In this 340th episode I welcome Dr. Tym Kajstura back to the show for another ABA keyword episode. We discuss the high yield, much tested topic of Respiratory Physiology.
CME: Link
Random Recs:
In this 314th episode I welcome Thomas Piraino and Brandon Oto to the show to discuss how we can optimize PEEP in the ICU. We talk about why it matters, different ways to estimate ideal PEEP, and what the research tells us.
CME: Link
Tom’s Stuff:
Blog: https://coemv.blog/
Respiratory Calculator: https://respiratorycalc.com/
Inspire-RT: https://www.inspire-rt.com/
Brandon’s Stuff:
Blog: https://critcon.org/
Podcast: https://icuscenarios.com/
Intensive Care Academy: https://www.icu101.com/
Random Recs:
In this 211th episode I welcome Drs. Lorenzo Berra and Roberta Santiago to the show to discuss why traditional one size fits all ventilation approaches are not ideal in an increasingly obese population and how we can optimize our ventilation settings for our patients.
CME: https://earnc.me/WWOP3v
Random Recs:
Leonardo Da Vinci Biography: Link
Ted Lasso Season 2: Link
In this 188th episode I discuss the approach to Anesthesia for patients having thoracic surgery including highly tested concepts for board exams.
CME: https://earnc.me/s0Mint
Reference:
Clinical Anesthesia. 2017. 8th Ed. Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine; Ortega, Rafael; Sharar, Sam R.; Holt, Natalie F.
Publisher: Lippincott Williams & Wilkins (LWW).
In this 187th episode I welcome Dr. Gabe Tharp to the show to discuss his recent article in Anesthesiology: “Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery.” We discuss his findings and whether we should be using much higher levels of PEEP than we currently do.
CME: https://earnc.me/WufaqR
Gabe’s group is on Twitter: @uvmanesthesia
References:
Tharp et al. Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery. Anesthesiology 2020. PMID: 32675698
Ball L, et al. Br J Anaesth. 2018. PMID: 30236252
Ferrando, et al Lancet Respir Med. 2018. PMID: 29371130
PROBESE committee JAMA. 2019. PMID: 31157366.
Grassi et al. Anesthesiology. 2020. PMID: 32011342
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
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:
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
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
In this 142nd episode I welcome Dr. Marcos Vidal Melo to the show to discuss Driving Pressure and Transpulmonary pressure. We discuss what they are, how they differ from plateau pressure, and how they may help guide safe mechanical ventilation.
CME: https://earnc.me/IVPnjN
References:
In this episode, episode 72, I finish the oral board prep episode that was started in episode 71 with Drs. Tran and Beaudry. In a twist, they flip the tables on me and make me be the examinee.
CME: https://earnc.me/y28Qgc
The stem and questions are here: Oral board stem
