Podcasts about Propofol

Thank you Alex Kimberling III, for developing this podcast topic! Thank you Kasey Doney OMS MS III for being great sidekick!This podcast provides some high yield information about Benzos and Barbiturates that start of the podcast. The remainder is about an emerging treatment for Treatment Resistant Depression--Propofol! Thank you to the physicians that blazed the podcast pathway over half a decade ago. Thank you to the new students that carry the torch! Thank you to the immortal Jordan Turner for creating the perfect bumper music! Most of all, thank you to everybody that listens in and learns with us.

In this episode of the PFC Podcast, the discussion revolves around patient positioning during procedural sedation, the pharmacology and application of Versed (Midazolam), and the nuances of dosing in various clinical scenarios. The speakers emphasize the importance of having a plan for airway management, the physiological implications of patient positioning, and the amnestic effects of Versed in trauma and surgical settings. They share insights from their experiences in austere environments, highlighting the need for adaptability and careful consideration of patient responses to sedation. In this conversation, the speakers delve into the complexities of IV amnestics, particularly focusing on Propofol and Midazolam, and the challenges faced during sedation in anesthesia. They discuss the importance of monitoring patient comfort, the nuances of sedation versus analgesia, and the implications of using drugs like Ketamine and Versed. The conversation highlights the critical nature of assessing patient responses and the difficulties in managing sedation effectively, emphasizing that sedation is often more challenging than general anesthesia.TakeawaysPatient positioning is crucial during procedural sedation.Recovery position may enhance airway protection during sedation.Always have a plan for airway management in different positions.Versed is a GABA agonist that promotes sedation and amnesia.Dosing of Versed varies significantly based on patient condition.In trauma cases, lower doses of sedatives may be necessary.Communication with the patient is key when administering sedatives.Understanding the pharmacodynamics of Versed aids in effective use.Amnestic effects of Versed can be dose-dependent.Clinical experience plays a significant role in medication administration. IV amnestics like Propofol and Midazolam do not have a guaranteed amnestic dose.Sedation is one of the most challenging aspects of anesthesia.Monitoring vital signs is crucial during sedation to assess patient comfort.The physiological state of the patient significantly affects drug dosing.Ketamine is not considered an amnestic drug by some providers.Patient comfort is paramount, and sedation must be carefully managed.The use of narcotics can help manage discomfort during sedation.Understanding the patient's history, such as alcohol use, is important for dosing.Sedation requires constant assessment and adjustment of medications.The complexities of sedation often make it more difficult than general anesthesia.Chapters00:00 Introduction to Patient Positioning in Procedural Sedation09:57 Understanding Versed: Mechanism and Usage19:54 Dosing Strategies for Versed in Different Patient Scenarios29:54 Amnestic Effects and Clinical Considerations of Versed35:05 Understanding IV Amnestics: Propofol and Midazolam39:01 The Challenges of Sedation in Anesthesia45:26 Monitoring and Assessing Patient Comfort During Sedation51:27 Navigating the Complexities of Sedation and Analgesia57:55 The Role of Versed and Ketamine in Anesthesia01:01:39 Final Thoughts on Sedation Practices and Patient SafetyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Sie kamen, um wieder gesund zu werden. Stattdessen erlebten sie einen Albtraum. Für mehrere Frauen wurde das Evangelische Klinikum Bethel in Bielefeld zum Schauplatz eines unfassbaren Verbrechens.

Dr. Deepak Krishnan discusses the recent JOMS article on anesthesia, “Do Patients With Mental Illness Undergoing Office-Based Sedation Require an Increased Propofol Dosage?”. The purpose of the study was to measure the association between mental illness and the propofol dosage necessary to achieve a satisfactory level of anesthesia.  Disclaimer

Pediatric clinicians have obligations to their patients and law enforcement. But it can be challenging to figure out how to navigate situations where these obligations conflict or where there is uncertainty about the right thing to do. This has increased with recent exectuive branch agendas. Dr. Alyssa Burgart is the Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children's Health, and writes about ethics and culture in her substack Poppies & Propofol. She joins Dr. Wolfe to discuss the ethics of interacting with law enforcement, speficially immigration and customs enforcement (ICE).

This week, we're shining a spotlight on Ciprofol, a cutting-edge intravenous anesthetic that has been making headlines in both clinical research and operating rooms worldwide. With its innovative formulation and promising safety profile, Ciprofol is poised to transform the landscape of anesthetic practice. Join us as we explore how this new drug compares to established agents like propofol and what it could mean for the future of procedural sedation and anesthesia. Here's some of what we discuss in this episode: What is Ciprofol, and why are nurse anesthetists buzzing about it? The reduction in dosage isn't just about using less drug—it has ripple effects. What about its pharmacokinetics? Does it have the same quick onset and recovery profile that we've come to rely on with Propofol? How does Ciprofol stack up when it comes to adverse events? We dissect the study—a randomized, double-blind trial conducted in China. Is Ciprofol the future?   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

In the 875th episode of the PokerNews Podcast, which has been nominated for 'Podcast of the Year' at the Global Poker Awards, Chad Holloway, Kyna England, and Mike Holtz dive into the wild story of a Supreme Court attorney who is in hot water over poker taxes. What makes the tale of Tom Goldstein so interesting is that the sums he played for were astronomical with him having reportedly won $50 million only to lose it all plus another $14 million. While his name might not be familiar to the poker masses, you may have either heard about or seen him before as he was written about in The Setup, which was written by his friend Dan Bilzerian, and he also appeared on the Hustler Casino Live (HCL) $1,000,000 Cash Game last year as the mysterious, masked "Thomas" where he mucked the winning hand at showdown in a pot worth $540,000! The crew then chat about Leon Tsoukernik awakening from a 40-hour coma after a Propofol overdose, with his future very much up in the air. They also get into a bad poker promotion that almost ran at a Las Vegas casino on Martin Luther King Jr. Day, highlight the upcoming 2025 Leaf Metal Poker trading card set, and discuss popular ARIA dealer Clyde “Snack Attack” Gaskins appearing on Netflix's Queer Eye. Finally, they wrap things up by recapping some big winners including Pamela Belote setting the new women's record for most WSOP Circuit rings, Martins Adeniya taking down the 2025 Lucky Hearts Poker Open Championship, and Andrew Lichtenberger defeating Nick Schulman in the latest PGT event. The podcast is sponsored by the #1 free-to-play WSOP app. Remember to use bonus code "POKERNEWS" if you download and play for an extra 1,000,000 in chips! A new PokerNews Podcast will drop weekly every Friday at 8a PT / 11a ET / 4p UK time. Remember to subscribe to our YouTube channel so you do not miss an episode! Time Stamps *Time | Topic* 00:15 | Welcome Kyna England & Mike Holtz 00:20 | PokerNews Podcast nominated for ‘Podcast of the Year' 01:50 | Other PokerNews nominees 02:20 | Supreme Court Attorney in hot water of poker taxes 04:24 | Doug Polk video; tax implications 07:32 | Winning $50 million playing heads-up poker 09:30 | Who were the two unknown poker coaches? 13:00 | Tom Goldstein was the mystery player on Hustler Casino Live 13:46 | Mucking winning hand in $540K pot 17:44 | Sponsor – WSOP Free-to-Play App 18:24 | Leon Tsoukernik awakens from 40-hour coma; outlook remains uncertain -> 21:30 | Bad Martin Luther King Jr. Day poker promotion 26:15 | 2025 Leaf Metal Poker cards set to release by end of month 29:55 | Clyde “Snack Attack” Gaskins on Queer Eye 31:41 | Pamela Belote sets new women's record for most WSOP Circuit rings 34:08 | Martins Adeniya wins 2025 Lucky Hearts Poker Open Championship 34:54 | Andrew Lichtenberger defeats Nick Schulman in latest PGT event

We here at NAVAS are excited to bring you a new podcast episode for the new year! And we're starting out our season of the NAVAS podcast with engaging exploration of pharmacogenetics, a groundbreaking field that examines how the genetic makeup of an animal can influence its response to medications. Have you ever had a dog or a cat that took hours, if not days, to finally return to normal after general anesthesia? It's possible that animal had a genetic mutation that altered its metabolic function, causing profound changes in the clinical effects of anesthetic drugs. In this episode, we are joined by veterinary anesthesiologist and overall gene-ius Dr. Tania Perez Jimenez, Assistant Professor of Anesthesia at Washington State University College of Veterinary Medication and head its Pharmacogenetics Laboratory. Dr. Perez Jimenez shares her expertise on the genetic factors that impact anesthesia and pain management in dogs and cats. Together with host, Dr. Bonnie Gatson, they will discuss how genetic variations can affect drug efficacy and safety in individual animals, how you can approach anesthetic management in dog breeds that commonly manifest genetic anomalies such as MDR1 mutations, why we may need to alter the way we utilize Propofol and Alfaxalone in cats and certain dog breeds, and how we could all benefit from going to more cat shows.Explore more information discussed on this podcast at the WSU Pharmacogenetics Laboratory website.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.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 of The Saving Lives Podcast, we explore Propofol Infusion Syndrome (PRIS), looking at this complication's incidence, laboratory, and clinical manifestations. Hat tip to the authors. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: https://amzn.to/47qJZe1 (Affiliate Link) My Store: https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook (Use "podcast" to save 10%) Citation: Li WK, Chen XJC, Altshuler D, Islam S, Spiegler P, Emerson L, Bender M. The incidence of propofol infusion syndrome in critically-ill patients. J Crit Care. 2022 Oct;71:154098. doi: 10.1016/j.jcrc.2022.154098. Epub 2022 Jun 17. PMID: 35724444. @eddyjoemd is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com Although great care has been taken to ensure that the information in this post is accurate, eddyjoemd, LLC shall not be held responsible or in any way liable for the continued accuracy of the information or for any errors, omissions, or inaccuracies or for any consequences arising therefrom. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

Contributor: Aaron Lessen MD Educational Pearls: Induction agent selection during rapid sequence intubation involves accounting for hemodynamic stability in the post-intubation setting Many emergency departments use ketamine or etomidate A recent study sought to explore the rates of post-induction hypotension of ketamine compared with propofol Single center retrospective cohort study of patients between 2018-2021 Ketamine and propofol were both significantly associated with post-induction hypotension Ketamine adjusted odds ratio = 4.50 Propofol adjusted odds ratio = 4.88 50% of patients became hypotensive after induction with either propofol or ketamine These findings suggest post-induction hypotension is mainly due to sympatholysis rather than the choice of agent itself References Tamsett Z, Douglas N, King C, et al. Does the choice of induction agent in rapid sequence intubation in the emergency department influence the incidence of post-induction hypotension?. Emerg Med Australas. 2024;36(3):340-347. doi:10.1111/1742-6723.14355 Summarized & Edited by Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

Anesthesia medications play a crucial role in modern medicine, enabling pain-free surgeries and procedures. However, their potent effects also pose significant risks when misused. Today's show explores the legitimate and harmful uses of two powerful anesthesia drugs: fentanyl and propofol. Here's some of what we discuss in this episode: These drugs, when manufactured correctly, have legitimate uses. The risks of recreational use of both fentanyl and propofol. How these drugs are used in anesthesia. The significant safeguards that are put in place to ensure safety while they are receiving anesthesia care. The worry that anesthetists have about addiction and overdose. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Send us a textDiese Woche geht es im Journal Club um eine Metaanalyse von Pereira et al. aus dem European Journal of Anesthesiology zum Vergleich von Remimazolam mit Propofol zur Allgemeinanästhesie bei älteren Patienten:Pereira EM, Moraes VR, Gaya da Costa M, et al. Remimazolam vs. propofol for general anaesthesia in elderly patients: a meta-analysis with trial sequential analysis. Eur J Anaesthesiol. 2024;41(10):738-748. doi:10.1097/EJA.0000000000002042Im Studio mit dabei: Marlon Rutsch, wissenschaftlicher Mitarbeiter der Klinik für Anästhesiologie am UKHD

Listen to the Q&A between Tom Hansen and Mariana Gaya da Costa as they discuss thee article, “Remimazolam vs. propofol for general anaesthesia in elderly patients: a meta-analysis with trial sequential analysis”, found in the October 2024 issue of the EJA.

In the ever-evolving field of anesthesia, new research constantly reshapes how we approach patient care. In this episode, we explore the compelling findings of a recent systematic review and meta-analysis on the impact of propofol-based total intravenous anesthesia (TIVA) on cancer outcomes.   Here's some of what we discuss in this episode: We'll provide an overview of the study and some of the key findings. The biological underpinnings of propofol's benefits. The preservation of immune function could be a key factor in why propofol is associated with better survival outcomes. Dissecting the findings on recurrence-free survival. A deep dive into propofol's role in lung cancer. Clinical implications and practical considerations. The future of anesthesia and cancer research.   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Well, we hit a bit of a milestone with this show.  Not only has this been our most requested show subject, but we're also celebrating our 5-year anniversary!  Thank you to all of you that listen and give us your support, it means the world to us! Now, on to business… We've talked about royalty on our show, we've talked about people being the “greatest of all time” at their particular craft, but it's hard to deny that Michael Jackson earned his title as the “King of Pop”.  MJ dominated the airwaves from the time he was a kid in the Jackson 5, to creating some of the most recognizable hits in his solo career.  While his music and dancing inspired generations to come, there was a lot, and I mean a lot, of off-stage behavior that had people asking a lot of questions.  And some of those people were the police.  Did MJ get a fair shake in all this, after seemingly being guilty in the court of public opinion?  How did his childhood play into his odd behavior?  And what did that room smell like when Michael caught his hair on fire?  We'll dive into this and more in the Michael Jackson episode of AHC Podcast.       Intro Music Credits: Danya Vodovoz - Drive By Night Produced by Danya Vodovoz https://www.youtube.com/watch?v=zgQZLqevhKc&list=PLq4r2IOXma9BSPbQZX4GUIxzbYpLo_-LJ&index=4 Royalty Free Music       Citations: Bertram, C. (2020, September 9). Michael Jackson: Inside his early years in Gary, Indiana with his musical family. https://www.biography.com/musicians/michael-jackson-growing-up-gary-indiana-jackson-5 Delloye, T. (2024, June 27). 15 years after Michael Jackson's death, a visceral minute-by-minute account of his final moments: He begged like a baby for more sedatives, then uttered his haunting last words... before hours of CPR left his ribs cracked. Daily Mail Online. https://www.dailymail.co.uk/news/article-13568455/Michael-Jackson-death-final-words-revealed-anniversary.html Folino, T. B. (2023, July 24). Propofol. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK430884/#:~:text=Propofol%20is%20an%20intravenous%20anesthetic,some%20combination%20of%20the%20two. McDonell-Parry, A. (2023, October 6). Michael Jackson child sexual abuse allegations: A timeline. Rolling Stone. https://www.rollingstone.com/culture/culture-features/michael-jackson-child-sexual-abuse-allegations-timeline-785746/ Muturi, G. (2023, November 20). The story behind MJ's baby dangling. Beat. https://vocal.media/beat/the-story-behind-mj-s-baby-dangling Nick Allen, N. (2010, November 8). Michael Jackson “was addicted to surgery”, mother claims. The Telegraph. https://www.telegraph.co.uk/culture/music/michael-jackson/8117889/Michael-Jackson-was-addicted-to-surgery-mother-claims.html Triggs, C. (2009, July 10). Inside story: Michael Jackson's plastic surgery. Peoplemag. https://people.com/celebrity/inside-story-michael-jacksons-plastic-surgery/ Wikimedia Foundation. (2024a, August 23). Neverland Ranch. Wikipedia. https://en.wikipedia.org/wiki/Neverland_Ranch Wikimedia Foundation. (2024b, September 6). Michael Jackson. Wikipedia. https://en.wikipedia.org/wiki/Michael_Jackson Wikimedia Foundation. (2024c, September 6). Michael Jackson's Thriller (music video). Wikipedia. https://en.wikipedia.org/wiki/Michael_Jackson%27s_Thriller_(music_video) Wikimedia Foundation. (2024d, September 6). Thriller (album). Wikipedia. https://en.wikipedia.org/wiki/Thriller_(album)

