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Depth of Anesthesia is a podcast that critically explores dogmatic clinical practices in anesthesiology. Anesthesiology is full of claims. A claim is a practice decision that we either believe is true or is something we default to. We think that for every claim in anesthesiology, we should know what is supported or refuted by evidence and what claims have no evidence base but stand to reason.
 
David Rosenblum, MD, creator of ABAStageExam.com for the Basic and Applied Exams in Anesthesiology, AnesthesiaExam and the Pediatric Anesthesia Board review (PedsAE.com) discusses Anesthesiology Board Review and Practice Management. Dr. Rosenblum has also published a children's book: Welwyn Ardsley and the Cosmic Ninjas: Preparing your child and yourself for anesthesia and surgery Available at Amazon.com and www.MyKidsSurgery.com
 
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show series
 
In this 188th episode I discuss the approach to Anesthesia for patients having thoracic surgery including highly tested concepts for board exams. Reference: Clinical Anesthesia. 2017. 8th Ed. Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine; Ortega, Rafael; Sharar, Sam R.; Holt, Natalie F. Publisher:…
 
anesthesiologybuilding wealthEarningfinancial independencefinancial outcomesFinancial PlanningNegotiatingpersonal finance Episode 73: All You Need To Know About Disability Insurance w. Larry Keller This Episode  Interview w/ Larry Keller You Will Learn – Big mistakes physicians make when looking at disability insurance – 3 types of ways financial …
 
In this episode, we discuss the role of hydrocortisone, ascorbic acid (Vitamin C) and thiamine (HAT therapy) in the treatment of patients with septic shock. We discuss biological plausibility and comprehensively review the latest evidence. Our guest is Dr. Jonathan Charnin. Dr. Charnin is an assistant professor of anesthesiology in the Divisions of…
 
How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary What's your plan D during an airway crisis? In this episode of the APEX Live Anesthesia Podcast, we’ll discuss all things cricothyrotomy and give you everything you need to know…
 
This episode is a continuation of the series on Leadership in Emergencies… the art & science of resuscitation. Be sure to go check out episode 7 of the podcast where I give a quick run down of leadership in emergencies and how we can work towards improving our individual & team performance in anesthesia crises. Ryan Mountjoy, MD is a board-certifie…
 
Is Local Anesthetic in Cervical Epidurals Beneficial? In this podcast episode: Dr. Rosenblum announces postponement of November 22 Ultrasound Course. Discusses RAPM article on Lidocaine in the Cervical Epidural Space Benefits of Ultrasound for Guiding injections to treat Cervical Radiculopathy Pitfalls of the Standard of Care Private Consultation S…
 
anesthesiologybuilding wealthEarningfinancial independencefinancial outcomesFinancial PlanningNegotiatingpersonal finance Episode 72b: Here’s A System For Tax Optimized Wealth Building This Episode  Solo Episode You Will Learn – Expenses that are worth using a 0% APR credit card with, and the exceptions to that idea – The similarities between FSA …
 
Autism and Labor Epidurals? Dr. Rosenblum discusses JAMA’s October 2020 article that suggests an association between Labor Epidural and the diagnosis of Autism Spectrum Disorder Summary of the study Responses from other physicians Statements by the The Society for Obstetric Anesthesia and Perinatology (SOAP), the American Society of Anesthesiologis…
 
In this 187th episode I welcome Dr. Gabe Tharp to the show to discuss his recent article in Anesthesiology: “Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery.” We discuss his findings and whether we should be using much higher levels of PEEP than we currently do. Gabe…
 
anesthesiologycareer insightscontractsfinancial outcomeshealthcare policyhospital administrationNegotiatingpractice managementPrivate Practice Episode 72: How To Handle Student Loans Between Now And 2021 This Episode  Solo Episode You Will Learn – Important idea’s I learned from Seth Godin – Biden’s proposal for PSLF accessibility – How COVID has …
 
Myths in Pain Medicine: Steroid Doses, Spine Surgery, Vasectomies, etc. Dr. Rosenblum discusses a recent email (below) from a patient suffering from Post Vasectomy Pain who reached out after hearing the recent PVPS Episode of the PainExam Podcast. Also Discussed: - Myth of 3 Steroid Shots Per Year - Myth of Needing Cervical Spine Surgery to Avoid P…
 
Post Vasectomy Pain Syndrome: Dr. Rosenblum reviews Post Vasectomy Pain Syndrome When Urology cannot help, he ponders: Ultrasound Guided Genito Femoral Nerve Block Ganglion impar PRP Injection Peripheral Nerve Stimulation DRG Stimulation For Ultrasound Training online go to PainExam.com/Events For Private in person training, email Dr. Rosenblum at …
 
anesthesiologycareer insightscontractsfinancial outcomeshealthcare policyhospital administrationNegotiatingpractice managementPrivate Practice Episode 71: If You Want Happiness In Your Career You Must Intentionally Do This w. Dr. Jimmy Turner This Episode  Interview w/ Dr. Jimmy Turner You Will Learn Jimmy discusses why he will always have a coach…
 
This is a distillation of 10 key tips to help folks who are learning airway management improve their skills. This show gets straight to the point: 10 tips for airway management in 10 minutes. 10 Tips for Airway Management 1. Develop a growth mindset and practice deliberately 2. Do a good airway assessment 3. Develop and follow a plan 4. Control you…
 
In this 186th episode I welcome Dr. Jennifer Meeker to the show to discuss the increased use of cannabis in the general population and what that means for anesthesiologists taking care of patients who may have acute or chronic use. References:Download Random Recs: Tuesday Nights Cookbook: Link Vertellis: https://vertellis.com…
 
anesthesiologycareer insightscontractsfinancial outcomeshealthcare policyhospital administrationNegotiatingpractice managementPrivate Practice Episode 70: Why It’s Critical To Follow The Money In Anesthesia Group Contracts w. Dr. Aalap Shah This Episode  Interview w/ Dr. Aalap Shah You Will Learn – Dr. Shah talks about what it means to be a an ind…
 
Consensus Statement on Facet Joints Reviewed! Dr. Rosenblum Discusses the recent Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group released earlier this year. Also discussing: FREE Ultrasound Webinar with Clarius on Wednesday October 28th, https://clarius.com/webinar/bullse…
 
The NBCRNA CPC Program allows for CRNAs to earn Class B Credits by listening to podcasts; this episode tells you how. The National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA) recognizes anesthesia-related podcasts, like Anesthesia Guidebook, as valid sources of Class B credit in their Continued Professional Certificatio…
 
building wealthBuying A Housecareer insightsfinancial outcomesFinancial Planningfinancial rules of thumb Episode 69: Homebuying Wisdom For Docs In Transition This Episode  Solo Episode You Will Learn – How to assess when is the right time to buy a home, and how much you should pay – Simple rules to follow when considering how much you can afford t…
 
Today I’m joined by Will Cohen to talk about clinical precepting. We discuss ways to create effective learning environments, how to expect excellence while being supportive and other tips for mastering the art of precepting. Will created the Facebook page CRNA Preceptors and has become well known in the CRNA world for creating masterfully crafted d…
 
Peng Blocks On this Podcast episode Doctor Rosenblum discusses the Pericapsular Nerve Group Block as An Excellent Option for Analgesia for Positional Pain in Hip Fractures... Dr. Rosenblum is proud to announce joining the WAPMU Faculty! In addition, Dr. Rosenblum is offering a 30% discount on Sunday October 18, 2020’s Ultrasound webinar to those wh…
 
In this 185th episode I welcome back Dr. Lee Goeddel to discuss assessment of fluid responsiveness in the operating room. References: Michard F. Changes in Arterial Pressure during Mechanical Ventilation. Anesthesiology. 2005;103(2):419-428. doi:10.1097/00000542-200508000-00026 Using Dynamic Variables to Guide Perioperative Fluid Management Azriel …
 
anesthesiologycoronavirusresearch Episode 68: Learning From The H1N1 Pandemic Of 1918 To Combat COVID w. Dr. Krishnan Chakravarthy This Episode  Interview w/ Dr. Krishnan Chakravarthy You Will Learn – Dr. Chakravarthy talks about a “Eureka” moment from his career – The comparisons that Dr. Chakravarthy sees between the 2 pandemics – We discuss how…
 
Leadership in emergencies is about leadership outside of emergencies. The art and science of resuscitation involves understanding and mastering both the systems design and human factors at play in emergencies. In this episode, I unpack research by Weinger, et. al. (2017) to help us see the potential for improvement in our response to emergencies as…
 
COVID-19 and Pain Management Dr Rosenblum discusses Medications and Immune Response. Considerations for pain patients at risk for COVID-19. Dr. Rosenblum also discusses Peripheral Nerve Stimulation in a patient with a Spinal Cord Stimulator... New Ultrasound Pain Management CME Webinar Event Hosted by PainExam, Set for October 18, 2020! Subscribe t…
 
In this episode, we discuss the mechanisms of burning with propofol infusion and explore the evidence behind strategies like mixing lidocaine with propofol. Our guest today is Dr. Stu Forman, Professor of Anesthesiology at Massachusetts General Hospital. He is an investigator on several NIH-sponsored basic research grants and co-director of the Har…
 
business of pain medicineCareercareer insightscontractsEarningemploymententrepreneurshipfinancial outcomesleadershipNegotiatingpain medicinepractice managementPrivate Practice Episode 67: Equipping Physicians As Advocates In The Business Of Medicine w. Dr. Anita Gupta This Episode  Interview w/ Dr. Anita Gupta You Will Learn – I will discuss some …
 
Today I talk with Marcus House, BSN, SRNA about his decision to live in an ambulance during remote clinical rotations in anesthesia school. Marcus is currently working towards completing his Doctor of Nurse Anesthesia Practice at Missouri State University. He holds Bachelor of Science degrees in Education and Nursing, both from Southeast Missouri S…
 
How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we’ll discuss one of the anesthetic crises we all learned about in anesthesia school…malignant hyperthermia. We’ll talk abou…
 
In this 184th episode I welcome back Drs. Kara Segna and Hassan Rayaz to discuss truncal blocks. We discuss rectus sheath, transversus abdominis plane, quadratus lumborum and erector spinae plane blocks. References and pictures:Download Random Recs: The Wirecutter: https://www.nytimes.com/wirecutter/ How to be an anti-racist: Link Instant Hotel: ht…
 
business of pain medicineCareercareer insightscontractsEarningemploymententrepreneurshipfinancial outcomesleadershipNegotiatingpain medicinepractice managementPrivate Practice Episode 66: Plotting The Path To Pain Practice Partnership w. Dr. Joshua Suderman This Episode  Interview w/ Dr. Joshua Suderman You Will Learn – Dr. Suderman talks about wh…
 
Kiki Mattress, MSNA, CRNA runs the blog The CRNA Chase which seeks to “empower, inspire, and educate” people who are interested in becoming CRNAs. In this episode, I talk with Kiki about her journey to become a CRNA and her passion for helping others understand and be successful on that same path. “Don’t just talk about it, be about it!” Kiki Mattr…
 
behavioral financebuilding wealthfinancial independencefinancial outcomesFinancial Planninginvestinginvestor psychologypersonal finance Episode 65: Eliminate This Common Ball And Chain To Be A Wealth Building Physician This Episode  Solo Episode You Will Learn – Why a sense of inadequacy or shame can be very a major hurdle on physicians – For almo…
 
MJ Hiblen is an illustrator from Norwich, United Kingdom who’s first book of art titled, Front Line Heroes is available now from Eyewear Publishing. This book is incredibly powerful. I’ve followed MJ’s work on Instagram since the early days of the COVID19 pandemic when he began drawing images depicting the coronavirus as a classic comic-book style …
 
In this 183rd episode I welcome back Dr. Gillian Isaac to do another keyword episode where we review the ABA keyword topics of Thyroid for the Basic Exam and Thyroid for the Advanced Exam. References: Barash Clinical Anesthesia 8th edition American Board of Anesthesiology Website Anesthesiahub.com Random Recs: Serious Eats Brown Butter Cookie Dough…
 
In this part II or II series on neuromuscular blockade, we investigate the claim that a train-of-four target of 90% is important to achieve prior to extubation. Our guest today is Dr. Daniel Saddawi-Konefka, residency program director at Mass General. Connect with us @DepthAnesthesia on Twitter or email us at depthofanesthesia@gmail.com. Thanks for…
 
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