Podcasts about catheterization

CardioNerds Critical Care Cardiology Council members Dr. Gurleen Kaur and Dr. Katie Vanchiere meet with Dr. Yash Patel, Dr. Akanksha, and Dr. Mohammed El Nayir from Trinity Health Ann Arbor. They discuss a case of pulmonary air embolism, RV failure, and cardiac arrest secondary to an ocular venous air embolism. Expert insights provided by Dr. Tanmay Swadia. Audio editing by CardioNerds Academy intern, Grace Qiu. A 36-year-old man with a history of multiple ocular surgeries, including a complex retinal detachment repair, suffered a post-vitrectomy collapse at home. He was found hypoxic, tachycardic, and hypotensive, later diagnosed with a pulmonary embolism from ocular venous air embolism leading to severe right heart failure. Despite a mild embolic burden, the cardiovascular response was profound, requiring advanced hemodynamic support, including an Impella RP device (Abiomed, Inc.). Multidisciplinary management, including fluid optimization, vasopressors and mechanical support to facilitate recovery. This case underscores the need for early recognition and individualized intervention in cases of ocular venous air embolism. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls- Clear Vision, Clouded Heart: Ocular Venous Air Embolism with Pulmonary Air Embolism, RV Failure, and Cardiac Arrest Hypoxia, hypotension and tachycardia in a patient following ocular instrumentation are classic findings suggestive of pulmonary embolism from possible air embolism. The diagnosis of RV failure is based on clinical presentation, echocardiographic findings (such as McConnell's sign), and invasive hemodynamic assessment via right heart catheterization. Mechanical circulatory support can be considered as a temporary measure for patients with refractory RV failure. Central Figure: Approach to Pulmonary Embolism with Acute RV Failure Notes - Clear Vision, Clouded Heart: Ocular Venous Air Embolism with Pulmonary Air Embolism, RV Failure, and Cardiac Arrest 1. What is an Ocular Venous Air Embolism (VAE), and how can it be managed in critically ill patients? An Ocular Venous Air Embolism is defined as the entry of air into the systemic venous circulation through the ocular venous circulation, often during vitrectomy procedures. Early diagnosis is key to preventing cardiovascular collapse in cases of Ocular Venous Air Embolism (VAE).  The goal is to stop further air entry. This can be done by covering the surgical site with saline-soaked dressings and checking for air entry points. Adjusting the operating table can help, especially with a reverse Trendelenburg position for lower-body procedures. The moment VAE is suspected, discontinue nitrous oxide and switch to 100% oxygen. This helps with oxygenation, speeds up nitrogen elimination, and shrinks air bubbles. Hyperbaric Oxygen Therapy can reduce bubble size and improve oxygenation, especially in cases of cerebral air embolism, when administered within 6 hours of the incident. Though delayed hyperbaric oxygen therapy can still offer benefits, the evidence is mixed. VAE increases right heart strain, so inotropic agents like dobutamine can help boost cardiac output, while norepinephrine supports ventricular function and systemic vascular resistance, but this may also worsen pulmonary resistance.  Aspiration of air via multi-orifice or Swan-Ganz catheters has limited success, with success rates ranging from 6% to 16%. In contrast, the Bunegin-Albin catheter has shown more promise, with a 30-60% success rate. Catheterization for acute VAE-induced hemodynamic compromise is controversial, and there's insufficient evidence to support its ...

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Comparative Congenital Cardiac Catheterization Registry Analysis From the United States and Low- and Middle-Income Countries.

Learn more about Level 1 Functional Pelvic Health Practitioner programGet certified in pelvic health from the OT lens hereGrab your free AOTA approved Pelvic Health CEU course here.More about my guest:Carly Rosenthal, MS, OTR/L an occupational therapist located in Philadelphia, PA who graduated from Thomas Jefferson's Occupational Therapy program in 2019. Currently Carly works both in a pediatric inpatient rehabilitation program as well as owning her own pelvic floor therapy practice, Enliven Occupational Therapy. While she loves helping children with their pelvic floor dysfunction, she is particularly passionate about assisting both children and adults who face challenges with neurogenic bowel and bladder. She has extensive experience in helping individuals with spinal dysfunction attain functional continence. Each person's journey is unique, and she loves collaborating to find tailored solutions that enhance their daily lives. The combination of creativity, problem-solving, and compassion involved in this work truly inspires her.How to contact: email: carlyrosenthalot@gmail.cominstagram: @enliven.otwebsite: www.enlivenot.com____________________________________________________________________________________________Pelvic OTPs United - Lindsey's off-line interactive community for $39 a month! Inside Pelvic OTPs United you'll find:​ Weekly group mentoring calls with Lindsey. She's doing this exclusively inside this community. These aren't your boring old Zoom calls where she is a talking head. We interact, we coach, we learn from each other.​ Highly curated forums. The worst is when you post a question on FB just to have it drowned out with 10 other questions that follow it. So, she's got dedicated forums on different populations, different diagnosis, different topics (including business). Hop it, post your specific question, and get the expert advice you need. More info here. Lindsey would love support you in this quiet corner off social media!

