Category Archives: Anesthesia

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 77: Reversal of Neuromuscular Blockade

March 28, 2018 ACCRAC 15 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 77: Reversal of Neuromuscular Blockade

00:00 / 30:43

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.

CME: https://earnc.me/An714h

Outline by Brian Park: NMB Reversal Outline

References:

Miller’s Anesthesia 8^th 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.

Anesthesia, Pain, Physiology, Show Notes

Episode 76: Pain Pathways with Mark Bicket

March 14, 2018 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 76: Pain Pathways with Mark Bicket

00:00 / 53:31

In this episode, episode 76, I welcome Dr. Mark Bicket to the show to discuss pain pathways. We shape this one around some great board style questions that Mark put together.

CME: https://earnc.me/ogru4S

Episode outline by Brian Park: Pain Pathways Outline

Anesthesia, OB, Oral board prep

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

March 1, 2018 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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

00:00 / 53:34

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.

CME: https://earnc.me/9IGE6D

The stem is here: Stem

Anesthesia, Pain

Episode 74: Opioid Crisis Engagement with Chad Brummett

February 23, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 74: Opioid Crisis Engagement with Chad Brummett

00:00 / 56:27

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.

CME: https://earnc.me/uqMyBJ

Outline by Brian Park: Opioid Crisis Engagement outline

Anesthesia, Oral board prep, Pulmonary

Episode 72: Oral board prep 2: part 2

February 15, 2018 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 72: Oral board prep 2: part 2

00:00 / 32:52

In this episode, episode 72, I finish the oral board prep episode that was started in episode 71 with Drs. Tran and Beaudry. In a twist, they flip the tables on me and make me be the examinee.

CME: https://earnc.me/y28Qgc

The stem and questions are here: Oral board stem

Anesthesia, Oral board prep, Pulmonary

Episode 71: Oral Board Prep 2: part 1

February 15, 2018 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 71: Oral Board Prep 2: part 1

00:00 / 47:33

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.

CME: https://earnc.me/3JPfmK

The stem and questions are here: Oral board stem

Anesthesia, Critical Care, Fluids, Physiology, Resuscitation

Episode 69: Intro to Trauma with Bob Sikorski

February 2, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 69: Intro to Trauma with Bob Sikorski

00:00 / 57:19

In this episode, Episode 69, I welcome Dr. Bob Sikorski, director of trauma anesthesiology at Johns Hopkins, to the show to discuss a general overview of trauma anesthesia. We discuss prehospital, ER and OR management and key things to keep in mind when caring for trauma patients.

CME: https://earnc.me/avWKy7

References: Trauma references list

TEG diagram:

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 66: Neuromuscular Blockers

January 5, 2018 ACCRAC 19 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 66: Neuromuscular Blockers

00:00 / 39:48

In this episode, episode 66, I go through an overview of neuromuscular blockers including how they work, how to use them, and what their adverse effects are. Happy New Year!

CME: https://earnc.me/9GRFyG

The dose of glycopyrrolate should be 0.01 to 0.015mg/kg, not 0.1 to 0.15.

Outline by Brian Park: Outline

References:

Miller’s Anesthesia 7th edition: Chapter 29: Pharmacology of Muscle Relaxants and Their Antagonists. Naguib M and Lien C.

Rocuronium vs succinylcholine for rapid sequence induction intubation. https://www.ncbi.nlm.nih.gov/pubmed/26512948

Neuromuscular blockade: what was, is and will be: https://www.ncbi.nlm.nih.gov/pubmed/25622380

Reversal of neuromuscular block: https://www.ncbi.nlm.nih.gov/pubmed/19468024

Anesthesia, OB, Show Notes

Episode 64: Problems during pregnancy with Jacqueline Galvan part 2

December 8, 2017 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 64: Problems during pregnancy with Jacqueline Galvan part 2

00:00 / 59:15

In this episode, episode 64, I welcome back Dr. Jacqueline Galvan to finish our discussion of programs during pregnancy and delivery. We discuss hematologic, neurologic, respiratory, renal and infectious disease issues and how they affect pregnancy, delivery, and anesthetic management.

CME: https://earnc.me/l8sVCM

Slides with references and notes: Problems during pregnancy part 2

Anesthesia, OB, Show Notes

Episode 62: Problems during pregnancy with Jacqueline Galvan part 1

November 17, 2017 ACCRAC 6 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 62: Problems during pregnancy with Jacqueline Galvan part 1

00:00 / 56:12

In this episode, episode 62, I discuss problems that can occur during pregnancy with Dr. Jacqueline Galvan. We discuss a wide range of high yield topics from gestational diabetes to molar pregnancies to maternal heart disease.

CME: https://earnc.me/wFQ6gA

References are here: References

Outline by April Liu