MedEd Learning Experience

The MedEd Learning Experience podcast is a weekly podcast series that provides brief, interview-style discussions with clinical experts and is designed to teach safe and effective use of different therapies in patient monitoring and respiratory interventions. The podcast will feature discussions on anesthesia and brain monitoring, unplanned extubation in the NICU, routine intubation with video laryngoscopy, challenges in the NICU, the value of NIRS in clinical practice in the NICU, non-invasive and invasive ventilation in the NICU, and more. The goal of this program is to get closer to the patient and delve into the challenges and impact of each technology in practice. For more medical education content, please visit: https://www.medtronic.com/covidien/en-us/clinical-education/catalog.html

Capnography in procedural sedation pt 10: Financial implications

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN detail how capnography may reduce procedure costs. 

07-09
11:56

Capnography in procedural sedation pt 9: Adverse events

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN describe how capnography can help clinicians identify airway obstructions that would otherwise go unrecognized leading to adverse events.

07-09
07:11

Capnography in procedural sedation pt 8: A team approach helps prevent respiratory compromise

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review the role of sedation and endoscopy nurses play in preventing respiratory compromise. 

07-09
06:04

Capnography in procedural sedation pt 7: Capnography in procedural sedation case study

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review a case where a patient suffered respiratory compromise and discuss whether capnography may have led to earlier detection and intervention.

07-09
09:11

Capnography in procedural sedation pt 6: Don’t miss respiratory compromise

Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN comment on the frequency and detection of respiratory compromise.

07-09
06:58

Capnography in procedural sedation pt 5: Society guidelines for the use of capnography in procedural sedation

Dr. Ashish Chawla MD and Linda Erfle, BSN, RN review the society guidelines that recommend capnography monitoring during procedural sedation.

07-09
06:38

Capnography in procedural sedation pt 4: Distraction and interruptions

Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA and Linda Erfle BSN, RN discuss the harms of alarm fatigue and tools to mitigate false alarms.

07-09
06:22

Capnography in procedural sedation pt 3: Leverage technology to improve quality of care

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA discuss whether technology can be used to improve the quality of care during procedural sedation.

07-09
09:30

Capnography in procedural sedation pt 2: Misclassification of patients’ physical status is a serious concern

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA review the risks associated with misclassification of patients’ physical status.

07-09
08:57

Capnography in procedural sedation pt 1: Higher patient acuity = higher risk

Dr. Ashish Chawla MD and Linda Erfle BSN, RN discuss the implications of a higher risk patient population presenting for procedural sedation.

07-09
08:25

Nellcor™ pulse oximetry overview pt 7: Engineering sensor design, calibration, and more (continued)

For this segment, we will learn how Nellcor™ pulse oximetry convents the true pulsatile signal to accurate SpO2 measurements. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
13:35

Nellcor™ pulse oximetry overview pt 6: Engineering sensor design, calibration, and more

For this segment, we will review how the various components of the Nellcor™ pulse oximetry system contribute to the quick and accurate acquisition of the true pulsatile signal. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
10:27

Nellcor™ pulse oximetry overview pt 5: Pulse oximetry and the impact of skin pigmentation on the technology

For this segment, we will discuss how skin pigmentation influences the amount detectable light available to the pulse oximetry sensor. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
16:02

Nellcor™ pulse oximetry overview pt 3: The technical fundamentals of pulse oximetry

For this segment, we will learn how pulse oximetry uses near infrared light to detect the cardiac induced pulsatile signal of arterial blood and then measures the percentage of oxygenated hemoglobin in arterial blood. To help provide insight into this topic is Jake Dove, PhD, Senior Principal R&D Engineer at Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
08:50

Nellcor™ pulse oximetry overview pt 2: The fundamentals of pulse oximetry

For this segment, we will discuss the measurement of SpO2 and pulse rate, pulse oximetry accuracy standards, and the patient factors that can impact SpO2 and pulse rate accuracy. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis Payne Bolton School of Nursing at Case Western Reserve University. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
17:10

Nellcor™ pulse oximetry overview pt 4: Impact of skin pigmentation & clinical practice implications

For this segment, we will review the evidence evaluating the effect of skin pigmentation on the accuracy of pulse oximetry and consider the consequences for clinical practice. To help provide insight into this topic is John Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT, FCCM, Professor, Francis Payne Bolton School of Nursing at Case Western Reserve University. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
16:58

Nellcor™ pulse oximetry overview pt 1: The past, present, and future of Nellcor™ technology

For this segment, we will discuss the history, development work, and ongoing research dedicated to Nellcor™ pulse oximetry technology. To help provide insight into this topic is Sam Ajizian, M.D. and CMO of Patient Monitoring Medtronic. The Nellcor™ pulse oximetry monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

07-09
05:05

INVOS™ technology overview pt 11: Does melanin concentration of melanin impact NIRS readings?

Eli Kuhlmann, Sr. Research Manager at Medtronic, teaches us how the concentration of melanin influences the measurement regional oxygen saturation via NIRS. 

07-09
06:45

INVOS™ technology overview pt 10: Does skin pigmentation impact NIRS readings?

Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, discusses the influence skin pigmentation has on the accuracy of NIRS readings and consider the consequences for clinical practice.

07-09
06:14

INVOS™ technology overview pt 9: What does the literature say about the NIRS oximetry?

Dr. Ronald Bronicki, Professor of Pediatrics at Baylor College of Medicine, Section of Critical Care Medicine & Cardiology at Texas Children’s Hospital, reviews the body of literature evaluating the value of somatic and cerebral regional oximetry in pediatric patients. 

07-09
05:14

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