Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

In this 342nd episode I welcome Dr. Tara Ramaswamy to the show to discuss her work looking at the benefits of having anesthesiologists run rapid response teams. We discuss how best to organize these teams, how to train and prepare them, and what the future holds. 

In this 341st episode I welcome Drs. Alia El-Mowafy and Rachel Tobis to the show to discuss how to prepare for and handle difficult airways and airway emergencies in the office-based setting. 

In this 340th episode I welcome Dr. Tym Kajstura back to the show for another ABA keyword episode. We discuss the high yield, much tested topic of Respiratory Physiology.

In this 339th episode I welcome Dr. Eric Wang to the show to discuss some of the most highly tested autonomic nerve blocks and what you need to know to get these questions right on your exams. 

In this 338th episode I welcome Dr. Michelle Humeidan to the show to discuss post-op delirium. We discuss the prevalence, risk factors, how we can try to prevent it, and her exciting work with cognitive prehabilitation.

In this 337th episode I welcome Dr. Andreas Plackis to the show. Dr. Plackis is the creator and host of the TEE Time Podcast and a cardiac anesthesiologist. We talk about TEE for the non-cardiac anesthesiologist, how it can be used and how to go about learning it. 

In this 336th episode I host an episode of the new, fantastic, Medical Safety Podcast hosted by Adam Shehata and Amir Hamid. This episode discusses 3 major airline disasters, how they were handled, what was learned, and what we can learn about how to improve our approach to safety in medicine.

In this 335th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword Episode. We cover what they call common complications in anesthesia, a grab bag of high yield board topics. 

In this 334th episode I welcome Dr. Phil Adams to the show for another master clinician episode. Dr. Adams is a pediatric cardiac anesthesiologist and transplant anesthesiologist at University of Pittsburgh and we discuss his lessons learned and tips and tricks from his clinical career and life. 

In this 333rd episode I welcome Dr. Tiffany Moon to the show to discuss her wide ranging career and life as a mother, wife, anesthesiologist, author, entrepreneur, reality TV star and more. 

In this 332nd episode I welcome Dr. Tom Hickey to the show to discuss Buprenorphine. We discuss it's pharmacology, safety, use in OUD, Chronic pain, acute perioperative pain, we address some common myths and we talk about future directions. 

In this 331st episode I welcome Dr. Connor Schmenk, a dental anesthesiologist, to the show to discuss the ins and outs of performing anesthesia in the dental office. We discuss the training that dental anesthesiologists have and the ways to make sure you are prepared to keep your patients safe in a dental office or any similar environment.

In this 330th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword episode. We cover the anatomy of the brain, spine and spinal cord. 

In this 329th episode I welcome Dr. Tyler Jones, founder of the Anesthesia Thoughts Blog, to the show to discuss management of SGLT2 inhibitors and GLP1 receptor agonists. We discuss the evidence for and against holding them before surgery and what you need to know to manage patients on them.

In this 328th episode I welcome AnesthesiaGawd to the show to discuss his incredibly successful instagram page which has over 270.000 followers and gets 16 million views every month. We discuss how he started the page, some of the joys and challenges, all time favorite memes, the impact it has allowed him to have on other people's lives, and where he might take it in the future.

In this 327th episode I welcome Drs. Rebecca Minehart and Lon Setnik to the show to discuss the framework Name/Claim/Aim--a way to quickly and effectively organize teams and find your voice in a crisis.

In this 326th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword episode. We discuss the extra topics that don't fall under any other category including ethics, substance abuse, licensure and certification, and patient safety.

In this 325th episode I welcome Drs. Elliot Higgins and Amy Vinson to the show to discuss the development of the Well-Being Influencers Survey for Healthcare (WISH) inventory and how it is changing the way we think about, study and improve well-being in medicine. 

In this 324th episode I welcome Dr. Bridget Marroquin to be our 10th Master Clinician. We discuss her switch from OB/Gyn to Anesthesiologist and her accumulated wisdom about OB Anesthesiology. 

In this 323rd episode I welcome Dr. Sam DeMaria to the show to discuss his new book "The Invisible Cut: Incivility's Silent Toll on Healthcare". We discuss why incivility is so common in healthcare, how to address it in the moment, and how we can build a more civil culture in the future.

In this 322nd episode I share the recording from our live podcast at the Anesthesiology Annual Meeting in San Antonio Texas. I interview Dr. Joyce Wahr about her work with patient safety and her interest in cognitive errors. We discuss why we make these errors and how to prevent them.

In this 321st episode I welcome Drs. Saddawi-Konefka, Ehrenfeld and Yu Moutier to the show to discuss how we can reduce barriers to mental health care for physicians and other health care providers, why this is so important, and concrete steps that leaders and institutions can take today. 

In this 320th episdode I welcome Drs. Essandoh and Cody back to the show to discuss the latest data and guidelines around the use of the Impella device and how it compares to IABP and ECMO.

In this 319th episode I welcome another master clinician to the show. Dr. Michaela Farber is the inaugural Mass General Brigham Chief of OB Anesthesiology and a world expert in OB Anesthesia and OB Fellowship training. We talk about the lessons she has learned, often alongside her fellows, over the years.

In this 318th episode I welcome Dr. Mike Hofkamp and Dr. Emily Sharpe back to the show to discuss the problem of inadequate analgesia during c-sections. We discuss the issues that came up in The Retrievals Podcast, how to prevent pain, how to treat it if it happens, and how and when to convert to GA.

In this 317th episode I welcome Justin Harvey, CFP, back to the show to discuss what's new in the financial world for anesthesia providers in 2025. We discuss trends in compensation, the employment outlook, the pros and cons of doing a fellowship, the most common financial mistakes he sees people make, what different practice settings have to offer, and an update on student loan forgiveness. 

In this 316th episode I welcome Dr. Kajstura back to the show to discuss the high yield topics of airway anatomy and pharmacology. 

In this 315th episode I welcome Drs. Jon Tang, Jordan Halloway and Manoj Iyer to the show to discuss the latest updates on leadless pacemakers and ICDs.

In this 314th episode I welcome Thomas Piraino and Brandon Oto to the show to discuss how we can optimize PEEP in the ICU. We talk about why it matters, different ways to estimate ideal PEEP, and what the research tells us. 

In this 313th episode I welcome Dr. Alexis Motz to the show as she finishes her residency in anesthesiology. We discuss the lessons she learned along the way about how to get the most out of the experience and be the best resident, and all around physician, possible. We also discuss her interest in social media use in the residency application process. 

In this 312th episode I welcome Drs. Franklin Cladis, Meredith Kingeter and Bridget Marroquin to the show to discuss the Society for Education in Anesthesia (SEA). We discuss how it has been an important part of our careers and how it has a lot to offer to anyone interested in anesthesiology education. 

In this 311th episode I welcome Dr. Mark Nelson to the show to discuss his management aid that helps clinicians easily figure out how to handle all types of AICDs and Pacers in the perioperative period. 

In this 310th episode I welcome Dr. Annemarie Thompson, head of the working group that put out the new AHA/ACC Guidelines for the perioperative cardiovascular management for noncardiac surgery, and Drs. Jochen Steppan and Giancarlo Suffredini, cardiac anesthesiologists, to talk about the new iteration of the guidelines. We go through the algorithm in detail and talk about the evidence behind it and how to use biomarkers. 

In this 309th episode I welcome Dr. Mimi Wynn to another Master Clinician interview. We discuss her career as a world expert in cardiac and vascular anesthesia with a deep focus in thoraco-abdominal aneurysms. We discuss how to develop an area of expertise, how to keep learning, how to overcome imposter syndrome, how to deal with failure, and much more. 

In this 308th episode I welcome Dr. Tim Kajstura back to the show for another ABA Keyword episode. We cover Ambulatory Anesthesia. 

In this 307th episode I welcome Commander Dr. Mark Cannon, Commander Dr. Nick Pulos, Lieutenant Dr. Joey Sieker and Lt. Commander Erika Spencer to the show to discuss military reserve options for residents and attendings. 

In this 306th episode I welcome Dr. Beth Wilson to the show to discuss Early Allograft Dysfunction (EAD) after liver transplantation and what anesthesiologists can do to prevent or mitigate it. 

In this 305th episode I welcome Dr. Eric Busch to the show as our next Master Clinician. He has been practicing anesthesiology at Oschner in New Orleans for 35 years and has done everything from Chronic Pain to Cardiac. We discuss what he's learned over the years and some of his favorite things to teach his trainees. 

In this 304th episode I welcome Drs. Meyhoff and Breteler to the show to discuss continuous vital sign monitoring for patients on the floor and at home after surgery. We talk about the pros and cons of this kind of monitoring, what the future holds, and how Anesthesiologist and Intensivists can play an important role. Dr. Meyhoff is the founder of the WARD Clinical Support System which is awaiting FDA clearance.

In this 303rd episode I welcome Drs. Stahl and Saddawi-Konefka to the show to discuss how busy people can start using AI tools in their everyday lives to save time and make things easier.