Category Archives: Show Notes

Episode 43: Maternal Physiology with Mike Hofkamp

May 23, 2017 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 43: Maternal Physiology with Mike Hofkamp

00:00 / 45:27

In this episode, episode 43, I welcome Dr. Mike Hofkamp to the show. Dr. Hofkamp is Director of OB Anesthesia at Baylor Scott & White Memorial Hospital and Clinical Associate Professor of Anesthesiology at Texas A&M Health Science Center College of Medicine. We discuss the changes to women’s physiology when they become pregnant and the implications of those changes for anesthetic management.

CME: https://earnc.me/8Blmqr

Outline by April Liu: Episode 43

Anesthesia, Pharmacology, Show Notes

Episode 42: Post-op Nausea and Vomiting (PONV)

May 2, 2017 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 42: Post-op Nausea and Vomiting (PONV)

00:00 / 29:21

In this episode, episode 42, I discuss Post-op Nausea and Vomiting (PONV). I discuss risk factors, complications, treatment and prevention and side effects.

CME: https://earnc.me/31KodT

Outline by April Liu: Outline

UPDATE April, 2018: In this episode I mention that the evidence is not good for Midazolam in preventing PONV. However, a good friend and colleague, Dr. Michael Grant, did a nice meta-analysis of available trials which concluded that it actually does work fairly well. Check out his study:

Grant MC, Kim J, Page AJ, et al. The Effect of Intravenous Midazolam on Postoperative Nausea and Vomiting: A Meta-Analysis. Anesthesia & Analgesia: 2016:122(3); 656–663.

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 41: Local Anesthetics

April 21, 2017 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 41: Local Anesthetics

00:00 / 24:15

In this episode, episode 41, I review local anesthetics including the mechanism of action, commonly used agents, pharmacodynamics and kinetics, toxicity and treatment, and common blocks.

CME: https://earnc.me/rbqGL8

Outline by April Liu: Outline

Anesthesia, Pulmonary, Show Notes

Episode 40: OR Vent modes

April 7, 2017 ACCRAC 7 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 40: OR Vent modes

00:00 / 26:12

In this episode, episode 40, I go over the basics of Vent modes and settings in the operating room and how they differ from the ICU. I also discuss a few common special cases and how to adjust the vent to deal with them.

CME: https://earnc.me/LPbeCp

Outline by April Liu: Episode 40

Anesthesia, Procedures, Resuscitation, Show Notes

Episode 37: OR Crises

March 13, 2017 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 37: OR Crises

00:00 / 49:13

In this episode, episode 37, I go over crises that can happen in the OR, when to suspect them, and what to do about them. I draw from two excellent sets of OR crisis checklists that are available for free. The Stanford Anesthesia Cognitive Aid Group’s lists and the Ariadne Labs/Brigham/Harvard School of Public Health lists.

CME: https://earnc.me/v8TlXv

Show notes by Dr. Kashkooli

The Stanford checklists can be downloaded for free here: http://emergencymanual.stanford.edu

The Harvard checklists can be downloaded for free here: http://www.projectcheck.org/crisis-checklist-download.html

Airway, Anesthesia, Peds, Physiology, Pulmonary, Show Notes

Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel

February 28, 2017 ACCRAC 6 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel

00:00 / 56:10

In this episode, episode 36, I welcome Dr. Deb Schwengel, one of our pediatric anesthesiologists and our residency program director, to the show to discuss the differences in anatomy and physiology in pediatric versus adult patients.

CME: https://earnc.me/BfBc4g

Outline by April Liu: Outline

Airway, Anesthesia, Critical Care, Procedures, Show Notes

Episode 27: Airway Management

December 30, 2016 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 27: Airway Management

00:00 / 52:11

In this episode I review the ABA topic of airway management. This is obviously a huge topic but in this episode I highlight key points about the components of airway management recommended by the ABA including identification of a difficult airway, management of a difficult airway, the difficult airway algorithm, different tools and adjuncts, and different types of tubes. This will be the final post of 2016. Thanks so much to all of you for listening and being a part of ACCRAC’s inaugural year in 2016. Here’s wishing you a wonderful start to your 2017!

CME: https://earnc.me/Pk7CkB

Outline by April Liu: Episode 27

Anesthesia, Anesthetic agents, Critical Care, Pharmacology, Show Notes

Episode 26: Sugammadex with Dr. Amit Prabhakar

December 21, 2016 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 26: Sugammadex with Dr. Amit Prabhakar

00:00 / 21:55

In this episode I welcome Dr. Amit Prabhakar, one of our critical care fellows, to the show to discuss Sugammadex, a relatively recently approved (in the USA) reversal agent for Rocuronium and Vecuronium.

CME: https://earnc.me/h9cIdh

Outline by Brian Park: Sugammadex outline

Anesthesia, Critical Care, Pulmonary, Show Notes

Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens

December 19, 2016 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens

00:00 / 52:39

In this episode I am joined once again by Dr. Scott Stephens as we review advanced ventilator modes, prone positioning, and ventilation of patients on VV ECMO.

CME: https://earnc.me/GCVOTe

Outline by April Liu: Outline

The fantastic review article I mentioned is: Mireles-Cabodevila E. Et al. Alternative Modes of mechanical ventilation: A review for the hospitalist. Cleveland Clinic Journal of Medicine. 2009(75);7:417-430.

Pubmed link here

Anesthesia, Critical Care, Pharmacology, Show Notes

Episode 24: The Evils of Sodium Bicarbonate

December 11, 2016 ACCRAC 11 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 24: The Evils of Sodium Bicarbonate

00:00 / 20:31

In this episode I first suggest you take a look at the recently published (ahead of print) VANCS study on the use of vasopressin as a sole agent in the treatment of vasoplegic shock. Then I review the reasons never to use sodium bicarbonate in lactic acidosis.

CME: https://earnc.me/3CX3ha

The Vancs study: https://www.ncbi.nlm.nih.gov/pubmed/27841822

The two articles I recommend on bicarb:

Forsythe: https://www.ncbi.nlm.nih.gov/pubmed/10631227

Sabatini: https://www.ncbi.nlm.nih.gov/pubmed/18322160

Outline by Brian Park: Outline