Podcasts about intraoperative

Too busy to read the Lens? Listen to our weekly summary here! In this week's episode we discuss…Patching later in childhood for unilateral congenital cataract does not necessarily yield better final visual acuity. Intraoperative floppy iris syndrome was shown to be associated with use of certain antidepressants as well as inhalers, with some sex-specific patterns. Bisphosphonate use is linked to a higher cumulative incidence of age-related macular degeneration secondary to inflammatory signaling pathway activation. 

With ​lives ​on ​the ​line, ​the ​smallest ​misstep ​in ​communication ​can ​have ​critical ​consequences. Patient data gets transferred at the handoff from the preoperative area to the operating room to the postoperative area, but most anesthesia practices have been slow to adopt a standardized approach to sharing this information. Today's guest, Pete Montrie, CRNA, DNP, created the AMPLE approach for his DNP project, and he'll explain how this streamlined process can improve communication and enhance patient safety. Here's some of what we discuss in this episode: Why he chose this topic for his DNP at the University of Alabama. The main issues that the literature identified during these handoffs. How he developed his project and his plan going in. The project resulted in a 70% increase in handoffs based on billing data. Read Pete's DNP Project: https://ir-api.ua.edu/api/core/bitstreams/fc700ea9-3ec8-44e2-a255-0591ceab4be2/content  Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

In the BJANcast season 3 episode 6, Dr. Eduarda Martinelli discuss about "Anesthesia for Liver Transplantation: Challenges and Innovations" with host Dr. André Prato Schmidt. Check out: · Martinelli ES, McCluskey SA, Karkouti K, Luzzi CA, Bieze M, Malbouisson LMS, Schmidt AP. The debate on antifibrinolytics in liver transplantation: always, never, or sometimes? Braz J Anesthesiol. 2024 Nov-Dec;74(6):844562. doi: 10.1016/j.bjane.2024.844562. https://bjan-sba.org/journal/rba/article/doi/10.1016/j.bjane.2024.844562 · Bieze M, Zabida A, Martinelli ES, Caragata R, Wang S, Carroll J, Selzner M, McCluskey SA. Intraoperative hypotension during critical phases of liver transplantation and its impact on acute kidney injury: a retrospective cohort study. Braz J Anesthesiol. 2024 Nov-Dec;74(6):844566. doi: 10.1016/j.bjane.2024.844566. https://bjan-sba.org/journal/rba/article/doi/10.1016/j.bjane.2024.844566 To follow all our networks, visit: https://linktr.ee/bjan #joinBJAN #citeBJAN #webinar #anesthesiology #sba #anestesiologista #anesthesia #transplante #liver

Drs. Safa Rahmani and Sarwar Zahid join the podcast to preview the January 2025 edition of Retinal Physician, found online at http://www.retinalphysician.com.Relevant Financial Disclosures: Dr. Sridhar has consulted for Genentech and Regeneron.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi

In this episode we highlight topics such as the meaning and evolution of the term “eloquent cortex,” localized versus distributed models of brain functioning, aggressiveness versus conservatism of neurosurgeons during resections, the “onco-functional balance,” electrocorticography and stereo EEG procedures, the Wada procedure, the clinical and functional utility of brain mapping, the availability of brain mapping to people of lower SES, neuropsychologists' role in educating patients and families, cognitive testing during the mapping procedure, and NeuroMapper. Show notes are available at www.NavNeuro.com/158 _________________ If you'd like to support the show, here are a few easy ways: 1) Get CE credits for listening to select episodes: www.NavNeuro.com/INS  2) Tell your friends and colleagues about it 3) Subscribe (free) and leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 4) Check out our book Becoming a Neuropsychologist, and leave it an Amazon rating   Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners' own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]

Perry Xu, MD, discusses his paper, which was a retrospective analysis of HoLEP in patients who held or continued blood thinners. Dr. Xu explains: • The use of the holmium laser in the procedure• Common indications for blood thinner therapy• Intraoperative and post-op outcomes • The clinical implications of the study findings

On the second November episode of JHLT: The Podcast, the Digital Media Editors continue MCS-month with a paper from the November issue of JHLT, entitled “Aortic insufficiency in the patient on contemporary durable left ventricular assist device support: A state-of-the-art review on perioperative and postoperative assessment and management.”  First author Diyar Saeed, MD, PhD, of the Heart Center Niderrhein, and senior author Jennifer Cowger, MD, MS, of Henry Ford Hospitals both join the podcast. You'll hear about: Why LVAD patients develop new and progressive aortic regurgitation—and how contemporary devices may differ Associated hemodynamic events Intraoperative surgical techniques Slowing the progression of the condition and monitoring it post-op Early interventions For the latest studies from JHLT, visit www.jhltonline.org/current, or, if you're an ISHLT member, access your Journal membership at www.ishlt.org/jhlt. If you haven't yet tuned in for the first November episode of the podcast, MCS enthusiasts will be happy to know the paper discusses temporary MCS devices in acute RV failure. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.  

