TIRBO #11: Mastering wire guidance

Advanced techniques for manipulating the guidewire during non-fluoroscopic bedside procedures such as central line placement.

TIRBO #8: What does skin really tell you about hemodynamics?

The relationship between skin warmth and color, cardiac output, and systemic vascular resistance.

For 20% off the upcoming Resuscitative TEE courses (through July 23, 2022), listen to the show for a promo code for CCS listeners!

TIRBO #6: The many varieties of subclavian line

Reviewing the different approaches to placing central venous catheters in the subclavian vein.

TIRBO #5: Tracheoinnominate fistulas

A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.

TIRBO #4: Hope

Why an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan.

TIRBO #3: Weaning vs Titration

When do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence.