Medical tubes inserted in the body to extract or administer substances
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Dosimetry University is now in session! First up—how do you plan your Y90 treatments and what can you do in the planning phase to maximize efficacy? Find out in Part I of BackTable's Dosimetry University series featuring interventional oncologists Dr. Nima Kokabi from the University of North Carolina Chapel Hill and Dr. Tyler Sandow from Ochsner Health. This episode is hosted by Dr. Kavi Krishnasamy and recorded live in the BackTable studio. --- This podcast is supported by: Sirtexhttps://www.sirtex.com/ Sponsor This podcast is supported by: Medtronic Emprinthttps://www.medtronic.com/emprint --- SYNPOSIS The doctors first discuss the structure of their Y90 service lines, including the impact of multidisciplinary tumor boards and clinics on time to treatment for liver cancer patients. They then talk through their technical preferences—whether to use glass or resin, preferred dosimetry guidelines and apps, and the dosimetry softwares that they use in treatment planning. The doctors also discuss the utility of the T2N ratio, advanced imaging like cone beam CT, and angiographic targeting software—emphasizing how these tools can help achieve the delicate balance of preserving normal tissue while treating as much tumor as possible. This episode also highlights the importance of collaboration between academic and private practices to optimize patient care and treatment outcomes. --- TIMESTAMPS 00:00 - Introduction and Overview02:21 - Multidisciplinary Clinics and Tumor Boards13:12 - Dosimetry Guidelines and Practices27:46 - Nuances in Tumor Dosage and Segmentectomy32:00 - Angiographic Targeting Software33:18 - Cone Beam CT Techniques48:33 - Anesthesia, Access, and Catheters
Check out the TIES Sales Showdown at www.tx.ag/TIESVisit The Sales Lab at https://thesaleslab.org and check out all our guests' recommended readings at https://thesaleslab.org/reading-listTo listen to The Sales Lab Podcast on your favorite apps, visit https://thesaleslab.simplecast.com/ and select your preferred method of listening.Connect with us on Facebook at https://www.facebook.com/saleslabpodcastConnect with us on Linkedin at https://www.linkedin.com/company/thesaleslabSubscribe to The Sales Lab channel on YouTube at https://www.youtube.com/channel/UCp703YWbD3-KO73NXUTBI-Q
Get ready for a wild episode! Bob is back in person, joining Ryan and our good friend Mark Cain for a classic Friday night BS session. We dive deep into fishing, swap some hilariously "Terrible" hunting stories from the past, and break down a ridiculous hunting gadget that will leave you absolutely speechless. You won't want to miss this one!Follow us on YouTube!Belly Up Guide ServiceSteele Game Safari'sThe Outlaw Ways FacebookThe Airborne AnglerMichigan Operation Freedom OutdoorsSE Michigan Bowhunters FaceBookSE Michigan Bowhunters WebsiteMichigan Report All PoachingMichigan DNR AppWe are a Hunting, Fishing & Just general Outdoors Podcast based out of Michigan that likes to have a lot of fun, Talk tactics and tell our Terrible Stories from the field or on the water.We talk about:Hunting:Whitetail Deer, Turkey, Waterfowl, Small Game, Elk, MooseFishing:Northern Pike, Musky, Smallmouth Bass, Largemouth Bass, Walleye, Salmon, Trout, Sturgeon, PanFish, Ice Fishing, Great Lake Fishing to Small River Fishing.We couldn't be more excited to partner up with our friends at Wes Point Shores Resort. The place that Ryan & Bob have been going to since they were 5 years old! Follow the links below to check them out and be sure to mention the show and save 10% off your bill!Wes Point Shores FaceBookWes Point Shores InstagramWesPointShores.ComMI DNR Musky SurveyO'Wacky Tool Starter KitFishing Complete Inc Use Code: TERRIBLE & Save 20%!The Terrible Outdoorsman WebsiteTik TokInstagramFacebook
Send us a textThis Episode has EVERYTHING!It's got:Tinnitus!Defective Q-Tips!Disgusting ear detritus!Paul gets real!Back surgery is scary!Pain meds are fun!Red heads are weird!Catheters aren't fun!You really want to pass the catheter test!Paul Nightingale!Screws, rods, and holes!Tooth in eye disease!Seeing eye tooth!Paul gets frustrated!"You're a 52-year-old man!"Dave needs to listen to Paul more often!Pushed buttons!Boiled rabbits!Meghan "I'm inauthentic asf" Markle's new crappy show!Ghoulish disaster tourists!Paul goes with the flow, day by day!Nihilism vs realism!Agoraphobia!Dead Paul!Gay humpback whale orgy!Dead body mile high club!Toronto plane crash miracle!Episode Links (In Order):Video showing Dave's surgery!Dave's experience with opioids episode!Tooth in yer eyeball!Meghan Markle steals Mallorca's Coat of Arms!Humpback Whale Porno!Couple forced to sit beside corpse on long haul flight!Music Credit!Music Graciously Supplied By: https://audionautix.com/ Visit Our Patreon! Email Us Here: Disturbinglypragmatic@gmail.comWhere To Find Us!: Disturbingly Pragmatic Link Tree!
Send us a textToday on Being An Engineer, we have the pleasure of hosting Steve Maxson, a distinguished figure in the medical device industry with over two decades of experience in extrusion technology and medical device manufacturing. As the owner of Maxson InSight Services, Steve offers technical solutions and consulting services, specializing in medical extruders and turnkey systems. In his role at US Extruders, he leads innovation and business development, focusing on crafting robust, customized extruders for diverse applications. Additionally, Steve is the host of the Med-Ex Podcast, where he interviews global experts in medical device contract manufacturing, sharing valuable insights into extrusion technologies, materials, processes, and broader industry trends. He also plays a pivotal role in organizing the Medical Processing Panel events, bringing together thought leaders in MedTech to discuss advancements in catheter manufacturing, silicone processing, thermoplastic processing, and more.About Being An Engineer The Being An Engineer podcast is a repository for industry knowledge and a tool through which engineers learn about and connect with relevant companies, technologies, people resources, and opportunities. We feature successful mechanical engineers and interview engineers who are passionate about their work and who made a great impact on the engineering community. The Being An Engineer podcast is brought to you by Pipeline Design & Engineering. Pipeline partners with medical & other device engineering teams who need turnkey equipment such as cycle test machines, custom test fixtures, automation equipment, assembly jigs, inspection stations and more. You can find us on the web at www.teampipeline.us
Do patients in labor need continuous bladder drainage? We will review the literature comparing intermittent to continuous drainage. Next, we venture into the art and science of manual rotation for persistent posterior fetal presentations, a skillful maneuver that might just hold the key to lowering cesarean rates. Drawing from comprehensive reviews and trials, including the TURN-OUT trial and studies from UCSF, we debate the efficacy and applicability of manual rotation in various clinical settings. From ultrasound-guided techniques to hands-on learning, gain a nuanced understanding of how this practice might enhance delivery outcomes and reduce interventions. Finally, we learn about Cesarean Scar Disorder, a relatively new diagnosis with important clinical ramifications. 00:00:10 Urinary Catheterization in Labor Management00:16:10 Manual Rotation of the OP Fetus00:49:32 Effectiveness of Labor Positioning Techniques00:58:03 Cesarean Scar DisorderFollow us on Instagram @thinkingaboutobgyn.
