show episodes
 
The SHYA: 2nd Edition podcast is a peer-to-peer learning resource in anesthesia, and the primary purpose is to share the things I learn with you as an anesthesia resident. This podcast will be most useful to anesthesia trainees (e.g. residents, medical students, and SRNAs). The main educational component of this podcast will be episodes on anesthesia considerations for various procedures and diseases, so you could get HY information on these things in order to come up with your anesthetic pl ...
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show series
 
In this episode, we will discuss various non-opioid analgesics: NSAIDs General Characteristics (1:06) Propionic Acid (Ibuprofen & Naproxen) (10:59) Acetic Acid Derivatives (Indomethacin, Diclofenac, & Ketorolac) (12:56) COX-2 Inhibitors (Celecoxib) (18:08) Acetaminophen (19:52) --- Shownotes:⁠⁠⁠⁠⁠⁠⁠⁠https://drive.google.com/file/d/1TI4_iS-mMNNFHFdB…
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In this episode we will discuss non-opioid perioperative infusions to augment pain control Ketamine (1:15) Lidocaine (6:02) Naloxone (7:49) Magnesium (10:07) Alpha 2 Agonists (11:36) --- Shownotes:⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drive.google.com/file/d/1_ZaQ5li14nIqIPgoMiINIWHkMaacAi4R/view?usp=drive_link --- Website: ⁠⁠⁠⁠⁠⁠⁠https://superhighyieldanesthesia2nd.wo…
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In this episode we will continue our discussion on major opioids with an emphasis on practical clinical tidbits General Guidelines (1:51) Morphine Milligram Equivalents (MME) and Equianalgesic Dosing Chart (8:11) Opioid Rotation (18:41) Management of Opioid Side Effects (20:40) --- Shownotes:⁠⁠⁠⁠⁠⁠ ⁠⁠⁠ https://drive.google.com/file/d/1wsHabo2q1Gid0…
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In this episode we will discuss the major opioids used in pain management and the perioperative period. General Mechanism of Action (1:55) Major Opioids Overview (5:39) Morphine (7:02) Fentanyl (12:16) Hydromorphone (14:39) Alfentanil (19:23) Remifentanil (20:32) Oxycodone (27:40) Hydrocodone (30:31) Codeine (31:54) Tramadol (33:00) Methadone (34:4…
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In this episode we will continue our discussion on neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Inhibitory neurotransmitters (eg glycine, GABA, NE, serotonin, adenosine, Ach) (1:41) Neuropeptides (8:48) Central Signal Propagation and 2nd Messenger Systems (ie ion channels) …
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In this episode we will discuss the neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Big Ideas (3:44) Inflammatory Mediators (5:49) Excitatory Neurotransmitters and NDMA / Non-NMDA Receptors (21:57) --- Shownotes:⁠⁠⁠ https://docs.google.com/document/d/1zZhVtwx2VDkeO9Qlfh7UFtcaf…
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In this episode we will kick off our acute pain series by talking about the anatomy and physiology of pain signaling. Topics covered include: Somatosensation, Nociception and Pain (4:48) Sequence of Pain Signaling (7:27) Peripheral Mechanisms (11:30) Spinal Mechanisms (16:10) Second Order Nociceptive Spinal and Spinal Trigeminal Projection Neurons …
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In this episode, I bring back Drs. Kenneth Nguyen and Bowei Su to the show for the annual update! Join us as we discuss life updates, reflections on CA1 year, and how CA2 year is going. Life Updates (00:25) Reflection on CA1 (42:03) CA2 Year (1:18:48) Fellowship or Nah? (1:30:40) --- Looking for a podcast on the fundamentals of anesthesia? Check ou…
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Listen as Amanda Zimmerman, PA-C, answers the most pressing questions from the first live webinar of the 2022-2023 Opioid REMS Education Initiative, “What All Practitioners Should Know About Mechanisms and Assessment of Pain.” Presenter: Amanda Zimmerman, PA-C Physician Assistant West Forsyth Pain Management Winston-Salem, North Carolina This activ…
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Listen as Vanila M. Singh, MD, MACM, and Theresa Mallick-Searle,MS, PMGT-BC, ANP-BC, provide thoughtful answers and clinical insights to audience questions that were submitted at a recent webinar about developing individualized pain treatment plans. Topics covered in this podcast include risk assessment, navigating the balance between “law enforcem…
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Listen as Vanila Singh, MD, MACM, speaks with Maggie Buckley, a woman with Ehlers-Danlos syndrome and chronic pain, about her experience with pain therapies and different healthcare professionals over the years. They have an enlightening discussion about the challenges both patients and healthcare professionals face in optimizing pain management, w…
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Listen as Stefan Kertesz, MD, MSc, and Kate M. Nicholson, JD, provide unique healthcare professional and patient perspectives on opioid tapering in the setting of chronic pain management. Their conversation includes commentary on the impact of the 2016 and 2022 CDC guidelines for prescribing opioids for pain, the importance of informed consent, and…
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Listen as Samantha Catanzano, PharmD, BCPP; Andrew Friedman, MD; and Mark Queralt, MD, answer the most pressing questions from 2 live webinars covering nonpharmacologic, nonopioid, and opioid pharmacologic options for pain management. These webinars are part of the 2022-2023 Opioid REMS Education Initiative and are titled, “Managing Pain: A Focus o…