Send us a Text Message.Diese Woche beschäftigen wir uns mit einem klassischen AINS-Thema: PONV. Konkret geht es um die Arbeit von Sprung et al., die sich mit dem Effekt von Propofol auf PONV während einer balancierten Anästhesie mit volatilen Anästhetika beschäftigt haben:Sprung J, Deljou A, Schroeder DR, Warner DO, Weingarten TN. Effect of Propofol Infusion on Need for Rescue Antiemetics in Postanesthesia Care Unit After Volatile Anesthesia: A Retrospective Cohort Study. Anesth Analg. 2024;139(1):26-34. doi:10.1213/ANE.0000000000006906Mit im Studio dabei: Stefanie Petzold, wissenschaftliche Mitarbeiterin der Klinik für Anästhesiologie am UKHD.

Dr. Julie Brauer // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult lead faculty Julie Brauer discusses the ins & outs of daily life as an acute care physical therapist. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION JULIE BRAUERWelcome to the PT on ICE Show brought to you by the Institute of Clinical Excellence. My name is Julie. I am a member of the older adult division. Thank you for spending some time on your Wednesday morning with me. Let's dive right in. So one of the most common questions that I receive from students and clinicians is is asking me about acute care. Should I go into acute care? Should I choose home health over acute care? And I'm having a lot of conversations with folks about pros and cons. and sharing my reflections from having been in acute care and home health and inpatient rehab and outpatient and private and home with older adults. So I figured I would do a podcast and bring all these thoughts that I've been having in these individual discussions to all of you. Okay, so what I'm going to do is I'm gonna go through a list of five to seven things that I believe are the most important characteristics of acute care and will help you decide if acute care is the right setting for you and if you are going to thrive in that setting. Okay, so number one, this is what I believe is the most important characteristic that sets acute care apart and will be the biggest factor in helping you determine if you are going to thrive in this setting. All right, number one is that in acute care you have complete autonomy over your day. You have complete autonomy over your schedule. This ended up being The reason why I feel like I thrived the most in acute care is because I wanted full autonomy over how I structured my day. So let me explain what that means. So when I was working in the hospital, I would walk into work, you clock in, and you are more than likely going to be given a list of patients. It is then up to you to decide which of those patients you're going to see. Are they appropriate to be seen? So you're doing some triaging there and you have autonomy to make that choice. And then you get to decide, most importantly, what your day looks like. When do you go see those patients? And this was so key for me. I don't like to be in a box. I don't like to be back to back all day. I like to create my own day. And so I would look at my list and depending on how intense or complex the patients were, depending on my energy levels for the day, I would decide, like, okay, I'm going to knock out a bunch of my patients in the morning. Back to back to back, get it done, and then go eat lunch, and then in the afternoon when my energy stores are down, that's when I do the majority of my documentation. So my afternoon, I wouldn't really have to see any patients, maybe one, and the majority of it was documenting. Or if sitting around and documenting for a long time is something that fatigues you, you can do a system where you go see a patient, then you document. You see a patient, then you document. So if you are someone who really needs that energy reset after pouring into a human, typically one that's very sick and there's lots of complexities and you need a little bit of a break and a breather, you can set your day up so that you get that break after every single patient or perhaps after two patients. So you really have a lot of flexibility there. I remember I was the type of person who I would love to knock everyone out in the morning. I would go find a quiet room or a room that was near some natural light. I would put my music on and I would just sit there and document. So you have full flexibility there. When you look at other settings like inpatient rehab, you are back to back to back to back. It's one of the things that I liked the least about the setting is that I did not feel like I had autonomy over my day. And I realized that that was professionally a big core value of mine. And then if we think about home health, you do have a lot of flexibility. You schedule all of your patients yourself. However, I learned my experience was that that was a big burden for me and I never really knew what I was walking into. I didn't get the choice of who was on my schedule. Scheduling patients was typically fairly time-consuming and frustrating when you're trying to reach out to all these people and they may not be answering and you're trying to very efficiently, Tetris them into your schedule so that you're not driving all around your region. Trying to schedule patients became just this extra task that really stole a lot of my energy. So after having been in multiple settings, I think that was the biggest plus to acute care. And if you are someone who likes to have that flexibility and you feel you can be efficient and effective and productive by making your own schedule, then acute care may be the setting for you over other settings. Okay, that's the biggest one. Number two, When you work in acute care, you learn how to be a master of scale. You have to learn how to come up with unique and creative loading strategies because you are in an environment where you don't have weights. You are in an environment where maybe you are just stationed to the edge of the bed because your patient is, they have tons of lines and tubes attached to them. So you have to figure out how to do a lot with a little. And that skill right there has become, it became my superpower going forward into every other setting. I never encounter a time where I'm with a challenging patient, they're complex, or we are in a less than ideal setting, for example, someone's home, and I have never felt I'm stumped. I don't know how to bring a fitness forward approach to this person. I can't come up with an idea. I don't have weights, and so I just don't know what to do. That has never happened. And the reason for that is because over several years, I learned how to get incredibly creative. So in the acute care setting, that could be as easy. I carry around dumbbells in my backpack. and I'm like rucking through the hospital, I bring my own equipment. We paused, we paused, we're back. That could also look like the, this is my favorite hack, the toiletry buckets that are typically filled with shampoos and soaps. I dump those out, roll up towels, soak them in water, put them in the toiletry bucket, and now that becomes a little bit of load, I would have folks deadlift that toiletry bucket, press it over their head. That was one of my favorites. I would use the tray table for a sled push. I would turn the hospital bed into a total gym and put it at an incline and have them reach at the bar above their head and they're doing pull-ups or I'm having them basically do a leg press with the hospital bed. I just was able to always find a way to bring that fitness forward approach and the acute care setting really forces you to get creative. And that was just such an amazing skill that has carried me through every single setting with every single patient that I've had throughout my career. So that's number two. Okay, number three. You do not, for the most part, have to take any work home with you. Yes. How nice does that sound? So for a lot of you who are in other settings and you typically at night, you get home from work, you maybe go to the gym, you eat your dinner and then you're like, well, here's my glass of wine and I'm going to sit down and I have one to two hours of documentation to do. That is not something that is typically happening when you are in acute care. Now in the very beginning as a new grad, a hundred percent, I was taking documentation home for me. But the vast majority after that learning curve, you know, after I got through that steep learning curve, I was not taking any work home from me. With me. You actually get to leave work at work. The administrative burden is very, very low. The EMR is very easy. It's a very low, low, low documentation burden. Something that I didn't know and I learned when I went into home health is that my god, documentation burden was enough for me to, was a big reason why I quit home health. I truly was so frustrated and cognitively overloaded by how extensive the documentation was that I could not even be present or enjoy the time with my patients. And for me, that was enough to say this setting is absolutely not for me. So if you are someone who you're really trying to create a barrier of when I'm at work, I do my work and I do a fantastic job. And then when I'm out, I'm off, I'm done. You go home and your energy stores go to your partner, they go to your friends, they go to your family. Acute care is definitely a setting where you can more easily create those boundaries. Okay, documentation burden low, that's number three. Number four, you are gonna do a lot of things in acute care that don't look like traditional therapy. Okay, so what I mean by this is that your role beyond improving someone's mobility and getting those sick patients, those, you know, individuals who need to get out of that bed and trying to start to get them stronger. Beyond that, I would say The majority of my time was actually spent being a fierce patient advocate, a fierce patient advocate. That is truly what my role became. And I actually evolved to loving that part of the role even more sometimes than going in and doing the functional mobility strengthening stuff. I thought it was such a beautiful opportunity to be able to advocate hard for my patients. So in MMOA, we call that significance over sexiness. You're not always going to get this patient doing squats or deadlifts or bringing in weights, but what you can do is you can fight to the end so that your patient can get over to inpatient rehab. I will never forget one of my first patients that I experienced working on the trauma floor was an individual who had a spinal cord injury. He fell down the stairs, ended up in the hospital. He did not have insurance. And he worked hard every single day with us. I worked with him for months. But because he didn't have insurance, acute rehab was