Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this discussion, Dr. Todd Dorman, a leading expert in critical care from Johns Hopkins, dives deep into diastolic heart failure. He explains the significance of distinguishing between heart failure with preserved ejection fraction (HF-PEF) and reduced ejection fraction (HF-REF). Topics include the clinical implications of ejection fraction changes and the importance of accurate diagnosis through emerging echocardiographic techniques. Dorman also shares management insights, emphasizing heart rate, preload, and afterload tailored to each type of heart failure.

In this episode, episode 51, I welcome back Dr. Jacqueline Galvan to discuss labor analgesia.  We cover opioids including remifentanil, nitrous oxide, neuraxial anesthesia and other nerve blocks. References: Hess PE, et al. An association between severe labor pain and cesarean delivery. Anesth Analg. 2000 Apr;90(4):881-6 Van den Bussche E. Why women prefer epidural analgesia … Continue reading "Episode 51: Labor Analgesia with Jacqueline Galvan"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 50, I welcome back Dr. Mike Hofkamp, and, for the first time, I welcome Dr. Jacqueline Galvan to the show.  Drs. Hofkamp and Galvan go head to head in a debate over which is a better, more evidence-based technique, the traditional epidural or the CSE (combined spinal epidural). All of the … Continue reading "Episode 50: CSE vs Epidural Debate with Mike Hofkamp and Jacqueline Galvan"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 49, I welcome Dr. Peter Pronovost to the show to discuss the high reliability movement and how it relates to healthcare.  Dr. Pronovost is one of the world’s foremost experts on patient safety and we discuss how a hospital can be as reliably safe as an aircraft carrier and how best … Continue reading "Episode 49: High Reliability with Peter Pronovost"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 48, I welcome Dr. Clint Tippett to the show.  Dr. Tippett is a cardiac anesthesiologist with an interest in anesthesia for Transcutaneous Aortic Valve Replacement (TAVR) and we discuss the approach to anesthesia for these cases including preoperative planning, intraoperative management, and post-operative concerns. Regarding stroke risk here is an editorial … Continue reading "Episode 48: TAVRs with Clint Tippett"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 47, I welcome back Dr. Stephen Freiberg, one of our chief residents, to discuss all you ever wanted to know about arterial lines.  We discuss the indications, contraindications, complications, placement technique, and how to interpret the waveform. Slides with figures mentioned in the podcast can be found here: Arterial Line Podcast Images … Continue reading "Episode 47: Arterial Lines with Stephen Freiberg"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 46, I welcome back Dr. Mike Hofkamp to discuss obstetric pharmacology and fetal assessment. 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

Dr. Charlie Brown, a cardiac anesthesiologist with a focus on postoperative delirium, dives deep into the world of this acute condition. He breaks down the complexities of delirium subtypes, emphasizing that hypoactive forms are often overlooked. The discussion covers critical risk factors, particularly in high-risk surgeries, and their long-term consequences for patients. Prevention strategies are explored, highlighting the importance of nonpharmacologic interventions and anesthetic choices to mitigate risk. Brown also touches on future research directions aimed at better understanding and treating delirium.

In this episode, episode 44, I welcome Dr. Megan Kostibas to the show.  Dr. Kostibas is trained in cardiac anesthesia and critical care medicine and is an assistant professor here at Hopkins.  She is also the associate program director for the cardiac anesthesia fellowship.  We discuss the basics of how to prepare, induce and manage … Continue reading "Episode 44: Intro to cardiac anesthesia with Megan Kostibas"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 43, I welcome Dr. Mike Hofkamp to the show.  Dr. Hofkamp is Director of OB Anesthesia at Baylor Scott & White Memorial Hospital and Clinical Associate Professor of Anesthesiology at Texas A&M Health Science Center College of Medicine.  We discuss the changes to women’s physiology when they become pregnant and the … Continue reading "Episode 43: Maternal Physiology 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