Podcasts about analgesia

Kendra chats with Darci Palmer, LVT, VTS (Anesthesia and Analgesia) about  application to the second oldest VTS academy. Having been around for so many years the carefully honed application process for the Academy of Veterinary Technicians in Anesthesia and Analgesia is not for the faint of heart. This episode is full of working examples and application tips to guide you through your application process. This is one episode you won't want to sleep on!

In this audio summary, Shannen Schultz asks, for teleost fish undergoing surgical coeliotomy, do intramuscular exogenous opioids reduce perioperative pain, compared with no analgesia? Read the full Knowledge Summary here. Audio Summaries are a free resource that enable vets and vet nurses to more quickly and more easily access and digest relevant and up-to-date evidence! A time-saving way to make better and faster evidence-based decisions.

Dr Robert Trujanovic is an EBVS European Specialist in Veterinary Anaesthesia & Analgesia. In our latest podcast we talk to Robert to share his experience of using botulinum toxin A in pain management in dogs. Robert is leading the field on this subject and brings his experience of interventional pain management to our Zero Pain community. We exploreWhat is the mechanism of action of BT?What sort of pain cases is BT used for in human medicine?Can you please tell us about some cases where you have successfully used BT in dogs (any feline experience)Are there some practical considerations you would like to mention?References·      Pioneering pain management with botulinum toxin type A: From anti-inflammation to regenerative therapies. Hamta Rahmatipour, Salar Mohammadi Shabestari, Soheila Zamanlui Benisi, Hamidreza Samadikhah ·      Botulinum toxin for the treatment of chronic pain. Review of the evidence. Roberto Carlo Rivera Día, Mario Andrés Arcila Lotero, María Victoria Avellaneda Suarez, Sara Echeverri Saldarriaga, Manuela Gómez Martínez ·      Botulinum Toxin in Chronic Lateral Epicondylitis, from Tendon to Muscle Approach—A Review ·      Transforaminal versus Intra-Articular Facet Corticosteroid Injections for the Treatment of Cervical Radiculopathy: A Randomized, Double-Blind, Controlled Study N.J. Bureau, T. Moser, J.H. Dagher, D. Shedid, M. Li, P. Brassard and B.E. Leduc ·      Retrodural space of Okada in the posterior ligamentous complex region: clinical and anatomical findings relevant to lumbar interlaminar epidural injection

In today's VETgirl online veterinary continuing education podcast, we interview past president of the Academy of Veterinary Technicians in Anesthesia & Analgesia (AVTAA), Jody Nugent-Deal, RVT, VTS (Anesthesia & Analgesia)(Clinical Practice-Exotics), and AVTAA executive secretary, Darci Palmer, LVT, VTS (Anesthesia & Analgesia) about the long road to becoming a veterinary technician specialist (VTS) in anesthesia and analgesia. Take a listen if you plan to mentor someone through the process or if you are a veterinary technician interested in becoming a VTS (Anesthesia & Analgesia).  To find out more information about becoming a VTS (Anesthesia & Analgesia) be sure to check out their website HERE.

Kendra is joined by Cathy (RVT, VTS (Surgery, Anesthesia & Analgesia)) to talk about the application process for the Academy of Veterinary Surgical Technicians. The main take away point from this episode is variety, variety, variety in your surgical exposure. What is the best working environment to accomplish this? Where can we get the best CE? Learn the answers to these questions and all the other fine details of the application process. Don't forget to stick around for the tech tip at the end!

This AI-generated episode of RAPM Focus discusses the May 2024 publication of “Single-bolus Injection of Local Anesthetic, With or Without Continuous Infusion, for Interscalene Brachial Plexus Block in the Setting of Multimodal Analgesia: A Randomized Controlled Unblinded Trial” by Dr. Patrick Rhyner et al.” For anyone facing shoulder surgery, pain management after the procedure is crucial. In this paper, Rhyner et al. question whether or not a continuous infusion of pain medication through a catheter is better than giving a patient a single injection after having shoulder surgery. The paper discusses a multimodal approach of pain management—dethamexazone, magnesium, acetaminophen, and ketorolac. In this study, patients undergoing two common shoulder surgeries—shoulder arthroplasty or arthroscopic rotator cuff repair—were divided into two groups, in which one group received a continuous infusion of medication via catheters, or a single dose of pain relief. Results were measured by how much morphine patients needed through a patient-controlled analgesia pump during the first 24 hours after surgery. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @ Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Ultrasound cosmetics technologies - with Dr. Nicholas Nikolov! -Pediatric melanoma germline mutations -Swearing for analgesia -Thin melanoma mortality -To sign up for Luke's atopic dermatitis CME activity, go to:impactedu.gathered.com/invite/4QbYEVpbzqWant to donate to the cause? Do so here!
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Grandpa Bill talks today EMOTIONS Love & MusicAnalgesia, Love, and the Brain: A Deep DiveAnalgesiaAnalgesia is the inability to feel pain. It can be caused by a variety of factors, including injury, disease, and drugs. Analgesia can be a valuable tool for managing pain, but it is important to note that it does not treat the underlying cause of the pain.Reward Processing Areas of the BrainThe reward processing areas of the brain are a group of structures that are involved in the experience of pleasure and motivation. These areas include the ventral tegmental area (VTA), the nucleus accumbens (NAc), and the prefrontal cortex (PFC). When these areas are activated, they release dopamine, a neurotransmitter that is associated with pleasure and motivation.Love and AnalgesiaLove is a complex emotion that involves feelings of affection, attachment, and intimacy. Studies have shown that love can have analgesic effects. In other words, love can help to reduce pain. This is likely due to the fact that love activates the reward processing areas of the brain. When these areas are activated, they release dopamine, which can help to reduce pain.Sensations of LoveThe sensations of love can vary from person to person. However, some common sensations include: A feeling of warmth and comfort A sense of connection with the other person A feeling of being safe and secure A desire to be close to the other person A feeling of joy and happiness#love#brain,#analgesia,#pain,#reward#dopamine,#neuroscience,#psychology,#health,#wellness, The Science of Love: How It Can Reduce Pain Love and the Brain: A Powerful Pain Reliever The Healing Power of Love How Love Can Help You Manage Pain Love: The Best Medicine?

if you have any feedback, please send us a text! Thank you!Host: Rita Agarwal, MD, FAAP, FASAGuests: Rakhi Dayal, MD, and Amber Borucki, MDWelcome to another episode of Vital Times, the California Society of Anesthesiologists' Podcast with your host Dr. Rita Agarwal.Pain is the most common reason that people seek medical care and since the beginning of time, we have searched for better ways to treat pain. For many years opium and its derivatives were the mainstay of pain management, with local anesthetics making an appearance in this country in the past century or so. While scientists, physicians, researchers, and industry have sought to find better medications and approaches, the onset of the opioid crises in early 2000s really sped up that mandate. The FDA has committed resources and funding to help these new treatments and as a result there are now several new drugs on the market.Joining me today to explore these new modalities are Dr. Rahki Dayal who is a Professor at the University of California, Irvine, double board-certified in anesthesiology and pain medicine. She chairs the Pain Committee for the California Society of Anesthesiologists and is the Program Director of Pain Medicine at UCI. Dr. Amber Borucki is an Associate Professor of Anesthesiology at Stanford University and a pediatric anesthesiologist and pain specialist from Stanford School of Medicine. She is also the newly elected Sectrtary/Treasurer of the Society for Pediatric Pain Medicine.On January 30 the FDA approved a new non-opioid pan medication for moderate to severe pain. In the past few years several new classes and types of medications have also been approved for use. These include Zynrelef-a combination of bupivacaine ( a long acting local anesthesthetic ) and meloxicam ( a long lasting NSAID), and Vocacapsacian a prodrug to capasacian that in at ;east one study has been shown to provide up to 96 hours of pain relief , when injected locally after bunionectomy surgery.Join us as we explore these medications and the newly released suzetrigine (Journavx) with our 2 experts. ReferencesNewly Approved Painkiller Provides Relief Without Addictionhttps://www.fda.gov/news-events/press-announcements/fda-approves-novel-non-opioid-treatment-moderate-severe-acute-pain A new long-acting analgesic formulation for postoperative pain management.Zhang W, Wu M, Shen C, Wang Z, Zhou X, Guo R, Yang Y, Zhang Z, Sun X, Gong T.Int J Pharm. 2024 Oct 25;664:124599. doi: 10.1016/j.ijpharm.2024.124599. Epub 2024 Aug 16.PMID: 39154917 Bupivacaine + meloxicam-~3 days duration-also for bunionectomySafety and Efficacy of Vocacapsaicin for Management of Postsurgical Pain: A Randomized Clinical Trial.Shafer SL, Teichman SL, Gottlieb IJ, Singla N, Minkowitz HS, Leiman D, Vaughn B, Donovan JF.Anesthesiology. 2024 Aug 1;141(2):250-261. doi: 10.1097/ALN.0000000000005027.PMID: 38662910

View the full article on Anesthesia & Analgesia here: https://journals.lww.com/anesthesia-analgesia/fulltext/2024/10000/the_use_of_ultrasound_in_airway_management__video.28.aspx

