Podcasts about postoperative

“It's 5pm and your Consultant (attending) has headed off home. A patient arrives in the resuscitation room blood spurting from a stab wound in the armpit. Join Roisin – a junior Major Trauma fellow, Prash – a surgical trainee, Max – a senior trauma surgery fellow, and Chris – a Consultant trauma surgeon, as we talk through decision making from point of injury to aftercare in this challenging trauma surgical case”. • Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated 1.     Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool 2.     Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital.  3.     Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83 4.     Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin • Learning objectives: Bulleted list of learning objectives. A)    To become familiar with prehospital methods of haemorrhage control in penetrating junctional injuries. B)     To recognise the benefits of prehospital blood product resuscitation in some trauma patients. C)     To follow the nuanced decision making in decision for CT scan in a patient with a penetrating junctional injury. D)    To describe the possible approaches to the axillary artery in the context of resuscitative trauma surgery. E)     To become familiar with decision making around intraoperative systemic anticoagulation in the trauma patient. F)     To become familiar with decision making on type of repair and graft material in vascular trauma. G)    To recognise the team approach in holistic trauma care through the continuum of trauma care. • References: Bulleted list of references with PubMed links. 1.    Perkins Z. et al., 2012. Epidemiology and Outcome of Vascular Trauma at a British Major Trauma Centre. EJVES. https://www.ejves.com/article/S1078-5884(12)00337-1/fulltext 2.    Ramaraj P., et al. 2025. The anatomical distribution of penetrating junctional injuries and their resource implications: A retrospective cohort study. Injury. https://www.injuryjournal.com/article/S0020-1383(24)00771-X/ 3.    Smith, S., et al. 2019. The effectiveness of junctional tourniquets: A systematic review and meta-analysis. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/abstract/2019/03000/the_effectiveness_of_junctional_tourniquets__a.20.aspx 4.    Rijnhout TWH, et al. 2019. Is prehospital blood transfusion effective and safe in haemorrhagic trauma patients? A systematic review and meta-analysis. Injury. https://www.injuryjournal.com/article/S0020-1383(19)30133-0/ 5.    Davenport R, et al. 2023. Prehospital blood transfusion: Can we agree on a standardised approach? Injury. https://www.injuryjournal.com/article/S0020-1383(22)00915-9. 6.    Borgman MA., et al. 2007. The Ratio of Blood Products Transfused Affects Mortality in Patients Receiving Massive Transfusions at a Combat Support Hospital. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/fulltext/2007/10000/the_ratio_of_blood_products_transfused_affects.13.aspx 7.    Holcomb JB., et al. 2013. The Prospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study. Comparative Effectiveness of a Time-Varying Treatment With Competing Risks. JAMA Surgery. https://jamanetwork.com/journals/jamasurgery/fullarticle/1379768 8.    Holcomb JB, et al. 2015. Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 vs a 1:1:2 Ratio and Mortality in Patients With Severe Trauma. The PROPPR Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2107789 9.    Davenport R., et al. 2023. Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury. The CRYOSTAT-2 Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2810756 10.   Baksaas-Aasen K., et al. 2020. Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. ICM. https://link.springer.com/article/10.1007/s00134-020-06266-1 11. Wahlgren CM., et al. 2025. European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma. EJVES. https://esvs.org/wp-content/uploads/2025/01/2025-Vascular-Trauma-Guidelines.pdf 12. Khan S., et al. 2020. A meta-analysis on anticoagulation after vascular trauma. Eur J Traum Emerg Surg. https://link.springer.com/article/10.1007/s00068-020-01321-4 13. Stonko DP., et al. 2022. Postoperative antiplatelet and/or anticoagulation use does not impact complication or reintervention rates after vein repair of arterial injury: A PROOVIT study. Vascular. https://journals.sagepub.com/doi/10.1177/17085381221082371?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Colin T. Huntley, MD, and Associate Editor Boyd Gillespie, MD, to discuss how long-term changes in body mass index (BMI) following hypoglossal nerve stimulation (HGNS) impact surgical success as outlined in the paper "Impact of Postoperative Weight Changes on Hypoglossal Nerve Stimulation Success for Obstructive Sleep Apnea," which published in the September 2025 issue of Otolaryngology- Head and Neck Surgery. Click here to read the full article.

Dr. Vilma Joseph, guest editor of October's supplemental issue of ASA Monitor, joins Dr. Keya Locke to discuss 30-day postoperative morbidity and mortality.  Listen in as they consider the role of anesthesiologists as perioperative physicians, various causes of postoperative mortality and morbidity, tools to help improve patient care, and more. Recorded September 2025. 

Recorded at this year's Evidence Based Perioperative Medicine (EBPOM) World Congress held in London, this episode of TopMedTalk features Andy Cumpstey with his guests TJ Gan, Professor and Division Head, Anesthesiology, Critical Care and Pain Medicine, UT Texas MD Anderson Cancer Center, Houston, TX, USA, and Tim Miller, Professor of Anesthesiology at Duke University Medical Center, Durham, NC, USA. The conversation provides insights on the key themes and developments from the conference. They discuss the critical importance of postoperative monitoring and interventions, including haemodynamic management, advanced monitoring systems, and the integration of new technologies such as AI and wearables. They emphasize evolution in surgical practices, particularly the shift towards outpatient procedures facilitated by robotic surgery. The conversation then highlights the global need for enhanced postoperative care standards and the potential future directions in perioperative medicine.

