Search for a podcast, video, resource, or blog post

The Colorectal Surgery Virtual Education team is back with Mock Oral exams (4 cases). You can also enjoy this content in podcast format.

For more information on the Colorectal Surgery Virtual Education initiative visit www.crsvirtualed.org.

Dominate the Day by visiting www.behindtheknife.org.

Video Credit:
Shiva Jayaraman, VARD (Video Assisted Retroperitoneal Debridement), https://www.youtube.com/watch?v=Gqft-GytlEs

Logo/Figure Credit:
Werner, J., Feuerbach, S., Uhl, W., & Büchler, M. W. (2005). Management of acute pancreatitis: from surgery to interventional intensive care. Gut, 54(3), 426-436.
Shyu, J. Y., Sainani, N. I., Sahni, V. A., Chick, J. F., Chauhan, N. R., Conwell, D. L., … & Silverman, S. G. (2014). Necrotizing pancreatitis: diagnosis, imaging, and intervention. Radiographics, 34(5), 1218-1239.
Van Santvoort, H. C., Besselink, M. G. H., Horvath, K. D., Sinanan, M. N., Bollen, T. L., Van Ramshorst, B., … & Dutch Acute Pancreatis Study Group. (2007). Videoscopic assisted retroperitoneal debridement in infected necrotizing pancreatitis. Hpb, 9(2), 156-159.
Van Santvoort, H. C., Besselink, M. G., Bakker, O. J., Hofker, H. S., Boermeester, M. A., Dejong, C. H., … & Gooszen, H. G. (2010). A step-up approach or open necrosectomy for necrotizing pancreatitis. New England Journal of Medicine, 362(16), 1491-1502.
Stairs by Amri Design from the Noun Project, https://thenounproject.com/search/?q=stairs&i=2801662
bubble by Jae Deasigner from the Noun Project, https://thenounproject.com/search/?q=1609394&i=1609394
virus by Eucalyp from the Noun Project, https://thenounproject.com/search/?q=3160230&i=3160230
fever by Soni Sokell from the Noun Project, https://thenounproject.com/search/?q=4032133&i=4032133
medical treatment by visual world from the Noun Project, https://thenounproject.com/search/?q=2007416&i=2007416
Shield by Andrejs Kirma from the Noun Project, https://thenounproject.com/search/?q=1172810&i=1172810
security questioned by Sophia Bai from the Noun Project, https://thenounproject.com/search/?q=1859275&i=1859275

Traumatic esophageal injuries are not common, but when they happen — you need to know how to handle them! Learn what the literature has to say about appropriate initial management of suspected penetrating esophageal trauma.

Make sure to check out other related topics from SCORE:
SCORE module: Neck Injuries – Management (https://www.surgicalcore.org/modulecontent.aspx?id=1000468)

Presented by: Hassan Mashbari, MD; Massachusetts General Hospital

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Anastomotic leaks come in many different flavors. Join Drs. Scott Steele and Patrick Georgoff as they work through the diagnosis and treatment of a variety of anastomotic leaks. Don’t miss this nuanced discussion!

You find a 2.3 cm polyp in the right colon during a screening colonoscopy. Does this patient need a colectomy? Is polypectomy ok? What should I do?? Join Drs. Peter Marcello, Jonathan Abelson and Tess Aulet as they discuss the endoscopic management of advanced colorectal polyps.

This video is accompanied by a podcast, which can be streamed via Apple (https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143), Spotify (https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7), and all other podcast platforms.

Interested in learning more about specific topics in Colorectal Surgery? Check out the Virtual Education Series in Colorectal Surgery on Sunday Evenings at 7 pm EST @CRSVirtualEd or visit our website at http://jc.kethman.org.

