The placental transfer of oxygen explained in 4 easy steps! 5+ y ago 5+ y ago. Raheem Kassam hosts The National Pulse, real news and investigations podcast with investigative reporter Natalie Winters and guest hosts. For adults, the numbers are much lower – he estimates them to be around three percent – but crying is not even something that gets written down in the patient notes. More segments from Our Favorite Rabbit Holes. Resources: Landmark paper: Saidman. The sun is blazing, the humidity is the highest it’s been all summer and your dog is panting nonstop. Questions come in from an online audience as our panelists tackle the topic from their respective areas. I am a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Have you taken care of a patient with a cardiovascular implantable electronic device recently? The podcast is hosted by Dr. Raj Gupta and Dr. Eric Schwenk but will include many guests from the ASRA community. The ERAS Cardiac Society Conference Day 2 | TopMedTalk, Matt Maiden - life limiting illness in ICU, The ERAS Cardiac Society Conference | TopMedTalk, Prehabilitation Business Case? Effect of nitrous oxide and of narcotic premedication on the alveolar concentration of halothane required for anesthesia. | Dingle Highlight, Testing the Hypotension Prediction Index | TopMedTalk, Shared decision-making: a team game? Latest Episodes: Shaping the Future Jan 29, 2021. Their section on COVID 19 is here: https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus…, In this episode we discuss various treatments and newer strategies that have been introduced for pain management and the principle behind pain management programs. Could a summer haircut bring relief to your four-legged friend? Browse a wide selection of free Health & Fitness podcasts and start listening today. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'. Aoyagi gives a fascinating account of its development in which he describes using two tungsten bulbs as the light sources (at wavelengths of 630nm and 900nm) shone at the plucked ears of anaesthetised dogs before sampling arterial pH and PaO2. The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. The Airwayve Podcast is a Canadian anesthesia podcast for medical students led by medical students (Puru Panchal, Alexa Caldwell, Grace Martin) from McMaster University in Hamilton, Ontario, Canada. La réponse est peut-être ici ! Understanding why people cry after anesthesia could help patients who suffer with pathological crying because of illnesses like Parkinson’s, or because they’ve had a stroke. This show is in Arabic. Anecdotally, the number of patients with life-limiting illnesses are being referred for management in the ICU. This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of technology in relation to hypotensive episodes? A podcast discussing critical care, anaesthesia and pain medicine in obstetrics and gynaecology. How well are contact tracing apps working to alert us to COVID in Pa., Del., and N.J.? According to the requirements of the US national standard for pulse oximeters, the variable pitch tone (if present) must parallel the SpO 2 reading. They had to jump through unexpected hoops to do it. “I have to type up this thing, they are going to be so mad at me, and the funny thing was I was reacting, disproportionate to how I actually felt, because, in my head I knew they’ll be understanding, but my body was reacting,” she recalled “And the other time I had surgery, I also cried, but for no reason, I’m just sad, I was just boo-hooing.”. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll review the principles of pulse oximetry. Play for Voices is a podcast of international audio drama. Sign up for our weekly newsletter. To give you the best possible experience, this site uses cookies. Like you, WHYY’s Health Desk Help Desk wanted to know more. Anesthesiology 2010;112:282–7. Advertise on this Podcast. But he suspects many factors could be involved; the stress of surgery, combined with medications and feeling slightly disoriented. He also looks at the neuroscience of pain and the fantastic advances which have been made in this area of medicine. WHYY connects you to the Greater Philly community by providing trustworthy, fact-based, local news and information and world-class entertainment. These are the first podcasts recorded in Belfast recently. He also discusses the business of healthcare a ... Information for children who need to have general anaesthesia for surgery or a procedure. In this second e…, Date: 27/02/2021 Name of show: Pain Speak Episode title and number: Season 1/episode 1 Brief summary of show: Welcome to the new podcast Pain Speak. To access Think Anesthesia content Login or Sign up first ... it's free. How big a problem do they suggest p…, Hi Everyone, After over 2 months off Graeme and I back for our first podcast of 2021. Rediscovering fun: Why grown-ups need to play. TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation …, The marvel that is modern Intensive Care has the capacity to save lives, and help survivors live long and satisfying lives. This piece updates you on the current board members, the roles of committee membe…, Key principles of pharmacology : Pharmacokinetics : What the body does to the drug. Fluid Management: Pulse Pressure Variation; Week 3: Depth of Anesthesia. Their landlord had other ideas. We know food gives us energy "but it also provides so much more". Its ability to provide early indications of hypoxemia, coupled with its ease-of-use, has popularized its adoption in many hospital and home settings. I