This week we replay an episode from 2 years ago on postoperative ectopic atrial tachycardia (EAT) following congenital heart surgery in children. Are there risk factors for this arrhythmia and are any modifiable? What is the 'go to' therapy used by the electrophysiologists at Children's LA for the acute and chronic treatment of this arrhythmia in the postoperative period? Is the presence of EAT in a postoperative congenital heart patient a marker for a worse outcome? These are amongst the questions posed to Children's of Los Angeles pediatric electrophysiologist, Dr. Jonathan Uniat. ·         DOI: 10.1007/s00246-022-03068-8

Bone marrow stimulation (BMS) is the most frequently performed surgical procedure for osteochondral lesions of the talus (OLTs). After the surgical intervention, one of the first goals of rehabilitation is to resume weightbearing. This study aims to compare clinical and radiologic outcomes between immediate weightbearing and delayed weightbearing, which represent unrestricted weightbearing and weightbearing starting at 6 weeks postoperatively. In conclusion, this matched cohort study found no statistically significant difference in clinical or radiologic outcomes at 12 months between immediate and delayed weightbearing following arthroscopic BMS for talar osteochondral lesions. Although early weightbearing may be feasible and well tolerated, the small sample size and wide CIs limit the strength of conclusions. These findings should be considered hypothesis-generating and underscore the need for larger, prospective trials. Click here to read the article

Dr. Iyad Alnahhas interviews Drs. Felix Sahm and Maximilian Deng about their recent manuscript entitled: "Postoperative radiotherapy in subtotally-resected recurrent WHO grade 1 meningiomas with intermediate/ high-risk molecular profiles", published online in Neuro-Oncology in May 2025.

Moderator: James Rathmell, M.D. Participants: Shiqian Shen, M.D. and Cyrus David Mintz, M.D., Ph.D. Articles Discussed: Hippocampal Neural Dynamics and Postoperative Delirium-Like Behavior in Aged Mice Neural Network Dynamics of Postoperative Delirium: is it all About Neurons Striking the Right Balance? Transcript

A Chinese research team published a paper Monday in the British journal Nature Medicine, reporting the world's first successful transplantation of a genetically-edited pig lung into a brain-dead human recipient. 中国科研团队于周一在英国《自然・医学》期刊发表论文，报告了全球首例基因编辑猪肺成功移植到脑死亡人体的案例。This achievement is expected to help ease the shortage of lung donors and has been hailed by international experts as "a milestone" in the field, according to Xinhua News Agency. 据新华社报道，这一成果有望缓解肺源短缺问题，被国际专家誉为该领域的“里程碑” 事件。A research team led by He Jianxing, a professor at the First Affiliated Hospital of Guangzhou Medical University, transplanted a lung from a six-gene-edited pig into a 39-year-old brain-dead male human recipient following a brain hemorrhage. The lung xenograft remained viable and functional throughout the 216-hour monitoring period, without signs of hyperacute rejection or infection, according to the paper in Nature Medicine.由广州医科大学附属第一医院何建行教授带领的科研团队，将一头经过6 处基因编辑的猪的肺脏，移植到一名因脑出血脑死亡的 39 岁男性受者体内。《自然・医学》期刊的论文显示，在 216 小时（9 天）的监测期内，这一异种移植肺始终保持存活且功能正常，未出现超急性排斥反应及感染迹象。The donor pig had undergone six genetic edits to reduce immune risks. Postoperative monitoring of respiration, blood, and imaging showed that the transplanted lung sustained ventilation and gas-exchange functions for up to nine days, with no occurrence of hyperacute rejection during this period. Concurrent pathogen monitoring also revealed no signs of active infection, the Xinhua report said. 报道称，供体猪共进行了6 处基因编辑，以降低免疫排斥风险。术后对呼吸、血液及影像学的监测表明，移植肺维持通气和气体交换功能达 9 天，期间未发生超急性排斥反应；同时开展的病原体监测也未发现活动性感染迹象。As of April, more than 7.05 million people have registered as organ donors in China, the Global Times learned in April. There have been more than 58,000 organ donations, 63,000 body donations, and 110,000 corneal donations, restoring sight to 100,000, saving over 170,000 lives and supporting medical education and research. Yet, the country still faces a donor shortage.《环球时报》4 月获悉，截至 2024 年 4 月，我国器官捐献志愿者登记人数已超 705 万。全国累计完成器官捐献超 5.8 万例、遗体捐献超 6.3 万例、角膜捐献超 11 万例，累计让 10 万名患者重见光明、17 万余名患者重获新生，并为医学教育科研提供了支持。尽管如此，我国器官供体短缺问题仍未得到根本解决。"Currently, global demand for organ transplants is rising, and xenotransplantation is considered a potential solution to the shortage of donors," He told Xinhua. "This achievement marks a critical step forward in xenogeneic lung transplantation."“当前全球器官移植需求持续增长，异种移植被认为是解决供体短缺的潜在方案。” 何建行向新华社表示，“这一成果标志着异种肺移植研究迈出关键一步。”Liu Changqiu, the deputy head of Life Law Research Society of Shanghai Law Society, told the Global Times on Tuesday that there are three major approaches for future organ supply, which are xenotransplantation, development of artificial organs as well as cultivating organs through cloned human cells, the latter of which still faces technical bottlenecks.上海市法学会生命法学研究会副会长刘长秋周二向《环球时报》指出，未来器官供应主要有三种途径，分别是异种移植、人工器官研发以及通过人体克隆细胞培育器官，其中后者目前仍面临技术瓶颈。Given ongoing challenges in cloned and artificial organ development, xenotransplantation plays a critical role in easing the shortage of donors, Liu said.刘长秋表示，鉴于克隆器官和人工器官研发仍存在挑战，异种移植在缓解供体短缺方面发挥着关键作用。He stated that the next steps will focus on optimizing gene-editing strategies and anti-rejection treatment plans to extend the survival and functionality of transplanted organs. 何建行团队透露，下一步将重点优化基因编辑策略与抗排斥治疗方案，以延长移植器官的存活时间并提升功能。The team plans to apply their self-developed tube-free technology to xenogeneic lung transplantation trials to reduce the damage caused by mechanical ventilation to donor lungs and accelerate the translation of xenogeneic lung transplantation into clinical practice.团队还计划将自主研发的无插管技术应用于异种肺移植试验，减少机械通气对供体肺造成的损伤，推动异种肺移植技术更快向临床转化。The research team emphasized that the study strictly complied to national laws, regulations, and ethical guidelines, and underwent review and supervision by the hospital's ethics committee and other relevant institutions. 科研团队强调，该研究严格遵循国家法律法规与伦理准则，经过医院伦理委员会及相关机构的审查与监督。The recipient, who had suffered severe traumatic brain injury, was confirmed brain-dead after multiple independent evaluations. The family, motivated by a desire to support medical progress, agreed to participate in the study without compensation. The study concluded on the ninth day at the family's request, per Xinhua.据新华社介绍，此次移植的受者因严重创伤性脑损伤，经多次独立评估确认脑死亡。其家属出于支持医学进步的意愿，无偿同意参与该研究。应家属要求，研究在第9 天终止。Xenotransplantation, the process of transplanting animal organs into humans, is a cutting-edge field in global medical research. International experts have praised this breakthrough. 异种移植（将动物器官移植到人体）是全球医学研究的前沿领域，中国团队的这一突破获得国际专家高度评价。Xinhua cited Beatriz Domínguez-Gil, director of the Spanish National Transplant Organization, as saying that, "Previous xenotransplantation trials have been limited to kidneys, hearts, and livers. Compared with these, xenogeneic lung transplantation faces greater challenges. Due to the lung's delicate physiological balance, its exposure to substantial blood flow, and its constant contact with the external air, it is particularly vulnerable to damage." 新华社援引西班牙国家移植组织主任贝亚特里斯・多明格斯- 希尔的评价称：“此前的异种移植试验多集中在肾脏、心脏和肝脏领域。与这些器官相比，异种肺移植面临的挑战更大 —— 肺脏生理结构脆弱，不仅需承受大量血流灌注，还需持续与外界空气接触，因此极易受损。”She described the Chinese team's achievement as "a milestone" in related research.她将中国团队的这一成果称为相关研究领域的“里程碑”。

