Category Archives: Show Notes

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

Episode 77: Reversal of Neuromuscular Blockade

March 28, 2018 ACCRAC 15 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 77: Reversal of Neuromuscular Blockade

00:00 / 30:43

In this episode, episode 77, I discuss reversal of neuromuscular blockade. This is a follow up to episode 66 in which I covered neuromuscular blockade.

CME: https://earnc.me/An714h

Outline by Brian Park: NMB Reversal Outline

References:

Miller’s Anesthesia 8^th Edition. Reversal (Antagonism) of Neuromuscular Blockade. Murphy GS, de Boer HD, Eriksson LI and Miller RD. Chapter 35, 995-1027.e5.

Appiah-Ankam J, Hunter J. Pharmacology of neuromuscular blocking drugs. Cont Educ Anaesthesia Critical Care & Pain. 2004;4(1):2-7.

Hristovska AM, Duch P, Allingstrup M, Afshari A. Efficacy and safety of sugammadex versus neostigmine in reversing neuromuscular blockade in adults. Cochrane Database Syst Rev. 2017 Aug 14;8:CD012763.

Keating GM. Sugammadex: A Review of Neuromuscular Blockade Reversal. Drugs. 2016 Jul;76(10):1041-52.

McLean DJ, Diaz-Gil D, Farhan HN, Ladha KS, Kurth T, Eikermann M. Dose-dependent Association between Intermediate-acting Neuromuscular-blocking Agents and Postoperative Respiratory Complications. Anesthesiology. 2015 Jun;122(6):1201-13.

Schaller S, Fink H. Sugammadex as a reversal agent for neuromuscular block: an evidence-based review. Core Evidence. 2013;8:57-67.

Anesthesia, Pain, Physiology, Show Notes

Episode 76: Pain Pathways with Mark Bicket

March 14, 2018 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 76: Pain Pathways with Mark Bicket

00:00 / 53:31

In this episode, episode 76, I welcome Dr. Mark Bicket to the show to discuss pain pathways. We shape this one around some great board style questions that Mark put together.

CME: https://earnc.me/ogru4S

Episode outline by Brian Park: Pain Pathways Outline

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

Anesthesia, OB, Show Notes

Episode 64: Problems during pregnancy with Jacqueline Galvan part 2

December 8, 2017 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 64: Problems during pregnancy with Jacqueline Galvan part 2

00:00 / 59:15

In this episode, episode 64, I welcome back Dr. Jacqueline Galvan to finish our discussion of programs during pregnancy and delivery. We discuss hematologic, neurologic, respiratory, renal and infectious disease issues and how they affect pregnancy, delivery, and anesthetic management.

CME: https://earnc.me/l8sVCM

Slides with references and notes: Problems during pregnancy part 2

Anesthesia, OB, Show Notes

Episode 62: Problems during pregnancy with Jacqueline Galvan part 1

November 17, 2017 ACCRAC 6 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 62: Problems during pregnancy with Jacqueline Galvan part 1

00:00 / 56:12

In this episode, episode 62, I discuss problems that can occur during pregnancy with Dr. Jacqueline Galvan. We discuss a wide range of high yield topics from gestational diabetes to molar pregnancies to maternal heart disease.

CME: https://earnc.me/wFQ6gA

References are here: References

Outline by April Liu

Anesthesia, Pain, Show Notes

Episode 61: The Opioid Crisis with Shravani Durbhakula

November 8, 2017 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 61: The Opioid Crisis with Shravani Durbhakula

00:00 / 42:05

In this episode, episode 61, I welcome Dr. Shravani Durbhakula, one of our chronic pain doctors, to the show. We discuss the opioid crisis in American from the perspective of a chronic pain physician including what it is, how it came about, how it impacts our patients, and what we can do about it.

CME: https://earnc.me/cTYf1y

References are here: References

Outline by Brian Park: Episode Outline

Anesthesia, Pharmacology, Show Notes

Episode 60: Surgical Antibiotic Prophylaxis with Andrew Jarrell

October 27, 2017 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 60: Surgical Antibiotic Prophylaxis with Andrew Jarrell

00:00 / 48:46

In this episode, episode 60, I welcome Andrew Jarrell, one of our amazing surgical ICU pharmacists to the show. We discuss antibiotic prophylaxis for surgery including what to use, how to time it, how long to continue it, and what the evidence says about things like indwelling drains.

CME: https://earnc.me/MthcTD

A fantastically helpful outline of the episode put together by Brian Park is here: Outline

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

Anesthesia, Anesthetic agents, OB, Pharmacology, Show Notes

Episode 58: Medications For Neuraxial Anesthesia with Dave Berman and Anh Nguyen

October 10, 2017 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 58: Medications For Neuraxial Anesthesia with Dave Berman and Anh Nguyen

00:00 / 54:35

In this episode, episode 58, I welcome our two OB Anesthesia fellows to the show, Dr. Dave Berman and Dr. Anh Nguyen. We discuss the medications used for neuraxial anesthesia including local anesthetics, opioids, and adjuncts such as epinephrine, clonidine and more.

CME: https://earnc.me/N8xw8b

Outline by Brian Park: Outline

Dave’s email is dberma20@jhmi.edu and Anh’s is tnguy193@jhmi.edu.

References can be found here: Neuraxial references

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