PODCAST · health
MedEd Learning Experience
by Medtronic
The MedEd Learning Experience podcast is a weekly podcast series that provides brief, interview-style discussions with clinical experts and is designed to teach safe and effective use of different therapies in patient monitoring and respiratory interventions. The podcast will feature discussions on anesthesia and brain monitoring, unplanned extubation in the NICU, routine intubation with video laryngoscopy, challenges in the NICU, the value of NIRS in clinical practice in the NICU, non-invasive and invasive ventilation in the NICU, and more.
Episodes
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Capnography in procedural sedation pt 10: Financial implications
Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN detail how capnography may reduce procedure costs.
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Capnography in procedural sedation pt 9: Adverse events
Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN describe how capnography can help clinicians identify airway obstructions that would otherwise go unrecognized leading to adverse events.
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Capnography in procedural sedation pt 8: A team approach helps prevent respiratory compromise
Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review the role of sedation and endoscopy nurses play in preventing respiratory compromise.
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Capnography in procedural sedation pt 7: Capnography in procedural sedation case study
Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review a case where a patient suffered respiratory compromise and discuss whether capnography may have led to earlier detection and intervention.
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Capnography in procedural sedation pt 6: Don’t miss respiratory compromise
Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN comment on the frequency and detection of respiratory compromise.
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Capnography in procedural sedation pt 5: Society guidelines for the use of capnography in procedural sedation
Dr. Ashish Chawla MD and Linda Erfle, BSN, RN review the society guidelines that recommend capnography monitoring during procedural sedation.
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Capnography in procedural sedation pt 4: Distraction and interruptions
Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA and Linda Erfle BSN, RN discuss the harms of alarm fatigue and tools to mitigate false alarms.
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Capnography in procedural sedation pt 3: Leverage technology to improve quality of care
Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA discuss whether technology can be used to improve the quality of care during procedural sedation.
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Capnography in procedural sedation pt 2: Misclassification of patients’ physical status is a serious concern
Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA review the risks associated with misclassification of patients’ physical status.
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Capnography in procedural sedation pt 1: Higher patient acuity = higher risk
Dr. Ashish Chawla MD and Linda Erfle BSN, RN discuss the implications of a higher risk patient population presenting for procedural sedation.
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Nellcor™ pulse oximetry overview pt 7: Engineering sensor design, calibration, and more (continued)
For this segment, we will learn how Nellcor™ pulse oximetry convents the true pulsatile signal to accurate SpO2 measurements. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as...
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Nellcor™ pulse oximetry overview pt 6: Engineering sensor design, calibration, and more
For this segment, we will review how the various components of the Nellcor™ pulse oximetry system contribute to the quick and accurate acquisition of the true pulsatile signal. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™…
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Nellcor™ pulse oximetry overview pt 5: Pulse oximetry and the impact of skin pigmentation on the technology
For this segment, we will discuss how skin pigmentation influences the amount detectable light available to the pulse oximetry sensor. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be...
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Nellcor™ pulse oximetry overview pt 3: The technical fundamentals of pulse oximetry
For this segment, we will learn how pulse oximetry uses near infrared light to detect the cardiac induced pulsatile signal of arterial blood and then measures the percentage of oxygenated hemoglobin in arterial blood. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D...
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Nellcor™ pulse oximetry overview pt 2: The fundamentals of pulse oximetry
For this segment, we will discuss the measurement of SpO2 and pulse rate, pulse oximetry accuracy standards, and the patient factors that can impact SpO2 and pulse rate accuracy. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis...
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Nellcor™ pulse oximetry overview pt 4: Impact of skin pigmentation & clinical practice implications
For this segment, we will review the evidence evaluating the effect of skin pigmentation on the accuracy of pulse oximetry and consider the consequences for clinical practice. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis…
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Nellcor™ pulse oximetry overview pt 1: The past, present, and future of Nellcor™ technology
For this segment, we will discuss the history, development work, and ongoing research dedicated to Nellcor™ pulse oximetry technology. To help provide insight into this topic is Sam Ajizian, M.D. and CMO of Patient Monitoring Medtronic. The Nellcor™ pulse oximetry monitoring system should not be...
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INVOS™ technology overview pt 11: Does melanin concentration of melanin impact NIRS readings?
Eli Kuhlmann, Sr. Research Manager at Medtronic, teaches us how the concentration of melanin influences the measurement regional oxygen saturation via NIRS.