In this podcast, Dr. Valentin Fuster reviews a groundbreaking study on intraoperative conduction mapping to prevent postoperative atrioventricular block (AVB) in children with complex congenital heart disease. The study highlights how mapping the His bundle during surgery significantly reduces the need for pacemakers, particularly in high-risk populations like those with Heterotaxy syndrome and non-Transposed Great Arteries, offering a promising tool to improve long-term outcomes for these patients.

Send us a textDiese Woche besprechen wir eine Metaanalyse von Katerenchuk et al. aus Anesthesia & Analgesia zur Wirkung von Dexamethason auf den Blutzuckerspiegel.Katerenchuk, Vasyl MD*; Ribeiro, Eduardo Matos MD†; Batista, Ana Correia MD, DESAIC*. Impact of Intraoperative Dexamethasone on Perioperative Blood Glucose Levels: Systematic Review and Meta-Analysis of Randomized Trials. Anesthesia & Analgesia 139(3):p 490-508, September 2024. | DOI: 10.1213/ANE.0000000000006933Dieses Mal im Studio mit dabei: Lina Kirschner, wiss. Mitarbeiterin der Klinik für Anästhesiologie am UKHD.

Recorded at the recent American Association of Nurse Anesthesiology meeting this piece focuses upon the importance of addressing intraoperative hypotension (IOH) and its broader implications for patient outcomes, such as surgical site infections (SSI), postoperative cognitive dysfunction, and other complications. We also discuss the need for continuous education and the use of goal-directed therapy (GDT) to improve patient care. Presented by Desiree Chappell and Monty Mythen with their guest Amy Yerdon, DNP, CRNA, Assistant Professor of Nursing, Nursing Acute, Chronic & Continuing Care, University of Alabama, Birmingham. Our guest previously featured on TopMedTalk here: https://www.topmedtalk.com/podcasts/intraoperative-hypotension-killing-them-softly-topmedtalk-at-the-aana/

Unlock the secrets to improving anesthesia patient safety as we tackle the critical issue of intraoperative hypotension. Did you know that hypotension during surgery can lead to severe complications like acute kidney injury, myocardial injury, delirium, and stroke? Join us as we dissect recent studies, including one by Ariyarathna and colleagues linking high vasopressor use to kidney damage, and another by Chiu and colleagues on the dangers of limiting IV fluid administration. With expert insights from Amy Yerdon, Matt Scherrer, and Desiree Chappell, this episode is packed with essential information on minimizing hypotensive events and optimizing patient outcomes through advanced monitoring and goal-directed therapy.Stay ahead in your practice by understanding the differential diagnosis for intraoperative hypotension and the importance of continuous blood pressure monitoring. Learn strategies to balance fluid and vasopressor use effectively, ensuring patient safety. Whether you're an anesthesia professional or simply interested in medical advancements, this episode offers valuable knowledge and practical tips to enhance postoperative recovery. Don't miss out on these crucial insights that could transform your approach to anesthesia care.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/219-optimizing-outcomes-in-anesthesia-care-spotlight-on-intraoperative-hypotension/© 2024, The Anesthesia Patient Safety Foundation

CancerNetwork® spoke with Kamran Idrees, MD, MSCI, MMHC, FACS; Natalie A. Lockney, MD; and Milad Baradaran, PhD, DABR, about the potential utility of intraoperative radiation therapy (IORT) among patients with pancreatic cancer. The group detailed the design and mechanism, gradual technical advancements, and trial data supporting the application of this radiotherapy modality for this patient population.  Idrees is the chief in the Division of Surgical Oncology & Endocrine Surgery, an associate professor of surgery, an Ingram Associate Professor of Cancer Research, and director of Pancreatic and Gastro-Intestinal Surgical Oncology at Vanderbilt University Medical Center. Lockney is an assistant professor in radiation oncology and the program director for the radiation oncology medical residency at Vanderbilt University Medical Center. Baradaran is the head of quality assurance operations and assistant professor in the Department of Radiation Oncology at Vanderbilt University Medical Center. As part of this discussion revolving around IORT, the group outlined the optimal conditions for using this technique depending on the extent of disease resectability in patients. Specifically, Idrees categorized patients as belonging to one of 3 major groups: those with metastatic disease, those with resectable disease, and those with borderline resectable or locally advanced disease. When considering these factors, patients with borderline resectable disease may be suitable to undergo IORT in combination with chemotherapy, radiotherapy, and surgery.  The conversation also focused on a particular case involving a patient with pancreatic cancer who received IORT at their institution. Based on the outcome of this case, they highlighted how multidisciplinary collaboration in combination with careful patient selection may offer surgical resection through IORT. “[There] has to be a multidisciplinary team approach to carefully select these patients and [determine] who can benefit from this procedure,” Idrees said. “For the families and the physicians who are taking care of [patients with] pancreatic cancer, it's valuable to obtain a second opinion, even if [the tumor is] initially deemed unresectable. What's unresectable in one surgeon's hands may be resectable in a different team,” he added.

