Anesthesia and Critical Care Reviews and Commentary
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
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 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
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
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
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
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
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
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:
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