Send us a textDr. Hernan A. Bazan MD, FACS, CEO & Co-Founder of South Rampart Pharma, Inc. ( https://southrampartpharma.com/about-us/hernan-bazan/ ), a clinical stage biopharma company developing safer, non-opioid therapies for acute and chronic pain, where he spearheads the company's scientific, clinical and technology development efforts, as well as it's fundraising. As an academic vascular surgeon, Dr. Bazan is the John Ochsner Endowed Professor of Surgery in Innovation ( https://www.ochsner.org/doctors/hernan-bazan ). His clinical interests include treating carotid artery disease and acute stroke, using minimally invasive approaches to aortic aneurysms and peripheral arterial disease, and managing acute post-operative pain. Over the years, Dr. Bazan has realized the significant clinical and societal need for safer and non-addictive pain relief in ambulatory and post-operative settings. From these critical unmet needs, South Rampart Pharma, Inc. was founded in 2016 to develop safer, non-opioid therapies for acute and chronic pain.Dr. Bazan authored the first manuscript describing the library of analgesic compounds' synthesis, lack of hepatoxicity analgesic characterization, and antipyretic properties, published in September 2020 in the European Journal of Medicinal Chemistry and a current paper under advanced review (open access) in Nature Communications.Dr. Bazan is the PI or Co-I on two NIH/NINDS STTR (small business commercialization) grants to develop a novel non-narcotic and non-toxic analgesic to safely treat acute, chronic, and neuropathic pain. He is the co-inventor of 7 issued or pending patents and has authored over 50 publications. He and his team have completed Phase 1 clinical trials, paving the way for Phase 2 RCTs in acute and neuropathic pain. He was bestowed the 2024 NIH HEAL Director's Trailblazer Award for this work.Dr. Bazan received a B.S. in Molecular Biology (Vanderbilt University). He spent two years in medical school as a Howard Hughes Medical Institute (HHMI) Research Scholar at the NIH. He earned an M.D. (Georgetown University), followed by a General Surgery Residency (Mt. Sinai Hospital, New York) and a Vascular Surgery Fellowship (Yale University).#Pain #Opioids #NSAIDS #Acetaminophen #Analgesia #Nociception #PostOperative #HernanBazan #NicolasBazan #SouthRampartPharma #Ochsner #Fentanyl #Aspirin #Ibuprofen   #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #Podcasting #ViralPodcast #STEM #Innovation #Science #Technology #ResearchSupport the show

Major changes coming soon to TCCC. Link to full podcast: https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-214-TCCC-Updates-e2to67f Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Listen to the Q&A between Sarah Devroe and Nicolas Brogly as they discuss the guideline, “ESAIC focused guidelines for the management of the failing epidural during labour epidural analgesia”, found in the February 2025 issue of the EJA.

AABP Executive Director Dr. Fred Gingrich is joined by Dr. Matt Miesner, Clinical Professor in the Livestock Services Section at Kansas State University College of Veterinary Medicine. Safe restraint of cattle is important for human and animal safety but is also an important animal welfare consideration.  Restraint is not only about chemical immobilization and the veterinarian should also consider how to handle the patient in a low-stress manner utilizing available facilities, but also other methods of physical restraint. Miesner provides information about the importance of understanding what each drug provides in terms of sedation, analgesia and anesthesia and the differences in each term. In addition, individual patient circumstances should be considered by the veterinarian before administering drugs.  Miesner walks through the most common drugs used in bovine and mixed animal practice that the veterinarian can consider. This includes some common dosages and advantages and disadvantages of each drug, potential side effects and common uses. We also discuss an update on xylazine access and potential legislation. Gingrich suggests that veterinarians support the AVMA efforts in ensuring we can still use xylazine in bovine practice by donating to the AVMA PAC.  Veterinarians are advised to develop scientifically validated withdrawal intervals when using these drugs by contacting FARAD. Miesner also advises us on uses of epidurals and IV regional anesthesia as other practical methods of analgesia and immobilization. We close by discussing the importance of post-procedural pain control to ensure we are providing the best care to our patients and return them to health and productivity.  Links:Food Animal Residue Avoidance Databank - http://www.farad.org/ Bovine Field Restraint: Physical and Chemical Techniques for Balanced Restraint, Proceedings of the 2010 AABP Annual Conference, Matt Miesner, https://doi.org/10.21423/aabppro20104075 Injectable Anesthesia for Cattle Field Procedures, Proceedings of the 2023 AABP Recent Graduate Conference, Andrea Lear, https://doi.org/10.21423/aabppro20238737 Donate to the AVMA PAC to support our efforts in maintaining access to xylazine by visiting this link.  AABP Resource Approaching Pain in Cattle https://aabp.org/committees/view_pdf.asp?page=Pain_Brochure_8-15.pdf 

This month, signs that cancers communicate with the brain to alter mood, why antibodies are unreliable in research, evidence that social training can cut stress and boost brain volume, and agents derived from birth products that suppress inflammation and kill pain... Get the references and the transcripts for this programme from the Naked Scientists website

In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Simon Carley share their insights from recent conferences, including Gateshead's RCEM scientific conference, Tactical Trauma 24 in Sweden, and the Premier Conference. They explore 'Goldilocks moments' for executing life-saving procedures in critical care, emphasizing optimal timing for interventions like thoracotomies. The episode also discusses innovative training methods like shadowboxing to enhance decision-making in high-stress medical scenarios. In addition, they review a significant trial on smoking cessation in emergency departments, highlighting its potential role in broader public health initiatives, including sexual health and HIV screening. Discussions also cover various pain management strategies, such as the use of intranasal vs. intravenous Ketorolac for renal colic. The hosts critique the traditional peer review process in medical research and advocate for open peer review to support equitable and accessible scientific publishing. 00:00 Introduction and Catching Up 02:07 The Goldilocks Moment in Critical Care 05:25 Training and Decision-Making in Emergency Procedures 07:23 Smoking Cessation in Emergency Departments 10:07 Challenges in Implementing Preventive Health Strategies 10:38 Successful Public Health Projects in Emergency Medicine 11:19 Exploring Alternative Interventions in Emergency Departments 11:52 Highlights from the Premier Conference 12:54 Intranasal Ketorolac for Pain Management 15:46 The Future of Peer Review in Medical Research 20:09 Concluding Thoughts and Upcoming Content

"Opioid Analgesia for Acute Low Back Pain and Neck Pain: Putting the OPAL Trial Findings in the Right Context and Perspective" by Mohammad R. Rasouli, MD, Samer Narouze, MD, PhD, MMM, and Harsha Shanthanna, MD, PhD, FRCPC, FIPP, EDRA. From ASRA Pain Medicine News, August 2024. See original article at www.asra.com/august24news for figures and references. This material is copyrighted. Support the show

Welcome to Episode 37 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 37 of “The 2 View” – Pitfalls in Managing Pain in the ED with Sergey M. Motov, MD, FAAEM. Segment 1 Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL. Increasing Benzodiazepine Prescriptions and Overdose Mortality in the United States, 1996-2013. Am J Public Health. 2016;106(4):686-688. doi:10.2105/AJPH.2016.303061. https://pubmed.ncbi.nlm.nih.gov/26890165/ Bijur PE, Kenny MK, Gallagher EJ. Intravenous morphine at 0.1 mg/kg is not effective for controlling severe acute pain in the majority of patients. Ann Emerg Med. 2005;46(4):362-367. doi:10.1016/j.annemergmed.2005.03.010. https://pubmed.ncbi.nlm.nih.gov/16187470/ Evoy KE, Covvey JR, Peckham AM, Ochs L, Hultgren KE. Reports of gabapentin and pregabalin abuse, misuse, dependence, or overdose: An analysis of the Food And Drug Administration Adverse Events Reporting System (FAERS). Res Social Adm Pharm. 2019;15(8):953-958. doi:10.1016/j.sapharm.2018.06.018. https://pubmed.ncbi.nlm.nih.gov/31303196/ Kim HS, McCarthy DM, Hoppe JA, Mark Courtney D, Lambert BL. Emergency Department Provider Perspectives on Benzodiazepine-Opioid Coprescribing: A Qualitative Study. Acad Emerg Med. 2018;25(1):15-24. doi:10.1111/acem.13273. https://pubmed.ncbi.nlm.nih.gov/28791786/ Li Y, Delcher C, Wei YJ, et al. Risk of Opioid Overdose Associated With Concomitant Use of Opioids and Skeletal Muscle Relaxants: A Population-Based Cohort Study. Clin Pharmacol Ther. 2020;108(1):81-89. doi:10.1002/cpt.1807. https://pubmed.ncbi.nlm.nih.gov/32022906/ Peckham AM, Evoy KE, Covvey JR, Ochs L, Fairman KA, Sclar DA. Predictors of Gabapentin Overuse With or Without Concomitant Opioids in a Commercially Insured U.S. Population. Pharmacotherapy. 2018;38(4):436-443. doi:10.1002/phar.2096. https://pubmed.ncbi.nlm.nih.gov/29484686/ Smith RV, Havens JR, Walsh SL. Gabapentin misuse, abuse and diversion: a systematic review. Addiction. 2016;111(7):1160-1174. doi:10.1111/add.13324. https://pubmed.ncbi.nlm.nih.gov/27265421/ Suvada K, Zimmer A, Soodalter J, Malik JS, Kavalieratos D, Ali MK. Coprescribing of opioids and high-risk medications in the USA: a cross-sectional study with data from national ambulatory and emergency department settings. BMJ Open. 2022;12(6):e057588. Published 2022 Jun 16. doi:10.1136/bmjopen-2021-057588. https://pubmed.ncbi.nlm.nih.gov/35710252/ Segment 2 Caplan M, Friedman BW, Siebert J, et al. Use of clinical phenotypes to characterize emergency department patients administered intravenous opioids for acute pain. Clin Exp Emerg Med. 2023;10(3):327-332. doi:10.15441/ceem.23.018. https://pubmed.ncbi.nlm.nih.gov/37092185/ Connors NJ, Mazer-Amirshahi M, Motov S, Kim HK. Relative addictive potential of opioid analgesic agents. Pain Manag. 2021;11(2):201-215. doi:10.2217/pmt-2020-0048. https://pubmed.ncbi.nlm.nih.gov/33300384/ Fassassi C, Dove D, Davis A, et al. Analgesic efficacy of morphine sulfate immediate release vs. oxycodone/acetaminophen for acute pain in the emergency department. Am J Emerg Med. 2021;46:579-584. doi:10.1016/j.ajem.2020.11.034. https://pubmed.ncbi.nlm.nih.gov/33341323/ Irizarry E, Cho R, Williams A, et al. Frequency of Persistent Opioid Use 6 Months After Exposure to IV Opioids in the Emergency Department: A Prospective Cohort Study. J Emerg Med. Published online March 14, 2024. doi:10.1016/j.jemermed.2024.03.018. https://pubmed.ncbi.nlm.nih.gov/38821847/ Sapkota A, Takematsu M, Adewunmi V, Gupta C, Williams AR, Friedman BW. Oxycodone induced euphoria in ED patients with acute musculoskeletal pain. A secondary analysis of data from a randomized trial. Am J Emerg Med. 2022;53:240-244. doi:10.1016/j.ajem.2022.01.016. https://pubmed.ncbi.nlm.nih.gov/35085877/ Wightman R, Perrone J, Portelli I, Nelson L. Likeability and abuse liability of commonly prescribed opioids. J Med Toxicol. 2012;8(4):335-340. doi:10.1007/s13181-012-0263-x. https://pubmed.ncbi.nlm.nih.gov/22992943/ Segment 3 Anshus AJ, Oswald J. Erector spinae plane block: a new option for managing acute axial low back pain in the emergency department. Pain Manag. 2021;11(6):631-637. doi:10.2217/pmt-2021-0004. https://pubmed.ncbi.nlm.nih.gov/34102865/ Chauhan G, Burke H, Srinivasan SK, Upadhyay A. Ultrasound-Guided Erector Spinae Block for Refractory Abdominal Pain Due to Acute on Chronic Pancreatitis. Cureus. 2022;14(11):e31817. Published 2022 Nov 23. doi:10.7759/cureus.31817. https://pubmed.ncbi.nlm.nih.gov/36579238/ Dove D, Fassassi C, Davis A, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Ann Emerg Med. 2021;78(6):779-787. doi:10.1016/j.annemergmed.2021.04.031. https://pubmed.ncbi.nlm.nih.gov/34226073/ Elkoundi A, Eloukkal Z, Bensghir M, Belyamani L, Lalaoui SJ. Erector Spinae Plane Block for Hyperalgesic Acute Pancreatitis. Pain Med. 2019;20(5):1055-1056. doi:10.1093/pm/pny232. https://pubmed.ncbi.nlm.nih.gov/30476275/ Finneran Iv JJ, Gabriel RA, Swisher MW, Berndtson AE, Godat LN, Costantini TW, Ilfeld BM. Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series. Korean J Anesthesiol. 2020 Oct;73(5):455-459. doi: 10.4097/kja.19395. Epub 2019 Nov 5. PMID: 31684715; PMCID: PMC7533180. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533180/ Finneran JJ, Swisher MW, Gabriel RA, et al. Ultrasound-Guided Lateral Femoral Cutaneous Nerve Cryoneurolysis for Analgesia in Patients With Burns. J Burn Care Res. 2020;41(1):224-227. doi:10.1093/jbcr/irz192. https://pubmed.ncbi.nlm.nih.gov/31714578/ Gabriel RA, Finneran JJ, Asokan D, Trescot AM, Sandhu NS, Ilfeld BM. Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report. A A Case Rep. 2017;9(5):129-132. doi:10.1213/XAA.0000000000000546. https://pubmed.ncbi.nlm.nih.gov/28509777/ Herring AA, Stone MB, Nagdev AD. Ultrasound-guided abdominal wall nerve blocks in the ED. Am J Emerg Med. 2012;30(5):759-764. doi:10.1016/j.ajem.2011.03.008. https://pubmed.ncbi.nlm.nih.gov/21570238/ Kampan S, Thong-On K, Sri-On J. A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Age Ageing. 2024;53(1):afad255. doi:10.1093/ageing/afad255. https://pubmed.ncbi.nlm.nih.gov/38251742/ Mahmoud S, Miraflor E, Martin D, Mantuani D, Luftig J, Nagdev AD. Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control. Am J Emerg Med. 2019;37(4):740-743. doi:10.1016/j.ajem.2019.01.024. https://pubmed.ncbi.nlm.nih.gov/30718116/ McCahill RJ, Nagle C, Clarke P. Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review. Australas Emerg Care. 2021;24(3):174-178. doi:10.1016/j.auec.2020.06.006. https://pubmed.ncbi.nlm.nih.gov/32718907/ Nguyen T, Mai M, Choudhary A, et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med. Published online May 2, 2024. doi:10.1016/j.annemergmed.2024.03.024. https://pubmed.ncbi.nlm.nih.gov/38703175/ Sikka N, Shu L, Ritchie B, Amdur RL, Pourmand A. Virtual Reality-Assisted Pain, Anxiety, and Anger Management in the Emergency Department. Telemed J E Health. 2019;25(12):1207-1215. doi:10.1089/tmj.2018.0273. https://pubmed.ncbi.nlm.nih.gov/30785860/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

"This is a group of animals I think people are particularly unfamiliar with. They are especially poorly covered in our science curriculum; they are especially poorly understood, because people don't spend as much time learning about them at museums; and they're just harder to spend time with in a lot of ways, I think, for people. So people have pets that are vertebrates that they take care of across the taxonomic groups, and people get familiar with those from going to zoos and watching their behaviours there, and watching nature documentaries and more. But I think the insects are still really underappreciated, and that means that our intuitions are probably more likely to be wrong than with those other groups." —Meghan BarrettIn today's episode, host Luisa Rodriguez speaks to Meghan Barrett — insect neurobiologist and physiologist at Indiana University Indianapolis and founding director of the Insect Welfare Research Society — about her work to understand insects' potential capacity for suffering, and what that might mean for how humans currently farm and use insects. If you're interested in getting involved with this work, check out Meghan's recent blog post: I'm into insect welfare! What's next?Links to learn more, highlights, and full transcript.They cover:The scale of potential insect suffering in the wild, on farms, and in labs.Examples from cutting-edge insect research, like how depression- and anxiety-like states can be induced in fruit flies and successfully treated with human antidepressants.How size bias might help explain why many people assume insects can't feel pain.Practical solutions that Meghan's team is working on to improve farmed insect welfare, such as standard operating procedures for more humane slaughter methods.Challenges facing the nascent field of insect welfare research, and where the main research gaps are.Meghan's personal story of how she went from being sceptical of insect pain to working as an insect welfare scientist, and her advice for others who want to improve the lives of insects.And much more.Chapters:Cold open (00:00:00)Luisa's intro (00:01:02)The interview begins (00:03:06)What is an insect? (00:03:22)Size diversity (00:07:24)How important is brain size for sentience? (00:11:27)Offspring, parental investment, and lifespan (00:19:00)Cognition and behaviour (00:23:23)The scale of insect suffering (00:27:01)Capacity to suffer (00:35:56)The empirical evidence for whether insects can feel pain (00:47:18)Nociceptors (01:00:02)Integrated nociception (01:08:39)Response to analgesia (01:16:17)Analgesia preference (01:25:57)Flexible self-protective behaviour (01:31:19)Motivational tradeoffs and associative learning (01:38:45)Results (01:43:31)Reasons to be sceptical (01:47:18)Meghan's probability of sentience in insects (02:10:20)Views of the broader entomologist community (02:18:18)Insect farming (02:26:52)How much to worry about insect farming (02:40:56)Inhumane slaughter and disease in insect farms (02:44:45)Inadequate nutrition, density, and photophobia (02:53:50)Most humane ways to kill insects at home (03:01:33)Challenges in researching this (03:07:53)Most promising reforms (03:18:44)Why Meghan is hopeful about working with the industry (03:22:17)Careers (03:34:08)Insect Welfare Research Society (03:37:16)Luisa's outro (03:47:01)Producer and editor: Keiran HarrisAudio engineering by Ben Cordell, Milo McGuire, Simon Monsour, and Dominic ArmstrongAdditional content editing: Katy Moore and Luisa RodriguezTranscriptions: Katy Moore

Airing Pain 145 Rethinking Pain: Pain Management in the Community  This edition of Airing Pain centres on rethinking the traditional clinician-patient relationship in pain management and exploring alternative approaches to bringing pain management back into the community.   Dr Barbara Phipps, GP and Lifestyle Medicine expert, discusses the development and benefits of group consultations for pain management.  Dr Jackie Walumbe sheds light on the pervasive inequalities in chronic pain services, highlighting the value of communities and member-led collaboratives in building and shaping self-management.  Prof. Mark Johnson, Dr Kate Thompson, and Kerry Page talk through the benefits of de-medicalising pain management, shifting the focus to a community setting.  We hear about the fantastic work of Rethinking Pain, a community-based pain support service in Bradford and Craven, and the inspiration this can serve for future chronic pain services and self-management initiatives.  The interviews were recorded at the British Pain Society's Annual Scientific Meeting, 2024.  Contributors:  Dr Barbara Phipps, Practising NHS GP and Teaching Fellow at the University of Edinburgh, currently running a community based Chronic Pain management service within the NHS. Barbara has a special interest in Lifestyle Medicine, and is a trustee of the British Society of Lifestyle Medicine.  Dr Jackie Walumbe, Clinical Academic Advance Practice Physiotherapist in the Complex Pain Team at University College London Hospitals NHS Foundation Trust and Honorary Research Fellow at University of Oxford.  Professor Mark Johnson, Professor of Pain and Analgesia and Director of the Leeds Beckett Pain Team (Centre for Pain Research) at Leeds Beckett University.  Dr Kate Thompson, Senior Lecturer and Researcher at Leeds Beckett University, with a background in physiotherapy and special interest in pain research.  Kerry Page, Programme Lead for Rethinking Pain, the chronic pain community service based in Bradford District and Craven.  Time Stamps:  01:58 Paul introduces Dr Barbara Phipps, Practising NHS GP and Teaching Fellow at the University of Edinburgh, currently running a community based Chronic Pain management service within the NHS. Barbara has a special interest in Lifestyle Medicine, is and is a trustee of the British Society of Lifestyle Medicine.  02:27 Dr Barbara Phipps discusses the development of group consultations for people with long-term primary pain.  07:28 Paul and Barbara discuss the importance of people being believed about their pain, perception of pain experiences, and detection on functional MRI scans.  10:41 Paul draws upon issues the funding in pain management services and who decides whether a treatment programme is value for money or not.  10:53 Paul introduces Dr Jackie Walumbe, Clinical Academic Advance Practice Physiotherapist in the Complex Pain Team at University College London Hospitals NHS Foundation Trust and Honorary Research Fellow at University of Oxford.  11:04 Dr Jackie Walumbe discusses her research on understanding how the term and practice of Self-Management is understood and acted on by people living with chronic pain, particularly those who don't have ongoing contact or access with specialist pain services, and the relationship between this and policy makers' decisions.  14:42 Paul and Jackie discuss key findings regarding issues of inequality, and a report by Versus Arthritis (Unseen, Unequal and Unfair: Chronic Pain in England), reflecting issues of policy and politics and the importance of other communities in filling the gaps.   18:09 Paul introduces Rethinking Pain, a community-based service for adults living with long-term pain, in Bradford District and Craven.   18:28 Paul introduces Dr Mark Johnson, Professor of Pain and Analgesia and Director of the Leeds Beckett Pain Team (Centre for Pain Research) at Leeds Beckett University.   18:37 Paul introduces Dr Kate Thompson, Senior Lecturer and Researcher at Leeds Beckett University, with a background in physiotherapy and special interest in pain research.  18:40 Paul introduces Kerry Page, Programme Lead for Rethinking Pain, the chronic pain community service based in Bradford District and Craven.  18:47 Kerry Page discusses the Rethinking Pain service, its background, services, and success.  19:57 Dr Kate Thompson explains how Rethinking Pain's approach differs from other community pain management programmes  20:58 Dr Mark Johnson talks about how pain is a context driven experience, and the importance of understanding how the narrative matters when it comes to managing pain.  25:49 Kerry Page recalls the importance of giving time to listen to the pain community and those living with chronic pain, and the way that Rethinking Pain's initiative provides this through Health Coaches.   35:53 Kerry page discusses how pain management services can help to reach more people and connect people and organisations from across the pain community.   Additional Resources:  Rethinking Pain   Inequalities in Chronic Pain Report - Versus Arthritis  If you have any feedback about Airing Pain, you can leave us a review via our Airing Pain survey   _______________________________________________________________________________________________ 

Artificial Intelligence (AI) is revolutionizing healthcare, from patient interactions to administrative efficiency. With growing demands on healthcare providers, tools like AI are stepping in to bridge gaps, particularly in documentation and patient engagement. But what does this mean for the future of healthcare, and how are providers adapting to these technological advances? This episode of I Don't Care with Dr. Kevin Stevenson dives into the world of AI in healthcare.The conversation addresses the core question: How can AI improve healthcare efficiency without compromising patient care?Dr. Lina Bouayad, the Founder and CEO of Looba.ai, discusses her journey from computer science to healthcare AI, highlighting how Looba.ai's tool, Analgesia, is reshaping provider-patient interactions. The tool, developed out of personal and professional necessity, automates and enhances the documentation process, allowing providers to focus more on patient care.Key Points Discussed:Reducing Documentation Burden: How Analgesia helps providers by automating and refining the documentation process, reducing time spent on administrative tasks.Improving Patient-Provider Interaction: The tool's ability to capture patient data seamlessly during consultations, allowing providers to focus more on the patient rather than on paperwork.AI in Practice: The practical applications of AI in healthcare settings, including real-time language translation and differential diagnosis support.Dr. Lina Bouayad is the Founder and CEO of Looba.ai, where she leverages her extensive expertise in artificial intelligence and analytics to enhance productivity and healthcare outcomes. She has a strong background in management information systems and has led significant research collaborations, including several funded projects with the U.S. Department of Veterans Affairs, focusing on AI applications in healthcare. Dr. Bouayad is also an Associate Professor at Florida International University and the Director of the MBA in Artificial Intelligence program, with numerous publications in top industry journals.

Coming 14th August: This edition of Airing Pain centres on rethinking the traditional clinician-patient relationship in pain management and exploring alternative approaches to bringing pain management back into the community.   Is the 1-to-1 doctor-patient consultation the best we can do? How can we help people to feel more empowered in managing their own pain? Our contributors are experts in pain management, research, and community engagement; find out what they have to say in the latest edition of Airing Pain, coming soon.   The interviews were recorded at the British Pain Society's Annual Scientific Meeting, 2024.  Contributors:  Dr Barbara Phipps, Practising NHS GP and Teaching Fellow at the University of Edinburgh, currently running a community based Chronic Pain management service within the NHS. Barbara has a special interest in Lifestyle Medicine, and is a trustee of the British Society of Lifestyle Medicine.  Dr Jackie Walumbe, Clinical Academic Advance Practice Physiotherapist in the Complex Pain Team at University College London Hospitals NHS Foundation Trust and Honorary Research Fellow at University of Oxford.  Professor Mark Johnson, Professor of Pain and Analgesia and Director of the Leeds Beckett Pain Team (Centre for Pain Research) at Leeds Beckett University.  Dr Kate Thompson, Senior Lecturer and Researcher at Leeds Beckett University, with a background in physiotherapy and special interest in pain research.  Kerry Page, Programme Lead for Rethinking Pain, the chronic pain community service based in Bradford District and Craven.  If you have any feedback about Airing Pain, you can leave us a review via our Airing Pain survey  

In this episode of the SMFM podcast series, Dr. Amy Valent is joined by Dr. Abigail Wilpers and Dr. Ashish Premkumar to explore the critical issue of public misinformation surrounding fetal therapy and perinatal palliative care. They address the emotional challenges faced by pregnant individuals with fetal diagnoses, the benefits and limitations of fetal therapy, and the true nature of perinatal palliative care. The discussion includes ethical implications of misinformation, barriers to accessing care, and the impact of recent legislative trends. Join us as we dispel myths and advocate for informed, compassionate patient care in maternal-fetal medicine. To access the full transcript, click here. Additional Resources:  Kolder article: Court-Ordered Obstetrical Interventions | New England Journal of Medicine (nejm.org) Early pregnancy loss post-AL court decision re: embryonic death: Early Pregnancy Loss in an Era of “Wrongful Embryonic Death” | Reproductive Health | JAMA | JAMA Network Texas Policy Project (Kari White's group): Publications | Texas Policy Evaluation Project | Liberal Arts | UT - Austin (utexas.edu) ANSIRH, Advancing New Standards in Reproductive Health Dr. Katrina Kimport's work on later abortion: Is third-trimester abortion exceptional? Two pathways to abortion after 24 weeks of pregnancy in the United States - PubMed (nih.gov) The Turnaway Study Dr. Ashish Premkumar study focused on parental decision-making in the setting of fetal anomalies amenable to maternal-fetal surgery: Society of Family Planning: Decision making in the setting of congenital anomalies (NATAL) study (societyfp.org) From Congress to the Vatican: The Promotion of Maternal-Fetal Surgery & Perinatal Palliative Care as Alternatives to Abortion Care (talk by Dr. Abigail Wilpers) Maternal-fetal surgery is not an alternative to abortion care by Dr. Abigail Wilpers and Kristen Gosnell Exceptions to abortion restrictions often fail people like Kate Cox whose babies are sure to die by Dr. Abigail Wilpers The legal article mentioned by Dr. Abigail Wilpers outlining the PPC notification laws and how some “triggers” for the laws make no sense (because the laws are really meant to obstruct abortion care). Fetal Health Foundation (parent-run non-profit) Society for Family Planning ACOG Clinical Guidance: Perinatal Palliative Care (SMFM Endorsed)  Care levels for fetal therapy centers  SFP Statement on Abortion Nomenclature (SMFM Endorsed)   SMFM Policy Tracker  SMFM Consult Series #59: The use of Analgesia and Anesthesia for maternal-fetal procedures NAFTNet   Study on Maternal Autonomy Nebraska Law Text    

In this episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, sits down with Michael Barrington, MD, to discuss best practice advisories and policies with systematic reviews. Best practice advisories and policies tend to stem from the results of systematic reviews and metanalysis, thus the stakes are very high for a journal to ensure that the results are meaningful and valid. As part of a RAPM initiative to establish education and standards for researchers interested in submitting a systematic review or meta-analysis we participate in a joint publication with the journal, Anesthesia and Analgesia.  Dr. Barrington is well known in the regional anesthesia community as he is currently the section editor for Regional Anesthesia for the journal, Anesthesia and Analgesia. He has had a recent appointment as professor of anesthesiology at OHSU and is transitioning to the University of Washington.  Some topics covered by Dr. Sites and Dr. Barrington in this podcast are:  How having a broad team with a broad scope of expertise as part of the authorship team reflects some of the important components of a systematic review. How many review authors are unable to articulate a clear rationale for performing the reviews which often is associated with a lack of a very a clear research question. The basic resources and expertise needed to perform a systematic review at a high level. What protocol is in a systematic review and why it is an important first step. PICO (Participant/ Population, Intervention, Compareta, Outcomes). *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

In today's VETgirl online veterinary continuing education podcast, we talk with Amanda Shelby, RVT, VTS (Anesthesia & Analgesia), VETgirl's Senior Veterinary CE Specialist on who she is and what she does! We're excited she joined our VETgirl team. You'll be hearing more of Amanda's voice on our VETgirl podcasts, webinars, and blogs! Find out where Amanda trained, what she does now, and what she does for fun in this VETgirl podcast!

