Category Archives: Critical Care

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 66: Neuromuscular Blockers

January 5, 2018 ACCRAC 19 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 66: Neuromuscular Blockers

00:00 / 39:48

In this episode, episode 66, I go through an overview of neuromuscular blockers including how they work, how to use them, and what their adverse effects are. Happy New Year!

CME: https://earnc.me/9GRFyG

The dose of glycopyrrolate should be 0.01 to 0.015mg/kg, not 0.1 to 0.15.

Outline by Brian Park: Outline

References:

Miller’s Anesthesia 7th edition: Chapter 29: Pharmacology of Muscle Relaxants and Their Antagonists. Naguib M and Lien C.

Rocuronium vs succinylcholine for rapid sequence induction intubation. https://www.ncbi.nlm.nih.gov/pubmed/26512948

Neuromuscular blockade: what was, is and will be: https://www.ncbi.nlm.nih.gov/pubmed/25622380

Reversal of neuromuscular block: https://www.ncbi.nlm.nih.gov/pubmed/19468024

Critical Care, Pharmacology

Episode 63: Chemo Prophylaxis with Andrew Jarrell

December 1, 2017 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 63: Chemo Prophylaxis with Andrew Jarrell

00:00 / 45:48

In this episode, episode 63, I welcome back Andrew Jarrell to learn to pronounce his name properly, and to discuss VTE and stress ulcer prophylaxis.

CME: https://earnc.me/tcjDJm

References are here: References

Anesthesia, Cardiac, Critical Care, Pulmonary, Show Notes

Episode 59: Pulmonary HTN with Jochen Steppan

October 17, 2017 ACCRAC 7 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 59: Pulmonary HTN with Jochen Steppan

00:00 / 41:19

In this episode, episode 59, I welcome international pulmonary hypertension expert Dr. Jochen Steppan to the show to discuss pulmonary hypertension and how to manage the preoperative care of patients with this disease.

CME: https://earnc.me/RvLpV8

Outline by Brian Park: Outline

Critical Care, Interactive, Pharmacology, Show Notes

Episode 57: Bugs and Drugs Part 2 With Rachel Kruer

October 5, 2017 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 57: Bugs and Drugs Part 2 With Rachel Kruer

00:00 / 39:14

In this episode, episode 57, I welcome back Rachel Kruer, our amazing SICU pharmacist and we complete our two part series on bugs and drugs in the ICU. We discuss different infections that are commonly seen in ICUs and how to treat them.

CME: https://earnc.me/OMacEP

Episode Notes

Critical Care, Interactive, Pharmacology, Show Notes

Episode 56: Bugs and Drugs Part 1 with Rachel Kruer

September 28, 2017 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 56: Bugs and Drugs Part 1 with Rachel Kruer

00:00 / 55:44

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.

CME: https://earnc.me/1McYTq

Skip to specific topics:

Pharmacodynamics vs. Pharmacokinetics (1:08)
Categorizing Bacteria (7:10)
Beta-Lactams (12:10)
Aztreonam (19:40)
Carbapenems (21:20)
Case Examples (24:20)
Fluoroquinolones (30:36)
Vancomycin (33:15)
Aminoglycosides (35:31)
Macrolides (39:45)
Linezolid (40:33)
Daptomycin (43:05)
Sulfonamide Antibiotics (44:05)
Clindamycin (45:49)
Colistin (47:17)
Glycylcycline (48:43)
Metronidazole (Flagyl) (49:55)
Vancomycin Resistant Enterococcus (51:11)
Surgical Prophylaxis (53:40)

Outline by April Liu
See other interactive posts

Anesthesia, Cardiac, Critical Care, Physiology

Episode 52: Diastolic Heart Failure with Todd Dorman

August 7, 2017 ACCRAC 15 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 52: Diastolic Heart Failure with Todd Dorman

00:00 / 36:57

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.

CME: https://earnc.me/v55B14

References for peripheral vasopressors:

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

Outline by April Liu

Anesthesia, Critical Care, Procedures

Episode 47: Arterial Lines with Stephen Freiberg

June 13, 2017 ACCRAC 11 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 47: Arterial Lines with Stephen Freiberg

00:00
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50:32

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.

CME: https://earnc.me/P5Z6j5

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.

Anesthesia, Critical Care, Neuro, Physiology

Episode 45: Postop Delirium with Charlie Brown

May 24, 2017 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 45: Postop Delirium with Charlie Brown

00:00
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29:45

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.

CME: https://earnc.me/Ckgf63

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 41: Local Anesthetics

April 21, 2017 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 41: Local Anesthetics

00:00
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24:15

In this episode, episode 41, I review local anesthetics including the mechanism of action, commonly used agents, pharmacodynamics and kinetics, toxicity and treatment, and common blocks.

CME: https://earnc.me/rbqGL8

Outline by April Liu: Outline

Anesthesia, Critical Care, Physiology

Episode 39: Liver Transplant with Dr. Steve Frank

March 27, 2017 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 39: Liver Transplant with Dr. Steve Frank

00:00
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49:10

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.

CME: https://earnc.me/8CONhS