Podcasts about postoperative

Postoperative management after metabolic surgery (1:30), e-cigarette use (6:30), type II diabetes management (8:10), HIV infection (10:40), preventing falls in older adults (14:20), and nonsteroidal anti-inflammatory drugs for renal colic (18:10).

BUFFALO, NY – May 13, 2026 – A new #casereport was #published in Volume 17 of Oncotarget on May 4, 2026, titled “Laryngeal leiomyosarcoma: A rare case report and literature review.” The study was led by first author Bolat Shalabaev and corresponding author Zhuldyz Kuanysh, both from the National Research Oncology Center, Astana, Kazakhstan. In this report, the authors describe a rare case of high-grade laryngeal leiomyosarcoma (LLMS) in a 64-year-old man who presented with progressive dyspnea and hoarseness caused by a large supraglottic mass. Laryngeal leiomyosarcoma is an exceptionally uncommon malignant tumor of smooth muscle origin, with fewer than 70 cases reported worldwide since it was first described in 1939. Because most laryngeal malignancies are epithelial tumors such as squamous cell carcinoma, diagnosis of LLMS can be particularly challenging and requires extensive histopathological and immunohistochemical evaluation. Imaging studies revealed a heterogeneous laryngeal tumor causing near-complete obstruction of the airway. Histopathological analysis demonstrated high-grade spindle-cell proliferation with marked pleomorphism and pathological mitoses. Immunohistochemical testing showed strong expression of smooth muscle actin (SMA) and vimentin, while markers including CD34, myogenin, cytokeratins 5/6 and 7, and p40 were negative, supporting the diagnosis of high-grade pleomorphic leiomyosarcoma. The patient underwent extended laryngectomy with left neck dissection and formation of a permanent tracheostomy. Comprehensive staging with CT, MRI, and ultrasound showed no evidence of regional or distant metastases. Due to the tumor's aggressive pathological features—including a Ki-67 proliferation index reaching 60%—the multidisciplinary tumor board recommended adjuvant chemotherapy with doxorubicin and ifosfamide following surgery. “Complete surgical excision remains the cornerstone of therapy, while multidisciplinary-guided adjuvant treatment may benefit selected high-grade or high-risk patients.” Postoperative pathology confirmed a high-grade pleomorphic leiomyosarcoma classified as pT3N0M0 according to the AJCC 8th edition staging system. Importantly, surgical margins were negative, and no metastatic involvement was identified in the five examined lymph nodes. At the most recent follow-up, 12 months after surgery and completion of chemotherapy, the patient remained alive and free of recurrence or metastasis. The authors also reviewed recently published LLMS cases reported between 2021 and 2024. Their analysis confirmed persistent male predominance, frequent involvement of the glottic and supraglottic regions, and highly variable clinical outcomes ranging from long-term disease-free survival to rapid metastatic progression. The report further highlights the central role of immunohistochemistry in differentiating leiomyosarcoma from other spindle-cell neoplasms of the head and neck. Importantly, the study emphasizes that complete surgical resection with histologically negative margins remains the most important factor associated with favorable outcomes. While the role of chemotherapy in laryngeal leiomyosarcoma remains controversial, the authors note that individualized multidisciplinary treatment approaches may be particularly valuable in patients with high-grade or high-risk disease features. Overall, this report contributes important clinical insight into one of the rarest malignancies of the larynx. As the first documented case of laryngeal leiomyosarcoma reported from Central Asia, the study expands the limited global literature on this disease and underscores the importance of coordinated multidisciplinary care, detailed pathological evaluation, and long-term surveillance in optimizing patient outcomes. DOI - https://doi.org/10.18632/oncotarget.28862 Correspondence to - Zhuldyz Kuanysh - zhuldyzkuanysh@icloud.com Abstract video - https://www.youtube.com/watch?v=i3AoqIXo3Ys

