Episode 56: Bugs and Drugs Part 1 with Rachel Kruer

In this episode, episode 56, I welcome Rachel Kruer to the show.  Rachel is one of our amazing ICU pharmacists and we discuss common bacteria and the drugs we use to treat them.  This is part 1 of a 2 part series that I’ll be doing with Rachel on this topic.

Episode 53: Analgesia for C-section with Mike Hofkamp

In this episode, episode 53, I welcome back Dr. Mike Hofkamp to discuss analgesia for cesarean delivery.  We discuss indications for C-section, urgent and emergent sections, anesthetic techniques and associated complications, how to approach the difficult airway in a pregnant patient, and aspiration prophylaxis.

References to the articles discussed are here: References

Episode 51: Labor Analgesia with Jacqueline Galvan

In this episode, episode 51, I welcome back Dr. Jacqueline Galvan to discuss labor analgesia.  We cover opioids including remifentanil, nitrous oxide, neuraxial anesthesia and other nerve blocks.

References:

  • Hess PE, et al. An association between severe labor pain and cesarean delivery. Anesth Analg. 2000 Apr;90(4):881-6
  • Van den Bussche E. Why women prefer epidural analgesia during childbirth: the role of beliefs about epidural analgesia and pain catastrophizing. Eur J Pain. 2007 Apr;11(3):275-82.
  • Varposhti MR et al. Comparison of remifentanil: Entonox with Entonox alone in labor analgesia. Adv Biomed Res. 2013 Nov 30;2:87

Episode 42: Post-op Nausea and Vomiting (PONV)

In this episode, episode 42, I discuss Post-op Nausea and Vomiting (PONV).  I discuss risk factors, complications, treatment and prevention and side effects.

UPDATE April, 2018: In this episode I mention that the evidence is not good for Midazolam in preventing PONV.  However, a good friend and colleague, Dr. Michael Grant, did a nice meta-analysis of available trials which concluded that it actually does work fairly well.  Check out his study:

Grant MC, Kim J, Page AJ, et al. The Effect of Intravenous Midazolam on Postoperative Nausea and Vomiting: A Meta-Analysis. Anesthesia & Analgesia: 2016:122(3); 656–663.

Episode 30: Management of anticoagulation for non-valvular a-fib

In this episode, episode 30, I discuss the new American College of Cardiology Guidelines for the periprocedural management of anticoagulation for patients with non-valvular atrial fibrillation.  This includes whether to stop, when to stop, whether to bridge, how to bridge, and how and when to restart.

Outline by Brian Park: AC for Afib Outline

Episode 26: Sugammadex with Dr. Amit Prabhakar

In this episode I welcome Dr. Amit Prabhakar, one of our critical care fellows, to the show to discuss Sugammadex, a relatively recently approved (in the USA) reversal agent for Rocuronium and Vecuronium.

Outline by Brian Park: Sugammadex outline

Episode 24: The Evils of Sodium Bicarbonate

In this episode I first suggest you take a look at the recently published (ahead of print) VANCS study on the use of vasopressin as a sole agent in the treatment of vasoplegic shock.  Then I review the reasons never to use sodium bicarbonate in lactic acidosis.

The Vancs study: https://www.ncbi.nlm.nih.gov/pubmed/27841822

The two articles I recommend on bicarb:

Forsythe: https://www.ncbi.nlm.nih.gov/pubmed/10631227

Sabatini: https://www.ncbi.nlm.nih.gov/pubmed/18322160

Outline by Brian Park: Outline