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Adrenalectomy and Adrenal Incidentaloma with Dr. Travis J McKenzie | Behind the Knife Podcast Clip
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
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Systemic Racism in Medicine and Surgery: Allies, Bravery, and Willingness to Make Mistakes
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
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Breast Cancer Reconstruction with Plastic Surgeon Dr. John Kim from Northwestern University
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...
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Understanding SCORE and the Future of Surgical Education Behind the Knife
Videos
Podcast Clips
Bedside Procedures
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Surgeon Shows How to Place a CHEST TUBE | Behind the Knife - Bedside Procedures Episode 1
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
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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.
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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
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Ultrasound-Guided Access (IVs, Lines) | Behind the Knife - Bedside Procedures Bonus Episode
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...
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Intro: (0:00)
Learn about the ultrasound: (1:06)
Getting access with the needle: (3:37)
Outro: (5:52)
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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
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EASY Central Line Placement (Central Venous Catheter) | Behind the Knife - Bedside Procedures Ep 2
***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...
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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 -
Placing Arterial Lines Like a Pro (radial and femoral) | Behind the Knife - Bedside Procedures Ep 3
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 -
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! 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
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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
Landmark Papers JournalCast
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STAMPEDE Trial - BARIATRIC SURGERY IMPROVES DIABETES | BTK/RAS-ACS Journal Cast #1
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 -
AORTIC ANEURYSM (AAA) SURGERY - Open surgery or endovascular EVAR? | BTK/RAS-ACS Journal Cast #2
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 -
APPENDECTOMY SURGERY - Irrigation or Suction? | BTK/RAS-ACS Journal Cast #3
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 -
LUNG CANCER SURGERY - lobectomy or wedge resection for early cancer? | BTK/RAS-ACS Journal Cast #4
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 -
COST Trial - Laparoscopic colectomy for COLON CANCER | BTK/RAS-ACS Journal Cast #5
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 -
STITCH Trial - How surgeons should close fascia and prevent HERNIAS | BTK/RAS-ACS Journal Cast #6
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/
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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
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ABSITE Review
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ABSITE Image Review with Behind The Knife
Geb Black joins Behind The Knife to take us through a high yield image review!
Please subscribe if you want more board pertinent videos! -
ABSITE Mnemonic Review by Behind The Knife
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 -
ABSITE Mnemonic Review UPDATED 2021 - Behind the Knife
*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/
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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
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Surgical Skills Boot Camp
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Two Handed Surgical Knot Tying - BTK Boot Camp Ep. 1
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 -
BTK Boot Camp Ep. 2 One Handed Knot Tying
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. -
BTK Boot Camp Ep. 3 Instrument Tying
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. -
BTK Boot Camp Ep. 4 "Spoon Tying"
Dr. Dominic Forte teaches you how to thrown knots with finesse.
Check out our "Advice for Interns Episode" on Behind The Knife Surgery Podcast -
BTK Boot Camp Ep. 5 Simple Interrupted Suturing Technique
Hugo and Dr. Dominic Forte take us through the basic suturing techniques starting with the most simple which is the simple interrupted. -
BTK Boot Camp Ep. 6 Horizontal and Vertical Mattress Suturing
Dr. Dominic Forte takes us through Horizontal and Vertical Mattress suturing.
Coming soon - Instruments of a Basic Laparotomy Tray
Comment below what you would like to see us cover!
