Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 133rd episode we bring you the first episode from a new, fantastic anesthesia podcast called “Depth of Anesthesia” hosted by David Hao at MGH. in this episode they explore the evidence behind verifying mask ventilation before administering paralytic.Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: http://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Gillian Isaac, an anesthesiologist specialized in keyword reviews for the ABA basic exam, returns to discuss spinal anesthesia and etomidate. She breaks down the key elements, from patient characteristics to common misconceptions. The conversation dives into cardiovascular issues like hypotension during procedures and the importance of monitoring. Isaac also explores the pharmacological properties of etomidate, its stability, and the complications associated with both spinal anesthesia and the drug itself.

In this 131st episode I welcome Drs. Meeks, Brookman and Fitzsimons to the show to discuss what it means to be a resident with a disability, what needs to be done to assure adequate and legal accommodations for these trainees, and why it’s important to do so. References: Meeks LM, Herzer KR. Prevalence of self-disclosed … Continue reading "Episode 131: Disabilities in Medicine with Drs. Meeks, Brookman and Fitzsimons"Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: http://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Jochen Steppan, a cardiac anesthesiologist specializing in perioperative care for adults with congenital heart disease. He covers classification by physiology, perioperative risks and evaluation essentials. Practical strategies for shunts, cyanotic lesions, obstructive lesions, and Fontan physiology are discussed. Emphasis on multidisciplinary planning, tailored monitoring, and optimization for complex cases.

Dr. Dave Berman, an assistant professor of anesthesiology and vascular access expert, returns to explore the fascinating world of vascular lines. He discusses the pros and cons of various access devices, highlighting when and how to choose them effectively. The conversation dives into catheter flow physics, explaining how factors like radius and viscosity impact flow rates. Berman also emphasizes practical tips for peripheral IVs, specialized options like PICC lines, and the significance of understood sizing systems as he unpacks the crucial decisions anesthesiologists must make.

Ashish Khanna, critical care anesthesiologist and associate professor who led the PRODIGY trial, discusses a large multi-continent study on opioid-induced respiratory depression. He recounts running a 16-site trial, why continuous monitoring matters versus snapshots, how common monitor-detected events were, and the creation of a five-variable risk score. Practical rollout challenges and future data uses are also covered.

In this 127th episode I welcome Drs. Segna and Rayaz to the show to discuss upper extremity nerve blocks. We discuss how they’re done, what they’re done for, and some high yield board style questions that may come up based on them. References: Hadzic, Admir. Hadzic’s textbook of regional anesthesia and acute pain management. McGraw Hill … Continue reading "Episode 127: Upper Extremity Blocks with Drs. Segna and Rayaz"Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: http://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Gillian Isaac discusses key words Ketamine and Laryngospasm in anesthesia. Topics include ketamine's mechanism of action, effects, dosing, and contraindications, as well as managing laryngospasm, complications, and negative pressure pulmonary edema in anesthesia scenarios.

In this discussion, Dr. Erik Smith, an expert in pediatric anesthesia and trauma, delves into Abusive Head Trauma, previously known as shaken baby syndrome. He highlights how to recognize its signs and the challenges in managing anesthesia for affected children. The conversation covers the emotional strain on healthcare providers dealing with such cases and the importance of support systems. Additionally, Dr. Smith discusses the critical role of multidisciplinary teams in safeguarding child welfare and the legal responsibilities involved in reporting suspected abuse.

In this 124th episode I welcome Dr. Lee Goeddel to the show to discuss Point Of Care Ultrasound (POCUS). We discuss what it is, what it covers in the cardiac, pulmonary, abdominal and vascular system, and what next steps are for those interested in taking their skills further. References: Anesth Analg. 2017 Mar;124(3):753-760. doi: 10.1213/ANE.0000000000001861.The Nuts and Bolts of Performing Focused Cardiovascular Ultrasound (FoCUS).PMID:28207445  J … Continue reading "Episode 124: POCUS with Lee Goeddel"Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: http://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy