In this first ever ACCRAC lightning round I take the contribution and advice of Andrew Salai, a med student in Brazil, and do some rapid fire review of high yield topics. If you have some factoids you’d like to contribute to a future lightning round send them to accrac@accrac.com.
CME: https://earnc.me/sCnKm4
In this 119th episode I welcome Dr. Robert Sawyer to the show. Dr. Sawyer was the PI on the STOP-IT trial comparing a short course of antibiotics versus a longer course for complicated intraabdominal infections. We discuss the trial, the outcomes, and what the future of antimicrobial management in the surgical ICU may look like.
CME: https://earnc.me/jeCfMt
Reference:
STOP-IT Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1411162
In this 118th episode which we are publishing a few days before Mother’s Day, 2019, I welcome Dr. Gillian Isaac to the show to discuss the challenges of being a mother and a trainee and some important advice for how to make it through and feel supported. Happy Mother’s Day and Thank you to all you amazing mother’s out there!
CME: https://earnc.me/BUFnHB
In this 117th episode I welcome Dr. Matt Danley to the show to discuss his recent trip to Kenya, the different approaches to global health in surgery and anesthesia, and some of the ways to get involved.
CME: https://earnc.me/b0LAoy
Matt’s email: Matt.Danley@gmail.com
Links:
LancetGlobalSurgery.org
SafeSurgery2020.org
Lifebox.org
In this 116th episode I welcome Dr. Bommy Mershon to the show. We discuss pediatric anesthesiology including how kids differ from adults, pre-op meds, IV vs. inhaled inductions, parental presence, choosing a tube, when to put on monitors, how to do an inhaled induction, controversies around succinylcholine, weight-based dosing, deep extubation, laryngospasm, emergency delirium, regional anesthesia and pressers. Please note the original release referred to intranasal dexmedetomidine dosing as mg/kg instead of mcg/kg. The correct units are mcg/kg and the audio has now been updated to reflect that.
CME: https://earnc.me/UpmjW3
We also launch our ACCRAC theme music composed by Dr. Dennis Kuo! Check out his website at studymusicproject.com
References:
In this 115th episode I welcome Dr. Steven Freiberg back to the show to discuss management of the contaminated airway.
CME: https://earnc.me/lDqJUu
References:
Han, S; Fisher, J. Airway Management During Persistent Flooding Of the Oropharyngeal Airway. Anesthesiology News. 2016. March.
Joshi, R; Hypes, C; et al. Difficult Airway Characteristics Associated with First-Attempt Failure at Intubation Using Video Laryngoscopy in the Intensive Care Unit. Ann Am Thorac Soc. 2017 Mar;14(3):368-375
Stockton, E.; Lockey, D; et. al. Contamination of the airway in pre-hospital trauma patients. European Journal of Anaesthesiology. 2008. May; 25:188
Uday, J; McCunn, M; et al. Management of the Traumatized Airway. Anesthesiology. 2016, Vol.124, 199-206
In this 114th episode I welcome Dr. Jerry Stonemetz to the show to discuss the business side of Anesthesiology. Specifically we discuss billing, compliance, contract negotiation and Jerry’s thoughts on where the industry is heading.
CME: https://earnc.me/v7hmpb
Slides are here:
In this 113th episode I welcome Dr. David Mintz back to the show to discuss anesthesia for intracranial aneurysm clipping.
CME: https://earnc.me/XKz3WI
References:
Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia
In this 112th episode I welcome Dr. Christina Miller to the show to discuss Anesthesia for Electroconvulsive Therapy (ECT).
CME: https://earnc.me/4uJ3bR
References:
Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002 May;94(5):1351-64.
Sadowksy, Jonathan. Electroconvulsvie Therapy: A History of Controversy, but Also of Help. The Conversation. Scientific American. January 13, 2017.
Wright, M.D., Bruce A. (1990) “An Historical Review of Electroconvulsive Therapy,” Jefferson Journal of Psychiatry: Vol. 8 : Iss. 2 , Article 10.
Nishihara F, Saito S. Pre-ictal bispectral index has a positive correlation with seizure duration during electroconvulsive therapy. Anesth Analg. 2002 May;94(5):1249-52, table of contents.
Gombar S, Aggarwal D, Khanna AK, Gombar KK, Chavan BS. The bispectral electroencephalogram during modified electroconvulsive therapy under propofol anesthesia: relation with seizure duration and awakening. J ECT. 2011 Jun;27(2):114-8.
Sartorius A, Muñoz-Canales EM, Krumm B, Krier A, Andres FJ, Bender HJ, Henn FA. ECT anesthesia: the lighter the better? Pharmacopsychiatry. 2006 Nov;39(6):201-4.
Sebel PS, Bowdle TA, Ghoneim MM, Rampil IJ, Padilla RE, Gan TJ, Domino KB. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg. 2004 Sep;99(3):833-9
In this 111th episode I welcome Dr. Zandy Hillel to the show. Dr. Hillel is an otolaryngologist here at Johns Hopkins and we discuss tracheostomies, Cricothyrotomies, laryngeal surgery and difficult airways.
CME: https://earnc.me/beqG3N
References:
Crichothyrotomies:
https://www.ncbi.nlm.nih.gov/pubmed/30054081
https://www.ncbi.nlm.nih.gov/pubmed/30726035
Difficult Airway Response Teams:
