Category Archives: Critical Care

Episode 15: IV Fluids

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 15: IV Fluids
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In this episode I discuss the use of IV fluids for perioperative use including how to decide when to give fluid, the downsides of over resuscitation, whether to use crystalloid or colloid, and whether to use saline or a balanced salt solution such as LR.

CME: https://cmefy.com/moment?id=mg5zX5c

Slides to go along with this episode are here: IV Fluids slides

Episode 14: Opioids part 2

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 14: Opioids part 2
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This is the second of two episodes about opioid medications.  In this episode I cover the pharmacokinetics and pharmacodynamics of opioids, some of the common uses for these medications, mixed agonist-antagonist compounds, opioid antagonists, and opioid interaction with other medications.

CME: https://cmefy.com/moment?id=kNv6n0N

Slides to go along with this episode are here: Opioids part 2

Episode 13: Opioids part 1

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 13: Opioids part 1
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This is the first of a 2 part series on opioid medications.  In this first episode I will talk about how opioids are categorized and their effects on the different body systems.  In the next episode I will discuss their pharmacokinetics and pharmacodynamics as well as their various uses and some details on mixed agonist/antagonists.

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

Slides to go along with this episode are here: Opioids part 1

PLEASE NOTE: Around minute 12 I say that auditory evoked potentials are the most sensitive to anesthetics.  This is incorrect.  I should have said visual evoked potentials.  Thanks to Howard Zee for catching that!

Episode 12: Air Embolism with Dr. David Mintz

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 12: Air Embolism with Dr. David Mintz
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In this episode I welcome Dr. David Mintz, one of our neuroanesthesiologists here at Johns Hopkins, fellow Brown University Alum, and generally all around great guy, to the show to talk about air embolism, what it is, how it happens and how to manage it.  A big thanks to Dave for taking the time to prepare this information and for being the first ever guest on ACCRAC.

CME: https://cmefy.com/moment?id=w6VSLFf

Outline by Brian Park: Outline

Episode 11: Hyperoxia

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 11: Hyperoxia
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In this episode I discuss hyperoxia and review the evidence in regards to the damage it can cause in patients with a wide variety of illnesses.

CME: https://cmefy.com/moment?id=t4l2-JC

Slides to accompany the episode can be found here: hyperoxia slides

Episode 8: Management of Respiratory Diseases Part 2

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 8: Management of Respiratory Diseases Part 2
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This is the second and final episode dealing with the management of respiratory diseases.  In the first episode I covered the initial evaluation and preop preparation.  In this episode I cover intraoperative management, post-operative management, special issues related to one lung ventilation and special issues related to total pneumonectomy.

CME: https://cmefy.com/moment?id=25jRxL5

Slides to go along with the episode can be downloaded here: Management of Respiratory Diseases part 2 slides