In this 276th episode I welcome pediatric anesthesiologist Dr. Rita Saynhalath to the show to discuss how to manage kids presenting for surgery with a recent URI. We discuss the evidence for proceeding versus postponing, whether the type of virus matters, and how to handle COVID infections.
CME: Link
Random Recs:
In this 273rd episode I welcome Dr. Caitlin Sutton to the show to discuss Anesthesia for fetal surgical procedures. We discuss some common procedures, how the anesthesia is done and why, what can go wrong and how to prepare, and what the future holds.
CME: Link
Dr. Sutton is on Twitter (X) @caitlindsutton and her email is cdsutton@bcm.edu. She would love to help support residents trying to decide between fellowships in peds, OB or both.
Random Recs:
In this 254th episode I welcome Dr. Gillian Isaac back to the show for another ABA Keyword episode. We discuss muscular dystrophies and trisomy 21.
CME: Link
References: Barash Clinical Anesthesia 8th edition, OpenAnesthesia.com, and Anesthesiahub.com
Random Recs:
In this 226th episode I welcome back Dr. Gillian Isaac to do another ABA keyword episode. We cover all 9 of the newborn emergencies that are laid out in the ABA keywords.
CME: Link
References: Barash Clinical Anesthesia 8th edition and Anesthesiahub.com
Looking to start a podcast? Try RedCircle by clicking here: Link
In this 213th episode we take the show on the road in front of a live audience at Anesthesiology 2021 in San Diego! I interview Dr. Aditee Ambardekar about her programatic leadership roles at UT Southwestern and the ACGME and we also discuss her practice with pediatric burn anesthesia. I also interview Dr. Doug Bacon about his interest in the history of anesthesiology, anesthesiology during WWII, and his leadership role as a department chair.
CME: https://earnc.me/4uGJkP
In this 194th episode I welcome Dr. Anna Sick-Samuels, a pediatric infectious disease specialist, to the show to discuss COVID in kids.
CME: https://earnc.me/iHZtVm
Dr. Sick-Samuels is on Twitter @asicksamuels
References:
Feldstein LR, Rose EB, Horwitz SM, Collins JP, Newhams MM, Son MBF, et al. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents. N Engl J Med. 2020;383(4):334-46.
Godfred-Cato S, Bryant B, Leung J, Oster ME, Conklin L, Abrams J, et al. COVID-19-Associated Multisystem Inflammatory Syndrome in Children – United States, March-July 2020. MMWR Morb Mortal Wkly Rep. 2020;69(32):1074-80.
Jiang L, Tang K, Levin M, Irfan O, Morris SK, Wilson K, et al. COVID-19 and multisystem inflammatory syndrome in children and adolescents. Lancet Infect Dis. 2020;20(11):e276-e88.
Dufort EM, Koumans EH, Chow EJ, Rosenthal EM, Muse A, Rowlands J, et al. Multisystem Inflammatory Syndrome in Children in New York State. N Engl J Med. 2020;383(4):347-58.
Diorio C, Henrickson SE, Vella LA, McNerney KO, Chase J, Burudpakdee C, et al. Multisystem inflammatory syndrome in children and COVID-19 are distinct presentations of SARS-CoV-2. J Clin Invest. 2020;130(11):5967-75.
RANDOM RECS:
Chocolate Crinkle Cookies:
https://www.allrecipes.com/recipe/9861/chocolate-crinkles-ii/
The Daily Podcast: https://www.nytimes.com/column/the-daily
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 125th episode I welcome Dr. Erik Smith to the show to discuss Abusive Head Trauma (formerly known as shaken baby syndrome). We discuss how victims present, what to look out for, how to manage their anesthesia, how to report, and how it can impact providers.
CME: https://earnc.me/iFmtNQ
References:
Christian, C. W., Block, R., Committee on Child Abuse and Neglect, & American Academy of Pediatrics. (2009). Abusive Head Trauma in Infants and Children. PEDIATRICS, 123(5), 1409–1411. https://doi.org/10.1542/peds.2009-0408
Gazoni, F. M., Amato, P. E., Malik, Z. M., & Durieux, M. E. (2012). The Impact of Perioperative Catastrophes on Anesthesiologists. Anesthesia & Analgesia, 114(3), 596–603. https://doi.org/10.1213/ANE.0b013e318227524e
Kochanek, P. M., Tasker, R. C., Carney, N., Totten, A. M., Adelson, P. D., Selden, N. R., … Wainwright, M. S. (2019). Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition. Pediatric Critical Care Medicine, 20, S1–S82. https://doi.org/10.1097/PCC.0000000000001735
Lee, J. K., Brady, K. M., & Deutsch, N. (2016). The Anesthesiologist’s Role in Treating Abusive Head Trauma. Anesthesia & Analgesia, 122(6), 1971–1982. https://doi.org/10.1213/ANE.0000000000001298
Smith, E. B., Lee, J. K., Vavilala, M. S., & Lee, S. A. (2019). Pediatric Traumatic Brain Injury and Associated Topics: An Overview of Abusive Head Trauma, Nonaccidental Trauma, and Sports Concussions. Anesthesiology Clinics, 37(1), 119–134. https://doi.org/10.1016/J.ANCLIN.2018.10.002
Vavilala, M. S., Lee, L. A., & Lam, A. M. (2003). The lower limit of cerebral autoregulation in children during sevoflurane anesthesia. Journal of Neurosurgical Anesthesiology, 15(4), 307–312. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14508171
In this 116th episode I welcome Dr. Bommy Mershon to the show. We discuss pediatric anesthesiology including how kids differ from adults, pre-op meds, IV vs. inhaled inductions, parental presence, choosing a tube, when to put on monitors, how to do an inhaled induction, controversies around succinylcholine, weight-based dosing, deep extubation, laryngospasm, emergency delirium, regional anesthesia and pressers. Please note the original release referred to intranasal dexmedetomidine dosing as mg/kg instead of mcg/kg. The correct units are mcg/kg and the audio has now been updated to reflect that.
CME: https://earnc.me/UpmjW3
We also launch our ACCRAC theme music composed by Dr. Dennis Kuo! Check out his website at studymusicproject.com
References:
In this episode, episode 96, I welcome Dr. Nick Dalesio to the show. Dr. Dalesio is the director of the pediatric difficult airway program here at Johns Hopkins. We discuss the pediatric difficult airway response team, consult service, and how to anticipate and manage difficult airways in kids, both anticipated and unanticipated.
CME: https://earnc.me/0NoXvO
Reference:
https://www.apsf.org/article/planning-prevents-poor-performance-an-approach-to-pediatric-airway-management/
