Episode 226: Keywords Part 18: Newborn Emergencies

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 226: Keywords Part 18: Newborn Emergencies
/

In this 226th episode I welcome back Dr. Gillian Isaac to do another ABA keyword episode. We cover all 9 of the newborn emergencies that are laid out in the ABA keywords.

CME: Link

References: Barash Clinical Anesthesia 8th edition and Anesthesiahub.com

Looking to start a podcast? Try RedCircle by clicking here: Link

Episode 214: Keywords Part 17: Non-depolarizing blockers and Myesthenic Syndromes

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 214: Keywords Part 17: Non-depolarizing blockers and Myesthenic Syndromes
/

In this 214th episode I welcome back Dr. Gillian Isaac to do another ABA Keyword episode. We review non-depolarizing neuromuscular blockers and myesthenic syndromes.

CME: https://earnc.me/w4WOk8

Show Notes by Dr. Brian H. Park

Random Recs:

Ted Lasso: https://en.wikipedia.org/wiki/Ted_Lasso

Hamnet: Link

Amicus Podcast Interview with Michael Heller: Link

References:

Barash Clinical Anesthesia 8th edition and Anesthesiahub.com

Episode 196: Keywords part 16: Urologic surgery and Renal Failure

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 196: Keywords part 16: Urologic surgery and Renal Failure
/

In this 196th episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA keyword. We discuss urologic surgery and renal failure.

CME: https://earnc.me/GDJ4RR

Show Notes by Dr. Brian H Park

References: Barash Clinical Anesthesia 8th edition and Anesthesiahub.com

Random Recs:

The body keeps the score: Link

Black Klansman: Link

Axios Today: https://www.axios.com/podcasts/today/

Episode 193: Keywords Part 15: Pharmacology of Inhaled Anesthetics

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 193: Keywords Part 15: Pharmacology of Inhaled Anesthetics
/

In this 193rd episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA Key Word topic. This time we discuss the pharmacology of inhaled anesthetic agents.

CME: https://earnc.me/hxOv4S

Outline by Dr. Brian Park

References: Barash Clinical Anesthesia 8th edition and Anesthesiahub.com

Random Recs:

Chess.com

A Woman of No Importance

Episode 192: Keywords part 14: Maternal Physiology with Gillian Isaac

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 192: Keywords part 14: Maternal Physiology with Gillian Isaac
/

In this 192nd episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA keyword, maternal physiology.

CME: https://earnc.me/Z3mGJv

References: Barash Clinical Anesthesia 8th edition and Anesthesiahub.com

Episode 183: Keywords Part 13 with Gillian Isaac: Thyroid for the Basic and Advanced Exams

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 183: Keywords Part 13 with Gillian Isaac: Thyroid for the Basic and Advanced Exams
/

In this 183rd episode I welcome back Dr. Gillian Isaac to do another keyword episode where we review the ABA keyword topics of Thyroid for the Basic Exam and Thyroid for the Advanced Exam.

CME: https://earnc.me/Q9tFah

Show notes by Brian Park, MD

References:

Barash Clinical Anesthesia 8th edition

American Board of Anesthesiology Website

Anesthesiahub.com

Random Recs:

Serious Eats Brown Butter Cookie Dough Recipe: Link

The Dragon Prince: https://en.wikipedia.org/wiki/The_Dragon_Prince

Episode 180: Keywords part 12 with Gillian Isaac: Local Anesthetics

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 180: Keywords part 12 with Gillian Isaac: Local Anesthetics
/

In this 180th episode I welcome back Dr. Gillian Isaac for another ABA keyword episode. We review local anesthetics.

CME: https://earnc.me/LzzOvu

Also check out Episode 41 for an in-depth episode on local anesthetics

CORRECTION: At 28:58 I state that hyperventilation increases the seizure threshold. This is incorrect, it DECREASES the seizure threshold.

Reference: Barash Clinical Anesthesia 8th edition: Chapter on Local Anesthetics
Outline by Brian Park, MD

Local anesthetics block nerve conduction by?
a. Closing calcium channels
b. Decreasing intracellular sodium concentration
c. Decreasing K conductance
d. Causing extrusion of intracellular K
e. Inhibiting cellular influx of sodium

Discussion (4:44)

See full interactive post

Episode 176: Keywords Part 11: Barbiturates and Bier Blocks

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 176: Keywords Part 11: Barbiturates and Bier Blocks
/

In this 176th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA key words. This time we discuss Barbiturates and Bier Blocks. I also take a moment up front to share some thoughts on the horrible tragedy of George Floyd’s death at the hands of the police and the importance of acknowledging white privilege and fighting for the fact that Black Lives Matter.

CME: https://earnc.me/ucUI9n

Reference: Clinical Anesthesia. Publication Year: 2017. Edition: 8th Ed. Authors/Editor: Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; et al.
Outline by Brian Park, MD

Awakening after a single dose of thiopental is caused by redistribution from the brain primarily to which of the following sites?
(A) Fat
(B) Heart
(C) Liver
(D) Lung

Discussion (11:00)

See full interactive episode

Episode 174: Keywords Part 10: OR Fires and Electrical Safety

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 174: Keywords Part 10: OR Fires and Electrical Safety
/

In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR.

CME: https://earnc.me/Adkacw

OR Fires

Fire Triangle (2:52)
Most important aspect of OR fire management? (3:22)

Risk for airway fire during laser resection of tracheal tumor DECREASED in
A. CO2 rather than GAD laser
B. Helium > 60%
C. N2O > 60%
D. PVC ETT
E. Halothane in mixture

Discussion (5:24)


View full interactive post

Episode 164: Keywords part 9: Fentanyl and Breathing Circuits

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 164: Keywords part 9: Fentanyl and Breathing Circuits
/

In this 164th episode I welcome back Dr. Gillian Isaac to do another ABA keywords episode. We discuss fentanyl and breathing systems (Mapleson and Circle systems).

CME: https://earnc.me/delVJ8

Great info from Aaron Sandock:

The toxicity was reported in rats and research was published in the early-mid 90’s. 

Gonsowski, C., Laster, M., Eger, E., Ferrell, L. and Kerschmann, R. Toxicity of Compound A in Rats: Effect of a 3-Hour Administration

Anesthesiology. 1994;80(3):566-573. 

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1949689

It is actually the case that follow up studies were done in the US on volunteer patients through University of Arizona and Medical College of Wisconsin in the later 1990’s.Ebert, T., Frink, E. and Kharasch, E. Absence of Biochemical Evidence for Renal and Hepatic Dysfunction after 8 Hours of 1.25 Minimum Alveolar Concentration Sevoflurane Anesthesia in Volunteers. Anesthesiology. 1998;88(3):601-610.

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1948570

Kharasch, E. and Jubert, C. Compound A Uptake and Metabolism to Mercapturic Acids and 3,3,3-Trifluoro-2-fluoromethoxypropanoic Acid during Low-flow Sevoflurane Anesthesia. 

Anesthesiology. 1999;91(5):1267-1278.

https://www.ncbi.nlm.nih.gov/pubmed/10551576

The key point of the final article concludes that humans are nearly devoid of renal beta lyase, the key enzyme in directing biodegradation of compound A to the toxic renal thiol. Essentially, this research was done in the late 90’s but the original possibility of renal toxicity in humans from just a few years prior has stuck in peoples’ minds (and therefore textbooks). 

More recent studies agree:

Ong Sio LDela Cruz R,  and Bautista A. Sevoflurane and renal function: a meta-analysis of randomized trials.

Med Gas Res. 2017 Oct 17;7(3):186-193.

https://www.ncbi.nlm.nih.gov/pubmed/29152212

Gillian’s random recommendation: Born a Crime by Trevor Noah

Circle C Farm: https://www.circlecfarmfl.com