References:

Cohan JN, Donahue C, Pantel HJ, Ricciardi R, Kleiman DA, Read TE, Marcello PW. Endoscopic Step Up: A Colon-Sparing Alternative to Colectomy to Improve Outcomes and Reduce Costs for Patients With Advanced Neoplastic Polyps. Dis Colon Rectum. 2020 Jun;63(6):842-849. doi: 10.1097/DCR.0000000000001645. PMID: 32118624.
https://pubmed.ncbi.nlm.nih.gov/32118624/

NCCN guidelines: https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1428

Kudo Classification: Kudo S, Tamura S, Nakajima T, Yamano H, Kusaka H, Watanabe H. Diagnosis of colorectal tumorous lesions by magnifying endoscopy. Gastrointest Endosc 1996; 44: 8-14 [PMID:8836710]

UpToDate. Chromoendoscopy. Author:Marcia Irene Canto, MD, MHSSection Editor:John R Saltzman, MD, FACP, FACG, FASGE, AGAFDeputy Editor:Kristen M Robson, MD, MBA, FACG. Literature review current through: May 2021. | This topic last updated: Jan 14, 2021.

Haggit and Kikuchi classification: Haggitt RC, Glotzbch RE, Soffer EE, Wruble LD. Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. Gastroenterology 1985; 89: 328-36.

Limb preservation for soft tissue sarcoma of the extremities is a principle goal of therapy. In this episode we review landmark evidence for the use of adjuvant radiation.

Make sure to check out other related topics from SCORE:
SCORE module: Soft Tissue Sarcomas: https://www.surgicalcore.org/modulecontent.aspx?id=1000462

Presented by: Austin D. Williams, MD; Lankenau Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Mesh use can increase the longevity of a paraesophageal hernia repair, but they can be associated with erosion and perforation of the esophagus. So how does biologic mesh stack up?

Make sure to check out other related topics from SCORE:
https://www.surgicalcore.org/modulecontent.aspx?id=1000574 Paraesophageal Hernia Repair

Presented by: Sirivan Seng, MD; Crozer-Chester Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Foley catheters are routinely left after colorectal surgery. Patients hate having a tube in their urethra, and catheters represent an infection risk that hospitals dread. But removing them too early can lead to a situation where patients are unable to urinate. When is the best time to remove these catheters?

Make sure to check out other related topics from SCORE:
Esophgeal Caustic Ingestions and Foreign Bodies
https://www.surgicalcore.org/modulecontent.aspx?id=1000489

Presented by: Kaitlin A. Ritter, MD; Denver Health Medical Center/University of Colorado

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Foley catheters are routinely left after colorectal surgery. Patients hate having a tube in their urethra, and catheters represent an infection risk that hospitals dread. But removing them too early can lead to a situation where patients are unable to urinate. When is the best time to remove these catheters?

If you haven’t seen our Chest Tube procedure instruction video, definitely check that out! https://youtu.be/o5HuiD51Su0

Make sure to check out other related topics from SCORE
Acute Urinary Retention: https://www.surgicalcore.org/modulecontent.aspx?id=160175

Presented by: Michael Tonzi, MD; University of Tennessee College of Medicine – Chattanooga

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Does size matter when it comes to chest tubes? In this episode of the Journal Cast, we discuss the evidence behind choosing a smaller chest tube the next time you decide to put one in.

If you haven’t seen our Chest Tube procedure instruction video, definitely check that out! https://youtu.be/o5HuiD51Su0

Make sure to check out other related topics from SCORE
Tube Thoracostomy: https://www.surgicalcore.org/modulecontent.aspx?id=1000528
Pneumothorax: https://www.surgicalcore.org/modulecontent.aspx?id=1000495

Presented by: Victoria Miles, MD, University of Tennessee COM

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Severe perforated diverticulitis is a surgical emergency. When the abdomen is badly contaminated, in the past a Hartmann procedure has been the treatment of choice, due to fears of a threatened anastomosis (intestinal connection). But the DIVERTI trial changed the way we think about this problem. Learn about it here!

Make sure to check out other related topics from SCORE on total, subtotal, and partial colectomy (http://www.surgicalcore.org/modulecontent.aspx?id=1000583 and https://www.surgicalcore.org/modulecontent.aspx?id=129670) from the TWIS topic of large intestine!

Presented by: Shayan Khalafi, MD, University of Miami

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Carotid endarterectomy is a surgery where plaque build-up is removed from the inside of the carotid artery. How bad does the build-up (stenosis) need to be before it’s worth doing this big surgery? The NASCET trial is a classic study that tells us the answer.