saying, no, no, no, we're not going to take him. Even though everything else made him the perfect candidate to go to rehab. And we know that his outcomes were going to be so much better if he was able to go over and get that intensive rehab. So me and my colleagues were able to just hammer on that goal and we brought it up to the physicians and we got them to do an appeal and face-to-face peer review and we worked closely with case management and we were able to get him over to rehab because we went after that so hard. and that was more beneficial than probably anything we could have done in a more traditional therapy sense. So you have this awesome ability to really dictate the outcome of these folks and it doesn't look anything like PT. Another example is if you have an interest in working in the ICU you have an amazing role there to advocate. Meaning you're going around with the physicians and case management and the nurse manager and sometimes higher up execs in the hospital and you're looking at these folks who are on sedation and on the vent and you know that you want to get that sedation down so you can get these people up and start that early mobility. and you get to look at their settings and look at what's going on and say, look, can we get this person off Propofol and put them on Propofol? Or sorry, the opposite, take them off Propofol and put them on Procedix so that we can try and decrease the sedation burden that's going on with our patients and get them mobilizing faster. That is so cool. I thought that was amazing. I loved feeling like I was like this mama bear trying to protect all of my patients and get them to the next best. setting and really improve their outcomes. And much of that did not look like teaching them how to do sit to stands or deadlifts. So if that's something that you feel you would love to do, acute care is a really wonderful setting for that. Conversely, if you are an individual who, you know, I talk to a lot of clinicians and students who love the fitness part, like their core values when it comes to their professional career are that They want to be able to work with someone when they are in the stage of being able to load them up. That's what brings them value. They want to work more from a sports performance perspective. And they want them to be at a level where they're able to do all the exercise. Like that's what you love to treat. And so I give them the, you know, I let them know, acute care may not be the setting for you. You really may belong more in outpatient instead. So something to think about just the how dynamic of the role can be in acute care. Okay next you learn how to communicate and you learn how to be on a team. All right you will hear all the time that in acute care you have to have really solid interprofessional communication. 100%, you've heard that word over and over again. But what does interprofessional collaboration actually mean? You learn very quickly that the world does not revolve around you and your therapy plans. These patients are so complex. They have so much going on with them. You are one small piece of the puzzle that actually helps them move on to the next level of care, or helps them get home and be safe. You learn it really quick. You cannot operate in a silo. You start to learn what the nurse's roles are, what the nurse tech's role are, truly what your OT partners and your speech partners can do. And you learn how to work with case management. You learn how to have conversations with physicians. They're all right there, and you have to figure out You have your patient's health and mobility, and you want them to get stronger. That's the forefront of your mind. But you've got to deal with all of these other individuals who have their own priorities when it comes to the patient. the physicians or the surgeons, like I'm trying to keep the lungs and the heart alive, or I'm just trying to keep that brain alive. Like that's what their focus is. You know, the nurses are, Hey, I got to get these meds into my patients and they're overloaded. And you start to learn to have grace for people when maybe they're not fitting the idea of what you think should be done for the patient because you're thinking about your bias of mobilization and strengthening. So you start to understand, how to create allies with individuals who have various priorities when it comes to your patient case. You learn how to argue, you learn how to be direct, but you learn how to respect everyone else's role and everyone else's time. And that can become a really beautiful collaborative effort where you can work together and move people forward. And you just don't get that opportunity in other settings. When I went into home health, I really missed the fact that I could easily collaborate with my OT partners or my speech partners, or I could easily, you know, talk to a physician. In home health, a lot of the time it feels a lot more siloed and My goodness, if I was able to get even just a PA on the phone to tell them about a concern I had with a patient, that was a big win. So if you are someone who values and loves the fact that you're surrounded by a team constantly, acute care may be the setting for you there. Okay, only a few more, I promise. Let's do two more. Okay, next, the emotional toll slash connection is very high in acute care. Now, every single setting you are going to be emotionally connected to your patients, right? You could be in very vulnerable situations with the patient. However, I do believe acute care has the highest amount of emotional connection and along with that emotional toll because you are with folks that are dying, that have been through catastrophic accidents, that are, you know, I will never forget the day where I was working in trauma and a patient came in, terrible car accident. That individual lived, but her spouse died. And you are pouring into this human, they don't even know that their spouse is dead yet. I mean, you are going to face these situations so often, especially if you work more in the ICUs. You are surrounded by death quite frequently, and you're surrounded by a lot of sadness and loss and grief. And that can take a significant toll on you. I think it's beautiful that you are able to be someone who can support your patient, your patient's family during an incredibly tough time. But that can also be something if you are, um, if you are an empathetic person to a fault, sometimes like I am, that you can take on a lot of that grief and that can end up being incredibly heavy for you. So something to consider if you love to be in those vulnerable positions with your patient and you want to help them through dying and sickness and grief and loss, it may be a great setting for you. And that's not to say you don't experience intense joy as well. You can. see folks who were minimally conscious after a stroke or traumatic brain injury, and you can see them, you know, spontaneously start to recover. And that's absolutely incredible as well. But the emotional roller coaster is incredibly high. So if you are prone to taking on a lot of energy and emotion, and that's something that you know is not necessarily a positive for you, then maybe acute care isn't the place for you. Okay, last one here, last one. you do not get to see the sexy outcome. You do not get to see the sexy outcome. In acute care, you truly have to be okay with being the person who sees this person once, you plant a seed and you hope that that grows and that ends up changing this person's trajectory. But you don't get to see that outcome most of the time. And that's really hard for individuals. Many clinicians, they want to build that relationship and go along that journey with someone and see discharge day, see how far they've come from the amount of effort and work and progress that you've been making together. That longer term relationship is so important. This is one of the, um, this is definitely one thing that I didn't like about acute care as much is that I didn't have the ability to see this see this outcome. On the flip side of that, I definitely adopted the perspective that, hey, I've got maybe one or two chances to work with this patient. I'm going to do everything possible to set them down the right path. I'm going to pour into this human 200% to try and make sure that I can hand off the baton to the next person and it's a fitness forward individual and I can continue to keep them in that lane. And I was okay with that. I loved knowing that as a fitness forward professional, when I walked in those doors of my patients' hospital rooms, I knew, I just felt that their outcome was going to be different because I was coming into their room. And I loved being able, I loved being able to have that impact with them, even if it's for a very short amount of time. If that is something that you feel like you can get on board with and you can really learn to value and you can be okay with planting the seed and not seeing the outcome, acute care could be a really wonderful setting for you. If you are someone who knows that they want to go along the journey over a long period of time, they want to see discharge day and know what those efforts look like at the end and what the outcome was, probably not the setting for you. Okay, all, that's my list. It's not an exhaustive list by any means. I would love for you all to add to this list to kind of let more folks know some pros, some cons, some other considerations. Please add to this. Put it in the comments. Send me a message. I'd love to post other thoughts about all the things that go into acute care and whether it is going to be the right setting for you. Okay. So I will end with talking to you all about what we have coming up in the older adult division. So in August we, Oh, first let's talk about July. My goodness. So this coming weekend, we, uh, the whole team is in Littleton, Colorado. And then once we go into August, we are in California, Salt Lake city. in Alaska, as well as our Level 1 online course, that starts August 14th as well. PTINice.com, that's where you can find all of that info. If you're not on the app already, make sure you get on there and get into our community. We're on the app so much more now, so if you have questions or comments, find us in there. All right, team, have a wonderful rest of your Wednesday. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Topics discussed on today's show: Guilty Bob, Propofol and Colonoscopies, Hemi Handy, Birthdays, History Quiz, Inherited Fears, Gold, Elon Moving, The Best and Worst National Anthems, 20 in 24, Kermit the Frogg, Music News, Baby Sign Language, Arby's Theft, Bert Kreischer, Deep Cut Face Off, and Apologies.

