Episode #3: High-Quality TTM Matters to Hospitals

Endourological Society November 2021
The Podcast entitled: “High-Quality TTM Matters to Hospitals” with Michael Kurz, MD, Associate Professor Department of Emergency Medicine, Co-Director Therapeutic Hypothermia Program at the University of Alabama Birmingham and David Hildebrandt, BSN, MBA, Associate Director, Clinical Operations at the Smidt Heart Institute, Cedars-Sinai Medical Center discussed their perspectives on clinical care from the nurse and physician perspective. The importance of implementing fully vetted TTM standard operating procedures supported by nurses and physicians was emphasized. This step was felt to be critical since TTM procedures are commonly conducted in parallel with other monitoring and treatment protocols to maximize patient recovery. The importance of different cooling techniques like surface and intravascular approaches on efficiency and nurse burden was also discussed. It’s important to emphasize that the use of automated TTM methods in emergency rooms and intensive care units have led to improved patient outcomes, reduced staff burden and cost savings for hospitals. Future research is required to determine more effective ways to personalize these TTM protocols to individuals based on injury severity and other relevant factors using surrogate biomarker platforms and other approaches.

Ep. #42: The Role of Robotics in Lower Urinary Tract Reconstruction with a Focus on Female Disorders

Endourological Society November 2021
Robotic surgery is commonplace for extirpative surgery. In episode forty-two, we learn some of the applications for reconstruction with a focus on female disorders.

Episode #2: During TTM, What Matters Most

Endourological Society October 2021
The Podcast entitled “During TTM, What Matters Most” with Dr. Justin Lundbye, Chief Medical Officer, Waterbury Hospital, CT discussed topics critical to the successful use of TTM including speed of cooling and reaching and maintaining consistent temperature levels during the treatment phase. Important lessons learned for successfully treating fever by proactively initiating preventive measures such as placing patients on TTM protocols were highlighted. In addition to using intravascular and surface cooling approaches to reduce fever burden, several medications are available to help prevent or limit the severity and duration and elevated core temperatures. As we continue to focus of optimal levels and durations of TTM treatment, the importance of elevated core temperatures on patient outcomes remains a serious issue and requires proactive measures to limit detrimental consequences.

Episode #3: Experience with Jelmyto

Endourological Society September 2021
In Episode 3, experts discuss the utility of antegrade instillation of Jelmyto as a viable option, which may reduce adverse effects associated with repeated instrumentation of the ureter. The urologist should be cognizant of tumor location, as this may impact placement of the nephrostomy tube and subsequent efficacy of treatment. Episode #3 delves into these treatment considerations.