Don’t forget to check out the TWIS topics: Carotid Endarterectomy (https://surgicalcore.org/modulecontent.aspx?id=150413) and Cerebrovascular Disease (https://surgicalcore.org/modulecontent.aspx?id=149545) for more information!

Presented by: Madhuri Nagaraj, MD, UT Southwestern

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Over 100,000 women every year receive breast reconstruction after cancer treatment. Breast reconstruction is a complex topic! Listen to Dr. John Kim go in-depth with us about his approach to breast reconstruction.

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast…
https://open.spotify.com/show/2yHr0A4…

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?la…​
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindthekn…
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Resuscitation in severe trauma should be done with early administration of blood products. Learn about the PROPPR trial, which evaluated the difference between 1:1:1 versus 1:1:2 blood product resuscitation!

Be sure to check out the TWIS topics on trauma!
Initial Assessment and Management of Trauma: https://www.surgicalcore.org/modulecontent.aspx?id=1000540
Abdominal Exploration for Trauma: https://www.surgicalcore.org/modulecontent.aspx?id=1000552

Presented by: Alainna Simpson, DO, Oklahoma State University Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

*CORRECTION: In our benzodiazepine versus barbiturate mnemonic, the idea is that benzodiazepines and barbiturates both act as positive allosteric modulators of the GABA receptor. However, benzos increase the frequency of opening of the channel while barbiturates increase the duration of channel opening. In fact there is no consistent difference between the drug classes in regards to dosing timing. That’s my mistake! I didn’t fully understand this particular mnemonic when describing it!

Do you have a mnemonic you think is really useful? PLEASE SHARE IT in the comments section below! Watch this quick-fire video to see some of the best mnemonic devices we use to DOMINATE the ABSITE!

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

It’s an age-old question that often mirrors a divide between medical specialties! Learn about a trial that attempted to answer this question in a population of critically ill patients.

Be sure to check out the TWIS topics on SCORE about electrolyte derangement and renal failure for some more information:
https://www.surgicalcore.org/modulecontent.aspx?id=140947
https://www.surgicalcore.org/modulecontent.aspx?id=140716

Presented by: Ryan Huttinger, DO; General Surgery Resident; Cape Fear Valley Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

Your patient just had abdominal surgery and now their bowel just won’t wake up. A classic and frustrating reason for prolonged hospital course! We do all sorts of things to try to get that gut working again faster. What works and what does not work?

Review the Paralytic Ileus SCORE Module for a refresher on the background, workup, and treatment of ileus: https://surgicalcore.org/modulecontent.aspx?id=167603

Presented by: Austin D. Williams, MD MSEd; General Surgery Resident; Lankenau Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

There was a day when surgeons were VERY AGGRESSIVE with surgical management of the axillary lymph nodes in patients with breast cancer, even in cases with clinically negative nodes. Today, the sentinel lymph node biopsy has made surgery far less invasive and complicated. Learn about one of the pivotal trials that allowed us to get to this point!

Review the Breast Masses SCORE Module for a refresher on the background and workup of a breast mass: https://surgicalcore.org/modulecontent.aspx?id=130978

Presented by: Austin D. Williams, MD MSEd; General Surgery Resident; Lankenau Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

For locally advanced, resectable rectal cancers, chemoradiation before surgery has become a standard treatment approach. How did doctors figure out this was a good thing to do? Learn about the randomized control trial that brought us to this treatment paradigm!

Review the SCORE modules on Rectal Cancer and Abdominoperineal Resection here: https://surgicalcore.org/modulecontent.aspx?id=130244 and https://surgicalcore.org/modulecontent.aspx?id=162148

Presented by: Blake Berhman, MD; General Surgery Resident; University of Tennessee COM Chattanooga

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

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! https://www.youtube.com/watch?v=nyZeuMrwBH8

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Sources of clips used under Fair Use doctrine for this educational video:
Larry Mellick: https://youtu.be/8BlPxQI2C90
UF PRO: https://youtu.be/XXbaByUzKe0
Global News: https://youtu.be/B6fE2JkvVoo
CoTCCC Committee-on-TCCC: https://youtu.be/JU43hsCUFrI
MedCram: https://youtu.be/ooLzAUVbhZ8
Orlando Health: https://youtu.be/VmEpL9Jo0uQ
EVTM: https://youtu.be/WYg7xjhq6UE
SAM Medical: https://youtu.be/8o7myD-u8KM

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

Surgery comes second in the treatment of resectable esophageal cancer. How did doctors come to know that neoadjuvant (before surgery) chemoradiotherapy helps patients live longer? Learn about the CROSS trial!

Presented by: Scott Mu, MD; General Surgery Resident; Rutgers New Jersey Medical School

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

How can under-represented black doctors, and especially their allies, muster the courage to confront the structures of systemic racism? Surgeons Carla Pugh, Lola Fayanju, and Fabian Johnston share their perspectives.

Listen on our website our your favorite podcast app to hear the full episode!
https://podcasts.apple.com/us/podcast/systemic-bias-structural-racism-in-surgery-medicine/id980990143?i=1000486241569

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast
Follow us on Facebook! https://www.facebook.com/behindtheknife/

The chief asks you on rounds: “How long do you want to continue antibiotics for this patient who had perforated diverticulitis?” Whip out the STOP-IT trial to put some evidence behind your recommendation!

Presented by: Teressa Halley, DO; General Surgery Resident; Cape Fear Valley Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

Dr. Travis J McKenzie, Endocrine and Bariatric Surgeon at Mayo Clinic, joins us on the podcast to discuss adrenal incidentaloma and adrenalectomy.

Listen on our website our your favorite podcast app to hear the full episode!
https://behindtheknife.org/?p=3506

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast
Follow us on Facebook! https://www.facebook.com/behindtheknife/

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!
https://www.youtube.com/watch?v=5IcVAz_8DPs

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Intro: (0:00)
–Starting with the RADIAL art line–
Equipment: (1:11)
Positioning: (2:59)
Procedural Steps: (4:10)
Troubleshooting: (6:08)
FEMORAL art line: (7:46)
Setting up art line tubing: (8:59)
Outro: (10:40)

Supplies you should gather:
PPE (including gown, gloves, headgear, eyepro)
Towel and tape, or wrist splint, for positioning
Ultrasound and probe cover
Prep stick and drape
Arterial line inetgrated “dart”, or traditional micropuncture with wire and catheter

Key Steps of the Procedure (assuming you are using a dart):
Infiltrate local anesthesia
Use ultrasound to guide dart down to vessel
See blood enter flash chamber
Slide wire all the way down using the black tab
Advance catheter off the needle and over the wire
Withdraw dart and hook up arterial line tubing

How did doctors learn that certain patients with hepatocellular carcinoma benefit from liver transplant? Learn about the two landmark papers that brought us here.

Presented by: Kimberly Linden, MD; General Surgery Resident; Cooper University Hospital

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

***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 inserted over it! 🙂 ***

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!
https://www.youtube.com/watch?v=5IcVAz_8DPs

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?la…
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindthekn…
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Intro: (0:00)
Positioning: (0:37)
Landmarks and ultrasound: (1:12)
Gathering Equipment: (2:05)
Priming Equipment: (3:19)
Procedural Steps: (4:10)
Subclavian and Femoral Lines: (10:44)
Outro: (13:01)

Supplies you should gather (many will be in the kit):
Prep stick and drape
Gauze and sterile dressing
Catheter and 3 caps
Local anesthesia, needles, and syringe
Finder needle and syringe
Guidewire
11-blade knife
Skin dilator
Sterile saline flushes
Suture, needle, and catheter fastener
Ultrasound
Ultrasound probe cover
Pressure transducer (if available/desired)

Preparation Tips and Tricks:
Clear room at the head of the bed
Bring patient head to edge and place in Trendelenburg with height to your preference
When placing probe cover, remove all folds from the plastic and remove all air bubbles from the gel
Flush catheter lines before use
Ensure guidewire glides smoothly and prime the cheater
Stage all your equipment in order of use

Key Steps of the Procedure:
Infiltrate local anesthesia
Use ultrasound to guide finder needle down to vessel
Place guidewire to 20cm depth
Make nick in skin with blade, then dilate tract
Feed catheter over guidewire, advance to desired depth, remove wire
Aspirate from and flush all ports
Sew in catheter, including using the catheter fastener
Call for confirmatory x-ray

Before you can do things like a central line or a radial arterial line, you need to know how to use the ultrasound to poke a needle into things!

One thing I forgot to mention in the video: I demonstrate accessing vessels with short-axis view (like taking a slice through a bread loaf, if the bread is the vessel). You can also access vessels with long-axis view (like cutting a hot-dog in half the long way). I do not recommend this approach because you can’t see structures lateral to the vessel, and it is also difficult to keep the needle in plane with the ultrasound window.

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?la…
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindthekn…
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Intro: (0:00)
Learn about the ultrasound: (1:06)
Getting access with the needle: (3:37)
Outro: (5:52)

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

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 PROCEDURES SERIES!

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

Intro: (0:00)
Gathering Supplies: (0:24)
Preparation and Positioning: (2:25)
Procedural Steps: (5:19)
Outro: (10:05)

Supplies you should gather:
Mayo stand
Knife (15 blade preferred)
Chest tube (consider 28F for general purposes)
Water seal / suction chamber (i.e. Atrium or Pleur-Evac)
2x pairs of Kelly clamps (or similar)
Gauze
Suture and needle drivers
Sterilizing prep (i.e. chlorhexidine) and drape (consider thyroid drape)
Local anesthesia and syringe with needles

Preparation Tips and Tricks:
Position the bed flat and elevated to your working height
Slide the patient to the edge you are working on
Open your equipment in a sterile fashion; consider how much help you have
Don’t forget to set up the Atrium including the water seal chamber
Clamp the extracorporeal end of the chest tube

Key Steps of the Procedure:
Infiltrate local anesthesia
Make 2-3 cm incision in the 4th or 5th intercostal space at the midaxillary line
Use Kellys to navigate above the rib and punch through the parietal pleura
Spread the tract generously, then perform a finger sweep
Guide chest tube into the pleural cavity with the Kellys
Suture the chest tube in place and dress it
Hook up the chest tube to the Atrium, apply suction, and get a chest x-ray.

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

What kind of surgical technique provides the most durable fascial closure? Check out our brief review of the STITCH trial which attempted to answer this very question.

Presented by: Christina Theodorou, MD; General Surgery Resident; UC Davis Medical Center

Are you trying to MATCH into your dream surgery program, DOMINATE the ABSITE, or continue HONING your surgical MASTERY?
SUBSCRIBE to our channel to keep up to date with the latest surgical knowledge!

Check us out on the Web:
https://behindtheknife.org
https://www.facs.org/member-services/ras

Subscribe to the podcast!
https://podcasts.apple.com/us/podcast/behind-the-knife-the-surgery-podcast/id980990143
https://open.spotify.com/show/2yHr0A4N7NJk4NoTcNd1z7

Follow us on Twitter! @BehindTheKnife https://twitter.com/behindtheknife?lang=en
Follow us on Instagram! @behindtheknife_surgerypodcast https://www.instagram.com/behindtheknife_surgerypodcast/
Follow us on Facebook! https://www.facebook.com/behindtheknife/

-~-~~-~~~-~~-~-
Please watch: “How to Do a Central Line (Central Venous Catheter) – Behind the Knife – Bedside Procedures Episode 2 ”
https://www.youtube.com/watch?v=DgQbQSBYeQU
-~-~~-~~~-~~-~-

Behind the Knife (BTK) and Resident and Associate Society of the American College of Surgeons (RAS-ACS) present:

Journal Cast #5 – COST Trial

Is it safe to perform a colectomy laparoscopically for malignancy? Are the oncologic outcomes similar to open resection? The COST trial sought to answer this question. Watch this short video to find out the answer!

Presented by:
Daniel deLahunta, MD
General Surgery Resident
Department of Surgery
Loyola University Medical Center

Follow us on Twitter:
@behindtheknife
@rasacs

Check us out on the Web:
http://surgerypodcast.behindtheknife….
https://www.facs.org/member-services/ras

Dr. Patrick Georgoff describes the basics of managing a ventilator for the non intensivist.

Dr. Georgoff is a Trauma and Critical Care Fellow at UT Houston and is an expert in surgical education and a frequent contributor to Behind The Knife.

Behind the Knife (BTK) and Resident and Associate Society of the American College of Surgeons (RAS-ACS) present:

Journal Cast #1 – EVAR Trial 1

Is endovascular abdominal aortic aneurysm repair superior to open AAA repair? The EVAR trial 1 compared the two intervention types. Watch this short video to find out the answer!

Presented by:
Cali Johnson, MD, EdD
General Surgery Resident
Early Specialization Program in Vascular Surgery
University of Southern California

Follow us on Twitter:
@behindtheknife
@rasacs

Check us out on the Web:
http://surgerypodcast.behindtheknife….
https://www.facs.org/member-services/ras

Behind the Knife (BTK) and Resident and Associate Society of the American College of Surgeons (RAS-ACS) present:

Journal Cast #4 – Lobectomy vs Limited Resection for T1N0 Non Small Cell Lung Cancer

A chest CT shows a small lung lesion highly suspicious for malignancy in a current smoker. Can you get away with a wedge resection, or should you still perform a lobectomy? Watch this short video to find out the answer!

Presented by:
Kimberly Linden, MD
General Surgery Resident
Department of Surgery
Cooper University Hospital

Follow us on Twitter:
@behindtheknife
@rasacs

Check us out on the Web:
http://surgerypodcast.behindtheknife.org/
https://www.facs.org/member-services/ras

Behind the Knife (BTK) and Resident and Associate Society of the American College of Surgeons (RAS-ACS) present:

Journal Cast #3 – Irrigation vs Suction for Appendicitis

Is dilution really the solution to pollution? Multiple studies in adult and pediatric surgery have looked into the answer. Watch this short video to find out if any consensus has been achieved!

Presented by:
Christina Theodorou, MD
General Surgery Resident
Department of Surgery
UC Davis Medical Center

Follow us on Twitter:
@behindtheknife
@rasacs

Check us out on the Web:
http://surgerypodcast.behindtheknife.org/
https://www.facs.org/member-services/ras

Behind the Knife (BTK) and Resident and Associate Society of the American College of Surgeons (RAS-ACS) present:

Journal Cast #1 – STAMPEDE Trial

Does bariatric surgery provide an added benefit to intensive medical therapy in type 2 diabetics? The STAMPEDE trial answers the question. Watch this short video to find out the answer!

Presented by:
Patrick Sweigert, MD
General Surgery Resident
Department of Surgery
Loyola University Medical Center

Follow us on Twitter:
@behindtheknife
@rasacs

Check us out on the Web:
http://surgerypodcast.behindtheknife.org/
https://www.facs.org/member-services/ras

In our first video grand rounds, Dr. Blinman walks us through how to give a talk. He covers how to best utilize Powerpoint and how to make your point come across loud and clear. We hope this helps all of you as you prepare to present at your Grand Rounds, M&M, and conferences.

Presenter:
Dr. Thane Blinman, MD, FACS
Attending Pediatric Surgeon
Associate Professor of Surgery
Director of General Surgery Fellowship Program
Children’s Hospital of Philadelphia

Dr. Dominic Forte takes us through instrument tying.

Be sure to subscribe so you do not miss the rest of our planned season of videos.

We will cover all the basics of surgical skills needed before starting a surgical residency.

Dr. Dominic Forte takes us through one handed knot tying.

Make sure you subscribe so you don’t miss any of our future episodes. Comment below with surgical skills you would like to see us cover.

Check out Behind The Knife on any podcast player.

Dominic Forte takes us through two handed knot tying.

Stick with us as we will cover the essential surgical skills over the next three months.

Comment below which skills you would like to see us cover.

Our website is behindtheknife.org

Christopher Marenco joins Behind The Knife to teach us the unique ways in which he remembers all the details for the ABSITE. Please subscribe to this Youtube channel if you want to see more of these type of videos.

Behind The Knife is Hosted by Kevin Kniery, Jason Bingham, John McClellan, Woo Do and Scott Steele