Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In the episode, episode 93, I welcome Dr. Tom Metkus back to the show to discuss perioperative considerations for CABG surgery. References: Syntax Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0804626 STICH Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1100356 ROOBY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa0902905 CORONARY Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1200388 PREVENT IV Trial: https://www.ncbi.nlm.nih.gov/pubmed/16287955 ART Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1610021Our 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

In this episode, episode 92, I welcome Dr. Sapna Kudchadkar to the show to discuss her PICU Up program for early mobility in the PICU.  We discuss the benefits of early mobility in general and specifically with pediatric patients, how she started her program, and what has led it to be so successful. Dr. Kudchadkar … Continue reading "Episode 92: Early Mobility in the PICU with Sapna Kudchadkar"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. Tom Metkus discusses how we risk-stratify patients for non-cardiac surgery. Topics include perioperative cardiac evaluation, risk assessment and patient management, stent considerations, stress tests for perioperative evaluation, and future topics. The speakers also express gratitude for listeners and encourage support for the podcast.

This discussion dives into the crucial topic of preoperative management for adults with Obstructive Sleep Apnea (OSA). Key highlights include the prevalence of OSA and its impact on surgical outcomes. The STOP-Bang screening tool is unpacked, revealing its effectiveness in identifying at-risk patients. Strategies for intraoperative airway management and postoperative care, including the benefits of CPAP, are also explored. The conversation emphasizes the importance of tailored approaches based on OSA severity and associated comorbidities.

In this episode, episode 89, I welcome Dr. Bonnie Gatson to the show.  She is a veterinary anesthesiologist and we discuss her training, the differences and similarities between human and animal anesthesia, and the benefits of working together.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

In this episode, episode 88, I welcome Dr. Mike Grant to the show to discuss Enhanced Recovery After Surgery (ERAS) protocols for cardiac surgery. References: https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+recovery+after+surgery+pathway+for+patients+undergoing+cardiac+surgery%3A+a+randomized+clinical+trial https://www.ncbi.nlm.nih.gov/pubmed/?term=Enhanced+Recovery+for+Cardiac+Surgery+Noss https://www.ncbi.nlm.nih.gov/pubmed/27321791 https://www.ncbi.nlm.nih.gov/pubmed/?term=27832832Our 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

Tom Metkus, cardiologist and intensivist who treats acute aortic syndromes, walks through what aortic dissection is and why it threatens organs. He explains Type A versus Type B urgency, red flags and misleading presentations. Discussions cover imaging limits, surgical versus medical decision making, blood-pressure and heart-rate control, TEVAR, postoperative complications, and long-term surveillance.

In this episode, episode 86, I welcome Dr. Bob Sikorski back to the show to discuss thromboelastography (TEG) and thromboelastometry (ROTEM).  We discuss how they work, what they tell us and how we can use them. Example TEG: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

In this episode, episode 85, I welcome back Dr. Tina Tran and we discuss how to be successful as a medical student on an anesthesia clerkship, how to be a successful teacher if you are a resident teaching medical students, and how to create a great medical student rotation if you are a clerkship director.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. Alyson Russo, an expert in anesthesia for spine surgery, joins the hosts to discuss key elements of preparing for anesthesia for spine surgery, differing transfusion thresholds in the operating room and post-operative environments, the use of heparin and proper patient positioning, managing monitors and lines during spine surgery, maintaining hemodynamic stability, and challenges of pain control in spine surgery.