In this episode, Dr. Rachel Kearns discussed the findings from her study -Epidural analgesia during labour and severe maternal morbidity: population-based study. This study solidifies that anesthesiologists bring more to the table than “just” labor pain management. Epidural analgesia during labour and severe maternal morbidity: population-based study. https://www.bmj.com/content/385/bmj-2023-077190 Unlocking maternal health: labour epidurals and severe … Read More Read More

In this podcast episode, the hosts discuss regional anesthesia and its role in the priorities of analgesia. They explain that regional anesthesia is a tool that allows for pain control without taking away consciousness or respiratory drive. They discuss the decision-making process for when to use regional anesthesia versus other forms of pain management. The hosts also cover topics such as indicators for when a patient is light enough for a regional block, the risks and complications associated with regional anesthesia, and the importance of training and references for this skill set. Takeaways Regional anesthesia is a tool that allows for pain control without taking away consciousness or respiratory drive. The decision to use regional anesthesia depends on factors such as the complexity of the wound, the time available, and the patient's future needs. Indicators that a patient is light enough for a regional block include increased respiration and heart rate. Risks and complications of regional anesthesia include local anesthesia systemic toxicity, cardiac toxicity, and damage to the nerve sheath. Training and references are important for developing the skill set required for regional anesthesia. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Dr. Shauna Cantwell was raised in the Canadian Prairie Provinces. She earned her veterinary degree from the University of Saskatchewan in 1989. After graduation, she worked in mixed and small animal practice before returning to the University of Saskatchewan to complete a Residency and Master's Degree in Anesthesiology and earn her Board Certification in Veterinary Anesthesia and Analgesia.She then served as a faculty member on the Anesthesia Service at the University of Florida's College of Veterinary Medicine for ten years, working not only in the clinic, but being funded for research and publishing in the areas of basic science, anesthesia, and acupuncture. In addition to teaching veterinary students, interns, and residents, she has lectured extensively in the areas of anesthesia and acupuncture.Her holistic training includes acupuncture from Chi University, Veterinary Spinal Manipulation from the Healing Oasis, Veterinary Postural Rehabilitation, and Medical Qigong.In 2007, she left academics to start her own practice, Medicine Wheel Veterinary Services in Ocala, Florida, where she serves both equine and small animal patients and provides anesthesia consultation.Please enjoy this conversation with Dr. Shauna Cantwell as we discuss her education, work history, and the change from academia to solo holistic practice.

Nurses Out Loud with Jodi O'Malley MSN, RN – Discover how the MEAT (Movement, Exercise, Analgesia, Treatment) approach can revolutionize injury management, replacing the traditional RICE (Rest, Ice, Compression, Elevation) method. Learn about the benefits of early movement, targeted therapies, and natural remedies for optimal healing. Embrace new insights for concussion recovery and overall health, promoting faster recovery and long-term well-being.

Nurses Out Loud with Jodi O'Malley MSN, RN – Discover how the MEAT (Movement, Exercise, Analgesia, Treatment) approach can revolutionize injury management, replacing the traditional RICE (Rest, Ice, Compression, Elevation) method. Learn about the benefits of early movement, targeted therapies, and natural remedies for optimal healing. Embrace new insights for concussion recovery and overall health, promoting faster recovery and long-term well-being.

How she got into practice and how she got into the GLP-1 space. (2:25) Peptide vs a drug. (10:45) The dose matters. (11:18) The GLP-1 deficiency factors. (15:50) Running into the resistance wall. (20:11) The downstream effects of GLP-1s on our metabolism. (22:15) The musculoskeletal impacts of GLP-1s. (25:38) Breaking down the GLP-1 peptides. (28:45) The thickening. (32:10) A wonderful tool/opportunity for people to get their lives back. (34:50) Wiring the brain through the use of these neurogenerative peptides. (37:48) Who is the best candidate for this peptide? (42:49) Addressing the fears surrounding these GLP-1s. (45:05) Is supplementation more important when on GLP-1s? (56:54) Understanding the incentives of a compounding pharmacy. (58:04) Speculating on the smear campaign against GLP-1s. (1:02:45) Why we're Pottenger's cats. (1:08:56) Be an example to your children. (1:11:27) Addressing the autoimmune crisis. (1:16:13) The importance of educating yourself and being proactive as a patient. (1:18:57) Strength training is NON-NEGOTIABLE! (1:20:40) Lessons learned from her mentor. (1:23:25) One tool in the toolbox. (1:26:34) Her favorite peptides. (1:28:12) This is a slow and low process. (1:30:07) Why losing weight is the easier part. Maintaining it is hard. (1:31:25) Related Links/Products Mentioned Ozempic Uncovered Course Visit Entera Skincare for an exclusive offer for Mind Pump listeners! ** Promo code MPM at checkout for 10% off their order or 10% off their first month of a subscribe-and-save. ** June Promotion: MAPS 15 Minutes | Bikini Bundle | Shredded Summer Bundle 50% off! ** Code JUNE50 at checkout ** Ozempic: A Weight Loss Miracle or Metabolic Menace? A Discussion with Dr. Tyna Moore & Calley Means Trends and Disparities in Cardiometabolic Health Among U.S. Adults, 1999-2018 Adverse Effects of GLP-1 Receptor Agonists Evidence-Based Guideline for Adult Sedation, Pain Assessment, and Analgesia in a Low Resource Setting Intensive Care Unit: Review Article Healthy weight loss maintenance with exercise, GLP-1 receptor agonist, or both combined followed by one year without treatment: a post-treatment analysis of a randomised placebo-controlled trial Mind Pump #2110: Ozempic The Miracle Fat Loss Peptide: The Truth With Dr. William Seeds Mind Pump #2187: Why Building Muscle Is More Important Than Losing Fat With Dr. Gabrielle Lyon How Affordable Could Generic Ozempic Be? As Low as $5 a Month, Study Finds Pottenger's Cats: Early Epigenetics and Implications for Your Health TRANSCEND your goals! Telehealth Provider • Physician Directed GET YOUR PERSONALIZED TREATMENT PLAN! Hormone Replacement Therapy, Cognitive Function, Sleep & Fatigue, Athletic Performance and MORE. Their online process and medical experts make it simple to find out what's right for you. Peptide World Congress – Seeds Scientific Research & Performance Mind Pump Podcast – YouTube Mind Pump Free Resources Featured Guest/People Mentioned Dr. Tyna Moore (@drtyna) Instagram   Website The Dr. Tyna Show Podcast Mark Hyman, M.D. (@drmarkhyman) Instagram Layne Norton, Ph.D. (@biolayne) Instagram Dr. William Seeds (@williamseedsmd) Instagram Leonard Pastrana. Pharm D Dr. Gabrielle Lyon (@drgabriellelyon) Instagram Drew Canole (@drewcanole) Instagram Lily Nichols RDN (@lilynicholsrdn) Instagram

Join hosts Chris Knoll, MD and Lillian Su, MD both of Phoenix Children's Hospital as they interview their guests, John Kheir, MD and Jim DiNardo, MD, both of Boston Children's Hospital who discuss their paper, "Administration of Milrinone Following Tetralogy of Fallot Repair Increases Postoperative Volume Administration Without Improving Cardiac Output" published in Nov 2023 in Anesthesia and Analgesia. They don't shy from controversy and discuss the risks and benefits of milrinone, particularly in RV restrictive disease such as TOF and why norepinephrine should be making a comeback into all our CVICU's! Put your thinking caps on for this one and join the debate. Editor: Chris Knoll, MD Producer Lillian Su, MD

This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. Hear us discuss the prestigious journal "Anesthesia and Analgesia", affiliated with the International Anesthesia Research Society (IARS). Listen to how it maintains its status as one of the top-ranked journals in its field, the importance of its readability and accessibility. Learn about the journal's rapid review process and diverse editorial board that reflects global and thematic diversity. Also; transitioning to digital formats, the evolving nature of manuscript submissions, the integration of AI and the journal's commitment to gender and intellectual diversity. We also discuss peer review workshops and an editorial fellowship scheme, allowing early career researchers to learn about manuscript handling and review. Visit the online edition here: https://journals.lww.com/anesthesia-analgesia/pages/default.aspx Presented by Desiree Chappell, TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk's founder with Jaideep Pandit, Professor of Anaesthesia, University of Oxford and Editor-in-Chief, “Anesthesia and Analgesia”.

