Category Archives: Anesthesia

Anesthesia, Interactive, Key Words, Pharmacology

Episode 180: Keywords part 12 with Gillian Isaac: Local Anesthetics

August 4, 2020 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 180: Keywords part 12 with Gillian Isaac: Local Anesthetics

00:00 / 44:32

In this 180th episode I welcome back Dr. Gillian Isaac for another ABA keyword episode. We review local anesthetics.

CME: https://earnc.me/LzzOvu

Also check out Episode 41 for an in-depth episode on local anesthetics

CORRECTION: At 28:58 I state that hyperventilation increases the seizure threshold. This is incorrect, it DECREASES the seizure threshold.

Reference: Barash Clinical Anesthesia 8th edition: Chapter on Local Anesthetics
Outline by Brian Park, MD

Local anesthetics block nerve conduction by?
a. Closing calcium channels
b. Decreasing intracellular sodium concentration
c. Decreasing K conductance
d. Causing extrusion of intracellular K
e. Inhibiting cellular influx of sodium

Discussion (4:44)

See full interactive post

Anesthesia, Cardiac

Episode 178: The Post-Bypass Period with Steve Freiberg

July 6, 2020 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 178: The Post-Bypass Period with Steve Freiberg

00:00 / 54:06

In this 178th episode I welcome back Dr. Stephen Freiberg to discuss how to manage the patient in the post cardiopulmonary bypass period.

CME: https://earnc.me/W1AepT

References Download

Dr. Freiberg’s social media:

thedadesthesiologist.com
Instagram: @thedadesthesiologist
Twitter: @dadesthesia
Tik Tok: @thedadesthesiologist

Anesthesia, Education, Life Lessons, Well-Being

Episode 177: How To Be a Star Resident

June 22, 2020 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 177: How To Be a Star Resident

00:00 / 51:33

In this 177th episode I discuss a survey of Anesthesiology program directors where I asked them both what makes a great resident great and what red flags make them worry about a resident. I go through the responses and lay out key points about how to earn the reputation of being a star resident.

CME: https://earnc.me/ABxR5u

A listener recommended the book Extreme Ownership by Jocko Willinck and Lief Babbin about what makes Navy Seal teams successful. There are lots of parallels with what I discussed on this episode.

Anesthesia, Interactive, Key Words, Show Notes

Episode 176: Keywords Part 11: Barbiturates and Bier Blocks

June 9, 2020 ACCRAC 11 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 176: Keywords Part 11: Barbiturates and Bier Blocks

00:00 / 48:00

In this 176th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA key words. This time we discuss Barbiturates and Bier Blocks. I also take a moment up front to share some thoughts on the horrible tragedy of George Floyd’s death at the hands of the police and the importance of acknowledging white privilege and fighting for the fact that Black Lives Matter.

CME: https://earnc.me/ucUI9n

Reference: Clinical Anesthesia. Publication Year: 2017. Edition: 8th Ed. Authors/Editor: Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; et al.
Outline by Brian Park, MD

Awakening after a single dose of thiopental is caused by redistribution from the brain primarily to which of the following sites?
(A) Fat
(B) Heart
(C) Liver
(D) Lung

Discussion (11:00)

See full interactive episode

Anesthesia, Education, Life Lessons, Well-Being

Episode 175: Financial Planning in the Time of COVID with Justin Harvey

June 1, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 175: Financial Planning in the Time of COVID with Justin Harvey

00:00 / 38:16

In this 175th episode I welcome Justin Harvey back to the show to discuss the financial implications of COVID-19 for medical students, residents, fellows and attending physicians. Justin is a fee-only financial advisor and CFP (Certified Financial Planner).

CME: https://earnc.me/x2dBzl

References:

Recommended student loan consulting company: www.studentloanplanner.com

Anesthesiologist-founded physician-specific lending: https://www.doc2doclending.com/

A great flow chart for how to think about student loan strategies: https://www.whitecoatinvestor.com/wp-content/uploads/2018/11/Screen-Shot-2018-11-03-at-3.06.44-PM-640×772.png

Article associated with the above for good student loan intel: https://www.whitecoatinvestor.com/ultimate-guide-to-student-loan-debt-management-for-doctors/

A place to find fee-only financial planners: https://www.napfa.org/ or http://xyplanningnetwork.com/

Justin’s podcast: http://anesthesiasuccess.com/

Justin’s company: www.apm-wealth.com

Justin’s email: justin@apm-wealth.com

Anesthesia, Interactive, Key Words, Show Notes

Episode 174: Keywords Part 10: OR Fires and Electrical Safety

May 18, 2020 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 174: Keywords Part 10: OR Fires and Electrical Safety

00:00 / 39:27

In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR.

CME: https://earnc.me/Adkacw

OR Fires

Fire Triangle (2:52)
Most important aspect of OR fire management? (3:22)

Risk for airway fire during laser resection of tracheal tumor DECREASED in
A. CO2 rather than GAD laser
B. Helium > 60%
C. N2O > 60%
D. PVC ETT
E. Halothane in mixture

Discussion (5:24)

View full interactive post

Anesthesia, Critical Care, Global Health, Life Lessons

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

May 3, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

00:00 / 44:22

In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others dealing with COVID-19.

CME: https://earnc.me/ft6q4J

Their website to get masks and/or donate: MasksOn.org

A map of where they’ve sent masks so far:

Random Recs:

The Sculptor: https://www.amazon.com/Sculptor-Scott-McCloud/dp/1596435739

Scriblio: https://skribbl.io

Avatar the last air bender: https://en.wikipedia.org/wiki/Avatar:_The_Last_Airbender

Outlander: https://www.starz.com/us/en/series/21796/episodes?season=1

Anesthesia, Cardiac, OB

Episode 172: A Pregnant Patient with Congenital Heart Disease

May 1, 2020 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 172: A Pregnant Patient with Congenital Heart Disease

00:00 / 1:06:57

In this 172nd episode I welcome a panel of experts to discuss the management of a pregnant patient with congenital heart disease. Drs. Hofkamp, Vaught and Meng join me to discuss the preoperative evaluation, obstetric management, and postoperative care.

CME: https://earnc.me/ZY2v27

References Download

Anesthesia, Neuro

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

April 20, 2020 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

00:00 / 41:10

In this 171st episode, a follow up to episode 113, I welcome Dr. Mintz back to the show to discuss anesthetic management for cerebral aneurysm surgery.

CME: https://earnc.me/it1yY5

References:

Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia

http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=3;spage=328;epage=337;aulast=Kundra

The Guns of August: https://www.amazon.com/Guns-August-Pulitzer-Prize-Winning-Outbreak/dp/0345476093

Cognitive Aid website: www.rnsascar.com

Airway, Anesthesia, Critical Care, Procedures

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

April 5, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

00:00 / 13:33

In this episode I introduce Dr. Christina Miller’s video, linked below, that goes through PPE considerations including how to safely don and doff, and suggestions for how to handle a difficult airway in COVID patients.

CME: https://earnc.me/NqjD2r

Video: https://drive.google.com/file/d/1AFYIouqGVLRlstU3xXSOJTHbtorWvQ7L/view