TRIGGER WARNING: This episode discusses sexual abuse.   Michael Jackson died 15 years ago, on June 25, 2009, so today the guys discuss his life and his controversies (2:56). They talk about Jackson's early life, the success of the Jackson 5 and the abuse he  allegedly suffered at the hands of his father, Joe Jackson. They then discuss the success of his early solo records and the blockbuster success of ‘Thriller'. They also discuss his philanthropy and how that complicates people's feelings for the singer. They then discuss the allegations of abuse against Michael Jackson and the 2019 documentary ‘Leaving Neverland'.  The guys then try to reconcile how despite the allegations, Michael Jackson songs are still played to this day.    Since Jackson died of a propofol overdose, in the second half, the guys discuss this drug (24:11). Ali and Asif start off by going through the timeline of Jackson's death and discussing the other drugs that were in his system. They discuss how Jackson's personal doctor, Conrad Murray, administered benzodiazepines and propofol to Jackson. Asif discusses what propofol is, what it is commonly used for and the potential adverse effects. He then goes into detail about how propofol needs to be closely monitored when it is administered.  The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.    Music courtesy of Wataboi and 8er41 from Pixabay   Contact us at doctorvcomedian@gmail.com   Follow us on Social media: Twitter: @doctorvcomedian Instagram:  doctorvcomedian Show Notes:  Inside the Jackson machine: https://www.gq-magazine.co.uk/article/jacksons-legacy-jackson-5 'We Are the World' at 30: 12 tales you might not know: https://www.usatoday.com/story/life/music/2015/01/27/we-are-the-world-30th-anniversary/22395455/ Michael Jackson: A Quarter-Century Of Sexual Abuse Allegations: https://www.npr.org/2019/03/05/699995484/michael-jackson-a-quarter-century-of-sexual-abuse-allegations Leaving Neverland: https://www.hbo.com/leaving-neverland Michael Jackson named top-earning dead celebrity for 5th time:https://www.cbc.ca/news/entertainment/forbes-dead-celeb-earnings-2017-1.4378882 Steven Tyler Confessed to ‘Crimes of Passion' With a 16-Year-Old in His Own Memoir: https://www.vice.com/en/article/v7v54d/steven-tyler-child-sexual-assault-lawsuit-memoir TIMELINE: Michael Jackson's Final Days https://abcnews.go.com/2020/MichaelJackson/michael-jackson-final-days-timeline-year-death-king/story?id=10974394 Propofol: https://www.drugs.com/monograph/propofol.html Propofol: https://www.drugs.com/monograph/propofol.htmlhttps://www.ncbi.nlm.nih.gov/books/NBK430884/ Concerns mount over misuse of anaesthetic propofol among US health professionals: https://www.bmj.com/content/339/bmj.b3673 Lasker Foundation 2018: https://laskerfoundation.org/announcing-the-2018-lasker-award-winners/ Propofol and Green Urine: https://ekja.org/journal/view.php?doi=10.4097/kjae.2013.65.2.177 Propofol-Induced Priapism, a Case Confirmed with Rechallenge: https://journals.sagepub.com/doi/10.1345/aph.1G555 Michael Jackson's doctor was much admired but financially strapped: https://www.latimes.com/archives/la-xpm-2010-feb-08-la-me-conrad-murray8-2010feb08-story.html Probe Into Matthew Perry's Acquisition of Ketamine That Led to His Death Has Multiple Suspects: https://www.hollywoodreporter.com/news/general-news/matthew-perry-death-investigation-multiple-suspects-1235933163/

The conversation discusses patient positioning during procedural sedation and the use of Versed (Midazolam) as a sedative. The speakers explore the importance of patient positioning and the need to have a plan for airway management in different positions. They also provide insights into the mechanism of action and dosing of Versed, highlighting the importance of individual patient factors and context in determining the appropriate dose. The conversation emphasizes the need for a staged approach when using sedatives and the importance of communication with the patient to assess their response. In this conversation, Dennis discusses the use of different medications for sedation and anesthesia, focusing on the challenges and considerations involved. He explains that there is no specific dose for achieving amnesia with medications like Midazolam, Propofol, and Ketamine. The dose depends on various factors, including the patient's physiological state and the presence of alcohol in their system. Dennis emphasizes the importance of closely monitoring vital signs and respiratory rate during sedation to ensure the patient remains comfortable and ventilating properly. He also discusses the use of analgesics and local anesthesia to manage pain during procedures. The conversation concludes with a discussion on the reversal agent for sedatives and the importance of considering the set and setting when administering medications like Ketamine. Takeaways Consider patient positioning during procedural sedation and have a plan for airway management in different positions. Understand the mechanism of action and dosing of Versed (Midazolam) as a sedative. Take into account individual patient factors and context when determining the appropriate dose of Versed. Use a staged approach when administering sedatives and communicate with the patient to assess their response. There is no specific dose for achieving amnesia with sedative medications like Midazolam, Propofol, and Ketamine. The dose of sedative medications depends on various factors, including the patient's physiological state and the presence of alcohol in their system. Monitoring vital signs and respiratory rate is crucial during sedation to ensure the patient remains comfortable and ventilating properly. Analgesics and local anesthesia can be used to manage pain during procedures. The reversal agent for sedatives, such as Versed, is Ramazicon, but it should be used cautiously and only after ruling out other causes for the patient not waking up. Consider the set and setting when administering sedative medications, especially in high-stress environments like combat situations.