Trucker Catheterization. Did he say that? You bet he did. You will not believe what some truckers are doing to pass they DOT drug screen. I really wish I could tell you, but I would spoil the show. So, for now, I will just let your imagination run wild. I promise, you won't be disappointed when you hear what they are doing. Tune into the next episode of TalkCDL Trucking Podcast. Florida Truck Show TalkCDL will be at the Florida Truck Show. The location is none other than the Convention Center in Sunny Ft. Lauderdale Florida. The beach is near and the weather is forecast to be beautiful and in the 80s. Troy and Ruthann will be at booth #132. They will have their equipment with and they will be recording a show. Stop in and jump on the mic for a minute and tell us about yourself. Trucker Catheterization TAB Bank – Helping Truckers with Money for a long time Drivewyze – The easiest way to bypass Weigh Scales on the market NCI Trucking – One of the best carriers looking for drivers for company drivers and lease drivers Truck Parking Club – When you need a parking space for that Big Rig, Truck Parking Club has you resting in seconds Carter Lumber Local Trucking Jobs – Employing Truckers that want to be home every Day Pedestrian Ran In Front Of Semi Truck Recently a pedestrian was killed when he ran out in front of a semi truck. A truck driver heading south bound on highway 19, in Florida, had a pedestrian run in front of him. No one knows if the person was trying to beat the truck or if he was attempting suicide by semi truck. Many people every day take chances around these big rigs. They cut truckers off and break check them, they sneak up on their sides trying to beat them to red lights or they just pull out in front of a tractor-trailer thinking the big rig has 18 brakes and can stop on a dime. In fact it's just the opposite. It takes two football fields to stop at 70mph. These big boys gross weight is 80,000 pounds, that 4o tons of inertia. When someone is hurt or killed by a tractor trailer, the trucker has to live the rest of his life with this memory. Truckers are human too. This incident that happened on highway 19, was tragic. Not only for the victim and his family but also for the trucker. He did not ask for this to happen and from the reports, it looks like the truck driver did nothing wrong. So please be careful around these large cars called big rigs, the life you save may be your own. 2 Truckers beaten A Carriers Obligation to Truckers

The Oxford federal prison in south central Wisconsin is on a list of federal correctional facilities slated for closure. Ascension Wisconsin is planning to close a lab at St. Joseph hospital in Milwaukee. And, Wisconsin has the second most county-owned nursing homes in the country, but that might change soon.

In this episode, Labor Junkie RN joins us to dive deep into everything you need to know about epidurals. Listen along as they debunk common myths and provide crucial insights on epidurals. Understand the administration process, potential side effects, and the importance of informed consent. They dive into the details of epidural placement, the role of medical professionals, and possible complications. This episode covers everything you need to know about making informed, empowered decisions regarding epidurals during labor and delivery, ensuring you have the knowledge to navigate childbirth with confidence.   Understanding Epidurals: Basics and Misconceptions Epidural Placement Process Addressing Common Fears and Concerns Hospital Policies and Procedures Informed Consent and Timeouts Epidural Placement and Initial Relief Managing Epidural Effectiveness Positioning and Movement with an Epidural Eating During Labor with an Epidural Walking Epidurals: Rare but Possible Common Complications and Risks of Epidurals Epidurals and Labor Progression Understanding Epidural Side Effects Making the Decision: To Epidural or Not Who Can Administer Your Epidural? Catheterization with an Epidural Removing the Epidural: What to Expect Final Thoughts on Epidurals and Birth Choices   Guest Bio: Sara is a nurse of 15 years, the past decade of that in high risk OB and is the mom of 3!  INSTAGRAM: Connect with HeHe on IG  Connect with HeHe on YouTube Connect with Sara on TikTok Connect with Sara on Facebook BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   Check out Birth Brigade Podcast to hear HeHe chat with Dr. Bill Chun, OBGYN!  

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In this episode, Sarah Dimeglio is joined by Gina Powley and Rachel Boeche, the clinical resource managers for Hollister Incorporated US Continence Care. We discuss the latest regulations surrounding catheter use. Our goal is to help clinicians stay informed and confident in navigating these decisions with their patients. Tune in to hear valuable insights on how to provide the best care while staying compliant with current guidelines.

In this episode, Sarah Dimeglio is joined by Gina Powley and Rachel Boeche, the clinical resource managers for Hollister Incorporated US Continence Care. We discuss some of the most commonly asked questions about catheters. We explore how consumers can make informed decisions and advocate for themselves to ensure they find the right fit. Whether you're new to catheters or looking for the best options, this episode is packed with useful advice to help you navigate your choices confidently.

Amy Gietzen, a patient diagnosed with systemic scleroderma, shares her journey and experiences living with the disease. She discusses her initial symptoms, the shock of the diagnosis, and the lack of information and resources available at the time. Despite facing numerous challenges, including pulmonary fibrosis and pulmonary arterial hypertension, Amy maintains a positive outlook and a determination to be an exception to the prognosis. She emphasizes the importance of education, self-advocacy, and being proactive in managing one's health.  Learn even more about Nola and PAH at www.OutnumberPAH.com. #WorldSclerodermaDay #SclerodermaAwarenessMonth #SayScleroderma @srfcure @scleroderma Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com 

Nola Martin shares her experience with pulmonary arterial hypertension (PAH). Nola describes the physical and mental challenges she faced, including fatigue, weight gain, and the need to ask for help. Nola emphasizes the importance of self-advocacy and fighting for one's own health. She recounts a situation where she had to push her doctor to listen to her concerns and change her medication. Despite the limitations, she has a better quality of life and encourages others to be their own advocates. Learn even more about Nola and PAH at www.OutnumberPAH.com. #SclerodermaAwarenessMonth #SayScleroderma @scleroderma @srfcure Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com 