August 2024 Journal Club Podcast Title: Real-Time Intraoperative Ultrasound Using a Minimally Invasive Transducer During Anterior Cervical Spine Surgery To read journal article: https://journals.lww.com/onsonline/fulltext/2024/08000/real_time_intraoperative_ultrasound_using_a.9.aspx Author: Timothy Chryssikos Guest faculty: Muhammad Abd-El-Barr Moderator: Brian Saway Committee Co-chair: Rafael Vega

This piece is part of our coverage of The International Anesthesia Research Society (IARS) annual meeting. This wide ranging conversation tackles hemodynamics, intraoperative hypotension and its implications. We also discuss finance for medical practitioners and patient-centered research. Presented by Desiree Chappell, Vice President of Clinical Quality at NorthStar Anesthesia and TopMedTalk co-editor in Chief and Monty Mythen, TopMedTalk's founder and Senior Vice President Medical Affairs, Edwards Lifesciences with their guest Wael Saasouh, Anesthesiologist and Director of Research for NorthStar Anesthesia.

Although intraoperative ankle motion serves as a foundational reference for anticipated motion after surgery and guides the addition of procedures to enhance ankle motion in total ankle arthroplasty (TAA), the relationship between intraoperative and postoperative ankle motion remains unclear. This study aimed to investigate the discrepancy between intraoperative and postoperative ankle range of motion (ROM) following TAAs using the anterior-approach, fixed-bearing systems.   In conclusion, this study revealed a significant difference between intraoperative ankle ROM and ankle ROM approximately 1 year after anterior-approach, fixed-bearing TAA, mainly due to plantarflexion motion restriction. Minimal difference in dorsiflexion suggests the importance of achieving the desired postoperative dorsiflexion motion during the surgery using the best possible adjunct procedures.   Click here to read the article.

Studies have shown that monitoring and treating intraoperative nociceptive events can lead to less postoperative pain, making it a critical aspect of patient care during surgery. Still there is a difference in the perceived importance of anesthetic depth vs antinociception monitoring among anaesthetists. Which are the reasons behind this reality? Is it possible to guarantee intraoperative pain monitoring for all patients? Are the devices currently on the market known and used by professionals? In this episode our host Dr Roberta Monzani discuss with Dr Helmar Bornemann-Cimenti issues related to Intraoperative Pain Monitoring while highlighting the importance of pain management as an essential element in the medical health system and in patient care. Join them and learn more.Supported by Medtronic

Low blood pressure during surgery is common in patients having non-cardiac surgery under general anesthesia. This can be secondary to many factors but has been linked to major postoperative complications such as renal failure to myocardial injury and even death. On today's episode of Clinical Pearls, we have an expert in this field. Amy Yerdon, DNP, MNA, CRNA, CNE, is an Assistant Professor in the UAB School of Nursing and the BSN-DNP Nurse Anesthesia Assistant Program Director. 

Moderator: BobbieJean Sweitzer, M.D. Participants: Maximilian Sebastian Schaefer, M.D. and Amy Gaskell, M.B.Ch.B., Ph.D. Articles Discussed: Intraoperative Use of Phenylephrine versus Ephedrine and Postoperative Delirium: A Multicenter Retrospective Cohort Study Caveat Emptor: Vasopressor Choice and Postoperative Delirium—A Complex Relationship Explored Transcript

Commentary by Dr. Valentin Fuster

Interview with Daniel Reim, MD, and Tara Catharina Mueller, MD, authors Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy: A Randomized Clinical Trial by CHIR-Net. Hosted by Amalia Cochran, MD. Related Content: Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy

Interview with Daniel Reim, MD, and Tara Catharina Mueller, MD, authors Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy: A Randomized Clinical Trial by CHIR-Net. Hosted by Amalia Cochran, MD. Related Content: Intraoperative Wound Irrigation for the Prevention of Surgical Site Infection After Laparotomy

Nail Unit Dermoscopy (Onychoscopy) in the Differential Diagnosis of Erythroderma. Zychowska M, Tognetti L. Journal of the European Academy of Dermatology and Venereology. 2023 May; 37(5):e663-5.Cross-Polarized Photography of the Nail Unit: A Practical Way to Eliminate Specular Reflections on the Nail Plate. Goktay F, Erdem O. Skin Appendage Disorders. 2023 Jun 1;9(4):313-6.How We Do It: Intraoperative Cross-Polarized Photography as an Alternative to Intraoperative Dermoscopy During Nail Surgery. Erdem O, Goktay F, Atis G, Erdemir VA. Dermatologic Surgery. 2022 May 12:10-97.

Join Drs. Tatiana Cardenas, Zaffer Qasim and Jacob Edwards as they talk with guests Drs. Marissa Mery and Jeremy Cannon.  They discuss trauma resuscitation through the continuum of the trauma bay to OR with perspectives of emergency medicine, surgery and anesthesia providers.  Topics include permissive hypotension, use of pressors, massive transfusion practices, cell saver usage, additional anesthesia trauma training and more!