Dr. Benedict Nwachukwu joins host Phil Plisky to take a deep dive into hip impingement and labral tears. With insights shaped by both surgical expertise and personal experience as an athlete, Dr. Ben shares what really drives the decision between rehab and surgery. Together, they unpack how rehab professionals like you can navigate the gray areas with confidence and clarity. Don't miss this thoughtful conversation on what the latest research means for your patients—and your practice.Learning ObjectivesAnalyze the evidence around hip preservation strategiesApply evidence-based, practical strategies to actionably address conservative and postoperative hip joint pathologySolve patient case scenarios involving postoperative hip labral repair and reconstructionTimestamps(00:00:00) Welcome(00:01:25) Introduction to guest(00:03:33) Introduction to hip labral tears and impingement(00:08:13) Understanding hip anatomy and impingement(00:16:30) The interplay of hip and spine(00:22:23) Differential diagnosis of hip conditions(00:25:26) Current research on hip management(00:30:46) Indications for a surgical referral(00:36:07) Postoperative rehabilitation process(00:42:28) Comparisons to ACL reconstruction(00:47:19) Postoperative dos and don'ts(00:55:40) Case study: a journey through hip surgery(00:59:24) Key takeaways and future directionsRehab and Performance Lab is brought to you by Medbridge. If you'd like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you'll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.To hear more episodes of Rehab and Performance Lab, visit ⁠⁠⁠⁠https://www.medbridge.com/rehab-and-performance-lab⁠⁠⁠⁠If you'd like to subscribe to Medbridge, visit ⁠⁠⁠⁠https://www.medbridge.com/pricing/

Multimodal analgesia refers to a pain medication strategy that targets multiple chemical pathways to achieve adequate pain relief. This concept has grown in popularity over the years particularly in light of the recognition that opioids have major downsides including dependence. We welcome Dr. J. Preston Van Buren, DO from the Naval Medical Center in San Diego to discuss his team's findings after implementing a focused multimodal analgesia strategy with a reduced number of prescribed opioid tablets following Sports Medicine surgery compared to a more traditional, opioid-heavy regimen that has been classically employed. 

In this episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, discusses the use of buprenorphine for acute pain management with Thomas Hickey, MD, MS, following the February 2025 publication of “Buprenorphine versus full agonist opioids for acute postoperative pain management: a systematic review and meta-analysis of randomized controlled trials.” Dr. Hickey is full-time staff at the West Haven VA where he is medical director of preoperative evaluation and the PACU, and site director for the anesthesiology residency. Within the VA, he is chairman of the VA New England Healthcare System committee on preoperative evaluation and ERAS, co-chair of the VA's national pain/opioid consortium for research workgroup on perioperative management of medications for opioid use disorder, and a member of the National Anesthesia Program Acute Pain Management Committee. He is board certified in both anesthesiology and addiction medicine. His research interests focus on the overlap between addiction medicine and acute pain management, particularly on the use of buprenorphine for acute pain management. He and his wife are kept busy by their three kids and all their activities. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Management of Postoperative Pericarditis.   Guest: Melissa Erdman, P.A.-C. Guest: Juan Crestanello, M.D. Host: Sharonne Hayes, M.D.   In this podcast, Mayo Clinic experts explore the complexities of diagnosing and managing postoperative pericarditis, a condition that presents unique challenges compared to other forms of pericarditis. The discussion delves into how this complication differs in presentation and progression, outlines current treatment approaches used in clinical practice, and examines potential preventive strategies that surgeons and care teams can implement to reduce its incidence and severity.   Topics Discussed: How is postoperative pericarditis different from other causes? What are the management strategies you are using to treat these patients? Are there measures that surgeons can take to prevent or reduce incidence or severity?   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by 4th year general surgery resident Sasank Kalipatnapu (@ksasank), JVS editor Dr. Thomas Forbes (@TL_Forbes), and JVS-VS editor Dr. John Curci (@CurciAAA) to discuss two great articles in the JVS family of journals. The first article discusses disability from periprocedural stroke in patients undergoing carotid artery stenting. The second article discusses the application of contrast-enhanced ultrasound and plasma biomarkers to abdominal aortic aneurysm monitoring.  This episode hosts Dr. Andrea Alonso, Dr. Jeffrey Siracuse(@MdSiracuse), Dr. Adham Ali (@AdhamAbouAli), and Dr. Rabih Chaer (@rchaer2) authors of these two papers. Articles: Part 1: Disability and associated outcomes among patients suffering periprocedural strokes after carotid artery stenting (Alonso, Siracuse) Referenced article - Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy (Levin, Siracuse) Audible Bleeding Episode - JVS Author Spotlight August 2023 Part 2: Contrast-enhanced ultrasound microbubble uptake and abnormal plasma biomarkers are seen in patients with abdominal aortic aneurysms (Ali, Chaer) Show Guests  Dr. Alonso is a general surgery resident in her second year of research at Boston Medical Center on an AHRQ T32 grant.  Dr. Siracuse is the Chief of vascular and endovascular surgery and the associate chair for quality and patient safety in the Department of Surgery at Boston Medical Center. He is also the program director for the vascular surgery fellowship and  the medical director for the Vascular Study Group of New England. Dr. Ali is Assistant Professor of Vascular Surgery at Charleston Area Medical Center. Dr. Chaer is a Professor of Surgery and Division Chief of Vascular and Endovascular Surgery at Stony Brook University. Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

This podcast was created using Notebook LM.This podcast examines effective patient communication in the context of post-extraction dental care, particularly for ASA II and III patients who have chronic conditions like diabetes or cardiovascular disease. It highlights how clear, patient-centered communication is crucial for preventing complications, as these patients face higher risks of delayed healing, infection, and bleeding.

