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In this panel episode recorded at SIR 2023, Drs. Stephen Hunt, Chuck Martin, and Gaurav Gadodia update us on current applications and future directions of augmented reality in interventional radiology. --- CHECK OUT OUR SPONSOR Medtronic Ellipsys Vascular Access System https://www.medtronic.com/ellipsys --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/voyqG5 --- SHOW NOTES Dr. Hunt explains the differences between virtual reality (VR), augmented reality (AR), and mixed reality (MR) since there is increasing levels of overlap between virtual and real worlds with each category . He notes that all three are being explored in surgical fields, especially orthopedics and neurosurgery. Within IR, augmented reality can be used to adjust images and subtract out respiratory motion, making biopsies and ablations safer and more effective. Dr. Hunt became interested in AR when his PIGI Lab at the University of Pennsylvania needed 3D models to access liver tumors in experimental mice. Additionally, AR is a useful tool for planning difficult procedures and teaching interventional procedures to trainees across the globe. Dr. Martin speaks about the intersection of medicine and industry. He directs research studies for Mediview, a company focused on bringing AR into medical imaging. Dr. Martin speaks about the important role that industry plays in commercializing an invention and getting it into operators' hands. As larger companies enter the AR space, accessibility and user interfaces will improve. Additionally, the shift towards AR product development can guide future FDA regulations. Dr. Gadodia's engineering background made him excited to enter the AR space as resident at the Cleveland Clinic. He highlights applications of AR in the non-academic setting. Using a headset could increase procedural efficiency and access to care. Finally, we discuss major shifts in industry and medicine that favor the increasing use of AR, such as industry's need for clinician input in product development, the multitude of startups working on the same issues, and the overarching goal of patient safety. --- RESOURCES Ep. 7- Lung Tumor Ablation with Dr. Stephen Hunt: https://www.backtable.com/shows/vi/podcasts/7/lung-tumor-ablation Ep. 53- International IR Volunteer Work with Dr. Stephen Hunt: https://www.backtable.com/shows/vi/podcasts/53/international-ir-volunteer-work Mediview: https://mediview.com/ Microsoft HoloLens: https://www.microsoft.com/en-us/hololens Penn Image-Guided Interventions (PIGI) Lab: https://www.med.upenn.edu/pigilab/
In the gap between the mid-chapter and the next content update, Hidro and Dyllon sit down to chat with special guest Otzdarva about the current state of the game. Are you being tunneled more? Is eruption worse than dead hard? What could be changed to alleviate any of these symptoms? Well, we'll find out.
Contributor: Aaron Lessen, MD Educational Pearls: Patients with recurrent ascites may need frequent outpatient or emergency department paracentesis which can be time consuming and uncomfortable for patients. Tunneled peritoneal catheters are a permanent alternative therapy which allows fluid drainage at home by patient or caregiver. There has been theoretical concern that long term placement of tunneled peritoneal catheters may increase risk of infection, thus they are more commonly placed as a palliative measure for patients with end stage cancer and malignant ascites with shorter anticipated life spans. However, a recent small study found that in both patients with malignant ascites and recurrent ascites from cirrhosis, tunneled peritoneal catheter placement reduced symptoms from ascites and did not increase risk of infection or leakage at catheter site, or spontaneous bacterial peritonitis after four weeks. More research is emerging and tunneled peritoneal catheters may become more common. References Kimer N, Riedel AN, Hobolth L, et al. Tunneled Peritoneal Catheter for Refractory Ascites in Cirrhosis: A Randomized Case-Series. Medicina (Kaunas). 2020;56(11):565. Published 2020 Oct 27. doi:10.3390/medicina56110565Petzold G, Bremer SCB, Heuschert FC, et al. Tunnelled Peritoneal Catheter for Malignant Ascites-An Open-Label, Prospective, Observational Trial. Cancers (Basel). 2021;13(12):2926. Published 2021 Jun 11. doi:10.3390/cancers13122926Corrigan M, Thomas R, McDonagh J, et al. Tunnelled peritoneal drainage catheter placement for the palliative management of refractory ascites in patients with liver cirrhosis. Frontline Gastroenterol. 2020;12(2):108-112. Published 2020 Feb 28. doi:10.1136/flgastro-2019-101332 Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD & Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account. Donate to EMM today!