Als Musiker und Tänzer setzt er neue Maßstäbe, wird zum Weltstar - und zur tragischen Skandalfigur. Am 25.6.2009 stirbt Michael Jackson durch ein Narkosemittel. Von Andrea Klasen.

Canadian author/storyteller Paul Egli talks about his latest release “Propofol” as a fast-paced suspense thriller in an electrifying ride from the Middle East to Toronto to England with twists and turns in the treacherous world of international crime full of secrets, characters and hidden agendas involving a laptop with highly confidential information and involves the popular drug! Paul formerly worked in the financial industry and has a deep passion for literature and reading with a dedicated following eager to embark on a breathtaking journey plus writing several novels (some went unpublished) including space adventures, the JFK assassination, and his upcoming book “Dad” where the unbelievable meets the impossible in a backdrop of political chaos! Check out the amazing Paul Egli and his latest release on many major platforms and www.paulegli.com today! #paulegli #canadianauthor #storyteller #financialindustry #propofol #suspensethriller #middleeast #toronto #england #internationalcrime #spaceadventures #JFKassassination #dad #politicalchaos #spreaker #iheartradio #spotify #applemusic #youtube #anchorfm #bitchute #rumble #mikewagner #themikewagnershow #mikewagnerpaulegli #themikewagnershowpaulegli   --- Send in a voice message: https://podcasters.spotify.com/pod/show/themikewagnershow/message Support this podcast: https://podcasters.spotify.com/pod/show/themikewagnershow/support

Canadian author/storyteller Paul Egli talks about his latest release “Propofol” as a fast-paced suspense thriller in an electrifying ride from the Middle East to Toronto to England with twists and turns in the treacherous world of international crime full of secrets, characters and hidden agendas involving a laptop with highly confidential information and involves the popular drug! Paul formerly worked in the financial industry and has a deep passion for literature and reading with a dedicated following eager to embark on a breathtaking journey plus writing several novels (some went unpublished) including space adventures, the JFK assassination, and his upcoming book “Dad” where the unbelievable meets the impossible in a backdrop of political chaos! Check out the amazing Paul Egli and his latest release on many major platforms and www.paulegli.com today! #paulegli #canadianauthor #storyteller #financialindustry #propofol #suspensethriller #middleeast #toronto #england #internationalcrime #spaceadventures #JFKassassination #dad #politicalchaos #spreaker #iheartradio #spotify #applemusic #youtube #anchorfm #bitchute #rumble #mikewagner #themikewagnershow #mikewagnerpaulegli #themikewagnershowpaulegli   --- Send in a voice message: https://podcasters.spotify.com/pod/show/themikewagnershow/message Support this podcast: https://podcasters.spotify.com/pod/show/themikewagnershow/support

Canadian author/storyteller Paul Egli talks about his latest release “Propofol” as a fast-paced suspense thriller in an electrifying ride from the Middle East to Toronto to England with twists and turns in the treacherous world of international crime full of secrets, characters and hidden agendas involving a laptop with highly confidential information and involves the popular drug! Paul formerly worked in the financial industry and has a deep passion for literature and reading with a dedicated following eager to embark on a breathtaking journey plus writing several novels (some went unpublished) including space adventures, the JFK assassination, and his upcoming book “Dad” where the unbelievable meets the impossible in a backdrop of political chaos! Check out the amazing Paul Egli and his latest release on many major platforms and www.paulegli.com today! #paulegli #canadianauthor #storyteller #financialindustry #propofol #suspensethriller #middleeast #toronto #england #internationalcrime #spaceadventures #JFKassassination #dad #politicalchaos #spreaker #iheartradio #spotify #applemusic #youtube #anchorfm #bitchute #rumble #mikewagner #themikewagnershow #mikewagnerpaulegli #themikewagnershowpaulegli  Become a supporter of this podcast: https://www.spreaker.com/podcast/the-mike-wagner-show--3140147/support.

Trial of the Week: MENDS2 Special Guest: John Devlin, PharmD, BCCCP, MCCM, FCCP @devlinpharmd   03:20 – PADIS background and research introduction 35:25 – MENDS2 discussion   John Devlin joins to review the May Trial of the Week “Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis” the MENDS2 study, published in NEJM in 2021. We set the scene by discussing how John developed an interest with PADIS research, discussing PK/PD sedative properties and considerations, landmark trials prior to MENDS2, and how much background work is required for a large RCT. Then we dive into the MENDS2 trial itself. Any significant findings? Biggest methodologic differences from MENDS2 and previous studies? Most challenging process of blinding? Any potential safety concerns? How to avoid unblinding study patients (and why that's so important)? Plus, trial fun facts, seeing your name in a NEJM research article, applying MENDS2 findings into daily practice, and so much more.   Reference list: https://pharmacytodose.com/wp-content/uploads/2024/05/mends2-trial-of-the-week-references.pdf   PharmacyToDose.Com @PharmacyToDose PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Moderator: James P. Rathmell, M.D. Participants: Albert Dahan, M.D., Ph.D., and Thomas K. Henthorn, M.D. Articles Discussed: Reversal of Propofol-induced Depression of the Hypoxic Ventilatory Response by BK-channel Blocker ENA-001: A Randomized Controlled Trial Reversal for Respiratory Depression: Let's Take a Breath! Transcript

Kincaid had a weird moment yesterday once the Propofol wore off. But yours were INCREDIBLE!See omnystudio.com/listener for privacy information.

Show notes at pharmacyjoe.com/episode901. In this episode, I’ll discuss why I think ketamine and propofol don’t belong in the same syringe. The post 901: Why Ketamine and Propofol Don’t Belong in the Same Syringe appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode901. In this episode, I’ll discuss why I think ketamine and propofol don’t belong in the same syringe. The post 901: Why Ketamine and Propofol Don’t Belong in the Same Syringe appeared first on Pharmacy Joe.

小額贊助支持本節目： https://reurl.cc/EG9X5R 持續發作癲癇 Status epilepticus , SE 叢集型癲癇 Cluster seizures, CS Benzodiazepine, BZD ．癲癇的定義和分類？ ．狗貓癲癇的第一線用藥選擇？ ．使用Diazepam的注意事項？ ・什麼時候該IV bolus？CRI? ．狗貓癲癇的第二線用藥？ ．狗貓第三線用藥的步驟？ ・Propofol用於貓的注意事項 ? ．如何成功管理癲癇？ ・何時該開始減量用藥? ・如何控制叢集型癲癇? 留言告訴我你對這一集的想法： https://open.firstory.me/user/ck4fgb04n698h0804wzdkaycj/comments Powered by Firstory Hosting

Slade recounts a visit from a "fellow YouTuber." JW finds the hillbillies in Northern California and takes a rough flight home. Sam educates us on Propofol. Tre works with Lil Sasquatch. Sesame Street finds its way in there somehow.

