Anesthesia and Critical Care Reviews and Commentary
In this 178th episode I welcome back Dr. Stephen Freiberg to discuss how to manage the patient in the post cardiopulmonary bypass period.
Dr. Freiberg’s social media:
thedadesthesiologist.com
Instagram: @thedadesthesiologist
Twitter: @dadesthesia
Tik Tok: @thedadesthesiologist
In this 177th episode I discuss a survey of Anesthesiology program directors where I asked them both what makes a great resident great and what red flags make them worry about a resident. I go through the responses and lay out key points about how to earn the reputation of being a star resident.
A listener recommended the book Extreme Ownership by Jocko Willinck and Lief Babbin about what makes Navy Seal teams successful. There are lots of parallels with what I discussed on this episode.
In this 176th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA key words. This time we discuss Barbiturates and Bier Blocks. I also take a moment up front to share some thoughts on the horrible tragedy of George Floyd’s death at the hands of the police and the importance of acknowledging white privilege and fighting for the fact that Black Lives Matter.
Reference: Clinical Anesthesia. Publication Year: 2017. Edition: 8th Ed. Authors/Editor: Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; et al.
Outline by Brian Park, MD
Awakening after a single dose of thiopental is caused by redistribution from the brain primarily to which of the following sites?
(A) Fat
(B) Heart
(C) Liver
(D) Lung
Discussion (11:00)
In this 175th episode I welcome Justin Harvey back to the show to discuss the financial implications of COVID-19 for medical students, residents, fellows and attending physicians. Justin is a fee-only financial advisor and CFP (Certified Financial Planner).
References:
Recommended student loan consulting company: www.studentloanplanner.com
Anesthesiologist-founded physician-specific lending: https://www.doc2doclending.com/
A great flow chart for how to think about student loan strategies: https://www.whitecoatinvestor.com/wp-content/uploads/2018/11/Screen-Shot-2018-11-03-at-3.06.44-PM-640×772.png
Article associated with the above for good student loan intel: https://www.whitecoatinvestor.com/ultimate-guide-to-student-loan-debt-management-for-doctors/
A place to find fee-only financial planners: https://www.napfa.org/ or http://xyplanningnetwork.com/
Justin’s podcast: http://anesthesiasuccess.com/
Justin’s company: www.apm-wealth.com
Justin’s email: justin@apm-wealth.com
In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR.
Fire Triangle (2:52)
Most important aspect of OR fire management? (3:22)
Risk for airway fire during laser resection of tracheal tumor DECREASED in
A. CO2 rather than GAD laser
B. Helium > 60%
C. N2O > 60%
D. PVC ETT
E. Halothane in mixture
Discussion (5:24)
In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others dealing with COVID-19.
Their website to get masks and/or donate: MasksOn.org
A map of where they’ve sent masks so far:
Random Recs:
The Sculptor: https://www.amazon.com/Sculptor-Scott-McCloud/dp/1596435739
Scriblio: https://skribbl.io
Avatar the last air bender: https://en.wikipedia.org/wiki/Avatar:_The_Last_Airbender
Outlander: https://www.starz.com/us/en/series/21796/episodes?season=1
In this 172nd episode I welcome a panel of experts to discuss the management of a pregnant patient with congenital heart disease. Drs. Hofkamp, Vaught and Meng join me to discuss the preoperative evaluation, obstetric management, and postoperative care.
In this 171st episode, a follow up to episode 113, I welcome Dr. Mintz back to the show to discuss anesthetic management for cerebral aneurysm surgery.
References:
Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia
The Guns of August: https://www.amazon.com/Guns-August-Pulitzer-Prize-Winning-Outbreak/dp/0345476093
Cognitive Aid website: www.rnsascar.com
In this 170th episode I welcome Dr. Brian Garibaldi to the show to discuss his experience taking care of 40 critically ill COVID patients and what we’ve learned. We got through by system, head to toe, and discuss strategies and approaches.
References:
Lessons from China: https://jamanetwork.com/journals/jama/fullarticle/2762130
Convalescent Plasma: https://jamanetwork.com/journals/jama/fullarticle/2763983?widget=personalizedcontent&previousarticle=2762130
Management of patients with COVID: https://jamanetwork.com/journals/jama/fullarticle/2763879
In this episode I introduce Dr. Christina Miller’s video, linked below, that goes through PPE considerations including how to safely don and doff, and suggestions for how to handle a difficult airway in COVID patients.
Video: https://drive.google.com/file/d/1AFYIouqGVLRlstU3xXSOJTHbtorWvQ7L/view