Episode 211: Ventilatory Challenges in Obesity with Lorenzo Berra and Roberta Santiago

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 211: Ventilatory Challenges in Obesity with Lorenzo Berra and Roberta Santiago
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In this 211th episode I welcome Drs. Lorenzo Berra and Roberta Santiago to the show to discuss why traditional one size fits all ventilation approaches are not ideal in an increasingly obese population and how we can optimize our ventilation settings for our patients.

CME: https://earnc.me/WWOP3v

Random Recs:

Leonardo Da Vinci Biography: Link

Ted Lasso Season 2: Link

Episode 210: An overview of Pain with Steve Cohen

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 210: An overview of Pain with Steve Cohen
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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

Episode 192: Keywords part 14: Maternal Physiology with Gillian Isaac

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 192: Keywords part 14: Maternal Physiology with Gillian Isaac
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In this 192nd episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA keyword, maternal physiology.

CME: https://earnc.me/Z3mGJv

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

Episode 187: PEEP for Robotic Surgery with Gabe Tharp

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 187: PEEP for Robotic Surgery with Gabe Tharp
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In this 187th episode I welcome Dr. Gabe Tharp to the show to discuss his recent article in Anesthesiology: “Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery.” We discuss his findings and whether we should be using much higher levels of PEEP than we currently do.

CME: https://earnc.me/WufaqR

Gabe’s group is on Twitter: @uvmanesthesia

References:

Tharp et al. Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery. Anesthesiology 2020. PMID: 32675698

Ball L, et al. Br J Anaesth. 2018. PMID: 30236252 

Ferrando, et al Lancet Respir Med. 2018. PMID: 29371130

PROBESE committee JAMA. 2019. PMID: 31157366.

Grassi et al. Anesthesiology. 2020. PMID: 32011342

Episode 185: Fluid Responsiveness in the OR with Lee Goeddel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 185: Fluid Responsiveness in the OR with Lee Goeddel
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In this 185th episode I welcome back Dr. Lee Goeddel to discuss assessment of fluid responsiveness in the operating room.

CME: https://earnc.me/8sA9XN

References:

Michard F. Changes in Arterial Pressure during Mechanical Ventilation. Anesthesiology. 2005;103(2):419-428. doi:10.1097/00000542-200508000-00026

Using Dynamic Variables to Guide Perioperative Fluid Management
Azriel Perel, M.D.
Anesthesiology October 2020, Vol. 133, 929–935. https://doi.org/10.1097/ALN.0000000000003408

Episode 157: Intermittent Fasting with Mark Mattson

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 157: Intermittent Fasting with Mark Mattson
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In this 157th episode I welcome Dr. Mark Mattson to the show to discuss the science behind intermittent fasting including in the perioperative period.

CME: https://earnc.me/1dnYNl

Dr. Mattson’s review from NEJM: https://www.nejm.org/doi/full/10.1056/NEJMra1905136

Dr. Mattson’s Tedx Talk: https://www.youtube.com/watch?v=4UkZAwKoCP8

Episode 152: Keywords Part 7: MH and Hepatic Disease for the Basic Exam

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 152: Keywords Part 7: MH and Hepatic Disease for the Basic Exam
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In this 152nd episode I welcome Dr. Gillian Isaac back for another 2 ABA keywords. We discuss malignant hyperthermia and the portion of hepatic disease that is covered by the Basic Exam. We’ll do the portion covered by the Advanced Exam on the next keywords episode.

CME: https://earnc.me/NU3JPS

Malignant Hyperthermia Website: www.mhaus.org

Great review website where Dr. Isaac gets her questions: http://www.anesthesiahub.com

Atlantic Article: https://www.theatlantic.com/entertainment/archive/2012/03/what-do-fact-checkers-and-anesthesiologists-have-in-common/253838/#note

Episode 143: Fluid management and cardiac output monitors in ERAS with Michael Scott

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 143: Fluid management and cardiac output monitors in ERAS with Michael Scott
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In this 143rd episode I welcome Dr. Michael Scott to the show to discuss fluid management in ERAS cases and how cardiac output monitoring may help us do that well.

CME: https://earnc.me/wcjdkb

Topmedtalk: https://www.topmedtalk.com

Episode 142: Driving Pressure and Transpulmonary Pressure with Marcos Vidal Melo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 142: Driving Pressure and Transpulmonary Pressure with Marcos Vidal Melo
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In this 142nd episode I welcome Dr. Marcos Vidal Melo to the show to discuss Driving Pressure and Transpulmonary pressure. We discuss what they are, how they differ from plateau pressure, and how they may help guide safe mechanical ventilation.

CME: https://earnc.me/IVPnjN

References:

  1. Driving Pressure and Transpulmonary Pressure: How Do We Guide Safe Mechanical Ventilation? Williams EC, Motta-Ribeiro GC, Vidal Melo MF. Anesthesiology. 2019 Jul;131(1):155-163. 
  2. Loring SH, Topulos GP, Hubmayr RD: Transpulmonary pressure: The importance of precise definitions and limiting assumptions. Am J Respir Crit Care Med 2016; 194:1452–7
  3. Mauri T, Yoshida T, Bellani G, Goligher EC, Carteaux G, Rittayamai N, Mojoli F, Chiumello D, Piquilloud L, Grasso S, Jubran A, Laghi F, Magder S, Pesenti A, Loring S, Gattinoni L, Talmor D, Blanch L, Amato M, Chen L, Brochard L, Mancebo J; PLeUral pressure working Group (PLUG—Acute Respiratory Failure section of the European Society of Intensive Care Medicine): Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med 2016; 42:1360–73
  4. Akoumianaki E, Maggiore SM, Valenza F, Bellani G, Jubran A, Loring SH, Pelosi P, Talmor D, Grasso S, Chiumello D, Guérin C, Patroniti N, Ranieri VM, Gattinoni L, Nava S, Terragni PP, Pesenti A, Tobin M, Mancebo J, Brochard L; PLUG Working Group (Acute Respiratory Failure Section of the European Society of Intensive Care Medicine): The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 2014; 189:520–31

Episode 141: Nutrition in the ICU with Paul Wischmeyer

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 141: Nutrition in the ICU with Paul Wischmeyer
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In this 141st episode I welcome Dr. Paul Wischmeyer to the show to discuss nutrition for critically ill patients with a focus on the question of whether to give enteral feeds to patients on pressors. You can follow Dr. Wischmeyer on twitter @Paul_Wischmeyer.

CME: https://earnc.me/xPgtPv

References:

Dr. Wischmeyer’s article on enteral nutrition for patients on vasopressors: https://journals.lww.com/ccmjournal/Citation/onlinefirst/Enteral_Nutrition_Can_Be_Given_to_Patients_on.95859.aspx