Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Dr. Michaela Farber, the inaugural Chief of Obstetric Anesthesiology at Mass General Brigham and an associate professor at Harvard, shares insights from her extensive career in OB anesthesia. She discusses the importance of fellowship training for improving maternal care and outcomes, the impact of rising clinical complexity, and lessons learned from mentoring fellows. Notably, she emphasizes using music to alleviate preoperative anxiety and highlights critical interventions for hemorrhage management, including the importance of safety habits among clinicians.

Dr. Mike Hofkamp and Dr. Emily Sharpe, experts in obstetric anesthesia, delve into the challenges of pain management during cesarean deliveries. They discuss the shift away from general anesthesia due to historical concerns and legal risks, and emphasize the importance of setting patient expectations about pain. The duo addresses how to measure intraoperative pain and the factors influencing it. They also highlight techniques to optimize epidurals and when to convert to general anesthesia, advocating for better pain management and patient autonomy throughout the process.

Justin Harvey, a Certified Financial Planner and founder of APM Wealth, shares crucial financial insights for anesthesia providers. He discusses the rising compensation and job demand in the field, alongside the trade-offs of pursuing fellowships. Common early-career mistakes like contract oversights and lifestyle creep are highlighted. Justin emphasizes the advantages of term life insurance, effective use of 529 plans for college funding, and maximizing retirement accounts. He also provides an update on student loan forgiveness and recommends engaging reads to enhance financial literacy.

Dr. Tym Kajstura, a Doctor of Anesthesiology, returns to discuss vital concepts in airway anatomy and pharmacology. He dives into the structure and function of the respiratory system, spotlighting the complexities of laryngeal innervation and its clinical implications. The conversation highlights the importance of anatomical knowledge for intubation and explores how innovations in medical products are enhancing patient care. Practical applications and insights into respiratory mechanics make this a must-listen for anyone in the field.

Join experts Dr. Manoj Iyer, Dr. Jonathan Tang, and Dr. Jordan Holloway as they delve into the exciting world of leadless pacing technology. Discover the advancements in devices like the Micra and Avere, which are transforming cardiac care. They discuss the challenges and innovations in implantation techniques and the integration of subcutaneous ICDs with leadless pacemakers. Explore how these developments aim to enhance patient outcomes and address arrhythmia management, especially in younger patients.

Join Thomas Piraino, a registered respiratory therapist and educator, along with Brandon Oto, a critical care physician assistant, as they dive into the intricacies of optimizing Positive End-Expiratory Pressure (PEEP) in the ICU. They discuss the importance of individualized patient care, explore decremental PEEP strategies for ARDS, and highlight advanced technologies like Electrical Impedance Tomography for real-time lung assessments. Their insights balance improving oxygenation with preventing lung injury, making this a must-listen for critical care professionals.

In this 313th episode I welcome Dr. Alexis Motz to the show as she finishes her residency in anesthesiology. We discuss the lessons she learned along the way about how to get the most out of the experience and be the best resident, and all around physician, possible. We also discuss her interest in social media use in the residency application process. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this 312th episode I welcome Drs. Franklin Cladis, Meredith Kingeter and Bridget Marroquin to the show to discuss the Society for Education in Anesthesia (SEA). We discuss how it has been an important part of our careers and how it has a lot to offer to anyone interested in anesthesiology education. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Mark Nelson, Chair of the ASA Subcommittee on Cardiac Devices and an associate professor at VCU, shares his insights on managing AICDs and pacemakers in perioperative care. He introduces a practical management aid designed to bridge knowledge gaps for clinicians. The discussion covers the risks of electromagnetic interference, strategies for monitoring pacemaker-dependent patients, and advancements in remote monitoring. Listeners also hear about the latest digital stethoscope technology that enhances diagnostic capabilities.

In this 310th episode I welcome Dr. Annemarie Thompson, head of the working group that put out the new AHA/ACC Guidelines for the perioperative cardiovascular management for noncardiac surgery, and Drs. Jochen Steppan and Giancarlo Suffredini, cardiac anesthesiologists, to talk about the new iteration of the guidelines. We go through the algorithm in detail and talk about the evidence behind it and how to use biomarkers. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy