In this 172nd episode I welcome a panel of experts to discuss the management of a pregnant patient with congenital heart disease. Drs. Hofkamp, Vaught and Meng join me to discuss the preoperative evaluation, obstetric management, and postoperative care.
CME: https://earnc.me/ZY2v27
In this 146th episode I welcome back Dr. Lee Goeddel to the show to discuss critical care ultrasound including how it differs from POCUS and how people can prepare for the new certification exam.
CME: https://earnc.me/AnFeQx
References:
Pears and Pitfalls in Critical Care Ultrasonography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693549/
In this 140th episode I welcome Dr. David Mazer to the show. Dr. Mazer was the PI and first author on the TRICS 3 trial looking at liberal versus restrictive transfusion strategies in moderate to high risk cardiac surgery patients published in the NEJM in 2017.
CME: https://earnc.me/6SR7cb
Dr. Mazer would like to add the following random recommendation: For a great combination of live jazz and good food and drinks in Toronto, check out the Jazz Bistro just up the street from St. Michael’s Hospital.
Reference: https://www.nejm.org/doi/full/10.1056/NEJMoa1711818
Dr. Mazer can be reached at David.Mazer@UnityHealth.To
In this 130th episode I welcome back Dr. Jochen Steppan to discuss the perioperative care of adults with congenital heart disease. We discuss the incidence, evaluation and management including the different types of physiology that a provider might see and how to manage each one.
CME: https://earnc.me/xdIQHT
References:
http://www.pted.org/ For pictures of the lesions
Stoelting’s Anesthesia and Co-Existing Disease, 7th EditionChapter 7 “Congenital Heart Disease” by Jochen Steppan and Bryan Maxwell
Int Anesthesiol Clin. 2018 Fall;56(4):3-20. “When Your 35-Year-Old Patient has a Sternotomy Scar: Anesthesia for Adult Patients with Congenital Heart Disease Presenting for Noncardiac Surgery” By Cheema A, Ibekwe S, Nyhan D, Steppan J.
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:
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:
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
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)
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
In this episode, episode 87, I welcome Dr. Tom Metkus to the show. Dr. Metkus is a cardiologist and intensivist and we discuss the etiology, presentation, management and outcomes of acute aortic dissections.
CME: https://earnc.me/K0NTfX
Outline by Brian Park: Aortic Dissection Outline
