Episode 213: Live from Anesthesiology 2021 with Drs. Ambardekar and Bacon in Front of a Live Audience

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 213: Live from Anesthesiology 2021 with Drs. Ambardekar and Bacon in Front of a Live Audience
/

In this 213th episode we take the show on the road in front of a live audience at Anesthesiology 2021 in San Diego! I interview Dr. Aditee Ambardekar about her programatic leadership roles at UT Southwestern and the ACGME and we also discuss her practice with pediatric burn anesthesia. I also interview Dr. Doug Bacon about his interest in the history of anesthesiology, anesthesiology during WWII, and his leadership role as a department chair.

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

Episode 194: COVID in kids with Anna Sick-Samuels

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 194: COVID in kids with Anna Sick-Samuels
/

In this 194th episode I welcome Dr. Anna Sick-Samuels, a pediatric infectious disease specialist, to the show to discuss COVID in kids.

CME: https://earnc.me/iHZtVm

Dr. Sick-Samuels is on Twitter @asicksamuels

References:

Feldstein LR, Rose EB, Horwitz SM, Collins JP, Newhams MM, Son MBF, et al. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents. N Engl J Med. 2020;383(4):334-46.

Godfred-Cato S, Bryant B, Leung J, Oster ME, Conklin L, Abrams J, et al. COVID-19-Associated Multisystem Inflammatory Syndrome in Children – United States, March-July 2020. MMWR Morb Mortal Wkly Rep. 2020;69(32):1074-80.

Jiang L, Tang K, Levin M, Irfan O, Morris SK, Wilson K, et al. COVID-19 and multisystem inflammatory syndrome in children and adolescents. Lancet Infect Dis. 2020;20(11):e276-e88.

Dufort EM, Koumans EH, Chow EJ, Rosenthal EM, Muse A, Rowlands J, et al. Multisystem Inflammatory Syndrome in Children in New York State. N Engl J Med. 2020;383(4):347-58.

Diorio C, Henrickson SE, Vella LA, McNerney KO, Chase J, Burudpakdee C, et al. Multisystem inflammatory syndrome in children and COVID-19 are distinct presentations of SARS-CoV-2. J Clin Invest. 2020;130(11):5967-75.

RANDOM RECS:

Chocolate Crinkle Cookies:

https://www.allrecipes.com/recipe/9861/chocolate-crinkles-ii/

The Daily Podcast: https://www.nytimes.com/column/the-daily

Episode 130: Adults with Congenital Heart Disease with Jochen Steppan

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 130: Adults with Congenital Heart Disease with Jochen Steppan
/

In this 130th episode I welcome back Dr. Jochen Steppan to discuss the perioperative care of adults with congenital heart disease. We discuss the incidence, evaluation and management including the different types of physiology that a provider might see and how to manage each one.

CME: https://earnc.me/xdIQHT

References:

http://www.pted.org/ For pictures of the lesions

Stoelting’s Anesthesia and Co-Existing Disease, 7th EditionChapter 7 “Congenital Heart Disease” by Jochen Steppan and Bryan Maxwell 

Int Anesthesiol Clin. 2018 Fall;56(4):3-20. “When Your 35-Year-Old Patient has a Sternotomy Scar: Anesthesia for Adult Patients with Congenital Heart Disease Presenting for Noncardiac Surgery” By Cheema A, Ibekwe S, Nyhan D, Steppan J.

Episode 125: Abusive Head Trauma with Erik Smith

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 125: Abusive Head Trauma with Erik Smith
/

In this 125th episode I welcome Dr. Erik Smith to the show to discuss Abusive Head Trauma (formerly known as shaken baby syndrome). We discuss how victims present, what to look out for, how to manage their anesthesia, how to report, and how it can impact providers.

CME: https://earnc.me/iFmtNQ

References:

Christian, C. W., Block, R., Committee on Child Abuse and Neglect, & American Academy of Pediatrics. (2009). Abusive Head Trauma in Infants and Children. PEDIATRICS123(5), 1409–1411. https://doi.org/10.1542/peds.2009-0408

Gazoni, F. M., Amato, P. E., Malik, Z. M., & Durieux, M. E. (2012). The Impact of Perioperative Catastrophes on Anesthesiologists. Anesthesia & Analgesia114(3), 596–603. https://doi.org/10.1213/ANE.0b013e318227524e

Kochanek, P. M., Tasker, R. C., Carney, N., Totten, A. M., Adelson, P. D., Selden, N. R., … Wainwright, M. S. (2019). Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition. Pediatric Critical Care Medicine20, S1–S82. https://doi.org/10.1097/PCC.0000000000001735

Lee, J. K., Brady, K. M., & Deutsch, N. (2016). The Anesthesiologist’s Role in Treating Abusive Head Trauma. Anesthesia & Analgesia122(6), 1971–1982. https://doi.org/10.1213/ANE.0000000000001298

