Clinical View Podcasts Brought to you by GE HealthCare

We discuss the economic impacts of perioperative resource utilization and how implementing perioperative care pathways can reduce hospital stays, lower costs, and improve patient outcomes.

In this 3rd installment on the topic of SPI, Dr. Robert Bilkovski and will look into the stress hormone response associated with surgery.

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In this podcast, Dr. Robert Bilkovski will provide more insights into the technology itself and then highlight literature wherein nociception monitoring has been associated with detection and mitigation of unwanted hemodynamic changes during surgery

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In this podcast series, Dr. Robert Bilkovski will review the topic of intraoperative pain monitoring and use of the surgical pleth index measurement, also called SPI.

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Balancing the makeup of the Anesthesia Care Team is a continuous challenge within our field.
A panel representing clinical practice, administration consulting, and industry discuss current trends, best practices, and advancing technologies that can help care teams realize operational efficiencies.

Welcome to this podcast series on end-tidal oximetry. In this third and final podcast in this series, Dr. Bilkovski will discuss areas where end-tidal O2 measurements have been used to inform clinical decision making. He will pay particular attention to use during RSI, which is rapid sequence induction for intubation

Welcome to this podcast series on end-tidal oximetry. In this podcast Dr. Bilkovski will take aim at the concept of end-tidal oximetry and the oxygen gradient and how it may be clinically applied.

Welcome to the first podcast of the podcast series on End-tidal oximetry. In this first podcast, Dr. Robert Bilkovski will focus on delivering a high-level understanding of oxygen transport basics and the concept of oxygen exchange within the alveolar unit. 

Future podcasts will dive into more detail including the concept of the oxygen gradient, end-tidal CO2 and O2 measurement and how end-tidal oximetry may be used clinically.

Welcome to this podcast series on Indirect Calorimetry. In this final installment on the series, Dr. Robert Bilkovski will focus on the assessment of steady state and the pitfalls that may impact reliable energy expenditure measurements utilizing indirect calorimetry.

Welcome to this podcast series on Indirect Calorimetry. In this podcast, Dr. Robert Bilkovski will turn our focus from the theoretical to the practical as he discuss energy metabolism and the use of indirect calorimetry.

In this podcast, the objectives will focus on, first, gaining an understanding of several of the more widely used clinical use cases which includes burn, pediatric and management of the obese patient. Secondly, obtaining a high-level understanding of the ASPEN guidelines and some of their key takeaways.

Welcome to this podcast series on Indirect Calorimetry. In this second episode, Dr. Robert Bilkovski will do a comparison between indirect calorimetry and predictive equations.

This podcast will cover the principles of indirect calorimetry and a high-level understanding of the Weir Formula, the basis of predictive equations and their limitations as well as limitations associated with indirect calorimetry

Welcome to this podcast series on Indirect Calorimetry. In this first episode, Dr. Robert Bilkovski will go over the principles of energy metabolism. 

This podcast will cover the difference in calories between fat, carbohydrates and proteins, go over the components of energy expenditure, and review how measurement of energy expenditure can inform feeding status, whether that being over-fed or under fed.

The ECG provides critical information that assists in establishing the diagnosis of acute coronary syndrome and determining the treatment strategy. In acute coronary syndrome, common ECG abnormalities include T-wave tenting or inversion, ST-segment elevation or depression (including J-point elevation in multiple leads), and pathologic Q waves. ECG risk stratification allows appropriate referral of patients to a chest pain center or, even, to a catheterization laboratory. 

Thus, in this podcast Dr. Cosentino aims at improving your confidence in the interpretation of ECG during a suspected or confirmed acute coronary syndrome. A systematic approach to ECG analysis is essential for identifying an early and appropriate management for patients with acute coronary syndrome. 

This podcast is ideal for those required to interpret ECGs during suspected or confirmed acute coronary syndrome within their clinical role and who wish to quickly develop a reliable method for ECG interpretation in this clinical setting.

Continuous ECG monitoring is currently applied in a variety of critical and non-critical care hospital settings. While early monitoring focused on heart rate measurement and fatal arrhythmia detection in acutely-ill cardiac patients, current ECG monitoring has expanded to include diagnoses of complex arrhythmias, acute myocardial ischemia, and (pharmacologically-induced) prolonged QT intervals in real time in several areas of the hospital. Thus, the clinical recommendations for using continuous ECG monitoring are a critical issue in daily clinical practice. 

In this podcast, Dr. Nicola Cosentino provides a quick update for recommendations for continuous ECG monitoring of hospitalized patients, addressing its appropriate use in different clinical settings. In particular, a simple, but systematic, approach focusing on how to prioritize when dealing with continuous ECG monitoring is here provided.

ECG monitoring was initially employed in coronary care units during the 1950s and 1960s. Today, it is more broadly applied in a variety of critical and non-critical care hospital settings. Moreover, while early monitoring focused on heart rate measurement and fatal arrhythmia detection in acutely-ill cardiac patients, current ECG monitoring has expanded to include diagnoses of complex arrhythmias, acute myocardial ischemia, and (pharmacologically-induced) prolonged QT intervals in real time also in non-cardiac areas of the hospital. 

Thus, cardiac monitoring is a useful, noninvasive diagnostic tool that assists clinicians not only in detecting life-threatening arrhythmias but also in early identification patients who need to be urgently treated due to the ongoing clinical deterioration. 

The purpose of this podcast is to provide a quick review for continuous ECG monitoring of patients hospitalized in non-cardiac areas, addressing its appropriate use and the expected clinical benefits.

COVID-19 infection may have a negative impact on the cardiovascular system by potentially causing myocardial damage, vascular inflammation, and myocardial infarction. The presence of myocardial injury is a poor prognostic sign. 

Electrocardiogram, a simple bedside diagnostic test with high prognostic value, and continuous ECG monitoring can be employed to assess early cardiovascular involvement in such patients and to rapidly detect life-threatening arrhythmias and/or impending clinical deterioration. 

In this podcast, we will discuss the central role of 12-lead ECG and continuous ECG monitoring in COVID-19 patients. In particular, this podcast will provide practical insights and clinical protocols that can assist physicians in managing high-risk COVID-19 patients.

COVID-19 infection is a multisystem disease not restricted to the lungs. It may have a negative impact on the cardiovascular system by potentially causing myocardial damage, vascular inflammation, and myocardial infarction. The presence of myocardial injury is a poor prognostic sign. Electrocardiogram, a simple bedside diagnostic test with high prognostic value, can be employed to assess early cardiovascular involvement in such patients. Various abnormalities in ECG like QRS complex and QTc interval prolongation, ST-T changes, arrhythmia, and conduction defects have been reported in COVID-19. 

In this podcast, cardiology intensivist Dr. Nicola Cosentino will discuss the central role of ECG in the setting of COVID-19 patients. In particular, this podcast will highlight the impact of COVID-19 on ECG findings and on the risk of acute and life-threatening rhythm disorders.

Intraoperative mortality is now so rare that it's hard to quantify. In fact, if the 30 days after surgery were considered a disease, it would be the third leading cause of death in the United States.

About two percent of inpatients over the age of 45 die within a month after surgery.

Discover more about postoperative mortality and continuous monitoring with Frederic Michard and Dan Sessler at Euroanesthesia 2022.

In this podcast, John "JW" Beard, Chief Medical Officer of GE Patient Care solutions, GE Healthcare, Eric Ruedinger, General Manager for Anesthesia and Respiratory Care, Patient Care Solutions, GE Healthcare and Guy Dear, Pediatric Anesthesiologist at Duke University Hospital discuss advances in low-flow anesthesia.

Et Control in the USA is approved for patients 18 years of age and older.

In this podcast, John "JW" Beard, Chief Medical Officer of GE Patient Care solutions, GE Healthcare, APSF Board of Directors and Jeffery Feldman, Attending Anesthesiologist, Children’s Hospital of Philadelphia (CHOP) and Professor of Clinical Anesthesiology at the Perelman School of Medicine, University of Pennsylvania, APSF Board of Directors discuss the Anesthesia Safety Patient Foundation, its role, and the updated anesthesia monitoring recommendations.

In this podcast, Sadia Khan, Consultant Physician, Clinical Director and Service Director for Cardiology at Chelsea and Westminster Hospital and Frank Overdyk, Professor of Anaesthesiology in Charleston, South Carolina, discuss about patient monitoring in the wards.

Lynn Reede, Associate Clinical Professor, Northeastern University Nurse Anesthesia Program, talks about Enhanced Recovery and The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

What do patients need postoperatively? According to Dr. Anna Batchelor what they require is more nursing. 

Nevertheless, when we go to our wards, there is approximately 6 to 10 patients to one nurse.

Review how Enhanced Care can fill this gap in this podcast.