Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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. CME: Link • www.tiffanymoonmd.com• @tiffanymoonmd on IG and Tiktok • Joy Prescriptions • Aromasthesia Candle Co. Random Recs: The Book of Sheen Project Hail Mary

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. CME: Link Random Recs: The Dog Stars Ezra Klein Interview with Michael Pollan

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 … Continue reading Episode 331: Dental Anesthesia Update with Connor Schmenk →

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. CME: Link Random Recs: Crossplay Shards of Infinity

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. CME: Link Contact info: https://www.anesthesiathoughts.com … Continue reading Episode 329: SGLT2 inhibitors and GLP1 Receptor Agonists with Dr. Tyler Jones →

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 … Continue reading Episode 328: AnesthesiaGawd →

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. CME: Link Random Recs: Secret of Secrets Coalregion.com The other end of the leash

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. CME: Link Random Recs: Wednesday Work Flowy

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. CME: Link References: 1. Higgins KE, Wingert T, Duggan EW, Mansolf … Continue reading Episode 325: The WISH Inventory and Well-Being in Anesthesiology with Drs. Higgins and Vinson →

In this 324th episode I welcome Dr. Bridget Marroquin to be our 10th Master Clinician. We discuss her switch from OB/Gyn to Anesthesiology and her accumulated wisdom about OB Anesthesiology. CME: Link Random Recs: Plain English The Great Divide

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. CME: Link … Continue reading Episode 323: Addressing Incivility in Healthcare with Dr. Sam DeMaria →

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. CME: Link

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. CME: Link References: Social media: Random Recs: … Continue reading Episode 321: Reducing Barriers to Mental Health Care for Physicians with Drs. Saddawi-Konefka, Ehrenfeld and Moutier →

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. CME: Link Random Recs: The Last of Us America’s Team: The Gambler and his Cowboys The Truth Matchine: The … Continue reading Episode 320: Impella Update with Drs. Essandoh and Cody →

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. CME: Link SOAP State … Continue reading Episode 319: Master Clinician Part 9: Dr. Michaela Farber →

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 … Continue reading Episode 318: Pain During C-Section Revisited with Drs. Hofkamp and Sharpe →

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 … Continue reading Episode 317: Financial Planning Update for 2025 with Justin Harvey →

In this 316th episode I welcome Dr. Kajstura back to the show to discuss the high yield topics of airway anatomy and pharmacology. CME: Link Random Recs: The Frozen River Solo Leveling

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. CME: Link Random Recs: White Lotus Season 3 When Breath Becomes Air Lateral Podcast Running Point

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. CME: Link Tom’s Stuff: Blog: https://coemv.blog/ Respiratory Calculator: https://respiratorycalc.com/ Inspire-RT: https://www.inspire-rt.com/ Brandon’s Stuff: Blog: https://critcon.org/ Podcast: https://icuscenarios.com/ Intensive … Continue reading Episode 314: Optimizing PEEP and Keeping Lungs Open in the ICU with Thomas Piraino and Brandon Oto →

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 … Continue reading Episode 313: Reflections on Residency and Social Media with Alexis Motz →

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. CME: Link SEA … Continue reading Episode 312: The Society for Education in Anesthesia (SEA) with Drs. Cladis, Kingeter and Marroquin →

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. CME: Link References: Random Recs: Squid Game Season 2 MartinLogan Electro Stats

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 … Continue reading Episode 310: Cardiac Workup Guidelines with Drs. Thompson, Steppan and Suffredini →

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 … Continue reading Episode 309: Master Clinician Part 8: Mimi Wynn →

In this 308th episode I welcome Dr. Tim Kajstura back to the show for another ABA Keyword episode. We cover Ambulatory Anesthesia. CME: Link Random Recs: Conan O’Brian Needs a Friend with Kevin Nealon Garmin Watches

CME: Link 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. Contacts for those interested in learning more: #LCDR ERIKA SPENCER (771)233-2474 or er*****************@*****vy.mil #CDR NICHOLAS PULOS : ni******************@*****vy.mil #NAVY … Continue reading Episode 307: Military Reserve Opportunities →

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. CME: Link Random Recs: Stranger Things Scythe

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 … Continue reading Episode 305: Master Clinician Part 7: Eric Busch →

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. … Continue reading Episode 304: Continuous Vital Sign Monitoring with Drs. Meyhoff and Breteler →

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. CME: Link Random Recs: Rodeo Beach The Boy, the Mole, the Fox and the Horse Conclave

In this 302nd episode I interview Dr. David Broussard, a cardiac anesthesiologist and Chair of Anesthesiology at Ochsner Medical Center in New Orleans. We discuss his approach to preparing for, and dealing with, adverse events and how to communicate about them to patients and families in a way that builds trust. CME: Link Random Recs: … Continue reading Episode 302: Disclosing Adverse Events with David Broussard →

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. CME: Link Random Recs: Read by QxMD CookUnity Burlap and … Continue reading Episode 301: Master Clinician Part 6: Scott Licata →

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. CME: Link Random … Continue reading Episode 300: Reflections and Tips and Tricks with Dr. Stahl interviewing Dr. Wolpaw →

In this 299th episode I welcome Dr. David Stahl to the show to be our next master clinician. CME: Link Random Recs: The Great British Baking Show The Boy, The Mole, The Fox and The Horse References: https://pmc.ncbi.nlm.nih.gov/articles/PMC11334747/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10867253/

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 … Continue reading Episode 298: Master Clinician Part 4: John Pizzuti →

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. CME: Link Random Recs: To-go Buddy Lightbringer Books Connections Bot Minute Cryptic References: Anesthesiahub.com OpenAnesthesia.org Barash, P. Clinical Anesthesia 8th edition. Walters Kluwer.

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. CME: Link Random Recs: The Last Dance Nate Bargatze

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. NOTE: In this episode I explained the p value in a very simplified way that isn’t strictly accurate from a statistical standpoint. A p value of 0.03 in … Continue reading Episode 295: Statistics for the Boards →

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. CME: Link

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. CME: Link Random Recs: Anders Erickson The Road To Excellence The Cradle Series

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 … Continue reading Episode 292: Leadership Panel Live from The NEAR Conference in Boston →

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. CME: Link Random Recs: Tichu A Walk in the Woods Robert Earl Keen Gringo Honeymoon King Gizzard … Continue reading Episode 291: Psychedelics for Chronic Pain and Depression with Patrick Finan and Rebecca Ehrenkranz →

In this 290th episode I welcome Dr. Mike Grant back to the show to discuss post-op care for patients having cardiac surgery. CME: Link Random Recs: The Olympics The Cradle Series

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 … Continue reading Episode 289: Master Clinicians Part 1: Dr. Dave Berman →

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. Big thanks to Dr. Pranav Shah, a cardiac anesthesiologist/intensivist at VCU and one of their physician informaticists. He provided some great detail on how blood preparation works: … Continue reading Episode 288: Keywords Part 28: ECT and Transfusion Reactions with Tym Kajstura →

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. CME: Link Random Recs: The Scholomance Trilogy The Silent Patient Hatch Chiles

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. CME: Link Dr. Walsh is on X @ElisaCWalsh Random Recs: ACCRAC in Spanish … Continue reading Episode 286: Central Lines with Elisa Walsh →

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. CME: Link Random Recs: Naxos Havasupai

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 … Continue reading Episode 284: Perioperative Hand-offs with Jamie Sparling and Aalok Agarwala →