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University of Texas, Southwestern Medical Center

3 ARTICLES PUBLISHED IN JoVE

JoVE Core

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Akilesh Honasoge¹, Neal Lyons², Kathleen Hesse³, Braden Parker³, Robert Mokszycki², Kelly Wesselhoff³, Rolla Sweis², Erik B. Kulstad³

¹College of Medicine, University of Illinois at Chicago, ²Department of Pharmacy, Advocate Christ Medical Center, ³Department of Emergency Medicine, Advocate Christ Medical Center

This study presents a novel device that offers an easy route to quickly provide medications and fluids in patients with limited or difficult IV access. This small-diameter device is placed in the distal third of the rectum, allowing for ongoing medication and fluids administration.

Education

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management

Melissa I. Naiman^1,2, Maria Gray², Joseph Haymore³, Ahmed F. Hegazy⁴, Andrej Markota⁵, Neeraj Badjatia⁶, Erik B. Kulstad^2,7

¹Center for Advanced Design, Research, and Exploration, University of Illinois at Chicago, ²Attune Medical, ³University of Maryland School of Nursing, ⁴University of Western Ontario, ⁵University Medical Centre Maribor, ⁶University of Maryland, ⁷Department of Emergency Medicine, University of Texas, Southwestern Medical Center

This study presents a novel method to provide efficient patient temperature control for cooling or warming patients. A single use, triple lumen device is placed into the esophagus, analogous to a standard orogastric tube, and connects to existing heat exchange units to perform automatic patient temperature management.

Medicine

Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation

Jason Zagrodzky¹, Mark M. Gallagher², Lisa W. M. Leung², Tiffany Sharkoski³, Pasquale Santangeli⁴, Cory Tschabrunn⁴, Jose M. Guerra⁵, Bieito Campos⁵, John MacGregor⁶, Jamal Hayat², Brad Clark⁷, Alex Mazur⁸, Marcel Feher⁹, Martin Arnold⁹, Mark Metzl¹⁰, Jose Nazari¹⁰, Erik Kulstad¹¹

¹St. David's South Austin Medical Center, ²St George's University Hospitals NHS Foundation Trust, St. George's, University of London, ³Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, ⁴University of Pennsylvania Perelman School of Medicine, ⁵Hospital de la Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, CIBERCV, ⁶PeaceHealth Medical Group, St. Joseph Medical Center, ⁷St. Vincent Hospital, ⁸University of Iowa, ⁹University Hospital Erlangen, ¹⁰NorthShore University Health System, ¹¹Department of Emergency Medicine, University of Texas, Southwestern Medical Center

The goal of this protocol is to describe the use of esophageal temperature modulation to counteract esophageal thermal injury from left atrial ablation for the treatment of atrial fibrillation.