#51 – Top Drawer Run Down: Part 1 with Michael Mielniczek, MSN, CRNA




From the Head of the Bed show

Summary: <br> The Top Drawer Run Down covers the most common medications found in the top drawer of an anesthesia cart. Developing a mastery of these medications lays the foundation to a safe and effective anesthesia practice. This podcast is a start – or maybe a refresher – to developing that mastery. <br> <br> <br> <br> Here’s the medications we will cover in this series:<br> <br> <br> <br> Part 1<br> <br> <br> <br> * Propofol* Etomidate* Ketamine* Lidocaine* Fentanyl * Morphine* Hydromorphone* Remifentanil* Sufentanil* Alfentanil* Succinylcholine* Rocuronium* Vecuronium* Cisatracurium <br> <br> <br> <br> Part 2<br> <br> <br> <br> * Atropine* Glycopyrrolate * Neostigmine* Sugammadex * Metoprolol* Labetalol* Esmolol* Hydralizine* Phenylephrine* Ephedrine* Epinephrine* Calcium Chloride<br> <br> <br> <br> Part 3<br> <br> <br> <br> * Heparin* Naloxone* Albuterol* Dexamethasone* Famotidine* Ondansetron* Haloperidol* Furosemide* Metoclopramide* Ketorolac* Oxytocin* Methylergonovine* Carboprost<br> <br> <br> <br> Michael Mielniczek, MSN, CRNA bio:<br> <br> <br> <br> Michael graduated from the University of Scranton with a Master’s in Nursing in December 2018. He currently practices anesthesia as a CRNA in Austin, Texas. He has an interest in pharmacology related to anesthesia and enjoys helping others understand this fascinating topic.  Succinylcholine was the focus of Michael’s graduate research and he’s presented on the medication at both state CRNA conferences and national AANA Annual Congress. You may remember Michael from his previous contribution to From the Head of the Bed when he and I recorded <a href="http://www.fromtheheadofthebed.com/episode39">a deep dive on succinylcholine back </a><a rel="noreferrer noopener" href="http://www.fromtheheadofthebed.com/episode39" target="_blank">in</a><a href="http://www.fromtheheadofthebed.com/episode39"> March of 2018 (episode 39)</a>.<br> <br> <br> <br> Michael Mielniczek, MSN, CRNA<br> <br> <br> <br> Disclaimer<br> <br> <br> <br> Michael and I sourced our information from the leading anesthesia textbooks including Miller, Katzung, Oullette and Naglehout, as well as cross referencing with published journal articles and Up to Date.  That means that we’re bringing you the core, basic information about these medications.  It does NOT mean that everything we say is flawless and completely accurate.  <br> <br> <br> <br> Some of what we say may actually be a matter of opinion, personal preference and technique – you or the people you work with may have other opinions or techniques.  <br> <br> <br> <br> And that’s ok – it’s part of developing the art of providing anesthesia which is something you can do once you have a solid foundation of the science of anesthesia. <br> <br> <br> <br> Michael and I both edited and reviewed our notes and I edited the content again in post-production.  However, as with any podcast or blog post, you should take what you learn here and cross reference it with published, peer-reviewed literature.  Your clinical practice and your decision making is your responsibility.  It can be super dangerous to just take something you hear in a podcast or read on a blog and immediately implement it in your practice without first doing your own due diligence by making sure you have both accurate information and a good understanding of how to integrate that into best practice.  Additionally, some of the common ways anesthesia providers use medications perioperatively are not FDA approved or are considered off-label.  We try to point those out in this series but again, your practice is your responsibility. <br> <br> <br> <br> References<br> <br> <br> <br> Çoruh, B., Tonelli, M. R., &amp; Park, D. R. (2013).