Get ahead with VETAHEAD and join Dr. Proença on 15 minutes of ZooMed (exotic animal medicine) content. Ever struggled with placing IV catheters in rabbits? Dr. Proença is here to make your life easier! She breaks down a fascinating study comparing cephalic, lateral saphenous, and marginal ear veins for IV catheter placement in rabbits. Discover which site has the highest success rate, the most common complications (spoiler: no major ones!), and why sedation is your best friend when working with these delicate patients. From practical tips to new insights, this episode is packed with everything you need to perfect your rabbit care game! Click here to get your VETAHEAD E-Magazine! Click here to receive a VETAHEAD Gift! Do you want to access more ZooMed (exotics) knowledge directly from specialists? Come with us and #jointhemovement #nospeciesleftbehind Head to VETAHEAD Website Join our VETAHEAD Community Follow @the_vetahead on Instagram Subscribe to @vetahead channel on YouTube Follow @vetahead on Facebook Follow @vetahead on TikTok
If you work in acute care, you are working with catheters. If you are in home health, you may be dealing with the hospital consequences of those catheters. In today's episode, Dr. Christina Prevett talks about catheters. She goes into types, complications and pelvic floor considerations.
Dr. Christina Prevett // #GeriOnICE // www.ptonice.com In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult division leader Christina Prevett explores the essential aspects of catheter use in geriatric care. She discusses the considerations that clinicians should keep in mind regarding catheter placement, pelvic health implications, and current guidelines surrounding catheterization. Christina also teases an upcoming virtual ICE session that will provide a deeper dive into these topics, emphasizing the importance of understanding catheterization in the context of geriatric pelvic health. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab.
In this bonus episode, join EMJ host Dr Hannah Moir as she speaks with our two health and wellbeing experts, Dr Sula Windgassen and Kiera McGarrity, who provide their expertise and personal experiences of using intermittent catheters. The experts address the emotional impact of intermittent catheter use and provide solutions and practical tools to support and improve patient wellbeing and advance the standard of care. This is episode one of a three-part series: Confident Living with Intermittent Catheterisation. This podcast was initiated and funded by Convatec. The views and opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect those of Convatec or EMJ.
In this episode, we discuss four tips for placing and using catheters for induction of labor. Then we revisit the issue of small for gestational age versus fetal growth restriction. We also discuss the most common mistake made in calculating due dates and how this can have a negative impact on pregnancies. Finally, we discuss the history of postpartum depression and the literature and stories of Kate Chopin and Sylvia Plath. 00:00:35 Four Tips for Cervical Catheter Placement00:23:00 SGA vs FGR00:28:55 Correcting Due Dates Prevents Mistakes00:46:10 History of Postpartum Depression, Chopin and PlathFollow us on Instagram @thinkingaboutobgyn.
From the gridiron to the hardwood, athletes have been known to cross the line and commit crimes. Join the BTC as we dive into the shocking stories of athletes who traded in their jerseys for handcuffs.You can check out the Vocal Fries Podcast here!Research links below! Oxygen - "O.C. Millionaire Medical Innovator Fatal Victim of His Girlfriend and Her Secret Lover"ABC News - "Convicted killers in millionaire's love triangle murder case maintain innocence"CBS News - "Murder in the O.C.: Nov. 4 case update"ABC News - "Woman Convicted in Millionaire's Love Triangle Murder"FOX Sports - "Ex-NFL player gets life for murder"Yahoo! Entertainment - "Rich & Shameless: What Did former NFL Linebacker Eric Naposki Do?"People - "Inside the Murder of a California Millionaire - at the Hands of His Girlfriend and an Ex-NFL Linebacker"The Orange County Register - "McLaughlin murder case timeline"Crime Library - "Football Player and the Millionaire: Deadly Love Triangle"Hydroplane History - "David 'Salt' Walther"Historic Racing - "David Walther"Motorsport - "1973 Indy 500 Start, Salt Walther & 11 Others Crash"NBC Sports - "'A race we would all like to forget': 50 years later, 1973 Indy 500 is grim, haunting memory"Ed Justice Jr. - "Salt Walther's 1973 Indy Race Car"BANG Shigt - "Indy 500 History Video: the Incredible Salt Walther Wreck During the Ill-Fated 1973 Indy 500"
Dr. Wood joins the show to discuss his groundbreaking new invention aimed at reducing unnecessary C-sections. The conversation explores the evolving trends in epidural use, the importance of patient autonomy, and effective coaching during labor. Dr. Wood elaborates on the issues surrounding 'failure to progress' and introduces his innovative catheter designed to mitigate common complications associated with Foley catheters during labor. This informative episode sheds light on improving maternal and infant health outcomes and offers insights into the future of obstetric care. Epidurals: Trends and Practices Coaching During Labor Failure to Progress: Understanding the Issue The Role of the Foley Catheter Innovative Catheter Design Addressing Failure to Progress Managing Foley Catheters: Challenges and Solutions Discussing Pitocin: Usage and Misconceptions Innovative Medical Device: Development and Challenges Crowdfunding for Medical Innovation Help Dr. Wood Prevent The Primary Section | C-section Reduction Project (Powered by Donorbox) About Dr. Wood: Dr. Douglas Wood is a highly accomplished Obstetrician and Gynecologist with over 24 years of solo practice experience, managing and delivering more than 9,500 pregnancies. He serves as a Laborist and Hospitalist at UPMC, OBHG, and VeloSource, bringing a wealth of clinical expertise to these roles. Dr. Wood is also a product developer and patent holder, contributing to advancements in the field of obstetrics by reducing the US c-section rate. He holds academic appointments as OB/GYN Clinical Faculty at several institutions, including Baptist Health-UAMS Medical Education Program and New York Institute of Technology College of Osteopathic Medicine. A decorated military veteran, he was deployed to Saudi Arabia and Kuwait with the Arkansas Army National Guard, where he served as a Lieutenant Colonel. Dr. Wood is board-certified in OB/GYN and has been recognized for his excellence in teaching with the NYIT Outstanding Preceptor Award in 2021. SOCIAL MEDIA: Connect with HeHe on IG Connect with HeHe on YouTube. 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! LINKS MENTIONED: Thank you to EISCO for the quality of their models. We'd like to give recognition to hBARSCI. hBARSCI is the distributor that helped supply us with the model. For any potential customers, hBARSCI Help Dr. Wood Prevent The Primary Section | C-section Reduction Project (Powered by Donorbox)