Chairs: Sheraz Daya and Anat Loewenstein Speakers: Vladimir Suvajac, Sara Sella, Kristina Mikak and Tiago Monteiro Join us for the upcoming ESCRS eConnect webinar as we explore some of the key challenges faced after corneal refractive procedures. This session will highlight common postoperative issues such as visual quality concerns, stability of results over time, healing complications, and the management of intracorneal implants. Through focused presentations and a concluding discussion, our expert panel will provide valuable guidance on recognising, preventing, and addressing these complications in everyday practice. Whether you're experienced in refractive surgery or looking to expand your knowledge in managing postoperative outcomes, this webinar offers timely and practical insights relevant to all anterior segment surgeons.

This week we speak with Assistant Professor of Pediatrics at Harvard Medical School, Dr. Audrey Dionne about a recent work she co-authored on the topic of outcomes of ablation in the early postoperative period following congenital heart surgery. Who is a candidate for this intervention and what were the outcomes? How commonly were serious complications encountered and how successful were these procedures? Dr. Dionne reviews these and other aspects of this novel review this week. https://doi.org/10.1016/j.hrthm.2024.08.061

Send us a textSollte man sich Freitags operieren lassen? Dieser Frage widmen wir uns in dieser Woche:Ranganathan S, Riveros C, Tsugawa Y, et al. Postoperative Outcomes Following Preweekend Surgery. JAMA Netw Open. 2025;8(3):e2458794. Published 2025 Mar 3. doi:10.1001/jamanetworkopen.2024.58794Mit im Studio dabei: Julian Bok, wissenschaftlicher Mitarbeiter der Klinik für Anästhesiologie am UKHD.

#407: Postoperative Pediatric Airway Emergencies Pediatric airway emergencies in the postoperative setting are high-impact events that can quickly escalate to cardiac arrest, so it's vital you recognize and act on them immediately. In this article, you'll review: Unique features of the pediatric airway  Risk factors for postoperative respiratory complications in children Performing a focused pediatric respiratory assessment Signs of respiratory distress in children Common postoperative respiratory complications including desaturation, upper airway obstruction, laryngospasm, bronchospasm, and oversedation/loss of ventilation ___________________ Full Transcript - Read the article and view references Episode 140 - Listen to episode 140 for an overview of pediatric respiratory distress. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store. Clinical Success Pack - One of the best ways to fast-track your clinical learning is having the right tools. This FREE pack includes report sheets, sheets to help you plan your day, a clinical debrief form, and a patient safety cheat sheet.  20 Secrets of Successful Nursing Students – Learn key strategies that will help you be a successful nursing student with this FREE guide! Conquering Case Studies - Learn how to approach case studies so they feel less overwhelming while honing your clinical judgment skills in the process.

Medial gutter impingement may compromise the results of an otherwise well-fixed total ankle arthroplasty (TAA), but no previous study has assessed predisposing factors. This case-control study sought to investigate potential risk factors and the role of talar component downsizing in decreasing medial impingement.   In conclusion, talar component downsizing correlated with an 82% reduction in the probability of medial gutter impingement. Postoperative varus alignment, an elevated joint line level, and medially translated and internally rotated talar component were more prevalent in patients reoperated for medial impingement.     Click here to read the article.

Send us a textDiese Woche geht es um Aspirationsrisiken bei Patienten mit GLP-1 RA-Therapie:Chen Y, Zink T, Chen Y, et al. Postoperative Aspiration Pneumonia Among Adults Using GLP-1 Receptor Agonists. JAMA Netw Open. 2025;8(3):e250081. doi:10.1001/jamanetworkopen.2025.0081Mit im Studio: Dr. Lukas Ruf, wissenschaftlicher Mitarbeiter der Klinik für Anästhesiologie am UKHD

The safe management of non-cardiac implantable electrical devices during surgery requires careful planning and knowledge of device-specific considerations. We continue our discussion from last week with actionable recommendations for each stage of perioperative care.• Electrocautery poses significant risks including device reprogramming, thermal burns, and damage to neural tissue• Turn off devices or set to safe surgery mode before using electrocautery • Bipolar cautery is safer than monopolar; if monopolar is needed, use lowest power setting• Place grounding pads to minimize current through the device generator• Somatosensory evoked potentials (SSEPs) are relatively safe while motor evoked potentials (MEPs) should be avoided• Newer devices may be MRI conditional but require specific protocols including device interrogation• Regional anesthesia should use ultrasound guidance rather than nerve stimulation techniques• Neuraxial anesthesia is not contraindicated for spinal cord stimulator patients but must be placed below insertion level• ECT can be performed with device turned off and careful electrode placement• Devices should be turned back on before emergence from anesthesia• Postoperative evaluation should include checking for thermal injuries and neurologic changesThanks for joining us for our 253rd episode! Wow, 250 and counting! Go tell a friend or colleague about our show as we work toward 500 episodes. If you enjoy the Anesthesia Patient Safety Podcast, please give us a five-star rating, subscribe, and share with colleagues.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/253-when-electrocautery-meets-implanted-devices-what-every-anesthesia-professional-needs-to-know/© 2025, The Anesthesia Patient Safety Foundation

