Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this episode, episode 89, I welcome Dr. Bonnie Gatson to the show.  She is a veterinary anesthesiologist and we discuss her training, the differences and similarities between human and animal anesthesia, and the benefits of working together. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX fo...

In this episode, episode 88, I welcome Dr. Mike Grant to the show to discuss Enhanced Recovery After Surgery (ERAS) protocols for cardiac surgery. References: https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+recovery+after+surgery+pathway+for+patients+undergoing+cardiac+surgery%3A+a+randomized+clinical+trial https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+Recovery+for+Cardiac+Surgery+Noss htt...

In this episode, episode 87, I welcome Dr. Tom Metkus to the show.  Dr. Metkus is a cardiologist and intensivist and we discuss the etiology, presentation, management and outcomes of acute aortic dissections. Outline by Brian Park: Aortic Dissection Outline Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my c...

In this episode, episode 86, I welcome Dr. Bob Sikorski back to the show to discuss thromboelastography (TEG) and thromboelastometry (ROTEM).  We discuss how they work, what they tell us and how we can use them. Example TEG: Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: http...

In this episode, episode 85, I welcome back Dr. Tina Tran and we discuss how to be successful as a medical student on an anesthesia clerkship, how to be a successful teacher if you are a resident teaching medical students, and how to create a great medical student rotation if you are a clerkship director. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https:/...

In this episode, episode 84, I welcome back Dr. Alyson Russo to discuss anesthesia for spine surgery. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com...

In this episode, episode 83, I welcome Dr. Jared Miller to the show.  Dr. Miller is finishing his electrophysiology fellowship and we discuss the preoperative management of pacemakers and AICDs. Outline by Brian Park: AICD Outline Reference: https://www.ncbi.nlm.nih.gov/pubmed/24182719 Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com...

In this episode, episode 82, I welcome Dr. Deb Schwengel back to the show to discuss pediatric obstructive sleep apnea (OSA).  We discuss the prevalence, diagnosis and preoperative management. Outline by Brian Park: Peds OSA Outline Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great de...

In this episode, episode 81, I welcome Dr. Alyson Russo to the show to discuss how to prepare for and conduct anesthesia for craniotomy surgery. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/accrac50off...

In this episode, episode 80, I welcome Dr. Jonathan Curley to the show.  Jonathan is an anesthesia resident and a veteran of an elite pararescue unit in the United States Air Force.  We talk about some of the lessons that Jonathan learned from his time in the military and from some of the brave soldiers … Continue reading "Episode 80: Lessons from the Military with Jonathan Curley" Our Spo...

In this episode, episode 79, I welcome Dr. Dheeraj Goswami to the show to discuss pediatric cardiothoracic anesthesiology.  We discuss the training required to do these cases, the most common cases and concerns, and how it differs from other forms of anesthesia. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use...

In this episode, episode 78, I do something a little different as I review the fantastically interesting book, “The Obesity Code: Unlocking the secrets of weight loss”, by Dr. Jason Fung.  Full disclosure, there’s no real relationship to anesthesia and critical care, just some really interesting insights into the obesity epidemic and what can be … Continue reading "Episode 78: The Obesity Code...

In this episode, episode 77, I discuss reversal of neuromuscular blockade.  This is a follow up to episode 66 in which I covered neuromuscular blockade. Outline by Brian Park: NMB Reversal Outline References: Miller’s Anesthesia 8th Edition. Reversal (Antagonism) of Neuromuscular Blockade. Murphy GS, de Boer HD, Eriksson LI and Miller RD. Chapter 35, 995-1027.e5. Appiah-Ankam … Continue reading &#...

In this episode, episode 76, I welcome Dr. Mark Bicket to the show to discuss pain pathways.  We shape this one around some great board style questions that Mark put together. Episode outline by Brian Park: Pain Pathways Outline Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal:...

In this episode, episode 75, I welcome back Drs. Galvan and Hofkamp to do an OB oral board stem.  We juxtapose examples of “right” and “wrong” answers to highlight important approaches to the exam. The stem is here: Stem Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: https://...

In this episode, episode 74, I welcome Dr. Chad Brummett to the show.  Chad is the co-director of the Opioid Prescribing Engagement Network (OPEN) in Michigan and leads some fantastic and extremely effective initiatives to combat the opioid crisis.  His website has more details and materials for anyone interested in starting similar initiatives elsewhere.  Check … Continue reading "Episode 74:...

In this episode, episode 73, I welcome Darrell Ranum, an attorney and malpractice insurance executive, to the show to discuss his article on Anesthesia related liability claims.  We discuss why people sue anesthesia providers and how to reduce the risk of being sued. The article is: Ranum D, Beverly A, Shapiro FE and Urman RD. … Continue reading "Episode 73: Medical Liability with Darrell Ranu...

In this episode, episode 72, I finish the oral board prep episode that was started in episode 71 with Drs. Tran and Beaudry.  In a twist, they flip the tables on me and make me be the examinee. The stem and questions are here: Oral board stem   Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX fo...

In this episode, episode 71, combined with the next episode, episode 72, I welcome back Drs. Tran and Beaudry to do an oral board prep example.  We got through how not to do it and then how to do it well.  This is part 1, episode 72 will be part 2. The stem and questions … Continue reading "Episode 71: Oral Board Prep 2: part 1" Our Sponsors: * Check out BetterHelp and use my code betterhe...

In this mini episode I thank Shirley Li, an Anesthesia Assistant student in Texas, for teaching me a bit about the career path of an Anesthesia Assistant and I share some of what she shared with me for any who are interested. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: htt...

In this episode, Episode 69, I welcome Dr. Bob Sikorski, director of trauma anesthesiology at Johns Hopkins, to the show to discuss a general overview of trauma anesthesia.  We discuss prehospital, ER and OR management and key things to keep in mind when caring for trauma patients. References: Trauma references list TEG diagram:    Our Sponsors: * Check out BetterHelp and use my code betterhelp.co...

In this episode, episode 68, I welcome our chief CRNA, Andy Benson, to the show to discuss his career path and how we can all work together to provide the best patient care possible. Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and us...

In this episode, episode 67, I welcome Dr. Pam Johnson to the show.  Dr. Johnson is a radiologist here at Hopkins who has taken an interest in high value care initiatives.  She and I discuss what this means and how people can get involved in reducing unnecessary testing and improving the quality of the care … Continue reading "Episode 67: High Value Care with Pam Johnson" Our Sponsors: * C...

In this episode, episode 66, I go through an overview of neuromuscular blockers including how they work, how to use them, and what their adverse effects are.  Happy New Year! The dose of glycopyrrolate should be 0.01 to 0.015mg/kg, not 0.1 to 0.15. Outline by Brian Park: Outline References: Miller’s Anesthesia 7th edition: Chapter 29: … Continue reading "Episode 66: Neuromuscular Blockers"...

In this episode, episode 65 and the last of 2017, I give my tips and tricks for being as efficient as possible with your time management so that you can maximize your success with your work and your life in general.  Have a wonderful holiday and start to the new year! Outline by Brian Park: Outline Our Sponsors: * Check out BetterHelp and use my code betterhelp.com for a great deal: https://www.be...