In this episode, we explore the evidence on whether smaller endotracheal tubes are…1. Less likely to maintain a secure patent airway2. Less reliable in facilitating positive pressure ventilation3. Less able to seal the trachea and protect the...
For episode 21, “Should smaller endotracheal tubes be used for elective surgery?”, Ashwini Joshi and I have prepared a primer on the anatomy of an endotracheal tube. Check it out!
The Allen’s test has been proposed as a method of assessing the patency of collateral flow to the hand through the ulnar artery in the event that the radial artery is injured. An editorial from Anesthesiology in 2016 comments that “Most...
In this episode, we explore the evidence on whether lower intraoperative tidal volumes (e.g., 6 vs. 9 cc/kg) reduce postoperative pulmonary complications. Our guest is Dr. Avery Tung. Dr. Tung is Professor of Anesthesia & Critical Care at the...
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...
We’d have some inquiries about Dr. Forman’s strategy for preventing pain on propofol injection as discussed in episode 18. His approach is anecdotal and hasn’t been formally tested in a clinical trial but might “stand to...
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. Stuart Forman, Professor of Anesthesiology at Massachusetts General...
Our guest today is Dr. Daniel Saddawi-Konefka, residency program director at Massachusetts General Hospital. 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...
Our guest today is Dr. Keith Baker, Vice Chair of Education at Massachusetts General Hospital. We investigate the claim that emergence from sevoflurane is substantially faster than from isoflurane. We explore rationales and discuss cost.Music...
Our guest today is Dr. Ronald George (@Ron_George), professor and chief of obstetric anesthesia at UCSF. His slides from “The Labour Analgesia Alphabet” are available here: by Stephen Campbell, MD.
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