In this 301st episode I welcome Dr. Scott Licata to the show as the next master clinician in our series. He is a pediatric anesthesiologist and we go through a case from preop to intraop to postop and hear his tips and tricks for success. Our Sponsors: * Check out Factor: https://factormeals.com/accrac50off * Check out Magic Mind: https://www.magicmind.com/accracpodjan * Check out Truelearn and use my code ACCRAC for a great deal: https://truelearn.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Published: 9 February 2025
In this 300th episode, at the request of our listeners, I ask Dr. Dave Stahl to take the host's chair and interview me. We discuss some reflections on 8 years and 300 episodes of ACCRAC and some clinical and life based tips and tricks that I have picked up over the years. Our Sponsors: * Check out Magic Mind: https://www.magicmind.com/accracpodjan * Check out Truelearn and use my code ACCRAC for a great deal: https://truelearn.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 26 January 2025
In this 299th episode I welcome Dr. David Stahl to the show to be our next master clinician. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 12 January 2025
In this 298th episode I welcome Dr. John Pizzuti to our series of interviews with master clinicians. Dr. Pizzuti was identified by multiple members of his private practice group as someone who, despite being relatively early in his career, is a true master clinician. He is someone others go to for help and advice all the time, including those much more senior in their careers. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 29 December 2024
In this 297th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword episode. We cover high yield topics of PE and Hyper and Hypoparathyroidism. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 15 December 2024
In this 296th episode I welcome Dr. Mike Essandoh to do another master clinician episode. We discuss Dr. Essandoh's tips for being successful clinically, in research, in leadership, in innovation and in technology. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 30 November 2024
In this 295th episode I discuss the kinds of statistical questions that come up on board exams and what you need to know to get them right. Our Sponsors: * Check out Freed and use my code ACCRAC50 for a great deal: www.getfreed.ai * Check out Truelearn and use my code ACCRAC for a great deal: truelearn.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 18 November 2024
In this 294th episode I play the live recording from my interview with Dr. Valerie Arkoosh who is the Secretary of Human Services for the State of Pennsylvania. Our Sponsors: * Check out Freed and use my code ACCRAC50 for a great deal: www.getfreed.ai * Check out Truelearn and use my code ACCRAC for a great deal: truelearn.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 2 November 2024
In this 293rd episode I interview Dr. Keith Baker in another master clinician episode. Dr. Baker is a professor at Harvard Medical School, the Vice Chair for Education at MGH and was formerly the residency program director there for 15 years. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 19 October 2024
In this 292nd episode I play the audio from the live episode we did at the Northeast Anesthesia Resident Conference in Boston on 9/14/24. I interviewed Aalok Agarwala, Associate CMO at MGH, Joanne Conroy, President and CEO of Dartmouth Health, and Sunil "Sunny" Eappen, CEO of UVM Health. We discuss their careers, and their tips for aspiring leaders in healthcare. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 5 October 2024
In this 290th episode I welcome Drs. Finan and Ehrenkranz to the show to discuss the data on using psilocybin and other psychedelics for treating chronic pain and depression as well as their ongoing study on the topic. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 22 September 2024
In this 290th episode I welcome Dr. Mike Grant back to the show to discuss post-op care for patients having cardiac surgery. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 8 September 2024
In this new series on master clinicians I will be interviewing people who have been identified by their colleagues and trainees as "master clinicians", people who others go to for advice and clinical guidance, people who are masters of their craft. In this episode I welcome Dr. Dave Berman back to the show to discuss how he has, in a relatively short time, become one of these master clinicians and what advice he has for all of you. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 25 August 2024
In this 288th episode I welcome Dr. Tym Kajstura to the show to do an ABA keyword episode. We discuss considerations for electroconvulsive therapy (ECT) and transfusion reactions. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 12 August 2024
In this 287th episode I welcome Drs. Kyle Sanchez and Dan Ellis to the show to discuss the perioperative care of transgender and gender-diverse Patients. We discuss terminology, different medications and surgeries that you may see, preop, intraop and postop considerations. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 28 July 2024
In this 286th episode I welcome Dr. Elisa Walsh to the show to discuss Central Venous Catheters. We discuss where they can be placed, what can go wrong, how to teach people how to place them safely and how to confirm placement. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 14 July 2024
In this 285th episode I welcome Dr. Andrea Dutoit back to the show to discuss the most recent data on program signaling and what we know about how it affected applicants' chances of getting and interview and matching. Our Sponsors: * Check out Neurohacker: qualialife.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 30 June 2024
In this 284th episode I welcome Drs. Sparling and Agarwala to the show to discuss the importance of, and evidence for, perioperative hand-offs. We discuss what hand-offs are, what kinds of handoffs occur during the perioperative period, why they matter, how they can cause harm when poorly done, and how implementing good hand-offs can reduce harm. Our Sponsors: * Check out Neurohacker: qualialife.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 5 June 2024
In this 283rd episode I introduce a new podcast from University of Cincinnati Department of Anesthesiology hosted by Dr. John Crowe. This episode is about Primate Anesthesia and John interviews one of his colleagues who does some anesthesia for primates at the local zoo. I think they're doing great work on this podcast and look forward to more episodes to come! Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 2 June 2024
In this 282nd episode I welcome Dr. Tricia Pendergrast to the show to discuss how to navigate the process of applying for residency in anesthesiology. We discuss how to set yourself up for success, how to figure out how competitive you are, when to consider an away rotation, when to consider dual applying, and how to figure out how to best use your signals. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 19 May 2024
In this 281st episode I welcome our SICU pharmacist, Traci Grucz, to the show to discuss glycemic management of critical ill patients. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 6 May 2024
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 that she loved doing and so I am going to try. I know they will never be the same, but they will be dedicated to her memory. Today I address the keyword of shock states and discuss the 4 types of shock and how they may be covered on your exams. I miss you, Gillian. Our Sponsors: * Check out Neurohacker: neurohacker.com/ACCRAC Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 21 April 2024
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
Transcribed - Published: 7 April 2024
In this 278th episode I discuss what you need to know about liver physiology for your exams. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 23 March 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 10 March 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 25 February 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 11 February 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out HelloFresh and use my code accracfree for a great deal: https://www.hellofresh.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 28 January 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out HelloFresh and use my code accracfree for a great deal: https://www.hellofresh.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 14 January 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out HelloFresh and use my code accracfree for a great deal: https://www.hellofresh.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 1 January 2024
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 Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com * Check out Magic Mind and use my code ACC20 for a great deal: https://www.magicmind.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 18 December 2023
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 Magic Mind and use my code ACC20 for a great deal: https://www.magicmind.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 5 December 2023
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 functional status. Our Sponsors: * Check out Magic Mind and use my code ACC20 for a great deal: https://www.magicmind.com/ Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 19 November 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 5 November 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 23 October 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 19 October 2023
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 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 8 October 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 24 September 2023
In this 263rd episode I welcome Dr. Mahesh to the show to discuss radiation safety for anesthesia providers in the OR and procedure suites. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 11 September 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 28 August 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 14 August 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 30 July 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 16 July 2023
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 epidural. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 3 July 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 19 June 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 4 June 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 21 May 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 8 May 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 24 April 2023
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. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
Transcribed - Published: 10 April 2023
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