Episode summary: Dr. Wiegand joins us today with a closer look into the male urethra and lower urinary tract when there is a clinical need for intermittent catheterization. Incomplete bladder emptying associated with urinary retention in males presents a unique set of challenges, teaching opportunities, and potential complications. Dr. Wiegand shares his expertise on these topics and addresses the importance of compliance with an intermittent catheterization routine. Guest bio: Dr. Lucas Wiegand is a board-certified urologist with Orlando Health Medical Group Urology specializing in reconstructive urology. Sought after for second opinions and complex case referrals, he strives to communicate honestly and directly with his patients to help put them at ease and achieve their goal of returning to their normal lives. Dr. Wiegand earned his medical degree and completed his urology residency at the University of South Florida Morsani College of Medicine in Tampa. He was chief resident in his final year. Dr. Wiegand performed his fellowship in reconstructive urology at Washington University in St. Louis, where he supervised residents in general urology and reconstructive urologic procedures. He serves as assistant editor of the Video Journal of Prosthetic Urology. He is the author of several medical textbook chapters and is a frequent contributor to peer-reviewed journals. Dr. Wiegand is board-certified by the American Board of Urology. His professional memberships include the American Urologic Association, Florida Urological Society, and the Society of Genitourinary Reconstructive Surgeons. Visit  Coloplastprofessional for more offerings!  

BUFFALO, NY- May 7, 2024 – A new #research paper was #published in Aging (listed by MEDLINE/PubMed as "Aging (Albany NY)" and "Aging-US" by Web of Science) Volume 16, Issue 8, entitled, “Associations among NMR-measured inflammatory and metabolic biomarkers and accelerated aging in cardiac catheterization patients.” Research into aging has grown substantially with the creation of molecular biomarkers of biological age that can be used to determine age acceleration. Concurrently, nuclear magnetic resonance (NMR) assessment of biomarkers of inflammation and metabolism provides researchers with new ways to examine intermediate risk factors for chronic disease. In this new study, researchers Henry Raab, Elizabeth R. Hauser, Lydia Coulter Kwee, Svati H. Shah, William E. Kraus, and Cavin K. Ward-Caviness from the U.S. Environmental Protection Agency and Duke University used data from a cardiac catheterization cohort to examine associations between biomarkers of cardiometabolic health and accelerated aging assessed using both gene expression (Transcriptomic Age) and DNA methylation (Hannum Age, GrimAge, Horvath Age, and Phenotypic Age). “This study utilizes the CATHGEN cohort from the Jiang et al. study to investigate associations between multiple epigenetic and transcriptomic aging biomarkers and a broad array of NMR-based measures of inflammation, lipid homeostasis, and diabetes risk.” Linear regression models were used to associate accelerated aging with each outcome (cardiometabolic health biomarkers) while adjusting for chronological age, sex, race, and neighborhood socioeconomic status. Their study shows a robust association between GlycA and GrimAge (5.71, 95% CI = 4.36, 7.05, P = 7.94 × 10−16), Hannum Age (1.81, 95% CI = 0.65, 2.98, P = 2.30 × 10−3), and Phenotypic Age (2.88, 95% CI = 1.91, 3.87, P = 1.21 × 10−8). The researchers also saw inverse associations between apolipoprotein A-1 and aging biomarkers. “These associations provide insight into the relationship between aging and cardiometabolic health that may be informative for vulnerable populations.” DOI - https://doi.org/10.18632/aging.205758 Corresponding authors - Cavin K. Ward-Caviness - ward-caviness.cavin@epa.gov Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.205758 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts Keywords - aging, biological aging, NMR, biomarkers, cardiac catheterization About Aging-US Aging publishes research papers in all fields of aging research including but not limited, aging from yeast to mammals, cellular senescence, age-related diseases such as cancer and Alzheimer's diseases and their prevention and treatment, anti-aging strategies and drug development and especially the role of signal transduction pathways such as mTOR in aging and potential approaches to modulate these signaling pathways to extend lifespan. The journal aims to promote treatment of age-related diseases by slowing down aging, validation of anti-aging drugs by treating age-related diseases, prevention of cancer by inhibiting aging. Cancer and COVID-19 are age-related diseases. Please visit our website at https://www.Aging-US.com​​ and connect with us: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc Media Contact 18009220957 MEDIA@IMPACTJOURNALS.COM

Chris is nervous about an upcoming heart catheterization, so he shares his story about his heart disease journey. Paul and Joe join in and they all joke about what the day would be like and what he can expect. Subscribe to my podcast⁠ ⁠Follow me on YouTube⁠ ⁠Subscribe to my free work newsletter⁠ ⁠Follow my work YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/viewfromthepugh/message

In this week's episode we delve into the world of cardiac catheterization and speak with Assistant Professor of Pediatrics at USC, Dr. Neil Patel about a recent work he co-authored at Children's LA about continuation of anti-coagulation during catheterization. Does AC have to be stopped to safely perform a catheterization? Are there certain cases or patients in whom the risk may be especially high? What about NOACs or DOACs? When should closure devices be considered? These are amongst the questions posed to Dr. Patel this week.DOI: 10.1007/s00246-023-03097-x

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Heart Catheterization in Adults with Congenital Heart Disease: When, Why, and How Guest: William R. Miranda, M.D. Hosts: Luke J. Burchill, M.B.B.S., Ph.D. The Mayo Adult Congenital Heart Disease team takes a personalized approach to heart failure care. This includes directly measuring pressures in the heart - both at rest and with exercise. Listen to Dr William Miranda as he provides an update on how cardiac catheterization is providing new insights leading to improvements in heart failure diagnosis and treatment.  Topics Discussed: Heart Catheterization Exercising patients with heart disease symptoms Reassuring patients Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

Commentary by Drs. Julia Grapsa, Edoardo Zancanaro, and Yevgeniy Brailovsky

Welcome back to another episode of A Couple of Rad Techs Podcast! Today, we have a very special guest joining us, Lake Odom, an experienced interventional radiologic technologist. In this episode, Lake shares their journey into the world of interventional radiology and the fascinating intricacies of their work. From the importance of protective gear and the advancements in technology to the challenges and rewards of being an interventional rad tech, Lake dives deep into their experiences and expertise. Stay tuned as we unravel the mysteries of interventional radiology and gain valuable insights from Lake. Let's dive in!Lake Odom is an experienced interventional specialist who has been practicing since 2010. During his tech school years, Lake discovered his passion for interventional work and decided to pursue it as a career. Fortunately, he was able to join a two-semester program at a nearby community college, which provided him with hands-on training in interventional and cardiac cath procedures. Unlike many interventional specialists who undergo on-the-job training, Lake was fortunate to have a didactic program accompanying his clinical rotations. Through these rotations, he had the opportunity to work with various doctors and gain insights from different perspectives, enhancing his skills and knowledge in the field. Lake firmly believes that having a diverse background in interventional techniques is crucial for success in this profession.https://www.linkedin.com/in/lakeodomhttps://www.irtechtips.com/[00:02:40] Radiologists unsure about separate interventional groups soon. Interventional is minimally invasive image-guided surgery. Can involve draining, aspirating, or working on arteries.[00:05:04] Active role in patient care, excitement of interventional, constant learning, new technologies.[00:07:36] Top three common procedures in interventional radiology?[00:12:53] New clot aspiration device removes blockage.[00:14:14] Radiologists are essential and skilled; doctors rely on them.[00:18:06] Interventional cardiology has higher radiation dose.[00:20:31] Different shifts and hours in various places.[00:24:00] Lots of good info about intervention, please share more of your experience in education and training, we need these conversations.higher dose of radiation, interventional cardiology, radiology, protective lead hats, arm shields, gloves, technology, radiation dose reduction, Phillips machine, newer machine, specialized field, hands-on experience, outpatient job, equipment maintenance, smaller outpatient labs, diagnostic outpatient setting, cleaning tasks, longer cases, clot removal, catheter technique, penumbra device, bypass graft, mantras, misconceptions about radiologists, interventional radiology rotation, job offer, radiologic technologists, interventional procedure, Lake Odom, interventional training, clinical sites, uncertainty among radiologists, minimally invasive surgery Support the showThanks for listening to this episode on A Couple of Rad Techs Podcast! If you enjoyed this show, please leave us a rating and review on your favorite podcast platform. And don't forget to hit the subscribe button to be notified of our latest episodes. Thanks again for listening, and we'll see you next time!

Commentary by Dr. Candice Silversides

Today, Doug Pike interviews Dr. Matthew Davis about catheterization.