Hey Bros und Bris! Hörzlich Willkommen zum 26. Mai 2023 – dem Tag nach unserer ersten Punktion. Ariana hat sich drei Wochen durch die Stimulationsphase gespritzt, um hier anzukommen und dann: Lief´s ehrlich gesagt so mittel :/ Dafür gabs Propofol (oder wie wir Profis sagen: „mega geiles Zeugs“) und selbstgeschmierte Brote. Wir diskutieren, ob man seine Ärztin zurückfragen sollte, wie es ihr geht. Ariana legt eine Excel-Tabelle an, um mit den ganzen Tabletten hinterherzukommen. Bene erzählt von seinem Mindest-Coaching mit 100 Prozent Erfolgsgarantie. Und dann war er auf einmal da: der Anruf aus Jena… *spannungsgeladene Musik - Wolken ziehen auf - im Hintergrund startet leise eine Podcast-Folge* Folgt uns uns auch hier: Ariana Instagram: https://www.instagram.com/ariana_baborie Bene Instagram: https://www.instagram.com/beherzberg Youtube: https://www.youtube.com/ArianaBaborieofficial TikTok: https://www.tiktok.com/@arianababorie Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/momanddadjokes

As a nurse of 22 years, Lynn had been taught that patients were comfortably sleeping while sedated in medically-induced comas. She shares the horrific realities she suffered while intubated and sedated and the months of playing "Truth or Propofol?" after discharge. Episode transcript and citations found at www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL*** https://www.earlymobility.com/2024conference --- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support

Show notes at pharmacyjoe.com/episode878. In this episode, I ll discuss the prediction of hypotension from propofol when used as an ICU sedative. The post 878: Here Is How You Can Predict Hypotension From Propofol appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode878. In this episode, I'll discuss the prediction of hypotension from propofol when used as an ICU sedative. The post 878: Here Is How You Can Predict Hypotension From Propofol appeared first on Pharmacy Joe.

Sara Jane Harris and Dr. James Michael Ryan meet at his dental practice in the Fall of 2020. By the Summer of 2021, Harris is not only working for the oral surgeon but also living with him. Sarah Harris' family members began to notice a change in her physical appearance. The family says Harris did not look healthy, and in the following months, Harris' growing drug addiction became evident. What's more, the family believes Ryan was giving his girlfriend drugs from his practice. First responders rush to Ryan's home after an overdose call. Inside, paramedics find Sarah Harris, unresponsive. Various vials of controlled substances, like Ketamine, Diazepam, and Propofol are nearby. Davis weighs just 83 pounds. Ryan is charged in Harris' death, accused of providing the drugs that killed her. According to court documents, text messages between Ryan and Harris show Harris asking for different drugs. Ryan has now been convicted of murdering his girlfriend after she overdosed. The jury's verdict was rendered in less than three hours. Joining Nancy Grace Today: Ken Belkin - Criminal Defense Attorney; Twitter: @Kenneth_Belkin Dr. Angela Arnold – Psychiatrist, Atlanta, GA; Expert in the Treatment of Pregnant/Postpartum Women; Former Assistant Professor of Psychiatry, Obstetrics and Gynecology: Emory University; Former Medical Director of The Psychiatric Ob-Gyn Clinic at Grady Memorial Hospital; Voted “My Buckhead's Best Psychiatric Practice of 2022” Dr. William Morrone  – Chief Medical Examiner, Bay County Michigan; Author: “American Narcan: Naloxone & Heroin-Fentanyl Associated Mortality” Robert Crispin – Private Investigator, Former Federal Task Force Officer for United States Department of Justice, DEA and Miami Field Division; Former Homicide and Crimes Against Children Investigator, “Crispin Special Investigations;” Facebook: Crispin Special Investigations, Inc. Lindsay Watts - Emmy-Winning Reporter, FOX 5 DC; Twitter: @LindsayAWatts, Instagram: @LindsayWatts; Podcast: "Siege on Democracy" Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.

Take Home Points: Dose your RSI meds correctly.  Reach for post-intubation sedation at the same time you are asking for your induction agent and paralytic.   Propofol is a great choice for post-intubation sedation, and if your patient becomes hypotensive do not be afraid of adding on a pressor!  REBEL Core Cast 112.0 – Awareness During ... Read more The post REBEL Core Cast 112.0 – Awareness During Paralysis appeared first on REBEL EM - Emergency Medicine Blog.

Contributor: Travis Barlock MD Educational Pearls: Common sedatives used in the Emergency Department and a few pearls for each. Propofol Type: Non-barbiturate sedative hypnotic agonizing GABA receptors. Benefit: Quick on and quick off (duration of action is approximately 2-7 minutes), helpful for suspected neurologic injury so the patient can wake up and be re-evaluated. Also has the benefit of reducing intracranial pressure (ICP). Downsides: Hypotension, bradycardia, respiratory depression. What should you do if a patient is getting hypotensive on propofol? Do not stop the propofol. Start pressors. May have to reduce the propofol dose if delay in pressors. Dexmedetomidine (Precedex) Type: Alpha 2 agonist - causes central sedation Uses: Patients are more alert and responsive and therefore can be on BiPAP instead of being intubated. Does not cause respiratory depression. Downsides: Hypotension and Bradycardia. Caution in using this for head injuries, its side effects can mask the Cushing reflex and make it more difficult to spot acute elevations in ICP and uncal herniation. Ketamine Type: NMDA antagonist and dissociative anesthetic, among other mechanisms. Benefits: Quick Onset (but slower than propofol). Does not cause hypotension, but can even increase HR and BP (Thought to potentially cause hypotension if patient is catecholamine-depleted (ie. sepsis, delayed trauma)). Dosing ketamine can be challenging. Typically low doses (0.1-0.3mg/kg (max ~30mg)) can give good pain relief. Higher doses (for intubation/procedural sedation) are generally thought to have a higher risk of dissociation. Downsides: Emergence reactions which include hallucinations, vivid dreams, and agitation. Increased secretions. Benzos Type: GABA agonists. Benefits: Seizure, alcohol withdrawal, agitation due to toxic overdoses.  Push doses are useful because doses can stack. Longer half-life than propofol.   Downsides: Respiratory depression. Longer half-life can make neuro assessments difficult to complete. Etomidate MOA: Displaces endogenous GABA inhibitors. Useful as a one-time dose for quick procedures (cardioversion, intubation). Often drug of choice for intubation since it is thought to have no hemodynamic effects.  Downsides; If used without paralytic - myoclonus. Though to have some adrenal suppression. Fentanyl Type: Opioid analgesic. Not traditional sedative. Benefits: There are many instances in emergency medicine in which sedation can be avoided by prioritizing proper analgesia. Fentanyl can even be used to maintain intubated patients without needing to keep them constantly sedated. Downsides: Respiratory depression. Patients may have tolerance. References Chawla N, Boateng A, Deshpande R. Procedural sedation in the ICU and emergency department. Curr Opin Anaesthesiol. 2017 Aug;30(4):507-512. doi: 10.1097/ACO.0000000000000487. PMID: 28562388. Keating GM. Dexmedetomidine: A Review of Its Use for Sedation in the Intensive Care Setting. Drugs. 2015 Jul;75(10):1119-30. doi: 10.1007/s40265-015-0419-5. PMID: 26063213. Lundström S, Twycross R, Mihalyo M, Wilcock A. Propofol. J Pain Symptom Manage. 2010 Sep;40(3):466-70. doi: 10.1016/j.jpainsymman.2010.07.001. PMID: 20816571. Matchett G, Gasanova I, Riccio CA, Nasir D, Sunna MC, Bravenec BJ, Azizad O, Farrell B, Minhajuddin A, Stewart JW, Liang LW, Moon TS, Fox PE, Ebeling CG, Smith MN, Trousdale D, Ogunnaike BO; EvK Clinical Trial Collaborators. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. PMID: 34904190. Mihaljević S, Pavlović M, Reiner K, Ćaćić M. Therapeutic Mechanisms of Ketamine. Psychiatr Danub. 2020 Autumn-Winter;32(3-4):325-333. doi: 10.24869/psyd.2020.325. PMID: 33370729. Nakauchi C, Miyata M, Kamino S, Funato Y, Manabe M, Kojima A, Kawai Y, Uchida H, Fujino M, Boda H. Dexmedetomidine versus fentanyl for sedation in extremely preterm infants. Pediatr Int. 2023 Jan-Dec;65(1):e15581. doi: 10.1111/ped.15581. PMID: 37428855. Summarized by Jeffrey Olson MS2 | Edited by Jorge Chalit, OMSII  

