Podcasts about 20fr

In this episode, Dr. Aaron Fritts interviews Dr. Christopher Beck about gastrostomy tubes, including the evolution of his method, tips for patients who pull their tubes out, and why g-tubes are such a controversial topic in IR. --- CHECK OUT OUR SPONSOR Laurel Road for Doctors https://www.laurelroad.com/healthcare-banking/ --- SHOW NOTES We begin by discussing indications and contraindications for gastrostomy tubes. Frequent indications are stroke patients, head and neck cancer patients, and trauma patients. Contraindications include uncorrectable coagulopathy, ascites, peritoneal carcinomatosis, or something interposed between the abdominal wall and the stomach, such as liver or bowel. Dr. Beck prefers having imaging to review, which most patients have. If no prior imaging is available, he will get a non-contrast CT abdomen the day of the procedure. He likes all his patients to drink barium for visualization of bowel during the procedure, but will not cancel the procedure if they didn't drink it, as the insufflation should move bowel out of the way and there should be enough bowel gas to identify and avoid the bowel. Next, Dr. Beck reviews the details of his method. He likes to use monitored anesthesia care (MAC), because frequently he has patients with bad Mallampati scores. Additionally, anesthesia is very helpful with NG placement. Furthermore, it makes the procedure much more comfortable for the patient. He always checks liver margins with ultrasound prior to starting the procedure. He always gives 1 mg glucagon before insufflation and antibiotics per the SIR Guidelines App. As for equipment, he uses t-fasteners from Avanos, a dilator set, and a 20Fr G-tube. He used to start with 16Fr but found he frequently had to size up to a 20Fr. He uses a 24Fr peel away sheath. For the procedure, he insufflates, marks his entry point with a hemostat, and then numbs in all 3 spots where he will place his gastropexies. He uses 1/2 syringe of contrast for his gastropexy placement. He uses 2 t-tags, and prefers the C-arm in RAO rather than AP during this step. For G-tube placement, he aims 20 degrees toward the pylorus, and always makes sure he sees wire touching two walls of the stomach to ensure he is intraluminal. He uses sterile water to inflate the balloon rather than saline or contrast. Lastly, he always makes sure to get a good final image to confirm placement in the stomach. For post-care, on inpatients he rounds the next morning, checking that the tube flushes and then clears it for use. For outpatients, he recommends no feeding (via G or NG) for three hours and a consult with a dietician before discharge. After this, the patient can receive nutrition via NG. If the patient has no peritoneal signs, the G-tube can be used the next day. For tube management, he exchanges the tube every 6 months or sooner if there is an issue, such as the tube being pulled out or becoming clogged beyond the point of a bedside fix. --- RESOURCES BackTable YouTube Gastrostomy Tube Demo: https://www.youtube.com/watch?v=17ep0AEkKqs Early Initiation of Enteral Feeding: https://pubmed.ncbi.nlm.nih.gov/24674218/ SIR Guidelines App: https://apps.apple.com/us/app/sir-guidelines/id1552455529

Neste episódio, nós discutimos a espetacularização da tortura e da humilhação que acontece em reality shows como o BBB e outros. Debatemos as implicações da dignidade da pessoa humana e de sua degradação como produto de consumo em massa pela sociedade. Referências: https://congressoemfoco.uol.com.br/especial/noticias/bolsonaro-quilombola-nao-serve-nem-para-procriar/ https://www.ofuxico.com.br/noticias-sobre-famosos/bbb-relembre-as-provas-mais-dificeis-do-reality/2021/02/27-397495.html BRASIL. Constituição da República Federativa do Brasil. Disponível em: http://www.planalto.gov.br/ccivil_03/constituicao/constituicaocompilado.htm BRASIL. Lei Federal nº. 9.455 de 1997. Disponível em: http://www.planalto.gov.br/ccivil_03/leis/l9455.htm KANT, Immanuel. Metafísica dos costumes: Contendo a Doutrina do Direito e a Doutrina da Virtude. Edipro, 2020. ORGANIZAÇÃO DAS NAÇÕES UNIDAS. Declaração Universal dos Direitos Humanos. Disponível em: https://www.ohchr.org/en/udhr/documents/udhr_translations/por.pdf ORGANIZAÇÃO DAS NAÇÕES UNIDAS. Manuel Wackenheim v France, Communication nº. 854/1999. Disponível em: https://www.equalrightstrust.org/ertdocumentbank/Microsoft%20Word%20-%20Manuel%20Wackenheim%20v.%20Fr.pdf Direitos autorais: "Stop Big Brother" por charlesfettinger é licenciada sob CC BY 2.0. Para ver uma cópia da licença, visite: https://creativecommons.org/licenses/by/2.0/

In today's episode I chat with Dr Marguerite Harb. She details her story of love, loss, hope and total surrender to how God is writing her story. Only with Christ at the centre does suffering truly make sense. "Knowing that Christ has gone ahead of us and awaits us there gives us courage to face the darkness and enter into the silence. In fact,after we endure the trial of silence and experience the depths of our own weakness, we come to a deeper faith in God and the power of His strength to protect us and sustain us. What appeared to us to be silent absence turns out to be silent presence, and we discover that God is always closer to us that what we dreamed possible. What appeared to be silence to us was in fact deafeningly loud and what appeared dark to us was in fact blindingly bright." Pope Benedict XVI. The Book that has brought me joy this week. Personal Prayer- a guide to receiving the Father's Love. https://www.amazon.com/Personal-Prayer-Guide-Receiving-Fathers/dp/1645850234#:~:text=Personal%20Prayer%3A%20A%20Guide%20for%20Receiving%20the%20Father's%20Love%20brings,Acklin%2C%20OSB%2C%20and%20Fr.

Christmas Day readingsIsaiah 62:6-12 Psalm 97 Titus 3:4-7 Luke 2:1-20Fr. Greg Peters uses St. Paul’s letter to Titus to show us that Christmas is not just about Christ’s birth, but its about God’s deep love for humanity and the Holy Spirit’s work in the world.

Cette semaine, on discute de l'internet avec Lucie Rhéaume.Pour vous abonner à notre Patreon:https://www.patreon.com/sansfiltrepodcastLe podcast est présenté par ÉconoFitness:https://econofitness.ca/fr/rabais-exclusifsLe podcast est aussi présenté par Cook it:https://www.chefcookit.com/subscribe?coupon=WEB40X2&utm_source=google&utm_medium=cpc&utm_campaign=Bloom%20-%20Brand%20-%20QC%20ON%20-%20FR&gclid=Cj0KCQiA_rfvBRCPARIsANlV66Mt0aDFrr_AQ5Hd8Rsr-pAGJnIMgGqQmjHlwVhkl3yNqvatNgZxPJIaAkR4EALw_wcBCode promo: sansfiltre Pour suivre Lucie:https://www.instagram.com/lucierheaume/Pour nous suivre: https://www.instagram.com/phcantin/https://www.instagram.com/doumplante/https://www.instagram.com/sansfiltrepodcast/Pour rejoindre le Studio SF:sansfiltrepodcast@gmail.comGraphisme: Marianne Plaisancehttps://www.instagram.com/2epeau/Motion Design: Maxime Bédardwww.maximebedard.ca

Kevin nous parle de son aventure comme participant à l'émission Occupation Double Afrique du Sud. Pour vous abonner à notre Patreon:https://www.patreon.com/sansfiltrepodcastLe podcast est présenté par ÉconoFitness:https://econofitness.ca/fr/rabais-exclusifsLe podcast est présenté par Finance toi mieux:https://www.financetoimieux.com/sansfiltreLe podcast est aussi présenté par Cookit.Code promo pour 50% de rabais: SANSFILTRE.Pour plus d'infos: https://www.chefcookit.com/subscribe?coupon=WEB40X2&utm_source=google&utm_medium=cpc&utm_campaign=Bloom%20-%20Brand%20-%20QC%20ON%20-%20FR&gclid=CjwKCAiAlO7uBRANEiwA_vXQ-7Qt-UXoiDaUvffc0IehN_OW8RzZNcBKOQj7yXwnMP7oOxUlfuxeWhoCRp0QAvD_BwE Pour suivre Kevin:https://www.instagram.com/kevin.od_officiel/Pour nous suivre: https://www.instagram.com/phcantin/https://www.instagram.com/doumplante/https://www.instagram.com/sansfiltrepodcast/Pour rejoindre le Studio SF:sansfiltrepodcast@gmail.comGraphisme: Marianne Plaisancehttps://www.instagram.com/2epeau/Motion Design: Maxime Bédardwww.maximebedard.ca