In this episode, Dr. Ron George provides a tour de force of our past and present labor analgesia management. We discuss his recent publication, Modern Labor Epidural Analgesia: Implications for Labor Outcomes and Maternal-Fetal Health. https://pubmed.ncbi.nlm.nih.gov/37164496/ The Most Influential Publications in Obstetric Anesthesiology, 1998–2017: Utilizing the Delphi Method for Expert Consensus https://pubmed.ncbi.nlm.nih.gov/32282388/ Effect of low-dose … Read More Read More

In our last episode, we introduced a new class of drugs that have recently hit the veterinary market for treating pain associated with osteoarthritis: nerve growth factor monoclonal antibody therapy. Just over one year ago, Librela (bedinvetmab) entered the North American veterinary market, shaking up our traditional pharmaceutical approach to osteoarthritis pain management in dogs. However, Librela has been available in the United Kingdom and Europe for years Zoetis, the pharmaceutical manufacturer and distributor of Librela, reports that millions of doses of Librela have been administered to dogs since its introduction in 2021, with veterinarians rating their overall satisfaction with the product at about an 8 out of 10. What can veterinarians in America learn from the experience of European vets about effectively incorporating this novel drug into an overall pain management plan for dogs with osteoarthritis?Host Dr. Bonnie Gatson chats with UK veterinary anesthesiologist and internationally recognized expert on companion animal pain management, Dr. Matt Gurney. Dr. Gurney is past president of the European College of Veterinary Anesthesia & Analgesia and now works as an anesthesiologist and pain management expert at Eastcott Referrals in the UK. He is also co-founder of Zero Pain Philosophy, an educational resource for veterinary professionals around the globe with a mission to help achieve excellence in veterinary pain management. Together, they discuss how Librela has changed the way European vets manage osteoarthritis pain in dogs, clinical pearls on using Librela in practice, and side effects observed by European vets compared to anecdotal adverse events that have been reported out of the United States.Resources mentioned in this episode: The Canine Brief Pain Inventory for dogsThe European and American data sheets on Librela (bedinvetmab)A comprehensive review of nerve growth factor antibody therapy for the treatment of osteoarthritis pain in humans by Dr. Schmelz If a patient experiences an adverse event associated with use of Librela, please contact product support at Zoetis at 1-888-963-8471. Learn more about achieving analgesic excellence at your clinic with Dr. Gurney's Zero Pain Philosophy. You can check out Zero Pain Philosophy Podcast, wherever you get your podcasts. Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content.Our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.Special thanks to Chris Webster, Saul Jimenez, and producer Maria Bridges for making this podcast a reality.

Description: Let's say you were looking for a safe and effective BLS option for analgesia. Something other than oral acetaminophen or ibuprofen. You want the Green Whistle (methoxyflourane) but you can't get the Green Whistle (thanks FDA!). How about sub-dissociative ketamine by nebulizer? Sounds great, but you're worried about your colleagues getting stoned, aren't you? Admit it, you are. Fortunately, there are breath actuated nebulizers. Maybe those things will work? Dr Jarvis reviews a recent paper that compares the effectiveness of nebulized ketamine compared with IV ketamine. And he gives a quick review of some other papers that paved the way for this one. Citations:1. Nguyen T, Mai M, Choudhary A, Gitelman S, Drapkin J, Likourezos A, Kabariti S, Hossain R, Kun K, Gohel A, et al.: Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Annals of Emergency Medicine. (2024) May 2.2. Motov S, Mai M, Pushkar I, Likourezos A, Drapkin J, Yasavolian M, Brady J, Homel P, Fromm C: A prospective randomized, double-dummy trial comparing IV push low dose ketamine to short infusion of low dose ketamine for treatment of pain in the ED. Am J Emerg Med. 2017;August;35(8):1095–100.3. Motov S, Rockoff B, Cohen V, Pushkar I, Likourezos A, McKay C, Soleyman-Zomalan E, Homel P, Terentiev V, Fromm C: Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2015;September;66(3):222-229.e1.4. Motov S, Yasavolian M, Likourezos A, Pushkar I, Hossain R, Drapkin J, Cohen V, Filk N, Smith A, Huang F, et al.: Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2017;August;70(2):177–84.5.Dove D, Fassassi C, Davis A, Drapkin J, Butt M, Hossain R, Kabariti S, Likourezos A, Gohel A, Favale P, et al.: Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Annals of Emergency Medicine. 2021;December;78(6):779–87.6.Patrick C, Smith M, Rafique Z, Rogers Keene K, De La Rosa X: Nebulized Ketamine for Analgesia in the Prehospital Setting: A Case Series. Prehospital Emergency Care. 2023;February 17;27(2):269–74. FAST24 | June 10 - 12, 2024 | Wilmington, North CarolinaFAST24 is our annual conference for pre-hospital and critical care transport professionals, including nurses, paramedics, and other disciplines. It features engaging workshops, talks by industry leaders, and focused sessions on air and surface critical care transport medicine. The event also offers a unique vendor experience, special guest appearances from notable talent in the industry, catered lunches, as well as relaxing and entertaining networking and social opportunities. Tickets are limited so don't wait! Visit fbefast.com for more information.

World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients. This episode is centered around the A Element: Assess, Prevent, and Manage Pain and the C Element: Choice of Analgesia and Sedation. GUESTS Melissa Pilbeam, BPharm Senior PICU Pharmacist Queensland Children's Hospital Brisbane, Australia Lisa Russell, BNurs Clinical Nurse Specialist Paeditric Intesive Care Unit (PICU) Children's Hospital Westmead Sydney, Australia HOST Kate Madden, MD Senior Associate, BCH Medical-Surgical ICU. Boston Children's Hospital Assistant Professor of Anesthesiology Harvard University Boston, MA, USA DATES Initial Publication date: May 5, 2024

Davy's career after his work in nitrous oxide included the invention of a miner's lamp designed to make mining safer. This invention came with a bit of controversy.  Research: "Britons take laughing gas merrily. Tories take it more seriously." The Economist, 27 Sept. 2023, p. NA. Gale OneFile: Business, link.gale.com/apps/doc/A766770794/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=c0888abb. Accessed 3 Apr. 2024. "Erroneous element." Muse, vol. 20, no. 7, Sept. 2016, p. 7. Gale General OneFile, link.gale.com/apps/doc/A466296806/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=795a6d0c. Accessed 3 Apr. 2024. “Sir Humphrey Davy's Harmful Emissions – November 2015.” Newcastle University Special Collections. 11/30/2015. https://blogs.ncl.ac.uk/speccoll/2015/11/30/sir-humphrey-davys-harmful-emissions/ Adams, Max. "Humphry Davy and the murder lamp: Max Adams investigates the truth behind the introduction of a key invention of the early Industrial Revolution." History Today, vol. 55, no. 8, Aug. 2005, pp. 4+. Gale In Context: U.S. History, link.gale.com/apps/doc/A135180355/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=2d163818. Accessed 3 Apr. 2024. Buslov, Alexander BSc; Carroll, Matthew BSc; Desai, Manisha S. MD. Frozen in Time: A History of the Synthesis of Nitrous Oxide and How the Process Remained Unchanged for Over 2 Centuries. Anesthesia & Analgesia 127(1):p 65-70, July 2018. | DOI: 10.1213/ANE.0000000000003423 Cantor, Geoffrey. “Humphry Davy: a study in narcissism?” The Royal Society. 4/11/2018. https://royalsocietypublishing.org/doi/10.1098/rsnr.2017.0055#FN95R Cartwright, F.F. “Humphry Davy's Researches on Nitrous Oxide.” British Journal of Anesthesia. Vol. 44. 1972. Davy, Humprhy. “Researches, chemical and philosophical : chiefly concerning nitrous oxide, or diphlogisticated nitrous air, and its respiration.” London : printed for J. Johnson, St. Paul's Church-Yard, by Biggs and Cottle, Bristol. 1800. Eveleth, Rose. “Here's What It Was Like to Discover Laughing Gas.” Smithsonian. 3/27/2014. https://www.smithsonianmag.com/smart-news/heres-what-it-was-discover-laughing-gas-180950289/ Gibbs, Frederick William. "Sir Humphry Davy". Encyclopedia Britannica, 26 Feb. 2024, https://www.britannica.com/biography/Sir-Humphry-Davy-Baronet. Accessed 3 April 2024. Gregory, Joshua C. “The Life and Work of Sir Humphry Davy.” Science Progress in the Twentieth Century (1919-1933), Vol. 24, No. 95. https://www.jstor.org/stable/43428894 Hunt, Lynn and Margaret Jacob. “The Affective Revolution in 1790s Britain.” Eighteenth-Century Studies , Summer, 2001, Vol. 34, No. 4 (Summer, 2001). https://www.jstor.org/stable/30054227 j Jacob, Margaret C. and Michael J. Sauter. “Why Did Humphry Davy and Associates Not Pursue the Pain-Alleviating Effects of Nitrous Oxide?” Journal of the History of Medicine and Allied Sciences , APRIL 2002, Vol. 57, No. 2. Via https://www.jstor.org/stable/24623678 James, Frank A. J. L. "Davy, Humphry." Complete Dictionary of Scientific Biography, vol. 20, Charles Scribner's Sons, 2008, pp. 249-252. Gale In Context: U.S. History, link.gale.com/apps/doc/CX2830905611/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=c68d87c2. Accessed 3 Apr. 2024. James, Louis. “'Now Inhale the Gas': Interactive Readership in Two Victorian Boys' Periodicals, 1855–1870.” Victorian Periodicals Review, Volume 42, Number 1, Spring 2009. https://doi.org/10.1353/vpr.0.0062 Jay, Mike. “‘O, Excellent Air Bag': Humphry Davy and Nitrous Oxide.” 8/6/2014. Public Domain Review. https://publicdomainreview.org/essay/o-excellent-air-bag-humphry-davy-and-nitrous-oxide/ Jay, Mike. “The Atmosphere of Heaven: The 1799 Nitrous Oxide Researches Reconsidered.” Notes and Records of the Royal Society of London , 20 September 2009, Vol. 63, No. 3, Thomas Beddoes, 1760-1808 (20 September 2009). https://www.jstor.org/stable/40647280 Knight, David. "Davy, Sir Humphry, baronet (1778–1829), chemist and inventor." Oxford Dictionary of National Biography. February 10, 2022. Oxford University Press. Date of access 3 Apr. 2024, https://proxy.bostonathenaeum.org:2261/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-7314 Lacey, Andrew. “Humphry Davy and the ‘safety lamp controversy'.” 7/22/2015. https://www.theguardian.com/science/the-h-word/2015/jul/22/humphry-davy-lamp-controversy-history-science Neve, Michael. "Beddoes, Thomas (1760–1808), chemist and physician." Oxford Dictionary of National Biography. October 03, 2013. Oxford University Press. Date of access 11 Apr. 2024, https://proxy.bostonathenaeum.org:2261/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-1919 Polwhele, Richard. “Poems; Chiefly, The Local Attachment; The Unsex'd Females; The Old English Gentleman; the Pneumatic Revellers; and The Family Picture, Etc: Volume 5.” 1810. Roberts, Jacob. “High Times: When does self-experimentation cross the line?” Science History Institute Museum and Library. 2/2/2017. https://www.sciencehistory.org/stories/magazine/high-times/ Slosson, Edwin E. “A New Path to Oblivion.” The Scientific Monthly, Vol. 17, No. 3 (Sep., 1923). Via JSTOR. https://www.jstor.org/stable/3693060 Thomas, John Meurig. “Sir Humphry Davy and the coal miners of the world: a commentary on Davy (1816) ‘An account of an invention for giving light in explosive mixtures of fire-damp in coal mines'.” Philosophical Transactions of the Royal Society. 4/13/2015. https://royalsocietypublishing.org/doi/10.1098/rsta.2014.0288 Thomas, John Meurig. “Sir Humphry Davy: Natural Philosopher, Discoverer, Inventor, Poet, and Man of Action.” Proceedings of the American Philosophical Society , JUNE 2013, Vol. 157, No. 2. Via JSTOR. https://www.jstor.org/stable/24640238 West, John B. “Humphry Davy, nitrous oxide, the Pneumatic Institution, and the Royal Institution.” American Journal of Physiology-Lung Cellular and Molecular Physiology. Volume 307, Issue 9. Nov 2014. https://journals.physiology.org/doi/epdf/10.1152/ajplung.00206.2014 Woods, Gordon. "Sir Humphry Davy." Chemistry Review, vol. 14, no. 4, Apr. 2005, pp. 31+. Gale General OneFile, link.gale.com/apps/doc/A131857918/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=4d341a27. Accessed 3 Apr. 2024. See omnystudio.com/listener for privacy information.

