In this 280th episode I share the shocking and tragic news that Dr. Gillian Isaac died suddenly and unexpectedly a few weeks ago. She was an incredible human being, teacher, doctor, wife and mother. She will be missed more than I can say by more people than we can possibly count. I know that she would want us to continue with these keyword episodes…

In this 279th episode I welcome Dr. Phil Carullo back to the show to discuss what, exactly, an anesthesiologist does and how we fit into the perioperative experience for patients. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy…

In this 278th episode I discuss what you need to know about liver physiology for your exams. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacyBy Jed Wolpaw

In this 277th episode I welcome Dr. Gillian Isaac back for another ABA keyword episode. We discuss Adrenal Diseases and the questions you're likely to see about them on your exams. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy…

In this 276th episode I welcome pediatric anesthesiologist Dr. rita Saynhalath to the show to discuss how to manage kids presenting for surgery with a recent URI. We discuss the evidence for proceeding versus postponing, whether the type of virus matters, and how to handle COVID infections. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACC…

In this 275th episode I welcome Chef Myles Snider to the show to discuss how busy professionals can cook tasty, healthy meals for themselves and their families. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy…

In this 274th episode I welcome Dr. Jonathan Kay (JK) to the show to discuss perioperative hypersensitivity reactions. We focus on the diagnosis and treatment of anaphylaxis and also discuss antibiotic allergies and how to deal with the ever present allergy to PCN. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries:…

In this 273rd episode I welcome Dr. Caitlin Sutton to the show to discuss Anesthesia for fetal surgical procedures. We discuss some common procedures, how the anesthesia is done and why, what can go wrong and how to prepare, and what the future holds. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redci…

In this 272nd episode I welcome Dr. Kinza Berical to the show to discuss her work developing support systems for mothers who practice anesthesiology. We discuss navigating pregnancy and prenatal care, breastfeeding, mentorship around pregnancy loss, IVF and childcare. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiri…

In this 271st episode I welcome Dr. Gillian Isaac back to the show for another ABA keyword episode. We discuss lower extremity nerve blocks. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy…

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 Neurohacker: neurohacker.com/ACCRAC 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 functio…

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 Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Priva…

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 Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle…

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 Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://red…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inqui…

In this 263rd episode I welcome Dr. Mahesh to the show to discuss radiation safety for anesthesia providers in the OR and procedure suites. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC 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. Our Sponsors: * Che…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC 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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inq…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com…

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 epidu…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://r…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC 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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inq…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC 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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/bra…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inqu…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacyBy Jed Wolpaw

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC 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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: http…

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. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https:/…

In this 245th episode I welcome Drs. Christina Miller and Adam Schiavi to the show to discuss the importance of simulation, the evidence for using it in education, and important lessons learned in how to develop an effective program for trainees. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.…

In this 244th episode I welcome back Dr. Mike Essandoh and welcome for the first time Dr. Nick Kumar to discuss their recent article about using a novel hemodynamic measurement, the Pulmonary Artery Pulsatility Index (PAPI) to assess right heart function in general and in LVAD recipients specifically. Our Sponsors: * Check out Neurohacker: neurohac…

In this 243rd episode I welcome Dr. Jae Grymes to the show. Jae is a board certified pediatric dentist and a board certified dental anesthesiologist. We talk about the field of dental anesthesiology, its history, training, and the role that it plays in dentistry. We also discuss the controversial practice of dentists doing their own anesthesia. Our…

In this 242nd episode I welcome Dr. Richard "Harry" Harris to the show to discuss his incredible experience saving the lives of the Thai boys soccer team that was trapped in a flooded cave in Thailand in 2018. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https:/…

In this 241st episode we play the audio from our live podcast in New Orleans at the Anesthesiology 2022 conference. We discuss Jesse's impressive career including his recent election as president-elect of the AMA, his advocacy work, and his work with AI in healthcare. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiri…

In this 240th episode I welcome Drs. Hofkamp and Sharpe to the show to discuss their work investigating whether there may be inadequate analgesia for patients undergoing cesarean delivery. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privac…

Hey there ACCRAC listeners! If you'll be at the ASA annual meeting in New Orleans on October 22nd come check out our live podcast at 2pm from Center Stage. We'll be interviewing Dr. Jesse Ehrenfeld, president-elect of the AMA! Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy &…

In this 239th episode I welcome Dr. Jimmy Turner back to the show. Jimmy is an academic anesthesiologist at Wake Forest in North Carolina and a certified coach for physicians. He is also the founder of The Physician Philosopher blog and podcast. In addition to this, he is the author of a book that came out in July of 2022 entitled Determined: How B…

In this 238th episode I welcome back Financial Planner Justin Harvey to discuss the recent changes in student loans, public service loan forgiveness, the No Surprises Act, the pros and cons of doing a fellowship versus going straight into practice, and mistakes to avoid when starting a new job. Our Sponsors: * Check out Neurohacker: neurohacker.com…

In this 237th episode I welcome Dr. Bryan Sexton to the show to discuss his work with characterizing, researching and trying to address healthcare provider burnout. We discuss what burnout is and how it differs from moral injury, how to prevent it, treat it, and what a better system might look like. Our Sponsors: * Check out Neurohacker: neurohacke…

In this 236th episode I welcome Dr. Katherine Hoops to the show to discuss her work with gun violence prevention. We discuss the horrific statistics around gun violence during the COVID pandemic, what can be done to try to prevent it, and what providers can do to help. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquir…

In this 235th episode I welcome Drs. Karla Castro-Frenzel and Haleh Saadat to the show. They share their stories of being diagnosed with serious diseases, becoming physician-as-patients, and how they coped with the diagnosis and figured out how to move forward. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: htt…

In this 234th episode I welcome Dr. Gillian Isaac back to the show to discuss another ABA keyword. We cover PONV for the Basic and Advanced exam. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy…

In this 233rd episode we post a recording from Drs. Elena Madan and Lauren Buhl about how to optimally present anesthesia plans. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacyBy Jed Wolpaw

In this 232nd episode I welcome Drs. Wang, Larson and Rishel to the show to discuss WikiAnesthesia. We discuss what it is, how it came to be, what it offers for anesthesia practitioners, and how people can get involved. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Ou…