In this episode I interview Dr. Joseph Hughes, one of our neuro anesthesiologists, about the history, etiology, pathophysiology and prevention of postoperative visual loss.
CME: https://cmefy.com/moment?id=kBhJW6F
We refer to a thromboelastogram which looks like this. It is the fibrinolysis portion that can be prevented with tranexamic acid (TXA):
High Yield Outline by Brian Park can be found here: Outline
In this episode I interview Dr. Chris Wu, professor of anesthesiology and pain medicine and internationally renowned expert in Enhanced Recovery After Surgery (ERAS) pathways. We discuss the different aspects of ERAS pathways and the evidence for improved outcomes.
CME: https://cmefy.com/moment?id=6N5q_p2
The ERAS society website can be found here: http://erassociety.org
Check out this fantastic outline of the episode put together by Brian Park: ERAS outline
In this episode I review two methods for managing arterial blood gasses in hypothermic patients, usually during cardiac surgery–pH Stat and Alpha Stat.
CME: https://cmefy.com/moment?id=Ckj_tW4
Check out this fantastic episode recap put together by Brian Park from Drexel Medical School: Show recap
In this episode I review the receptors that vasoactive drugs act on. I then review the main vasoactive medications used in the OR and the ICU to treat acute hypotension and the ones used to treat acute hypertension.
CME: https://cmefy.com/moment?id=3VcC8Y8
Outline by April Liu: Outline
In this episode I go over some tips and tricks for maximizing your success with peripheral IVs, arterial lines, central venous catheters and pulmonary artery catheters (Swan Ganz catheters).
CME: https://cmefy.com/moment?id=Ms0mgDd
The New England Journal videos that I recommend you take a look at for detailed reviews of each of these are here:
And this is a great article from Ausmed on assessing and caring for peripheral IVs: Click Here
In this episode I discuss awake intubation. I discuss the indications, techniques, nerve blocks, sedation and different methods of performing awake intubation.
CME: https://cmefy.com/moment?id=HN3fg8z
Slides to go along with the podcast are here: awake intubation slides
The youtube video of the MGH anesthesiologist intubating himself is here: self-intubation
In this episode I welcome back Dr. David Mintz, neuroanesthesiologist, to discuss the treatment of increased intracranial pressure in the perioperative period and brain relaxation during neurosurgery. Dr. Mintz will be back in the future to talk about the physiology of increased ICP.
CME: https://cmefy.com/moment?id=tYk0MWQ
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
This is the second of two episodes about opioid medications. In this episode I cover the pharmacokinetics and pharmacodynamics of opioids, some of the common uses for these medications, mixed agonist-antagonist compounds, opioid antagonists, and opioid interaction with other medications.
CME: https://cmefy.com/moment?id=kNv6n0N
Slides to go along with this episode are here: Opioids part 2
This is the first of a 2 part series on opioid medications. In this first episode I will talk about how opioids are categorized and their effects on the different body systems. In the next episode I will discuss their pharmacokinetics and pharmacodynamics as well as their various uses and some details on mixed agonist/antagonists.
CME: https://cmefy.com/moment?id=xPdz_TY
Slides to go along with this episode are here: Opioids part 1
PLEASE NOTE: Around minute 12 I say that auditory evoked potentials are the most sensitive to anesthetics. This is incorrect. I should have said visual evoked potentials. Thanks to Howard Zee for catching that!
