Episode 199: Pharmacology for the Neuro ICU with Salia Farrokh

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 199: Pharmacology for the Neuro ICU with Salia Farrokh
/

In this 199th episode I welcome Salia Farrokh to the show to discuss pharmacology in the neuro ICU. We discuss treatment for status epilepticus, ICP crisis, reversal of anticoagulants in ICH, neurostimulants in TBI and BP management in stroke.

CME: https://earnc.me/ngSiLR

Salia is on LinkedIn at https://www.linkedin.com/in/salia-farrokh-pharm-d-bcps-bcccp-845b1b38/

Random Recs:

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

The Happier Podcast: https://gretchenrubin.com/podcasts/

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz
/

In this 171st episode, a follow up to episode 113, I welcome Dr. Mintz back to the show to discuss anesthetic management for cerebral aneurysm surgery.

CME: https://earnc.me/it1yY5

References:

Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia

http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=3;spage=328;epage=337;aulast=Kundra

The Guns of August: https://www.amazon.com/Guns-August-Pulitzer-Prize-Winning-Outbreak/dp/0345476093

Cognitive Aid website: www.rnsascar.com

Episode 154: EEG monitoring with Dr. Emery Brown

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 154: EEG monitoring with Dr. Emery Brown
/

In this 154th episode I welcome Dr. Emery Brown to the show to discuss how we monitor the depth of anesthesia. We discuss the drawbacks to BIS and why Dr. Brown thinks the EEG itself is the best way to go.

CME: https://earnc.me/fbGYsk

References:

EEG reading tutorials: https://eegforanesthesia.iars.org/

Purdon et al: The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia

Brown et al: General Anesthesia and Altered States of Arousal: A Systems Neuroscience Analysis. Annu. Rev. Neurosci. 2011.

Brown et al: General Anesthesia, Sleep, and Coma. NEJM. 2010.

Brown et al: Multimodal General Anesthesia: Theory and Practice. A&A 2018.

Purdon et al: Clinical Electroencephalography for Anesthesiologists. Part I: Background and Basic Signatures. Anesthesiology 2015.

Dental Anesthesia info:

Contacts:

Thomas Whitmer: thomas.whitmer.tw@gmail.com

Mana saraghi: msaraghi@gmail.com

References:

https://www.ada.org/en/ncrdscb/dental-specialties/specialty-definitions

http://www.ada.org/~/media/CODA/Files/anes.ashx

American Society of Dentist Anesthesiologists website: https://www.asdahq.org

Virtual tour https://www.youtube.com/watch?v=ZJ1Mo65ah4w&feature=youtu.be



Episode 113: Anesthesia for Aneurysm Clipping With Dave Mintz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 113: Anesthesia for Aneurysm Clipping With Dave Mintz
/

In this 113th episode I welcome Dr. David Mintz back to the show to discuss anesthesia for intracranial aneurysm clipping.

CME: https://earnc.me/XKz3WI

References:

Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia

https://www.ncbi.nlm.nih.gov/pubmed/25014255

Episode 112: Anesthesia for ECT with Christina Miller

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 112: Anesthesia for ECT with Christina Miller
/

In this 112th episode I welcome Dr. Christina Miller to the show to discuss Anesthesia for Electroconvulsive Therapy (ECT).

CME: https://earnc.me/4uJ3bR

References:

Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002 May;94(5):1351-64.

Sadowksy, Jonathan. Electroconvulsvie Therapy: A History of Controversy, but Also of Help.  The Conversation. Scientific American.  January 13, 2017.

Wright, M.D., Bruce A. (1990) “An Historical Review of Electroconvulsive Therapy,” Jefferson Journal of Psychiatry: Vol. 8 : Iss. 2 , Article 10.

Nishihara F, Saito S. Pre-ictal bispectral index has a positive correlation with seizure duration during electroconvulsive therapy. Anesth Analg. 2002 May;94(5):1249-52, table of contents.

Gombar S, Aggarwal D, Khanna AK, Gombar KK, Chavan BS. The bispectral electroencephalogram during modified electroconvulsive therapy under propofol anesthesia: relation with seizure duration and awakening. J ECT. 2011 Jun;27(2):114-8.

Sartorius A, Muñoz-Canales EM, Krumm B, Krier A, Andres FJ, Bender HJ, Henn FA. ECT anesthesia: the lighter the better? Pharmacopsychiatry. 2006 Nov;39(6):201-4. 

Sebel PS, Bowdle TA, Ghoneim MM, Rampil IJ, Padilla RE, Gan TJ, Domino KB. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg. 2004 Sep;99(3):833-9

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 103: Neuromonitoring with Drs. Ritzl and Russo







/

In this 103rd episode I welcome Dr. Eva Ritzl and Dr. Alyson Russo to the show to discuss intraoperative neuromonitoring.

CME: https://earnc.me/k8DsYq

Reference: Solt K and Froman S. Correlating the clinical actions and molecular mechanisms of general anesthetics. Curr Op in Anaes. 2007:20(4);300-306.

Episode 84: Anesthesia for spine surgery with Alyson Russo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 84: Anesthesia for spine surgery with Alyson Russo







/

In this episode, episode 84, I welcome back Dr. Alyson Russo to discuss anesthesia for spine surgery.

CME: https://earnc.me/zbDlU5

Episode 81: Anesthesia for Craniotomies with Alyson Russo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 81: Anesthesia for Craniotomies with Alyson Russo







/

In this episode, episode 81, I welcome Dr. Alyson Russo to the show to discuss how to prepare for and conduct anesthesia for craniotomy surgery.

CME: https://earnc.me/iM3y5w

Episode 45: Postop Delirium with Charlie Brown

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
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.

CME: https://earnc.me/Ckgf63

Episode 22: Postop Visual Loss with Dr. Joe Hughes

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 22: Postop Visual Loss with Dr. Joe Hughes







/

In this episode I interview Dr. Joseph Hughes, one of our neuro anesthesiologists, about the history, etiology, pathophysiology and prevention of postoperative visual loss.

CME: https://cmefy.com/moment?id=kBhJW6F

We refer to a thromboelastogram which looks like this.  It is the fibrinolysis portion that can be prevented with tranexamic acid (TXA):

screen-shot-2016-12-01-at-12-08-46-pm

High Yield Outline by Brian Park can be found here: Outline