BEST TO WATCH THIS ON VIDEO POSTED IN OUR FACEBOOK COMMUNITY!   Join the conversation: https://www.facebook.com/groups/590215372864282   Welcome, everyone, to the Nurse to Nurse Podcast, where we engage in candid conversations with Kevin and Starshema. We are truly grateful for your presence today.   In today's episode, Kevin will be taking the spotlight as we delve into the various types of urinary catheters, their proper usage, and potential complications.   Before we dive into our topic, let's take a moment to recap what catheterization entails.   As most of you are already aware, urinary catheterization is a widely employed medical procedure that aids in the drainage of urine from the bladder. It involves the gentle insertion of a slender and flexible tube, known as a catheter, into the urinary tract. This procedure is typically employed when a patient experiences difficulty urinating naturally or when there is a need to closely monitor and manage urinary output.   As healthcare professionals, it is crucial for us to grasp the fundamental principles and techniques of catheterization. By doing so, we can provide the highest standard of care and safeguard the well-being of our patients.   So, without further ado, let's jump right into today's episode where we'll be discussing urinary catheter types, step-by-step instructions, and potential complications.   More of the topics discussed:  1:13 The different types of Foley Catheter 3:24 Why and when to use 100% Silicone Foley Catheter 4:52 What are Coude Catheter 6:03 Look at the risk versus the benefit. Does the patient really need a Foley? 7:17 Understanding patient's anatomy and the effect of Foley catheter to each 11:12 A BIG rookie mistake when doing CBI continuous bladder irrigation  13:03 What to do when you've already had the patient with the Foley catheter 13:47 Follow CDC guidelines for Foley Catheter 15:07 The use of Purewick Catheter 16:56 What to remember when you're opening a Foley tray 21:34 Why is Aseptic Insertion so important 22:44 Ensure Proper Insertion Technique 24:06 Contamination of the sterile field 25:49 Maintenance of a catheter 28:11 Prevention of obstruction 29:09 The importance of incorporating observation of urinary catheter back into your routine process 30:21 Take home points Other links and resources mentioned:  Catheter-Associated Urinary Tract Infections (CAUTI) https://www.cdc.gov/infectioncontrol/guidelines/cauti/index.html Preventing Hospital-Acquired Catheter Associated Urinary Tract Infections (HA-CAUTI) https://vimeo.com/129657316?fbclid=IwAR2q87w2W-Ktljl0S7cclZP6WrRoZfVdhI2afWttEd3mCQZGv6nX2Vb_MJ8   CAUTI Stimulation https://www.tnpatientsafety.com/initiatives/catheter-associated-urinary-tract-infections-cauti/cauti-simulation/?fbclid=IwAR0eCUjpUbD1hYyG-8T3fztX-ZUK0UKvgWu6F2FlogwjKh8-IPHERkWTEQU      *********** Want to win Podcast Merch? Listen to Episode 10: Navigating Some Of The Most Stressful Job In Nursing to know how! https://podcasts.apple.com/us/podcast/s2e10-navigating-some-of-the-most-stressful-job-in-nursing/id1668006963?i=1000607535545 Join the conversation in our FaceBook group: https://www.facebook.com/groups/590215372864282 ************** Stay in touch with the hosts  Connect with Kevin:  Looking for chart reviews, expert consultation, and legal briefings? Email Kevin at info@morethancpr.com now!  Website: https://morethancpr.com/ LinkedIn: https://www.linkedin.com/in/kevin-stansbury-40b66427/   Connect with Starshema: Are you ready to package up your skills and knowledge and build your personal brand as a nurse? Visit www.iamstarshema.com/buildmybrand to start your journey today! IG: @nursecoachstarshemaRN FB: Starshema RN  

Today, the fellas are joined by Madeline Tweel, who has rare Ovarian Teratoma-Related Paraneoplastic Neurological Syndrome. Don't worry if you can't pronounce that, Jeremie will do it for ya. Madeline was halfway through medical school when she became a very sick patient. She experienced meningitis, insane headaches, and even had to resort to self-catheterization. And get this, her grandparents gave her tips and tricks over lunch. I mean, who wouldn't want to learn how to self-catheterize over a coffee and a sandwich? Join the post-episode conversation over on Discord! https://discord.gg/expeUDN

Today, the fellas are joined by Madeline Tweel, who has rare Ovarian Teratoma-Related Paraneoplastic Neurological Syndrome. Don't worry if you can't pronounce that, Jeremie will do it for ya. Madeline was halfway through medical school when she became a very sick patient. She experienced meningitis, insane headaches, and even had to resort to self-catheterization. And get this, her grandparents gave her tips and tricks over lunch. I mean, who wouldn't want to learn how to self-catheterize over a coffee and a sandwich? Join the post-episode conversation over on Discord! https://discord.gg/expeUDN

This week we review a recent report of a new technique to implant SAPIEN valves for transcatheter pulmonary valve replacement in which 1-3 stents are implanted simultaneously with the SAPIEN valve. What are the potential benefits or disadvantages of this approach and who might be a better candidate for this method? Why is a stent needed outside of the relatively strong SAPIEN prosthesis and how does the team in San Diego choose bare metal vs. covered stents when performing this procedure? We speak with pediatric interventional cardiologist Dr. Jessica Heibel of Pediatrix in San Antonio, Texas about a recent work she co-authored with the team at Rady Children's Hospital in San Diego, California. Dr. Heibel reviews many of the finer points of transcatheter valve implantation this week. DOI: https://doi.org/10.1016/j.jscai.2022.100553

