I found the link to this podcast, ANESTHESIA AND CRITICAL CARE REVIEWS AND COMMENTARY (ACCRaC), in an issue of Anesthesiology News.
These podcasts have episodes and information that is of interest to primary care physicians as well as to the audience that it is aimed at.
Here is a Complete List Of All the Episodes.
And the first podcast I listened to was Episode 100: Response to Listener Questions. It was a great introduction to Dr. James Wolpaw, the founder and editor of the podcast series.
Next I reviewed Episode 96: Peds difficult airway with Nick Dalesio
OCTOBER 30, 2018 BY ACCRAC.
The above episode is valuable for everyone who may be tasked with pediatric emergency airway management. It is also a good resource for those certifying in Pediatric Advanced Life Support (PALS).
Dr. Dalesio reminds us that the pediatric laryngeal mask airway is an outstanding airway rescue device when the clinician is unable to effectively bag the patient or intubate the patient.
And Dr. Dalesio gives us a great reference on pediatric airway management, Planning Prevents Poor Performance: An Approach To Pediatric Airway Management from the Anesthesia Patient Safety Foundation.
In the above article, Dr. Dalesio discusses everything he talks about in Episode 96 but in even greater detail. The article is relevant to every pediatric clinician.
And then I listened to Episode 90: OSA AUGUST 11, 2018 BY ACCRAC. This is another episode that is of interest to primary care clinicians. Dr. Wolpaw states:
In this episode, episode 90, I discuss best practices for preoperative management of adults with Obstructive Sleep Apnea (OSA).
References:
Gross JB et al. Practice Guidelines for the Perioperative Managementof Patients with OSA [PubMed Abstract] [Full Text HTML] [Download PDF]. Aneshtesiology 2014: 120(2): 1-19
Chung F, et al. STOP-Bang Questionnaire: A practical Approach to Screen for Obstructive Sleep Apnea [PubMed Abstract] [Full Text HTML] [Full Text PDF]. 2016: Chest; 149(3):631-638.
Corso R, et al. Perioperative management of Obstructive Sleep Apnea: a systematic review [PubMed Abstract]. Minerva Anestesiologica 2018;84(1):81-93.
For another outstanding podcast on sleep apnea, see #123 Sleep Apnea Pearls and Pitfalls NOVEMBER 5, 2018 By MATTHEW WATTO, MD of The Curbsiders.
And then I reviewed Episode 82: Pediatric OSA with Dr Deb Schwengel MAY 10, 2018 BY ACCRAC. Dr. Wolpaw states:
In this episode, episode 82, I welcome Dr. Deb Schwengel back to the show to discuss pediatric obstructive sleep apnea (OSA). We discuss the prevalence, diagnosis and preoperative management.
Outline by Brian Park: Peds OSA Outline [The outline is a 4 page PDF and is outstanding.]
And be sure to review Diagnosis and management of childhood obstructive sleep apnea syndrome [PubMed Abstract] [Full Text HTML] [Download Full Text PDF]. Pediatrics. 2012 Sep;130(3):576-84. doi: 10.1542/peds.2012-1671. Epub 2012 Aug 27.
And finally I listened to Episode 9: Basic Med Setup JULY 9, 2016 BY ACCRAC. Dr. Wolpaw states:
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 but I would also like to ask senior residents to comment on what their basic setup is and how it may differ from what I’ve mentioned here.
Here is a list of the medications I discuss: Basic med setup w dosing. Link is to a download list.
The above episode doesn’t really apply to primary care clinicians but I found it interesting anyway.
And the episode reminded me that all clinicians who perform rapid sequence induction need to have their own setup plan. And of course the same is true of those who practice procedural sedation in the emergency department.
