonance at Texas Children’s Hospital in Houston. Dr. Taylor has expertise in cardiac magnetic resonance imaging, positron emission tomography and computed tomography. He has a dual appointment in the Cincinnati Children's Hospital Medical Center Imaging Research Center, an interdisciplinary facility of advanced imaging faculty with dedicated clinical and pre-clinical imaging equipment.

Todd Ponsky, MD

Associate professor of surgery and pediatrics at Akron Children's Hospital, in Akron, OH. Currently Associate Professor of Surgery and Pediatrics and a Pediatric Surgeon at Akron Children's Hospital. Dr. Ponsky attended Medical School at Case Western Reserve University in Cleveland, Ohio from 1995-1999, Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007, and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008.

Dawn E. Jaroszewski, MD

Dr. Jaroszewski is a member of the American Medical Association, American College of Surgeons, International Society for Minimally Invasive Cardiothoracic Surgery and investigator for National Institutes of Health, National Cancer Institute and manuscript reviewer for the Annals of Thoracic Surgery, Innovations: Technology & Techniques in Cardiothoracic and Vascular Surgery, Journal of Emergencies, Trauma and Shock.

Agenda

8:00 am - 8:15 am
Introduction of Panelists

8:15 am - 9:15 am
Preoperative Assessment
Cardiology Evaluation (Michael Taylor), Genetics Evaluation (Derek Neilson), Radiology Evaluation (Eric Crotty), Allergy Testing (Victor Garcia, Rebeccah Brown, Dawn Jaroszewski)





9:15 am - 10:15 am
Surgical Innovations



10:15 am - 10:30 am
BREAK
10:30 am - 11:15 am
Pain Management
Pain Management (Victor Garcia, Rebeccah Brown, Derek Neilson, Senthilkumar Sadhasivam), Holistic Healing/Massage (Staci Loer-Fisher), Physical Therapy (Jaimie Joosten)





11:15 am - 11:45 am
Patient/Family Education and Preparation



11:45 am - 12:00 pm
Patient Experience

Topics Covered

  • Holistic care approach – multidisciplinary team approach
  • Preoperative assessment
    • Cardiac MRI as imaging modality of choice
    • Screening for connective tissue disorders – evaluation by Genetics and Cardiology
    • Metal allergy testing
  • Collaboration with pain service
    • Preoperative genetic testing
    • Preoperative preparation
    • Epidural vs PCA for postoperative pain management
  • Enhancing the experience – healing touch, massage, physical therapy
  • Patient education/preparation.
  • Patient/Family Experience

Objectives

1. Describe the holistic, multidisciplinary approach used by the pectus team to treat pectus deformities in both children and adults
2. Discuss the preoperative assessment of pectus deformities
3. Discuss the role of cardiac MRI as the imaging modality of choice for pectus deformities
4. Discuss the screening for and assessment of associated connective tissue diseases in patients with pectus deformities
5. Discuss the importance of preoperative metal allergy testing
6. Discuss innovative techniques for repair of pectus deformities in both pediatric and adults patients for both primary and redo or complex cases
7. Discuss management of complications of pectus surgery
8. Discuss novel approaches to preoperative preparation and postoperative pain management
9. Discuss pros and cons of epidural versus PCA pain management
10. Discuss novel adjuncts to enhance the patient experience
​11. Discuss the importance of patient education prior to surgery

Accreditation Statement

Medical Education to provide continuing medical education for physicians. Cincinnati Children’s designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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