Category Archives: Anesthesia

Anesthesia, Cardiac, Fluids, Resuscitation

Episode 105: Blood Management Part 1 With Drs. Frank & Cha

January 18, 2019 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 105: Blood Management Part 1 With Drs. Frank & Cha

00:00 / 1:00:16

In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions.

CME: https://earnc.me/LixhZj

References:

1. Myles PS, Smith JA, Forbes A, Silbert B, Jayarajah M, Painter T, Cooper DJ, Marasco S, McNeil J, Bussieres JS, McGuinness S, Byrne K, Chan MT, Landoni G, Wallace S, Network AIotACT. Tranexamic acid in patients undergoing coronary-artery surgery. N Engl J Med 2017;376:136-48.

2. Frank SM, Wick EC, Dezern AE, Ness PM, Wasey JO, Pippa AC, Dackiw E, Resar LM. Risk-adjusted clinical outcomes in patients enrolled in a bloodless program. Transfusion 2014;54:2668-77.

3. Cho BC, DeMario VM, Grant MC, Hensley NB, Brown CHt, Hebbar S, Mandal K, Whitman GJ, Frank SM. Discharge hemoglobin level and 30-day readmission rates after coronary artery bypass surgery. Anesth Analg 2018.

4. Pattakos G, Koch CG, Brizzio ME, Batizy LH, Sabik JF, 3rd, Blackstone EH, Lauer MS. Outcome of patients who refuse transfusion after cardiac surgery: A natural experiment with severe blood conservation. Arch Intern Med 2012;172:1154-60.

5. Frank SM, Scott AV, Resar LM. Bloodless medicine and surgery: Top 10 things to consider.Anesthesiology News 2016.

http://anesthesiaexperts.com/uncategorized/bloodless-medicine-surgery-top-10/.

Anesthesia, Anesthetic agents, Neuro

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

January 7, 2019 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

00:00 / 45:20

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.

Anesthesia, Cardiac

Episode 101: Coming off Bypass with Stephen Freiberg

December 17, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 101: Coming off Bypass with Stephen Freiberg

00:00 / 56:27

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.

Anesthesia, Critical Care, Life Lessons

Episode 100: Response to Listener Questions

December 11, 2018 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 100: Response to Listener Questions

00:00 / 54:46

In this 100th episode I respond to questions, both clinical and personal, from ACCRAC listeners.

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

Anesthesia, Education, Well-Being

Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons

December 6, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons

00:00 / 46:40

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

Anesthesia

Episode 97: Waking up

November 8, 2018 ACCRAC 18 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 97: Waking up

00:00 / 32:46

In this episode, episode 97, I discuss how to optimize your wakeup at the end of an anesthetic.

CME: https://earnc.me/uL9FEK

Airway, Anesthesia, Peds, Procedures

Episode 96: Peds difficult airway with Nick Dalesio

October 30, 2018 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 96: Peds difficult airway with Nick Dalesio

00:00 / 41:47

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/

Anesthesia, Cardiac, Critical Care