In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Jan Headley, Principal at Consultants in Acute and Critical Care. They explore the use of functional hemodynamics in the postoperative management of cardiothoracic surgical patients. Chapters  00:00 Intro  01:26 Case Study  04:28 Fluid Responsiveness, Dynamic Parameters  07:37 Variability Within Normal Limits  09:34 Determining Responsiveness Efficiently  12:45 No PA-Catheter Patients  15:35 Reassessing Values  17:22 First Step  19:20 No-Fluid Patient  20:27 Stroke Volume Trends  21:13 Key Takeaways  The discussion includes a case study illustrating how functional hemodynamics can guide clinical decisions in this context. They delve into the concepts of fluid management and fluid responsiveness, comparing dynamic parameters and static parameters, and the importance of increasing stroke volume. Key topics also include pulse pressure variation, stroke volume variation, variability, and delta stroke volume. The conversation further covers techniques such as the passive leg raise maneuver and the pulmonary occlusive maneuver. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode! Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Commentary by Dr. Katsuhiko Imai.

Moderator: James P. Rathmell, M.D. Participants: Lukas Martin Müller-Wirtz, M.D. and Marcos F. Vidal Melo, M.D., Ph.D. Articles Discussed: Mechanical Power and the Association with Postoperative Impaired Oxygenation and Pulmonary Complications in Orthopedic Patients: Post hoc Analysis of a Cluster Factorial Randomized Trial Deconstructing the Role of Mechanical Power in Lung Injury and Respiratory Failure Transcript

Hi listeners! We are partnering with Behind the Knife (a surgery podcast) to produce quality oral board study podcasts. In the next few weeks, we will be releasing several more as a samples of our collaboration. If you're interested in studying for oral boards through them, please download their app through the app store or go to their website to find out more.  Happy studying!  https://www.behindtheknife.org/

Host Malcolm DeBaun, MD chats with paper authors Jeremy Adelstein, MD, and Josh Napora, MD about their results in: "Postoperative Radiation Does Not Decrease Risk of Heterotopic Ossification after Acetabulum Fracture Fixation" in the first part of this episode. Link to abstract Dr. DeBaun references for thrombin gel treatment of HO. In the second part of this episode, Mark Gage, MD chats with paper author Lucas Marchand, MD about his study findings in "Bier Block Regional Anesthesia versus Hematoma Block for Closed Distal Radius Reduction: A Randomized Controlled Trial." Live from the 2025 OTA Annual Meeting. For additional educational resources visit OTA.org

Postoperative delirium is one of the most common adverse events after surgery for older adults, and it can change a patient's recovery, independence, and quality of life. We take a practical, evidence-focused look at what anesthesia teams can actually do to support perioperative brain health, using the latest recommendations from the APSF Brain Health Patient Safety Advisory Group.We walk through the four questions clinicians keep asking at the bedside. First, does intraoperative hypotension drive delirium? We break down why the data is mixed, what mechanisms make hypotension plausible, and why individualized hemodynamic goals with rapid correction still belong in a modern patient safety strategy. Next, we tackle benzodiazepines and the Beers Criteria: newer trials and practice advisories suggest short-acting agents like midazolam and ultra-short-acting options like remimazolam do not need to be avoided solely to prevent postoperative delirium, while medication review, deprescribing, and cognitive screening remain essential.From there, we get into anesthetic depth and intraoperative EEG monitoring. EEG guidance can reduce burst suppression and may help tailor dosing as part of precision anesthesia, but the evidence is still inconclusive on whether it prevents delirium in older adults. We close with the long-debated choice between general anesthesia and regional anesthesia, highlighting recent meta-analyses and trials showing no significant difference in delirium incidence once confounders are controlled, with a key nuance around avoiding excessive sedation.Subscribe for more anesthesia patient safety updates, share this with a colleague, and leave a review if the conversation helps you bring a brain health lens to your next case.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/298-new-apsf-brain-health-guidance-for-older-adults/© 2026, The Anesthesia Patient Safety Foundation

In this episode of the Advancing Surgical Care Podcast, ASCA Chief Advocacy Officer Kara Newbury talks with Chris Fox, executive director of Voices for Non-Opioid Choices (Voices), about the federal Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act.This highly informative discussion details how the NOPAIN Act temporarily allows providers to charge separately for drugs, biologicals and medical devices that have been approved as non-opioid pain treatments to help reduce opioid usage by Medicare beneficiaries. By increasing access to non-opioid alternatives that facilities might not otherwise use—or that Medicare beneficiaries would have to pay for out-of-pocket—the legislation aims to reduce the incidence of addiction and abuse.Voices is a nonpartisan coalition dedicated to preventing opioid addiction and abuse by advocating for increased patient and provider access to non-opioid pain management therapies.

