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"

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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"

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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

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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"

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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"

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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"

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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.  This includes the key board topics of smoking cessation and cardiac risk assessment. Here …

Continue reading "Episode 7: Management of the patient with respiratory disease part 1"

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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’ve cleared that problem up.  I mention a fantastic book …

Continue reading "Episode 6: The Paraglossal Approach to Intubation"

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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-pulmonary causes (neurologic, musculoskeletal, pleural/mediastinal) -Parenchymal causes -Infant RDS -ARDS -Pulmonary Fibrosis The accompanying slides can be downloaded …

Continue reading "Episode 5: Restrictive Lung Disease"

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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 [email protected] or [email protected].  I also highlight Rob MacSweeney’s fantastic critical care site called criticalcarereviews.com and his newsletter which …

Continue reading "Episode 4: Obstructive Lung Disease"

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