Episode 207: Structural Heart with Drs. Essandoh, Graul and Cody

In this 207th episode I welcome back Drs. Essandoh, Graul and Cody to discuss anesthesia for structural heart procedures. We cover the Mitraclip, TAVR and Watchman.

Random Recs:

Alligator Show: https://everglades.com

The Ketchup Conundrum: https://www.newyorker.com/magazine/2004/09/06/the-ketchup-conundrum

Mindset: The New Psychology of Success: Link

The Cancer Code: Link

Episode 205: ECMO update with Drs. Essandoh, Cody and Graul

In this 205th episode I welcome Drs. Essandoh, Cody and Graul back to the show to discuss ECMO including significant new technology and devices that have come into play since I last covered ECMO.

Random Recs:

Cancer Code: Link

The China Study: Link

Cautionary Tales Number Fever Episode: Link

Netflix Formula 1: Link

Mallorca Island: Link

Star Trek Picard: Link

Episode 204: Management of Patients with LVADs for Non-cardiac Surgery with Kia Sedghi

In this 204th episode I welcome Dr. Kia Sedghi to the show to discuss the perioperative management of patients with LVADs coming in for non-cardiac surgery.

Random Recs:

Ted Lasso: Link

You’re Wrong About: Link

Episode 198: Non-Transvenous Cardiovascular Implantable Electronic Device Technology

In this 198th episode I welcome Drs. Essandoh, Cody and Graul to the show to discuss new technology for non-transvenous cardiac devices such as subcutaneous ICDs, leadless pacemakers and wireless-CRT.

Dr. Cody’s email is: Joseph.Cody@osumc.edu

Abstract of their review article: https://www.jcvaonline.com/article/S1053-0770(21)00113-0/abstract

Random Recs:

Alarm Fatigue Article: https://neo.life/2021/02/alarm-fatigue-in-the-icu-a-huge-problem-made-worse-by-covid-19/

Riyria Revelations: https://en.wikipedia.org/wiki/Riyria_Revelations

The Office: https://en.wikipedia.org/wiki/The_Office_(American_TV_series)

Pittsburgh’s 3 Rivers Kayaking: https://paddlingmag.com/trips/destinations/kayak-pittsburgh/

Episode 178: The Post-Bypass Period with Steve Freiberg

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

Dr. Freiberg’s social media:

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

Episode 172: A Pregnant Patient with Congenital Heart Disease

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.

Episode 146: Critical Care Ultrasound with Lee Goeddel

In this 146th episode I welcome back Dr. Lee Goeddel to the show to discuss critical care ultrasound including how it differs from POCUS and how people can prepare for the new certification exam.

References:

Pears and Pitfalls in Critical Care Ultrasonography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693549/

Episode 140: Transfusion Triggers and The TRICS 3 Trial with David Mazer

In this 140th episode I welcome Dr. David Mazer to the show. Dr. Mazer was the PI and first author on the TRICS 3 trial looking at liberal versus restrictive transfusion strategies in moderate to high risk cardiac surgery patients published in the NEJM in 2017.

Dr. Mazer would like to add the following random recommendation: For a great combination of live jazz and good food and drinks in Toronto, check out the Jazz Bistro just up the street from St. Michael’s Hospital.

Reference: https://www.nejm.org/doi/full/10.1056/NEJMoa1711818

Dr. Mazer can be reached at David.Mazer@UnityHealth.To

Episode 130: Adults with Congenital Heart Disease with Jochen Steppan

In this 130th episode I welcome back Dr. Jochen Steppan to discuss the perioperative care of adults with congenital heart disease. We discuss the incidence, evaluation and management including the different types of physiology that a provider might see and how to manage each one.

References:

http://www.pted.org/ For pictures of the lesions

Stoelting’s Anesthesia and Co-Existing Disease, 7th EditionChapter 7 “Congenital Heart Disease” by Jochen Steppan and Bryan Maxwell 

Int Anesthesiol Clin. 2018 Fall;56(4):3-20. “When Your 35-Year-Old Patient has a Sternotomy Scar: Anesthesia for Adult Patients with Congenital Heart Disease Presenting for Noncardiac Surgery” By Cheema A, Ibekwe S, Nyhan D, Steppan J.

Episode 105: Blood Management Part 1 With Drs. Frank & Cha

In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions.

References:

1.         Myles PS, Smith JA, Forbes A, Silbert B, Jayarajah M, Painter T, Cooper DJ, Marasco S, McNeil J, Bussieres JS, McGuinness S, Byrne K, Chan MT, Landoni G, Wallace S, Network AIotACT. Tranexamic acid in patients undergoing coronary-artery surgery. N Engl J Med 2017;376:136-48.
2.         Frank SM, Wick EC, Dezern AE, Ness PM, Wasey JO, Pippa AC, Dackiw E, Resar LM. Risk-adjusted clinical outcomes in patients enrolled in a bloodless program. Transfusion 2014;54:2668-77.
3.         Cho BC, DeMario VM, Grant MC, Hensley NB, Brown CHt, Hebbar S, Mandal K, Whitman GJ, Frank SM. Discharge hemoglobin level and 30-day readmission rates after coronary artery bypass surgery. Anesth Analg 2018.
4.         Pattakos G, Koch CG, Brizzio ME, Batizy LH, Sabik JF, 3rd, Blackstone EH, Lauer MS. Outcome of patients who refuse transfusion after cardiac surgery: A natural experiment with severe blood conservation. Arch Intern Med 2012;172:1154-60.
5.         Frank SM, Scott AV, Resar LM. Bloodless medicine and surgery: Top 10 things to consider.Anesthesiology News 2016.