On this episode, Sean and Nick are treated to a very special guest with a resume that is as varied and diverse as any guest we've ever had. And we are also joined by Darren's lovely wife Kim. We discuss many topics, including Darren working with Johnny Depp and driving stunt vehicles on the set of Transformers! Somehow after all of that excitement, we take a downward spiral and Nick's balls become the lead topic. SMH
In this exclusive Live Podcast Event, we dive into pulmonary artery catheters (PACs), a critical tool in the management of critically ill patients. Often regarded as a cornerstone in the monitoring of hemodynamics, PACs provide invaluable insights into the heart's function and the pulmonary circulation's state. We will unpack the principles behind how they measure key physiological parameters such as pulmonary artery pressure, cardiac output, and mixed venous oxygen saturation. These metrics are vital for diagnosing and managing conditions like heart failure, shock, and pulmonary hypertension.Featuring leading Critical Care Expert Nicole Kupchik, MN, RN, CCNS, CCRN-CMC, PCCN, CEO - Nicole Kupchik Consulting, this episode brings you the latest research and technological advancements related to pulmonary artery catheters. Whether you're a CVICU nurse seeking to deepen your understanding of hemodynamic monitoring or simply curious about the science behind the use case of PACs, this episode offers comprehensive insights into the use of pulmonary artery catheters in critical care.Giveaway! You could WIN a copy of Nicole's Book “Critical Care Survival Guide” (a $100 value!) in our social media giveaway! Find us on Instagram @crnaschoolprepacademy. We're running the contest May 8th through 10th so don't miss out! Get a FREE Copy of the Slides Used in this Presentation! Click Here: https://mailchi.mp/kupchikconsulting/cspa-pulmonary-artery-catheter FREE! 8 Steps to Becoming a CRNA: https://www.cspaedu.com/3m9jgffpLearn How to Ace Your CCRN®, PCCN®, CMC® or CSC® Certification Exams with Nicole Kupchik: Click HereGet access to planning tools, interview preparation opportunities, valuable CRNA Faculty guidance, and mapped-out courses that have been proven to accelerate your CRNA success! Become a member of CRNA School Prep Academy: https://cspaedu.com/joinGet CRNA School insights sent straight to your inbox! Join the CSPA email list: https://www.cspaedu.com/podcast-emailJoin the Free Facebook Community here! https://www.facebook.com/groups/crnaschoolprepacademyfreeBook a mock interview, resume or personal statement critique, transcript review and more: www.teachrn.com
A little Q+A to start your week. Let's chat new borns, cleaning schedules, catheters during childbirth, where to shop for baby clothes, setting boundaries to spend less time on our phones, and car seat safety.
Lisa Alvarado is joined by her very good friend Ron and they shoot the sh*t! Literally! Lisa, Ron and Sarah discuss everything from poop samples to vasectomies. What's your favorite doctor story? As Ron says if it's going to kill you, you might as well make it funny. #comedytalk #crowdworkcomedy #findthefunny #comedianslife #LisaAlvaradoComedian #Comedy #Standup #funnyvideos #tiktok #mattrifecomedy #tignataro #comedypodcast --- Send in a voice message: https://podcasters.spotify.com/pod/show/lisaalvarado/message
Preventing accidental dislodgement of tubes, drains, and catheters by AORNJournal
Interview with Simon L. Thomsen, MD, and Bodil S. Rasmussen, MD, PhD, authors of Safety and Efficacy of Midline vs Peripherally Inserted Central Catheters Among Adults Receiving IV Therapy: A Randomized Clinical Trial. Hosted by JAMA Associate Editor Angel N. Desai, MD, MPH. Related Content: Safety and Efficacy of Midline vs Peripherally Inserted Central Catheters Among Adults Receiving IV Therapy
(3:13) - Aided by AI, New Catheter Design Prevents Bacterial InfectionsThis episode was brought to you by Mouser, our favorite place to get electronics parts for any project, whether it be a hobby at home or a prototype for work. Click HERE to learn more about the type of medical devices that can benefit the most from additive manufacturing!
Using indwelling urinary catheters during general surgery by AORNJournal
Welcome to Season 2 of the Med-Ex Podcast! In our opening episode, we explore the fascinating world of robotic-assisted catheters and endoscopes with our esteemed guest, Joe Bogusky, a Staff Mechanical Engineer at Intuitive Surgical, the pioneer of robotic-assisted surgery.In this episode, Steve and Joe discuss the unique capabilities of ION's ultra thin and flexible robotic catheter, the ongoing shift from reusable to single-use, steerable, robotic endoscopes, and more.Intuitive Surgical has been leading the way in innovative surgical technology for over two decades, revolutionizing patient care with its robotic-assisted systems. The company's trailblazing spirit is evident in its ION platform, a robotic-assisted bronchoscope designed for biopsies in hard-to-reach areas of the lung.For more information, visit www.intuitive.comHost/ Producer: Steve Maxson | Innovation & Business Development Manager | US ExtrudersGuest: Joe Bogusky | Staff Mechanical Engineer | Intuitive SurgicalAnnouncer: Bill Kramer | President | US ExtrudersEditor/ Original Music: Eric Adair | Marketing Manager | US ExtrudersFor video episodes visit www.us-extruders.com/podcasts
Horus for the Holiday's, Catheters & Green Screen EffectsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this second instalment Ashani Couchman (Urologist) and Brandon Szilagyi go on to discuss the effects of living with a stoma on relationships. Brandon shares his experiences of managing a Mitrofanoff stoma, the life situations he has tended to avoid, and the impact this had had on his friendships and relationships from childhood through to adulthood. Registration for ICS 2023 Toronto is now open at www.ics.org/2023/register The ICS annual meeting is the must-attend, multidisciplinary event for clinical and research scientists interested in: Urology Urogynaecology Female and functional urology Gynaecology Bowel dysfunction Neurourology Pure and applied science Physiotherapy Nursing Geriatrics The ICS 2023 Toronto conference fosters collaboration between all disciplines involved in continence care.
