Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this episode, episode 62, I discuss problems that can occur during pregnancy with Dr. Jacqueline Galvan.  We discuss a wide range of high yield topics from gestational diabetes to molar pregnancies to maternal heart disease. References are here: References Outline by April LiuOur Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, episode 61, I welcome Dr. Shravani Durbhakula, one of our chronic pain doctors, to the show.  We discuss the opioid crisis in American from the perspective of a chronic pain physician including what it is, how it came about, how it impacts our patients, and what we can do about it. References … Continue reading "Episode 61: The Opioid Crisis with Shravani Durbhakula"Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, episode 60, I welcome Andrew Jarrell, one of our amazing surgical ICU pharmacists to the show.  We discuss antibiotic prophylaxis for surgery including what to use, how to time it, how long to continue it, and what the evidence says about things like indwelling drains. A fantastically helpful outline of the episode … Continue reading "Episode 60: Surgical Antibiotic Prophylaxis with Andrew Jarrell"Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Jochen Steppan, an international pulmonary hypertension expert, discusses the basics and diagnosis of pulmonary hypertension. They also cover the use of cell dentifil, vasopressin, and milrinone in treatment. The importance of heart rate and volume status is highlighted. Complications in the post-operative phase are explored with an emphasis on pain control and fluid shifts.

In this episode, OB Anesthesia fellows Dr. Dave Berman and Dr. Anh Nguyen discuss medications for neuraxial anesthesia, including local anesthetics, opioids, and adjuncts such as clonidine and epinephrine. They delve into topics like the basic science of local anesthetics, the use of fentanyl in neuraxial anesthesia, and the controversy surrounding the use of sodium bicarbonate. They also explore the benefits and drawbacks of clonidine as an adjuvant, and touch on experimental medication practices involving magnesium, ketamine, and neostigmine. Exciting insights for those interested in anesthesia!

Rachel Kruer, a Surgical ICU pharmacist, dives into the complexities of antibiotic therapy for common ICU infections. She discusses selecting empiric antibiotics based on infection site, the importance of narrowing therapy after source control, and how GI flora influences treatment. Rachel also covers managing intra-abdominal infections, pneumonia, and catheter-associated UTIs, emphasizing tailored approaches based on patient risk factors. With practical tips on antibiotic durations and when to switch therapies, this conversation is a must-listen for clinicians in critical care.

Rachel Kruer, a clinical pharmacy specialist in surgical critical care at Johns Hopkins, dives deep into the world of antibiotics. She explains the difference between pharmacodynamics and pharmacokinetics, covering how various antibiotics work against common bacteria. The discussion includes critical topics like interpreting MICs for effective antibiotic selection, the role of rapid diagnostics, and options for those with penicillin allergies. Rachel also emphasizes the importance of local antibiograms to tailor treatment effectively.

In this episode, episode 55, I welcome back frequent guest of the show Dr. Mike Hofkamp to pick up where I left off last time with Dr. Jacqueline Galvan as we discuss problems that can occur with pregnancy at term (part 2) including complications of labor and delivery. Outline by Brian Park: OutlineOur Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, episode 54, I welcome back Dr. Jacqueline Galvan and we discuss complications and physiology of term pregnancy.  This is part 1 of a 2 part series. Outline by Brian Park: OutlineOur Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, episode 53, I welcome back Dr. Mike Hofkamp to discuss analgesia for cesarean delivery.  We discuss indications for C-section, urgent and emergent sections, anesthetic techniques and associated complications, how to approach the difficult airway in a pregnant patient, and aspiration prophylaxis. Additional information: Outline by Brian Park Discussion references Urgent cesarean section … Continue reading "Episode 53: Analgesia for C-section with Mike Hofkamp"Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com* Check out Truelearn: https://tinyurl.com/ACCRACTLAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy