Episode 44: Intro to cardiac anesthesia with Megan Kostibas

In this episode, episode 44, I welcome Dr. Megan Kostibas to the show.  Dr. Kostibas is trained in cardiac anesthesia and critical care medicine and is an assistant professor here at Hopkins.  She is also the associate program director for the cardiac anesthesia fellowship.  We discuss the basics of how to prepare, induce and manage difference cardiac pathology as well as how to go on and off cardiopulmonary bypass.

Episode 43: Maternal Physiology with Mike Hofkamp

In this episode, episode 43, I welcome Dr. Mike Hofkamp to the show.  Dr. Hofkamp is Director of OB Anesthesia at Baylor Scott & White Memorial Hospital and Clinical Associate Professor of Anesthesiology at Texas A&M Health Science Center College of Medicine.  We discuss the changes to women’s physiology when they become pregnant and the implications of those changes for anesthetic management.

Outline by April Liu: Episode 43

Episode 42: Post-op Nausea and Vomiting (PONV)

In this episode, episode 42, I discuss Post-op Nausea and Vomiting (PONV).  I discuss risk factors, complications, treatment and prevention and side effects.

Outline by April Liu: Outline

UPDATE April, 2018: In this episode I mention that the evidence is not good for Midazolam in preventing PONV.  However, a good friend and colleague, Dr. Michael Grant, did a nice meta-analysis of available trials which concluded that it actually does work fairly well.  Check out his study:

Grant MC, Kim J, Page AJ, et al. The Effect of Intravenous Midazolam on Postoperative Nausea and Vomiting: A Meta-Analysis. Anesthesia & Analgesia: 2016:122(3); 656–663.

Episode 39: Liver Transplant with Dr. Steve Frank

In this episode, episode 39, I interview Dr. Steve Frank, Professor of Anesthesia and Critical Care Medicine at Johns Hopkins, Medical Director of Blood Management for Johns Hopkins Health System and Chief of Adult Anesthesiology about anesthesia for liver transplants.

Episode 37: OR Crises

In this episode, episode 37, I go over crises that can happen in the OR, when to suspect them, and what to do about them.  I draw from two excellent sets of OR crisis checklists that are available for free.  The Stanford Anesthesia Cognitive Aid Group’s lists and the Ariadne Labs/Brigham/Harvard School of Public Health lists.

The Stanford checklists can be downloaded for free here: http://emergencymanual.stanford.edu

The Harvard checklists can be downloaded for free here: http://www.projectcheck.org/crisis-checklist-download.html

Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel

In this episode, episode 36, I welcome Dr. Deb Schwengel, one of our pediatric anesthesiologists and our residency program director, to the show to discuss the differences in anatomy and physiology in pediatric versus adult patients.

Outline by April Liu: Outline

Episode 34: Oral Board Prep with Drs. Tran and Beaudry

In this episode, episode 34, I welcome Dr. Tina Tran and Dr. Steve Beaudry to the show to give you two run throughs of an oral board stem.  First Dr. Tran demonstrates some common errors and then Dr. Beaudry demonstrates an example of the “right way” to do it.  We then mention some learning points from the stem itself, a pregnant woman at term with HOCM.

Episode 31: Massive Transfusion with Dr. Stephen Freiberg

In this episode, episode 31, I welcome one of our amazing chief residents to the show, Dr. Stephen Freiberg.  Stephen has taken an interest in massive transfusion and he goes over the highlights of when to do it, how to do it, what complications you see from it and how to manage those complications.