Chemist Sir Humphry Davy is known for his work with nitrous oxide, or laughing gas. That early part of his career is the focus of part one of this two-parter. Research: "Britons take laughing gas merrily. Tories take it more seriously." The Economist, 27 Sept. 2023, p. NA. Gale OneFile: Business, link.gale.com/apps/doc/A766770794/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=c0888abb. Accessed 3 Apr. 2024. "Erroneous element." Muse, vol. 20, no. 7, Sept. 2016, p. 7. Gale General OneFile, link.gale.com/apps/doc/A466296806/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=795a6d0c. Accessed 3 Apr. 2024. “Sir Humphrey Davy's Harmful Emissions – November 2015.” Newcastle University Special Collections. 11/30/2015. https://blogs.ncl.ac.uk/speccoll/2015/11/30/sir-humphrey-davys-harmful-emissions/ Adams, Max. "Humphry Davy and the murder lamp: Max Adams investigates the truth behind the introduction of a key invention of the early Industrial Revolution." History Today, vol. 55, no. 8, Aug. 2005, pp. 4+. Gale In Context: U.S. History, link.gale.com/apps/doc/A135180355/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=2d163818. Accessed 3 Apr. 2024. Buslov, Alexander BSc; Carroll, Matthew BSc; Desai, Manisha S. MD. Frozen in Time: A History of the Synthesis of Nitrous Oxide and How the Process Remained Unchanged for Over 2 Centuries. Anesthesia & Analgesia 127(1):p 65-70, July 2018. | DOI: 10.1213/ANE.0000000000003423 Cantor, Geoffrey. “Humphry Davy: a study in narcissism?” The Royal Society. 4/11/2018. https://royalsocietypublishing.org/doi/10.1098/rsnr.2017.0055#FN95R Cartwright, F.F. “Humphry Davy's Researches on Nitrous Oxide.” British Journal of Anesthesia. Vol. 44. 1972. Davy, Humprhy. “Researches, chemical and philosophical : chiefly concerning nitrous oxide, or diphlogisticated nitrous air, and its respiration.” London : printed for J. Johnson, St. Paul's Church-Yard, by Biggs and Cottle, Bristol. 1800. Eveleth, Rose. “Here's What It Was Like to Discover Laughing Gas.” Smithsonian. 3/27/2014. https://www.smithsonianmag.com/smart-news/heres-what-it-was-discover-laughing-gas-180950289/ Gibbs, Frederick William. "Sir Humphry Davy". Encyclopedia Britannica, 26 Feb. 2024, https://www.britannica.com/biography/Sir-Humphry-Davy-Baronet. Accessed 3 April 2024. Gregory, Joshua C. “The Life and Work of Sir Humphry Davy.” Science Progress in the Twentieth Century (1919-1933), Vol. 24, No. 95. https://www.jstor.org/stable/43428894 Hunt, Lynn and Margaret Jacob. “The Affective Revolution in 1790s Britain.” Eighteenth-Century Studies , Summer, 2001, Vol. 34, No. 4 (Summer, 2001). https://www.jstor.org/stable/30054227 j Jacob, Margaret C. and Michael J. Sauter. “Why Did Humphry Davy and Associates Not Pursue the Pain-Alleviating Effects of Nitrous Oxide?” Journal of the History of Medicine and Allied Sciences , APRIL 2002, Vol. 57, No. 2. Via https://www.jstor.org/stable/24623678 James, Frank A. J. L. "Davy, Humphry." Complete Dictionary of Scientific Biography, vol. 20, Charles Scribner's Sons, 2008, pp. 249-252. Gale In Context: U.S. History, link.gale.com/apps/doc/CX2830905611/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=c68d87c2. Accessed 3 Apr. 2024. James, Louis. “'Now Inhale the Gas': Interactive Readership in Two Victorian Boys' Periodicals, 1855–1870.” Victorian Periodicals Review, Volume 42, Number 1, Spring 2009. https://doi.org/10.1353/vpr.0.0062 Jay, Mike. “‘O, Excellent Air Bag': Humphry Davy and Nitrous Oxide.” 8/6/2014. Public Domain Review. https://publicdomainreview.org/essay/o-excellent-air-bag-humphry-davy-and-nitrous-oxide/ Jay, Mike. “The Atmosphere of Heaven: The 1799 Nitrous Oxide Researches Reconsidered.” Notes and Records of the Royal Society of London , 20 September 2009, Vol. 63, No. 3, Thomas Beddoes, 1760-1808 (20 September 2009). https://www.jstor.org/stable/40647280 Knight, David. "Davy, Sir Humphry, baronet (1778–1829), chemist and inventor." Oxford Dictionary of National Biography. February 10, 2022. Oxford University Press. Date of access 3 Apr. 2024, https://proxy.bostonathenaeum.org:2261/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-7314 Lacey, Andrew. “Humphry Davy and the ‘safety lamp controversy'.” 7/22/2015. https://www.theguardian.com/science/the-h-word/2015/jul/22/humphry-davy-lamp-controversy-history-science Neve, Michael. "Beddoes, Thomas (1760–1808), chemist and physician." Oxford Dictionary of National Biography. October 03, 2013. Oxford University Press. Date of access 11 Apr. 2024, https://proxy.bostonathenaeum.org:2261/view/10.1093/ref:odnb/9780198614128.001.0001/odnb-9780198614128-e-1919 Polwhele, Richard. “Poems; Chiefly, The Local Attachment; The Unsex'd Females; The Old English Gentleman; the Pneumatic Revellers; and The Family Picture, Etc: Volume 5.” 1810. Roberts, Jacob. “High Times: When does self-experimentation cross the line?” Science History Institute Museum and Library. 2/2/2017. https://www.sciencehistory.org/stories/magazine/high-times/ Slosson, Edwin E. “A New Path to Oblivion.” The Scientific Monthly, Vol. 17, No. 3 (Sep., 1923). Via JSTOR. https://www.jstor.org/stable/3693060 Thomas, John Meurig. “Sir Humphry Davy and the coal miners of the world: a commentary on Davy (1816) ‘An account of an invention for giving light in explosive mixtures of fire-damp in coal mines'.” Philosophical Transactions of the Royal Society. 4/13/2015. https://royalsocietypublishing.org/doi/10.1098/rsta.2014.0288 Thomas, John Meurig. “Sir Humphry Davy: Natural Philosopher, Discoverer, Inventor, Poet, and Man of Action.” Proceedings of the American Philosophical Society , JUNE 2013, Vol. 157, No. 2. Via JSTOR. https://www.jstor.org/stable/24640238 West, John B. “Humphry Davy, nitrous oxide, the Pneumatic Institution, and the Royal Institution.” American Journal of Physiology-Lung Cellular and Molecular Physiology. Volume 307, Issue 9. Nov 2014. https://journals.physiology.org/doi/epdf/10.1152/ajplung.00206.2014 Woods, Gordon. "Sir Humphry Davy." Chemistry Review, vol. 14, no. 4, Apr. 2005, pp. 31+. Gale General OneFile, link.gale.com/apps/doc/A131857918/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=4d341a27. Accessed 3 Apr. 2024. See omnystudio.com/listener for privacy information.

