In this episode I welcome Dr. Scott Stephens, Pulmonary Critical Care Physician at Johns Hopkins to the show. Dr. Stephens and I discuss basic ventilator settings, how to appropriately ventilate patients with hypoxemic vs. hypercarbic respiratory failure and how to think about weaning patients off of the ventilator.
In this episode I review the receptors that vasoactive drugs act on. I then review the main vasoactive medications used in the OR and the ICU to treat acute hypotension and the ones used to treat acute hypertension.
In this episode I go over some tips and tricks for maximizing your success with peripheral IVs, arterial lines, central venous catheters and pulmonary artery catheters (Swan Ganz catheters).
The New England Journal videos that I recommend you take a look at for detailed reviews of each of these are here:
- Peripheral IV: http://www.nejm.org/doi/full/10.1056/NEJMvcm0706789
- Arterial: http://www.nejm.org/doi/full/10.1056/NEJMvcm044149
- Central: http://www.nejm.org/doi/full/10.1056/NEJMvcm055053
- PA catheter: http://www.nejm.org/doi/full/10.1056/NEJMvcm1212416
And this is a great article from Ausmed on assessing and caring for peripheral IVs: Click Here
In this episode I discuss awake intubation. I discuss the indications, techniques, nerve blocks, sedation and different methods of performing awake intubation.
Slides to go along with the podcast are here: awake intubation slides
The youtube video of the MGH anesthesiologist intubating himself is here: self-intubation
In this episode I welcome back Dr. David Mintz, neuroanesthesiologist, to discuss the treatment of increased intracranial pressure in the perioperative period and brain relaxation during neurosurgery. Dr. Mintz will be back in the future to talk about the physiology of increased ICP.
In this episode I discuss the use of IV fluids for perioperative use including how to decide when to give fluid, the downsides of over resuscitation, whether to use crystalloid or colloid, and whether to use saline or a balanced salt solution such as LR.
Slides to go along with this episode are here: IV Fluids slides
This is the second of two episodes about opioid medications. In this episode I cover the pharmacokinetics and pharmacodynamics of opioids, some of the common uses for these medications, mixed agonist-antagonist compounds, opioid antagonists, and opioid interaction with other medications.
Slides to go along with this episode are here: Opioids part 2
This is the first of a 2 part series on opioid medications. In this first episode I will talk about how opioids are categorized and their effects on the different body systems. In the next episode I will discuss their pharmacokinetics and pharmacodynamics as well as their various uses and some details on mixed agonist/antagonists.
Slides to go along with this episode are here: Opioids part 1
PLEASE NOTE: Around minute 12 I say that auditory evoked potentials are the most sensitive to anesthetics. This is incorrect. I should have said visual evoked potentials. Thanks to Howard Zee for catching that!
In this episode I welcome Dr. David Mintz, one of our neuroanesthesiologists here at Johns Hopkins, fellow Brown University Alum, and generally all around great guy, to the show to talk about air embolism, what it is, how it happens and how to manage it. A big thanks to Dave for taking the time to prepare this information and for being the first ever guest on ACCRAC.
Outline by Brian Park: Outline
In this episode I discuss hyperoxia and review the evidence in regards to the damage it can cause in patients with a wide variety of illnesses.
Slides to accompany the episode can be found here: hyperoxia slides