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INVOS™ technology overview pt 10: Does skin pigmentation impact NIRS readings?
Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, discusses the influence skin pigmentation has on the accuracy of NIRS readings and consider the consequences for clinical practice.
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INVOS™ technology overview pt 9: What does the literature say about the NIRS oximetry?
Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, reviews the body of literature evaluating the value of somatic and cerebral regional oximetry in pediatric patients.
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INVOS™ technology overview pt 8: How can NIRS be interpreted?
Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, presents how regional oximetry represents the balance between oxygen delivery and demand as well as the clinical factors that may influence...
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INVOS™ technology overview pt 7: How is the algorithm developed for the pediatric population?
Eli Kuhlmann, Sr. Research Manager at Medtronic, describes how the INVOS™ system pediatric algorithm was developed in order to account for factors impacting regional oximetry measurements in pediatric patients. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or...
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INVOS™ technology overview pt 6: What are the principles of NIRS oximetry?
Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, teaches us how NIRS uses near infrared light to monitor the percentage of oxygenated hemoglobin in the tissue 2-3 cm beneath the oximeter sensor.
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INVOS™ technology overview pt 5: What are the system design considerations?
Eli Kuhlmann, Sr. Research Manager at Medtronic, reviews the design elements in the INVOS™ system that enhance its regional oximetry monitoring performance. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient...
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INVOS™ technology overview pt 4: How does the system determine optimal spacing?
Eli Kuhlmann, Sr. Research Manager at Medtronic, demonstrates how the sensor spacing on the INVOS™ sensor maximizes the detection of the tissue of interest while suppressing the superficial tissue signal. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy…
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INVOS™ technology overview pt 3:What are the advantages of NIRS oximetry?
Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, discusses the advantages of NIRS oximetry compared to traditional approaches of monitoring cardiovascular function and tissue oxygenation.
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INVOS™ technology overview pt 2: How does the monitor localize oxygen saturation measurement?
Eli Kuhlmann, Sr. Research Manager at Medtronic, reviews how the INVOS™ monitor isolates the near infrared signal from the tissue of interest and prevents contamination from superficial tissue. The INVOS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is...
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INVOS™ technology overview pt 1: How does spectroscopy work?
Eli Kuhlmann, Sr. Research Manager at Medtronic, teaches us how near infrared spectroscopy (NIRS) measures the concentration of hemoglobin in blood.
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NIRS and regional oximetry in neonatology, Pt 17: How can the INVOS™ monitor be used in real-time assessments?
Terri Marin shares how the INVOS™ monitor can be used in real-time assessments during our final segment in this series. Regional oximetry is an adjunctive technology that should not be used as the sole basis for diagnosis or clinical decision-making.
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NIRS and regional oximetry in neonatology, Pt 16: How does the INVOS™ monitor work?
How does the INVOS™ monitor work? Terri Marin, PhD, NNP-BC, FAANP at Augusta University, dives into the subject. Regional oximetry is a adjunctive technology that should not be used as the sole basis for diagnosis or clinical decision-making.
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NIRS and regional oximetry in neonatology, Pt 15: How can NIRS be valuable in assessing resuscitation in neonates?
How can NIRS be valuable in assessing resuscitation in neonates? In this video, Dr. Scott Duncan shares his experience.
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NIRS and regional oximetry in neonatology, Pt 14: How can NIRS be valuable in assessing ventilation in neonates?
Can NIRS be valuable in assessing neonatal ventilation? Dr. Scott Duncan answers this question in this video.
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NIRS and regional oximetry in neonatology, Pt 13: How can NIRS be valuable in managing hypotension in neonates?
How can the use of NIRS be valuable in assessing hypotension in neonates? Dr. Scott Duncan discusses the value of NIRS, especially for managing hypotension in neonates.
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NIRS and regional oximetry in neonatology, Pt 12: How can NIRS be valuable in clinical practice with neonates?
How can the use of NIRS be valuable in clinical practice with neonates? Dr. Scott Duncan shares his perspective on the matter.
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NIRS and regional oximetry in neonatology, Pt 11: What is the goal of NIRS monitoring?
NIRS monitoring is important, but what is the goal? We discuss the "why" behind NIRS monitoring with Dr. Jonathan Mintzer.
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NIRS and regional oximetry in neonatology, Pt 10: Why use regional oxygen saturation with neonate patients?
