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 90, I discuss best practices for preoperative management of adults with Obstructive Sleep Apnea (OSA).
CME: https://earnc.me/50qCDS
Outline by April Liu: Episode 90
References:
Gross JB et al. Practice Guidelines for the Perioperative Managementof Patients with OSA. Aneshtesiology 2014: 120(2): 1-19
Chung F, et al. STOP-Bang Questionnaire: A practical Approach to Screen for Obstructive Sleep Apnea. 2016: Chest; 149(3):631-638.
Corso R, et al. Perioperative management of Obstructive Sleep Apnea: a systematic review. Minerva Anestesiologica 2018;84(1):81-93.
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
In this episode, episode 83, I welcome Dr. Jared Miller to the show. Dr. Miller is finishing his electrophysiology fellowship and we discuss the preoperative management of pacemakers and AICDs.
CME: https://earnc.me/VMuOjS
Outline by Brian Park: AICD Outline
Reference:
https://www.ncbi.nlm.nih.gov/pubmed/24182719
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.
CME: https://earnc.me/An714h
Outline by Brian Park: NMB Reversal Outline
References:
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.
In this episode, episode 76, I welcome Dr. Mark Bicket to the show to discuss pain pathways. We shape this one around some great board style questions that Mark put together.
CME: https://earnc.me/ogru4S
Episode outline by Brian Park: Pain Pathways Outline
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.
Outline by Brian Park: Outline
References:
Miller’s Anesthesia 7th edition: Chapter 29: Pharmacology of Muscle Relaxants and Their Antagonists. Naguib M and Lien C.
Rocuronium vs succinylcholine for rapid sequence induction intubation. https://www.ncbi.nlm.nih.gov/pubmed/26512948
Neuromuscular blockade: what was, is and will be: https://www.ncbi.nlm.nih.gov/pubmed/25622380
Reversal of neuromuscular block: https://www.ncbi.nlm.nih.gov/pubmed/19468024
In this episode, episode 64, I welcome back Dr. Jacqueline Galvan to finish our discussion of programs during pregnancy and delivery. We discuss hematologic, neurologic, respiratory, renal and infectious disease issues and how they affect pregnancy, delivery, and anesthetic management.
CME: https://earnc.me/l8sVCM
Slides with references and notes: Problems during pregnancy part 2
In this episode, episode 62, I discuss problems that can occur during pregnancy with Dr. Jacqueline Galvan. We discuss a wide range of high yield topics from gestational diabetes to molar pregnancies to maternal heart disease.
CME: https://earnc.me/wFQ6gA
References are here: References
Outline by April Liu
In this episode, episode 61, I welcome Dr. Shravani Durbhakula, one of our chronic pain doctors, to the show. We discuss the opioid crisis in American from the perspective of a chronic pain physician including what it is, how it came about, how it impacts our patients, and what we can do about it.
CME: https://earnc.me/cTYf1y
References are here: References
Outline by Brian Park: Episode Outline
