Publications by authors named "J Scaife"
Background: Cleft repair remains a contentious issue in craniofacial surgery, especially regarding the optimal timing and techniques. This study aims to present our institutions' current protocol for cleft lip and palate repair, including alveolar bone grafting (ABG).
Methods: A total of 17 patients (20 clefts) treated with the latest protocol from 2016 to 2023 were evaluated.
Article Synopsis
- The Utah Pediatric Trauma Network (UPTN), formed in 2019, aimed to improve pediatric trauma care and assess the reduction in preventable transfer (PT) rates among its participating hospitals.
- A study analyzed children transferred to a Level I Pediatric Trauma Center from 2013 to 2023, finding that 34 out of 46 hospitals saw a decrease in PT rates post-UTPN, with an overall median decrease of 7%.
- Although many hospitals improved, smaller hospitals with lower transfer volumes struggled to reduce PT rates, indicating a need for targeted interventions in these facilities.
Article Synopsis
- The study evaluated the impact of switching from paravertebral nerve blocks (PVBs) to intercostal nerve cryoablation (INC) for pain management after minimally invasive repair of pectus excavatum (MIRPE) at a pediatric center from 2018 to 2023.
- A total of 255 patients were analyzed, showing that while INC led to longer operative times, it significantly reduced the length of hospital stay and both inpatient and outpatient opioid prescriptions.
- The findings suggest that INC effectively decreases opioid use after MIRPE without increasing complication rates, marking a positive change in the postoperative care approach.
Article Synopsis
- The study investigates the outcomes of high-grade renal trauma in kids, finding low intervention rates after initial treatment, which questions the need for routine urology consultations.
- A retrospective review of 92 pediatric patients experiencing severe renal injuries was conducted, revealing that only 6.5% required inpatient renal procedures and 60% had follow-ups with urologists.
- With minimal outpatient interventions and a low percentage requiring antihypertensive medications, the authors suggest that follow-up care could be managed by trauma clinics or general providers instead of routine urology visits.
Introduction: Imaging guidelines recommend an ultrasound (US)-first approach to evaluate appendicitis to minimize radiation. However, the association between US and computed tomography (CT) utilization remains unclear. We aimed to determine how increased US utilization correlated with the rate of CT evaluation of pediatric acute appendicitis.
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