am a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. The National Pulse was formed to promote honesty in politics. | EBPOM 2020 London, Getting "fit for surgery" | EBPOM 2020 London, Perioperative Frailty with Jude Partridge | EBPOM 2020 London, Healthy eating and cancer | TopMedTalk & MacMillan Cancer Support, Daily Boost | Daily Coaching and Motivation. She said she regained consciousness after a major surgery and was suddenly really worried about a group project she had to finish for one of her classes. How do we start to reward and recognise the…, Warning; this piece may make for uncomfortable listening. News and items of interest to Anaesthetists worldwide. Research on the topic came up empty though, I couldn’t find any studies or science on this, and Anesthesiologist James Heitz finally told me I was searching in vain. As patients age they may develop comorbidities. The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; …, "In the elective surgical domain 20% of people who are scheduled to have surgery are not ready for surgery" The road towards economic reality is paved with data; this talk, confidently assertive in tone, provides you with a number of useful facts and reassurances which can be transformed into reasons why you and your patients can enjoy the benefits…, "There is some great literature out there that has been shared ... great data, especially in cardiac surgery, which is where we are using it and I would like to expand it out to other service lines as well..." Methadone has had something of a resurgence recently, thanks in part to the work of some of our contributors in this piece. But it’s something that patients talk about,” he explained. Double Bohr effect Check out power and Kam chapter 3 - resp physiology or this great summary http://www.anaesthesia.uct.ac.za/sites/default/files/image_tool/images/93/10-…, What are the aims of The International Prehabilitation Society? Want a digest of WHYY’s programs, events & stories? In the UK, about quarter of patients will be over the age of 65 by 2034. The more patients I talked to, the more crying stories I heard. Contained within the story is a message of hope; evidence may contain the cure. We’re here to help you improve your practice, and we want to make sure our content is relevant for you. I heard so many stories like this, crying after anesthesia was beginning to sound like a thing. Podcast Episode 5: Part 2 of the Pharm Series… The MSMAID Acronym From Anesthesia Adapted to Prolonged Field Care. About The National Pulse and Raheem Kassam. For more on Evidence Based Perioperative Medicine (EBPOM) go to www.ebpom…, In this episode we talk about the main steps that facilitate gas exchange at the placenta. Where does the data lead us to? One whole chapter is dedicated to crying. Unsubscribe. In this episode we discuss some news and then dissect the recently published study which analysed the narrative descriptions of the 483 maternal deaths which occurred in the WOMAN study. Pulse oximetry failure occurs frequently. Noted as one of the highlights of the year in our recent holiday specials and previously only available to attendees to the incredibly successful EBPOM Chicago 2020; go to www.ebpom.org now for more details on forth…, "It might just be 'boring old blood pressure ... (but) ... every fourth operation there is evidence of a modifiable risk factor". “A nurse came by and said, ‘oh, honey what is wrong?’ and I said ‘my dog died.’ And she said, ‘oh sugar I’m sorry, when did your dog die?’ And I said ‘eight years ago,’ and actually it had been five years that the dog had died.”. The Pulse will take you behind the doors of operating rooms, into the lab with some of the world’s foremost scientists, and back in time to explore life-changing innovations. Maiken hosts WHYY’s weekly health and science show, The Pulse. What I want to clarify with this post is a misconception I’ve occasionally heard when interpreting the SpO2. Fitness, frailty and function are overlapping concepts. "The international prehabilitation society" | EBPOM 2020 London, Models of prehabilitation in Cardiff in Wales | EBPOM 2020 London, The Anesthesia Patient Safety Foundation | COVID 19, Enabling Enhanced Recovery Part 2 | EBPOM 2020, Episode 2 - Pain Speak Does The Pain Free Mindset, Episode 1 - Pain Speak Does The Pain Free Mindset, Enabling Enhanced Recovery Part 1 | EBPOM 2020, Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020, Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020, Monitoring and management of neuromuscular blockade | EBPOM Chicago. He says for children, crying after anesthesia is very common – it happens in about 30 to 40 percent of the cases. WHYY is you. Why do some patients cry after anesthesia? Get more detail on nutrition, hip fractures, psychological optimisation and discover both where the difficu…, Date: 27/02/2021 Name of show: Pain Speak Episode title and number: Season 1/episode 2 Brief summary of show: Welcome to the new podcast Pain Speak. Podcasts come out weekly. “We hold their hands, touch their shoulder, wipe their tears, and just listen. Continuing Medical Education (CME) on the go. La version audio de cet article est disponible en podcast (Annexe 1 en fin d’article). 