Behind The Knife: The Surgery Podcast

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  • Behind the Knife is the world’s #1 surgery podcast. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY! Behind the Knife is more than a podcast. Visit http://www.behindtheknife.org to learn more.
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Episodes
  • Medicine Consult Series: Ep. 1 - Postoperative Atrial Fibrillation

    Medicine Consult Series: Ep. 1 - Postoperative Atrial Fibrillation
    Sep 16 2024
    You're the new intern on your first night of night float. First page, right off the bat – AFib with rates into the 150s. What's your next move?! Dr. Nathan Anderson takes the anxiety out of approaching Atrial Fibrillation in the post-operative patient. Join him and Dr. Elizabeth Maginot as they discuss this very common post-operative you're guaranteed to see on the wards.

    Hosts:
    - Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska
    - Dr. Elizabeth Maginot, General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95

    Learning Objectives:
    - Discuss the underlying pathophysiological mechanisms that contribute to the development of atrial fibrillation in the postoperative setting.
    - Critically approach the different management options for atrial fibrillation in the post-cardiac and non-cardiac surgery settings, including rate versus rhythm control, indications for cardioversion, and the role of anticoagulation.
    - Identify common risk factors for atrial fibrillation in the post-operative setting.
    - Discuss long-term management and follow-up strategies for patients who develop atrial fibrillation after surgery.

    References:
    1. Bhave PD, Goldman LE, Vittinghoff E, Maselli J, Auerbach A. Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery. AmericanHeart Journal. 2012;164(6):918-924. doi:10.1016/j.ahj.2012.09.004
    https://pubmed.ncbi.nlm.nih.gov/23194493/
    2. Gialdini G, Nearing K, Bhave PD, et al.. Perioperative Atrial Fibrillation and the Long-term Risk ofIschemic Stroke. JAMA. 2014;312(6):616. doi:10.1001/jama.2014.9143
    https://pubmed.ncbi.nlm.nih.gov/25117130/
    3. Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C; AAFP Panel on Atrial Fibrillation; ACP Panel on Atrial Fibrillation.Management of newly detected atrial fibrillation: a clinical practice guideline from the AmericanAcademy of Family Physicians and the American College of Physicians. Ann Intern Med. 2003 Dec16;139(12):1009-17. doi: 10.7326/0003-4819-139-12-200312160-00011. PMID: 14678921.
    https://pubmed.ncbi.nlm.nih.gov/14678921/
    4. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. NewEngland Journal of Medicine. 2002;347(23):1825-1833. doi:10.1056/nejmoa021328
    https://pubmed.ncbi.nlm.nih.gov/12466506/

    Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    DOMINATE THE DAY
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    29 mins
  • Clinical Challenges in Hernia Surgery: Parastomal Hernias

    Clinical Challenges in Hernia Surgery: Parastomal Hernias
    Sep 12 2024
    Parastomal hernias are some of the toughest cases in abdominal wall reconstruction. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases.

    Hosts:
    - Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1
    - Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD
    - Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020
    - Sara Maskal, MD, Cleveland Clinic

    Learning Objectives:
    - Review anatomy of parastomal abdominal wall hernias
    - Review perioperative pitfalls and tips for staying out of trouble
    - Review common surgical approaches to repair

    References:
    - Maskal SM, Ellis RC, Miller BT. Parastomal hernia repair, trying to optimize the impossible reconstruction. Hernia. 2024 Apr 28:1-6. https://pubmed.ncbi.nlm.nih.gov/38678529/
    - Maskal SM, Thomas JD, Miller BT, Fafaj A, Zolin SJ, Montelione K, Ellis RC, Prabhu AS, Krpata DM, Beffa LR, Costanzo A. Open retromuscular keyhole compared with Sugarbaker mesh for parastomal hernia repair: Early results of a randomized clinical trial. Surgery. 2024 Mar 1;175(3):813-21.
    https://pubmed.ncbi.nlm.nih.gov/37770344/

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    37 mins
  • Clinical Challenges in Burn Surgery: Burn Resuscitation - Titrating and Troubleshooting - Part 2 of 2

    Clinical Challenges in Burn Surgery: Burn Resuscitation - Titrating and Troubleshooting - Part 2 of 2
    Sep 9 2024
    A patient with a large TBSA burn injury is transferred to a regional burn center. You are faced with some difficult clinical decisions as the resuscitation proves to be challenging. Join Drs. Tam Pham, Rob Cartotto, Julie Rizzo, Alex Morzycki and Jamie Oh as they discuss the clinical challenges in titrating and troubleshooting during acute burn resuscitation.

    Hosts:
    · Dr. Tam Pham: UW Medicine Regional Burn Center
    · Dr. Robert Cartotto: University of Toronto, Ross Tilley Burn Centre
    · Dr. Julie Rizzo: Brooke Army Medical Center
    · Dr. Alex Morzycki: UW Medicine Regional Burn Center
    · Dr. Jamie Oh: UW Medicine Regional Burn Center

    Learning Objectives:
    · Understand the role of colloids as complement/rescue to standard crystalloid fluid titration.
    · Identify the fluid threshold associated with development of abdominal compartment syndrome
    · Understand the role of continuous renal replacement therapy for patients with acute kidney injury during the resuscitation phase.
    · List specific patient populations who may experience a more difficult resuscitation.

    References:

    1. Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients. J Trauma 2000
    https://pubmed.ncbi.nlm.nih.gov/11003313/
    2. Cartotto R, Johnson LS, Savetamal A, et al. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. J Burn Care Res 2023
    https://pubmed.ncbi.nlm.nih.gov/38051821/
    3. Greenhalgh DG, Cartotto R, Taylor SL, et al. Burn Resuscitation practices in North America: results of the Acute Burn ResUscitation Prospective Trial (ABRUPT). Ann Surg 2023
    https://pubmed.ncbi.nlm.nih.gov/34417368/
    4. Cartotto R, Callum J. A review of the use of human albumin in burn patients. J Burn Care Res 2012
    https://pubmed.ncbi.nlm.nih.gov/23143614/
    5. Cruz MV, Carney BC, Luker JN, et al. Plasma ameliorates endothelial dysfunction in burn injury. J Surg Res 2019
    https://pubmed.ncbi.nlm.nih.gov/30502286/
    6. Falhstrom K, Boyle C, Makic MBF. Implementation of a nurse-driven burn resuscitation protocol: a quality improvement project. Critical Care Nurses 2013
    https://pubmed.ncbi.nlm.nih.gov/23377155/
    7. Salinas J, Chung KK, Mann EA, et al. Computerized decision support system improves fluid resuscitation following severe burns: an original study. Crit Care Med 2011
    https://pubmed.ncbi.nlm.nih.gov/21532472/
    8. Kenney CL, Singh P, Rizzo J, et al. Impact of alcohol and methamphetamine use on burn resuscitation. J Burn Care Res 2023
    https://pubmed.ncbi.nlm.nih.gov/37227949/

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    27 mins

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