Ashani Couchman (Urologist) talks to Brandon Szilagyi about growing up with catheters and the challenges and triumphs experienced along the way. in this inspiring podcast, Brandon, who was born with bladder exstrophy and lives with a Mitrofanoff stoma, relates the childhood challenges he faced as well as sharing insights into what better support looks like for teenagers and young adults. Registration for ICS 2023 Toronto is now open at www.ics.org/2023/register The ICS annual meeting is the must-attend, multidisciplinary event for clinical and research scientists interested in: Urology Urogynaecology Female and functional urology Gynaecology Bowel dysfunction Neurourology Pure and applied science Physiotherapy Nursing Geriatrics The ICS 2023 Toronto conference fosters collaboration between all disciplines involved in continence care.
On this episode of Not Today Pal, Rob brings a ton of stories to the table. Apparently, he walked in on someone in the bathroom, his friend has a kink for catheters, and he claims hot sauce isn't always the best. He also tries to find out how much money the Booth Boys would need to do OnlyFans. Jamie brings the balanced, calmness to the show with her sage advice on meditation and chilling out in this week's Sweet and Sour segment. Also in this episode, we play Rob's favorite trivia game. Hope you enjoy it as much as he does!https://www.instagram.com/jamielynnsigler/https://www.instagram.com/nottodaypalshow/https://store.ymhstudios.com/
CathVision this week announced the FDA clearance of its PVI Analyzer and Signal Complexity algorithms for facilitating electrogram interpretation. The regulatory nod makes these artificial intelligence-based tools available to physicians. Fast Five hosts Sean Whooley and Danielle Kirsh explain what the algorithms are used for and what sets them apart from traditional EP recording systems. AngioDynamics received FDA breakthrough designation for its AngioVac system. The designation includes proposed indications for the use of AngioVac in the non-surgical removal of vegetation from the right heart. Find out what the company plans to do with the breakthrough nod and what executives see for the future of AngioVac. Tivic Health is planning to begin its vagus nerve stimulation trial after receiving Institutional Review Board (IRB) approval. Whooley shares details of the study, what the IRB approval means for Tivic and what the company hopes to achieve in the study. New data from a two-year trial of Nevro's spinal cord stimulation trial demonstrated durable pain relief and significant improvements in health-related quality of life. Learn some of the data points from the study and what doctors think about the results of the trial in today's episode. Medtronic's Mahurkar hemodialysis catheters are facing their third Class I recall. More than a million Mahurkar catheters have been recalled since July 2022. Whooley and Kirsh share the issue in this recall and how many devices are affected. Check out the show notes for links to the stories we discussed today at MassDevice.com/podcast.
In this episode, host Alyssa Watson, DVM, talks with Rebecca Walton, DVM, DACVECC, about her recent Clinician's Brief article, “Top 5 Complications of Indwelling Urinary Catheters.” Dr. Walton reviews some good options for where urinary catheters should be placed. She then expands on several of the potential complications—including kinking, hematuria, and the dreaded bladder rupture.Resource:https://www.cliniciansbrief.com/article/indwelling-urinary-catheters-complications-collection-obstructionContact us:Podcast@briefmedia.comWhere to find us:Youtube.com/@clinicians_briefCliniciansbrief.com/podcastsFacebook.com/cliniciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
Our best friend Christ makes his first apperance on the cast! He was almost too much to handle.
Liz and Jesse are joined by Jessica Doellinger to talk all about urinary catheters. Jessica is a Urology Nurse Practitioner at RBWH. Jessica's Five Things Indications for urinary catheterisation. Risks associated with urinary catheters. Catheter selection and insertion tips. Urinary catheter management best practice. Discharging patients with a catheter in situ.
Endovascular 101 Authors: Sebouh Bazikian - MS4 at Keck School of Medicine of University of Southern California Sukgu Han - Associate Professor of Surgery at the University of Southern California. Co-director of Comprehensive Aortic Center at Keck Hospital of USC. Program Director of the Integrated Vascular Surgery Residency and Vascular Fellowship Editor: Yasong Yu Reviewers: Matt Chia and Kirthi Bellamkonda Core Resources: Rutherford's Vascular and Endovascular Therapy 10th Edition Chapter#26-28 Additional Resources: Relevant Audible Bleeding episodes Holding Pressure Case Prep - AKA/BKA Journal Review in Vascular Surgery: Introduction to Endovascular Surgery – A Prime Peter A. Schneider, MD and Endovascular Skills - history, personal techniques and updates in the 4th Edition Closure devices: Angioseal Mynx Proglide Endovascular procedures are minimally invasive techniques used to treat conditions affecting blood vessels, such as aneurysms, stenosis, or occlusions, by accessing the affected vessels through an incision in a peripheral artery and using imaging guidance to navigate catheters and devices through the blood vessels to the treatment site. Endovascular procedures can be broken down into 4 key steps Establishing arterial access Navigating to target treatment zone or vessel Treating the lesion Closure Basic definition of wire, sheaths, and catheters Wires are thin, flexible metal devices used to navigate through blood vessels and to guide other devices, such as catheters or sheaths, to the target location. They are measured in thousands of an inch A 0.018 wire is 0.018 inch in diameter There are two categories of wires: Flexible and support Flexible wires are soft and hydrophilic. They are considered the “workhorses” because they are useful for navigating through vessels. A common type of wire is called the Glidewire which is slippery and useful in traveling across tortuous vascular anatomy. Support wire are generally a lot stiffer and not hydrophilic. For that reason they are used to deliver and deploy devices A common type of support wire is called the Lunderquist which is used for the deployment of stent grafts in endovascular aortic repair Catheters are flexible hollow tubes used in conjunction with wires to navigate vascular anatomy Various characteristics include the degree and shape of the taper, the lengths, and the stiffness. They are inserted inside the sheath Sheaths are hollow tubes of various diameters that are inserted into a blood vessel to provide a pathway for catheters or wires. They have a one way valve to prevent backflow of arterial blood and a side port that permits aspiration and administration of fluids. They also come with a dedicated dilator which is used to fill the lumen of the sheath and allows the surgeon to insert the sheath safely into the vessel. If the wire is the rail and the catheter is the train, the sheath is the ground. Sheaths and catheters sizing Both are measured in French 1 French equals 0.33 mm. French size divided by 3 equals the approximate diameter in millimeters. Another way to think about Fr is roughly the circumference in mm. Divide by 3 instead of 3.14 to get the diameter Sheaths are defined by their inner diameter (ID) Catheters are defined by their outer diameter (OD) This is because catheters go inside the sheath, so the size of a catheter must be smaller or equal to the size of the sheath for it to fit inside.For example, a 5 Fr sheath can