Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Latest Episodes:

Episode 106: Hydroxyethyl Starches with Marius Fassbinder Jan 27, 2019

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In this 106th episode I welcome Dr. Marius Fassbinder to the show to discuss the use of hydroxyethyl starches. References: 1. Woodcock, T. E. & Woodcock, T. M. Revised Starling equation and the glycocalyx model of transvascular fluid exchange: an improved paradigm for prescribing intravenous fluid therapy. British Journal of Anaesthesia 108, 384–394 (2012). 2. …

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Episode 105: Blood Management Part 1 With Drs. Frank & Cha Jan 18, 2019

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In this 105th episode, which will be the first part in a series on blood management, I turn over the mic to Dr. Stephanie Cha who interviews Dr. Steve Frank about blood management in cardiac surgery and how to do “bloodless” surgery for patients who refuse blood transfusions. References: 1. Myles PS, Smith JA, Forbes …

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Episode 104: Sepsis with Pam Lipsett Jan 12, 2019

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In this 104th episode I welcome Dr. Pam Lipsett to the show to discuss the diagnosis and treatment of sepsis. References: Sepsis-3 guidelines from JAMA: https://jamanetwork.com/journals/jama/fullarticle/2492881 Marik Sepsis cocktail: Marik PE et al. Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock. 2017: 151(6);1229–1238. ADRENAL trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1705835 APROCCHSS Trial: https://www.nejm.org/doi/10.1056/NEJMoa1705716 SEPSISPAM Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1312173
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Episode 103: Neuromonitoring with Drs. Ritzl and Russo Jan 07, 2019

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In this 103rd episode I welcome Dr. Eva Ritzl and Dr. Alyson Russo to the show to discuss intraoperative neuromonitoring. Reference: Solt K and Froman S. Correlating the clinical actions and molecular mechanisms of general anesthetics. Curr Op in Anaes. 2007:20(4);300-306.
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Episode 102: Life Lessons with Dan Lowenstein Dec 20, 2018

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In this 102nd episode I welcome Dr. Dan Lowenstein to the show. Dr. Lowenstein is a professor of Neurology and the Executive Vice Chancellor and Provost at University of California San Francisco (UCSF). We discuss his lessons and advice for how to be successful professionally and personally. The Three Marriages book: http://www.davidwhyte.com/the-three-marriages/
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Episode 101: Coming off Bypass with Stephen Freiberg Dec 17, 2018

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In this 101st episode I welcome back Dr. Stephen Freiberg to the show to discuss how to successfully come off bypass when doing cardiac surgery with cardiopulmonary bypass. References: -Barash Anesthesia for Cardiac Surgery -Barry AE, Chaney MA, London MJ. Anesthetic management during cardiopulmonary bypass: a systematic review. Anesth Analg 2015; 120:749. -Denault AY, Tardif …

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Episode 100: Response to Listener Questions Dec 11, 2018

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In this 100th episode I respond to questions, both clinical and personal, from ACCRAC listeners.
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Episode 99: Substance Abuse in Anesthesia Providers with Mike Fitzsimons Dec 06, 2018

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In this episode, episode 99, I welcome Dr. Mike Fitzsimons from MGH to the show to talk about substance abuse in anesthesia providers and his recent article in Anesthesiology detailing their program to decrease rates of abuse. References: https://www.ncbi.nlm.nih.gov/pubmed/30020101
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Episode 98: Update on Bicarb: BICAR-ICU Nov 14, 2018

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In this episode, episode 98, I discuss the BICAR-ICU trial and what it tells us about using sodium bicarbonate to treat metabolic acidosis. References: BICAR-ICU Trial: https://www.ncbi.nlm.nih.gov/pubmed/29910040 BICAR-ICU Editorial: https://www.ncbi.nlm.nih.gov/pubmed/29910039 Forsythe: https://www.ncbi.nlm.nih.gov/pubmed/10631227 Sabatini: https://www.ncbi.nlm.nih.gov/pubmed/18322160 Pulmcrit post: https://emcrit.org/pulmcrit/bicar-icu/
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Episode 97: Waking up Nov 08, 2018

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In this episode, episode 97, I discuss how to optimize your wakeup at the end of an anesthetic.
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