Episode 56: Bugs and Drugs Part 1 with Rachel Kruer

In this episode, episode 56, I welcome Rachel Kruer to the show.  Rachel is one of our amazing ICU pharmacists and we discuss common bacteria and the drugs we use to treat them.  This is part 1 of a 2 part series that I’ll be doing with Rachel on this topic.

Episode 52: Diastolic Heart Failure with Todd Dorman

In this episode, episode 52, I welcome Dr. Todd Dorman to the show.  Dr. Dorman is a professor of anesthesiology here at Johns Hopkins, is the Vice Chair for Critical Care, and is the immediate past president of the Society of Critical Care Medicine (SCCM).  Dr. Dorman and I discuss diastolic heart failure or heart failure with preserved ejection fraction (HFPEF), how it differs from systolic heart failure or heart failure with reduced ejection fraction (HFREF), how it presents, and how to manage it perioperatively.

References for peripheral vasopressors:

  1. Medlej K et al. Complications from Administration of Vasopressors Through Peripheral Venous Catheters: An Observational Study. JEM 2018. PMID: 29110979
  2. http://rebelem.com/peripheral-vasopressors-safe-dangerous/

Episode 47: Arterial Lines with Stephen Freiberg

In this episode, episode 47, I welcome back Dr. Stephen Freiberg, one of our chief residents, to discuss all you ever wanted to know about arterial lines.  We discuss the indications, contraindications, complications, placement technique, and how to interpret the waveform.

Slides with figures mentioned in the podcast can be found here: Arterial Line Podcast Images

If you are a regular listener to the show please consider becoming a patron at patreon.com/accrac to help support the costs of making the show.  Even just a dollar or two makes a big difference.  Thanks so much.

Episode 45: Postop Delirium with Charlie Brown

In this episode, episode 45, I welcome Dr. Charlie Brown to the show.  Dr. Brown is one of our cardiac anesthesiologists with a research interest in postop delirium.  We discuss risk factors, consequences, prevention and treatment of postop delirium.

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 35: Pleural effusions with Dr. David Feller-Kopman

In this episode, number 35, I welcome Dr. David Feller-Kopman to the show.  Dr. Feller-Kopman is an associate professor of medicine and Otolaryngology and the director of Bronchoscopy and Interventional Pulmonology here at Johns Hopkins.  I interview him about pleural effusions including what they are, where they come from, how to categorize them, how to treat them and how to deal with them if they recur.

The NEJM article on the use of TPA and DNAse is here: http://www.nejm.org/doi/full/10.1056/NEJMoa1012740#t=abstract

Episode 33: ECMO with Dr. Rosanne Sheinberg

In this episode, episode 33, I welcome cardiac anesthesiologist Dr. Rosanne (Rosie) Sheinberg to the show to discuss ECMO.  We go through a comprehensive overview of what ECMO is, how it is used, how it is managed, the complications that can be seen and how to manage them and how to wean it off.

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.

Episode 30: Management of anticoagulation for non-valvular a-fib

In this episode, episode 30, I discuss the new American College of Cardiology Guidelines for the periprocedural management of anticoagulation for patients with non-valvular atrial fibrillation.  This includes whether to stop, when to stop, whether to bridge, how to bridge, and how and when to restart.

Outline by Brian Park: AC for Afib Outline