accommodate 5 Fr catheter/devices Of note, the hole in the artery will roughly be 2-4Fr larger than the sheath size. This is important when considering the type of closure that will be used at the end of the procedure. Step One: Establishing Arterial Access Preop preparation: During physical exam, make sure there's a palpable femoral pulse to rule out iliofemoral disease Review the CT if available for high femoral bifurcation or presence of vessel disease Patient positioning on the angio table, depends on the access site of choice. Typical position (for retrograde femoral artery access) is supine, arms tucked. Alternative access sites (ie. radial, brachial, carotid) may require arms to be out and prepped. How do you choose arterial access, location? Depends on location of lesion you are trying to treat and complexity of the path from the access site Size of the access vessel and device size must be considered when deciding on the access site The most common is retrograde femoral artery access When would other access points be used? Radial artery, brachial, antegrade femoral access. The goal, target location, and path complexity defines the access point. Arterial puncture Femoral access: Look for pulsatile vessel on the US (vein is medial, artery is lateral; “venous penis”) Usually access at the level of femoral head for common femoral artery Seldinger technique is used to establish access to a vessel or cavity using needle, wire, catheters, and sheath. E.g. using the micropuncture kit: contralateral arterial CFA access with s 21 gauge needle .018” guidewire is passed through the needle Needle is removed and a short 4 or 5 Fr microcatheter with an inner dilator is passed over the guidewire The dilator and guidewire are removed leaving the catheter in place to maintain access Bigger wire is inserted through the catheter, which is then removed over the wire A sheath is inserted over the wire The overall purpose is to start with smaller arterial puncture and exchange to larger size to minimize complication should the access fail Often, percutaneous closure devices are preloaded at this step. We will discuss this later. Step Two: Navigating to treatment zone or vessel With sheath in place, a guidewire is inserted into the vessel under fluoroscopic guidance. Continuous fluoroscopy is taken with the C-arm during key steps to visualize wire movement The C-arm can be portable or built into the room X rays are emitted from the X-ray generator below the patient And the subsequent image is generated from the image intensifier above the patient Radiation safety: wear protective gear which is made of lead. In addition, use the tableside lead shield whenever possible minimize use of continuous fluoroscopy whenever possible limit use of magnification, and digital subtraction angiography keep the image intensifier as close to the patient as possible to minimize scattering The C-arm can rotate around the patient to get optimal viewing of the vessels Frequently used terminology: 30 degrees RAO which stands for right anterior oblique, describing the relationship of image intensifier to the patient Common projections used for lower extremity angiograms Iliacs: 20-30 degrees contralateral anterior oblique Femoralsl: 20-30 degrees ipsilateral anterior oblique Trifurcation and tibials: anatomic anterior-posterior or 20 degrees ipsilateral anterior oblique with feet in neutral supine position Thoracic aorta/distal aortic arch: 30~45 degree LAO Renals: AP maximizing image quality by limiting patient movement and with breath holding and collimating Contrast Two types of contrasts: Iodinated contrast vs carbon dioxide Iodinated contrast has better resolution but patients can have allergic reactions and are at risk of contrast induced renal injury. Therefore, CO2 is preferred for patients with compromised renal function in which an image is created by transiently displacing blood. The downside is that it has lower image resolution than iodinated contrast, and rare but potentially serious complications of air locking. Power injection vs manual injection When using power injection, you have control over pressure, the amount of contrast, timing, and rate or rise of injection. It allows for rapid filling of large arteries at high flow rates. Manual injection is more efficient for small vessels since you can control dilution and volume Types of Wires Characteristics: wire tip, stiffness, diameter, and length Guide wires To assist in catheter placement, navigate different arteries, cross lesions, and deliver devices. The most common sizes used in vascular surgery Large .035” - generally used for the aorta and iliac. Small .014”/.018” - used for smaller branches like the SFA Length: from 120 to 360cm Based on distance from access site to the lesion Long enough to reach target lesions and beyond (inside pt) and deliver catheters (outside pt) but not too long that it's falling off the table and slowing down exchange Flexible vs stiff/support wires How do you decide which wire to use? Typically, you start with flexible wire inside an angle tip catheter to navigate to the target vessel. Once you reached and crossed the target vessel, the wire is exchanged to a stiff/support wire, which allows you to deliver common brands and models used that every medical student should know and the settings they are used in? Example answer: Glidewire (Tumero): a floppy wire with a hydrophilic coating which is useful for navigating stenosis and tortuous vessels and is used in a variety of different vessels. Lunderquist (Cook): it is very stiff and used for endovascular repairs of AAAs Rosen wire: support wire with a J tip with intermediate stiffness. Less stiff than Lunderquist. Used to catheterize visceral and renal arteries. Bentson: starter wire, that's short in length with a very long floppy tip that prevents vessel trauma. Types of Catheters Main purpose of the catheters Allows to approach the target vessel based on the shape of the catheter Allows wire exchange from flexible to stiff Sizes are based on Fr (4-5) 5 Fr are the most common. Microcatheters are for embolizations (2.5Fr) Nonselective (Angiographic catheter) Common types are omni flush, pigtail, and straight They have multiple side holes along the tip so they can inject high volume of contrast into large blood vessels like the aorta Selective catheters/Guide (shape) catheters Have an end hole only with no side holes so they can cannulate specific branch vessels A variety of lengths and shapes depending on the curvature and tortuosity of the pathway to the target vessel. Catheter with specific shapes can align your vector (the force you are exerting by pushing the wire forward at the access site) to the stenotic lesion. Type of catheter that can be used to cross to the contralateral side at the aortic bifurcation – generally the omni. Types of sheaths Size range: 4-26Fr (larger available for endografts) Size is decided by the device you have to deliver to the target lesion Length is based on the support required from the procedure. The distance from the access site to the target site determines the length of the sheath required. Common lengths range from 5 to 110cm What are some of the common sheaths used and for which procedure? For endovascular aortic repairs, Dryseal sheaths range from 12Fr ~ 26Fr with lengths of 33cm to 65cm. For visceral and renal artery intervention, Ansil or Raabi sheaths range from 5Fr to 9Fr, with lengths of 45cm to 90cm. For lower extermity work, Ansil, Raabi, Balkin sheaths ranging from 4Fr to 7Fr with lengths of 45cm to 110cm. Steerable sheaths can actively articulate the shape of the sheath, allow you to navigate and treat