In this 134th episode I turn over the host chair to Dr. Dave Berman and he interviews me about how I got started in podcasting and things to think about for anyone interested in starting a podcast.
CME: https://earnc.me/DBzwAR
Reference: https://www.ncbi.nlm.nih.gov/pubmed/31222949
In this 133rd episode we bring you the first episode from a new, fantastic anesthesia podcast called “Depth of Anesthesia” hosted by David Hao at MGH. in this episode they explore the evidence behind verifying mask ventilation before administering paralytic.
CME: https://earnc.me/UMptYs
In this 132nd episode I welcome back Dr. Gillian Isaac to do more ABA keyword review. We review Spinals for the Basic Exam and Etomidate.
CME: https://earnc.me/bT3wiQ
In this 131st episode I welcome Drs. Meeks, Brookman and Fitzsimons to the show to discuss what it means to be a resident with a disability, what needs to be done to assure adequate and legal accommodations for these trainees, and why it’s important to do so.
CME: https://earnc.me/Yf6wxG
References:
Meeks LM, Herzer KR. Prevalence of self-disclosed disability among medical students in US allopathic medical schools. Jama. 2016 Dec 6;316(21):2271-2. https://jamanetwork.com/journals/jama/article-abstract/2589334
Meeks, L.M., & Jain, N.R. (2018). Accessibility, inclusion, and action in medical education: Lived experiences of learners and physicians with disabilities. Washington, D.C.: Association of American Medical Colleges.
Meeks, L.M., Herzer, K., & Jain, N.R. (2018). Removing barriers and facilitating access: Increasing the number of physicians with disabilities (Invited Commentary).Academic Medicine, 93(4), 540-543. doi:10.1097/ACM.0000000000002112 https://bit.ly/2Gyx53x
Meeks, L.M., & Jain, N.R. (2018). Accessibility, inclusion, and action in medical education: Lived experiences of learners and physicians with disabilities. Washington, D.C.: Association of American Medical Colleges. https://store.aamc.org/accessibility-inclusion-and-action-in-medical-education-lived-experiences-of-learners-and-physicians-with-disabilities.html
Meeks LM, Jain NR. The guide to assisting students with disabilities: equal access in health science and professional education. Springer Publishing Company; 2015 Aug 13. https://books.google.com/books?hl=en&lr=&id=a1LSCgAAQBAJ&oi=fnd&pg=PP1&dq=Meeks+LM&ots=uXnapo3t_7&sig=2HN6lTPwBo7G9VdlXht9cIccrXg#v=onepage&q=Meeks%20LM&f=false
Fitzsimons MG, Brookman JC, Arnholz SH, Baker K. Attention-deficit/hyperactivity disorder and successful completion of anesthesia residency: a case report. Academic Medicine. 2016 Feb 1;91(2):210-4. https://www.ncbi.nlm.nih.gov/pubmed/26244258
Schwarz CM, Zetkulic M. You Belong in the Room: Addressing the Underrepresentation of Physicians With Physical Disabilities. Academic Medicine. 2019;94(1):17-9. https://www.ncbi.nlm.nih.gov/pubmed/30157092
AAMC Webinars on Disability. https://www.aamc.org/members/gsa/pdopportunities/427068/archivedwebinars.html
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 129th episode I welcome Dr. Dave Berman back to the show to discuss vascular access devices. We talk about what kinds of lines exist, how to choose, what the pros and cons are, and how to know what kind of flow you will get with a given catheter.
CME: https://earnc.me/KmE3f4
References are here:
In this 128th episode I welcome Dr. Ashish Khanna to the show to discuss his trial, the PRODIGY trial, looking at opioid induced respiratory depression. We discuss the background of the trial, what it took to run a 16 site, 3 continent trial, what the risk factors were that went into the risk prediction model they developed, and where we go from here.
CME: https://earnc.me/jQCZV8
References:
Sun Z, Sessler DI, Dalton JE, et al. Postoperative Hypoxemia Is Common and Persistent: A Prospective Blinded Observational Study. Anesth Analg. 2015;121(3):709–715. doi:10.1213/ANE.0000000000000836
Lee LA, Caplan RA, Stephens LS, Posner KL, Terman GW, Voepel-Lewis T, Domino KB. Postoperative opioid-induced respiratory depression: a closed claims analysis. Anesthesiology. 2015 Mar;122(3):659-65. doi: 10.1097/ALN.0000000000000564.
In this 127th episode I welcome Drs. Segna and Rayaz to the show to discuss upper extremity nerve blocks. We discuss how they’re done, what they’re done for, and some high yield board style questions that may come up based on them.
CME: https://earnc.me/enjJHh
References:
Hadzic, Admir. Hadzic’s textbook of regional anesthesia and acute pain management. McGraw Hill Professional, 2017.
Hall, Brian A., and Robert C. Chantigian. Anesthesia: A Comprehensive Review E-Book. Elsevier Health Sciences, 2014.
Horlocker, Terese T., Erik Vandermeuelen, Sandra L. Kopp, Wiebke Gogarten, Lisa R. Leffert, and Honorio T. Benzon. “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines.” Regional anesthesia and pain medicine43, no. 3 (2018): 263-309.
Interscalene:
Supraclavicular:
Infraclavicular:
Axillary:
https://www.nysora.com/techniques/upper-extremity/
In this 126th episode I welcome back Dr. Gillian Isaac to discuss 2 more ABA key words: Ketamine and Laryngospasm.
CME: https://earnc.me/GbYGLA
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
