Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 139th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, succinylcholine and interscalene brachial plexus block. CME: https://earnc.me/WBEa4s

In this 138th episode I welcome Drs. Segna and Rayaz back to the show to discuss lower extremity nerve blocks. We cover the ankle block and sciatic nerve block approaches today and will cover the anterior leg in a later episode. CME: https://earnc.me/oFIwW1 The Medium Article: https://medium.com/@admiralcloudberg/the-near-crash-of-air-canada-flight-759-c61094867d45

In this 137th episode I welcome Steve Kaufman to the show to discuss contracts and negotiation for doctors. Steve is a lawyer with decades of experience helping doctors negotiate contracts. CME: https://earnc.me/oFIwW1 If you have questions for Steve you can contact him directly at 410-659-1385, or email at SK******@****aw.com and he’s on twitter at @SKaufmanWCS

In this 136th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA keywords, Celiac Plexus Block and Dexmedetomidine. CME: https://earnc.me/eM03ez Show Notes by Dr. Brian H Park

In this 135th episode I discuss my argument for using low dose norepinephrine to treat or even prevent hypotension in the OR and ICU. I discuss the CENSER trial looking at early norepinephrine in sepsis as well as a paper looking at preemptive norepinephrine in open cystectomies and a review article of trials looking at … Continue reading Episode 135: A Case For Low Dose Norepinephrine &#859...

In this 134th episode I turn over the host chair to Dr. Dave Berman and he interviews me about how I got started in podcasting and things to think about for anyone interested in starting a podcast. CME: https://earnc.me/DBzwAR Reference: https://www.ncbi.nlm.nih.gov/pubmed/31222949

In this 133rd episode we bring you the first episode from a new, fantastic anesthesia podcast called “Depth of Anesthesia” hosted by David Hao at MGH. in this episode they explore the evidence behind verifying mask ventilation before administering paralytic. CME: https://earnc.me/UMptYs

In this 132nd episode I welcome back Dr. Gillian Isaac to do more ABA keyword review. We review Spinals for the Basic Exam and Etomidate. CME: https://earnc.me/bT3wiQ

In this 131st episode I welcome Drs. Meeks, Brookman and Fitzsimons to the show to discuss what it means to be a resident with a disability, what needs to be done to assure adequate and legal accommodations for these trainees, and why it’s important to do so. CME: https://earnc.me/Yf6wxG References: Meeks LM, Herzer KR. Prevalence … Continue reading Episode 131: Disabilities in Medicin...

In this 130th episode I welcome back Dr. Jochen Steppan to discuss the perioperative care of adults with congenital heart disease. We discuss the incidence, evaluation and management including the different types of physiology that a provider might see and how to manage each one. CME: https://earnc.me/xdIQHT References: http://www.pted.org/ For pictures of the lesions Stoelting’s Anesth...

In this 129th episode I welcome Dr. Dave Berman back to the show to discuss vascular access devices. We talk about what kinds of lines exist, how to choose, what the pros and cons are, and how to know what kind of flow you will get with a given catheter. CME: https://earnc.me/KmE3f4 References are here:

In this 128th episode I welcome Dr. Ashish Khanna to the show to discuss his trial, the PRODIGY trial, looking at opioid induced respiratory depression. We discuss the background of the trial, what it took to run a 16 site, 3 continent trial, what the risk factors were that went into the risk prediction model … Continue reading Episode 128: Opioid Induced Respiratory Depression (The PRODIGY...

In this 127th episode I welcome Drs. Segna and Rayaz to the show to discuss upper extremity nerve blocks. We discuss how they’re done, what they’re done for, and some high yield board style questions that may come up based on them. CME: https://earnc.me/enjJHh References: Hadzic, Admir. Hadzic’s textbook of regional anesthesia and acute pain management. … Continue read...

