ACCRAC Podcast

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

ANESTHESIA AND CRITICAL CARE REVIEWS AND COMMENTARY

Episode 93: CABG with Tom Metkus

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In the episode, episode 93, I welcome Dr. Tom Metkus back to the show to discuss perioperative considerations for CABG surgery.

References:

Syntax Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0804626

STICH Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1100356

ROOBY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0902905

CORONARY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1200388

PREVENT IV Trial: https://www.ncbi.nlm.nih.gov/pubmed/16287955

ART Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1610021

Episode 91: Perioperative evaluation for non-cardiac surgery with Tom Metkus

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In this episode, episode 91, I welcome Dr. Tom Metkus back to the show to discuss how we risk-stratify patients for non-cardiac surgery.

References:

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000104

http://www.onlinejacc.org/content/64/22/e77

https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/ESC-ESA-Guidelines-on-non-cardiac-surgery-cardiovascular-assessment-and-managemhttp://

www.onlinejacc.org/content/accj/69/14/1861.full.pdf

Episode 90: OSA

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In this episode, episode 90, I discuss best practices for preoperative management of adults with Obstructive Sleep Apnea (OSA).

References:

Gross JB et al. Practice Guidelines for the Perioperative Managementof Patients with OSA. Aneshtesiology 2014: 120(2): 1-19

Chung F, et al. STOP-Bang Questionnaire: A practical Approach to Screen for Obstructive Sleep Apnea. 2016: Chest; 149(3):631-638.

Corso R, et al. Perioperative management of Obstructive Sleep Apnea: a systematic review. Minerva Anestesiologica 2018;84(1):81-93.

Episode 89: Veterinary Anesthesia with Bonnie Gatson

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In this episode, episode 89, I welcome Dr. Bonnie Gatson to the show.  She is a veterinary anesthesiologist and we discuss her training, the differences and similarities between human and animal anesthesia, and the benefits of working together.

Episode 88: ERAS for Cardiac Surgery with Mike Grant

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In this episode, episode 88, I welcome Dr. Mike Grant to the show to discuss Enhanced Recovery After Surgery (ERAS) protocols for cardiac surgery.

References:

https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+recovery+after+surgery+pathway+for+patients+undergoing+cardiac+surgery%3A+a+randomized+clinical+trial

https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+Recovery+for+Cardiac+Surgery+Noss

https://www.ncbi.nlm.nih.gov/pubmed/27321791

https://www.ncbi.nlm.nih.gov/pubmed/?term=27832832

Episode 87: Aortic Dissection with Tom Metkus

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In this episode, episode 87, I welcome Dr. Tom Metkus to the show.  Dr. Metkus is a cardiologist and intensivist and we discuss the etiology, presentation, management and outcomes of acute aortic dissections.

Outline by Brian Park: Aortic Dissection Outline

Episode 86: Thromboelastography with Bob Sikorski

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In this episode, episode 86, I welcome Dr. Bob Sikorski back to the show to discuss thromboelastography (TEG) and thromboelastometry (ROTEM).  We discuss how they work, what they tell us and how we can use them.

Example TEG:

Episode 85: Teaching and Learning with Tina Tran

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In this episode, episode 85, I welcome back Dr. Tina Tran and we discuss how to be successful as a medical student on an anesthesia clerkship, how to be a successful teacher if you are a resident teaching medical students, and how to create a great medical student rotation if you are a clerkship director.

Episode 83: AICDs and Pacemakers with Jared Miller

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In this episode, episode 83, I welcome Dr. Jared Miller to the show.  Dr. Miller is finishing his electrophysiology fellowship and we discuss the preoperative management of pacemakers and AICDs.

Outline by Brian Park: AICD Outline

Reference:

https://www.ncbi.nlm.nih.gov/pubmed/24182719