Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this episode, episode 42, I discuss Post-op Nausea and Vomiting (PONV).  I discuss risk factors, complications, treatment and prevention and side effects. Outline by April Liu: Outline UPDATE April, 2018: In this episode I mention that the evidence is not good for Midazolam in preventing PONV.  However, a good friend and colleague, Dr. Michael … Continue reading "Episode 42: Post-op Nausea and Vomiting (PONV)"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 41, I review local anesthetics including the mechanism of action, commonly used agents, pharmacodynamics and kinetics, toxicity and treatment, and common blocks. Outline by April Liu: 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 40, I go over the basics of Vent modes and settings in the operating room and how they differ from the ICU.  I also discuss a few common special cases and how to adjust the vent to deal with them. Outline by April Liu: Episode 40Our 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, Dr. Steve Frank discusses anesthesia for liver transplants. They cover reasons for liver transplants, qualifications needed for anesthesiologists, challenges of the procedure, use of Swan-Ganz catheter and TEE probe, stages of the procedure, preparing for acidosis and hypercalcemia, post-operative care, and potential complications. The episode concludes with gratitude to Dr. Steve Frank and a sponsor ad for Bakers.

In this episode, episode 37, I go over crises that can happen in the OR, when to suspect them, and what to do about them.  I draw from two excellent sets of OR crisis checklists that are available for free.  The Stanford Anesthesia Cognitive Aid Group’s lists and the Ariadne Labs/Brigham/Harvard School of Public Health … Continue reading "Episode 37: OR Crises"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 36, I welcome Dr. Deb Schwengel, one of our pediatric anesthesiologists and our residency program director, to the show to discuss the differences in anatomy and physiology in pediatric versus adult patients. Outline by April Liu: 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, number 35, I welcome Dr. David Feller-Kopman to the show.  Dr. Feller-Kopman is an associate professor of medicine and Otolaryngology and the director of Bronchoscopy and Interventional Pulmonology here at Johns Hopkins.  I interview him about pleural effusions including what they are, where they come from, how to categorize them, how to … Continue reading "Episode 35: Pleural effusions with Dr. David Feller-Kopman"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 34, I welcome Dr. Tina Tran and Dr. Steve Beaudry to the show to give you two run throughs of an oral board stem.  First Dr. Tran demonstrates some common errors and then Dr. Beaudry demonstrates an example of the “right way” to do it.  We then mention some learning points … Continue reading "Episode 34: Oral Board Prep with Drs. Tran and Beaudry"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 engaging discussion, Dr. Rosanne Sheinberg, a cardiac anesthesiologist and assistant professor certified in integrative medicine, sheds light on ECMO, a life-saving technology. She clarifies its supportive role versus a direct cure, along with the ethical considerations involved in patient treatment. The conversation dives into management strategies, the risks of complications like infections and bleeding, and the critical aspects of patient mobilization. Dr. Sheinberg also emphasizes the importance of monitoring and the balance required for optimal care.

Dr. Stephen Freiberg, a chief resident, discusses the highlights of massive transfusion in anesthesia settings, covering when and how to do it, complications, and management strategies. The podcast addresses issues like hyperkalemia, hypocalcemia, hypothermia, coagulopathy in trauma patients, and transfusion-associated circulatory overload (TACO). It emphasizes the importance of standardized protocols, early initiation of transfusion, and implementing massive transfusion protocols in trauma resuscitation.