Andy Cumpstey is joined by Christian Macutkiewicz Consultant General, HPB and Hernia Surgeon at Manchester Royal Infirmary, Director of The Gallstone Clinic and Manchester Hernia at Spire Manchester Hospital and the incoming President of the Association of Surgeons of Great Britain and Ireland, and Dimitris Damaskos Consultant General Surgeon within the Department of Surgery at the Royal Infirmary of Edinburgh (NHS Lothian), Honorary Clinical Senior Lecturer at the University of Edinburgh. They discuss the postoperative period as a critical part of the perioperative journey, emphasizing the importance of clear postoperative communication, reassurance even after "successful" operations, and explaining complications and expected recovery timelines. They highlight challenges in recognizing deterioration, including reduced reliance on clinical examination skills among junior doctors and the systems-based concept of "failure to rescue," arguing that consistent ward-based recognition systems and high-volume units help detect complications earlier. Enhanced Recovery After Surgery (ERAS) pathways are cited, including using day-3 CRP thresholds to trigger CT imaging for early detection of anastomotic leak. They note post-COVID pressures to clear surgical backlogs have increased situations where patients are operated on by surgeons who did not initially see them, potentially weakening trust and continuity when complications occur, and they discuss flattening hierarchy so trainees can do ward rounds with consultant support. The conversation covers future technology, including AI for risk stratification and imaging interpretation, and remote continuous vital-sign monitoring, while acknowledging data governance challenges and potential deskilling. The episode closes with a discussion of robotic surgery: improved optics and precision and usefulness for more complex cases (including abdominal wall reconstruction), but with concerns about cost, rollout, training implications, and differing adoption between the UK, US, and New Zealand. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Description: In this second deep dive, Schlegel explains how microTESE transformed sperm retrieval. Learn how microsurgical precision improves outcomes, preserves testicular tissue, reduces pain, and why multidisciplinary collaboration drives high pregnancy rates. Timestamps:00:00 – Introduction 01:06 – Why the microscope? 03:09 – MicroTESE advantages 04:11 – Success rates 06:29 – Postoperative care 08:04 – Multidisciplinary approaches

In dieser Folge sprechen wir über die Assoziation von kleinen Leistenhernien mit dem Auftreten eines chronischen postoperativen Schmerzsyndroms aus dem Patientenkollektiv des Herniamedregisters.Moderation: Felix RühlmannGast: PD Henry HoffmannBesprochene Publikation:Hoffmann H, Walther D, Bittner R, Köckerling F, Adolf D, Kirchhoff P. Smaller Inguinal Hernias are Independent Risk Factors for Developing Chronic Postoperative Inguinal Pain (CPIP): A Registry-based Multivariable Analysis of 57, 999 Patients. Ann Surg. 2020 Apr;271(4):756-764. doi: 10.1097/SLA.0000000000003065. PMID: 30308610.

if you have any feedback, please send us a text! Thank you!This episode of Vital Times features a conversation with clinician-scientists Dr. Jamie Sleigh and Dr. Elizabeth Whitlock, whose work focuses on delirium and perioperative brain health. They explore the emerging role of intraoperative processed EEG monitoring and its potential to improve postoperative neurological outcomes. This discussion highlights the evolving tools and evidence-based strategies anesthesiologists use to deliver safe, high-quality care and optimize patient outcomes across the perioperative continuum. 

Every other week I'm republishing one of my most popular or impactful episodes from my backlog of over 450 episodes. This week I'm highlighting Episode 410, which is all about post-op pediatric airway emergencies.  You don't want to miss this one! ___________________ ⁠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. NCLEX Study Plan - Not sure how to plan your NCLEX studying or which topics to focus on? Grab this free guide which details strategies based on how much time you have to prepare.

Postoperative incisional infections can become persistent problems that negatively affect a colic patient's outcome more often than nonsurvival. This article highlights the prevalence of incisional infections, contributing factors, antimicrobial stewardship, and steps surgeons are taking to minimize them. Read the full article at https://equimanagement.com/research-medical/preventing-incisional-infections-following-colic-surgery/.Mentioned in this episode:EquiManagement on Audio All the articles you have come to love in EquiManagement Magazine are now available in this podcast for free. Each article is released as its own separate episode to make them quick and easy to listen to. EquiManagement always has the latest insights on equine health, veterinary practice management, and veterinarian wellness.

E se tivéssemos uma maneira de prever quais pacientes com X(T) terão recidiva precoce após a cirurgia?Foi isso que um grupo de pesquisadores chineses tentou descobrir através desse estudo publicado no American Journal of Ophthalmology em 2023.E a Dra Iluska Agra, da Universidade Federal da Bahia, estudou esse artigo para nos trazer seus principais achados de uma maneira bem didática!Vamos juntos?Link para o artigo https://www.ajo.com/article/S0002-9394(23)00094-6/abstractReferência: Wang Z, Li T, Zuo X, Liu L, Zhang T, Leng Z, Chen X, Liu H. Preoperative and Postoperative Clinical Factors in Predicting the Early Recurrence Risk of Intermittent Exotropia After Surgery. Am J Ophthalmol. 2023 Jul;251:115-125. doi: 10.1016/j.ajo.2023.02.024. Epub 2023 Mar 10. PMID: 36906096.

In this episode, Tom Varghese, MD, FACS, is joined by Ziad Sifri, MD, FACS, from Rutgers New Jersey Medical School, and Matthew Linz, MD, from Rutgers Robert Wood Johnson Medical School. They discuss Drs Sifri and Linz's recent article, “Postoperative Pain Management in the US vs Low- and Middle-Income Countries by US Surgeons,” in which they found that surgeons in the US prescribe significantly more opioids after inguinal hernia repair compared with when they operate on short-term surgical trips to low- and middle-income countries, despite continued efforts to reduce opioid overprescription in the US.   Disclosure Information: Drs Varghese, Linz, and Sifri 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. Linz, Matthew S MD1; Parvin-Nejad, Fatemeh P MD2; Srinivasan, Nivetha MD3; Vegunta, Geetasravya MD1; Eng, Ashley K BS1; Kim, Eugene BA MBS; Alexander, Imani BS1; Elgammal, Fatima MD2; Benson, Ryan MD2; Benneh, Albert Y MD4; Gyakobo, Mawuli K MD5,6; Lopez, Lorena MD7; Jalloh, Samba MD8; Sifri, Ziad C MD FACS2. Postoperative Pain Management in the US vs Low-and-Middle-Income Countries by US Surgeons. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001538, July 30, 2025. | DOI: 10.1097/XCS.0000000000001538   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 episode of the NCS Podcast Hot Topics series, host Dr. Nicholas Morris speaks with Dr. Wendy Ziai, professor of neurology at Johns Hopkins and senior editor for Neurocritical Care, and Dr. Richard Choi, neurointensivist at MedStar Franklin Square and social media editor for the journal. This episode also introduces Dr. Richard Choi as the new host of the NCS Podcast Hot Topics series, which will continue to feature high-impact articles from Neurocritical Care. They discuss a new study, Postoperative Monitoring After Elective Intracranial Surgery in a Postanesthesia Care Unit is Safe, Efficient and Cost-Effective, by Arthur Wagner and colleagues in Munich, Germany. The conversation examines the 10-year experience with more than 5,500 patients, complication rates and how PACU-based pathways may ease ICU demand while supporting safe outcomes. Dr. Ziai and Dr. Choi also share perspectives on ICU capacity and the importance of collaboration across departments, showing how this research connects to real-world practice. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

“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.

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

#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.

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!

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

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

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.

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

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

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 

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