Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 119th episode I welcome Dr. Robert Sawyer to the show. Dr. Sawyer was the PI on the STOP-IT trial comparing a short course of antibiotics versus a longer course for complicated intraabdominal infections. We discuss the trial, the outcomes, and what the future of antimicrobial management in the surgical ICU may look like. … Continue reading "Episode 119: STOP-IT Trial with Rob Sawyer"

In this 118th episode which we are publishing a few days before Mother’s Day, 2019, I welcome Dr. Gillian Isaac to the show to discuss the challenges of being a mother and a trainee and some important advice for how to make it through and feel supported. Happy Mother’s Day and Thank you to all … Continue reading "Episode 118: Mother’s Day"

In this 117th episode I welcome Dr. Matt Danley to the show to discuss his recent trip to Kenya, the different approaches to global health in surgery and anesthesia, and some of the ways to get involved. Matt’s email: Matt.Danley@gmail.com Links: LancetGlobalSurgery.org SafeSurgery2020.org Lifebox.org

In this 116th episode I welcome Dr. Bommy Mershon to the show. We discuss pediatric anesthesiology including how kids differ from adults, pre-op meds, IV vs. inhaled inductions, parental presence, choosing a tube, when to put on monitors, how to do an inhaled induction, controversies around succinylcholine, weight-based dosing, deep extubation, laryngospasm, emergency delirium, regional … Continue reading "Episode 116: Overview of Pediatric Anesthesia with Bommy Mershon"

In this 115th episode I welcome Dr. Steven Freiberg back to the show to discuss management of the contaminated airway. References: Han, S; Fisher, J. Airway Management During Persistent Flooding Of the Oropharyngeal Airway.  Anesthesiology News. 2016. March. Joshi, R; Hypes, C; et al.  Difficult Airway Characteristics Associated with First-Attempt Failure at Intubation Using Video … Continue reading "Episode 115: The Contaminated Airway with Steve Freiberg"

In this 114th episode I welcome Dr. Jerry Stonemetz to the show to discuss the business side of Anesthesiology. Specifically we discuss billing, compliance, contract negotiation and Jerry’s thoughts on where the industry is heading. Slides are here:

In this 113th episode I welcome Dr. David Mintz back to the show to discuss anesthesia for intracranial aneurysm clipping. References: Chapter 13 Anesthetic management of cerebral aneurysm surgery in Cottrell and Young, Neuroanesthesia https://www.ncbi.nlm.nih.gov/pubmed/25014255

In this 112th episode I welcome Dr. Christina Miller to the show to discuss Anesthesia for Electroconvulsive Therapy (ECT). References: Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002 May;94(5):1351-64. Sadowksy, Jonathan. Electroconvulsvie Therapy: A History of Controversy, but Also of Help.  The Conversation. Scientific American.  January 13, 2017. Wright, M.D., Bruce A. … Continue reading "Episode 112: Anesthesia for ECT with Christina Miller"

In this 111th episode I welcome Dr. Zandy Hillel to the show. Dr. Hillel is an otolaryngologist here at Johns Hopkins and we discuss tracheostomies, Cricothyrotomies, laryngeal surgery and difficult airways. References: Crichothyrotomies: https://www.ncbi.nlm.nih.gov/pubmed/30054081 https://www.ncbi.nlm.nih.gov/pubmed/30726035 Difficult Airway Response Teams: https://www.ncbi.nlm.nih.gov/pubmed/26086513

In this 110th episode I welcome Justin Harvey to the show. Justin is a financial planner with an interest in helping anesthesiologists and pain specialists make the best possible financial choices. We discuss financial planning, managing loan repayment, and investing. Justin’s email: Justin@quantifiplanning.com Justin’s podcast: AnesthesiaSuccess.com Justin’s financial planning company: www.quantifiplanning.com XY Planning network: https://www.xyplanningnetwork.com … Continue reading "Episode 110: Financial Planning For Healthcare Providers With Justin Harvey"

In this 109th episode we pick up where we left off in episode 108 and discuss the intraoperative use of non-opioid adjuncts. References: Wick EC, Grant MC and Wu CL. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques A Review. JAMA Surg. 2017;152(7):691-697. Bahr MP, Williams BA. Esmolol, Antinociception, and Its Potential Opioid-Sparing … Continue reading "Episode 109: Non-Opioid Adjuncts with Drs. Grant and Bicket part 2"

In this 108th episode I welcome Dr. Mike Grant and Dr. Mark Bicket to the show to discuss various non-opioid adjuncts such as esmolol, ketamine, dexmedetomidine, lidocaine, and magnesium, and the role they may play in multimodal anesthesia. In this episode, part 1, we discuss pre and post-op use. Intraop use will be discussed in … Continue reading "Episode 108: Non-opioid adjuncts with Drs. Grant and Bicket Part 1"

In this 107th episode I welcome Dr. Mike Fitzsimons back to the show to discuss the topic of suicide in physicians in general and in Anesthesia providers specifically. References: Bucknill JC, Duke DH. A Manual of Psychological Medicine. London, England: John Churchill;1958 Yaghmour NA, Brigham TP, Richter T, Miller RS, Philibert I, Baldwin DC, Nasca … Continue reading "Episode 107: Suicide in Anesthesia with Mike Fitzsimons"

In this 106th episode I welcome Dr. Marius Fassbinder to the show to discuss the use of hydroxyethyl starches. References: 1. Woodcock, T. E. & Woodcock, T. M. Revised Starling equation and the glycocalyx model of transvascular fluid exchange: an improved paradigm for prescribing intravenous fluid therapy. British Journal of Anaesthesia 108, 384–394 (2012). 2. … Continue reading "Episode 106: Hydroxyethyl Starches with Marius Fassbinder"

In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions. References: 1.         Myles PS, Smith JA, Forbes … Continue reading "Episode 105: Blood Management Part 1 With Drs. Frank & Cha"