How do you tackle the task of studying pharmacology? Whether you're a new to ICU nurse, an experienced nurse reviewing for CRNA interviews, or about to start clinicals in the operating room, there's a huge amount of information to learn. We're diving into how to study pharmacology effectively and reviewing propofol as our example! Make sure to like and subscribe if you'd like to see more of these videos and comment what you want us to talk about next time! Check out our sponsor for today's video, Picmonic ⏩ ⁠https://www.picmonic.com/viphookup/BPX1CVN3Y9CJLDL23 (Use Code: confidentcareacademy for 20% OFF)

Show notes at pharmacyjoe.com/episode839. In this episode, I'll discuss the management of suspected propofol dependence with phenobarbital in an adult patient with COVID-19. The post 839: A Rare Case of Propofol Dependence and How it Was Managed appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode839. In this episode, I ll discuss the management of suspected propofol dependence with phenobarbital in an adult patient with COVID-19. The post 839: A Rare Case of Propofol Dependence and How it Was Managed appeared first on Pharmacy Joe.

No episódio de hoje do Check-up Semanal, confira as últimas notícias sobre: anticoagulação no cirrótico com trombose da veia porta; propofol e mortalidade em terapia intensiva; relação entre o sono materno e o sono do recém-nascido; cocaína e efeitos cardiovasculares e diretriz para a mamoplastia redutora. Confira agora dando o play! Confira esse e outros posts no Portal PEBMED e siga nossas redes sociais! Facebook Instagram Linkedin Twitter

Overview Urinalysis Color & Clarity Protein RBC WBC Glucose Specific gravity Ketones pH Bilirubin/Urobilinogen Nursing Points General Normal value range Color & Clarity Normal – Yellow Other colors Drug interactions Propofol  – green Methylene blue – blue/green Trauma Red/Brown Liver failure Brown/tea colored Clear – Normal Cloudy Cell or contaminant related Turbid Severe presence of cells (WBC, RBC) pH ~6 Changes in body condition can change pH Metabolic acidosis/alkalosis Protein 0-trace Glomerular permeability/infection RBC 0-2 Bleeding Trauma/injury  below kidneys WBC Negative Sepsis/Infection/UTI Glucose Negative Diabetes Ketones Negative Presence of ketones can indicate endocrine disease like Diabetes Urine Specific Gravity 1.010-1.030 Facilities vary Ability to concentrate urine Hydration Overhydration Decreased USG Dehydration Increased USG Diabetes insipidus Causes increased diuresis SIADH (Syndrome of Inappropriate Antidiuretic Hormone) Causes decreased diuresis Bilirubin/Urobilinogen Negative Presence indicates potential liver problems Nursing Concepts Lab Values Elimination

Get a free nursing lab values cheat sheet at NURSING.com/63labs   Overview Urinalysis Color & Clarity Protein RBC WBC Glucose Specific gravity Ketones pH Bilirubin/Urobilinogen Nursing Points General Normal value range Color & Clarity Normal – Yellow Other colors Drug interactions Propofol  – green Methylene blue – blue/green Trauma Red/Brown Liver failure Brown/tea colored Clear – Normal Cloudy Cell or contaminant related Turbid Severe presence of cells (WBC, RBC) pH ~6 Changes in body condition can change pH Metabolic acidosis/alkalosis Protein 0-trace Glomerular permeability/infection RBC 0-2 Bleeding Trauma/injury  below kidneys WBC Negative Sepsis/Infection/UTI Glucose Negative Diabetes Ketones Negative Presence of ketones can indicate endocrine disease like Diabetes Urine Specific Gravity 1.010-1.030 Facilities vary Ability to concentrate urine Hydration Overhydration Decreased USG Dehydration Increased USG Diabetes insipidus Causes increased diuresis SIADH (Syndrome of Inappropriate Antidiuretic Hormone) Causes decreased diuresis Bilirubin/Urobilinogen Negative Presence indicates potential liver problems Nursing Concepts Lab Values Elimination

If you're a nurse working in a hospital who cares for intubated and sedated patients (ICU nurses!) or on units in which your patients were intubated and sedated (med-surg RNs, I'm talking to you!) you're going to want to listen to this episode. We dig into some mind-blowing and humbling facts about delirium in the ICU, and how we might actually be making things worse. "Sedation is NOT sleep. Propofol and benzodiazepines disrupt brain activity and PREVENTS REM cycle. We are causing lethal and inhumane sleep deprivation." For the full blog post with references, click here: To check out the details of the upcoming delirium podcrawl, click here: To see our latest course catalog (med-surg, ICU, precepting, charge nurse, ortho, cardiac, neuro courses and more), click here: Get weekly tips, encouragement, stories from the bedside and more - just for nursing students and new nurses at: Connect With Me Online! Facebook: Twitter: Pinterest: Instagram: TikTok:

What is the best approach to the patient with the difficult airway? and how can we improve our sedations? I discuss these topics (and others) with Dr. Adam Adler, a pediatric Anesthesiologist and a friend. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com  Copyright PEM Rules LLC  

Show notes at pharmacyjoe.com/episode768. In this episode, I'll discuss how propofol appears to interfere with monitoring heparin using aPTT. The post 768: Propofol appears to interfere with monitoring heparin using aPTT appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode768. In this episode, I ll discuss how propofol appears to interfere with monitoring heparin using aPTT. The post 768: Propofol appears to interfere with monitoring heparin using aPTT appeared first on Pharmacy Joe.

Sara Jane Harris and Dr. James Michael Ryan meet at his dental practice in the Fall of 2020. By the Summer of 2021, Harris is not only working for the oral surgeon, but they are now living together. Sarah Harris' family members began to notice a change in her physical appearance. The family says Harris did not look healthy, and in the following months, Harri's growing drug addiction became evident. What's more, the family believes Ryan was giving his girlfriend drugs from his practice. First responders rush to Ryan's home after an overdose call. Inside, paramedics find Sarah Harris, unresponsive. Various vials of controlled substances, like Ketamine, Diazepam and Propofol are nearby. Now Ryan is charged in Harris' death, accused of providing the drugs that killed her. According to court documents, text messages between Ryan and Harris show Harris asking for different drugs, and Ryan instructing Her on how to take them. Joining Nancy Grace Today: Ken Belkin - Criminal Defense Attorney, BelkinLaw.com, Twitter: @Kenneth_Belkin Dr. Angela Arnold - Psychiatrist, (Atlanta GA) www.angelaarnoldmd.com, Expert in the Treatment of Pregnant/Postpartum Women, Former Assistant Professor of Psychiatry, Obstetrics and Gynecology: Emory University, Former Medical Director of The Psychiatric Ob-Gyn Clinic at Grady Memorial Hospital Dr. William Morrone - Chief Medical Examiner, Bay County Michigan, Author: "American Narcan: Naloxone & Heroin-Fentanyl Associated Mortality", RecoveryPathwaysLLC.com Robert Crispin - Private Investigator, “Crispin Special Investigations” www.CrispinInvestigations.com Lindsay Watts - Emmy-Winning Reporter, FOX 5 DC, Twitter: @LindsayAWatts, Instagram: @LindsayWatts, Podcast: "Siege on Democracy" Learn more about your ad-choices at https://www.iheartpodcastnetwork.com