1. Philly musicians scream, sweat, strip to rock out in a lockdown. The pulse-oximeter is designed to alert us to hypoxemia. Hello and welcome back to the Anesthesia Patient Safety Podcast. This story is from The Pulse, a weekly health and science podcast. How can risks be identified and minimised? This podcast is dedicated to the hard-working doctors, nurses and allied health professionals striving for excellence. Given the fact that our methods of monitoring residual…, This piece is an informative conversation about "the Perioperative Care Team"; who is essential to the team and how do we make sure everyone feels included? This is great applied respiratory physiology and a common question in the viva and SAQs! Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Our show presents new productions of contemporary and classic audio plays from around the world, exploring their aesthetic, social, and political contexts through inventive, multilingual sound design and supplemental interviews with authors, translators, and other interesting people. Your account has been temporarily locked. My name is Alli Bechtel and I am your host. Applying an Anesthesia Checklist to SOF Medicine MSMAID Although the MSMAID acronym was designed as a pre-op checklist for the anesthesia provider, it is helpful for us medics when we need to decide what gear to bring with us and as a method to brief our non-medical help when we need to sedate someone. In the first of …, This piece is an informative conversation about the models of prehabilitation from a number of different angles. ... a finger pulse-ox is perfectly acceptable as a monitor (recognizing of course that it is not a great monitor). During the Association of Paediatric Anaesthetists annual scientific meetings, we are planning to ask invited speakers to record a question and answer session on some of the current topics within paediatric anaesthesia. Pulse oximetry has been used for monitoring patient oxygenation during anesthesia since the mid 1980s and was quickly adopted as a standard of care for anesthesiology and critical care medicine . This piece gets into the detail regarding one of the stand out moments of EBPOM Chicago 2020; questions from the online audience facilitate the discussion. The light went on for Bruce Schoneboom, PhD, CRNA, FAAN, as a teenage orderly in the operating room of a hospital where his mother worked as a nurse. What elements do you need to make up such a team, how do you keep people energized and excited about it over the long term? Our guest provides us further i…, This piece gives us a look at some of the latest thinking on Post Operative Nausea and Vomiting (PONV). Should you consider a 'ger…, This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Dr. James Heitz, seen here with nurse Esmihan Almontaser, says crying after anesthesia occurs frequently enough that 'we should be aware of it as providers' even though it's not frequently documented in major anesthesiology textbooks (Karen Shakerdge/for WHYY) This story is from The Pulse, a weekly health and science podcast. Philadelphian Sarah Tebbe said she was weeping in the recovery room. Some experts say no, cutting is not the answer. WHYY thanks our sponsors — become a WHYY sponsor. 1A's goal is to act as a national mirror-taking time to help America look at itself and to ask what it wants to be. We also have a detailed chat about the important aspects of obese patients perioperatively, intubation, extubation and some of the dilemmas we all face. Unsubscribe. How do we ensure, in this context, that a fee for service system inte…, In the March 2021 BJA Education podcast, Pooja Shah speaks to Dr Carroll and Dr Young about intraoperative cell salvage. Grim news from one angle but on the other hand it's a huge opportunity to make a massive difference in the prehabilitation stage of the perioperative process. That’s certainly true for reporters; a lot of times when we’re working on one story, we stumble on another issue that’s really worth looking in to. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study. Notably, nurse anesthetists have been providing anesthesia care to patients in the U.S. for over 150 years. Peter Cr… You’ll be asleep long before you run out of reasons why the new Nurse Anesthesia track at the Johns Hopkins School of Nursing is the right program at the right time. YouTube Video Playlist for The National Pulse with Raheem Kassam. The Duke Activity Status Index (DASI) can be found here: https://www.mdcalc.com/duke-activity-status-index-dasi The Mini Cog assessment is here: http://mini-cog.com/wp-…, This piece digs deep into the realities of coping with COVID 19 patients who have had their care escalated to the Intensive Care Unit (ICU); "we don't seem to be looking at our typical sepsis patients who get multiple organ failure in the classical way" and "you're surprised at how young some of the patients are...". But that is not all. The WOMAN trial was a large randomised study of 20000 women suffering postpar…, "If you want to take population based data, and define hypotension, you'll be right for the majority of our average patients, but not for all patients and it appears that the amount of time we spend below the lower limit of autoregulation has meaning for patient outcomes" Starting from the origins of blood pressure monitoring, via the father of neu…, "Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. Audio drama is a highly flexible dramatic form that encourages experimentation and e ... Hi everyone! But the future can also be frightening. Receptor binding Receptor sensitivity Post-receptor effects 4 induction agents to familiarize yourself with for the first day in the …, "The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Pulse Anaesthetics provides 24 hour services to all private hospitals and day surgery centres in Adelaide. Pulse welcomes submission of items of interest to