Category Archives: Critical Care

Anesthesia, Critical Care, Global Health, Life Lessons

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

May 3, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

00:00 / 44:22

In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others dealing with COVID-19.

CME: https://earnc.me/ft6q4J

Their website to get masks and/or donate: MasksOn.org

A map of where they’ve sent masks so far:

Random Recs:

The Sculptor: https://www.amazon.com/Sculptor-Scott-McCloud/dp/1596435739

Scriblio: https://skribbl.io

Avatar the last air bender: https://en.wikipedia.org/wiki/Avatar:_The_Last_Airbender

Outlander: https://www.starz.com/us/en/series/21796/episodes?season=1

Airway, Critical Care, Education, Global Health, Pulmonary

Episode 170: Lessons from 40 COVID Patients in the ICU with Brian Garibaldi

April 7, 2020 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 170: Lessons from 40 COVID Patients in the ICU with Brian Garibaldi

00:00 / 1:07:10

In this 170th episode I welcome Dr. Brian Garibaldi to the show to discuss his experience taking care of 40 critically ill COVID patients and what we’ve learned. We got through by system, head to toe, and discuss strategies and approaches.

CME: https://earnc.me/bf9UEE

References:

Lessons from China: https://jamanetwork.com/journals/jama/fullarticle/2762130

Convalescent Plasma: https://jamanetwork.com/journals/jama/fullarticle/2763983?widget=personalizedcontent&previousarticle=2762130

Management of patients with COVID: https://jamanetwork.com/journals/jama/fullarticle/2763879

Airway, Anesthesia, Critical Care, Procedures

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

April 5, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

00:00 / 13:33

In this episode I introduce Dr. Christina Miller’s video, linked below, that goes through PPE considerations including how to safely don and doff, and suggestions for how to handle a difficult airway in COVID patients.

CME: https://earnc.me/NqjD2r

Video: https://drive.google.com/file/d/1AFYIouqGVLRlstU3xXSOJTHbtorWvQ7L/view

Anesthesia, Critical Care, Global Health, OB

Episode 168: COVID in Pregnancy with Dr. Nixon

March 30, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 168: COVID in Pregnancy with Dr. Nixon

00:00 / 41:13

In this 168th episode I welcome Dr. Heather Nixon to the show to discuss what is being done for pregnant women and women in labor who have or are suspected to have COVID-19.

CME: https://earnc.me/IqnBVR

The COVID book for kids by Taylor Purvis: https://playatrickonthecoronas.weebly.com/

Link for Anesthesia Toolbox daily online learning session: https://www.anesthesiatoolbox.com/docs/DOC-5178

References:

https://s3.amazonaws.com/cdn.smfm.org/media/2277/SMFM-SOAP_COVID_LD_Considerations_3-27-20_(final)_PDF.pdf

SOAP website: https://soap.org/

Airway, Anesthesia, Critical Care, Global Health

Episode 167: COVID Clinical Care Update

March 26, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 167: COVID Clinical Care Update

00:00 / 34:55

In this 167th episode I review the most recent changes that we’ve made to our protocols for caring for COVID patients and share a fantastic one page summary sheet that 3 of our ICU fellows put together. Huge thanks to Drs. Navarette, Herekar and Baronos for their work on this. It is available for download below. References are on the second page of the attachment.

CME: https://earnc.me/PfhaXx

COVID19-One-Page-1 Download

Airway, Anesthesia, Critical Care, Global Health, Pulmonary

Episode 166: COVID Airway Management with Aliaksei Pustavoitau

March 21, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 166: COVID Airway Management with Aliaksei Pustavoitau

00:00 / 40:09

In this 166th episode I welcome Dr. Aliaksei Pustavoitau to the show to discuss management of the hypoxemia COVID-19 patient including initial triage, escalating support, endotracheal intubation, and ventilator management.

CME: https://earnc.me/9Y2hBs

References:

WHO guidelines Download

Dr. Pustavoitau’s SOP document: Download

Anesthesia, Critical Care, Education, Global Health, Pulmonary

Episode 165: COVID with Drs. Scott, Cereda and Nacoti

March 15, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 165: COVID with Drs. Scott, Cereda and Nacoti

00:00 / 1:40:04

In this 165th episode I welcome Drs. Scott and Cereda from University of Pennsylvania and Dr. Nacoti from Italy to talk about COVID-19, what it is, what we know about it, what it’s like on the ground in Italy right now, and what we can learn from their experience to try to prevent it from happening here.

CME: https://earnc.me/b4R8Ou

Outline by Brian Park Download

References:

Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA. doi:10.1001/jama.2020.4031

Anesthesia, Critical Care, Education, Resuscitation

Episode 161: Dual Training in Anesthesiology and Emergency Medicine

February 18, 2020 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 161: Dual Training in Anesthesiology and Emergency Medicine

00:00 / 36:45

In this 161st episode I welcome Drs. Regan and Lester to the show to discuss the country’s first combined Anesthesiology and Emergency Medicine dual training program.

CME: https://earnc.me/5Wuljl

Website for the program: https://www.hopkinsmedicine.org/emergencymedicine/combined-residency/

Anesthesia, Critical Care, Key Words, Show Notes

Episode 158: Keywords part 8-hepatic disease for the advanced exam and PACU for the basic exam with Gillian Isaac

January 28, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 158: Keywords part 8-hepatic disease for the advanced exam and PACU for the basic exam with Gillian Isaac

00:00 / 53:12

In this 158th episode we return with another keywords episode with Dr. Gillian Isaac. We discuss hepatic disease for the advanced exam and PACU care for the basic exam.

CME: https://earnc.me/rEmBIA

Show Notes by Dr. Brian Park

Random recs:

Cloud Atlas: https://www.amazon.com/Cloud-Atlas-Novel-Liam-Callanan/dp/0385336950

Wolf Hall: https://www.amazon.com/s?k=wolf+hall+by+hilary+mantel&i=stripbooks&crid=2F978D2O2UCW&sprefix=wolf+hall%2Cstripbooks%2C135&ref=nb_sb_ss_i_1_9

Bottle of Lies: https://www.amazon.com/Bottle-Lies-Inside-Story-Generic-ebook/dp/B07JG49BQW/ref=sr_1_1?keywords=bottle+of+lies&qid=1581089047&s=books&sr=1-1

Thanks to Brian Robinson for pointing out: reversal of rocuronium with Sugammadex can occasionally cause severe bronchospasm, especially in higher doses, and this was one of the reasons its release was delayed in the U.S.

Although most sugammadex hypersensitivity reactions cause mild symptoms such as sneezing, nausea, rash, and urticaria, there is a small but finite risk of anaphylaxis with potentially life-threatening symptoms such as airway edema, bronchospasm, and cardiovascular collapse.
www.apsf.org › article › sugammadex-the-anaphylactic-risk

Anesthesia, Critical Care, ERAS, Nutrition, Physiology

Episode 157: Intermittent Fasting with Mark Mattson

January 21, 2020 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 157: Intermittent Fasting with Mark Mattson

00:00 / 1:10:22

In this 157th episode I welcome Dr. Mark Mattson to the show to discuss the science behind intermittent fasting including in the perioperative period.

CME: https://earnc.me/1dnYNl

Dr. Mattson’s review from NEJM: https://www.nejm.org/doi/full/10.1056/NEJMra1905136

Dr. Mattson’s Tedx Talk: https://www.youtube.com/watch?v=4UkZAwKoCP8