Category Archives: Uncategorized

Episode 145: Personalized PEEP with Dr. Wiener-Kronish Live from ASA 2019

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 145: Personalized PEEP with Dr. Wiener-Kronish Live from ASA 2019
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In this 145th episode recorded live from Anesthesiology 2019, the annual ASA meeting, I welcome Dr. Jeanine Wiener-Kronish to the show to discuss the progress we’ve made with mechanical ventilation and how we can personalize the way we deliver it to our patients to improve their outcomes.

CME: https://earnc.me/9RE5Ww

References:

Pereira, SM, Tucci, MR, Morais, CCA, Simões, CM, Tonelotto, BFF, Pompeo, MS, Kay, FU, Pelosi, P, Vieira, JE, Amato, MBP Individual positive end-expiratory pressure settings optimize intraoperative mechanical ventilation and reduce postoperative atelectasis. Anesthesiology 2018; 129:1070–81

Kacmarek, RM, Villar, J Lung-protective ventilation in the operating room: Individualized positive end-expiratory pressure is needed! Anesthesiology 2018; 129:1057–9

Nice figure that demonstrates what we know: https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2714239

Additional background articles:

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2734055

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2673265

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1932236

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289131/

https://www.ncbi.nlm.nih.gov/pubmed/31399381

Episode 98: Update on Bicarb: BICAR-ICU

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 98: Update on Bicarb: BICAR-ICU







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In this episode, episode 98, I discuss the BICAR-ICU trial and what it tells us about using sodium bicarbonate to treat metabolic acidosis.

CME: https://earnc.me/6uMndk

References:

BICAR-ICU Trial: https://www.ncbi.nlm.nih.gov/pubmed/29910040

BICAR-ICU Editorial: https://www.ncbi.nlm.nih.gov/pubmed/29910039

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

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

Pulmcrit post: https://emcrit.org/pulmcrit/bicar-icu/

Episode 95: Anesthesiology News with James Prudden

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 95: Anesthesiology News with James Prudden







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In this episode, episode 95, I interview James Prudden, editorial director at Anesthesiology News, on the floor of the ASA conference in San Francisco.  We discuss the coverage of the field of anesthesiology, how providers can contribute, and how to get your work considered for coverage.

CME: https://earnc.me/y8NQ0u

James can be reached at Jprudden@mcmahonmed.com

Episode 78: The Obesity Code Book Review

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 78: The Obesity Code Book Review







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In this episode, episode 78, I do something a little different as I review the fantastically interesting book, “The Obesity Code: Unlocking the secrets of weight loss”, by Dr. Jason Fung.  Full disclosure, there’s no real relationship to anesthesia and critical care, just some really interesting insights into the obesity epidemic and what can be done about it.

CME: https://earnc.me/JvYiZY

Episode 73: Medical Liability with Darrell Ranum

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 73: Medical Liability with Darrell Ranum







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In this episode, episode 73, I welcome Darrell Ranum, an attorney and malpractice insurance executive, to the show to discuss his article on Anesthesia related liability claims.  We discuss why people sue anesthesia providers and how to reduce the risk of being sued.

CME: https://earnc.me/FGQHwQ

The article is: Ranum D, Beverly A, Shapiro FE and Urman RD. Leading Causes of Anesthesia-Related Liability Claims in Ambulatory Surgery Centers. J Patient Saf 2017. E-published ahead of print.

Episode 70: Anesthesia Assistants

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 70: Anesthesia Assistants







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In this mini episode I thank Shirley Li, an Anesthesia Assistant student in Texas, for teaching me a bit about the career path of an Anesthesia Assistant and I share some of what she shared with me for any who are interested.

CME: https://earnc.me/5WP0wd

Episode 68: CRNAs with Andy Benson

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 68: CRNAs with Andy Benson







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In this episode, episode 68, I welcome our chief CRNA, Andy Benson, to the show to discuss his career path and how we can all work together to provide the best patient care possible.

CME: https://earnc.me/HEMzs8

Episode 67: High Value Care with Pam Johnson

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 67: High Value Care with Pam Johnson







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In this episode, episode 67, I welcome Dr. Pam Johnson to the show.  Dr. Johnson is a radiologist here at Hopkins who has taken an interest in high value care initiatives.  She and I discuss what this means and how people can get involved in reducing unnecessary testing and improving the quality of the care we deliver to patients.

CME: https://earnc.me/y9pgKn

Outline by Brian Park: Outline

References:

High value care in the SICU: https://www.sciencedirect.com/science/article/pii/S0022480416000627?via%3Dihub

Reducing unnecessary blood transfusions: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2663855

Choosing Wisely website: http://www.choosingwisely.org/

High Value Care Conference call for abstracts: Call for abstracts

Episode 65: Time Management

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 65: Time Management







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In this episode, episode 65 and the last of 2017, I give my tips and tricks for being as efficient as possible with your time management so that you can maximize your success with your work and your life in general.  Have a wonderful holiday and start to the new year!

CME: https://earnc.me/dzYnjJ

Outline by Brian Park: Outline

Episode 49: High Reliability with Peter Pronovost

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 49: High Reliability with Peter Pronovost







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In this episode, episode 49, I welcome Dr. Peter Pronovost to the show to discuss the high reliability movement and how it relates to healthcare.  Dr. Pronovost is one of the world’s foremost experts on patient safety and we discuss how a hospital can be as reliably safe as an aircraft carrier and how best to approach an angry patient in the ICU.

CME: https://earnc.me/R5V4ZE