Peter Bream

Dr. Peter Bream, a former Professor at UNC and now an interventional radiologist, dives deep into enteral access techniques. He discusses a variety of tubes like NG and G-tubes and innovative methods such as Balloon-Assisted Gastrostomy. The conversation also covers handling complications and ensuring patient comfort during procedures. Bream shares personal experiences, safety measures, and the importance of post-procedure care, making this a fascinating resource for both medical professionals and curious listeners.

Dr. Peter Bream, a medical expert specializing in enteral access, shares invaluable insights on managing complications with G and GJ-tubes. He discusses the unique challenges faced by ALS and head and neck cancer patients, stressing a multidisciplinary approach for optimal care. Listeners will learn practical troubleshooting tips for issues like leaks and clogs. The conversation also covers advanced techniques and strategies to enhance the safety and effectiveness of enteral procedures, making it a must-listen for both new and seasoned practitioners.

Dr. Peter Bream and Dr. Aaron Brandis discuss the pros and cons of antegrade versus retrograde tunneled dialysis catheter placement. They emphasize the importance of consistent tip location, hygiene, and preventing infections. They explore the impact of patient factors on catheter success and discuss the effectiveness of coatings in reducing infection rates. Optimizing catheter placement is highlighted to reduce reliance on catheters for dialysis.