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Behind The Knife: The Surgery Podcast
Registrace 22. 01. 2018
Behind the Knife is the world’s #1 surgery education platform. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Tube in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!
Behind the Knife Premium Courses include:
General Surgery Oral Board Audio Review
Trauma Surgery Video Atlas
Colorectal Surgery Oral Board Audio Review
Surgical Oncology Oral Board Audio Review
Vascular Surgery Surgery Oral Board Audio Review
Cardiothoracic Surgery Oral Board Audio Review
For easy listening and learning on the go, download our iOS and Android apps from the app store.
Learn more: app.behindtheknife.org/
Behind the Knife Premium Courses include:
General Surgery Oral Board Audio Review
Trauma Surgery Video Atlas
Colorectal Surgery Oral Board Audio Review
Surgical Oncology Oral Board Audio Review
Vascular Surgery Surgery Oral Board Audio Review
Cardiothoracic Surgery Oral Board Audio Review
For easy listening and learning on the go, download our iOS and Android apps from the app store.
Learn more: app.behindtheknife.org/
Stop Massive Bleeding (Abdominal and Pelvic) with REBOA | Behind the Knife - Bedside Procedures Ep 4
Massive hemorrhage that is non-compressible (such as abdominal and pelvic bleeding) is an EMERGENCY! Learn about a new technique to temporarily stop abdominal and pelvic bleeding, called REBOA - Resuscitative Endovascular Balloon Occlusion of the Aorta.
If you haven't seen my ARTERIAL LINES episode yet, that will be very helpful before you watch this video! app.behindtheknife.org/video/placing-arterial-lines-like-a-pro-radial-and-femoral-behind-the-knife-bedside-procedures-ep-3
Subscribe to the podcast!
podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7
Follow us on Twitter! @BehindTheKnife behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast behindtheknife_surgerypodcast
Follow us on Facebook! behindtheknife/
Sources of clips used under Fair Use doctrine for this educational video:
Larry Mellick: czcams.com/video/8BlPxQI2C90/video.html
UF PRO: czcams.com/video/XXbaByUzKe0/video.html
Global News: czcams.com/video/B6fE2JkvVoo/video.html
CoTCCC Committee-on-TCCC: czcams.com/video/JU43hsCUFrI/video.html
MedCram: czcams.com/video/ooLzAUVbhZ8/video.html
Orlando Health: czcams.com/video/VmEpL9Jo0uQ/video.html
EVTM: czcams.com/video/WYg7xjhq6UE/video.html
SAM Medical: czcams.com/video/8o7myD-u8KM/video.html
Intro: (0:00)
Indications and Contraindications: (1:54)
Set-up: (3:13)
Features of the REBOA catheter: (4:54)
Procedural Steps: (7:18)
After REBOA is deployed: (13:28)
Outro: (14:42)
Supplies you should gather:
REBOA Catheter
REBOA Convenience Kit (contains 7 Fr sheath, introducer needle, guidewire, syringe, saline flushes, suture, scalpel, catheter fastener, and sterile drape)
If you want to use a 5 Fr sheath, you need to get this separately!
Key Steps of the Procedure:
Obtain (early, if possible) common femoral arterial access
Measure the catheter length to the patient
Empty the balloon at the BAL port
Flush the catheter with the arterial line tubing after hooking it up
Insert the catheter using the orange peel-away
Inflate the balloon (remember: start 2, start 8, don't overinflate)
Secure the catheter
Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
If you haven't seen my ARTERIAL LINES episode yet, that will be very helpful before you watch this video! app.behindtheknife.org/video/placing-arterial-lines-like-a-pro-radial-and-femoral-behind-the-knife-bedside-procedures-ep-3
Subscribe to the podcast!
podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7
Follow us on Twitter! @BehindTheKnife behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast behindtheknife_surgerypodcast
Follow us on Facebook! behindtheknife/
Sources of clips used under Fair Use doctrine for this educational video:
Larry Mellick: czcams.com/video/8BlPxQI2C90/video.html
UF PRO: czcams.com/video/XXbaByUzKe0/video.html
Global News: czcams.com/video/B6fE2JkvVoo/video.html
CoTCCC Committee-on-TCCC: czcams.com/video/JU43hsCUFrI/video.html
MedCram: czcams.com/video/ooLzAUVbhZ8/video.html
Orlando Health: czcams.com/video/VmEpL9Jo0uQ/video.html
EVTM: czcams.com/video/WYg7xjhq6UE/video.html
SAM Medical: czcams.com/video/8o7myD-u8KM/video.html
Intro: (0:00)
Indications and Contraindications: (1:54)
Set-up: (3:13)
Features of the REBOA catheter: (4:54)
Procedural Steps: (7:18)
After REBOA is deployed: (13:28)
Outro: (14:42)
Supplies you should gather:
REBOA Catheter
REBOA Convenience Kit (contains 7 Fr sheath, introducer needle, guidewire, syringe, saline flushes, suture, scalpel, catheter fastener, and sterile drape)
If you want to use a 5 Fr sheath, you need to get this separately!
Key Steps of the Procedure:
Obtain (early, if possible) common femoral arterial access
Measure the catheter length to the patient
Empty the balloon at the BAL port
Flush the catheter with the arterial line tubing after hooking it up
Insert the catheter using the orange peel-away
Inflate the balloon (remember: start 2, start 8, don't overinflate)
Secure the catheter
Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
zhlédnutí: 1 105
Video
Placing Arterial Lines Like a Pro (radial and femoral) | Behind the Knife - Bedside Procedures Ep 3
zhlédnutí 718Před 28 dny
Some arteries can be TINY, but no matter how small, you can nail those arterial lines if you watch my video! If you haven't already seen our video on Ultrasound-Guided Access, consider watching that first! czcams.com/video/5IcVAz_8DPs/video.html Subscribe to the podcast! podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143 open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7 F...
EASY Central Line Placement (Central Venous Catheter) | Behind the Knife - Bedside Procedures Ep 2
zhlédnutí 1,3KPřed 28 dny
I LOVE placing central lines! Join me as we learn how to EASILY nail the IJ, subclavian, and femoral central lines. If you haven't already seen our video on Ultrasound-Guided Access, consider watching that first! czcams.com/video/5IcVAz_8DPs/video.html As a couple viewers have noted, we accidentally left out the shot where we removed the wire! You should remove the wire after the catheter is in...
Behind the Knife: Trauma Survey
zhlédnutí 445Před 28 dny
This very well may be the most practical, HIGH-YIELD video we have ever created! Are you a student or trainee rotating on trauma? This is a MUST SEE! Want to save a life? Start by dominating the trauma survey 👇🏼 This is part of our comprehensive student curriculum due out later this summer 🕶️ app.behindtheknife.org/home Please visit behindtheknife.org to access other high-yield surgical educati...
Surgeon Shows How to Place a CHEST TUBE - Behind the Knife - Bedside Procedures Episode 1
zhlédnutí 1,2KPřed 28 dny
Easily place a chest tube (tube thoracostomy) no matter the situation! Patients with pneumothorax or fluid in the chest (pleural effusion, hemothorax, empyema) may benefit from chest tubes. If you like this content, be sure to check out the other videos in this BEDSIDE PROCEDURES SERIES - app.behindtheknife.org/video-playlists/bedside-procedures Follow us on Twitter! @BehindTheKnife twitter.com...
Behind the Knife: FAST Exam
zhlédnutí 912Před 28 dny
Behind the Knife: FAST EXAM app.behindtheknife.org/home Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Behind the Knife: Trauma Survey
zhlédnutí 1,4KPřed 2 měsíci
This very well may be the most practical, HIGH-YIELD video we have ever created! Are you a student or trainee rotating on trauma? This is a MUST SEE! Want to save a life? Start by dominating the trauma survey 👇🏼 This is part of our comprehensive student curriculum due out later this summer 🕶️ app.behindtheknife.org/home Please visit behindtheknife.org to access other high-yield surgical educati...
Derby HPB Surgery - Severe Acute Pancreatitis Ep. 3: Laparoscopic Infracolic Necrosectomy
zhlédnutí 667Před 2 měsíci
Join us for Severe Acute Pancreatitis Ep. 3: Laparoscopic Infracolic Necrosectomy. Please visit app.behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Behind the Knife - General Surgery Oral Board Review Sample Episode - Esophageal Perforation
zhlédnutí 505Před 2 měsíci
The Behind the Knife General Surgery Oral Board Audio Review includes 96 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed general surgery board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in ...
