Episode 4: Obstructive Lung Disease

Episode 19: Vasoactive medications: In this episode I review the receptors that vasoactive drugs act on. I then review the main vasoactive medications used in the OR and the ICU to treat acute hypotension and the ones used to treat acute hypertension. Outline by April Liu: Outline by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

28 min listen

Episode 5: Restrictive Lung Disease: In this episode I review restrictive lung disease. This is meant to be a companion episode to Episode 4 which covered obstructive lung disease. I cover the following topics: -Definition and diagnosis of restrictive lung disease -Spirometry -Extra-pulmo by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

24 min listen

Episode 10: IV Induction Agents: 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 d by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

55 min listen

Episode 7: Management of the patient with respiratory disease part 1: This is the first of a two part series of episodes on the management of patients with respiratory disease. In this, part 1, I cover the preoperative evaluation, history and physical exam, and the preoperative planning and optimization of the patient. T by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

32 min listen

Episode 12: Air Embolism with Dr. David Mintz: 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. by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

22 min listen

Episode 2: Temperature Regulation: In this episode I review the topics of intraoperative hypothermia and temperature regulation. Lots of good board review topics and some sample board review questions. The slides are available here: Temperature Regulation Slides You can leave comments h by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

23 min listen

Episode 28: Airway topicalization with Dr. Laeben Lester: 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&#822 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

35 min listen

Episode 14: Opioids part 2: 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 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

29 min listen

Episode 6: The Paraglossal Approach to Intubation: In this episode I first announce the new ACCRAC website here at ACCRAC.com. Big thanks to Bryan Mariscalchi for his help setting it up. I also mention the problem the last two episodes had with only playing out of one ear on earphones. I hope I’ by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

10 min listen

Episode 13: Opioids part 1: 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 pharmacodynam by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

29 min listen

Episode 9: Basic Med Setup: 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 onc by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

32 min listen

Episode 63: Chemo Prophylaxis with Andrew Jarrell: In this episode, episode 63, I welcome back Andrew Jarrell to learn to pronounce his name properly, and to discuss VTE and stress ulcer prophylaxis. References are here: References by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

46 min listen

Episode 11: Hyperoxia: 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 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

39 min listen

Episode 4: Obstructive Lung Disease: In this episode I mention the new ACCRAC mailing list which you can sign up for with the link right below the show description on the website accrac.libsyn.com. You can also post comments on the website and email questions to accrac@accrac.com or accrac by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

47 min listen

Episode 40: OR Vent modes: In this episode, episode 40, I go over the basics of Vent modes and settings in the operating room and how they differ from the ICU. I also discuss a few common special cases and how to adjust the vent to deal with them. Outline by April Liu: Episode 40 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

26 min listen

Episode 8: Management of Respiratory Diseases Part 2: 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 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

46 min listen

Episode 1: Properties and laws of volatile anesthetics: This is a very high yield episode to help you review for the anesthesia board exam. I cover the board key word section entitled gas laws which includes a focus on volatile anesthetics, their properties, and how they act on, and in, the human body. Topic by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

32 min listen

Episode 24: The Evils of Sodium Bicarbonate: 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 ac by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

21 min listen

Episode 22: Postop Visual Loss with Dr. Joe Hughes: In this episode I interview Dr. Joseph Hughes, one of our neuro anesthesiologists, about the history, etiology, pathophysiology and prevention of postoperative visual loss. We refer to a thromboelastogram which looks like this. It is the fibrinolysis po by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

31 min listen

Episode 17: Awake intubation: In this episode I discuss awake intubation. I discuss the indications, techniques, nerve blocks, sedation and different methods of performing awake intubation. Slides to go along with the podcast are here: awake intubation slides The youtube video of th by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

32 min listen

Episode 30: Management of anticoagulation for non-valvular a-fib: 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 bri by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

33 min listen

Episode 35: Pleural effusions with Dr. David Feller-Kopman: In this episode, number 35, I welcome Dr. David Feller-Kopman to the show. Dr. Feller-Kopman is an associate professor of medicine and Otolaryngology and the director of Bronchoscopy and Interventional Pulmonology here at Johns Hopkins. I interview him by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

34 min listen

Episode 37: OR Crises: In this episode, episode 37, I go over crises that can happen in the OR, when to suspect them, and what to do about them. I draw from two excellent sets of OR crisis checklists that are available for free. The Stanford Anesthesia Cognitive Aid Group&#8 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

49 min listen

Episode 3: Announcements and FIO2 in one lung ventilation: There are a few announcements I wanted to make including: Check out pedsanesthesia.net. Dr. Robert Greenberg, a pediatric anesthesiologist here at Johns Hopkins runs it and it has lots of great information and topics in pediatric anesthesiology. If you by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

10 min listen

Episode 15: IV Fluids: 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. by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

33 min listen

Episode 21: ERAS with Dr. Chris Wu: In this episode I interview Dr. Chris Wu, professor of anesthesiology and pain medicine and internationally renowned expert in Enhanced Recovery After Surgery (ERAS) pathways. We discuss the different aspects of ERAS pathways and the evidence for improv by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

34 min listen

Episode 23: Basic Ventilator Review with Dr. Scott Stephens: In this episode I welcome Dr. Scott Stephens, Pulmonary Critical Care Physician at Johns Hopkins to the show. Dr. Stephens and I discuss basic ventilator settings, how to appropriately ventilate patients with hypoxemic vs. hypercarbic respiratory failure by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

42 min listen

Episode 43: Maternal Physiology with Mike Hofkamp: In this episode, episode 43, I welcome Dr. Mike Hofkamp to the show. Dr. Hofkamp is Director of OB Anesthesia at Baylor Scott & White Memorial Hospital and Clinical Associate Professor of Anesthesiology at Texas A&M Health Science Center College by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

45 min listen

Episode 20: pH Stat and Alpha Stat: In this episode I review two methods for managing arterial blood gasses in hypothermic patients, usually during cardiac surgery–pH Stat and Alpha Stat. Check out this fantastic episode recap put together by Brian Park from Drexel Medical School: Sh by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

14 min listen

Episode 26: Sugammadex with Dr. Amit Prabhakar: 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 by Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

22 min listen

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Episode 4: Obstructive Lung Disease

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