Episode 154: EEG monitoring with Dr. Emery Brown

December 25, 2019 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

00:00 / 54:47

In this 154th episode I welcome Dr. Emery Brown to the show to discuss how we monitor the depth of anesthesia. We discuss the drawbacks to BIS and why Dr. Brown thinks the EEG itself is the best way to go.

CME: https://earnc.me/fbGYsk

Outline by Brian Park:Download

References:

EEG reading tutorials: https://eegforanesthesia.iars.org/

Purdon et al: The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia

Brown et al: General Anesthesia and Altered States of Arousal: A Systems Neuroscience Analysis. Annu. Rev. Neurosci. 2011.

Brown et al: General Anesthesia, Sleep, and Coma. NEJM. 2010.

Brown et al: Multimodal General Anesthesia: Theory and Practice. A&A 2018.

Purdon et al: Clinical Electroencephalography for Anesthesiologists. Part I: Background and Basic Signatures. Anesthesiology 2015.

Dental Anesthesia info:

Contacts:

Thomas Whitmer: th***************@***il.com

Mana saraghi: ms******@***il.com

References:

https://www.ada.org/en/ncrdscb/dental-specialties/specialty-definitions

http://www.ada.org/~/media/CODA/Files/anes.ashx

American Society of Dentist Anesthesiologists website: https://www.asdahq.org

Virtual tour https://www.youtube.com/watch?v=ZJ1Mo65ah4w&feature=youtu.be

Anesthesia, Education, Life Lessons, Well-Being

Episode 153: Women in Anesthesiology with Dr. Sasha Shillcutt

December 17, 2019 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 153: Women in Anesthesiology with Dr. Sasha Shillcutt

00:00 / 58:54

In this 153rd episode I welcome Dr. Sasha Shillcutt to the show to discuss the movement to support and promote the success of women in Anesthesiology. Dr. Shillcutt is on twitter at @sashashillcutt and @RUBraveEnough. Her website is https://www.becomebraveenough.com

CME: https://earnc.me/JlM00P

References:

Barriers Download

Social-Media Download

**Check out Sasha’s Upcoming book that we discussed on the episode!**

Anesthesia, Critical Care, Key Words, Physiology, Show Notes

Episode 152: Keywords Part 7: MH and Hepatic Disease for the Basic Exam

December 10, 2019 ACCRAC 6 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 152: Keywords Part 7: MH and Hepatic Disease for the Basic Exam

00:00 / 47:48

In this 152nd episode I welcome Dr. Gillian Isaac back for another 2 ABA keywords. We discuss malignant hyperthermia and the portion of hepatic disease that is covered by the Basic Exam. We’ll do the portion covered by the Advanced Exam on the next keywords episode.

CME: https://earnc.me/NU3JPS

Outline By Brian Park Download

Malignant Hyperthermia Website: www.mhaus.org

Great review website where Dr. Isaac gets her questions: http://www.anesthesiahub.com

Atlantic Article: https://www.theatlantic.com/entertainment/archive/2012/03/what-do-fact-checkers-and-anesthesiologists-have-in-common/253838/#note

Critical Care

Episode 151: Advanced Practice Providers in the ICU

December 3, 2019 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 151: Advanced Practice Providers in the ICU

00:00 / 45:36

In this 151st episode I welcome Brandon Oto to the show. Brandon is an ICU PA and we discuss the roles and relationships of APPs in the ICU environment.

CME: https://earnc.me/qcZ7cm

Brandon’s blog is http://critcon.org/

Brandon is on Twitter @critconcepts

Anesthesia, Key Words, Pharmacology, Regional, Show Notes

Episode 150: Keywords Part 6: Supraclavicular, Axillary and Benzos

November 26, 2019 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 150: Keywords Part 6: Supraclavicular, Axillary and Benzos

00:00 / 38:09

In this 150th episode I welcome back Dr. Gillian Isaac to do another round of ABA keywords. We discuss 2 additional upper extremity blocks (supraclavicular and axillary) and then benzodiazepines.

CME: https://earnc.me/4aBzu8

Outline by April Liu Download

Anesthesia, Life Lessons, Show Notes, Well-Being

Episode 149: Transitioning: From Intern to CA-1 year and Beyond

November 19, 2019 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 149: Transitioning: From Intern to CA-1 year and Beyond

00:00 / 35:56

In this 149th episode I discuss common challenges to the transition from intern year to CA1 year including some of why it’s difficult, the mistakes commonly made, the causes of those mistakes and some suggested solutions. Although I focus on the intern to CA1 transition, much of this applies to any major transition in life.

CME: https://earnc.me/YHvb9n

Outline by Brian Park Download

Anesthesia, Life Lessons, Well-Being

Episode 148: Marijuana Use In Healthcare Providers with Mike Fitzsimons

November 12, 2019 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 148: Marijuana Use In Healthcare Providers with Mike Fitzsimons

00:00 / 34:58

In this 148th episode I welcome Dr. Fitzsimons back to the show to discuss the use of marijuana in healthcare providers. We discuss what we know about prevalence, what the potential consequences are, what the status of testing is, and what we may see happen in the future.

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

NEJM article on adverse effects of marijuana: https://www.ncbi.nlm.nih.gov/pubmed/24897085

Narcotic-Legislation Download

Anesthesia, Procedures, Regional

Episode 147: Lower Extremity Nerve Blocks Part 2: Front of Leg

November 5, 2019 ACCRAC 5 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 147: Lower Extremity Nerve Blocks Part 2: Front of Leg

00:00 / 40:34

In this 147th episode I welcome back Drs. Segna and Rayaz to finish up our discussion of lower extremity nerve blocks. This time we cover the front of leg blocks (femoral, adductor canal, fascia iliaca and obturator).

CME: https://earnc.me/AyfE0B

References Download

Cardiac, Critical Care, Procedures

Episode 146: Critical Care Ultrasound with Lee Goeddel

October 29, 2019 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 146: Critical Care Ultrasound with Lee Goeddel

00:00 / 36:23

In this 146th episode I welcome back Dr. Lee Goeddel to the show to discuss critical care ultrasound including how it differs from POCUS and how people can prepare for the new certification exam.

CME: https://earnc.me/AnFeQx

References:

CCEeXAM-Content-Outline Download

CCEeXAM_Cert_App-2019 Download

Pears and Pitfalls in Critical Care Ultrasonography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693549/

Uncategorized

Episode 145: Personalized PEEP with Dr. Wiener-Kronish Live from ASA 2019

October 21, 2019 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 145: Personalized PEEP with Dr. Wiener-Kronish Live from ASA 2019

00:00 / 28:02

In this 145th episode recorded live from Anesthesiology 2019, the annual ASA meeting, I welcome Dr. Jeanine Wiener-Kronish to the show to discuss the progress we’ve made with mechanical ventilation and how we can personalize the way we deliver it to our patients to improve their outcomes.

CME: https://earnc.me/9RE5Ww

References:

Pereira, SM, Tucci, MR, Morais, CCA, Simões, CM, Tonelotto, BFF, Pompeo, MS, Kay, FU, Pelosi, P, Vieira, JE, Amato, MBP Individual positive end-expiratory pressure settings optimize intraoperative mechanical ventilation and reduce postoperative atelectasis. Anesthesiology 2018; 129:1070–81

Kacmarek, RM, Villar, J Lung-protective ventilation in the operating room: Individualized positive end-expiratory pressure is needed! Anesthesiology 2018; 129:1057–9

Nice figure that demonstrates what we know: https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2714239

Additional background articles:

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2734055

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2673265

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1932236

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5289131/

https://www.ncbi.nlm.nih.gov/pubmed/31399381