Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens
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In this episode I am joined once again by Dr. Scott Stephens as we review advanced ventilator modes, prone positioning, and ventilation of patients on VV ECMO.
The fantastic review article I mentioned is: Mireles-Cabodevila E. Et al. Alternative Modes of mechanical ventilation: A review for the hospitalist. Cleveland Clinic Journal of Medicine. 2009(75);7:417-430.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 24: The Evils of Sodium Bicarbonate
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In this episode I first suggest you take a look at the recently published (ahead of print) VANCS study on the use of vasopressin as a sole agent in the treatment of vasoplegic shock. Then I review the reasons never to use sodium bicarbonate in lactic acidosis.
CME: https://earnc.me/3CX3ha
The Vancs study: https://www.ncbi.nlm.nih.gov/pubmed/27841822
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 23: Basic Ventilator Review with Dr. Scott Stephens
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In this episode I welcome Dr. Scott Stephens, Pulmonary Critical Care Physician at Johns Hopkins to the show. Dr. Stephens and I discuss basic ventilator settings, how to appropriately ventilate patients with hypoxemic vs. hypercarbic respiratory failure and how to think about weaning patients off of the ventilator.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 22: Postop Visual Loss with Dr. Joe Hughes
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In this episode I interview Dr. Joseph Hughes, one of our neuro anesthesiologists, about the history, etiology, pathophysiology and prevention of postoperative visual loss.
CME: https://cmefy.com/moment?id=kBhJW6F
We refer to a thromboelastogram which looks like this. It is the fibrinolysis portion that can be prevented with tranexamic acid (TXA):
High Yield Outline by Brian Park can be found here: Outline
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 21: ERAS with Dr. Chris Wu
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In this episode I interview Dr. Chris Wu, professor of anesthesiology and pain medicine and internationally renowned expert in Enhanced Recovery After Surgery (ERAS) pathways. We discuss the different aspects of ERAS pathways and the evidence for improved outcomes.
CME: https://cmefy.com/moment?id=6N5q_p2
The ERAS society website can be found here: http://erassociety.org
Check out this fantastic outline of the episode put together by Brian Park: ERAS outline
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 20: pH Stat and Alpha Stat
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In this episode I review two methods for managing arterial blood gasses in hypothermic patients, usually during cardiac surgery–pH Stat and Alpha Stat.
CME: https://cmefy.com/moment?id=Ckj_tW4
Check out this fantastic episode recap put together by Brian Park from Drexel Medical School: Show recap
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 19: Vasoactive medications
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In this episode I review the receptors that vasoactive drugs act on. I then review the main vasoactive medications used in the OR and the ICU to treat acute hypotension and the ones used to treat acute hypertension.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 18: Tips and Tricks for Line Placement
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In this episode I go over some tips and tricks for maximizing your success with peripheral IVs, arterial lines, central venous catheters and pulmonary artery catheters (Swan Ganz catheters).
CME: https://cmefy.com/moment?id=Ms0mgDd
The New England Journal videos that I recommend you take a look at for detailed reviews of each of these are here:
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 17: Awake intubation
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In this episode I discuss awake intubation. I discuss the indications, techniques, nerve blocks, sedation and different methods of performing awake intubation.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 16: Increased ICP Therapy with Dave Mintz
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In this episode I welcome back Dr. David Mintz, neuroanesthesiologist, to discuss the treatment of increased intracranial pressure in the perioperative period and brain relaxation during neurosurgery. Dr. Mintz will be back in the future to talk about the physiology of increased ICP.
CME: https://cmefy.com/moment?id=tYk0MWQ
Anesthesia and Critical Care Reviews and Commentary
