Episode 281: Glycemic Control in the ICU with Traci Grucz

In this episode I discuss the use of IV fluids for perioperative use including how to decide when to give fluid, the downsides of over resuscitation, whether to use crystalloid or colloid, and whether to use saline or a balanced salt solution such as LR.   Slides to go along with this episode are here: IV … Continue reading "Episode 15: IV Fluids" 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 Sep 201633min

This is the second of two episodes about opioid medications.  In this episode I cover the pharmacokinetics and pharmacodynamics of opioids, some of the common uses for these medications, mixed agonist-antagonist compounds, opioid antagonists, and opioid interaction with other medications. Slides to go along with this episode are here: Opioids part 2 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 Aug 201628min

This is the first of a 2 part series on opioid medications.  In this first episode I will talk about how opioids are categorized and their effects on the different body systems.  In the next episode I will discuss their pharmacokinetics and pharmacodynamics as well as their various uses and some details on mixed agonist/antagonists. … Continue reading "Episode 13: Opioids part 1" 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

13 Aug 201629min

In this episode I welcome Dr. David Mintz, one of our neuroanesthesiologists here at Johns Hopkins, fellow Brown University Alum, and generally all around great guy, to the show to talk about air embolism, what it is, how it happens and how to manage it.  A big thanks to Dave for taking the time to … Continue reading "Episode 12: Air Embolism with Dr. David Mintz" 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 Aug 201622min

In this episode I discuss hyperoxia and review the evidence in regards to the damage it can cause in patients with a wide variety of illnesses.   Slides to accompany the episode can be found here: hyperoxia slides 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

27 Juli 201638min

In this episode I review the common IV agents used in anesthesia excluding opioids.  I cover Propofol, Barbiturates, Benzodiazepines, Ketamine, Etomidate and Dexmedetomidine. NOTE: There is an error in the audio recording regarding the dosing units for dexmedetomidine.  I say on the podcast that the dosing units are mcg/kg/min which is INCORRECT.  The correct dosing … Continue reading "Episode 10: IV Induction Agents" 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 Juli 201655min

In this episode I review the basic medication setup for the operating room including premedication, induction, neuromuscular blockade, antibiotics, reversal and antiemetics.  I discuss weight based dosing and comment on a few alternatives to consider once you have the basic setup down.  This episode should be useful for new CA-1s getting started in the OR … Continue reading "Episode 9: Basic Med Setup" 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

10 Juli 201632min

This is the second and final episode dealing with the management of respiratory diseases.  In the first episode I covered the initial evaluation and preop preparation.  In this episode I cover intraoperative management, post-operative management, special issues related to one lung ventilation and special issues related to total pneumonectomy. Slides to go along with the … Continue reading "Episode 8: Management of Respiratory Diseases Part 2" 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 Juni 201646min