Host Dr. Joseph Patterson interviews paper author Dr. Patrick Kellam. This paper was presented at the 2023 OTA Annual Meeting. To see the abstract while listening download the free ConveyMED app: Apple Store or Google Play For additional educational resources visit https://ota.org/ 

View the full article on Anesthesia & Analgesia here: https://journals.lww.com/anesthesia-analgesia/fulltext/2024/04000/operating_room_fire_prevention__video_in_clinical.28.aspx

View the full article on Anesthesia & Analgesia here: https://journals.lww.com/anesthesia-analgesia/fulltext/2023/12000/procedural_and_surgical_safety_checklists__video.26.aspx

What fasting recommendations are you making for your elective anesthetic procedures? Are you recommending that all your patients be fasted overnight? This has been recommended by veterinarians to countless dog and cat owners for years. However, our human counterparts have changed these recommendations in recent years to shorter episodes of fasting before general anesthesia. The most recent anesthesia guidelines provided by American Animal Hospital Association have suggested a different fasting protocol for small animal patients prior to general anesthesia that look awfully similar to the updated human recommendations. What is the evidence that veterinarians should follow suit, especially given the intricate differences between the human and animal gastrointestinal systems?To help us digest this huge topic is Dr. Ioannis Savvas, Professor of Veterinary Anaesthesia, Analgesia, and Intensive Care at School of Veterinary Medicine, Aristotle University of Thessaloniki and dedicated researcher specializing in the complex details of how general anesthesia impacts the gastrointestinal tract of dogs and cats. With host Dr. Bonnie Gatson, they will discuss the impact of general anesthesia on gastrointestinal motility, how often reflux and regurgitation occur in anesthetized companion animals, and strategies to mitigate these gastrointestinal complications. And of course, they will discuss what we know and don't know when it comes to preanesthetic fasting protocols for dogs and cats.We invite our listeners to check out articles mentioned in today's episode: 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and CatsIf you like what you hear, we have a couple of favors to ask of you:Become a member at North American Veterinary Anesthesia Society (NAVAS) for access to more anesthesia and analgesia educational and RACE-approved CE content.Spread the word. Share our podcast and FB/IG posts, re-tweet, post something on a network or a discussion forum, or tell a friend over lunch. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.We also ask our listeners to save the date for the NAVAS Virtual Spring Symposium on April 27th and 28th, 2024. For more information about the program, visit the NAVAS Spring Symposium website. Dr. Savvas will be one of our featured speakers during the symposium talking more about adverse gastrointestinal effects of general anesthesia.Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.The NAVAS Podcast is published monthly on or near the 15th of the month.Special thanks to Chris Webster for editing, producer Maria Bridges, and Saul Jimenez for IT support in making this podcast a reality.

Waking up is hard to do...especially when it's after anesthesia. This episode of the podcast features Darci Palmer LVT, VTS (anesthesia & analgesia) discussing the differences between dysphoria, emergence delirium, and pain. We talk about different medication options and tips for making anesthesia recovery smoother overall. Darci Palmer has been a credentialed veterinary technician for 21 years. She obtained her veterinary technician specialty in anesthesia and analgesia in 2006 while working at the Washington State University (WSU) Veterinary Teaching Hospital followed by a position at Auburn University College of Veterinary Medicine. Currently Darci is at Tuskegee University College of Veterinary Medicine where she is providing both didactic lectures and clinical hands-on training to the veterinary students. In addition to her clinical work, she serves as the Academy of Veterinary Technicians in Anesthesia & Analgesia, Executive Secretary and in January 2021 she took over the chair of CVTS which is the committee that oversees all of the NAVTA recognized Veterinary Technician Specialty

Joining Brian and myself in our studio (three times a charm) we are delighted to speak to Nicola Ho, Lecturer in Anaesthesia and Analgesia here at the RVC. Nicola, with her anaesthesia colleagues, sent out a questionnaire to those anaesthesia vets, nurses and technicians to find out how sleep and fatigue affected them. It is an interesting and pertinent topic when most of us have roles in which we need to work shift work and/or be on call and how that might affect us, and the patients we look after. It might not have answers though a space to start or continue the conversation to think about what you can do to make it better where you are for you and your team. We hope that you enjoy. Some references: https://pubmed.ncbi.nlm.nih.gov/37142463/ To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 141 Sleep, fatigue and mental health with Nicola Ho. Published on Dec 22 2023   If you have any comments about this podcast, please get in touch: email podcast@rvc.ac.uk or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

Show notes at pharmacyjoe.com/episode877. In this episode, I ll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode877. In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest. The post 877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.

Welcome to the Social-Engineer Podcast: The Doctor Is In Series – where we will discuss understandings and developments in the field of psychology.   In today's episode, Chris and Abbie are discussing music and the senses; how it can influence our mood, “seeing” sounds, and the various ways music can shape our health. [Dec 4, 2023]   00:00 - Intro 00:17 - Dr. Abbie Maroño Intro 01:15 - Intro Links -          Social-Engineer.com - http://www.social-engineer.com/ -          Managed Voice Phishing - https://www.social-engineer.com/services/vishing-service/ -          Managed Email Phishing - https://www.social-engineer.com/services/se-phishing-service/ -          Adversarial Simulations - https://www.social-engineer.com/services/social-engineering-penetration-test/ -          Social-Engineer channel on SLACK - https://social-engineering-hq.slack.com/ssb -          CLUTCH - http://www.pro-rock.com/ -          innocentlivesfoundation.org - http://www.innocentlivesfoundation.org/ 04:39 - The Topic of the Day: Music and the Senses 06:20 - Subjective Taste 07:17 - Listen and Chill 09:54 - Beyond Your Expectations 12:26 - A Euphoric Sensation 14:11 - The Negative Side 15:24 - The Deeper Connection 17:17 - Understanding with MTV 19:40 - Moving Adverts 20:58 - Music Matters 24:35 - Synesthesia: An Overview 27:27 - Genius, Damaged or Both? 30:35 - Thinking Differently 33:47 - Finding What Works 34:59 - Music-Induced Analgesia 40:24 - Soothing the Savage Beast 41:56 - The Power of the Mind 42:49 - Benefits Package 43:35 - When We Were Young 46:57 - The Need to Be Seen 49:14 - Wrap Up 50:43 - Next Month: Trauma Bonding 51:07 - Outro -          www.social-engineer.com -          www.innocentlivesfoundation.org   Find us online: -          Twitter: https://twitter.com/abbiejmarono -          LinkedIn: linkedin.com/in/dr-abbie-maroño-phd-35ab2611a -          Instagram: @DoctorAbbieofficial -          Twitter: https://twitter.com/humanhacker -          LinkedIn: linkedin.com/in/christopherhadnagy   References: Bannister, S., & Eerola, T. (2023). Vigilance and social chills with music: Evidence for two types of musical chills. Psychology of Aesthetics, Creativity, and the Arts, 17(2), 242. Bragança, G. F. F., Fonseca, J. G. M., & Caramelli, P. (2015). Synesthesia and music perception. Dementia & neuropsychologia, 9, 16-23. Colver, M. C., & El-Alayli, A. (2016). Getting aesthetic chills from music: The connection between openness to experience and frisson. Psychology of Music, 44(3), 413-427. Dael, N., Smedt, T. D., & Paquier, P. F. (2012). Tasting music: A case of emotion-color synaesthesia. Neurocase, 18(2), 165-180. Hsieh C, Kong J, Kirsch I, Edwards RR, Jensen KB, Kaptchuk TJ, et al. Well-loved music robustly relieves pain: a randomized, controlled trial. PLoS ONE. (2014) 9:e107390. doi: 10.1371/journal.pone.0107390 Hubbard, E. M. (2007). Neurophysiology of synesthesia. Current psychiatry reports, 9(3), 193-199. Lombardi, R. (2011). The body, feelings, and the unheard music of the senses. Contemporary Psychoanalysis, 47(1), 3-24. Lunde, S. J., Vuust, P., Garza-Villarreal, E. A., Kirsch, I., Møller, A., & Vase, L. (2022). Music-induced analgesia in healthy participants is associated with expected pain levels but not opioid or dopamine-dependent mechanisms. Frontiers in Pain Research, 3, 734999. Powers, J. M., Ioachim, G., & Stroman, P. W. (2022). Music to my senses: Functional magnetic resonance imaging evidence of music analgesia across connectivity networks spanning the brain and brainstem. Frontiers in Pain Research, 3, 878258. Roy M, Peretz I, Rainville P. Emotional valence contributes to music-induced Analgesia. Pain. (2008) 134:140–7. doi: 10.1016/j.pain.2007.04.003 Smilek, D., Dixon, M. J., Cudahy, C., & Merikle, P. M. (2002). Synesthetic photisms influence visual perception. Journal of Cognitive Neuroscience, 14(8), 1057-1068 Spector, F., & Maurer, D. (2013). Synesthesia: a new approach to understanding the development of perception. Wang Y, Wei J, Guan X, Zhang Y, Zhang Y, Zhang N, et al. Music intervention in pain relief of cardiovascular patients in cardiac procedures: a systematic review and meta-analysis. Pain Med. (2020) 21:3055–65. doi: 10.1093/pm/pnaa148 Zamm, A., & Schlaug, G. (2015). Auditory-motor mapping training as an intervention to facilitate speech output in non-verbal children with autism: A proof of concept study. PLoS ONE, 10(6), e0129725.