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In this episode, Michael Sprintz, DO, DFASAM, and Tia, a patient and advocate, talk about their experiences with opioid use disorder, pain, and the road to recovery. This podcast aims to differentiate opioid dependency from opioid use disorder, decrease the stigma of opioid misuse, and encourage those affected by it to seek treatment. The informati…
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Listen as Amanda Zimmerman, PA-C, and Chin Hwa (Gina) Dahlem, PhD, FNP-C, answer audience questions that were submitted at the June 2023 webinar titled, “Safe and Smart: Teaching Patients About Safe Opioid Practices.” Their answers cover topics including how to conduct a pill count and cost concerns regarding naloxone. Presenters: Chin Hwa (Gina) D…
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In this episode, I chat with Drs. Mohit Bhatt and Matthew Holsclaw about what it is like to have kids during residency, and a little bit about their plans for fellowship. --- Looking for a podcast on the fundamentals of anesthesia? Check out the original ⁠⁠Super High Yield Anesthesia Podcast⁠⁠! --- Website: ⁠https://superhighyieldanesthesia2nd.word…
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In this third and final episode of the high risk parturient series, we will parturients with heart disease: Background and Epidemiology (1:28) Congenital Heart Disease (3:43) Ventricular / Atrial Septal Defects (7:08) Pulmonary Hypertension and Eisenmenger Syndrome (8:10) Valvular Heart Disease (17:25) Aortic Stenosis (17:25) Aortic Insufficiency /…
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In this episode, we will continue our discussion on high risk parturients, specifically the following: Categories of Obstetric Hemorrhage (1:23) Antepartum Hemorrhage (e.g Placenta Previa and Placental Abruption) (2:00) Postpartum Hemorrhage (e.g. Uterine Atony) (14:40) Uterotonic Therapy (16:14) Advanced Maternal Age (22:15) Preterm Delivery (24:1…
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In this episode, we will begin our discussion on high risk parturients, specifically the following: Hypertensive disorders of pregnancy (1:50) Pathophysiology of Preeclampsia (6:10) General and Anesthetic Management of Preeclampsia / Eclampsia (21:20) Gestational Diabetes (28:48) Obesity (31:00) Source material: Barash, Clinical Anesthesiology (201…
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In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as Tubal Ligations / Placenta Removal / Uterine Inversion & Cerclage Tubal Ligations / Placenta Removal / Uterine Inversions (starts at 1:08) Cerclage (starts at 11:08) Source material: Barash, Clinical Anesthesiolo…
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In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as C-sections, emergent hysterectomy, and uterine rupture repair. Source material: Barash, Clinical Anesthesiology (2017) --- Check out the original SHYA podcast episodes for absolute basics of OB anesthesia (episod…
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In this episode we will begin our adventures in OB Anesthesia by talking about analgesia in labor and delivery. Specific topics will include: Stages of labor and relation to the anatomy and physiology of pain Systemic medications (opioids and ketamine) Regional techniques (neuraxial, paracervical, paravertebral lumbar sympathetic block, pudendal bl…
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In this sixth and last episode in the intro to trauma anesthesia series, we will discuss management of traumatic brain injury, spinal cord injury, and pregnant patients in trauma cases. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/L5okh4zf6sPW5NCDA Post Survey: https://forms.gle/ocW2mi…
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In this fifth episode of a six part series on trauma anesthesia, we will discuss burns in trauma cases. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/DThRiBMt2r8Hn5co8 Post Survey: https://forms.gle/MPn2DyMDQsEkFEvZ6 --- Shownotes: https://docs.google.com/document/d/1fBrDhIjmHbDTI8wXh2Q…
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In this fourth episode of a six part series on trauma anesthesia, we will discuss common complications in trauma cases. Specifically, topics will include: Persistent hypotension Hypothermia Coagulation Abnormalities Electrolyte and Acid-Base Abnormalities Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: htt…
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In this third episode of a six part series on trauma anesthesia, we will discuss shock and intraoperative management for the trauma patient. Specifically, topics will include: Shock Differential Diagnosis in Trauma Classes of Hemorrhage Markers of Organ Perfusion General Resuscitation Considerations General OR Setup Considerations Induction / Maint…
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In this second episode of a six part series on trauma anesthesia, we will discuss initial evaluation in the trauma bay (including airway considerations), suggestions for airway management, and common breathing abnormalities in trauma. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/bfengz…
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In this first episode of a six part series on trauma anesthesia, we will discuss normal coagulation physiology, blood products, Thromboelastography (TEG), and trauma physiology Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/3WLS7o5rpN8Rm8Q18 Post Survey: https://forms.gle/UKoJfqzv9XqeqyJ…
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Listen as Lisa Phipps, PharmD, PhD, provides an overview of the 2022-2023 Opioid REMS Education Initiative, “Patient-Centered Pain Management: An Expert’s Guide to Safe, Effective, and Appropriate Care for Patients With Pain.” This yearlong educational program will bring you complimentary live webinars, on-demand videos, podcasts, decision tools, a…
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In this short episode / PSA, I try to communicate with you all that if you feel like you suck at things, you are definitely not alone. I'm riding that struggle bus with you too! Training is hard, and it may seem like we are just going through the motions, but we'll get through it! I believe in you, buddy. --- Website: https://superhighyieldanesthes…
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In this episode we will discuss my tips and tricks on handling neurosurgery cases as I wrap up my neuro month. Specific topics will include: Initial setup Things to do before induction, after induction, and how to conduct the flip for prone cases My current method for emergence Primary source for this episode: me A big thank you to my attendings an…
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In this episode we will continue our neuro adventures and discuss anesthesia considerations for cervical spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgic…
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In this episode we will continue our neuro adventures and discuss anesthesia considerations for thoracolumbar spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of S…
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In this episode we will continue our neuro adventures and discuss anesthesia considerations for craniotomies. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgical Procedures…
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In this episode, we will discuss the different types of neuromonitoring and its implications on anesthetic management. Topics include: Somatosensory Evoked Potentials (SSEP) Motor Evoked Potentials (MEP) Electromyography (EMG) Brainstem Auditory Evoked Potentials (BAEP) Visual Provoked Potentials (VEP) Importance of knowing neuromonitoring for anes…
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In this episode we will discuss neuroanatomy and neurophysiology necessary for anesthesia. Topics will include: Anatomy Review: Brain compartments, CSF production, Spinal Cord Pathways Neurophysiology: Cerebral blood flow, flow metabolism coupling, autoregulation, effects on anesthetic drugs Pathophysiology: Monroe-Kelly Doctrine, ICP, Clinical Pre…
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In this episode I interview my co-residents (Drs. Bowei Su and Kenneth Nguyen) on their experiences starting CA-1 year and embarking on the journey to become anesthesiologists. We will discuss interesting / challenging cases, our challenges, and will give advice for CBY's with the gift of hindsight. Get a drink, grab a cozy seat, and enjoy the show…
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Welcome to the Super High Yield Anesthesia Podcast: 2nd Edition! The SHYA podcast is a peer-to-peer learning resource in anesthesia, and the primary purpose is to share the things I learn with you as an anesthesia resident. This podcast will be most useful to anesthesia trainees (e.g. residents, medical students, and SRNAs). The main educational co…
  continue reading
 
In this episode, Michael Weaver, MD, DFASAM, provides information on both nonpharmacologic and pharmacologic treatment options for patients with opioid use disorder. Listeners will gain an understanding of the available counseling programs and medications for opioid use disorder—methadone, buprenorphine, and naltrexone—including the patient scenari…
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In this episode, Michael Weaver, MD, DFASAM, and Sung Cheol Kim, MSN, PMHNP-BC, have an interprofessional discussion of patient cases centered on managing opioid use disorder (OUD). The experts cover both pharmacologic and nonpharmacologic treatment options, including comparisons of the medications available for OUD. Throughout the discussion, list…
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In this episode, Michael Weaver, MD, DFASAM, discusses the complexities of substance use disorder. He details the neurobiology of addiction, emphasizing that developing a substance use disorder is a brain disease, not a personal choice. Listen in as Dr Weaver provides information on risk factors and screening tools for substance use disorders, as w…
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In this episode,Michael Weaver, MD, DFASAM, and Sung (Sunny) Cheol Kim, MSN, PMHNP-BC, have an interprofessional discussion of patient cases centered on substance use disorders. Each expert provides a real-world case example from their practice and weighs in on the importance of educating all healthcare professionals on screening and management pra…
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In this episode,Ameet Nagpal MD, MS, MEd, and Wendy Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP,discuss the complexities of pain management and the important roles of primary care providers and pain specialists in caring for patients with chronic pain. Listen as they go through a case example to provide insight on the common scenario of inheriti…
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In this episode, Samantha Catanzano, PharmD, BCPP, provides an overview of the life-saving drug naloxone. She discusses its pharmacology, clinical indications, and key role in situations where opioids are prescribed and overdose is possible. Listen as she demonstrates how to discuss naloxone with patients in a nonjudgmental, informative manner. Pre…
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