Postoperative cognitive disorders (POCD) are often misunderstood, underdiagnosed, and underestimated, but they can dramatically affect a patient's recovery and long-term quality of life. We've invited Dr. Christine Detwiler to join us so we can better understand the science behind POCD, the risk factors, and the strategies anesthesia providers are using to protect brain health. Along with guest co-host Dana Pederson, CRNA, we dive into this topic with Christine while it's still very fresh on her mind. She shares the insights she uncovered during her doctoral research, including risk factors, early signs to watch for, and why anesthesia providers play a bigger role in brain health than they might think. Here's some of what we discuss in this episode:

Send us a textDeclining Incidence of Postoperative Neonatal Brain Injury in Congenital Heart Disease.Peyvandi S, Xu D, Barkovich AJ, Gano D, Chau V, Reddy VM, Selvanathan T, Guo T, Gaynor JW, Seed M, Miller SP, McQuillen P.J Am Coll Cardiol. 2023 Jan 24;81(3):253-266. doi: 10.1016/j.jacc.2022.10.029.PMID: 36653093 Free PMC article.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Gara Knudtson, Doctor of Nurse Anesthesia Practice and Certified Registered Nurse Anesthetist with Pullman Anesthesia at Pullman Regional Hospital, explains why some patients experience nausea and vomiting after a surgical procedure, what CRNAs can do to help reduce the likelihood of postoperative nausea and vomiting, and how long anesthesia stays in the body.

This week we review a work from the department of cardiology and department of cardiac surgery at Boston Children's Hospital on late hypertension in patients following coarctation repair. Late hypertension has been associated previously with late transverse aortic arch Z score but can this be predicted by the immediate postoperative transverse aortic arch Z score also? What factors account for late hypertension in the coarctation patient? Should more patients have their aorta repaired from a sternotomy? Dr. Sanam Safi-Rasmussen, who is a PhD candidate at Copenhagen University, shares her insights from a work she performed while a research fellow at Boston Children's Hospital. DOI: 10.1016/j.jtcvs.2024.08.049

Hosted by RAPM Editor Eric Schwenk, MD, this episode of RAPM Focus welcomes RAPM Associate Editor Mark Bicket, MD, PhD, and medical student Sama Ramo following the recent publication of their original research paper, “Risk Factors for Persistent Postoperative Opioid Use: An Entity Distinct from Chronic Postsurgical Pain,” included in the February 2025 special edition of RAPM, titled “Tackling the Challenge of Chronic Postsurgical Pain.” Persistent postoperative opioid use results when patients continue to take prescription opioids well beyond the time their pain after surgery would be expected to resolve. In some cases, this is a couple days; in other cases, this is several weeks. There are many challenges associated with prescription opioid use, including the lack of a truly safe dose, so there is risk across the continuum. Patients facing persistent postoperative opioid use potentially confront worse outcomes, higher rates of health care utilization, and higher rates of mortality compared to patients not enduring persistent postoperative opioid use. Dr. Mark Bicket is an associate professor of anesthesiology with tenure at the University of Michigan and a joint appointment in the Department of Health Management and Policy at the School of Public Health. Additionally, he is co-director of the Overdose Prevention Engagement Network (OPEN). A clinician-scientist and practicing physician anesthesiologist, Dr. Bicket has pioneered evidence-based approaches to reduce opioid-related harms and improve the treatment of persons who experience pain. He currently leads an NIH R01 study examining pain-related outcomes for persons with opioid use disorder who have surgery and serves as PI for two pragmatic trials funded by the Patient-Centered Outcomes Research Institute including the CARES study, an international randomized clinical trial examining commonly prescribed treatments for postoperative pain. He previously served on the National Academy of Medicine ad hoc committee on evidence for opioid prescribing guidelines in 2018-2019 and a workshop on opioid disposal in 2023. Dr. Bicket has advised the White House, FDA, CMS, state governments, and national organizations on pain and opioid issues. His research, which includes 120 peer-reviewed articles, has appeared in JAMA, NEJM, and BMJ, and has been supported by the Foundation for Anesthesia Education and Research (FAER), SAMHSA, and CDC. Sama Ramo is a second-year medical student at Oakland University William Beaumont School of Medicine. She is a Foundation for Anesthesia Education and Research scholar. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Moderator: BobbieJean Sweitzer, M.D. Participants: Jai Darvall, Ph.D. and Tong J. Gan, M.D., M.B.A., M.H.S. Articles Discussed: Chewing Gum to Treat Postoperative Nausea and Vomiting in Female Patients: A Multicenter Randomized Trial Chewing Gum: A Viable Option as a Rescue Therapy for Postoperative Nausea and Vomiting? Transcript

