In this 270th episode I welcome Drs. Michael Douglas and Leonard Soloniuk to the show to discuss the use of dexmedetomidine in spinals, epidurals and nerve blocks. Our Sponsors: * Check out Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out HelloFresh and use my code accracfree for a great deal: https://www.hellofresh.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 269th episode I welcome Dr. Jeanna Blitz to the show to discuss the newest, most evidence based approach to preoperative assessment and optimization of patients. We discuss the use of biomarkers, alternatives to RCRI and using METS alone and assessment and optimization of frailty, nutritional status, anemia, psychological status and functional status.  Our Sponsors: * Check out Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out Magic Mind and...

In this 268th episode I welcome Drs. Carullo, Kostibas, Isaac, Banks and Segna to the show. They are our peds, cardiac, OB, critical care and regional fellowship directors and we discuss the state of fellowships in anesthesiology. Our Sponsors: * Check out Magic Mind and use my code ACC20 for a great deal: https://www.magicmind.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 267th episode I welcome Dr. Alli Bechtel to the show to discuss the Anesthesia Patient Safety Foundation where she works as their podcast host. We discuss the APSF top 10 priorities, what they include and what guidance clinicians can get from them.  Our Sponsors: * Check out Magic Mind and use my code ACC20 for a great deal: https://www.magicmind.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

This special 266th episode was recorded before a live audience at the Anesthesiology 2023 Annual Meeting in San Francisco. I interviewed Dr. Deb Culley about post-op delirium and Dr. John Eichorn about the history and future of patient monitoring. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 265th episode I welcome Dr. Gillian Isaac back to the show to do another ABA Keyword episode. We follow up on the last one by discussing Nitroprusside, Nitroyglycerin and their effect on hemoglobin Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 264th episode I welcome Dr. Mimi Wynn to the show to discuss anesthesia for TAAA repair. We discuss preoperative concerns, intraoperative management, postoperative concerns especially spinal cord ischemia, and how to reduce the risk of that dreaded complication.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 263rd episode I welcome Dr. Mahesh to the show to discuss radiation safety for anesthesia providers in the OR and procedure suites.   Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 262nd episode I welcome Dr. Evan Kharash to the show to discuss the use of methadone perioperatively instead of more commonly used opioids such as fentanyl and dilaudid. We discuss the safety of methadone, how it works, and the evidence for superiority in terms of pain control, total opioid use, and patient satisfaction. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 261st episode I welcome professional commercial pilot and safety expert Matt Renz to the show to discuss aviation safety and how it can apply to medicine.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 260th episode I welcome Dr. Dave Berman back to the show to discuss malignant hyperthermia. Dr. Berman is a volunteer with the MH hotline and he discussed the history, epidemiology, genetics, testing, prevention and management of MH and then we discuss some cases. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 259th episode I welcome Dr. Gillian Isaac back to the show to discuss another set of ABA key words. We discuss the pulse oximeter and some hemoglobinopathies that can affect its readings.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 258th episode I welcome Dr Emily Sharpe and Dr. Mike Hofkamp back to the show to have a pro-con debate about what to do when a woman in labor with an epidural in place has to go unexpectedly for c-section. Dr. Hofkamp argues for removing the epidural and doing a second neuraxial technique while Dr. Sharpe argues for using the existing epidural.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 257th episode I welcome Dr. Cara Esser back to the show to discuss the ins and outs of transsphenoidal pituitary surgery and what to keep in mind preoperatively, intraoperatively and postoperatively.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 256th episode I welcome Dr. Cara Esser to the show to discuss neuromuscular diseases that are important to know for Anesthesia and Critical Care.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 255th episode I welcome Drs. Dutoit and Teeter to the show to discuss the changes to the ERAS application system including program signals, geographic preferences, experiences, and general advice. We answer questions submitted by the ASA Medical Student Component. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 254th episode I welcome Dr. Gillian Isaac back to the show for another ABA Keyword episode. We discuss muscular dystrophies and trisomy 21. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 253rd episode I welcome Drs. Segna, Rayaz, Jaremko and Barnhart to the show to discuss the acute pain service, how to formulate a multimodal acute pain regimen for a patient, and how to think about the various medications involved. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 252nd episode I welcome Dr. Tim Poore, a palliative care physician, to the show to discuss palliative care in general and in the ICU in particular. He gives us some concrete tools to use when having difficult, end of life conversations with patients and families.  Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 251st episode I welcome Dr. Emily Vail and Dr. Varun Goyal to the show to discuss the Anesthesiologist's role in organ donation. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 250th episode I welcome back Drs. Essandoh and Cody and, for the first time, Dr. Kjome, to discuss different career settings in anesthesiology. We discuss academics, the military and private practice. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 249th episode I welcome Dr. Gillian Isaac back to the show for another ABA Keyword episode. We discuss retrobulbar blocks and the oculocardiac reflex. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 248th episode I welcome Dr. Samir Gautam to the show. Dr. Gautam is a nephrologist specializing in AKI in the ICU and we talk about the diagnosis, causes, treatment and prognosis of AKI. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 247th episode I welcome Kali Dayton back to the show to discuss her work helping ICUs around the country learn how to get their intubated patients awake and up and walking and implement the ABCDEF bundle. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this 246th episode I welcome Dr. Phil Carullo to the show to discuss Tape. That's right, tape. We discuss tape as a medical device, the tape-skin interface, how to prevent injury and infections from tape, and the evidence for different taping techniques. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy