Anesthesia, Interactive, Key Words, Show Notes

Episode 174: Keywords Part 10: OR Fires and Electrical Safety

May 18, 2020 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

00:00 / 39:27

In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR.

CME: https://earnc.me/Adkacw

OR Fires

Fire Triangle (2:52)
Most important aspect of OR fire management? (3:22)

Risk for airway fire during laser resection of tracheal tumor DECREASED in
A. CO2 rather than GAD laser
B. Helium > 60%
C. N2O > 60%
D. PVC ETT
E. Halothane in mixture

Discussion (5:24)

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Anesthesia, Critical Care, Global Health, Life Lessons

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

May 3, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

00:00 / 44:22

In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others dealing with COVID-19.

CME: https://earnc.me/ft6q4J

Their website to get masks and/or donate: MasksOn.org

A map of where they’ve sent masks so far:

Random Recs:

The Sculptor: https://www.amazon.com/Sculptor-Scott-McCloud/dp/1596435739

Scriblio: https://skribbl.io

Avatar the last air bender: https://en.wikipedia.org/wiki/Avatar:_The_Last_Airbender

Outlander: https://www.starz.com/us/en/series/21796/episodes?season=1

Anesthesia, Cardiac, OB

Episode 172: A Pregnant Patient with Congenital Heart Disease

May 1, 2020 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 172: A Pregnant Patient with Congenital Heart Disease

00:00 / 1:06:57

In this 172nd episode I welcome a panel of experts to discuss the management of a pregnant patient with congenital heart disease. Drs. Hofkamp, Vaught and Meng join me to discuss the preoperative evaluation, obstetric management, and postoperative care.

CME: https://earnc.me/ZY2v27

References Download

Anesthesia, Neuro

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

April 20, 2020 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

00:00 / 41:10

In this 171st episode, a follow up to episode 113, I welcome Dr. Mintz back to the show to discuss anesthetic management for cerebral aneurysm surgery.

CME: https://earnc.me/it1yY5

References:

Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia

http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=3;spage=328;epage=337;aulast=Kundra

The Guns of August: https://www.amazon.com/Guns-August-Pulitzer-Prize-Winning-Outbreak/dp/0345476093

Cognitive Aid website: www.rnsascar.com

Airway, Critical Care, Education, Global Health, Pulmonary

Episode 170: Lessons from 40 COVID Patients in the ICU with Brian Garibaldi

April 7, 2020 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 170: Lessons from 40 COVID Patients in the ICU with Brian Garibaldi

00:00 / 1:07:10

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

Airway, Anesthesia, Critical Care, Procedures

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

April 5, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 169: PPE and Modified Difficult Airway Algorithm for COVID

00:00 / 13:33

In this episode I introduce Dr. Christina Miller’s video, linked below, that goes through PPE considerations including how to safely don and doff, and suggestions for how to handle a difficult airway in COVID patients.

CME: https://earnc.me/NqjD2r

Video: https://drive.google.com/file/d/1AFYIouqGVLRlstU3xXSOJTHbtorWvQ7L/view

Anesthesia, Critical Care, Global Health, OB

Episode 168: COVID in Pregnancy with Dr. Nixon

March 30, 2020 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 168: COVID in Pregnancy with Dr. Nixon

00:00 / 41:13

In this 168th episode I welcome Dr. Heather Nixon to the show to discuss what is being done for pregnant women and women in labor who have or are suspected to have COVID-19.

CME: https://earnc.me/IqnBVR

The COVID book for kids by Taylor Purvis: https://playatrickonthecoronas.weebly.com/

Link for Anesthesia Toolbox daily online learning session: https://www.anesthesiatoolbox.com/docs/DOC-5178

References:

https://s3.amazonaws.com/cdn.smfm.org/media/2277/SMFM-SOAP_COVID_LD_Considerations_3-27-20_(final)_PDF.pdf

SOAP website: https://soap.org/

Airway, Anesthesia, Critical Care, Global Health

Episode 167: COVID Clinical Care Update

March 26, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 167: COVID Clinical Care Update

00:00 / 34:55

In this 167th episode I review the most recent changes that we’ve made to our protocols for caring for COVID patients and share a fantastic one page summary sheet that 3 of our ICU fellows put together. Huge thanks to Drs. Navarette, Herekar and Baronos for their work on this. It is available for download below. References are on the second page of the attachment.

CME: https://earnc.me/PfhaXx

COVID19-One-Page-1 Download

Airway, Anesthesia, Critical Care, Global Health, Pulmonary

Episode 166: COVID Airway Management with Aliaksei Pustavoitau

March 21, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 166: COVID Airway Management with Aliaksei Pustavoitau

00:00 / 40:09

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:

WHO guidelines Download

Dr. Pustavoitau’s SOP document: Download

Anesthesia, Critical Care, Education, Global Health, Pulmonary

Episode 165: COVID with Drs. Scott, Cereda and Nacoti

March 15, 2020 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 165: COVID with Drs. Scott, Cereda and Nacoti

00:00 / 1:40:04

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

Outline by Brian Park Download

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