Category Archives: Anesthesia

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 103: Neuromonitoring with Drs. Ritzl and Russo
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In this 103rd episode I welcome Dr. Eva Ritzl and Dr. Alyson Russo to the show to discuss intraoperative neuromonitoring.

CME: https://earnc.me/k8DsYq

Reference: Solt K and Froman S. Correlating the clinical actions and molecular mechanisms of general anesthetics. Curr Op in Anaes. 2007:20(4);300-306.

Episode 101: Coming off Bypass with Stephen Freiberg

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 101: Coming off Bypass with Stephen Freiberg
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In this 101st episode I welcome back Dr. Stephen Freiberg to the show to discuss how to successfully come off bypass when doing cardiac surgery with cardiopulmonary bypass.

CME: https://earnc.me/AhR7hA

References:

-Barash Anesthesia for Cardiac Surgery
-Barry AE, Chaney MA, London MJ. Anesthetic management during cardiopulmonary bypass: a systematic review. Anesth Analg 2015; 120:749.
-Denault AY, Tardif JC, Mazer CD, et al. Difficult and complex separation from cardiopulmonary bypass in high-risk cardiac surgical patients: a multicenter study. J Cardiothorac Vasc Anesth 2012; 26:608.
-Lomivorotov VV, Efremov SM, Kirov MY, et al. Low-Cardiac-Output Syndrome After Cardiac Surgery. J Cardiothorac Vasc Anesth 2017; 31:291.
-McKinlay KH1, Schinderle DB, Swaminathan M, Podgoreanu MV, Milano CA, Messier RH, El-Moalem H, Newman MF, Clements FM, Mathew JP.JPredictors of inotrope use during separation from cardiopulmonary bypass.  Cardiothorac Vasc Anesth. 2004 Aug;18(4):404-8.

Episode 100: Response to Listener Questions

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 100: Response to Listener Questions
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In this 100th episode I respond to questions, both clinical and personal, from ACCRAC listeners.

CME: https://earnc.me/72ibqj

Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons
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In this episode, episode 99, I welcome Dr. Mike Fitzsimons from MGH to the show to talk about substance abuse in anesthesia providers and his recent article in Anesthesiology detailing their program to decrease rates of abuse.

CME: https://earnc.me/n9UPAc

References:

https://www.ncbi.nlm.nih.gov/pubmed/30020101

Episode 97: Waking up

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 97: Waking up
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In this episode, episode 97, I discuss how to optimize your wakeup at the end of an anesthetic.

CME: https://earnc.me/uL9FEK

Episode 96: Peds difficult airway with Nick Dalesio

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 96: Peds difficult airway with Nick Dalesio
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In this episode, episode 96, I welcome Dr. Nick Dalesio to the show.  Dr. Dalesio is the director of the pediatric difficult airway program here at Johns Hopkins.  We discuss the pediatric difficult airway response team, consult service, and how to anticipate and manage difficult airways in kids, both anticipated and unanticipated.

CME: https://earnc.me/0NoXvO

Reference:

https://www.apsf.org/article/planning-prevents-poor-performance-an-approach-to-pediatric-airway-management/

 

Episode 93: CABG with Tom Metkus

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 93: CABG with Tom Metkus



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In the episode, episode 93, I welcome Dr. Tom Metkus back to the show to discuss perioperative considerations for CABG surgery.

CME: https://earnc.me/XJ1pMd

References:

Syntax Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0804626

STICH Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1100356

ROOBY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0902905

CORONARY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1200388

PREVENT IV Trial: https://www.ncbi.nlm.nih.gov/pubmed/16287955

ART Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1610021

Episode 91: Perioperative evaluation for non-cardiac surgery with Tom Metkus

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 91: Perioperative evaluation for non-cardiac surgery with Tom Metkus



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In this episode, episode 91, I welcome Dr. Tom Metkus back to the show to discuss how we risk-stratify patients for non-cardiac surgery.

CME: https://earnc.me/Vy3iF2

 

Outline by Dr. Kimia Kashkooli

Perioperative Cardiac Evaluation (1:17)
Perioperative Testing Algorithm (8:53)

See Full interactive post

Episode 90: OSA

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 90: OSA



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In this episode, episode 90, I discuss best practices for preoperative management of adults with Obstructive Sleep Apnea (OSA).

CME: https://earnc.me/50qCDS

Outline by April Liu: Episode 90

References:

Gross JB et al. Practice Guidelines for the Perioperative Managementof Patients with OSA. Aneshtesiology 2014: 120(2): 1-19

Chung F, et al. STOP-Bang Questionnaire: A practical Approach to Screen for Obstructive Sleep Apnea. 2016: Chest; 149(3):631-638.

Corso R, et al. Perioperative management of Obstructive Sleep Apnea: a systematic review. Minerva Anestesiologica 2018;84(1):81-93.

Episode 89: Veterinary Anesthesia with Bonnie Gatson

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 89: Veterinary Anesthesia with Bonnie Gatson



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In this episode, episode 89, I welcome Dr. Bonnie Gatson to the show.  She is a veterinary anesthesiologist and we discuss her training, the differences and similarities between human and animal anesthesia, and the benefits of working together.

CME: https://earnc.me/FYkyeP