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ALT CDH survival had been stuck at 70% for two decades. After a protocol overhaul at Cincinnati Children's, where did it land? Take a guess: __%. Make your call, then swipe right. Logo of Cincinnati Children's at the top.
ALT Answer slide reading "After 20 years of stasis, Cincinnati Children's just broke the 70% wall." CDH survival went from 70% to 80%, a 10-point increase after two decades of no movement. Made possible by Cincinnati Children's, with their logo displayed. Includes a "Swipe right" arrow.
ALT Slide titled "What They Changed: A system-by-system overhaul, Aug 2023 to Spring 2024." Lists six protocol changes: ventilator peak pressure capped at 22, ECMO earlier initiation if needed, repair at 12-24 hours on ECMO or days 4-8 off, BP support with hydrocortisone for every baby, feeds with TPN until baby can feed by mouth, and sedation as a scheduled drip rather than PRN. Philosophy: "Protect the lungs. Everything else falls in line." Made possible by Cincinnati Children's, with their logo displayed.
ALT Slide titled "The Results" comparing 99 old-cohort babies vs. 36 new-cohort babies: survival went from 70% to 80%, median ventilator time dropped about 50% to 9 days, and ECMO survival went from 70% to 55%. ECMO use was essentially unchanged (41% to 45%), indicating the improvement was not driven by more ECMO. Made possible by Cincinnati Children's, with their logo displayed.
ALT Alt text: An infographic titled "Bowel Neovagina Outcomes in Cloacal Malformation." It outlines problems and results related to bowel neovagina surgery. Key results include reviews of 40 patients with 67.5% receiving a colonic neovagina, and 30% a small bowel neovagina, with a median follow-up of 9.7 years. Complications like prolapse and stenosis repair, and bothersome discharge are noted. Importance is highlighted, indicating both graft types are viable with no significant difference in 30-day complications. The takeaway states bowel neovaginas as a suitable choice for patients when the native vagina is absent or cannot reach the perineum. The study source is Nationwide Children’s, cited as a retrospective study.
ALT Infographic titled "Comparison of Prenatal Lung Volume Measurements Associated with ECMO Utilization & Mortality in Congenital Diaphragmatic Hernia (CDH)." A retrospective cohort study from 2012-2023 involving 132 patients with left and right-sided CDH. Early gestation imaging median is 24.6 weeks; late is 32-34 weeks. Two key metrics: Observed-to-Expected Total Fetal Lung Volume (O/E TFLV) and Percent Predicted Lung Value (PPLV). O/E TFLV is the best predictor for ECMO need and mortality. PPLV is noted for left CDH and ECMO use in right CDH. Conclusion highlights MRI-based lung volume measurements for improved risk stratification. Includes logos for Cincinnati Children's and @StayCurrentMD.
ALT Blue promotional webinar graphic featuring a headshot of a smiling man in a suit on the left. Text reads: “2026 Laparoscopic Pediatric Hernia Repair – Interactive Webinar!” Presented by Todd Ponsky, MD, Professor of Surgery. Thursday, June 18th at 9 am – 11 am EST. Logos for GlobalCastMD, Cincinnati Children’s, and StayCurrentMD appear along the bottom.
ALT Promotional graphic for "Clinical & Research Update: Sarcoma," a case-based discussion on July 22, 2026, from 9:30-11 a.m. EST. Featured speakers: Roshni Dasgupta, MD, MPH (Professor, Director Surgical Oncology, Division of Pediatric General and Thoracic Surgery); Joseph Pressey, MD (Director, Musculoskeletal Tumor Center); Arthur B. Meyers, MD (Section Chief of Musculoskeletal Imaging, Department of Radiology and Medical Imaging); and Luke Pater, MD (Vice Chair for Clinical Affairs, Department of Radiation Oncology, Medical Director, Proton Therapy Center). Topics include metastatic Ewing's sarcoma, high-grade ovarian pathology, radical surgical interventions, and clinical success stories. Hosted by Cincinnati Children's.