Episode 146: Critical Care Ultrasound with Lee Goeddel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 146: Critical Care Ultrasound with Lee Goeddel
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In this 146th episode I welcome back Dr. Lee Goeddel to the show to discuss critical care ultrasound including how it differs from POCUS and how people can prepare for the new certification exam.

CME: https://earnc.me/AnFeQx

References:

Pears and Pitfalls in Critical Care Ultrasonography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693549/

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

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 144: The Anesthesiologist-Surgeon Relationship with Jeffrey Cooper Live From ASA 2019
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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.

CME: https://earnc.me/6o7gPk

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

Dr. Cooper’s talk is available on the APSF website here: https://www.apsf.org/news-updates/watch-jeffrey-b-cooper-ph-d-give-the-anesthesiology-2019-asa-apsf-ellison-c-pierce-memorial-lecture/

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 143: Fluid management and cardiac output monitors in ERAS with Michael Scott

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 143: Fluid management and cardiac output monitors in ERAS with Michael Scott
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In this 143rd episode I welcome Dr. Michael Scott to the show to discuss fluid management in ERAS cases and how cardiac output monitoring may help us do that well.

CME: https://earnc.me/wcjdkb

Topmedtalk: https://www.topmedtalk.com

Episode 142: Driving Pressure and Transpulmonary Pressure with Marcos Vidal Melo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 142: Driving Pressure and Transpulmonary Pressure with Marcos Vidal Melo
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In this 142nd episode I welcome Dr. Marcos Vidal Melo to the show to discuss Driving Pressure and Transpulmonary pressure. We discuss what they are, how they differ from plateau pressure, and how they may help guide safe mechanical ventilation.

CME: https://earnc.me/IVPnjN

References:

  1. Driving Pressure and Transpulmonary Pressure: How Do We Guide Safe Mechanical Ventilation? Williams EC, Motta-Ribeiro GC, Vidal Melo MF. Anesthesiology. 2019 Jul;131(1):155-163. 
  2. Loring SH, Topulos GP, Hubmayr RD: Transpulmonary pressure: The importance of precise definitions and limiting assumptions. Am J Respir Crit Care Med 2016; 194:1452–7
  3. Mauri T, Yoshida T, Bellani G, Goligher EC, Carteaux G, Rittayamai N, Mojoli F, Chiumello D, Piquilloud L, Grasso S, Jubran A, Laghi F, Magder S, Pesenti A, Loring S, Gattinoni L, Talmor D, Blanch L, Amato M, Chen L, Brochard L, Mancebo J; PLeUral pressure working Group (PLUG—Acute Respiratory Failure section of the European Society of Intensive Care Medicine): Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med 2016; 42:1360–73
  4. Akoumianaki E, Maggiore SM, Valenza F, Bellani G, Jubran A, Loring SH, Pelosi P, Talmor D, Grasso S, Chiumello D, Guérin C, Patroniti N, Ranieri VM, Gattinoni L, Nava S, Terragni PP, Pesenti A, Tobin M, Mancebo J, Brochard L; PLUG Working Group (Acute Respiratory Failure Section of the European Society of Intensive Care Medicine): The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 2014; 189:520–31

Episode 141: Nutrition in the ICU with Paul Wischmeyer

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 141: Nutrition in the ICU with Paul Wischmeyer
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In this 141st episode I welcome Dr. Paul Wischmeyer to the show to discuss nutrition for critically ill patients with a focus on the question of whether to give enteral feeds to patients on pressors. You can follow Dr. Wischmeyer on twitter @Paul_Wischmeyer.

CME: https://earnc.me/xPgtPv

References:

Dr. Wischmeyer’s article on enteral nutrition for patients on vasopressors: https://journals.lww.com/ccmjournal/Citation/onlinefirst/Enteral_Nutrition_Can_Be_Given_to_Patients_on.95859.aspx