Episode 79: Pediatric Cardiothoracic Anesthesia with Dheeraj Goswami

In this episode, episode 79, I welcome Dr. Dheeraj Goswami to the show to discuss pediatric cardiothoracic anesthesiology.  We discuss the training required to do these cases, the most common cases and concerns, and how it differs from other forms of anesthesia.

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 77: Reversal of Neuromuscular Blockade

In this episode, episode 77, I discuss reversal of neuromuscular blockade.  This is a follow up to episode 66 in which I covered neuromuscular blockade.

Outline by Brian Park: NMB Reversal Outline


Miller’s Anesthesia 8th Edition. Reversal (Antagonism) of Neuromuscular Blockade. Murphy GS, de Boer HD, Eriksson LI and Miller RD. Chapter 35, 995-1027.e5.

Appiah-Ankam J, Hunter J.  Pharmacology of neuromuscular blocking drugs.  Cont Educ Anaesthesia Critical Care & Pain.  2004;4(1):2-7.

Hristovska AM, Duch P, Allingstrup M, Afshari A. Efficacy and safety of sugammadex versus neostigmine in reversing neuromuscular blockade in adults. Cochrane Database Syst Rev. 2017 Aug 14;8:CD012763.

Keating GM. Sugammadex: A Review of Neuromuscular Blockade Reversal. Drugs. 2016 Jul;76(10):1041-52.

McLean DJ, Diaz-Gil D, Farhan HN, Ladha KS, Kurth T, Eikermann M. Dose-dependent Association between Intermediate-acting Neuromuscular-blocking Agents and Postoperative Respiratory Complications. Anesthesiology. 2015 Jun;122(6):1201-13.

Schaller S, Fink H.  Sugammadex as a reversal agent for neuromuscular block: an evidence-based review.  Core Evidence.  2013;8:57-67.

Episode 75: OB Oral Board Stem with Drs. Galvan and Hofkamp

In this episode, episode 75, I welcome back Drs. Galvan and Hofkamp to do an OB oral board stem.  We juxtapose examples of “right” and “wrong” answers to highlight important approaches to the exam.

The stem is here: Stem

Episode 74: Opioid Crisis Engagement with Chad Brummett

In this episode, episode 74, I welcome Dr. Chad Brummett to the show.  Chad is the co-director of the Opioid Prescribing Engagement Network (OPEN) in Michigan and leads some fantastic and extremely effective initiatives to combat the opioid crisis.  His website has more details and materials for anyone interested in starting similar initiatives elsewhere.  Check it out at Michigan-open.org.

Outline by Brian Park: Opioid Crisis Engagement outline

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 71: Oral Board Prep 2: part 1

In this episode, episode 71, combined with the next episode, episode 72, I welcome back Drs. Tran and Beaudry to do an oral board prep example.  We got through how not to do it and then how to do it well.  This is part 1, episode 72 will be part 2.

The stem and questions are here: Oral board stem