Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Dr. Tym Kajstura, an anesthesiology educator known for high-yield neuroanatomy teaching. He walks through brain and spinal divisions, cortical and brainstem functional anatomy, and localization of lesions. They cover spinal cord levels, blood supply including the artery of Adamkiewicz, epidural vs spinal approaches, meninges and hematoma shapes, and cranial nerve parasympathetic organization.

Dr. Tyler Jones, a board-certified anesthesia provider and founder of the Anesthesia Thoughts blog who recently added obesity medicine certification, joins to discuss SGLT2 inhibitors and GLP-1 receptor agonists. He covers mechanisms and perioperative risks like euglycemic DKA and delayed gastric emptying. Practical approaches include ketone testing, tailored hold policies, gastric ultrasound, and fasting strategies.

In this 328th episode I welcome AnesthesiaGawd to the show to discuss his incredibly successful instagram page which has over 270.000 followers and gets 16 million views every month. We discuss how he started the page, some of the joys and challenges, all time favorite memes, the impact it has allowed him to have on other people's lives, and where he might take it in the future.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this 327th episode I welcome Drs. Rebecca Minehart and Lon Setnik to the show to discuss the framework Name/Claim/Aim--a way to quickly and effectively organize teams and find your voice in a crisis.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this 326th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword episode. We discuss the extra topics that don't fall under any other category including ethics, substance abuse, licensure and certification, and patient safety.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this 325th episode I welcome Drs. Elliot Higgins and Amy Vinson to the show to discuss the development of the Well-Being Influencers Survey for Healthcare (WISH) inventory and how it is changing the way we think about, study and improve well-being in medicine. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this engaging discussion, Dr. Bridget Marroquin, an OB anesthesiologist and Associate Professor at UNC, shares her unique journey from OB/Gyn to anesthesiology. She emphasizes the importance of a 'planning-for-worst' mindset in OB anesthesia and offers practical troubleshooting tips for epidurals. Dr. Marroquin advocates for clear communication in labor and delivery settings and highlights the need for fostering collaborative relationships. She also discusses future trends in OB anesthesia, including subspecialty overlaps and the pursuit of fulfilling careers.

Dr. Sam DeMaria, a professor and vice chair for research in anesthesiology at the Mount Sinai Health System, discusses his book, "The Invisible Cut." He reveals how incivility, often exacerbated by stress and burnout, negatively impacts patient safety. Sam highlights research linking verbal misconduct to poor medical outcomes and shares tactical empathy techniques to combat rudeness. He emphasizes the importance of creating a civil culture in healthcare through personal communication and collaborative strategies, aiming for a safer environment for both patients and staff.

Dr. Joyce Wahr, a cardiac anesthesiologist and patient safety advocate, discusses her journey and the vital importance of addressing cognitive errors in clinical practice. She shares insights on System 1 and System 2 thinking, illustrating how automatic behaviors can lead to mistakes, especially in medication administration. Joyce highlights the dangers of eyewitness reliability and inattentional blindness, alongside advocating for practical solutions like engineering fixes in anesthesia. She emphasizes that effective patient safety isn’t just about trying harder, but implementing systemic changes.

In this discussion, Dr. Dan Saddawi-Konefka, an anesthesiologist and president of the Emotional PPE Project, along with Dr. Christine U. Moutier from the American Foundation for Suicide Prevention and Dr. Jesse Ehrenfeld, a public health advocate, explore critical barriers to mental health care for physicians. They delve into unique challenges faced by medical professionals, the stigma surrounding help-seeking, and practical strategies to foster a supportive environment. The conversation emphasizes the importance of addressing mental health to protect both clinicians and patient care.