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

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.

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 144: The Anesthesiologist-Surgeon Relationship with Jeffrey Cooper Live From ASA 2019

In this 144th episode we record live from Anesthesiology 2019 in Orlando Florida. I welcome Dr. Jeffrey Cooper to the show to discuss the relationship between anesthesiologists and surgeons and what can be done to improve it in a way that will foster patient safety.

Correction: The Center for Medical Simulation is not part of Harvard Medical School. It is an independent non-profit organization.

Dr. Cooper’s article on the topic: https://www.ncbi.nlm.nih.gov/pubmed/30045093

This is no humbug book: https://www.amazon.com/This-Humbug-Reminiscenes-Department-Massachusettes/dp/0971537607

Thanks for the feedback book: https://www.amazon.com/Thanks-Feedback-Science-Receiving-Well/dp/0143127136/ref=sr_1_1?keywords=thank+you+for+the+feedback&qid=1571603512&s=books&sr=1-1

Episode 98: Update on Bicarb: BICAR-ICU

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

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

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.

James can be reached at Jprudden@mcmahonmed.com

Episode 78: The Obesity Code Book Review

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.

Episode 73: Medical Liability with Darrell Ranum

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.

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 67: High Value Care with Pam Johnson

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.

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

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!

Outline by Brian Park: Outline