Category Archives: Resuscitation

Anesthesia, Cardiac, Fluids, Resuscitation

Episode 105: Blood Management Part 1 With Drs. Frank & Cha

January 18, 2019 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 105: Blood Management Part 1 With Drs. Frank & Cha

00:00 / 1:00:16

In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions.

CME: https://earnc.me/LixhZj

References:

1. Myles PS, Smith JA, Forbes A, Silbert B, Jayarajah M, Painter T, Cooper DJ, Marasco S, McNeil J, Bussieres JS, McGuinness S, Byrne K, Chan MT, Landoni G, Wallace S, Network AIotACT. Tranexamic acid in patients undergoing coronary-artery surgery. N Engl J Med 2017;376:136-48.

2. Frank SM, Wick EC, Dezern AE, Ness PM, Wasey JO, Pippa AC, Dackiw E, Resar LM. Risk-adjusted clinical outcomes in patients enrolled in a bloodless program. Transfusion 2014;54:2668-77.

3. Cho BC, DeMario VM, Grant MC, Hensley NB, Brown CHt, Hebbar S, Mandal K, Whitman GJ, Frank SM. Discharge hemoglobin level and 30-day readmission rates after coronary artery bypass surgery. Anesth Analg 2018.

4. Pattakos G, Koch CG, Brizzio ME, Batizy LH, Sabik JF, 3rd, Blackstone EH, Lauer MS. Outcome of patients who refuse transfusion after cardiac surgery: A natural experiment with severe blood conservation. Arch Intern Med 2012;172:1154-60.

5. Frank SM, Scott AV, Resar LM. Bloodless medicine and surgery: Top 10 things to consider.Anesthesiology News 2016.

http://anesthesiaexperts.com/uncategorized/bloodless-medicine-surgery-top-10/.

Critical Care, Fluids, Physiology, Resuscitation

Episode 104: Sepsis with Pam Lipsett

January 11, 2019 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 104: Sepsis with Pam Lipsett

00:00 / 50:42

In this 104th episode I welcome Dr. Pam Lipsett to the show to discuss the diagnosis and treatment of sepsis.

CME: https://earnc.me/DtOhNH

References:

Sepsis-3 guidelines from JAMA: https://jamanetwork.com/journals/jama/fullarticle/2492881

Marik Sepsis cocktail: Marik PE et al. Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock. 2017: 151(6);1229–1238.

ADRENAL trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1705835

APROCCHSS Trial: https://www.nejm.org/doi/10.1056/NEJMoa1705716

SEPSISPAM Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1312173

Anesthesia, Critical Care, Resuscitation, Trauma

Episode 86: Thromboelastography with Bob Sikorski

June 21, 2018 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 86: Thromboelastography with Bob Sikorski

00:00 / 41:08

In this episode, episode 86, I welcome Dr. Bob Sikorski back to the show to discuss thromboelastography (TEG) and thromboelastometry (ROTEM). We discuss how they work, what they tell us and how we can use them.

CME: https://earnc.me/hUuIFX

Example TEG:

Anesthesia, Critical Care, Fluids, Physiology, Resuscitation

Episode 69: Intro to Trauma with Bob Sikorski

February 2, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 69: Intro to Trauma with Bob Sikorski

00:00 / 57:19

In this episode, Episode 69, I welcome Dr. Bob Sikorski, director of trauma anesthesiology at Johns Hopkins, to the show to discuss a general overview of trauma anesthesia. We discuss prehospital, ER and OR management and key things to keep in mind when caring for trauma patients.

CME: https://earnc.me/avWKy7

References: Trauma references list

TEG diagram:

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

Anesthesia, Critical Care, Fluids, Resuscitation

Episode 31: Massive Transfusion with Dr. Stephen Freiberg

February 2, 2017 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 31: Massive Transfusion with Dr. Stephen Freiberg

00:00 / 46:20

In this episode, episode 31, I welcome one of our amazing chief residents to the show, Dr. Stephen Freiberg. Stephen has taken an interest in massive transfusion and he goes over the highlights of when to do it, how to do it, what complications you see from it and how to manage those complications.

CME: https://earnc.me/rhLkfr

Anesthesia, Cardiac, Critical Care, Procedures, Resuscitation

Episode 29: PA catheters with Dr. Glenn Whitman

January 9, 2017 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 29: PA catheters with Dr. Glenn Whitman

00:00 / 48:13

In this episode, episode 29, I welcome to the show Dr. Glenn Whitman. Dr. Whitman is a cardiac surgeon and intensivist and runs the cardiac surgical ICU here at Johns Hopkins. I interview Dr. Whitman about PA catheters. We discuss when to place them, when not to place them, how to use them and when to take them out.

CME: https://earnc.me/NxtJkO

Anesthesia, Critical Care, Fluids, Resuscitation

Episode 15: IV Fluids

September 4, 2016 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 15: IV Fluids

00:00 / 33:02

In this episode I discuss the use of IV fluids for perioperative use including how to decide when to give fluid, the downsides of over resuscitation, whether to use crystalloid or colloid, and whether to use saline or a balanced salt solution such as LR.

CME: https://cmefy.com/moment?id=mg5zX5c

Slides to go along with this episode are here: IV Fluids slides