This week's episode spotlights epilepsy, exploring research in the field, and global perspectives on this condition. Jonathan is joined by Maeike Zijlmans, who discusses the electrical activity in the brain which is causative for this disorder; seizures and loss of consciousness; and the more unknown aetiologies of epilepsy. Maeike Zijlmans, Neurologist and Professor, University Medical Center Utrecht, and Stichting Epilepsie Instellingen Nederland, Heemstede, both in the Netherlands, shares valuable insights into her work studying both generalised and focal epilepsy, the longevity of this disease, and exciting treatment options. Use the following timestamps to navigate the content in this episode (00:00)-Introduction (02:38)-Why neurology and later epilepsy research? (03:26)-Global perspectives on epilepsy research and clinical practice (06:30)-Aetiologies and treatment journeys associated with epilepsy (10:29)-Raising awareness (15:58)-Spotlighting electroencephalogram in the context of epilepsy (18:26)-High-frequency oscillations (21:23)-Signal analysis and phase amplitude coupling to generate an individual epileptic ‘signature' (24:38)-Intraoperative electrocorticography in people with brain tumours (26:40)-Surgical approaches to treating epilepsy (29:20)-Next-generation taskforce for the International League Against Epilepsy (31:14)-Machine learning and artificial intelligence (34:05)-Three wishes for the future of healthcare

Intraoperative hypotension is now firmly associated with harm and poor outcomes, this conversation should get you thinking about what this means to you as a practitioner. Here Desiree Chappell speaks with Amy Yerdon, Assistant Professor of Nursing, Nursing Acute, Chronic & Continuing Care, University of Alabama, Birmingham and Bradley Steg, CRNA is a Nurse Anesthetist in Jackson, Tennessee.

In this episode, Dr Jamie Coleman is joined by Shayna Showalter, MD, from the University of Virginia School of Medicine, Charlottesville, VA. They discuss Dr Showalter's recent study evaluating precision breast intraoperative radiation therapy (PB-IORT), which uses customized CT-based treatment plans for high-dose-rate (HDR) brachytherapy. Interim results show that PB-IORT has an acceptable breast cancer recurrence rate, minimal side effects, and excellent cosmetic outcomes.   Disclosure Information: Drs Coleman and Showalter have nothing to disclose.   To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

This important piece covers the recent Anestheia Patient Safety Foundation (APSF) conference on perioperative hemodynamic instability, and the recent recommendations that they have just launched. The Anestheia Patient Safety Foundation is here: https://www.apsf.org/ Presented by Desiree Chappell and Mike Grocott with their guests, Daniel Cole MD, APSF President, Louise Y. Sun MD, SM, FRCPC , FAHA Professor of Anesthesiology at Stanford University, Michael Scott MB, ChB, FRCP, FRCA, FFICM Professor of Anesthesiology at the University of Pennsylvania. -- Originally streamed live as part of our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA), the largest and most important gathering of anesthesiologists in the world. We're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for a record of the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams

Moderator: BobbieJean Sweitzer, M.D. Participants: Evan D. Kharasch, M.D., Ph.D., and Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc., F.C.A.I., F.A.N.Z.C.A., F.A.H.M.S. Articles Discussed: Intraoperative Methadone in Next-day Discharge Outpatient Surgery: A Randomized, Double-blinded, Dose-finding Pilot Study Consideration of Methadone as an Analgesic Option for Short-stay Surgery Transcript

In this episode, I had the pleasure of discussing intraoperative pain with Susanna Stanford. Susanna is a patient who experienced intraoperative pain, and knowing she was not alone, she has actively raised awareness of this issue. In her own words, “Being able to feel major abdominal surgery is every bit as horrific as it sounds.” … Read More Read More

In the conclusion of this episode on interpreting cell cultures, Drs. Jessica Seidelman and Johannes Plate continue their discussion with Drs. Robin Patel and Martin Clauss focused on intra-operative diagnostics, including: Techniques to open the joint and take the fluid Importance of location matter Number of cultures Tests to request: fungal and AFB - are these for everyone? Cell count and intraoperative frozen sections. FOLLOW us on X, formerly twitter @jointapproach, or instragram @jointapproachpodcast for more announcements and content, and reach out to us at jointapproachpodcast@gmail.com 

In this podcast Anat Shnaiderman-Torban discusses the article 'Preoperative and intraoperative risk factors for post-anaesthetic pulmonary oedema in horses'

When you think of foundational clinical vestibular research, there is no doubt you think of one if not both of these individuals. Separately, they have contributed significantly to the profession and together, their collaborations have been transformative to the future of vestibular. Watch to hear us talk to Gary and Devin about where they started, how to promote successful research collaborations, and where they see the future of vestibular going. Here are some research articles Dr. Jacobson and Dr. McCaslin wanted to share with you: Development of the Tinnitus Handicap Inventory. Newman CW, Jacobson GP, Spitzer JB.Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):143-8. doi: 10.1001/archotol.1996.01890140029007.PMID: 8630207 Test-Retest Reliability of the Dizziness Symptom Profile. Landon-Lane RL, Piker EG, Jacobson GP, Hatton K, Roberts RA.Ear Hear. 2021 Jan/Feb;42(1):206-213. doi: 10.1097/AUD.0000000000000918.PMID: 32701727 Development and Preliminary Findings of the Dizziness Symptom Profile. Jacobson GP, Piker EG, Hatton K, Watford KE, Trone T, McCaslin DL, Bennett ML, Rivas A, Haynes DS, Roberts RA.Ear Hear. 2019 May/Jun;40(3):568-576. doi: 10.1097/AUD.0000000000000628.PMID: 29979254 Effects of age on the tuning of the cVEMP and oVEMP. Piker EG, Jacobson GP, Burkard RF, McCaslin DL, Hood LJ.Ear Hear. 2013 Nov-Dec;34(6):e65-73. doi: 10.1097/AUD.0b013e31828fc9f2.PMID: 23673615 Free PMC article. Intraoperative evoked potential monitoring. Jacobson GP, Tew JM Jr.J Clin Neurophysiol. 1987 Apr;4(2):145-76. doi: 10.1097/00004691-198704000-00004.PMID: 3305572 Review. A Comparison of Dizziness Handicap Inventory Scores by Categories of Vestibular Diagnoses Graham, M. K., Staab, J. P., Lohse, C. M., & McCaslin, D. L. (2021). A Comparison of Dizziness Handicap Inventory Scores by Categories of Vestibular Diagnoses. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 42(1), 129–136. https://doi.org/10.1097/MAO.000000000... The Component Structure of the Dizziness Handicap Inventory (DHI): A Reappraisal Van De Wyngaerde, K. M., Lee, M. K., Jacobson, G. P., Pasupathy, K., Romero-Brufau, S., & McCaslin, D. L. (2019). The Component Structure of the Dizziness Handicap Inventory (DHI): A Reappraisal. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 40(9), 1217–1223. https://doi.org/10.1097/MAO.000000000... The dissociation of video head impulse test (vHIT) and bithermal caloric test results provide topological localization of vestibular system impairment in patients with "definite" Ménière's disease McCaslin, D. L., Rivas, A., Jacobson, G. P., & Bennett, M. L. (2015). The dissociation of video head impulse test (vHIT) and bithermal caloric test results provide topological localization of vestibular system impairment in patients with "definite" Ménière's disease. American journal of audiology, 24(1), 1–10. https://doi.org/10.1044/2014_AJA-14-0040

Join Dr. Michael Blankstein as he discusses Intertrochanteric Femur Fractures including: • Preoperative considerations • Classification: Stable vs. Unstable fractures
 • Implant choice
• Intraoperative considerations • Postoperative management To see the presentation while you listen, download the ConveyMED App for free: AApple Store click here Google Play click here For additional educational resources visit https://ota.org/

Andrew Gabrielson, MD (@urogabe) is currently a resident at the Brady Urological Institute and Department of Urology at Johns Hopkins.  He is a budding pediatric urologist and developed an interest in surgical ergonomics and physical well-being before he started residency.  He is an integral member of the Society of Surgical Ergonomics and well-published in the field despite his young age!  He gives us lots of practical knowledge for the operating room (how to stand, how to set up your room, gel pads and shoes!) and a framework for incorporating ergonomics as a thought process to enhance our physical well-being as surgeons.  In addition, he talks about his experience and how following an interest piqued during undergraduate and medical school turned into a passion for the remainder of his professional life!  Enjoy!  Lots of links below including data supporting a lot of the discussion. Society of Surgical Ergonomicshttps://www.societyofsurgicalergonomics.org/Twitter: @SocSurgErgo Epidemiology of work-related pain among surgeonsEpstein, S. et al. Prevalence of work- related musculoskeletal disorders among surgeons and interventionalists: a systematic review and meta-analysis. JAMA Surg. 153, e174947–e174947 (2018).Stucky, C. H. et al. Surgeon symptoms, strain, and selections: systematic review and meta- analysis of surgical ergonomics. Ann. Med. Surg. 27, 1–8 (2018)Intraoperative and perioperative stretchingPark, A. E. et al. Intraoperative “Micro Breaks” with targeted stretching enhance surgeon physical function and mental focus: a multicenter cohort study. Ann. Surg. 265, 340–346 (2017).Hallbeck, M. S. et al. The impact of intraoperative microbreaks with exercises on surgeons: a multicenter cohort study. Appl. Ergon. 60, 334–341 (2017).Dorion, D. & Darveau, S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study. Ann. Surg. 257, 256–259 (2013).Monitor Placementvan Det, M. J., Meijerink, W. J., Hoff, C., Totte, E. R. & Pierie, J. P. Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: a review and guidelines. Surg. Endosc. 23, 1279–1285 (2009).Omar, A. M., Wade, N. J., Brown, S. I. & Cuschieri, A. Assessing the benefits of “gaze- down” display location in complex tasks. Surg. Endosc. 19, 105–108 (2005).Erfanian, K., Luks, F. I., Kurkchubasche, A. G., Wesselhoeft, C. W. Jr. & Tracy, T. F. Jr. In- line image projection accelerates task performance in laparoscopic appendectomy. J. Pediatr. Surg. 38, 1059–1062 (2003).Hanna, G. B., Shimi, S. M. & Cuschieri, A. Task performance in endoscopic surgery is influenced by location of the image display. Ann. Surg. 227, 481–484 (1998).Table HeightBerguer, R., Smith, W. D. & Davis, S. An ergonomic study of the optimum operating table height for laparoscopic surgery. Surg. Endosc. 16, 416–421 (2002).van Veelen, M. A., Kazemier, G., Koopman, J., Goossens, R. H. & Meijer, D. W. Assessment of the ergonomically optimal operating surface height for laparoscopic surgery. J. Laparoendosc. Adv. Surg. Tech. A. 12, 47–52 (2002).Manasnayakorn, S., Cuschieri, A. & Hanna, G. B. Ergonomic assessment of optimum operating table height for hand- assisted laparoscopic surgery. Surg. Endosc. 23, 783–789 (2009).Gel matsHaramis, G. et al. Prospective randomized evaluation of FOOT gel pads for operating room staff COMFORT during laparoscopic renal surgery. Urology 76, 1405–1408 (2010).Graversen, J. A. et al. Prospective randomized evaluation of gel mat foot pads in the endoscopic suite. J. Endourol. 25, 1793–1796 (2011).Cognitive ErgonomicsChrouser KL

