ACCRAC Podcast

A Podcast for Anesthesia and Critical Care Reviews, Debates and Commentary

ANESTHESIA AND CRITICAL CARE REVIEWS AND COMMENTARY

Episode 77: Reversal of Neuromuscular Blockade

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In this episode, episode 77, I discuss reversal of neuromuscular blockade.  This is a follow up to episode 66 in which I covered neuromuscular blockade.

References:

Miller’s Anesthesia 8th Edition. Reversal (Antagonism) of Neuromuscular Blockade. Murphy GS, de Boer HD, Eriksson LI and Miller RD. Chapter 35, 995-1027.e5.

Appiah-Ankam J, Hunter J.  Pharmacology of neuromuscular blocking drugs.  Cont Educ Anaesthesia Critical Care & Pain.  2004;4(1):2-7.

Hristovska AM, Duch P, Allingstrup M, Afshari A. Efficacy and safety of sugammadex versus neostigmine in reversing neuromuscular blockade in adults. Cochrane Database Syst Rev. 2017 Aug 14;8:CD012763.

Keating GM. Sugammadex: A Review of Neuromuscular Blockade Reversal. Drugs. 2016 Jul;76(10):1041-52.

McLean DJ, Diaz-Gil D, Farhan HN, Ladha KS, Kurth T, Eikermann M. Dose-dependent Association between Intermediate-acting Neuromuscular-blocking Agents and Postoperative Respiratory Complications. Anesthesiology. 2015 Jun;122(6):1201-13.

Schaller S, Fink H.  Sugammadex as a reversal agent for neuromuscular block: an evidence-based review.  Core Evidence.  2013;8:57-67.

Episode 75: OB Oral Board Stem with Drs. Galvan and Hofkamp

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In this episode, episode 75, I welcome back Drs. Galvan and Hofkamp to do an OB oral board stem.  We juxtapose examples of “right” and “wrong” answers to highlight important approaches to the exam.

The stem is here: Stem

Episode 74: Opioid Crisis Engagement with Chad Brummett

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In this episode, episode 74, I welcome Dr. Chad Brummett to the show.  Chad is the co-director of the Opioid Prescribing Engagement Network (OPEN) in Michigan and leads some fantastic and extremely effective initiatives to combat the opioid crisis.  His website has more details and materials for anyone interested in starting similar initiatives elsewhere.  Check it out at Michigan-open.org.

Outline by Brian Park: Opioid Crisis Engagement outline

Episode 72: Oral board prep 2: part 2

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In this episode, episode 72, I finish the oral board prep episode that was started in episode 71 with Drs. Tran and Beaudry.  In a twist, they flip the tables on me and make me be the examinee.

The stem and questions are here: Oral board stem

 

Episode 71: Oral Board Prep 2: part 1

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In this episode, episode 71, combined with the next episode, episode 72, I welcome back Drs. Tran and Beaudry to do an oral board prep example.  We got through how not to do it and then how to do it well.  This is part 1, episode 72 will be part 2.

The stem and questions are here: Oral board stem

Episode 69: Intro to Trauma with Bob Sikorski

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In this episode, Episode 69, I welcome Dr. Bob Sikorski, director of trauma anesthesiology at Johns Hopkins, to the show to discuss a general overview of trauma anesthesia.  We discuss prehospital, ER and OR management and key things to keep in mind when caring for trauma patients.

References: Trauma references list

TEG diagram: 

 

Episode 66: Neuromuscular Blockers

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In this episode, episode 66, I go through an overview of neuromuscular blockers including how they work, how to use them, and what their adverse effects are.  Happy New Year!

Outline by Brian Park: Outline NMB

References:

Miller’s Anesthesia 7th edition: Chapter 29: Pharmacology of Muscle Relaxants and Their Antagonists. Naguib M and Lien C.

Rocuronium vs succinylcholine for rapid sequence induction intubation. https://www.ncbi.nlm.nih.gov/pubmed/26512948

Neuromuscular blockade: what was, is and will be: https://www.ncbi.nlm.nih.gov/pubmed/25622380

Reversal of neuromuscular block: https://www.ncbi.nlm.nih.gov/pubmed/19468024

 

Episode 64: Problems during pregnancy with Jacqueline Galvan part 2

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In this episode, episode 64, I welcome back Dr. Jacqueline Galvan to finish our discussion of programs during pregnancy and delivery.  We discuss hematologic, neurologic, respiratory, renal and infectious disease issues and how they affect pregnancy, delivery, and anesthetic management.

Slides with references and notes: Problems during pregnancy part 2

Episode 62: Problems during pregnancy with Jacqueline Galvan part 1

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In this episode, episode 62, I discuss problems that can occur during pregnancy with Dr. Jacqueline Galvan.  We discuss a wide range of high yield topics from gestational diabetes to molar pregnancies to maternal heart disease.

References are here: References