more challenging anatomy. Step Three: Treating the lesion The lesion has to be crossed with wire and catheters before treating the lesion. They may require the need to exchange sheath Stent and balloon sizing is measured by diameter in millimeters x length in centimeters Balloons Generally need to exchange wire to stiff support wire through the catheter, then the catheter is exchanged over the wire with the balloon mounted catheter Balloons have a wide variety of diameters and lengths Nominal vs Burst pressures Nominal: pressure is where the balloon will inflate to the labeled diameter Burst: pressure where 99.9% of tested balloons ruptured Typically you inflate to nominal but can go higher depending on the type of lesion Compliant balloon vs a semi-compliant vs non-compliant balloon Most of the time, we use a compliant balloon, but in certain situations where we need high pressure dilation, we use non-compliant balloon. This has to do with the nature of the lesion and risk of vessel rupture. Additional features Cutting balloons have microblades on the wall. So the idea is to perform control rupture of calcified atherosclerotic lesions, so that the expansion happens more evenly. Drug coated balloons are coated with paclitaxel to reduce the risk of neo-intimal hyperplasia So, it is sometimes used in peripheral cases where the surgeons feel that the lesions are more prone to developing neo-intimal hyperplasia or areas that have restenosed. Stents small mesh-like device made of metal that is used to prop open a blocked or narrow blood vessel. It is inserted through a catheter and deployed at the site of the blockage to improve blood flow and reduce the risk of future blockages. balloon expandable vs self-expanding stents Balloon expandable Better radial force at the time of deployment More accurate deployment Mounted on balloons, so it is more difficult to track them across tight stenosis. May cause damage to the surrounding tissue due to balloon inflation. Self-expanding Usually more flexible in tortuous vessels More resistant to kinking Higher risk of migration or dislodgement during deployment Post-dilation is often needed covered stents vs bare metal stents Covered stents Covered by PTFE, polyurethane, or silicone May be more resistant to in-stent restenosis, compared to bare metal stents. useful in ruptured vessel EVAR/TEVAR/FEVAR devices are essentially fancy covered stents. Step Four: Closure Hole in the artery is outer diameter of the sheath, and is bigger than the sheath size since sheath is measured by inner diameter Manual compression Direct pressure with fingertips Enough pressure without bleeding, but not too much that it cuts off circulation No peeking! Timing depends on sheath size, coagulation status, and vessel health. Closure devices Extravascular plug Angio-seal: sandwiches the arteriotomy with a biodegradable anchor and collagen sponge. https://www.youtube.com/watch?v=XhgAs2SxNjA Mynx: utilized a small balloon to create temporary hemostasis within the artery and covers the outside with a polyethylene glycol sealant. https://www.youtube.com/watch?v=_kcJM1lnQo8 Suture-based Sometimes placed at beginning of the case for large bore access Proglide: https://www.youtube.com/watch?v=Wol22SlEpxE Complications What are the most common complications that you experience and how do you mitigate them? Access site Hematoma, pseudoaneruysm, AV fistula, occlusion, infection Navigation related Dissection, perforation, thromboembolism Systemic Contrast induced AKI —----------------------------------------------------------------------------------------------------------------------- Please share your feedback through our Listener Survey! 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In this panel episode recorded at SIR 2023, Drs. Stephen Hunt, Chuck Martin, and Gaurav Gadodia update us on current applications and future directions of augmented reality in interventional radiology. --- CHECK OUT OUR SPONSOR Medtronic Ellipsys Vascular Access System https://www.medtronic.com/ellipsys --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/voyqG5 --- SHOW NOTES Dr. Hunt explains the differences between virtual reality (VR), augmented reality (AR), and mixed reality (MR) since there is increasing levels of overlap between virtual and real worlds with each category . He notes that all three are being explored in surgical fields, especially orthopedics and neurosurgery. Within IR, augmented reality can be used to adjust images and subtract out respiratory motion, making biopsies and ablations safer and more effective. Dr. Hunt became interested in AR when his PIGI Lab at the University of Pennsylvania needed 3D models to access liver tumors in experimental mice. Additionally, AR is a useful tool for planning difficult procedures and teaching interventional procedures to trainees across the globe. Dr. Martin speaks about the intersection of medicine and industry. He directs research studies for Mediview, a company focused on bringing AR into medical imaging. Dr. Martin speaks about the important role that industry plays in commercializing an invention and getting it into operators' hands. As larger companies enter the AR space, accessibility and user interfaces will improve. Additionally, the shift towards AR product development can guide future FDA regulations. Dr. Gadodia's engineering background made him excited to enter the AR space as resident at the Cleveland Clinic. He highlights applications of AR in the non-academic setting. Using a headset could increase procedural efficiency and access to care. Finally, we discuss major shifts in industry and medicine that favor the increasing use of AR, such as industry's need for clinician input in product development, the multitude of startups working on the same issues, and the overarching goal of patient safety. --- RESOURCES Ep. 7- Lung Tumor Ablation with Dr. Stephen Hunt: https://www.backtable.com/shows/vi/podcasts/7/lung-tumor-ablation Ep. 53- International IR Volunteer Work with Dr. Stephen Hunt: https://www.backtable.com/shows/vi/podcasts/53/international-ir-volunteer-work Mediview: https://mediview.com/ Microsoft HoloLens: https://www.microsoft.com/en-us/hololens Penn Image-Guided Interventions (PIGI) Lab: https://www.med.upenn.edu/pigilab/
On this episode I was joined by Bob Nesbitt, Chair of ISO TC 84 and Director of Combination Products R&D at Abbvie. Bob discusses: ISO TC 84: Needle Based Injectors, Insulin Syringes, Auto Disable Syringes, On Body Injectors, Sharps Prevention, Cartridge Based Pen Injectors, Inhalers, Single use Drug Delivery devices, Catheters, etc Crazy Bob's Medical Device Relationship between AAMI, ANSI, and ISO Committee work for industry and advancing the State of the Art Bob's Book Recommendation: The Immortal Life of Henrietta Lacks (Link) Bob Nesbitt, is Senior Director, E2E Combination Product, Platform, and Process Development at Abbvie. After “retiring” from Eli Lilly In January 2015, Bob joined Abbvie's Combination Product Development group, where he led the Human Factors group. At Lilly, Bob lead a team that created over a dozen drug delivery devices; taking them from concept to reality. Bob has been involved in the US and International Standards (ISO) Community sInce 1999, working with passionate, knowledgeable Medical Device and Standards personnel from all over the world to create standards which "raise the bar" in Patient Safety in this regulated industry. Currently, he serves as the ISO International Chair for TC84. Prior to becoming chair of TC 84, Bob was an Expert or Convener for various committees, and was the Industry Co-Chair for US TC84 TAG from 2004-2020.
