Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 218: The REGAIN trial with Mark Neuman
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In this 218th episode I welcome Dr. Mark Neuman to the show. Dr. Neuman is the PI of the REGAIN trial, published in the NEJM which compared spinal and sedation vs. GA for hip surgery. We discuss the trial and the results.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 212: Healthcare's Impact on Health with Matt Meyer
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In this 212th episode I welcome Dr. Matt Meyer to the show to discuss the environmental impact of modern healthcare including the downsides of Desflurane and how we can make personal and system changes to help the environment.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 197: Environmental Sustainability in Anesthesia with Shreya Aggarwal
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In this 197th episode I welcome Dr. Shreya Aggarwal to the show to discuss the environmental impact of healthcare in general and anesthesiology specifically. We discuss what the impact is and what we can do to mitigate it.
CME: https://earnc.me/8iItl7
Dr. Aggarwal is available at: shreya.aggarwal@northwestern.edu
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 193: Keywords Part 15: Pharmacology of Inhaled Anesthetics
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In this 193rd episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA Key Word topic. This time we discuss the pharmacology of inhaled anesthetic agents.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2
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In this 109th episode we pick up where we left off in episode 108 and discuss the intraoperative use of non-opioid adjuncts.
CME: https://earnc.me/k6e6gK
References:
Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.
Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.
Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.
IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1
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In this 108th episode I welcome Dr. Mike Grant and Dr. Mark Bicket to the show to discuss various non-opioid adjuncts such as esmolol, ketamine, dexmedetomidine, lidocaine, and magnesium, and the role they may play in multimodal anesthesia. In this episode, part 1, we discuss pre and post-op use. Intraop use will be discussed in episode 109.
Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.
Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.
Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.
IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710
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.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 77: Reversal of Neuromuscular Blockade
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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.
Miller’s Anesthesia 8th 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 and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 66: Neuromuscular Blockers
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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.