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

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, Anesthetic agents, Neuro

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

January 7, 2019 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 103: Neuromonitoring with Drs. Ritzl and Russo

00:00 / 45:20

In this 103rd episode I welcome Dr. Eva Ritzl and Dr. Alyson Russo to the show to discuss intraoperative neuromonitoring.

CME: https://earnc.me/k8DsYq

Reference: Solt K and Froman S. Correlating the clinical actions and molecular mechanisms of general anesthetics. Curr Op in Anaes. 2007:20(4);300-306.

Life Lessons, Well-Being

Episode 102: Life Lessons with Dan Lowenstein

December 20, 2018 ACCRAC 1 Comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 102: Life Lessons with Dan Lowenstein

00:00 / 49:40

In this 102nd episode I welcome Dr. Dan Lowenstein to the show. Dr. Lowenstein is a professor of Neurology and the Executive Vice Chancellor and Provost at University of California San Francisco (UCSF). We discuss his lessons and advice for how to be successful professionally and personally.

CME: https://earnc.me/2Y7wEm

The Three Marriages book: http://www.davidwhyte.com/the-three-marriages/

Anesthesia, Cardiac

Episode 101: Coming off Bypass with Stephen Freiberg

December 17, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 101: Coming off Bypass with Stephen Freiberg

00:00 / 56:27

In this 101st episode I welcome back Dr. Stephen Freiberg to the show to discuss how to successfully come off bypass when doing cardiac surgery with cardiopulmonary bypass.

CME: https://earnc.me/AhR7hA

References:

-Barash Anesthesia for Cardiac Surgery

-Barry AE, Chaney MA, London MJ. Anesthetic management during cardiopulmonary bypass: a systematic review. Anesth Analg 2015; 120:749.

-Denault AY, Tardif JC, Mazer CD, et al. Difficult and complex separation from cardiopulmonary bypass in high-risk cardiac surgical patients: a multicenter study. J Cardiothorac Vasc Anesth 2012; 26:608.

-Lomivorotov VV, Efremov SM, Kirov MY, et al. Low-Cardiac-Output Syndrome After Cardiac Surgery. J Cardiothorac Vasc Anesth 2017; 31:291.

-McKinlay KH1, Schinderle DB, Swaminathan M, Podgoreanu MV, Milano CA, Messier RH, El-Moalem H, Newman MF, Clements FM, Mathew JP.JPredictors of inotrope use during separation from cardiopulmonary bypass. Cardiothorac Vasc Anesth. 2004 Aug;18(4):404-8.

Anesthesia, Critical Care, Life Lessons

Episode 100: Response to Listener Questions

December 11, 2018 ACCRAC 3 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 100: Response to Listener Questions

00:00 / 54:46

In this 100th episode I respond to questions, both clinical and personal, from ACCRAC listeners.

CME: https://earnc.me/72ibqj

Anesthesia, Education, Well-Being

Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons

December 6, 2018 ACCRAC 4 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons

00:00 / 46:40

In this episode, episode 99, I welcome Dr. Mike Fitzsimons from MGH to the show to talk about substance abuse in anesthesia providers and his recent article in Anesthesiology detailing their program to decrease rates of abuse.

CME: https://earnc.me/n9UPAc

References:

https://www.ncbi.nlm.nih.gov/pubmed/30020101

Uncategorized

Episode 98: Update on Bicarb: BICAR-ICU

November 14, 2018 ACCRAC 8 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 98: Update on Bicarb: BICAR-ICU

00:00 / 28:13

In this episode, episode 98, I discuss the BICAR-ICU trial and what it tells us about using sodium bicarbonate to treat metabolic acidosis.

CME: https://earnc.me/6uMndk

References:

BICAR-ICU Trial: https://www.ncbi.nlm.nih.gov/pubmed/29910040

BICAR-ICU Editorial: https://www.ncbi.nlm.nih.gov/pubmed/29910039

Forsythe: https://www.ncbi.nlm.nih.gov/pubmed/10631227

Sabatini: https://www.ncbi.nlm.nih.gov/pubmed/18322160

Pulmcrit post: https://emcrit.org/pulmcrit/bicar-icu/

Anesthesia

Episode 97: Waking up

November 8, 2018 ACCRAC 18 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 97: Waking up

00:00 / 32:46

In this episode, episode 97, I discuss how to optimize your wakeup at the end of an anesthetic.

CME: https://earnc.me/uL9FEK

Airway, Anesthesia, Peds, Procedures

Episode 96: Peds difficult airway with Nick Dalesio

October 30, 2018 ACCRAC Leave a comment

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 96: Peds difficult airway with Nick Dalesio

00:00 / 41:47

In this episode, episode 96, I welcome Dr. Nick Dalesio to the show. Dr. Dalesio is the director of the pediatric difficult airway program here at Johns Hopkins. We discuss the pediatric difficult airway response team, consult service, and how to anticipate and manage difficult airways in kids, both anticipated and unanticipated.

CME: https://earnc.me/0NoXvO

Reference:

https://www.apsf.org/article/planning-prevents-poor-performance-an-approach-to-pediatric-airway-management/

Uncategorized

Episode 95: Anesthesiology News with James Prudden

October 19, 2018 ACCRAC 2 Comments

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 95: Anesthesiology News with James Prudden

00:00
/

23:48

In this episode, episode 95, I interview James Prudden, editorial director at Anesthesiology News, on the floor of the ASA conference in San Francisco. We discuss the coverage of the field of anesthesiology, how providers can contribute, and how to get your work considered for coverage.

CME: https://earnc.me/y8NQ0u

James can be reached at Jp******@********ed.com