Homily by Fr. John Nemanic. April 30, 2017. 3rd Sunday of Easter. http://www.saintmichael.ca/files/mp3/04-30-2017%20Fr.%20John.mp3

Homily by Fr. Cristino Bouvette. April 9, 2017. Palm Sunday. http://www.saintmichael.ca/files/mp3/04-09-2017%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. April 2, 2017. 5th Sunday of Lent. http://www.saintmichael.ca/files/mp3/04-02-2017%20Fr.%20John.mp3

Homily by Fr. Cristino Bouvette. April 2, 2017. 5th Sunday of Lent. http://www.saintmichael.ca/files/mp3/04-02-2017%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. March 26, 2017. 4th Sunday of Lent. http://www.saintmichael.ca/files/mp3/03-26-2017%20Fr.%20John.mp3

Homily by Fr. John Nemanic. March 26, 2017. 4th Sunday of Lent. http://www.saintmichael.ca/files/mp3/03-26-2017%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. March 12, 2017. 2nd Sunday of Lent. http://www.saintmichael.ca/files/mp3/03-12-2017%20Fr.%20John.mp3

Homily by Fr. Cristino Bouvette. January 22, 2017. 3rd Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/01-22-2016%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. January 22, 2017. 3rd Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/01-22-2017%20Fr.%20John.mp3  

Homily by Fr. Cristino Bouvette. January 29, 2017. 4th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/01-29-2017%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. January 29, 2017. 4th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/01-29-2017%20Fr.%20John.mp3

Homily by Fr. John Nemanic. February 5, 2017. 5th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-05-2017%20Fr.%20John.mp3

Homily by Fr. Cristino Bouvette. February 5, 2017. 5th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-05-2017%20Fr.%20Cristino.mp3  

Homily by Fr. Jack Bastigal. February 12, 2017. 6th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-12-2017%20Fr.%20Jack.mp3

Homily by Fr. Cristino Bouvette. February 12, 2017. 6th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-12-2017%20Fr.%20Cristino.mp3

Homily by Fr. John Nemanic. February 26, 2017. 8th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-26-2017%20Fr.%20John.mp3

Homily by Fr. John Nemanic. February 5, 2017. 1st Sunday of Lent. http://www.saintmichael.ca/files/mp3/03-05-2017%20Fr.%20John.mp3

Homily by Fr. Cristino Bouvette. March 5, 2017. 5th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/03-05-2017%20Fr.%20Cristino.mp3

Homily by Fr. Cristino Bouvette. March 12, 2017. 2nd Sunday of Lent http://www.saintmichael.ca/files/mp3/03-12-2017%20Fr.%20Cristino.mp3

Homily by Fr. Bill Stephenson. February 19, 2017. 7th Sunday of Ordinary Time. http://www.saintmichael.ca/files/mp3/02-19-2017%20Fr.%20Bill.mp3

Homily by Fr. Iqbal. November 8, 2015. http://www.saintmichael.ca/files/mp3/11-08-2015%20Fr.%20Iqbal.mp3

Homily by Fr. Julian. November 8, 2015. http://www.saintmichael.ca/files/mp3/11-08-2015%20Fr.%20Julian.mp3  

https://ia601509.us.archive.org/26/items/September152015Fr.JohnEckert/September%2015,%202015%20-%20Fr.%20John%20Eckert.mp3 https://theologyot.wordpress.com/2015/09/15/september-15th-2015-fr-john-eckert/feed/ 0