Découvrez le livre NEUROSAPIENS, sorti le 26 janvier aux éditions Les Arènes ! Pour apprendre à créer rapidement et à moindre coût son podcast, c'est par ici ! Production, animation, réalisation et illustration : Anaïs Roux Instagram : https://www.instagram.com/neurosapiens.podcast/ Ecriture : Thaïs Marques Son Instagram : https://www.instagram.com/study_and_t/?hl=fr   Produit et distribué en association avec LACME Production. Audio :  Play-Doh meets Dora - Carmen María and Edu Espinal Sources :  Albulescu, P., Macsinga, I., Rusu, A., Sulea, C., Bodnaru, A., & Tulbure, B. T. (2022). " Give me a break!" A systematic review and meta-analysis on the efficacy of micro-breaks for increasing well-being and performance. Plos one, 17(8), e0272460. Lacaze, D. H. D. C., Sacco, I. D. C., Rocha, L. E., Pereira, C. A. D. B., & Casarotto, R. A. (2010). Stretching and joint mobilization exercises reduce call-center operators' musculoskeletal discomfort and fatigue. Clinics, 65, 657-662. Park, A. E., Zahiri, H. R., Hallbeck, M. S., Augenstein, V., Sutton, E., Yu, D., ... & Bingener, J. (2017). Intraoperative “micro breaks” with targeted stretching enhance surgeon physical function and mental focus. Annals of surgery, 265(2), 340-346. Breckel, T. P., Thiel, C. M., Bullmore, E. T., Zalesky, A., Patel, A. X., & Giessing, C. (2013). Long-term effects of attentional performance on functional brain network topology. PloS one, 8(9), e74125. Gui, D., Xu, S., Zhu, S., Fang, Z., Spaeth, A. M., Xin, Y., ... & Rao, H. (2015). Resting spontaneous activity in the default mode network predicts performance decline during prolonged attention workload. Neuroimage, 120, 323-330. André, N., Audiffren, M., & Baumeister, R. F. (2019). An integrative model of effortful control. Frontiers in Systems Neuroscience, 13, 79.

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to bring you 'as live' coverage of their annual conference. For more information on the work ESIAC do check out their website here https://euroanaesthesia.org/ Monty Mythen and Desiree Chappell speak with Thomas Scheeren, Senior Director of Medical Affairs Critial Care and Vascular, Europe, Edwards Lifesciences and Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany about two important pieces of work: "Intraoperative hypotension when using hypotension prediction index software during major noncardiac surgery: a European multicentre prospective observational registry (EU HYPROTECT)" https://www.bjaopen.org/article/S2772-6096(23)00019-9/fulltext -- "Continuous finger-cuff versus intermittent oscillometric arterial pressure monitoring and hypotension during induction of anesthesia and non-cardiac surgery: The DETECT randomized trial" https://pubmed.ncbi.nlm.nih.gov/37265355/ -- Like this, want more? Try these: https://www.topmedtalk.com/euroanaes2019-thomas-scheeren/ https://topmedtalk.libsyn.com/bernd-saugel-at-euroanesthesia-2022-topmedtalk    

Indications for use of intraoperative autologous red blood cell salvage by AORNJournal

Contraindications for use of intraoperative autologous red blood cell salvage by AORNJournal

In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Janos L. Tanyi to discuss intraoperative imaging with OTL38 in ovarian cancer. Dr. Tanyi is an associate professor in the Department of Obstetrics and Gynecology at The University of Pennsylvania. He developed an advanced immunotherapy program that allows patients' own immune cells to recognize and kill their tumor; a gene-engineered T cell approach. Dr. Tanyi has a broad background in immunotherapy, cancer immunology, molecular genetics and clinical expertise in gynecologic oncology. He has the frontline experience in ovarian cancer immunotherapy as he is the primary PI for both the ovarian cancer vaccine and adoptive T cell transfer trials at University of Pennsylvania. At Penn, he has fostered the establishment of a rich translational research environment focused on ovarian cancer. Furthermore, Dr. Tanyi led the Phase 2 and 3 trials evaluating the efficacy and safety of Pafolacianine Sodium combined with intraoperative molecular imaging during cytoreductive surgery of ovarian cancer. Highlights: - It is well known that the extent of residual disease after surgery is negatively correlated with patient survival in ovarian cancer. To achieve R0 complete cytoreduction remains the goal of surgery. In this phase III study, it was evaluated whether Cytalux, would identify cancer lesions not identified by the surgeon by white light visual inspection or palpation. - During this phase 3 trial, one or more additional cancer lesions were identified in approximately 33% of patients using of Cytalux with near-infrared imaging which was not detected by white light visual inspection and manual palpation. - The intraoperative use of Cytalux with near-infrared imaging can be a good adjunct to current surgical approaches in identifying additional cancer lesions during cytoreductive surgery.

Join us for an insightful episode on perfusion intraoperative non-technical skills, also known as PINTS. In this episode, we sit down with Dave Fitzgerald, the perfusion expert and Division Director of the Cardiovascular Perfusion Program at the Medical University of South Carolina to discuss the critical importance of these "soft skills" in perfusion. As an experienced perfusionist and educator, Dave sheds light on the human element of perfusion in the operating room (OR), and how mastering soft skills can lead to improved patient outcomes. Tune in to learn how non-technical skills such as communication, teamwork, and situational awareness can help perfusionists navigate complexities of the OR and provide the best possible care to their patients. Whether you're a seasoned perfusionist or a healthcare student interested in the field, this episode is not to be missed. Don't miss out on the AmSECT 61st International Conference, pre-conference session on PINTS on Thursday, March 23rd from 8am to 4pm in Orlando, Florida. Register online at www.amsect.org. This pre-conference workshop will focus on the use of non-technical skill assessment (PINTS) in a simulation session. This simulation will evaluate the feasibility of non-technical skills assessment during simulation as well as promote the use of the PINTS tool to assess perfusion non-technical skills and behaviors. Participants will increase their awareness of non-technical skills performance in improving quality and safety of perfusion care and management.

In this episode, Dr Jamie Coleman is joined by Roi Weiser, MD, from the University of Texas MD Anderson Cancer Center, and Suzanne Klimberg, MD, PhD, MSHCT, FACS, from the Division of Surgical Oncology at the University of Texas Medical Branch. They discuss their study, which shows that fluoroscopic intraoperative neoplasm and node detection (FIND) can be used to localize the biopsy clip marking a non-palpable breast or axillary lesion, obviating the need for an additional procedure to insert a localization device. Furthermore, FIND shows promising results, with decreased margin positivity and re-excision rate compared with wire localization. Disclosure Information: Dr Klimberg receives book royalties from Elsevier, Springer, and Saunders. Drs Coleman and Weiser have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord

In this podcast, Dr. Ashley Bowden and Dr. Carlie Wilke discuss the AJHP Commentary, “Implementation of radio-frequency identification technology to optimize medication inventory management in the intraoperative setting,” with host and AJHP Editor in Chief Dr. Daniel Cobaugh. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Despite recent advances in arthroscopic rotator cuff repair, the retear rate remains high. New methods to optimize healing rates must be sought. Bone channeling may create a quicker and more vigorous healing response by attracting autologous mesenchymal stem cells, cytokines, and growth factors to the repair site.   In conclusion, this trial did not demonstrate the superiority of intraoperative bone channeling in rotator cuff repair over standard rotator cuff repair at 24 months postoperatively. Healing rates, patient-reported function, and quality-of-life outcomes were similar between groups.   Click here to read the article.

Tune in for today's industry updates.

Derm in Spaaace! - Plantar wart review - Podophyllotoxin + cantharadin for plantar warts - Congenital nevi and CNS abnormalities - Deucravacitinib trials for psoriasis - Intraoperative sutures Thanks to Hawaii Derm for supporting this episode! Earn the credits you need by joining your colleagues at the 45th Annual Hawaii Dermatology Seminar (https://www.hawaiidermseminar.com/) in Honolulu, HI February 19-24, 2023. Discover the latest advancements in psoriasis, hair, atopic dermatitis, facial rejuvenation, cutaneous malignancies, and more! Enjoy conference activities including live-patient sessions, workshops, Q&A's, an immersive room, guided hike, luau and a very special keynote presentation! Register now with the exclusive discount code DERMASPHERE to receive 40% off your pass! Connect with us! Web: https://dermaspherepodcast.com/ Twitter: @DermaspherePC Instagram: @dermaspherepodcast Facebook: https://www.facebook.com/DermaspherePodcast/ Check out Luke and Michelle's other podcast, SkinCast! https://healthcare.utah.edu/dermatology/skincast/ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at: Kikoxp.com (a social platform for doctors to share knowledge) https://www.levelex.com/games/top-derm (A free dermatology game to learn more dermatology!) The University of Utah Dermatology Echo: https://physicians.utah.edu/echo/dermatology-primarycare

CRNAs and SRNAs/RRNAs have asked us to give them the essential information needed to manage different OR cases. Episodes they can listen to while on their commute, on a run, or just relaxing at home with their headphones. Today we're going to review the Anesthesia Management for a Pheochromocytoma. This is the second episode in our endocrine surgical procedures series, so get ready for this power-packed episode full of "need to know" info you can use in the OR and stuff you might even find on exams.    Here are some of the things you'll learn on this show: The pathology of a Pheochromocytoma. (3:40) The signs and symptoms you'll find. (5:16) What if it goes undiagnosed? (6:37) How to differentiate this from other interoperative problem. (7:25) Treating known diagnosed Pheochromocytoma. (10:52) What will you be watching for as you monitor patient? (15:58) Intraoperative hemodynamic goals. (19:29) Let's work through a PACU scenario. (24:45)   About our hosts: https://kpatprogram.org/about-the-school/faculty.html    Visit us online: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Kristin Chrouser, MD, MPH is an Associate Professor of Urology at the University of Michigan and Section Chief of Urology at the VA in Ann Arbor Michigan. She is an expert in intraoperative stress - something all surgeons are familiar with - and tackles it through a variety of academic avenues.  We discuss physical stress through ergonomics and pain both in and out of the OR.  We talk about the OR environment and mindsets that are conducive to a healthy and long surgical career.  And we talk about how pain is the manifestation of so many stressful events in our life - whether they be physical, emotional, or psychological.  This conversation is fun and full of practical pearls on how to keep yourself pain free and healthy.

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA). This piece is presented by Desiree Chappell and Monty Mythen with their guests Rick Dutton, Chief Quality Officer at United States Anesthesia Partners Baltimore, Maryland Area, Josh Lumbley, Chief Quality Officer of NorthStar Anesthesia and Wael Saasouh, Regional Director for Research at NorthStar Anesthesia. Rick Dutton is a popular contributor to TopMedTalk; you can hear more from him in our extensive podcast archive here: https://www.topmedtalk.com/rick-dutton-chief-quality-officer-us-anesthesia-partners-topmedtalk-at-the-asa/ And here: https://www.topmedtalk.com/topmedtalks-to-rick-dutton-2/ And here: https://www.topmedtalk.com/desirees-roundtable-rick-dutton-qa-session-2/ TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. Now in our fifth year TopMedTalk is bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world! This audio is presented to you "as live" - if you'd like to see our coverage as it happens go now to: https://live.topmedtalk.com/ TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ We are on Twitter here: https://twitter.com/topmedtalk We are on LinkedIn here: https://www.linkedin.com/company/topmedtalk We are on Facebook here: https://www.facebook.com/TopMedTalk1/

This wide ranging discussion from Evidence Based Perioperative Medicine (EBPOM) USA asks how we should best try to manage the intraoperative period, where is the evidence telling us to focus? Do we get the impression that Enhanced Recovery After Surgery (ERAS) delivers the value proposition? Are reduced complications always a good thing, even from a business perspective? What are the economic barriers to adopting enhanced recovery? Is Enhanced Recovery more spoken about than actually practiced? Presented by Monty Mythen and Desiree Chappell with their guests, Mark Koch, President and CEO of Somnia Anesthesia, Josh Lumbley, Chief Quality Officer of NorthStar Anesthesia, Sotiris Rompas, Global Health Economics and Reimbursement, Edwards Lifesciences - with additional questions from the audience.

This week we review a recent report from the team at Boston Children's Hospital about a novel approach to avoid heart block during complex congenital heart surgery? Assistant Professor of Pediatrics at Harvard Medical School Elizabeth DeWitt shares with us her insights into a recent report she co-authored by the departments of surgery and cardiology at her institution about intraoperative mapping of conduction. How easy is it to identify the conduction system and how effective at avoiding heart block? Who is a good candidate for this approach? Dr. DeWitt offers her insights as does Dr. John Triedman, Chief of Electrophysiology and a co-author. Dr. Triedman also shares with us information regarding the upcoming PedirhythmX conference that will be held in Boston 9/22-9/24. DOI: 10.1016/j.xjtc.2021.11.017