Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this episode, episode 31, I welcome one of our amazing chief residents to the show, Dr. Stephen Freiberg.  Stephen has taken an interest in massive transfusion and he goes over the highlights of when to do it, how to do it, what complications you see from it and how to manage those complications. Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

2 Feb 201746min

In this episode, episode 30, I discuss the new American College of Cardiology Guidelines for the periprocedural management of anticoagulation for patients with non-valvular atrial fibrillation.  This includes whether to stop, when to stop, whether to bridge, how to bridge, and how and when to restart. Outline by Brian Park: AC for Afib Outline Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

17 Jan 201733min

In this episode, episode 29, I welcome to the show Dr. Glenn Whitman.  Dr. Whitman is a cardiac surgeon and intensivist and runs the cardiac surgical ICU here at Johns Hopkins.  I interview Dr. Whitman about PA catheters.  We discuss when to place them, when not to place them, how to use them and when … Continue reading "Episode 29: PA catheters with Dr. Glenn Whitman" Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

9 Jan 201748min

In this episode I welcome Dr. Laeben Lester to the show.  Dr. Lester is trained in Emergency Medicine and Anesthesiology and has completed fellowship training in Cardiac Anesthesiology.  He shares with us his “Nearly Needleless 5-Step Approach” to airway topicalization for awake intubation. Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

5 Jan 201734min

In this episode I review the ABA topic of airway management.  This is obviously a huge topic but in this episode I highlight key points about the components of airway management recommended by the ABA including identification of a difficult airway, management of a difficult airway, the difficult airway algorithm, different tools and adjuncts, and … Continue reading "Episode 27: Airway Management" Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

30 Des 201652min

In this episode I welcome Dr. Amit Prabhakar, one of our critical care fellows, to the show to discuss Sugammadex, a relatively recently approved (in the USA) reversal agent for Rocuronium and Vecuronium. Outline by Brian Park: Sugammadex outline Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

21 Des 201621min

In this episode I am joined once again by Dr. Scott Stephens as we review advanced ventilator modes, prone positioning, and ventilation of patients on VV ECMO. Outline by April Liu: Outline The fantastic review article I mentioned is: Mireles-Cabodevila E. Et al. Alternative Modes of mechanical ventilation: A review for the hospitalist. Cleveland Clinic … Continue reading "Episode 25: Advanced Ventilator Modes With Dr. Scott Stephens" Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

19 Des 201652min

In this episode I first suggest you take a look at the recently published (ahead of print) VANCS study on the use of vasopressin as a sole agent in the treatment of vasoplegic shock.  Then I review the reasons never to use sodium bicarbonate in lactic acidosis. The Vancs study: https://www.ncbi.nlm.nih.gov/pubmed/27841822 The two articles I recommend … Continue reading "Episode 24: The Evils of Sodium Bicarbonate" Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code accrac50off for a great deal: https://www.factor75.com * Check out Truelearn: https://tinyurl.com/ACCRACTL * Check out Uncommon Goods: https://uncommongoods.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

11 Des 201620min