Publications by authors named "Fari Fall"
Article Synopsis
- The obesity epidemic has increased the need for metabolic and bariatric surgery (MBS) among adolescents, but there's limited data on the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols for improving outcomes.
- A comprehensive ERAS pathway was implemented for adolescents undergoing laparoscopic sleeve gastrectomy (LSG), focusing on pre-operative carbohydrate loading, pain management, and early mobilization; various outcome measures were tracked.
- Results showed that the post-ERAS group had significant improvements in time to oral intake, lower usage of rescue anti-emetics, and shorter hospital stays compared to the pre-ERAS group, while overall opioid use and post-operative pain levels remained unaffected.
Background: Regional anesthetic techniques are safe and effective in reducing pain and the need for opioid analgesia but may be underutilized in neonatal intensive care unit (NICU) patients. We developed an opioid stewardship pathway aimed at reducing the use of opioid analgesia in neonates by increasing caudal block utilization from a baseline of 50%-90% within 18 months.
Methods: We used control charts to track intra-operative opioid utilization in morphine milligram equivalents per kilogram (MME/kg) and immediate post-operative extubation rates.
Article Synopsis
- The study investigates the outcomes of minimally invasive surgery (MIS) compared to open surgery for repairing esophageal atresia/tracheoesophageal fistula (EA/TEF) in neonates, utilizing data from 2013 to 2020.
- A total of 1,738 neonates were analyzed, revealing that although MIS use increased over time, it was linked to longer surgical times and higher rates of overall postoperative interventions.
- Despite these findings, there was no significant difference in overall morbidity between the two surgical approaches, suggesting a need for further research to assess the long-term effects of MIS on EA/TEF repairs.
Background: The liver is the most common organ injured in blunt abdominal trauma and makes up roughly 5% of all trauma admissions. Current treatments are invasive and resource-intensive, which may delay care. We aim to develop and validate a contrast-enhanced ultrasound (CEUS)guided noninvasive tool to treat liver lacerations at the bedside.
View Article and Find Full Text PDFPeer Support to Promote Surgeon Well-being: The APSA Program Experience.
J Pediatr Surg
September 2024
Background: Peer support programs have evolved to train physicians to provide outreach and emotional first aid to their colleagues when they experience the inevitable challenge of a serious adverse event, whether or not it is related to a medical error. Most pediatric surgeons have experienced the trauma of a medical error, yet, in a survey of APSA membership, almost half said that no one reached out to them, and few were satisfied with their institution's response to the error. Thus, the APSA Wellness Committee developed an APSA-based peer support program to meet this need.
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