Dominate the Match - Episode 6: Applying to Residency as an International Medical Graduate
zhlédnutí 274Před 2 měsíci
It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. In this episode, we will focus on the special challenges International Medical Graduates face when applying to US surgical residency positions and discuss tips and tricks for making IMG residency applicants standout to program directors in the US. Listen to the podcast ...
Clinical Challenges in Colorectal Surgery: J Pouch Creation and Postoperative Pouch Complications
zhlédnutí 669Před 3 měsíci
Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Philip Fleshner as they discuss the management of small bowel strictures in Crohn’s disease. Learning Objectives 1. Discuss the role for J-pouch in a patient with inflammatory bowel disease 2. Identify the key steps in creation of the J-pouch and technical considerations. 3. Describe post operative complications and ma...
Derby HPB Surgery: An Overview of Laparoscopic Common Bile Duct Exploration
zhlédnutí 847Před 3 měsíci
Join us for this Derby HPB episode for an overview of Laparoscopic Common Bile Duct Exploration. Derby HPB Video Playlist: app.behindtheknife.org/video-playlists/derby-hpb-surgery Please visit app.behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Derby HPB Surgery - Severe Acute Pancreatitis Ep. 2: Laparoscopic Transgastric Necrosectomy
zhlédnutí 666Před 3 měsíci
Join us for Episode 2: Laparoscopic Transgastric Necrosectomy of the Derby HPB Surgery Video Series on Minimally Invasive Surgical Management of Complicated Severe Acute Pancreatitis (SAP). Please visit app.behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Behind the Knife Premium: Surgery Education App
zhlédnutí 1,8KPřed 4 měsíci
Behind the Knife is a comprehensive surgery education platform for healthcare providers at all stages of their training and career. Our premium offerings include: General Surgery Oral Board Audio Review Trauma Surgery Video Atlas Colorectal Surgery Oral Board Audio Review Surgical Oncology Oral Board Audio Review Vascular Surgery Surgery Oral Board Audio Review Cardiothoracic Surgery Surgery Or...
Scoring Changes to the ABSITE: The Trainee Perspective on Impact and Ramifications
zhlédnutí 426Před 4 měsíci
The American Board of Surgery In-Training Examination will officially be switching from reporting percentile scores by year level to percent of questions correct. What does this change mean for residents? Podcast hosts Dr. Ananya Anand, Dr. Joe L’Huillier, and Dr. Rebecca Moreci are joined by three fellow CoSEF members for this discussion: Dr. Gus Godley, Dr. Colleen McDermott, and Dr. Josh Ros...
Clinical Challenges in Bariatric Surgery: Internal Hernia
zhlédnutí 671Před 4 měsíci
Clinical Challenges in Bariatric Surgery: Internal Hernia
Behind the Knife: How to Read a CT Scan
zhlédnutí 6KPřed 4 měsíci
Behind the Knife: How to Read a CT Scan
Clinical Challenges in Hernia Surgery: Open Preperitoneal Ventral Hernia Repair
zhlédnutí 4,3KPřed 4 měsíci
Clinical Challenges in Hernia Surgery: Open Preperitoneal Ventral Hernia Repair
Derby HPB Surgery - Severe Acute Pancreatitis Ep. 1: Introduction
zhlédnutí 1KPřed 5 měsíci
Derby HPB Surgery - Severe Acute Pancreatitis Ep. 1: Introduction
Behind the Knife Trauma Surgery Video Atlas: Sample Video - Femoral Vessels
zhlédnutí 1,9KPřed 6 měsíci
Behind the Knife Trauma Surgery Video Atlas: Sample Video - Femoral Vessels
Behind the Knife Trauma Surgery Video Atlas: Sample Video - Trauma Laparotomy
zhlédnutí 2,9KPřed 6 měsíci
Behind the Knife Trauma Surgery Video Atlas: Sample Video - Trauma Laparotomy
Behind the Knife Trauma Surgery Video Atlas
zhlédnutí 2KPřed 6 měsíci
Behind the Knife Trauma Surgery Video Atlas
Journal Review in Colorectal Surgery: Anal Dysplasia and Anal Squamous Cell Carcinoma
zhlédnutí 780Před 6 měsíci
Journal Review in Colorectal Surgery: Anal Dysplasia and Anal Squamous Cell Carcinoma
Pelvic Exenteration Surgery Series Episode 4: Reconstruction and Recovery
zhlédnutí 683Před 7 měsíci
Pelvic Exenteration Surgery Series Episode 4: Reconstruction and Recovery
