Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 189th episode I welcome Dr. Jason Chi to the show to discuss what we know about how to plan for surgery in patients who have recovered from COVID-19. CME: https://earnc.me/3FlooY Show Notes by Dr. Kashkooli  Jason’s email: ja**********@***il.com Random Recs: Minari: https://youtu.be/KQ0gFidlro8 Doctors Without Borders: www.doctorswithoutborders.org Daniel Tiger: https:...

In this 188th episode I discuss the approach to Anesthesia for patients having thoracic surgery including highly tested concepts for board exams. CME: https://earnc.me/s0Mint Reference: Clinical Anesthesia. 2017. 8th Ed. Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine; Ortega, Rafael; Sharar, Sam R.; Holt, Natalie F.Publisher: Lippincott Williams &...

In this 187th episode I welcome Dr. Gabe Tharp to the show to discuss his recent article in Anesthesiology: “Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery.” We discuss his findings and whether we should be using much higher levels of PEEP than we currently do. CME: https://earnc.me/WufaqR Gabe’s...

In this 186th episode I welcome Dr. Jennifer Meeker to the show to discuss the increased use of cannabis in the general population and what that means for anesthesiologists taking care of patients who may have acute or chronic use. CME: https://earnc.me/Ui9inp Random Recs: Tuesday Nights Cookbook: Link Vertellis: https://vertellis.com

In this 185th episode I welcome back Dr. Lee Goeddel to discuss assessment of fluid responsiveness in the operating room. CME: https://earnc.me/8sA9XN References: Michard F. Changes in Arterial Pressure during Mechanical Ventilation. Anesthesiology. 2005;103(2):419-428. doi:10.1097/00000542-200508000-00026 Using Dynamic Variables to Guide Perioperative Fluid ManagementAzriel Perel, M.D.Anesth...

In this 184th episode I welcome back Drs. Kara Segna and Hassan Rayaz to discuss truncal blocks. We discuss rectus sheath, transversus abdominis plane, quadratus lumborum and erector spinae plane blocks. CME: https://earnc.me/nsqYPf Random Recs: The Wirecutter: https://www.nytimes.com/wirecutter/ How to be an anti-racist: Link Instant Hotel: https://www.netflix.com/title/81023011 Love Island Austr...

In this 183rd episode I welcome back Dr. Gillian Isaac to do another keyword episode where we review the ABA keyword topics of Thyroid for the Basic Exam and Thyroid for the Advanced Exam. CME: https://earnc.me/Q9tFah Show notes by Brian Park, MD References: Barash Clinical Anesthesia 8th edition American Board of Anesthesiology Website Anesthesiahub.com Random … Continue reading Episode 183...

In this 182nd episode I welcome the president of the ASA medical student component, Stacia Griebahn, and the president-elect, Abigail Schirmer to the show to discuss what medical students applying in anesthesiology are concerned about this year and the responses that PDs have to those concerns. CME: https://earnc.me/6pJA5y ASA medical student component webpage: https://www.asahq.org/education-and-...

In this 181st episode I welcome Dr. Dave Berman back to the show to discuss what the evidence tells us about how to effectively teach in the perioperative arena. CME: https://earnc.me/EndB9Y References: Chickering AW, Gamson ZF. Seven principles for good practice in undergraduate education. Biochem Educ 1989;17(3):140–1. Knowles MS. The modern practice of adult education. … Continue reading...

In this 180th episode I welcome back Dr. Gillian Isaac for another ABA keyword episode. We review local anesthetics. CME: https://earnc.me/LzzOvu Also check out Episode 41 for an in-depth episode on local anesthetics CORRECTION: At 28:58 I state that hyperventilation increases the seizure threshold. This is incorrect, it DECREASES the seizure threshold. Reference: Barash Clinical … Continue...

In this 179th episode I welcome Kali Dayton, an ICU NP, to the show to discuss a major area of interest for her, getting intubated patients up and walking. Kali has a podcast dedicated to the topic called Walking Home from the ICU where she interviews patients about their experiences. CME: https://earnc.me/eTyyNu Links: Anchor: https://anchor.fm/restoringlife iTunes: https://podcasts.app...

In this 178th episode I welcome back Dr. Stephen Freiberg to discuss how to manage the patient in the post cardiopulmonary bypass period. CME: https://earnc.me/W1AepT Dr. Freiberg’s social media: thedadesthesiologist.comInstagram: @thedadesthesiologistTwitter: @dadesthesiaTik Tok: @thedadesthesiologist

In this 177th episode I discuss a survey of Anesthesiology program directors where I asked them both what makes a great resident great and what red flags make them worry about a resident. I go through the responses and lay out key points about how to earn the reputation of being a star resident. CME: … Continue reading Episode 177: How To Be a Star Resident →

In this 176th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA key words. This time we discuss Barbiturates and Bier Blocks. I also take a moment up front to share some thoughts on the horrible tragedy of George Floyd’s death at the hands of the police and the … Continue reading Episode 176: Keywords Part 11: Barbiturates and Bier Blocks →

In this 175th episode I welcome Justin Harvey back to the show to discuss the financial implications of COVID-19 for medical students, residents, fellows and attending physicians. Justin is a fee-only financial advisor and CFP (Certified Financial Planner). CME: https://earnc.me/x2dBzl References: Recommended student loan consulting company: www.studentloanplanner.com Anesthesiologist-founded...

In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR. CME: https://earnc.me/Adkacw OR Fires Risk for airway fire during laser resection of tracheal tumor DECREASED inA. CO2 rather than GAD laserB. Helium > 60%C. N2O > 60%D. PVC ETTE. … Continue reading Episode 174: Keywords Part 10: OR Fires a...

In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others … Continue reading Episode 173: Innovation In The Time of Covid: The MasksOn....

In this 172nd episode I welcome a panel of experts to discuss the management of a pregnant patient with congenital heart disease. Drs. Hofkamp, Vaught and Meng join me to discuss the preoperative evaluation, obstetric management, and postoperative care. CME: https://earnc.me/ZY2v27

In this 171st episode, a follow up to episode 113, I welcome Dr. Mintz back to the show to discuss anesthetic management for cerebral aneurysm surgery. CME: https://earnc.me/it1yY5 References: Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=3;spage=328;epage=337;aulas...

In this 170th episode I welcome Dr. Brian Garibaldi to the show to discuss his experience taking care of 40 critically ill COVID patients and what we’ve learned. We got through by system, head to toe, and discuss strategies and approaches. CME: https://earnc.me/bf9UEE References: Lessons from China: https://jamanetwork.com/journals/jama/fullarticle/2762130 Convalescent Plasma: https://jamane...

In this episode I introduce Dr. Christina Miller’s video, linked below, that goes through PPE considerations including how to safely don and doff, and suggestions for how to handle a difficult airway in COVID patients. CME: https://earnc.me/NqjD2r Video: https://drive.google.com/file/d/1AFYIouqGVLRlstU3xXSOJTHbtorWvQ7L/view

In this 168th episode I welcome Dr. Heather Nixon to the show to discuss what is being done for pregnant women and women in labor who have or are suspected to have COVID-19. CME: https://earnc.me/IqnBVR The COVID book for kids by Taylor Purvis: https://playatrickonthecoronas.weebly.com/ Link for Anesthesia Toolbox daily online learning session: https://www.anesthesiatoolbox.com/docs/DOC-5178 Refer...

In this 167th episode I review the most recent changes that we’ve made to our protocols for caring for COVID patients and share a fantastic one page summary sheet that 3 of our ICU fellows put together. Huge thanks to Drs. Navarette, Herekar and Baronos for their work on this. It is available for download … Continue reading Episode 167: COVID Clinical Care Update →

In this 166th episode I welcome Dr. Aliaksei Pustavoitau to the show to discuss management of the hypoxemia COVID-19 patient including initial triage, escalating support, endotracheal intubation, and ventilator management. CME: https://earnc.me/9Y2hBs References:

In this 165th episode I welcome Drs. Scott and Cereda from University of Pennsylvania and Dr. Nacoti from Italy to talk about COVID-19, what it is, what we know about it, what it’s like on the ground in Italy right now, and what we can learn from their experience to try to prevent it from … Continue reading Episode 165: COVID with Drs. Scott, Cereda and Nacoti →