SCCM Resource Library-Ultrasound Screening for Vocal Cord Dysfunction After Congenital Heart Surgery in Children

Ultrasound Screening for Vocal Cord Dysfunction After Congenital Heart Surgery in Children

Video Transcription

Video Summary

In this video, Niranjan Vijayakumar from Boston Children's Hospital presents their work on ultrasound screening for vocal cord dysfunction after congenital heart surgery in children. Feeding dysfunction is a common post-operative morbidity in these patients, often associated with vocal cord dysfunction. Early identification of vocal cord dysfunction can reduce resource utilization. The current gold standard for identification is fiberoptic endoscopy, but it has limitations. Vocal cord ultrasound is a non-invasive alternative that has shown promising results. The team implemented a clinical algorithm to identify patients at risk and performed vocal cord ultrasounds concomitantly with fiberoptic endoscopy. They found that vocal cord ultrasounds had a sensitivity of 98.6% and specificity of 97.5% in identifying vocal cord dysfunction. The ultrasounds were well-tolerated and had a lower incidence of complications compared to endoscopy. The team also discusses future directions, including using artificial intelligence for automated quantification of vocal cord dysfunction.

Asset Subtitle

Procedures, Pediatrics, 2023

Asset Caption

Type: star research | Star Research Presentations: Cardiovascular (SessionID 30001)

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Pediatrics

Membership Level Professional

Membership Level Select

Tag Ultrasound

Tag Pediatrics

Year 2023

Keywords

ultrasound screening

vocal cord dysfunction

congenital heart surgery

children

feeding dysfunction

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