Pelvic Exenteration Surgery Series Episode 3: Posterior and Lateral Compartment Tumours
zhlédnutí 1,2KPřed 7 měsíci
Pelvic Exenteration Surgery Series Episode 3: Posterior and Lateral Compartment Tumours
Journal Review in Surgical Education: The Salary of Resident Physicians
zhlédnutí 391Před 7 měsíci
Journal Review in Surgical Education: The Salary of Resident Physicians
CRS Virtual Education: Management of Complex Abdominal Crohn's Disease
zhlédnutí 561Před 8 měsíci
CRS Virtual Education: Management of Complex Abdominal Crohn's Disease
CRS Virtual Education: Surgical Management of Ulcerative Colitis & Re-Operative IPAA (Pouch) Surgery
zhlédnutí 479Před 8 měsíci
CRS Virtual Education: Surgical Management of Ulcerative Colitis & Re-Operative IPAA (Pouch) Surgery
CRS Virtual Education: Low Anterior Resection Syndrome
zhlédnutí 1,2KPřed 8 měsíci
CRS Virtual Education: Low Anterior Resection Syndrome
CRS Virtual Education: The “Difficult Pelvis”
zhlédnutí 592Před 9 měsíci
CRS Virtual Education: The “Difficult Pelvis”
Good tutorial aside from the hitch portion. I wish you would have described the step more in depth. Seems like a simple move, but I cannot seem to pass it.
Does anybody still have the slides or notes ?
Wrong clamping, the surgical clamp is beyond the chest tube, at risk of organ injury. It should be behind the tube tip
Thank you for this wonderful explanation
I got 5 chest tubes about 8 years ago, still hurts. The whole process is a nightmare, still have dreams of getting them pulled out.
What does he say at minute 13? “*word* the line when you insert it”
Over decades, I've placed thousands of central and other large-vessel access catheters...all without US. Things change and that's usually good, esp. for subclavian puncture. There is often inadequate appreciation of the variations in position of the vessels when insufficient thought is given to the pt's individual habitus. Also, when the lungs are hyperinflated the cupula of the lung can almost envelope the vessels as it is forced superiorally. This adds greatly to the danger. Remember, too, that the thoracic duct is on the left. No one wants to have to repair that. I am an annoying advocate of placing a strong cidal barrier at the catheter puncture site and I favor betadine ointment. These catheters are significant sources of hospital-acquired infections that can be deadly. I changed each dressing daily and reapplied betadine. This was best for the pt. and reinforced the importance to the staff. Unfortunately it doesn't eliminate the risk caused by staff when they replace lines and contaminate Luer locks.
I honestly don't know how many of these I have done...many hundreds. I've never used US and never had any complications or needed to change sides. It's that easy. These days I wonder how much money the hospitals add to the pt's. charges when US is used. It's probably a shocking amount. Even in active situations, one should always prep the skin. It can even be done by someone else while the operator is gloving. Intravascular catheters are major sources of often-disastrous hospital-acquired infections and care must be taken to avoid them. Very good video. Hopefully it will help many as their training progresses.
Informative and well-presented. I would add a few comments that have helped me over the years and hopefully helped the hundreds of pts. whom I resuscitated: There is no place for chaos during resuscitation. In fact, there is no place for chaos period. There is rarely a reason to raise one's voice. Everyone must understand who is in charge and directing the effort. That person makes certain that nothing is overlooked and that all of the data being generated are assimilated. I think it is best if he/she is not actively participating in the mechanics of the effort unless needed to do something requiring his unique expertise. All those who are not actively participating in the effort should leave the room. If a pt. is at all salvageable, he should be saved. Don't give up prematurely. My own two longest resuscitations in which both pts. left the hospital without sequelae were over 6 hrs. each in duration.
Nice doll with a GCS of 15!
