Episode 210: An overview of Pain with Steve Cohen

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.

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

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.

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 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.

Outline by Dr. Brian Park

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

Random Recs:

Chess.com

A Woman of No Importance

Episode 186: What anesthesiologists need to know about cannabis with Jen Meeker

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.

Random Recs:

Tuesday Nights Cookbook: Link

Vertellis: https://vertellis.com

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.

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 150: Keywords Part 6: Supraclavicular, Axillary and Benzos

In this 150th episode I welcome back Dr. Gillian Isaac to do another round of ABA keywords. We discuss 2 additional upper extremity blocks (supraclavicular and axillary) and then benzodiazepines.

Episode 119: STOP-IT Trial with Rob Sawyer

In this 119th episode I welcome Dr. Robert Sawyer to the show. Dr. Sawyer was the PI on the STOP-IT trial comparing a short course of antibiotics versus a longer course for complicated intraabdominal infections. We discuss the trial, the outcomes, and what the future of antimicrobial management in the surgical ICU may look like.

Reference:

STOP-IT Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1411162

Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2

In this 109th episode we pick up where we left off in episode 108 and discuss the intraoperative use of non-opioid adjuncts.

References:

Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.

Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.

Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.

IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710

Ketamine: https://www.ncbi.nlm.nih.gov/pubmed/29870457

Dextramethorphan: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755866