Super High Yield Anesthesia: 2nd Edition

In this episode, we will discuss various non-opioid analgesics: NSAIDs General Characteristics (1:06) Propionic Acid (Ibuprofen & Naproxen) (10:59) Acetic Acid Derivatives (Indomethacin, Diclofenac, & Ketorolac) (12:56) COX-2 Inhibitors (Celecoxib) (18:08) Acetaminophen (19:52) --- Shownotes: ⁠⁠⁠⁠⁠⁠⁠⁠ https://drive.google.com/file/d/1TI4_iS-mMNNFHFdBp8eDFVuwl2LzFxi6/view?usp=sharing --- We...

In this episode we will discuss non-opioid perioperative infusions to augment pain control Ketamine (1:15) Lidocaine (6:02) Naloxone (7:49) Magnesium (10:07) Alpha 2 Agonists (11:36) --- Shownotes: ⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://drive.google.com/file/d/1_ZaQ5li14nIqIPgoMiINIWHkMaacAi4R/view?usp=drive_link --- Website: ⁠⁠⁠⁠⁠⁠⁠https://superhighyieldanesthesia2nd.wordpress.com/⁠⁠⁠⁠⁠⁠⁠ Email: ⁠⁠⁠⁠⁠⁠⁠super.hy.anest...

In this episode we will continue our discussion on major opioids with an emphasis on practical clinical tidbits General Guidelines (1:51) Morphine Milligram Equivalents (MME) and Equianalgesic Dosing Chart (8:11) Opioid Rotation (18:41) Management of Opioid Side Effects (20:40) --- Shownotes: ⁠⁠⁠⁠⁠⁠ ⁠⁠⁠ https://drive.google.com/file/d/1wsHabo2q1Gid0puKHS34xeH9sAR9BJcq/view?usp=sharing --- Website:...

In this episode we will discuss the major opioids used in pain management and the perioperative period. General Mechanism of Action (1:55) Major Opioids Overview (5:39) Morphine (7:02) Fentanyl (12:16) Hydromorphone (14:39) Alfentanil (19:23) Remifentanil (20:32) Oxycodone (27:40) Hydrocodone (30:31) Codeine (31:54) Tramadol (33:00) Methadone (34:45) Buprenorphine (43:17) --- Shownotes: ⁠⁠⁠⁠⁠ ⁠⁠ h...

In this episode we will continue our discussion on neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Inhibitory neurotransmitters (eg glycine, GABA, NE, serotonin, adenosine, Ach) (1:41) Neuropeptides (8:48) Central Signal Propagation and 2nd Messenger Systems (ie ion channels) (14:33) --- Shownotes: ⁠⁠⁠⁠ ⁠ https://docs.google....

In this episode we will discuss the neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Big Ideas (3:44) Inflammatory Mediators (5:49) Excitatory Neurotransmitters and NDMA / Non-NMDA Receptors (21:57) --- Shownotes: ⁠⁠⁠ https://docs.google.com/document/d/1zZhVtwx2VDkeO9Qlfh7UFtcafCyEbzC2Bh2ljEzcgJs/edit?usp=sharing --- Website:...

In this episode we will kick off our acute pain series by talking about the anatomy and physiology of pain signaling. Topics covered include: Somatosensation, Nociception and Pain (4:48) Sequence of Pain Signaling (7:27) Peripheral Mechanisms (11:30) Spinal Mechanisms (16:10) Second Order Nociceptive Spinal and Spinal Trigeminal Projection Neurons (20:05)  Summary (35:40) --- Shownotes: ⁠⁠ https:/...

In this episode, I bring back Drs. Kenneth Nguyen and Bowei Su to the show for the annual update! Join us as we discuss life updates, reflections on CA1 year, and how CA2 year is going. Life Updates (00:25) Reflection on CA1 (42:03) CA2 Year (1:18:48) Fellowship or Nah? (1:30:40) ---  Looking for a podcast on the fundamentals of anesthesia? Check out the original ⁠⁠⁠Super High Yield Anesthesia Pod...

In this episode, I chat with Drs. Mohit Bhatt and Matthew Holsclaw about what it is like to have kids during residency, and a little bit about their plans for fellowship. ---  Looking for a podcast on the fundamentals of anesthesia? Check out the original ⁠⁠Super High Yield Anesthesia Podcast⁠⁠ ! --- Website: ⁠https://superhighyieldanesthesia2nd.wordpress.com/⁠ Email: ⁠super.hy.anesthesia.v2@gmail...

In this third and final episode of the high risk parturient series, we will parturients with heart disease: Background and Epidemiology (1:28) Congenital Heart Disease (3:43) Ventricular / Atrial Septal Defects (7:08)  Pulmonary Hypertension and Eisenmenger Syndrome (8:10)  Valvular Heart Disease (17:25)  Aortic Stenosis (17:25)  Aortic Insufficiency / Regurgitation (25:22)  Mitral Stenosis (27:14...

In this episode, we will continue our discussion on high risk parturients, specifically the following: Categories of Obstetric Hemorrhage (1:23) Antepartum Hemorrhage (e.g Placenta Previa and Placental Abruption) (2:00) Postpartum Hemorrhage (e.g. Uterine Atony) (14:40) Uterotonic Therapy (16:14) Advanced Maternal Age (22:15) Preterm Delivery (24:11) Substance Use (28:34) Source material: Barash,...

In this episode, we will begin our discussion on high risk parturients, specifically the following: Hypertensive disorders of pregnancy (1:50)  Pathophysiology of Preeclampsia (6:10)  General and Anesthetic Management of Preeclampsia / Eclampsia (21:20) Gestational Diabetes (28:48) Obesity (31:00)  Source material: Barash, Clinical Anesthesiology (2017) --- Check out the original SHYA podcast epis...

In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as Tubal Ligations / Placenta Removal / Uterine Inversion & Cerclage  Tubal Ligations / Placenta Removal / Uterine Inversions (starts at 1:08) Cerclage (starts at 11:08) Source material: Barash, Clinical Anesthesiology (2017) --- Check out the original SHYA pod...

In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as C-sections, emergent hysterectomy, and uterine rupture repair.  Source material: Barash, Clinical Anesthesiology (2017) --- Check out the original SHYA podcast episodes for absolute basics of OB anesthesia (episodes 25-30)! https://open.spotify.com/show/1vulO5KD...

In this episode we will begin our adventures in OB Anesthesia by talking about analgesia in labor and delivery. Specific topics will include: Stages of labor and relation to the anatomy and physiology of pain  Systemic medications (opioids and ketamine) Regional techniques (neuraxial, paracervical, paravertebral lumbar sympathetic block, pudendal block)  Inhalational techniques  Source material: B...

In this sixth and last episode in the intro to trauma anesthesia series, we will discuss management of traumatic brain injury, spinal cord injury, and pregnant patients in trauma cases.  Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/L5okh4zf6sPW5NCDA Post Survey: https://forms.gle/ocW2miuM9XSZ7fcZ9 --- Shownotes: https://docs.googl...

In this fifth episode of a six part series on trauma anesthesia, we will discuss burns in trauma cases.  Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/DThRiBMt2r8Hn5co8 Post Survey: https://forms.gle/MPn2DyMDQsEkFEvZ6 --- Shownotes: https://docs.google.com/document/d/1fBrDhIjmHbDTI8wXh2QaLqFgu92palE0tnku1Ze3ni0/edit?usp=sharing ---...

In this fourth episode of a six part series on trauma anesthesia, we will discuss common complications in trauma cases. Specifically, topics will include: Persistent hypotension Hypothermia Coagulation Abnormalities Electrolyte and Acid-Base Abnormalities Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/Sryn6tKpMjLZg1uU6 Post Survey:...

In this third episode of a six part series on trauma anesthesia, we will discuss shock and intraoperative management for the trauma patient. Specifically, topics will include: Shock Differential Diagnosis in Trauma Classes of Hemorrhage Markers of Organ Perfusion General Resuscitation Considerations General OR Setup Considerations Induction / Maintenance for trauma patients Monitoring Phases of Tr...

In this second episode of a six part series on trauma anesthesia, we will discuss initial evaluation in the trauma bay (including airway considerations), suggestions for airway management, and common breathing abnormalities in trauma.  Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/bfengzNhJdx5Guxe8 Post Survey: https://forms.gle/X6...

In this first episode of a six part series on trauma anesthesia, we will discuss normal coagulation physiology, blood products, Thromboelastography (TEG),  and trauma physiology Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail  --- Pre Survey: https://forms.gle/3WLS7o5rpN8Rm8Q18 Post Survey: https://forms.gle/UKoJfqzv9XqeqyJL6 --- Shownotes: https://docs.google.com/do...

In this short episode / PSA, I try to communicate with you all that if you feel like you suck at things, you are definitely not alone. I'm riding that struggle bus with you too! Training is hard, and it may seem like we are just going through the motions, but we'll get through it! I believe in you, buddy.  --- Website: https://superhighyieldanesthesia2nd.wordpress.com/ Email: super.hy.an...

In this episode we will discuss my tips and tricks on handling neurosurgery cases as I wrap up my neuro month. Specific topics will include: Initial setup  Things to do before induction, after induction, and how to conduct the flip for prone cases  My current method for emergence Primary source for this episode: me  A big thank you to my attendings and seniors who taught me how to do neuro cases!...

In this episode we will continue our neuro adventures and discuss anesthesia considerations for cervical spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgical Procedures by Jaffe (CH 1.3 pg 218). --- P...

In this episode we will continue our neuro adventures and discuss anesthesia considerations for thoracolumbar spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgical Procedures by Jaffe (CH 1.3, page 248...