Category Archives: Anesthesia

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

Episode 93: CABG with Tom Metkus

September 28, 2018 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 93: CABG with Tom Metkus

00:00
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58:52

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

Anesthesia, Cardiac, Interactive, Show Notes

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

September 11, 2018 ACCRAC 9 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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

00:00
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55:41

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

Airway, Anesthesia, Show Notes

Episode 90: OSA

August 11, 2018 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 90: OSA

00:00
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20:17

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.

Anesthesia

Episode 89: Veterinary Anesthesia with Bonnie Gatson

August 7, 2018 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 89: Veterinary Anesthesia with Bonnie Gatson

00:00
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50:32

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

Anesthesia, Cardiac, ERAS

Episode 88: ERAS for Cardiac Surgery with Mike Grant

July 24, 2018 ACCRAC 14 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 88: ERAS for Cardiac Surgery with Mike Grant

00:00
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48:03

In this episode, episode 88, I welcome Dr. Mike Grant to the show to discuss Enhanced Recovery After Surgery (ERAS) protocols for cardiac surgery.

CME: https://earnc.me/mx8saf

References:

https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+recovery+after+surgery+pathway+for+patients+undergoing+cardiac+surgery%3A+a+randomized+clinical+trial

https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+Recovery+for+Cardiac+Surgery+Noss

https://www.ncbi.nlm.nih.gov/pubmed/27321791

https://www.ncbi.nlm.nih.gov/pubmed/?term=27832832