In this 262nd episode I welcome Dr. Evan Kharash to the show to discuss the use of methadone perioperatively instead of more commonly used opioids such as fentanyl and dilaudid. We discuss the safety of methadone, how it works, and the evidence for superiority in terms of pain control, total opioid use, and patient satisfaction.
CME: Link
Random Recs:
In this 260th episode I welcome Dr. Dave Berman back to the show to discuss malignant hyperthermia. Dr. Berman is a volunteer with the MH hotline and he discussed the history, epidemiology, genetics, testing, prevention and management of MH and then we discuss some cases.
CME: Link
Random Recs:
In this 225th episode I welcome Dr. Maxime Cannesson to the show to discuss his work developing AI systems for use in anesthesiology. We discuss what these systems can do, the evidence for their use, and whether they will replace human providers.
Looking to start a podcast? Try RedCircle by clicking here: Link
CME: Link
Random Recs:
This is Us: Link
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
In this 212th episode I welcome Dr. Matt Meyer to the show to discuss the environmental impact of modern healthcare including the downsides of Desflurane and how we can make personal and system changes to help the environment.
Matt’s email: mmeyer@virginia.edu
CME: https://earnc.me/pcNRAr
Random Recs:
Extraterrestrial: The First Sign of Intelligent Life Beyond Earth: Link
The Office: Link
In this 210th episode I welcome international pain expert Dr. Steve Cohen to the show to discuss pain in general, how we categorize it, how we try to treat it, and what the future holds.
CME: https://earnc.me/2FktxV
References:
Cohen et al. Chronic Pain 1. Lancet 2021; 397: 2082–97.
Knezevic et al. Low Back Pain. Published online. June 8, 2021. TheLancet.com
Random Recs:
Queen’s Gambit: Link
Shtisel: Link
The NYTimes Morning Newsletter: https://www.nytimes.com/series/us-morning-briefing
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/
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
In this 186th episode I welcome Dr. Jennifer Meeker to the show to discuss the increased use of cannabis in the general population and what that means for anesthesiologists taking care of patients who may have acute or chronic use.
CME: https://earnc.me/Ui9inp
Random Recs:
Tuesday Nights Cookbook: Link
Vertellis: https://vertellis.com
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)