Smith, E. B., Lee, J. K., Vavilala, M. S., & Lee, S. A. (2019). Pediatric Traumatic Brain Injury and Associated Topics: An Overview of Abusive Head Trauma, Nonaccidental Trauma, and Sports Concussions. Anesthesiology Clinics37(1), 119–134. https://doi.org/10.1016/J.ANCLIN.2018.10.002

Vavilala, M. S., Lee, L. A., & Lam, A. M. (2003). The lower limit of cerebral autoregulation in children during sevoflurane anesthesia. Journal of Neurosurgical Anesthesiology15(4), 307–312. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14508171

Episode 116: Overview of Pediatric Anesthesia with Bommy Mershon

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 116: Overview of Pediatric Anesthesia with Bommy Mershon
/

In this 116th episode I welcome Dr. Bommy Mershon to the show. We discuss pediatric anesthesiology including how kids differ from adults, pre-op meds, IV vs. inhaled inductions, parental presence, choosing a tube, when to put on monitors, how to do an inhaled induction, controversies around succinylcholine, weight-based dosing, deep extubation, laryngospasm, emergency delirium, regional anesthesia and pressers. Please note the original release referred to intranasal dexmedetomidine dosing as mg/kg instead of mcg/kg. The correct units are mcg/kg and the audio has now been updated to reflect that.

CME: https://earnc.me/UpmjW3

We also launch our ACCRAC theme music composed by Dr. Dennis Kuo! Check out his website at studymusicproject.com

References:

  1. Cote and Lerman’s A Practice of Anesthesia for Infants and Children. Fifth Edition.
  2. Kain, Zeev. 2013 ASA Anesthesiology 2013 Refresher Course: Preoperative Evaluation, Premedication, and Induction of Anesthesia in Infants and Children https://www.apsf.org/article/in-my-opinion-a-debate-is-succinylcholine-safe-for-children/
  3. McAuliffe G1, Bissonnette B, Boutin C. Should the routine use of atropine before succinylcholine in children be reconsidered? Can J Anaesth. 1995 Aug;42(8):724-9.
  4. Patel, Davantral. Epidural anesthesia for children. Continuing Education in Anaesthesia Critical Care & Pain. 2006 April;6(2):63-66. https://academic.oup.com/bjaed/article/6/2/63/305090
  5. McCann ME, et al. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, muticentre, randomised, controlled equivalence trial. Lancet. 2019 Feb;393(10172):664-677 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32485-1/fulltext
  6. Andrew J. Davidson, M.B.B.S., M.D., F.A.N.Z.C.A.; Lena S. Sun, M.D., F.A.A.P., D.A.B.A.. Clinical Evidence for Any Effect of Anesthesia on the Developing Brain Anesthesiology 2018 April; 128(4):840-853. http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2664912&resultClick=1

Episode 96: Peds difficult airway with Nick Dalesio

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 96: Peds difficult airway with Nick Dalesio
/

In this episode, episode 96, I welcome Dr. Nick Dalesio to the show.  Dr. Dalesio is the director of the pediatric difficult airway program here at Johns Hopkins.  We discuss the pediatric difficult airway response team, consult service, and how to anticipate and manage difficult airways in kids, both anticipated and unanticipated.

Reference:

Planning Prevents Poor Performance: An Approach to Pediatric Airway Management

 

Episode 92: Early Mobility in the PICU with Sapna Kudchadkar

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 92: Early Mobility in the PICU with Sapna Kudchadkar







/

In this episode, episode 92, I welcome Dr. Sapna Kudchadkar to the show to discuss her PICU Up program for early mobility in the PICU.  We discuss the benefits of early mobility in general and specifically with pediatric patients, how she started her program, and what has led it to be so successful.

Dr. Kudchadkar can be reached on Twitter at @SapnaKMD and the PICU Up program is at @PICU_Up.

References: Early Mobility References

Episode 82: Pediatric OSA with Deb Schwengel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 82: Pediatric OSA with Deb Schwengel







/

In this episode, episode 82, I welcome Dr. Deb Schwengel back to the show to discuss pediatric obstructive sleep apnea (OSA).  We discuss the prevalence, diagnosis and preoperative management.

Outline by Brian Park: Peds OSA Outline

Episode 79: Pediatric Cardiothoracic Anesthesia with Dheeraj Goswami

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 79: Pediatric Cardiothoracic Anesthesia with Dheeraj Goswami







/

In this episode, episode 79, I welcome Dr. Dheeraj Goswami to the show to discuss pediatric cardiothoracic anesthesiology.  We discuss the training required to do these cases, the most common cases and concerns, and how it differs from other forms of anesthesia.

Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel







/

In this episode, episode 36, I welcome Dr. Deb Schwengel, one of our pediatric anesthesiologists and our residency program director, to the show to discuss the differences in anatomy and physiology in pediatric versus adult patients.

Outline by April Liu: Outline