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 mi ..read more

In this 278th episode I discuss what you need to know about liver physiology for your exams. CME: Link Random recs: ACCRAC in Spanish What your Food Ate Kingkiller Chronicles Regional Anesthesiology and Acute Pain Medicine Youtube Channel References: Miller’s Anesthesia 8th edition, El Sevier ..read more

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. Dr. Kay is available for virtual consultations and to give Grand Rounds talks on this topic anytime. You can reach him at jkay11@mac.com. CME: Link Random Recs Ninja Nerd The Crown ReferencesDownload ..read more

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. CME: Link Random Rec: Pho Phu Quac ..read more

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. CME: Link References Random Recs: Abraham Varghese’s Books Full Swing Open-TAAA-repair-ChecklistDownload Rescue-protocol-for-delayed-deficitDownload TEVAR-Endograft-checklistDownload ..read more

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. CME: Link ReferencesDownload Random Recs: The Righteous Gemstones A Long Petel of the Sea ..read more

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. CME: The CE experience for this Podcast is powered by CMEfy: Link ReferencesDownload Random Recommendations: The Super Mario Bros Movie Succession Season 4 ..read more

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. CME: The CE experience for this Podcast is powered by CMEfy: Link References Random Recs: The Perfect Marriage The Poppy Wars ..read more

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. CME: Link Random Recs: The Nocturnists Yoto Player For All Mankind References: https://www.acpjournals.org/doi/10.7326/M21-3118 https://apps.apple.com/us/app/vitaltalk-tips/id1109433922 Center to Advance Palliative Care (CAPC): Link ..read more

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. CME: Link Dr. Vail is on Twitter @EmilyVailMD ReferencesDownload Random Recs: The Autumn Ghost Bad Sisters Angela’s Ashes ..read more