In this 126th episode I welcome back Dr. Gillian Isaac to discuss 2 more ABA key words: Ketamine and Laryngospasm. CME: https://earnc.me/GbYGLA

In this 125th episode I welcome Dr. Erik Smith to the show to discuss Abusive Head Trauma (formerly known as shaken baby syndrome). We discuss how victims present, what to look out for, how to manage their anesthesia, how to report, and how it can impact providers. CME: https://earnc.me/iFmtNQ References: Christian, C. W., Block, R., … Continue reading Episode 125: Abusive Head Trauma with E...

In this 124th episode I welcome Dr. Lee Goeddel to the show to discuss Point Of Care Ultrasound (POCUS). We discuss what it is, what it covers in the cardiac, pulmonary, abdominal and vascular system, and what next steps are for those interested in taking their skills further. CME: https://earnc.me/aEbwZG References: Anesth Analg. 2017 Mar;124(3):753-760. doi: … Continue reading Episode...

In this 123rd episode I welcome Andrew Merelman to the show. Andrew is a paramedic and medical student with an interest in emergent surgical airway management. We discuss the human factors involved in the procedure, when it is indicated, how to do it and how to practice. CME: https://earnc.me/kFl0sc References and Links: Airway Ap information: … Continue reading Episode 123: Surgical Airway...

In this 122nd episode Dr. Gillian Isaac and I launch the first in a series of episodes to give high yield information on ABA key words. The first two we address are the crichothyroid membrane and propofol. CME: https://earnc.me/rEWDXU

In this 121st episode I welcome Dr. Lynette Mark to the show. Dr. Mark is the founder of our Difficulty Airway Response Team (DART) here at Hopkins and a founding director for the Society of Airway Management. We discuss the origins of the DART program and how to approach a difficult airway. CME: https://earnc.me/z1E2G1 References: … Continue reading Episode 121: Difficult Airway Response Te...

In this first ever ACCRAC lightning round I take the contribution and advice of Andrew Salai, a med student in Brazil, and do some rapid fire review of high yield topics. If you have some factoids you’d like to contribute to a future lightning round send them to ac****@****ac.com. CME: https://earnc.me/sCnKm4

In this 119th episode I welcome Dr. Robert Sawyer to the show. Dr. Sawyer was the PI on the STOP-IT trial comparing a short course of antibiotics versus a longer course for complicated intraabdominal infections. We discuss the trial, the outcomes, and what the future of antimicrobial management in the surgical ICU may look like. … Continue reading Episode 119: STOP-IT Trial with Rob Sawyer &...

In this 118th episode which we are publishing a few days before Mother’s Day, 2019, I welcome Dr. Gillian Isaac to the show to discuss the challenges of being a mother and a trainee and some important advice for how to make it through and feel supported. Happy Mother’s Day and Thank you to all … Continue reading Episode 118: Mother’s Day →

In this 117th episode I welcome Dr. Matt Danley to the show to discuss his recent trip to Kenya, the different approaches to global health in surgery and anesthesia, and some of the ways to get involved. CME: https://earnc.me/b0LAoy Matt’s email: Ma*********@***il.com Links: LancetGlobalSurgery.org SafeSurgery2020.org Lifebox.org

In this 116th episode I welcome Dr. Bommy Mershon to the show. We discuss pediatric anesthesiology including how kids differ from adults, pre-op meds, IV vs. inhaled inductions, parental presence, choosing a tube, when to put on monitors, how to do an inhaled induction, controversies around succinylcholine, weight-based dosing, deep extubation, laryngospasm, emergency delirium, regional … Co...

In this 115th episode I welcome Dr. Steven Freiberg back to the show to discuss management of the contaminated airway. CME: https://earnc.me/lDqJUu References: Han, S; Fisher, J. Airway Management During Persistent Flooding Of the Oropharyngeal Airway.  Anesthesiology News. 2016. March. Joshi, R; Hypes, C; et al.  Difficult Airway Characteristics Associated with First-Attempt Failure at...