Do you concur?
general thoracic surgery resident. My takes: 1. decubitus position with roll under side spreads intercostal spaces and moves away abdominal organs 2. Place a deferred/delayed suture for future easier and safer removal of drain. 3. Placing the drain with a clamp as a guide may damage intercostal space, Drains with mandrins are preferred 4. You can drain any coastal space in any line. You need to be sure if the disease (pus, air, effusion) is located there. Confirm with thoracocentesis via your local anestethic needle (aspirate the pleural cavity) 5. If draining fluids - guide your drain posteriorly and caudally if draining pneumothorax guide your drain anteriorly and apically 6. Remember about premedication with opioids (helps with pain but also dyspnea), be abundant with local anestethic. And personally, We hate those complex drainage systems, a simple single-chamber bottle is our way to go.
Dr. Franco should def. volunteer haha
Great overview! Waiting for more videos like that 👍
Thank you that was one of the best explanations of the creep method😊
This was very helpful. Thank you.
Excellent job going through basics and thorough enough to talk about the finer points of efficiency.
Great video!
I'm a student nurse. This helped tremendously in understanding chest tube insertion process. Thank you for this.
Hernia repair was one of the reasons I declined the offer of surgical residencies...twice.
Love it, Surgery Bro. As a practical matter, someone on the team must be in charge. This may mean assigning roles, observing, recording and being absolutely certain that nothing is being overlooked. He/she should not be distracted (or, if necessary, only minimally and briefly distracted) by active participation. Though resuscitation may seem chaotic, it must never be.
thank you sunshine!
As a chronic illness patient I think all doctors should experience a central line placement without the numbing medication. Maybe then they will stop trying to do this procedure on patients without numbing the area and telling the patient that “it shouldn’t hurt that bad”
As a chronic illness patient I think all doctors should experience a central line placement without the numbing medication. Maybe then they will stop trying to do this procedure on patients without numbing the area and telling the patient that “it shouldn’t hurt that bad”
Wtf.!!!!! Its never too late. Finally i got it here.
very easy to learn as explained
I had to have this done in ER & thought I was gonna die! They used a guide wire to put tube in & it crimped and they had to pull it back out! It honestly hurt like nothing I’d ever experienced. I screamed so loud & I have a high tolerance to pain. Had to go back a week later to my doctor & my lung had collapsed again(I believe this all happened due to getting Covid vaccine). Told my Dr. I couldn’t go through that again. This time they did it Completely different with not one second of pain. They did it in hospital this time.
Best video on central line
Very good video
What mesh was used ? How long does the mesh has been implant onto the abdominal area
Three brilliant and beautiful women. I’m on the transplant list (ESRF from PKD, currently on PD for two years) and I would be thrilled if any of these doctors would be my surgeon. Thank god for dedicated, intelligent people like them.
Personally I prefer zipties to force the tubing onto the connector using a banding gun. I've had an instance where surgical staff didn't band the chest tube and the atrium connection came off the tube, exposing the pleural cavity to the atmosphere via the chest tube. IMO tape would simply come off too easily. But otherwise great video!
Can that procedures be done using radial or brachial artery?
Great Video Thanks for you
Anyone looking for assistance in India for kidney transplant surgery can reply will provide all needs😊
Thank you so much sir...
confirmation xray, yes!
Surgeon at Northwestern is hesitant to do surgery due to my renal vassels too calcified. What do I do?
Jan
Good stuff!
Brilliant description and plenty of gems in this illustration. Thank you!!
I read a lot of these comments. And it's obvious that no one had this procedure done on them, but, I did and at 1 point it was agony. It felt like a sharp knife went through my back and I literally screamed so loud. I passed out and them was given more feign. It was a nightmare and I will never ever go through it again. I had pneumonia and I got fluid from the pneumonia or so. I was told if I ever get fluid again. I'll probably die before. I'll go through that again. Or else demand that I be put to sleep? It wasn't too bad until the 2 got to the higher part of my back and lit. Erally I can't say it enough. It was like a dagger going to my back end. I have a high tolerance for pain, so I'm not exaggerating. This, this is a good procedure. In one way. Been another way. I believe people should be put to sleep. If there is sensitive or have Arthritis, let's say in their spine, which I have. I had a panic attack just watching this
Thank you
Solid video! ❤
This is really informative and extremely helpful to me. I am coming up to two years post anterior resection and reversal of an illeostomy. I think this confirms to me that I have long term LARS. Thank you for this :) It is nice to know it is not just me :)
Great video, a shoutout from egypt. Very good to have a surgeon's perspective on radiology.
And then ?
Very well put! 👏🏻 👏🏻
very helpful.Love from University of the west indies
Just getting ready for pgy1 love this