This podcast, Dr. Peter Eckman, a cardiologist and heart failure specialist, with Minneapolis Heart Institute, discusses heart failure and why it is an extensive medical issue. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Recognize heart failure as a problematic clinical disease and its morbidity and mortality that leads to comprehensive medical management. Identify and describe optimal contemporary medical therapy for heart failure. Describe novel options for heart failure. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES:  *See the attachment for additional information.  Heart Failure (HF)- Can occur without congestion or fluid retention - Characterized by fatigue, fluid retention, SOB, PND, orthopnea - We should consider the same urgency for heart failure as patients with CAD and CA. Heart Failure Preserved/Reduced Ejection Fraction (HFpEF/HFrEF)- HFpEF is a Preserved Ejcetion Fraction over about 50% - HFpEF - congestive phenotype more of a fluid retention       - an exercise intolerant phenotupe where the patient becomes intolerant of exercise induced dyspnea.       - Pulm HTN phenotype       - Increased pressure in the heart that gets transmitted to the lungs - HRrEF is Reduced EF is usually below 40% Medications- 4 classes of medications (MRAs, BB, SGLT2, ARNIs) - Treatment with mineralocorticoid receptor antagonists (MRAs) has been demonstrated to improve clinical outcomes in patients with HFrEF with mild to severe symptoms and also in patients with left ventricular dysfunciton after myocardial infarction. - SGLT2 inhibitors reduced the risk of cardiovascular death and hospitalizations for heart failure in a broad range of patients with heart failure, supporting their role as a foundational therapy for heart failure, irrespective of ejection fraction or care setting. - ARNI (angiotensin receptor/neprilysin inhibitor) medication is a newer treatment for heart failure. The combination of sacubitril and valsartan has helped people live longer and have a better quality of life. - Comprehensive EF therapy involves BB, ARNI, MRAs, angiotensin receptor/neprilysin inhibitors. Spironolactone, SGLT2 inhibitors. Treatment- Traditional therapy usually involves a BB and ACE inhibitor. - Currently we should be looking at comprehensive therapy when it comes to HF treatment.       - STOP USING LISINOPRIL.- SGLT2 inhibitors contraindicated ketoacidosis, amputation UTI, weight loss       - (SGLT2 inhibitors) DAPA-HF trial showed that dapagliflozin was superior to placebo at preventing cardiovascular deaths and heart failure events among patients with heart failure.  (Source: https://www.nejm.org/doi/full/10.1056/NEJMoa1911303#article_citing_articles ) - Catheterization - a vast majority of HF patients will need a right heart catheterization. - Cardiac pulmonary pressure monitoring Cardio MEMS - same day outpatient surgery which helps with medication adjustments and hospitalization in half. Works regardless of EF. - CardioVere laser spectroscopy which uses different wavelengths to detect light characteristics to determine the level of edema/fluid present wihin someone's tissues. Currently in development. - Casana is a toilet seat with certain sensors that detect and monitor impedance that check levels between different tissues, monitors HR and weight. - Cardiac contractility modulation causing electrical stumulation during a particular contraction of the myocyets it will augment potential (like a pacemeaker). -CORCHINCH - HF trial catheter based device that cinches up the heart, thereby making it smaller. It works more efficiently.  (Source: Clinical Evaluation of the AccuCinch® Ventricular Restoration System in Patients Who Present With Symptomatic Heart Failure With Reduced Ejection Fraction (HFrEF): The CORCINCH-HF Study) Novel Treatments- Atrial shunting procedure is investigational trials. Potentially impactful in exercise capacity and pressures but stay tuned as the verdict is not out. HfPEF exercise induced intolerance may be the best candidate. - SVC trial feasibility trial more durable effects of cardiac output.  Stay tuned. - LVAD for advanced therapies. Sometimes a bridge for candidacy as well as recovery. - Biventricular pacing has shown promise. *Heart failure is a problematic clinical disease entity with significant morbidity and mortality often leading to comprehensive medical management. It is often beneficial to enlist the help of our heart failure colleagues for these complicated patients.  Thanks to Dr. Peter Eckman - MHI heart failure specialist for his knowledge and contribution to this podcast. Please check out the additonal show notes for additional information/resources.

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!_____________________________________________________________________________________Show notes, articles, and CME form can be found on our website: http://www.the-incubator.org/jc37/

Adjusting to using an intermittent catheter can be difficult at the beginning – but it gets easier and can even improve quality of life and support independence. Join Bianca Faith Johnson and Thomas Cloyd as they share their catheterization journeys – from the initial shock of learning they'd have to use intermittent catheters, to how they were trained, and how they've incorporated it into their everyday routine. They'll also share their favorite tips and advice for both male and female intermittent catheter users.If you're new to using an intermittent catheter, Coloplast® Care can help! You can sign up for FREE by visiting www.bladder.coloplastcare.us or calling 866-226-6362.***The material shared within this podcast is for educational purposes only and is based on the personal experiences and learnings of the presenter. Thomas and Bianca are SpeediCath® Compact Set users who received compensation from Coloplast to provide this information. Each person's situation is unique so your experience may not be the same. Talk to your healthcare provider about whether this product is right for you. Nothing within this podcast is intended to be used as medical advice or used to diagnose, treat, cure or prevent any disease. You should rely on the healthcare professional who knows your individual history for personal medical advice and diagnosis. Please see complete product instructions for use, including all product indications, contraindications, precautions, warnings, and adverse events.

This week we play a session of the podcast from SCAI 2022 in Atlanta with Professor of Pediatrics, Columbia University - Dr. Christopher Petit reviewing a recent publication on the topic of systemic sirolimus in concert with catheter interventions for the treatment of pulmonary vein stenosis. Who is a candidate for this sort of therapy? Does systemic sirolimus confer a survival benefit over local stent delivery? Who should be caring for patients with pulmonary vein stenosis? Who is a candidate for transcatheter intervention vs. surgical intervention? Dr. Petit provides the answers in this live session from SCAI 2022. doi: 10.1016/j.jacc.2021.04.013

Commentary by Drs. Mladen Vidovich, David L. Fischman, and Roberto Bernardo

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, discusses how a blood test for the multiple sclerosis biomarker, neurofilament light chain, has been granted breakthrough device designation by the FDA. He also reads “The Tricks of Intermittent Catheterization When You're in a Wheelchair” a column by John Connor. =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Today we have a special edition of Pulm PEEPs! We are revisiting our Radiology Rounds from 4 weeks ago to dive further into Right Heart Catheterizations and how to interpret them. We are joined by two experts in the field, … Continue reading →