They are. I don't talk about them the whole time, but it want it on the record.
In this episode, Antonia and Andrew discuss the February 15, 2023 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom.
On this episode, I was joined by Paul Jansen, who's a drug/device consultant, advisor, and board member in the combination products space. Paul discusses: - His experience leading combination product focused organizations at Eli Lilly & Sanofi - The first autoinjectors and the history surrounding ISO 11608 - Managing a product line, owning P&L and the product development mindset shift that came with that Paul Jansen is currently working as a Drug Device Development Consultant. He is also on the Board of Directors at Subcuject and sits on the Advisory Boards of Evoleen, Windgap & Kymanox. He was formerly Associate Vice President, Medical Device Development, Sanofi until his retirement in January 2017. Paul has extensive experience in the design, development, manufacturing and lifecycle management of medical devices. Paul has multiple patents to his name and has deep experience in the creation and management of intellectual property portfolios. He has successfully led teams that have developed and launched several award winning devices, including Lantus SoloStar the world's most popular insulin pen injection device. In addition, he has expertise in the design and development of injection molding systems and electronic components. Paul has been a long time member of the International Standards Organization serving as Working Group Convenor and Expert on many work groups responsible for standards related to injection devices. Until January 2022 he was the Chair of Technical Committee 84, Devices for the Administration of Medicinal Products and Catheters.
The plan to pay people to dial down their electricity use, the bacteria eating plastic in the ocean, and why antidepressants make it harder for users to enjoy themselves. Like this podcast? Please help us by supporting the Naked Scientists
While you might not work with Swan-Ganz catheters on your unit often, principles from understanding the waveforms apply. This episode is a surface-level overview, join us in the Confident Care Academy membership for the full Swan-Ganz catheter lecture. CRAVING MORE IN-DEPTH NEW GRAD ICU EDUCATION? JOIN THE NEW TO ICU MEMBERSHIP! https://confidentcareacademy.com/p/ne... Website: https://www.confidentcareacademy.com Anna's Youtube: https://www.youtube.com/channel/UCY5d... Anna's Instagram: https://www.instagram.com/annasrna Chrissy's Instagram: https://www.instagram.com/chrissycrna PRODUCTS WE LIKE (AMAZON STOREFRONT): https://www.amazon.com/shop/chrissycrna CONTACT: For potential business inquiries and partnerships: confidentcareacademy@gmail.com
In this episode of Industry Matters, Alan Morris, Director of Research and Strategy for VGM Government Relations, and John Gallagher, VP of VGM Government Relations, talk with Brian Leitten from Leitten Consulting, about a new study, "OIG Recommends 'High Risk/Low Reward' Strategy on Intermittent Catheters." The study looks at concerns and costs associated with reducing access to urinary catheters.
Scoot talks to WWL listeners about the efficacy of the City Council's new parking lot ordinance, the newest styles of catheter, and Ian has to eat some crow on the Biden document drama
Real Talk: Bladder & Bowel Conversations with Coloplast® Care
Intermittent catheterization shouldn't get in the way of an active lifestyle, and neither should using a mobility device! Join guests Cheryl Angelelli, a 4-time Paralympic medalist in swimming and wheelchair ballroom dancer, and Neil Gustafson, a former USA Wheelchair Rugby and Texas Stampede Wheelchair Rugby athlete and Comfort Medical employee, who will share how they stay active on wheels and incorporate bladder management into their exercise regimen. Whether you're an aspiring Paralympian or just exploring getting active, Cheryl and Neil's tried-and-true bladder advice can help you develop more confidence.If you're new to using an intermittent catheter, Coloplast® Care can help! You can sign up for Coloplast Care for free by visiting www.bladder.coloplastcare.us or calling 866-226-6362.Access more bladder and bowel resources, request samples,* and download the S1E7 podcast guide here!****Samples available with valid prescription only. Limitations apply.The material shared within this podcast is for educational purposes only and is based on the personal experiences and learnings of the presenter. Cheryl and Neil are SpeediCath® catheter users who have 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.