society members. An irreverent, often obnoxious and always educational podcast for your entertainment only. Clinically relevant topics range from perioperative medicine to patient safety to various anesthetic techniques and more. Residents of Birchwood at Cedars Village set out to organize a vaccine event for themselves. What REALLY happens to volatile washout with changes in cardiac output, Practical tips for preoperative risk assessment | Dingle Highlight, Critical care for the very elderly patient | Dingle Highlight, Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020, Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | Chicago 2020, Perioperative Quality Initiative P.O.Q.I. “It occurs frequently enough that we should be aware of it as providers, it may generate some interest among the medical community, and if you google crying after surgery you’ll get pages and pages of information, and it’s all generated by patients.”. Wolf pessimistic about his stimulus spending hopes for Pa. Want a digest of WHYY’s programs, events & stories? G. Gasnet. Footer menu. What are the risks and how are they mitigated? The …, "I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 2. When we think of “the future,” it sounds like something abstract and faraway — we imagine new inventions, cutting-edge innovations, life on other planets. Subscribe. There is a Fairly Crap Transcript™ here. Excited to have the podcast so I never miss a show. These South Philly seniors wanted the vaccine to come to them. Stan's model answer is ~ 27mins Stan's rule of 5s for SAQ answers is 5 teachi…, The Trainee Returning to Work document can be found here: https://libguides.anzca.edu.au/ld.php?content_id=48309022 Apply for the ASA CRASH Scholarship here: https://asa.org.au/membership-crash-2021/ You'll need to be a member to apply for the CRASH scholarship. We learn about the excellent National Acute Porphyria Service (NAPS) which is available 24 hours a day, 7 days a week…, "The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." The pulse oximeter (“pulse ox“) is perhaps the greatest noninvasive perioperative/acute care monitor created in the modern era.It uses a light emitter and photodetector to analyze light absorbance across an extremity (typically a finger or toe). A podcast for children who are coming for a General Anaesthetic for surgery or a procedure. I am also the author of the book, The Pain Free Mindset, releasing on the 4th March 2021. Anesthesia advances in patient safety have included the pulse oximeter and end-tidal CO2 monitors, which make it very difficult to miss poor ventilation or an unrecognized esophageal intubation. Subscribe on Apple Podcasts, Spotify or wherever you get your podcasts. Review our, TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. 1. Sometimes the best comfort we can give is just to stay silent and listen to them cry and just be there for them.”. I asked around a bit, and found out that nurses who work in recovery rooms are very familiar with this. Anaesthesia and Intensive Care. We talk about what intraoperative cell salvage is and who it can benefit, including populations previously thought to be ineligible for it. 4reviewed 9,203 electronic anesthesia records at The Mount Sinai Medical Center and found a pulse oximetry failure rate of 9.18%. A. Absorption D. Distribution M. Metabolism E. Excretion Pharmacodynamics: A drug’s biochemical and physiologic effects on the body. Log in. | EBPOM 2020 London, Methadone, 'the opioid sparing opioid' | EBPOM Chicago, Monitoring and management of neuromuscular blockade - questions | EBPOM Chicago, The Perioperative Care Team | EBPOM Chicago, Enhanced Recovery After Surgery (ERAS) Part 2 | Chicago 2020, Enhanced Recovery After Surgery (ERAS) Part 1 | Chicago 2020. Originally part of EBPOM London this is an 'as live' discussion with four of the main presenters from the conference. The original guidelines are here: https://www.ncbi.nlm.nih.gov/pubmed/24356162 Also, you may like to check out the details of this p…, Here is our deep dive into what exactly occurs to volatile washout in an anaesthetised person if cardiac output changes. It is based off of the oxyhemoglobin dissociation curve, a sigmoid curve that plots oxygen saturation of hemoglobin against the partial pressure of oxygen in the blood. McGrath SP, Taenzer AH, Karon N, et al. Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago, Essential COVID knowledge; Dr. Manuel Ignacio Monge García | COVID 19, New treatments for Post Operative Nausea and Vomiting | TopMedTalk, Miller's Anesthesia proven WRONG by Dr Stan! It includes a discussion about Amisulpride and discusses new, yet to be published, consensus guidelines for PONV. Weekly presentation recordings from the Department of Anaesthetics at Westmead Hospital, Sydney, Australia. The audible “pulse tone,” “saturation tone,” or “beep tone” of the pulse oximeters has become indispensable for modern anesthetic practice. Stories about the people and places at the heart of health and science. Brought to you by https://anesthesiamasters.com – Lyssna på Anesthesia Masters E & O Podcast direkt i din mobil, surfplatta eller webbläsare - utan app. Watch this instructional video to learn more about optimizing the use of a pulse oximeter during anesthesia. The cardiovascular changes in morbid obesity and how would YOU manage this patient perioperatively? Introduction. “It’s going to be embarrassing to say, but I woke up crying,” admitted Zakiya Gibbons, who was finishing up college at the time.

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