Happy New Year! To kick off 2020, we're going to dive into how to approach the patient with an anticipated difficult airway. We'll explore several common airway algorithms, and we'll also discuss the "topical thunder" technique to anesthetize the airway for awake intubation. Show notes available at: https://www.apexlive.com/blog/episode-8

Surprise! In this mid-month bonus episode of the APEX Live Anesthesia Podcast, we'll talk about our friend and foe nitrous oxide. You know…that anesthetic gas that is great and horrible all at the same time. We'll briefly review its pharmacologic properties and then consider the current thinking and controversies about its clinical use.

In this episode of the APEX Live Anesthesia Podcast, we talk about difficult airway identification and the exams we use to help us recognize an airway that may be challenging. We also take a deep dive into what the different airway algorithms say about strategies for management.

In this episode of the APEX Live Anesthesia Podcast, we discuss a critical event that we could likely manage at some point in our anesthesia practice. Anaphylaxis is a severe life threatening generalized or hypersensitivity reaction. We will discuss the incidence, triggering agents, mechanism of action, signs and symptoms, and management of this crisis.

In this episode of the APEX Live Anesthesia Podcast we talk about the effort that goes into identifying and preventing aspiration and the controversies that surround RSI and cricoid pressure. We take a look at past research and opinions that have shaped the way we manage the prevention of aspiration, and what current research and opinion tells us now.   What You’ll Learn What is the history of aspiration prophylaxis? What are risk factors for aspiration? What does current evidence and...

Episode Summary In this episode of the APEX Live Anesthesia Podcast, we will discuss hypotension and the treatments you can consider when you experience refractory hypotension. We talk about different causes of refractory hypotension with a focus on vasoplegic syndrome, what causes vasoplegic syndrome, and specific treatments for vasoplegic syndrome. What You’ll Learn What is the difference between vasoplegic syndrome and refractory hypotension? What are causes of refractory hypotension?...

In this episode of the APEX Live Anesthesia Podcast, we will briefly review the function of the hypothalamic-pituitary-adrenal axis, talk about both glucocorticoids and mineralocorticoids, and discuss to supplement and why. We’ll discuss the serious crisis that can occur when insufficient amounts of these hormones are available. We’ll finish by discussing what the evidences says about important topics related to steroids such as the best dose for PONV prophylaxis, should they be given for...

Pulse oximetry is one of our favorite vital signs, in addition to measuring the percentage of oxygen bound to hemoglobin it: Verifies the pulse with a mechanical heart rate. Can verify capture when using transcutaneous pacing. Measures peripheral perfusion.   Principles of Pulse Oximetry: Emits a near-infrared and a red electromagnetic light source that is detected by a photodiode. The application of the Beer-Lambert law in pulse oximetry explains the absorption of the two light...

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