In this JCO PO Article Insights episode, Harold Nathan Tan summarizes findings from the JCO PO article, “Circulating Tumor DNA as a Prognostic Biomarker for Recurrence in Patients With Locoregional Esophagogastric Cancers With a Pathologic Complete Response.” TRANSCRIPT Harold Nathan Tan: Welcome to JCO Precision Oncology Article Insights where we explore cutting-edge discoveries in the world of cancer treatment and research. I'm Harold Nathan Tan, your host for today's episode. Let's dive into a fascinating study published in JCO Precision Oncology entitled, “Circulating Tumor DNA as a Prognostic Biomarker for Recurrence in Patients With Locoregional Esophagogastric Cancers With a Pathologic Complete Response.” This study led by Dr. Eric Michael Lander and colleagues examines a critical question: Can circulating tumor DNA help predict recurrence in patients with esophagogastric cancer who have achieved a favorable pathologic response after treatment? Esophagogastric cancer ranks as the seventh leading cause of cancer-related deaths worldwide. Despite aggressive treatment including neoadjuvant therapy followed by surgery, recurrence remains a grim reality for many patients. Interestingly, even those who achieve a pathologic complete response face a recurrence risk of up to 25%. This highlights a need for better tools to identify high-risk patients post-treatment. Circulating tumor DNA, or ctDNA for short, is emerging as a powerful biomarker in oncology. This minimally invasive blood-based test detects fragments of tumor DNA in the bloodstream, potentially signaling molecular residual disease before any radiographic evidence of recurrence appears. In this study, researchers focused on patients with locoregional esophagogastric cancer who had undergone neoadjuvant therapy followed by surgery, achieving either a complete or near complete pathologic response. Blood samples were collected postoperatively within a 16-week molecular residual disease window and during routine surveillance. The aim is to determine whether ctDNA positivity correlates with recurrence-free survival. The study analyzed 309 plasma samples from 42 patients across 11 institutions. Detectable ctDNA within the 16-week postoperative window was associated with a significantly higher recurrence risk. Among those with detectable ctDNA, 67% experienced recurrence compared to only 15% for those with undetectable ctDNA. This corresponds to a hazard ratio of 6.2, an alarming figure that underscores the potential for ctDNA as a prognostic tool. But the story doesn't end there. Postoperative surveillance ctDNA testing more than 16 weeks after surgery also proved to be a powerful prognostic indicator. Every patient with detectable ctDNA during surveillance eventually experienced recurrence, while only 7.4% of those with undetectable ctDNA relapse. These findings suggest that ctDNA testing could provide a critical lead time, enabling earlier interventions and personalized treatment strategies. Now let's talk about the clinical implications. Currently, patients who achieve a pathologic complete response often aren't considered for adjuvant therapies as the absence of visible disease is taken as a sign of remission. However, this study challenges that assumption. By integrating ctDNA testing into routine post-treatment surveillance, clinicians could identify high-risk patients who might benefit from additional therapy even when traditional imaging shows no signs of recurrence. This brings us to the bigger picture. Esophagogastric cancer treatment is evolving rapidly, with trials like CheckMate 577 and ESOPEC offering new insights into perioperative strategies. However, this study highlights a critical gap, the need for personalized, biomarker-driven approaches in the adjuvant setting. ctDNA could fill that gap, offering a non-invasive, dynamic way to monitor patients and guide clinical decisions. Of course, no study is without its limitations. The authors acknowledge the relatively small sample size and the retrospective nature of their analysis. They also note the variability in ctDNA testing and imaging schedules across institutions. However, the robust association between ctDNA positivity and recurrence-free survival makes a compelling case for further research in larger prospective cohorts. Looking ahead, what's the next step? The authors call for prospective validation of ctDNA as a prognostic tool, emphasizing its potential to refine risk stratification and optimize treatment strategies. Imagine a future where a simple blood test could dictate not only the need for additional therapies, but also the timing and type of intervention. As we wrap up, let's reflect on the broader impact of the study. By integrating ctDNA into routine cancer care, we could move closer to a world where treatments are not just effective, but also precisely tailored to each patient's unique biology and disease dynamics. Thank you for tuning into JCO Precision Oncology Article Insights. Don't forget to subscribe and join us next time as we explore more groundbreaking research shaping the future of oncology. Until then, stay informed and stay inspired.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Show notes at pharmacyjoe.com/episode988. In this episode, I'll discuss neostigmine plus anticholinergics vs sugammadex and the incidence of postoperative delirium. The post 988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way appeared first on Pharmacy Joe.

Host Dr. Amanda Redfern welcomes oculoplastic surgeons Drs. Davin Ashraf and Natalie Hoesly to discuss their approaches to postoperative pain management, with the help of a pain and addiction medicine specialist, Dr. Pat Liu. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Moderator: James P. Rathmell, M.D. Participants: Nicholas Joseph Douville, M.D., Ph.D. and Vesela P. Kovacheva, M.D., Ph.D. Articles Discussed: Polygenic Score for the Prediction of Postoperative Nausea and Vomiting: A Retrospective Derivation and Validation Cohort Study Polygenic Risk Scores: Coming to Your Operating Room? Transcript

What are the steps involved in Functional Crown Lengthening? Which scenarios/teeth are best for this type of surgery? What is biologic width and why should we care? Is Bone sounding a diagnostic test, or just a genre of music? The answer to these questions and a lot more can be found in this packed episode with Dr Hiten Halai. We cover the right protocols when crown lengthening and understand the difference between aesthetic and functional crown lengthening.  https://youtu.be/KRlEtz16I8c Watch PDP207 on Youtube Protrusive Dental Pearl - Bone Sounding Using a periodontal probe, go into the depth of the sulcus, pushing deeply until you hit bone, all while recording the measurement with the probe. This measurement will then guide you on how to carry out your crown lengthening procedure. Push hard to pass the connective tissue and ensure you are touching the bone. Not using AI to write your notes and letters for you yet? Save hours every day and save money using this affiliate link for DigitalTCO: Click Here  Highlights of this Episode:03:19 Protrusive Dental Pearl06:10 Introduction - Dr Hiten Halai12:56 Functional Crown Lengthening15:41 Understanding Crown Lengthening Types18:42 University of Dental Instagram22:38 Biologic Width aka Supra-crestal Tissue Attachment25:51 Functional Crown Lengthening: Practical Considerations31:09 Assessments & Keratinised Tissue35:47 Understanding Tissue Phenotypes39:16 Case Study: Premolar Treatment43:17 Bone Sounding and Biologic Width46:58 Shape of Gingivectomy50:31 Flap Designs52:37 Burs for Crown Lengthening56:13 Healing and Restoration Timelines58:31 Learning and Training Opportunities Key Takeaways: Hiten's journey began with a passion for periodontics during dental school. Managing time effectively is crucial for specialists with busy schedules. Functional crown lengthening is often underutilized in practice. Aesthetic crown lengthening can lead to complications if not done correctly. Understanding biologic width is essential for successful crown lengthening procedures. Preoperative assessments are critical for determining candidacy for crown lengthening. The type of gingival tissue affects surgical outcomes and healing. Proper surgical techniques can prevent complications and ensure better healing. Postoperative care is vital for achieving desired aesthetic results. Continuous education and mentorship are important for dental professionals. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C. ADG Code: 490 PERIODONTICS (Mucogingival management)  Aim: To enhance knowledge and practical understanding of crown lengthening procedures, with a focus on distinguishing between aesthetic and functional crown lengthening, and the importance of biologic width in achieving predictable clinical outcomes. Learning Outcomes: Identify the key differences between aesthetic and functional crown lengthening and the clinical scenarios in which each is most appropriate. Demonstrate an understanding of biologic width and its significance in the success of crown lengthening procedures, including the impact on long-term periodontal health. Apply the principles of bone sounding to accurately assess the need for crown lengthening and ensure optimal restoration outcomes, minimising risks such as gingival recession and bone loss. If you liked this episode, check out: PDP079 - Crown Lengthening

Editor's Summary by Preeti Malani, MD, MSJ, and Chris Muth, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from November 23-December 6, 2024.

Postoperative pain control is an essential aspect of patient recovery and satisfaction. While pain management is important in all surgical settings, C-sections, hysterectomies, and myomectomies are particularly frequent, accentuating the need for reliable non-opioid alternatives in OBGYN. Dr. Steven McCarus and Dr. Paula Bilica discuss the efficacy of multimodal pain control options in gynecologic and obstetric surgeries, including Exparel, a non-opioid liposomal bupivacaine. The doctors highlight the opioid epidemic and the need for alternative pain relief methods. They share insights on how the introduction of Exparel has transformed their practices by reducing the reliance on opioids, enhancing patient recovery post-surgery, and improving overall patient outcomes. Specific techniques and procedures for using Exparel in various types of surgeries such as C-sections, hysterectomies, and myomectomies are detailed, along with the benefits observed in clinical practices. TIMESTAMPS 00:00 - Introduction 00:42 - The Opioid Epidemic and Pain Management 02:46 - The Role of Exparel in Pain Management 04:53 - Multimodal Pain Control 06:12 - Techniques for Using Exparel 10:08 - Patient Outcomes and Benefits CHECK OUT THE FULL EPISODE OBGYN Ep. 67: https://www.backtable.com/shows/obgyn/podcasts/67/non-opiod-pain-management-in-gyn-surgery

The Medial Meniscus is a known secondary stabilizer to the ACL in terms of anterior tibial translation in the knee. So what happens after ACL reconstruction if the medial meniscus is deficient? Dr. Andrew Fithian, MD joins us to discuss his study addressing this very question. Coming to us from Kaiser Permanente San Diego, Dr. Fithian and his team investigated postoperative anterior tibial translation in autograft ACL patients with an intact medial meniscus, a repaired medial meniscus, or a partially resected medial meniscus. The results may guide decision making when facing a situation with an irreparable medial meniscus tear in the setting of an ACL tear, particularly with graft choice.

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.

In this episode, we discuss recent findings on the potential risks of left atrial appendage closure (LAAC) in cardiac surgery patients without prior atrial fibrillation. The study highlights an increased risk of new-onset postoperative AF and prolonged hospital stays without clear benefits in mortality or stroke prevention. The Vasopressor & Inotrope HandbookAmazon: ⁠⁠https://amzn.to/3UvFFVf⁠⁠ (affiliate link) Signed Copy: ⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠ Movember Link: ⁠https://movember.com/m/eddyjoemd?mc=1⁠ Citation: Shuhaiber JH, Abbas M, Morland T, Kirchner HL, El-Manzalawy Y. Atrial appendage closure is associated with increased risk for postoperative atrial fibrillation. J Cardiothorac Surg. 2024 Nov 2;19(1):619. doi: 10.1186/s13019-024-03119-6. PMID: 39488696. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

We are seeing a 42F in the emergency room who underwent a laparoscopic sleeve gastrectomy 11 days ago. The operation was uneventful, and she had a negative airleak test. She had an uneventful postoperative course and was discharged on POD 1.   Her medical history is significant for hypertension and hyperlipidemia, and he has no other surgical history. She has been able to keep up with her clear liquid diet. She complains that this morning she experienced abdominal and palpitations. You note her vitals show a mildly elevated blood pressure and her latest heart rate is 120s.  Join Drs. Matthew Martin, Adrian Dan, Crystall Johnson-Mann, and Paul Wisniowski on a discussion about initial evaluation and management of bariatric patients with internal hernias.  Show Hosts: Matthew Martin Adrian Dan Crystal Johnson-Mann Paul Wisniowski Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

In this episode, Tom Varghese, MD, MS, MBA, FACS, is joined by Anai N Kothari MD, FACS, MS, FSSO, from the Medical College of Wisconsin. They discuss Dr Kothari's recent article, “Association of Daily Step Count and Postoperative Complication among All of Us Research Participants,” in which the authors used preoperative wearable device data from 475 patients to investigate the link between daily step counts and postoperative complications. Patients with fewer than 7,500 daily steps had a higher risk of complications, supporting the use of wearables for surgical risk assessment and preoperative fitness measurement. Disclosure Information: Drs Varghese and Kothari 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

Oral health and postoperative infective complications by AORNJournal

You're the new intern on your first night of night float. First page, right off the bat – AFib with rates into the 150s. What's your next move?! Dr. Nathan Anderson takes the anxiety out of approaching Atrial Fibrillation in the post-operative patient. Join him and Dr. Elizabeth Maginot as they discuss this very common post-operative you're guaranteed to see on the wards.  Hosts:  - Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska  - Dr. Elizabeth Maginot, General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95 Learning Objectives:  - Discuss the underlying pathophysiological mechanisms that contribute to the development of atrial fibrillation in the postoperative setting.  - Critically approach the different management options for atrial fibrillation in the post-cardiac and non-cardiac surgery settings, including rate versus rhythm control, indications for cardioversion, and the role of anticoagulation.  - Identify common risk factors for atrial fibrillation in the post-operative setting.  - Discuss long-term management and follow-up strategies for patients who develop atrial fibrillation after surgery. References:  1. Bhave PD, Goldman LE, Vittinghoff E, Maselli J, Auerbach A. Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery. AmericanHeart Journal. 2012;164(6):918-924. doi:10.1016/j.ahj.2012.09.004 https://pubmed.ncbi.nlm.nih.gov/23194493/ 2. Gialdini G, Nearing K, Bhave PD, et al.. Perioperative Atrial Fibrillation and the Long-term Risk ofIschemic Stroke. JAMA. 2014;312(6):616. doi:10.1001/jama.2014.9143 https://pubmed.ncbi.nlm.nih.gov/25117130/ 3. Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C; AAFP Panel on Atrial Fibrillation; ACP Panel on Atrial Fibrillation.Management of newly detected atrial fibrillation: a clinical practice guideline from the AmericanAcademy of Family Physicians and the American College of Physicians. Ann Intern Med. 2003 Dec16;139(12):1009-17. doi: 10.7326/0003-4819-139-12-200312160-00011. PMID: 14678921. https://pubmed.ncbi.nlm.nih.gov/14678921/ 4. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. NewEngland Journal of Medicine. 2002;347(23):1825-1833. doi:10.1056/nejmoa021328 https://pubmed.ncbi.nlm.nih.gov/12466506/ Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  DOMINATE THE DAY 

Are you having a BRAT summer, because we sure are here on the NAVAS podcast! By BRAT, we mean Best Remedies for Analgesic Therapy! We're excited to continue our discussion on post-operative pain control for dogs and cats. If you haven't listened to part one of this conversation, please go back and listen before diving into this episode. We're going to finish up our conversation on surgical pain management by discussing the nuances of NSAID use in cats, confronting some controversial opinions on Gabapentin, rave about local anesthetic agents, and introduce some pharmacologic and non-pharmacological therapies to help tackle acute pain for our patients. Joining us again is Dr. Melina Zimmerman, veterinary anesthesiologist and owner of The Doggy Gym, where she provides pain management therapies for all kinds of species. Pain management is so much more than “set and forget”, and we hope to convince you of that right here on the NAVAS podcast.References are made to the following resources in the episode:Our previous short episode on Nocita with Dr. Tammy Grubb.2022 ISFM consensus guidelines on managing acute pain in cats that has been endorsed by the American Association of Feline Practitioners (AAFP): 2024 ISFM & AAPF consensus guidelines on long-term NSAID use in catsBuprenorphine as an additive agent with bupivacaine for certain dental blocks in dogsIf you like what you hear, we have a couple of favors to ask of you:Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content. Spread the word. Share our podcast on your socials or a discussion forum. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.As a reminder, the ACVAA Annual Meeting is happening in Denver, CO from September 25-27 later this year. Registration rates are discounted for NAVAS members. We hope to see you there! Sign up today!Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.

Jim Reichmann, MBA, joins us to discuss the evidence surrounding amputee post-operative care. Jim has a Master of Public Health degree from Georgia State University and has published on amputee post-operative care in the Journal of Vascular Nursing, PM&R Journal, and Current Physical Medicine and Rehabilitation Reports. Jim has served on a Technical Expert Panel for the Agency for Healthcare Research and Quality, worked with the Food and Drug Administration to discontinue the use of a dangerous drug in pregnancy, and contributed to various evidence-based guidelines for payers. Explore Jim's published research and connect on LinkedIn.Many thanks to Thuasne USA for sponsoring this episode! Explore their innovative SpryStep AFO today.  We've added 12 new products to the SPS Rewards Program from College Park, Proteor, WillowWood, Össur, Ottobock, Nabtesco, and Trulife! Click here to view additions. Visit spsco.comAlso, email us! The O&P Check-in is a bi-monthly podcast featuring the latest orthotics and prosthetics news, trends, best practices, regulations and policies. Designed for O&P professionals, join Brendan Erickson and a rotating co-host as they interview guests and share the latest advancements in the industry. 

In this episode, we're focusing on a critical aspect of post-surgical care: creating a plan to control postoperative pain once our canine or feline patients leave the hospital. We know that managing pain effectively during this period is vital for the recovery and well-being of our patients. With so many medications to choose from, costs to consider, and non-compliance to worry about, how can we optimize our patients pain control at home when there are so many variables to balance? In this episode, we're thrilled to have Dr. Melina Zimmerman lead us through this important discussion. As a veterinary anesthesiologist with additional training in companion animal rehabilitation, Dr. Zimmerman specializes in pain management for surgical and non-surgical conditions at her clinic, The Doggy Gym. In the first part of this two-part episode, we will focus our discussion on opioids and NSAIDs, with an emphasis on ancillary medications and non-pharmaceutical treatment options in our next episode. Have you ever wondered: What oral opioid options do we know are effective analgesics for dogs and cats? Is buprenorphine a great opioid or the greatest opioid? How do you get a fentanyl patch to stick? What's with all this hype about Galliprant and Tylenol for dogs? If you're curious about leveling up your analgesia game, we hope you give this episode a listen.References are made in this episode to analgesic and sedative agents from previous NAVAS episodes. Check out our episode on Zenalpha and Zorbium for more information.If you like what you hear, we have a couple of favors to ask of you:Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content.Spread the word. Share our podcast on your socials or a discussion forum. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.As a reminder, the ACVAA Annual Meeting is happening in Denver, CO from September 25-27 later this year. Registration rates are discounted for NAVAS members. We hope to see you there! Sign up today! Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.

In this episode, Emily Hellstrom, DVM, joined us to talk about her research on postoperative ileus and improving outcomes for colic surgery patients. She provided insight into a publication she co-authored titled “Postoperative Ileus: Comparative Pathophysiology and Future Therapies” and discussed some of the risk factors and treatment options for this condition in horses.The Disease Du Jour podcast is brought to you by Merck Animal Health.Disease Du Jour Podcast Hosts, Guests, and Links Episode 136:Host: Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (CSisson@equinenetwork.com) Guest: Dr.Emily Hellstrom, DVMPodcast Website: Disease Du JourThe Disease Du Jour podcast is brought to you in 2024 by Merck Animal Health.

Host Michael Blankstein, MD interviews paper authors Justin Haller, MD, and Lucas Marchand, MD. This paper was presented at the 2023 OTA Annual Meeting. For additional educational resources visit https://ota.org/ 

Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Philip Fleshner as they discuss the management of small bowel strictures in Crohn's disease.  Learning Objectives 1.    Discuss the role for J-pouch in a patient with inflammatory bowel disease 2.    Identify the key steps in creation of the J-pouch and technical considerations. 3.    Describe post operative complications and management in patients with a J-pouch Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Wind, water, walking, wound, & wonder drugs. The infamous 5 W's of your surgery rotation. Although this podcast is a bit more geared towards third-year shelf exams and Step 2/Level 2, its content is still super high-yield. In this episode, third-year medical student Maya Amy will discuss different etiologies and presentations of postoperative fever. Be sure to tune in and check it out!