All posts by ACCRAC

Episode 29: PA catheters with Dr. Glenn Whitman

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 29: PA catheters with Dr. Glenn Whitman
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In this episode, episode 29, I welcome to the show Dr. Glenn Whitman.  Dr. Whitman is a cardiac surgeon and intensivist and runs the cardiac surgical ICU here at Johns Hopkins.  I interview Dr. Whitman about PA catheters.  We discuss when to place them, when not to place them, how to use them and when to take them out.

CME: https://earnc.me/NxtJkO

Episode 28: Airway topicalization with Dr. Laeben Lester

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 28: Airway topicalization with Dr. Laeben Lester
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In this episode I welcome Dr. Laeben Lester to the show.  Dr. Lester is trained in Emergency Medicine and Anesthesiology and has completed fellowship training in Cardiac Anesthesiology.  He shares with us his “Nearly Needleless 5-Step Approach” to airway topicalization for awake intubation.

CME: https://earnc.me/4Awz9w

Episode 27: Airway Management

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 27: Airway Management
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In this episode I review the ABA topic of airway management.  This is obviously a huge topic but in this episode I highlight key points about the components of airway management recommended by the ABA including identification of a difficult airway, management of a difficult airway, the difficult airway algorithm, different tools and adjuncts, and different types of tubes.  This will be the final post of 2016.  Thanks so much to all of you for listening and being a part of ACCRAC’s inaugural year in 2016.  Here’s wishing you a wonderful start to your 2017!

CME: https://earnc.me/Pk7CkB

Outline by April Liu: Episode 27

Episode 26: Sugammadex with Dr. Amit Prabhakar

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 26: Sugammadex with Dr. Amit Prabhakar
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In this episode I welcome Dr. Amit Prabhakar, one of our critical care fellows, to the show to discuss Sugammadex, a relatively recently approved (in the USA) reversal agent for Rocuronium and Vecuronium.

CME: https://earnc.me/h9cIdh

Outline by Brian Park: Sugammadex outline

Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens
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In this episode I am joined once again by Dr. Scott Stephens as we review advanced ventilator modes, prone positioning, and ventilation of patients on VV ECMO.

CME: https://earnc.me/GCVOTe

Outline by April Liu: Outline

The fantastic review article I mentioned is: Mireles-Cabodevila E. Et al. Alternative Modes of mechanical ventilation: A review for the hospitalist. Cleveland Clinic Journal of Medicine. 2009(75);7:417-430.

Pubmed link here

Episode 24: The Evils of Sodium Bicarbonate

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 24: The Evils of Sodium Bicarbonate
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In this episode I first suggest you take a look at the recently published (ahead of print) VANCS study on the use of vasopressin as a sole agent in the treatment of vasoplegic shock.  Then I review the reasons never to use sodium bicarbonate in lactic acidosis.

CME: https://earnc.me/3CX3ha

The Vancs study: https://www.ncbi.nlm.nih.gov/pubmed/27841822

The two articles I recommend on bicarb:

Forsythe: https://www.ncbi.nlm.nih.gov/pubmed/10631227

Sabatini: https://www.ncbi.nlm.nih.gov/pubmed/18322160

Outline by Brian Park: Outline

Episode 23: Basic Ventilator Review with Dr. Scott Stephens

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 23: Basic Ventilator Review with Dr. Scott Stephens
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In this episode I welcome Dr. Scott Stephens, Pulmonary Critical Care Physician at Johns Hopkins to the show. Dr. Stephens and I discuss basic ventilator settings, how to appropriately ventilate patients with hypoxemic vs. hypercarbic respiratory failure and how to think about weaning patients off of the ventilator.

CME: https://cmefy.com/moment?id=K8lsklY

Outline by Brian Park: Outline

Episode 22: Postop Visual Loss with Dr. Joe Hughes

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 22: Postop Visual Loss with Dr. Joe Hughes
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In this episode I interview Dr. Joseph Hughes, one of our neuro anesthesiologists, about the history, etiology, pathophysiology and prevention of postoperative visual loss.

CME: https://cmefy.com/moment?id=kBhJW6F

We refer to a thromboelastogram which looks like this.  It is the fibrinolysis portion that can be prevented with tranexamic acid (TXA):

screen-shot-2016-12-01-at-12-08-46-pm

High Yield Outline by Brian Park can be found here: Outline

Episode 21: ERAS with Dr. Chris Wu

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 21: ERAS with Dr. Chris Wu
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In this episode I interview Dr. Chris Wu, professor of anesthesiology and pain medicine and internationally renowned expert in Enhanced Recovery After Surgery (ERAS) pathways.  We discuss the different aspects of ERAS pathways and the evidence for improved outcomes.

CME: https://cmefy.com/moment?id=6N5q_p2

The ERAS society website can be found here: http://erassociety.org

Check out this fantastic outline of the episode put together by Brian Park: ERAS outline

Episode 20: pH Stat and Alpha Stat

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 20: pH Stat and Alpha Stat
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In this episode I review two methods for managing arterial blood gasses in hypothermic patients, usually during cardiac surgery–pH Stat and Alpha Stat.

CME: https://cmefy.com/moment?id=Ckj_tW4

Check out this fantastic episode recap put together by Brian Park from Drexel Medical School: Show recap