Anesthesia and Critical Care Reviews and Commentary
In this 157th episode I welcome Dr. Mark Mattson to the show to discuss the science behind intermittent fasting including in the perioperative period.
Dr. Mattson’s review from NEJM: https://www.nejm.org/doi/full/10.1056/NEJMra1905136
Dr. Mattson’s Tedx Talk: https://www.youtube.com/watch?v=4UkZAwKoCP8
In this 156th episode I welcome Dr. Jimmy Turner to the show to discuss the intersection of personal finance and physician burnout.
References:
Dr. Turner’s about page: http://thephysicianphilosopher.com/about/
Dr. Turner’s website: https://thephysicianphilosopher.com/
Dr. Turner’s new podcast: http://moneymeetsmedicine.com/
Blogpost about burnout and finance: https://thephysicianphilosopher.com/what-causes-physician-burnout/
How to think about Money book: https://www.amazon.com/Think-About-Money-Jonathan-Clements/dp/1523770813
If You Can free PDF book: https://www.etf.com/docs/IfYouCan.pdf
Leaders Eat Last: https://www.amazon.com/Leaders-Eat-Last-Together-Others/dp/1543614620
In this 155th episode I welcome Dr. Michael Manning to the show to discuss opioid-reduced and opioid-free anesthesia. We discuss the downsides of opioid usage and what we can do to reduce our use in our patients or even eliminate it completely.
References:
1. Koepke EJ, Manning EL, Miller TE et al. The rising tide of opioid use and abuse: the role of the anesthesiologist. Perioper Med (Lond) 2018;7:16.
2. Brummett CM, Waljee JF, Goesling J et al. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg 2017;152:–e170504.
3. Manchikanti L, Helm SI, Fellows B et al. Opioid Epidemic in the United States. Pain Physician 2012;15:ES9–ES38.
4. Gan TJ, Habib AS, Miller TE et al. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin 2014;30:149–60.
The Road Less Stupid: https://www.amazon.com/Road-Less-Stupid-Keith-Cunningham/dp/0984659269
Armchair Expert Interview with Ira Glass: https://armchairexpertpod.com/pods/ira-glass
In this 154th episode I welcome Dr. Emery Brown to the show to discuss how we monitor the depth of anesthesia. We discuss the drawbacks to BIS and why Dr. Brown thinks the EEG itself is the best way to go.
References:
EEG reading tutorials: https://eegforanesthesia.iars.org/
Purdon et al: The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia
Brown et al: General Anesthesia and Altered States of Arousal: A Systems Neuroscience Analysis. Annu. Rev. Neurosci. 2011.
Brown et al: General Anesthesia, Sleep, and Coma. NEJM. 2010.
Brown et al: Multimodal General Anesthesia: Theory and Practice. A&A 2018.
Purdon et al: Clinical Electroencephalography for Anesthesiologists. Part I: Background and Basic Signatures. Anesthesiology 2015.
Dental Anesthesia info:
Contacts:
Thomas Whitmer: thomas.whitmer.tw@gmail.com
Mana saraghi: msaraghi@gmail.com
References:
https://www.ada.org/en/ncrdscb/dental-specialties/specialty-definitions
http://www.ada.org/~/media/CODA/Files/anes.ashx
American Society of Dentist Anesthesiologists website: https://www.asdahq.org
Virtual tour https://www.youtube.com/watch?v=ZJ1Mo65ah4w&feature=youtu.be
In this 153rd episode I welcome Dr. Sasha Shillcutt to the show to discuss the movement to support and promote the success of women in Anesthesiology. Dr. Shillcutt is on twitter at @sashashillcutt and @RUBraveEnough. Her website is https://www.becomebraveenough.com
References:
In this 152nd episode I welcome Dr. Gillian Isaac back for another 2 ABA keywords. We discuss malignant hyperthermia and the portion of hepatic disease that is covered by the Basic Exam. We’ll do the portion covered by the Advanced Exam on the next keywords episode.
Malignant Hyperthermia Website: www.mhaus.org
Great review website where Dr. Isaac gets her questions: http://www.anesthesiahub.com
Atlantic Article: https://www.theatlantic.com/entertainment/archive/2012/03/what-do-fact-checkers-and-anesthesiologists-have-in-common/253838/#note
In this 150th episode I welcome back Dr. Gillian Isaac to do another round of ABA keywords. We discuss 2 additional upper extremity blocks (supraclavicular and axillary) and then benzodiazepines.
In this 149th episode I discuss common challenges to the transition from intern year to CA1 year including some of why it’s difficult, the mistakes commonly made, the causes of those mistakes and some suggested solutions. Although I focus on the intern to CA1 transition, much of this applies to any major transition in life.
In this 148th episode I welcome Dr. Fitzsimons back to the show to discuss the use of marijuana in healthcare providers. We discuss what we know about prevalence, what the potential consequences are, what the status of testing is, and what we may see happen in the future.
NEJM article on adverse effects of marijuana: https://www.ncbi.nlm.nih.gov/pubmed/24897085
In this 147th episode I welcome back Drs. Segna and Rayaz to finish up our discussion of lower extremity nerve blocks. This time we cover the front of leg blocks (femoral, adductor canal, fascia iliaca and obturator).