Why is it important to use regional oxygen saturation with neonates? Dr. Jonathan Mintzer, an expert in this space, shares his thought process.
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NIRS and regional oximetry in neonatology, Pt 9: Interpreting NIRS Oximetry
How do you interpret NIRS oximetry? Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, shares his expertise.
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NIRS and regional oximetry in neonatology, Pt.8: How NIRS may influence care in anemic and shock patients
Anemic and shock patients can encounter unique challenges, and NIRS may be able to help in some cases. Dr. Scott Duncan explains more.
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NIRS and regional oximetry in neonatology, Pt.7: How NIRS may influence care in the first few days of life
How may NIRS influence care in the first few days of a neonate's life? Dr. Scott Duncan shares his first-hand expertise.
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NIRS and regional oximetry in neonatology, Pt.6: Challenges with premature neonates
What are common challenges associated with premature neonates that can benefit from NIRS monitoring? Dr. Scott Duncan shares his insights.
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NIRS and regional oximetry in neonatology, Pt.5: Therapeutic options with a NIRS monitor
What are some therapeutic options with the NIRS monitor in the NICU? Dr. Scott Duncan walks through some of the available options.
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NIRS and regional oximetry in neonatology Pt.4: What is NIRS monitoring?
What is NIRS monitoring? Today, we will dive into near-infrared spectroscopy with Dr. Scott Duncan, Professor and Chief Division of Neonatal Medicine Department of Pediatrics at University of Louisville School of Medicine.
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NIRS and regional oximetry in neonatology, Pt.3: Cerebral and non-cerebral uses of NIRS monitoring
Dr. Jonathan Mintzer discusses examples of both cerebral and non-cerebral uses of NIRS monitoring.
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NIRS and regional oximetry in neonatology Pt.2: NIRS as a responsive monitoring technique
Can NIRS be used as a "responsive" monitoring technique? Dr. Jonathan Mintzer describes the potential utility and shares his insights.
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NIRS and regional oximetry in neonatology Pt.1: How is NIRS used in a routine monitoring paradigm?
How is NIRS used in a "routine" monitoring paradigm? Dr. Jonathan Mintzer, NICU/Well-Baby Nursery Medical Director at Mountainside Medical Center, explains the process.
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NIRS Monitoring in the NICU
In this video, we discuss Near Infrared Spectroscopy (NIRS) monitoring in the NICU. How does NIRS monitoring work, and why should it be a part of monitoring protocols in the NICU? To answer these questions, we talk with Dr. Muzafar Gani Abdul Wahab, Associate Professor in Pediatrics at McMaster...
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The challenges of airway management, Pt 11: What airway management choices are available?
Many options are now available for managing the airway in anesthetized patients. In this episode of MedEd Learning Experience, we’ll explore the variety of current choices with Dr. Adam Thaler, Assistant Professor of the Department of Anesthesiology at Jefferson University Hospital.
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The challenges of airway management, Pt 10: What causes an airway to be difficult?
What causes an airway to be difficult? In this episode of MedEd Learning Experience, we’ll dive into the numerous reasons clinicians may encounter difficult airways and complicated intubations. More on this topic from Dr. Adam Thaler, Assistant Professor of the Department of Anesthesiology at...
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The challenges of airway management, Pt 9: How has anesthesia management changed over the years?
How has anesthesia management changed over the years? In this episode of MedEd Learning Experience, we’ll discuss the evolution of everyday practices in anesthesiology. Here to shed some light on this topic is Dr. Adam Thaler, Assistant Professor of the Department of Anesthesiology at Jefferson...
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The challenges of airway management, Pt 8: How can video laryngoscopy help with intubating Covid-19 patients?
Covid-19 continues to create challenges in hospital routines and healthcare delivery. Can video laryngoscopy help mitigate some of these challenges when intubating infectious patients? In this episode of MedEd Learning Experience, we’ll hear from Dr. David Hsia, Director of Bronchoscopy and...
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ABOUT THIS SHOW
The MedEd Learning Experience podcast is a weekly podcast series that provides brief, interview-style discussions with clinical experts and is designed to teach safe and effective use of different therapies in patient monitoring and respiratory interventions. The podcast will feature discussions on anesthesia and brain monitoring, unplanned extubation in the NICU, routine intubation with video laryngoscopy, challenges in the NICU, the value of NIRS in clinical practice in the NICU, non-invasive and invasive ventilation in the NICU, and more.
HOSTED BY
Medtronic
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