Comprehensive, relevant and insightful conversations about health and medicine happen here… on MedStar Health Doc Talk.    …real conversations with physician experts from around the largest healthcare system in the Maryland-DC region.The best way to a person's heart is through the wrist, at least according to the experts when it comes to a cardiac catheterization. Cardiac catheterization is a minimally invasive way to diagnose and treat a variety of heart and vascular conditions by guiding thin, flexible tubes called catheters through blood vessels to problem areas. Traditionally, this procedure was done through the femoral artery in the groin. But the gold standard today is using the transradial approach – accessing the coronary arteries through a small IV in the wrist. Transradial cardiac catheterization offers many advantages for patients including faster recovery, less pain, and less risk of bleeding.Our Interventional Cardiology Program is a national leader in this technique, and the doctors at MedStar Health use it in 90 percent or more of their cases — double the national average. Dr. John Wang, Chief of the Cardiac Catheterization Laboratory at MedStar Union Memorial Hospital, and Dr. Antony Kaliyadan, an interventional cardiologist at MedStar Union Memorial Hospital explain this technique and its many advantages for patients. They also talk about why someone would need a catheterization, why more doctors haven't adopted this method, and why patients should ask their doctor if they can do the catheterization through the wrist. Learn about their “radial-first” approach, and the new innovations and technologies on the horizon in interventional cardiology.

Who was the first person to close holes in the heart between the upper chambers of the heart in the cath lab? What exactly is interventional cardiology and why is it important? What future devices do our Heart Warriors have to look forward to? Today's episode is entitled “The Making of a Louisiana Legend” and our guest is Dr. Terry King.Dr. Terry King completed his training in Pediatrics and Pediatric Cardiology at the University of Texas and Duke University. He started practicing in 1965, caring for children in the state of Louisiana.In 1975, Dr. King and Dr. Noel Mills invented the “cardiac umbrella” to close holes in the heart without surgery and were the first to implant the device in humans. This technology forever changed how structural defects in the heart are repaired, both in children and adults. They were nominated for the Nobel Prize in Physiology in 1976.Dr. King considers the greatest responsibility you can give another person is the care of your child and he has dedicated his life and work to educating others on this important journey. He has helped to build the capacity of scholars and researchers in the field, delivering lectures and establishing a pediatric symposium for health professionals.He has helped to establish Neonatal and Pediatric Intensive Care Units in underserved areas of Louisiana to assist children with heart disease and their families who have no other means of receiving care. Support the show (https://www.patreon.com/HearttoHeart)

CardioNerds (Amit Goyal and Daniel Ambinder), are joined by guest host Dr. Alex Pipilas (CardioNerds Ambassader, Boston University), and Cleveland Clinic fellows, Dr. Gary Parizher, Dr. Ambreen Ali, and Dr. Tiffany Dong. They discuss a case of an 18-year-old man with Autism Spectrum Disorder presented with advanced nonischemic dilated cardiomyopathy. Due to anxiety, he was unable to tolerate right heart catheterization, and the initial evaluation for advanced heart failure therapies was deferred. With assistance from a multidisciplinary team, catheterization was successful, and he underwent cardiac transplantation. Faculty experts, Dr. Richard Dane Meredith (Cardiovascular Imaging, Mission healthcare), Dr. Julie Niezgoda (Congenital Cardiac Anesthesiologist, CCF), and Dr. Ran Lee (Critical Care Cardiology and Advanced HF/Transplant Cardiologist, CCF) provide the E-CPR for this episode. Audio editing by CardioNerds Academy Intern, Dr. Leticia Helms. Claim free CME just for enjoying this episode!  Disclosures: NoneJump to: Pearls - Notes - References CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Episode Teaching Pearls - Heart Failure with Autism Spectrum Disorder Autism spectrum disorder should not be regarded as a contraindication to organ transplantation.Respect for patient discomfort with procedures, and efforts to mitigate that discomfort, are essential.A multidisciplinary team approach, especially one utilizing allied health support services, is important to provide care to adolescent patients with advanced organ dysfunction, particularly those with developmental disabilities. Notes - Heart Failure with Autism Spectrum Disorder Autism spectrum disorder (ASD) is a developmental disability characterized by impairments in social interaction and the presence of restricted, repetitive patterns of behaviors, interests, or activities (2). In 2016 the CDC estimated one in 54 children age 8 had ASD (3). Despite ASD's prevalence, studies of organ transplantation in children and adolescents with developmental disabilities are lacking. Guidelines from the International Society for Heart Lung Transplantation indicate that heart transplantation cannot be recommended in patients suffering from severe cognitive-behavioral disabilities (4). However, the definition of “severe” is not clear, so the assessment of severity of a cognitive impairment, as well as whether the impairment constitutes a contraindication to organ transplantation, falls to healthcare providers on a case-by-case basis.             Cardiac transplantation in a patient with ASD has been documented previously (5). Nonetheless our case represents an important example of advocacy for lifesaving care in patients with developmental disability. Without any one component of the team taking care of our patient, including physicians and allied healthcare providers, he would have died of refractory cardiogenic shock. However, with individualized care and a multidisciplinary combined effort, his providers were able to overcome the obstacles posed by his ASD and deliver indicated interventions. References - Heart Failure with Autism Spectrum Disorder 1.  Baran, David A., et al. "SCAI clinical expert consensus statement on the classification of cardiogenic shock" Catheterization and Cardiovascular Interventions 94.1 (2019): 29-37. 2. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 5th edition. Arlington, VA: American Psychiatric Association, 2013. 3. Baio J, Wiggins L, Christensen D, et al. Prevalence of Autism Spectrum Disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveillance Summaries 2018; 67:1-23. 4. Mehra M, Canter C,

In this episode, pulmonologist Sandeep Sahay, MD and Jordin Rice, RN from Houston Methodist Lung Center discuss a nurse's role in informing and educating pulmonary arterial hypertension patients about clinical trials.  Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Never miss an episode with the phaware® podcast app. Follow us @phaware on Facebook, Twitter, Instagram, YouTube & Linkedin Engage for a cure: www.phaware.global/donate #phaware #ClinicalTrials 

Kayla Dunlop is a pulmonary hypertension patient from Southern California. In this episode, Kayla discusses being born with a rare condition called giant omphalocele (GO), the challenge of adjusting to life on oxygen 24/7, and how she is using her creative spirt to make jewelry to raise funds and awareness for pulmonary hypertension. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Never miss an episode with the phaware® podcast app. Follow us @phaware on Facebook, Twitter, Instagram, YouTube & Linkedin Engage for a cure: www.phaware.global/donate #phaware #ClinicalTrials

Doug Evans is a Pulmonary Hypertension patient from Florida. In this episode, Doug discusses his time in the military as a bomb loader, why he had to move from Colorado to lower altitude due to his PH, and how his treadmill and passion for Team PHenomenal Hope helped him lose over 80 pounds by simply walking. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Never miss an episode with the phaware® podcast app. Follow us @phaware on Facebook, Twitter, Instagram, YouTube & Linkedin Engage for a cure: www.phaware.global/donate #phaware #ClinicalTrials

Derek Henderson is a #CTEPH patient from Toronto, Canada. In this episode Derek discusses is road to diagnosis with a rare form of pulmonary hypertension, the mental challenge of PTE surgery and the misconceptions of Canada's socialized medicine program. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Never miss an episode with the phaware® podcast app. Follow us @phaware on Facebook, Twitter, Instagram, YouTube & Linkedin Engage for a cure: www.phaware.global/donate #phaware #ClinicalTrials

Kelly Lynch is a pulmonary hypertension patient from San Francisco.  In this episode, Kelly discusses her parasitic twin, battling depression and finding a platform to express her rareness on TikTok. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Never miss an episode with the phaware® podcast app. Follow us @phaware on Facebook, Twitter, Instagram, YouTube & Linkedin Engage for a cure: www.phaware.global/donate #phaware #ClinicalTrials

Moderator: BobbieJean Sweitzer, M.D. Participants: Jin-Tae Kim, M.D., Ph.D. and editorialist Jorge A. Gálvez, M.D., M.B.I. Articles Discussed: Smart Glasses for Radial Arterial Catheterization in Pediatric Patients: A Randomized Clinical Trial Augmenting the Anesthesiologist's Cockpit with Head-mounted Displays for Image-guided Procedures: Are We There Yet? Transcript

Dr. Subbarao Myla, Director of the Cardiovascular Catheterization Laboratories at the Jeffrey M Cantor Heart & Vascular Institute at Hoag Memorial Hospital Presbyterian, joined the podcast to talk about sensor technology, equity in heart care and where the specialty is headed.

Topic: What causes acute Urinary retention? (Catheterization) with Dr. Tony Badu.

This episode features Dr. Khaldoon Alaswad, Director of the Cardiac Catheterization Lab & Edith and Benson Ford Heart & Vascular Institute at Henry Ford Health System in Detroit. Here, he joined the podcast to discuss his career journey, leadership and the big challenges in interventional cardiology today.

Dr. Khaldoon Alaswad, Director of the Cardiac Catheterization Lab and Edith and Benson Ford Heart and Vascular Institute at Henry Ford Health System in Detroit, joined the podcast to discuss his career journey, leadership and the big challenges in interventional cardiology today.

In this podcast, Mardi Gomberg-Maitland, MD, MSc, speaks about the reasons she believes right heart catheterization is necessary in the follow-up management of patients with pulmonary hypertension, including the risks and benefits of having a right heart catheterization.

Dr. Ron Waksman's next guest is Steven Bailey, MD, the chairman of internal medicine at LSU Health in Shreveport, Louisiana, and editor-in-chief of Catheterization and Cardiovascular Interventions, the official journal of the Society for Cardiovascular Angiography and Interventions. Their wide-ranging discussion includes Dr. Bailey's research interests, such as the association of NADPH oxidases (NOX) inflammatory pathways with atherosclerosis and renal function, the effects of COVID-19 on pulmonary endothelial and mesenchymal cells, and his work on the development of innovative treatments and technologies in the field of interventional cardiology.

This week we review a recent survey study on the topic of aortopulmonary collaterals in single ventricle patients. How often are these occluded in the single ventricle patient and when this is performed, how do interventionalists decide? How should they be occluded? Are there guidelines regarding this? We speak with Professor Ziyad Hijazi of Sidra Cardiovascular Center in Doha, Qatar about this recent work and also briefly discuss the PICS Society for pediatric and adult interventional cardiologists with Dr. Hijazi and Dr. Damien Kenny. doi: 10.1007/s00246-020-02418-8

Our favorite nurse fills in for C Rice, James drops by and shares about his marriage and Nelson has a second shot at that catheterization!