Category Archives: Anesthesia

Episode 7: Management of the patient with respiratory disease part 1

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 7: Management of the patient with respiratory disease part 1
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This is the first of a two part series of episodes on the management of patients with respiratory disease.  In this, part 1, I cover the preoperative evaluation, history and physical exam, and the preoperative planning and optimization of the patient.  This includes the key board topics of smoking cessation and cardiac risk assessment.

CME: https://cmefy.com/moment?id=nH8vxYC

Here are the slides that go along with this episode: Management of Respiratory Diseases slides part 1

Episode 6: The Paraglossal Approach to Intubation

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 6: The Paraglossal Approach to Intubation
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In this episode I first announce the new ACCRAC website here at ACCRAC.com.  Big thanks to Bryan Mariscalchi for his help setting it up.  I also mention the problem the last two episodes had with only playing out of one ear on earphones.  I hope I’ve cleared that problem up.  I mention a fantastic book called “Missing Microbes” by Martin Blaser, here is a link to the NY Times review: Missing Microbes

CME: https://cmefy.com/moment?id=BcKWKWm

The bulk of the episode is a description of the paraglossal approach to endotracheal incubation.  Here is a youtube link to a video of the technique: Paraglossal video

Have you ever used this technique?  Do you like it?

Episode 3: Announcements and FIO2 in one lung ventilation

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 3: Announcements and FIO2 in one lung ventilation
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There are a few announcements I wanted to make including:

Check out pedsanesthesia.net.  Dr. Robert Greenberg, a pediatric anesthesiologist here at Johns Hopkins runs it and it has lots of great information and topics in pediatric anesthesiology.

CME: https://cmefy.com/moment?id=VZ7M3tT

If you have suggestions for a better website than this one please let me know!

If you know a good way to set up an email list serve for these kinds of announcements please let me know that as well.

And, finally, I address a surgeon’s comment to one of our residents that you should always use 100% fio2 when ventilating one lung during a thoracic case.  Listen to the podcast for details but the bottom line is you should NOT use 100% oxygen unless you have to in order to prevent hypoxia.

Here is a link to a great review on this topics published last year in Critical Care: https://www.ncbi.nlm.nih.gov/pubmed/26278383

Episode 1: Properties and laws of volatile anesthetics

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 1: Properties and laws of volatile anesthetics
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This is a very high yield episode to help you review for the anesthesia board exam.  I cover the board key word section entitled gas laws which includes a focus on volatile anesthetics, their properties, and how they act on, and in, the human body.

CME: https://cmefy.com/moment?id=hV2xv_t

Topics covered will include:

Continue reading Episode 1: Properties and laws of volatile anesthetics