In this 143rd episode I welcome Dr. Michael Scott to the show to discuss fluid management in ERAS cases and how cardiac output monitoring may help us do that well.
In this 142nd episode I welcome Dr. Marcos Vidal Melo to the show to discuss Driving Pressure and Transpulmonary pressure. We discuss what they are, how they differ from plateau pressure, and how they may help guide safe mechanical ventilation.
- Driving Pressure and Transpulmonary Pressure: How Do We Guide Safe Mechanical Ventilation? Williams EC, Motta-Ribeiro GC, Vidal Melo MF. Anesthesiology. 2019 Jul;131(1):155-163.
- Loring SH, Topulos GP, Hubmayr RD: Transpulmonary pressure: The importance of precise definitions and limiting assumptions. Am J Respir Crit Care Med 2016; 194:1452–7
- Mauri T, Yoshida T, Bellani G, Goligher EC, Carteaux G, Rittayamai N, Mojoli F, Chiumello D, Piquilloud L, Grasso S, Jubran A, Laghi F, Magder S, Pesenti A, Loring S, Gattinoni L, Talmor D, Blanch L, Amato M, Chen L, Brochard L, Mancebo J; PLeUral pressure working Group (PLUG—Acute Respiratory Failure section of the European Society of Intensive Care Medicine): Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med 2016; 42:1360–73
- Akoumianaki E, Maggiore SM, Valenza F, Bellani G, Jubran A, Loring SH, Pelosi P, Talmor D, Grasso S, Chiumello D, Guérin C, Patroniti N, Ranieri VM, Gattinoni L, Nava S, Terragni PP, Pesenti A, Tobin M, Mancebo J, Brochard L; PLUG Working Group (Acute Respiratory Failure Section of the European Society of Intensive Care Medicine): The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 2014; 189:520–31
In this 140th episode I welcome Dr. David Mazer to the show. Dr. Mazer was the PI and first author on the TRICS 3 trial looking at liberal versus restrictive transfusion strategies in moderate to high risk cardiac surgery patients published in the NEJM in 2017.
Dr. Mazer would like to add the following random recommendation: For a great combination of live jazz and good food and drinks in Toronto, check out the Jazz Bistro just up the street from St. Michael’s Hospital.
Dr. Mazer can be reached at David.Mazer@UnityHealth.To
In this 139th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, succinylcholine and interscalene brachial plexus block.
In this 138th episode I welcome Drs. Segna and Rayaz back to the show to discuss lower extremity nerve blocks. We cover the ankle block and sciatic nerve block approaches today and will cover the anterior leg in a later episode.
The Medium Article: https://medium.com/@admiralcloudberg/the-near-crash-of-air-canada-flight-759-c61094867d45
In this 136th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, Celiac Plexus Block and Dexmedetomidine.
In this 135th episode I discuss my argument for using low dose norepinephrine to treat or even prevent hypotension in the OR and ICU. I discuss the CENSER trial looking at early norepinephrine in sepsis as well as a paper looking at preemptive norepinephrine in open cystectomies and a review article of trials looking at pressor use in free flap surgery. Join in the conversation here with your comments and on the ACCRAC Facebook page and Twitter @accracpodcast and @jwolpaw.
Free Flaps: https://www.ncbi.nlm.nih.gov/pubmed/26340760
In this 133rd episode we bring you the first episode from a new, fantastic anesthesia podcast called “Depth of Anesthesia” hosted by David Hao at MGH. in this episode they explore the evidence behind verifying mask ventilation before administering paralytic.
In this 132nd episode I welcome back Dr. Gillian Isaac to do more ABA keyword review. We review Spinals for the Basic Exam and Etomidate.
In this 131st episode I welcome Drs. Meeks, Brookman and Fitzsimons to the show to discuss what it means to be a resident with a disability, what needs to be done to assure adequate and legal accommodations for these trainees, and why it’s important to do so.
Meeks LM, Herzer KR. Prevalence of self-disclosed disability among medical students in US allopathic medical schools. Jama. 2016 Dec 6;316(21):2271-2. https://jamanetwork.com/journals/jama/article-abstract/2589334
Meeks, L.M., & Jain, N.R. (2018). Accessibility, inclusion, and action in medical education: Lived experiences of learners and physicians with disabilities. Washington, D.C.: Association of American Medical Colleges.
Meeks, L.M., Herzer, K., & Jain, N.R. (2018). Removing barriers and facilitating access: Increasing the number of physicians with disabilities (Invited Commentary).Academic Medicine, 93(4), 540-543. doi:10.1097/ACM.0000000000002112 https://bit.ly/2Gyx53x
Meeks, L.M., & Jain, N.R. (2018). Accessibility, inclusion, and action in medical education: Lived experiences of learners and physicians with disabilities. Washington, D.C.: Association of American Medical Colleges. https://store.aamc.org/accessibility-inclusion-and-action-in-medical-education-lived-experiences-of-learners-and-physicians-with-disabilities.html
Meeks LM, Jain NR. The guide to assisting students with disabilities: equal access in health science and professional education. Springer Publishing Company; 2015 Aug 13. https://books.google.com/books?hl=en&lr=&id=a1LSCgAAQBAJ&oi=fnd&pg=PP1&dq=Meeks+LM&ots=uXnapo3t_7&sig=2HN6lTPwBo7G9VdlXht9cIccrXg#v=onepage&q=Meeks%20LM&f=false
Fitzsimons MG, Brookman JC, Arnholz SH, Baker K. Attention-deficit/hyperactivity disorder and successful completion of anesthesia residency: a case report. Academic Medicine. 2016 Feb 1;91(2):210-4. https://www.ncbi.nlm.nih.gov/pubmed/26244258
Schwarz CM, Zetkulic M. You Belong in the Room: Addressing the Underrepresentation of Physicians With Physical Disabilities. Academic Medicine. 2019;94(1):17-9. https://www.ncbi.nlm.nih.gov/pubmed/30157092
AAMC Webinars on Disability. https://www.aamc.org/members/gsa/pdopportunities/427068/archivedwebinars.html