“Saline is very benign and doesn't have any risk of harm for the patient. They're small doses, so we're not worried about sodium or anything. The risk of heparin is actually quite extensive,” MiKaela Olsen, DNP, APRN-CNS, AOCNS®, FAAN, clinical program director in oncology at Johns Hopkins Hospital and Johns Hopkins Health System in Baltimore, MD, told Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, during a conversation about the latest evidence surrounding central venous catheter flushing solutions and techniques. You can earn free NCPD contact hours after listening to this episode by completing the evaluation linked below. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 29, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. ONS Access Device Standards Oncology Nursing Podcast Episode 127: Reduce and Manage Extravasations When Administering Cancer Treatments Episode 162: What Nurses Need to Know About Central Lines and Ports Clinical Journal of Oncology Nursing articles Heparin Versus Normal Saline: Flushing Effectiveness in Managing Central Venous Catheters in Pediatric Patients With Cancer Heparin Versus Normal Saline: Flushing Effectiveness in Managing Central Venous Catheters in Patients Undergoing Blood and Marrow Transplantation Implanted Port Patency: Comparing Heparin and Normal Saline Central Venous Access Devices: An Investigation of Oncology Nurses' Troubleshooting Techniques ONS books Access Device Standards of Practice for Oncology Nursing Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice Journal of Vascular Access article: Flushing of Intravascular Access Devices (IVADS) – Efficacy of Pulsed and Continuous Infusions Medical Devices: Evidence and Research article: Pulsative flushing as a strategy to prevent bacterial colonization of vascular access devices ASCO/ONS Chemotherapy Administration Safety Standards ONS/ONCC Chemotherapy Immunotherapy Certificate Course Infusion Nurses Society's Infusion Therapy Standards of Practice To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From Today's Conversation “The way that you can eliminate heparin is by really focusing on education and teaching of patients and nurses and other staff that access central lines about how to do that.” Timestamp (TS) 06:13 “One of the barriers right now I think is that a lot of the manufacturer guidelines are old, and they still recommend in their catheter guidelines to use heparin because they aren't up to date either.” TS 07:50 “The risk of heparin is actually quite extensive. For instance, we know that heparin can cause heparin-induced thrombocytopenia, or HIT. Unfortunately, you don't always know that your patient is experiencing that, but I've had many, many patients over the years where, all of a sudden, their platelet count was low, and no one knew why. . . . We did testing for HIT and found out that it was the heparin flushes that were causing that.” TS 09:04 “Normal saline is the most benign solution that can be used in catheters. There are studies showing benefit in some patient populations, and I know that some places have protocols using an antibiotic lock solution or a sodium citrate lock solution, but in general the most common type of flush solution for central lines as heparin begins to move out of favor is normal saline.” TS 13:06 “We know that using a push-pause, pulsatile, or, I call it sometimes, turbulent flush, has been shown to promote the clearance of the catheter lumen and prevent occlusion. According to the Infusion Nursing Society guidelines. . . . we are instructed to stop and start every millimeter of flush. . . . That is really important because every time you stop and start, you cause turbulence in that catheter.” TS 13:55 “When you study it, you find that patients or nurses are not actually flushing enough. If the patient's at home and you're using saline, then the catheter is usually flushed on a daily basis with pulsation when not in use. If the patient's giving themselves antibiotics or other medications through their catheter, they need to be taught how to do the saline flush after each of the medications.” TS 17:47
Leah Holderbaum, OTR, CBIS, ATP received both her Bachelor of Science in Occupational Science, and Master of Science in Occupational Therapy from Eastern Kentucky University. Leah has 10 years of clinical experience, which began with Kettering Health Network in Ohio at the NeuroRehab and Balance Center. Leah expanded her career to Texas in 2012, as an occupational therapist on the Spinal Cord Injury Team at Baylor Scott & White Institute for Rehabilitation-Dallas, where she served as the clinical specialist. While at Baylor, Leah facilitated a national research study, in conjunction with the University of Pennsylvania, regarding compliance with intermittent cathing. Leah has developed and instructed continuing education courses on the therapeutic management of the spinal cord injured patient, and the distinct role of the OT in bladder management, and has provided lectures at Texas A&M, the University of St. Augustine, and TWU on SCI. Her webinar entitled Clean Intermittent Cathing: An Interdisciplinary Approach to Best Practice launched nationally in 2020. Currently, Leah is serving on a national expert panel regarding establishing a standard protocol for clean intermittent cathing. She developed a passion for education, and bladder management as the Clinical Specialist on the SCI team, based on knowledge and experience with quality of life improvements with patients, which earned her the acclaimed status of “Cath Queen”. Leah was recently published in the 2nd edition of the WOCN Core Curriculum, and is also contributing faculty at the University of St. Augustine for the Occupational Therapy Department.Leah currently works for Numotion as Medical Supply Account Manager, where she has the opportunity to share her love for bladder management, and promote quality of life and independence for customers she encounters.65646454yt
TWiM explains the use of lavender oil to disrupt Listeria biofilms, and how treatment of catheters with liquid silicone reduces associated urinary tract infections. Become a patron of TWiM. Links for this episode Lavender oil prevents biofilms (Lett Appl Micro) Silicone-infused catheters reduce infection (eLife) Viable but not culturable (TWiM 179) Letters read on TWiM 263 TWiM Listener survey Send your microbiology questions and comments (email or recorded audio) to twim@microbe.tv
Rachel and Marissa discuss The female urinal and how no one knew it existed because... not all hospitals stock it.Catheters and catheter related UTI prevention They go over the Q&A that began SL. they talk SNFsthe secret to working in acute caretips on applying for your first joband more!We hope you have a great week Scrubs and we will see you next Wednesday @ 7AM! XOXO
Dr. Ben Weaver and Dr. Elisa Walsh (@elisacwalsh) from Massachusetts General Hospital join the show to discuss the literature around the infectious risk of arterial catheters and the role of barrier precautions. This is the first episode produced from a new podcast elective that's available to MGH anesthesia residents. Special thanks to Dr. Saddawi-Konefka for supporting the initiative. Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and consider helping us offset the costs of production by donating through our Patreon at https://bit.ly/3n0sklh. — Follow us on Instagram @DepthofAnesthesia and on Twitter @DepthAnesthesia for podcast and literature updates. Email us at depthofanesthesia@gmail.com with episode ideas or if you'd like to join our team. Music by Stephen Campbell, MD. — References Cohen DM, Carino GP, Heffernan DS, et al. Arterial catheter use in the ICU: A national survey of antiseptic technique and perceived infectious risk. Crit Care Med. 2015;43(11):2346-2353. doi:10.1097/CCM.0000000000001250 Koh DBC, Gowardman JR, Rickard CM. Prospective study of peripheral arterial catheter infection and comparison with concurrently sited central venous catheters (Critical Care Medicine (2008) 36, (397-402)). Crit Care Med. 2008;36(4):1394. doi:10.1097/CCM.0b013e31816e6d16 Lucet JC, Bouadma L, Zahar JR, et al. Infectious risk associated with arterial catheters compared with central venous catheters. Crit Care Med. 2010;38(4):1030-1035. doi:10.1097/CCM.0b013e3181d4502e O'Horo JC, Maki DG, Krupp AE, Safdar N. Arterial catheters as a source of bloodstream infection: A systematic review and meta-analysis. Crit Care Med. 2014;42(6):1334-1339. doi:10.1097/CCM.0000000000000166 Raad II, Hohn DC, Gilbreath BJ, et al. Prevention of Central Venous Catheter-Related Infections by Using Maximal Sterile Barrier Precautions during Insertion Srr PREVENTION OF CENTRAL VENOUS CATHETER-RELATED INFECTIONS BY USING MAXIMAL STERILE BARRIER. 1994;15(4). Rijnders BJA, Van Wijngaerden E, Wilmer A, Peetermans WE. Use of full sterile barrier precautions during insertion of arterial catheters: A randomized trial. Clin Infect Dis. 2003;36(6):743-748. doi:10.1086/367936 Rijnders BJA, Wijngaerden E Van, Peetermans WE. Catheter-Tip Colonization as a Surrogate End Point in Clinical Studies on Catheter-Related Bloodstream Infection : How Strong Is the Evidence ? 2002;35:1053-1058.
This episode covers urinary catheters.Written notes can be found at https://zerotofinals.com/surgery/urology/catheters/ or in the urology section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
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