In this episode, we will be discussing Central Lines. We'll try to hit everything about PICC lines, what they are, why we use them, and how to properly maintain them. We will also be discussing the different veins where the central line can be inserted and the risks and complications along with it. Another informational episode for nurses and incoming nurses as we delve into these topics. Go to www.nursingworld.org Sale Ends Sept 6. Use code SUMMERSALE21 at check out. Cup of Nurses: https://fanlink.to/CONsite Frontline Warriors: https://fanlink.to/FWsite Apple https://fanlink.to/Applepodcast Spotify https://fanlink.to/Spotifypodcast Cup of Nurses Store https://fanlink.to/CONshop Frontline Warriors store https://fanlink.to/FWshop Interested in Travel Nursing? https://fanlink.to/TravelNurseNow Free Travel Nursing Guide https://fanlink.to/Travelnursingchecklist Nclex Guide https://fanlink.to/NCLEXguide Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses Frontline Warriors FB group https://fanlink.to/FWFBgroup 0:03 | A quick word for the sponsors 0:55 | Introduction with the Hosts & Affiliates/Updates 3:09 | Central Lines 3:26 | Central line insertions 8:03 | PICC lines 9:30 | Central line uses 11:31 | Hemodialysis Catheter 14:13 | Tunneled vs non-tunneled catheters 15:22 | Ports 22:14 |Risks and Complications 22:21 | Air embolism 23:56| Infection| 26:30| Phlebitis 28:07| Thrombus formation 29:25| Maintenance 37:30| Closing thoughts
With the midchapter changes, HiDro and DyllonKG sit down to discuss how broken Lucky Break is, if at all, and if Decisive Strike changes are still too much. Because BHVR has a tweet that leans into our thoughts exactly. And of course let's celebrate the winners of the Dead By Daylight 5th anniversary cosmetic contest while we speculate on what happens during May 25th!
Watch our efforts to get Hoover the retired Peruvian circus tiger to move into his new enclosure. Help us rescue circus big cats just like Hoover from Guatemala by visiting https://bigcatrescue.org/circusban! You can help feed the cats at no cost to you using Amazon Smile! Visit BigCatRescue.org/Amazon-smile Music from Epidemic Sound (http://www.epidemicsound.com) BIG CAT TV is a close look into our day-to-day operations, the conservation efforts we support, and the 70+ feline residents of "Big Cat Rescue" in Tampa, FL. USA. Big Cat Rescue is an educational non-breeding sanctuary and a registered non-profit 501c3 so your donations are tax deductible! Donate at http://bigcatrescue.org/donate/
IV therapy is so much more than simply giving your patient's fluids. It's knowing what kind of IV access is most appropriate for your patient, how to care for it, what you can and can't infuse through it....AND it's knowing which fluids are best for your patient's current condition. In this podcast episode we cover the basics of IV therapy including the following: Peripheral IV lines Midline catheters PICC lines Central lines Tunneled lines Port-a-cath How to care for these lines, how to use them and what meds/fluids can go into each one Get the accompanying study guide here: https://www.straightanursingstudent.com/downloads/intro-iv-therapy/
Ep. 3 Tunneled Dialysis Catheters with Dr. Peter Bream and Dr. Aaron Brandis by BackTable
An interactive discussion about vascular access in the pediatric patient population between Todd Ponsky, MD and Mark Wulkan, MD. Dr. Wulkan is Professor of Surgery and Chief, Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine, Emory Children's Center, Atlanta, Georgia Table of Contents 01:15 - Catheter selection 02:48 - Neck cutdown technique 06:38 - Catheter selection, continued 07:02 - Neck cutdown technique, continued 07:18 - Determine catheter length 09:34 - Percutaneous technique 13:24 - Long-term access 15:22 - Utility of vascular studies 17:50 - Choice of vessel 19:17 - Line infections 20:06 - Choice of vessel, continued 22:44 - Groin cutdown technique 23:17 - Preoperative workup 24:38 - Heparin use 25:20 - Ethanol use 26:14 - Line infections, continued 27:35 - Antibiotic-coated catheters 27:47 - Heparin-coated catheters 28:04 - Exhaustion of vessel options 31:15 - Skin preparation 32:37 - Tunneled catheter removal Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: http://creativecommons.org/licenses/by/3.0/
Dr. Jed Gorden reviews the technique of pleurodesis to manage the complication of recurrent malignant pleural effusion (MPE).
Dr. Jed Gorden reviews the technique of pleurodesis to manage the complication of recurrent malignant pleural effusion (MPE).
Dr. Jed Gorden reviews the technique of pleurodesis to manage the complication of recurrent malignant pleural effusion (MPE).
A tunneled pleural catheter is an excellent way to manage the symptoms of a recurrent malignant pleural effusion. Dr. Jed Gorden describes how it is placed and how it works.
A tunneled pleural catheter is an excellent way to manage the symptoms of a recurrent malignant pleural effusion. Dr. Jed Gorden describes how it is placed and how it works.
A tunneled pleural catheter is an excellent way to manage the symptoms of a recurrent malignant pleural effusion. Dr. Jed Gorden describes how it is placed and how it works.
Dr. Jed Gorden describes the details of how a thoracentesis is performed in order to clarify the diagnosis and treat symptoms of a malignant pleural effusion (MPE).
Dr. Jed Gorden describes the details of how a thoracentesis is performed in order to clarify the diagnosis and treat symptoms of a malignant pleural effusion (MPE).
Dr. Jed Gorden describes the details of how a thoracentesis is performed in order to clarify the diagnosis and treat symptoms of a malignant pleural effusion (MPE).
Interventional pulmonologist Dr. Jed Gorden reviews malignant pleural effusions (MPEs) are a common complication of lung cancer and some other cancers.
Interventional pulmonologist Dr. Jed Gorden reviews malignant pleural effusions (MPEs) are a common complication of lung cancer and some other cancers.
Interventional pulmonologist Dr. Jed Gorden reviews malignant pleural effusions (MPEs) are a common complication of lung cancer and some other cancers.
Wheat has, since the dawn of agriculture, been especially treasured amongst all of the food crops, and is now the most widely cultivated food plant on the planet. However, the relationship between humans and wheat has changed a great deal in recent times.With a high-profile documentary film, 'The Grain Divide', about to go on global release, Dan Saladino discovers a worldwide movement of farmers, bakers and breeders rethinking and rediscovering wheat - from long-lost varieties and flavours to re-imagining the future of our relationship with this grain.The film's Director, JD McLelland, explains how his film aims to change perceptions of wheat - and why this matters. Dan also talks to one of the stars of the film, chef Dan Barber - who's breeding a new variety of wheat named Barber Wheat, and is leading the charge to look again at the taste of wheat.On the archipelago of Svalbard, far north of the northernmost point of mainland Norway, is the Svalbard Global Seed Vault. Tunneled into the permafrost there lies a store of seeds like no other - which serves as a 'backup' facility, with samples from every country in the world. It houses the largest collection of wheat varieties on the planet. Dr Cary Fowler, who helped to set up the seed vault - reveals about the role wheat's past has to play in our future.Dan also meets Andy Forbes from Brockwell Bake, sourdough specialist Vanessa Kimbell and author of "Our Daily Bread - A History of the Cereals" - Professor Åsmund Bjørnstad... as well as Gotland farmer Curt Niklasson, whose life has been changed forever by the contents of a wooden treasure chest.Presenter: Dan Saladino Producer: Rich Ward.