Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 111: Tracheostomies, Cricothyrotomies and ENT surgery with Dr. Zandy Hillel
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In this 111th episode I welcome Dr. Zandy Hillel to the show. Dr. Hillel is an otolaryngologist here at Johns Hopkins and we discuss tracheostomies, Cricothyrotomies, laryngeal surgery and difficult airways.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 110: Financial Planning For Healthcare Providers With Justin Harvey
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In this 110th episode I welcome Justin Harvey to the show. Justin is a financial planner with an interest in helping anesthesiologists and pain specialists make the best possible financial choices. We discuss financial planning, managing loan repayment, and investing.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2
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In this 109th episode we pick up where we left off in episode 108 and discuss the intraoperative use of non-opioid adjuncts.
CME: https://earnc.me/k6e6gK
References:
Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.
Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.
Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.
IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1
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In this 108th episode I welcome Dr. Mike Grant and Dr. Mark Bicket to the show to discuss various non-opioid adjuncts such as esmolol, ketamine, dexmedetomidine, lidocaine, and magnesium, and the role they may play in multimodal anesthesia. In this episode, part 1, we discuss pre and post-op use. Intraop use will be discussed in episode 109.
Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697.
Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care. Regional Anesthesia and Pain Medicine. 2018:43(8):815-818.
Grant MC, Ouanes JP, Joshi BL. Perioperative Esmolol and Opioids: Is More Really Less? Regional Anesthesia and Pain Medicine. 2018:43(8):813-814.
IV Lidocaine: https://academic.oup.com/bjaed/article/16/9/292/1743710
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 107: Suicide in Anesthesia with Mike Fitzsimons
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In this 107th episode I welcome Dr. Mike Fitzsimons back to the show to discuss the topic of suicide in physicians in general and in Anesthesia providers specifically.
CME: https://earnc.me/XK77Ak
References:
Bucknill JC, Duke DH. A Manual of
Psychological Medicine. London, England: John Churchill;1958
Yaghmour NA, Brigham TP, Richter T,
Miller RS, Philibert I, Baldwin DC, Nasca TJ. Cause of Death of Residents in
ACGME-Accredited Programs 2000-2014: Implications for the eLearning
Environment. Acad Med 2017;92:976-983.
Alexander BH, Checkoway H, Nagahama
SI, Domino KB. Cause-specific Mortality Risks of Anesthesiologists. Anesthesiology
2000;93:922-930.
Center C, Davis M, Detre T, Ford
DE, Hansbrough, Hendin H, et al. Confronting Depression and Suicide in
Physicians A Consensus Statement. JAMA 2003;289:3161-3166.
Dyrbye LN, Eacker A, Durning SJ,
Brazeau C, Moutier C, Massie FS, Satele D, Sloan JA, Shanafelt TD. The Impact
of Stigma and Personal Experiences on the Help-Seeking Behaviors of Medical
Students with Burnout. Acad Med 2015;90:961-9.
Moutier C, Norcross W, Jong P,
Normal M, Kirby B, McGuire T, Zisook S. The Suicide Prevention and Depression
Awareness Program at the University of California, San Diego School of
Medicine. Acad Med 2010;87:320-326.
Knox KL, Litts DA, Talcott GW, Feig
JC, Caine ED. Risk of suicide and related outcomes after exposure to a suicide
prevention programme in the US Air Force: cohort study. BMJ 2003;327:1-5
DesRoches CM, Rao SR, Fromson JA,
Iezzoni L, Vogeli C, Campbell EG. Physicians’ Perceptions, Preparedness for
Reporting Impaired and Incompetent Colleagues. JAMA 2010;304:187-193.
Bruce DL, Eide KA, Linde HW,
Eckenhoff JE. Causes of Death among Anesthesiologists: A 20-Year Survey.
Anesthesiology 1968;29:565-569.
Knox KL, Pflanz S, Talcott GW,
Campise RL, Lavigne JE, Bjorska A, Tu X, Caine ED. The US Air Force Suicide
Prevention Program: Implications for Public Health Policy. Am J Public Health
2010;100:2457-2463.
Hazell P. Adolescent suicide
clusters: Evidence, mechanisms, and prevention. Australian and New Zealand
Journal of Psychiatry. 1993;27:653-665.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 106: Hydroxyethyl Starches with Marius Fassbinder
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In this 106th episode I welcome Dr. Marius Fassbinder to the show to discuss the use of hydroxyethyl starches.
CME: https://earnc.me/sFF08C
References:
1. Woodcock, T. E. & Woodcock, T. M. Revised Starling equation and the glycocalyx model of transvascular fluid exchange: an
improved paradigm for prescribing intravenous fluid therapy. British Journal of Anaesthesia 108, 384–394 (2012).
2. Westphal, M. et al. Hydroxyethyl starches: different products–different effects. Anesthesiology 111, 187–202 (2009).
3. Brunkhorst, F. M. et al. Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N. Engl. J. Med. 358, 125–139
(2008).
4. Perner, A. et al. Hydroxyethyl Starch 130/0.42 versus Ringer’s Acetate in Severe Sepsis. N. Engl. J. Med. 367, 124–134 (2012).
6. Myburgh, J. A. et al. Hydroxyethyl Starch or Saline for Fluid Resuscitation in Intensive Care. N. Engl. J. Med. 367, 1901–1911
(2012).
7. Annane, D. et al. Effects of fluid resuscitation with colloids vs crystalloids on mortality in critically ill patients presenting with
hypovolemic shock: the CRISTAL randomized trial. JAMA 310, 1809–1817 (2013).
8. Joosten, A. et al. Crystalloid versus Colloid for Intraoperative Goal-directed Fluid Therapy Using a Closed-loop System: A
Randomized, Double-blinded, Controlled Trial in Major Abdominal Surgery. Anesthesiology 128, 55–66 (2018).
9. Gillies, M. A. et al. Incidence of postoperative death and acute kidney injury associated with 6% hydroxyethyl starch use: systematic review and meta-analysis. British Journal of Anaesthesia 112, 25–34 (2014).
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 105: Blood Management Part 1 With Drs. Frank & Cha
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In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions.
CME: https://earnc.me/LixhZj
References:
1. Myles PS, Smith JA, Forbes A, Silbert B, Jayarajah M, Painter T, Cooper DJ, Marasco S, McNeil J, Bussieres JS, McGuinness S, Byrne K, Chan MT, Landoni G, Wallace S, Network AIotACT. Tranexamic acid in patients undergoing coronary-artery surgery. N Engl J Med 2017;376:136-48.
2. Frank SM, Wick EC, Dezern AE, Ness PM, Wasey JO, Pippa AC, Dackiw E, Resar LM. Risk-adjusted clinical outcomes in patients enrolled in a bloodless program. Transfusion 2014;54:2668-77.
3. Cho BC, DeMario VM, Grant MC, Hensley NB, Brown CHt, Hebbar S, Mandal K, Whitman GJ, Frank SM. Discharge hemoglobin level and 30-day readmission rates after coronary artery bypass surgery. Anesth Analg 2018.
4. Pattakos G, Koch CG, Brizzio ME, Batizy LH, Sabik JF, 3rd, Blackstone EH, Lauer MS. Outcome of patients who refuse transfusion after cardiac surgery: A natural experiment with severe blood conservation. Arch Intern Med 2012;172:1154-60.
5. Frank SM, Scott AV, Resar LM. Bloodless medicine and surgery: Top 10 things to consider.Anesthesiology News 2016.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 104: Sepsis with Pam Lipsett
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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.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 103: Neuromonitoring with Drs. Ritzl and Russo
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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.
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 102: Life Lessons with Dan Lowenstein
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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 and Critical Care Reviews and Commentary