Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 292nd episode I play the audio from the live episode we did at the Northeast Anesthesia Resident Conference in Boston on 9/14/24. I interviewed Aalok Agarwala, Associate CMO at MGH, Joanne Conroy, President and CEO of Dartmouth Health, and Sunil "Sunny" Eappen, CEO of UVM Health. We discuss their careers, and their tips for aspiring leaders in healthcare. Our Sponsors:* Check out Eko: https://ekohealth.com/ACCRAC* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50offAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Join Patrick Finan, an expert in pain psychology and psychedelics research, and Rebecca Ehrenkranz, a postdoctoral researcher at Johns Hopkins, as they explore groundbreaking uses of psychedelics for chronic pain and depression. They discuss the transition from research to clinical trials involving substances like psilocybin and LSD. Hear about the complexities of managing expectations in trials, the role of active placebos, and the emotional breakthroughs psychedelics can provide. Plus, get insights on participant recruitment and some fun book and music recommendations!

Dr. Mike Grant returns to discuss post-operative care in cardiac surgery. He dives into the shift towards earlier extubation and advanced sedation techniques that boost recovery. The conversation highlights the declining role of pulmonary artery catheters in low-risk patients and critiques traditional monitoring practices. Grant also addresses the debate over fluid management, advocating for cost-effective crystalloid solutions. Lastly, he emphasizes the importance of patient-centered protocols for device management, paving the way for improved recovery outcomes.

Dr. Dave Berman, a highly regarded expert clinician, shares invaluable insights into becoming a master of the medical craft. He emphasizes the significance of learning from mentors and overcoming imposter syndrome. Berman discusses the importance of teamwork and emotional awareness in clinical settings. He also dives into practical techniques for ultrasound-guided procedures and the critical role of lifelong learning in medicine. His personal anecdotes reveal how curiosity and patient relationships enhance clinical expertise and outcomes.

In this engaging conversation, Dr. Tym Kajstura, a cardiac anesthesiology fellow and former chief resident, shares his expertise in electroconvulsive therapy (ECT) and transfusion reactions. He explores the complex anesthetic implications of ECT, including hemodynamic responses and medication considerations. The discussion also covers vital transfusion reactions like hemolytic and allergic responses, emphasizing the importance of blood typing and cross-matching for patient safety. With practical insights, Kajstura navigates the intricacies of patient management in these critical scenarios.

In this 287th episode I welcome Drs. Kyle Sanchez and Dan Ellis to the show to discuss the perioperative care of transgender and gender-diverse Patients. We discuss terminology, different medications and surgeries that you may see, preop, intraop and postop considerations.Our Sponsors:* Check out Eko: https://ekohealth.com/ACCRAC* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50offAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Elisa Walsh discusses central venous catheters, including placement, complications, teaching methods, and confirmation techniques. Topics include ultrasound use, training challenges, and balancing benefits with risks in central line procedures.

In this 285th episode I welcome Dr. Andrea Dutoit back to the show to discuss the most recent data on program signaling and what we know about how it affected applicants' chances of getting and interview and matching. Our Sponsors:* Check out Eko: https://ekohealth.com/ACCRAC* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50offAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Experts Jamie Sparling and Aalok Agarwala discuss perioperative hand-offs, highlighting their importance in reducing harm. They cover the impact of hand-offs on patient safety, strategies for improvement, and the development of standardized tools. They also share recommendations on various topics outside of medicine.

Brian Vaughn, an associate professor at the University of Cincinnati, specializes in anesthesiology for primates, collaborating with the Cincinnati Zoo. Joined by resident Morgan Moorhead, they discuss the unique challenges of administering anesthesia to non-verbal patients like primates. The conversation covers essential safety precautions, ethical considerations, and innovative techniques tailored for the specific needs of these intelligent animals. Listeners gain valuable insights into this specialized field crucial for animal welfare and research.