Depth of Anesthesia artwork

Depth of Anesthesia

60 episodes - English - Latest episode: 5 months ago - ★★★★★ - 314 ratings

Depth of Anesthesia is a podcast that critically explores dogmatic practices (we call them claims) in anesthesiology. Join us as we explore the literature around the latest clinical controversies!

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Episodes

36. Does tranexamic acid increase the risk of thromboembolism?

December 06, 2023 02:40 - 1 hour - 48.7 MB

Dr. Zach Cost and Dr. Tem Bendapudi join the show to discuss the literature pertaining to tranexamic acid and thromboembolic risk. Dr. Zach Cost is an anesthesia resident at the Massachusetts General Hospital. Dr. Pavan (“Tem”) Bendapudi holds a joint faculty appointment in the Division of Hematology and Blood Transfusion Service and is assistant professor of medicine at Harvard Medical School. This podcast was recorded as part of the Depth of Anesthesia podcast elective. Thanks for li...

35. Does spinal anesthesia decrease the risk of postoperative delirium?

July 30, 2023 10:36 - 58 minutes - 46.6 MB

Dr. Mark Neuman and Dr. Sam Falkson join the show to discuss the literature around risks of regional versus general anesthesia for postoperative delirium. Dr. Neuman is the founding Director of the Center for Perioperative Outcomes Research and Transformation and Professor of Anesthesiology at Penn Medicine. Dr. Sam Falkson is an anesthesia resident at the Massachusetts General Hospital. This podcast was recorded as part of the Depth of Anesthesia podcast elective. Thanks for listening! ...

34. Are double lumen endotracheal tubes superior to bronchial blockers?

April 02, 2023 19:42 - 46 minutes - 37.4 MB

Dr. Nick Kumar and Dr. Andy Siemens from the Massachusetts General Hospital anesthesia residency join the show to discuss the literature comparing double lumen endotracheal tubes and bronchial blockers. Dr. Dan Saddawi-Konefka joins as our faculty expert - special thanks to Dan for supporting the ongoing Depth of Anesthesia podcast elective. Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and share our content with your colleagues. — Follow us on...

33. Do perioperative gabapentinoids decrease postoperative pain?

January 04, 2023 01:42 - 27 minutes - 21.8 MB

It's our first solo episode! We review the evidence around perioperative use of gabapentinoids (gabapentin and pregabalin) and discuss interesting concepts including trial sequential analysis and minimally important difference. If you enjoy our content, leave a 5-star review on Apple Podcasts and share our content with your colleagues.  — Follow us on Instagram @DepthofAnesthesia and on Twitter @DepthAnesthesia for podcast and literature updates. Email us at [email protected]...

32: Do LMAs increase the risk of aspiration compared to ETTs? - Part II of II

October 18, 2022 18:33 - 35 minutes - 28.1 MB

Dr. Chris Di Capua and Dr. Bryan Glezerson (@BryanGlezerson) join the show to discuss the literature around the risk of aspiration with LMAs compared to ETTs. This is an episode produced from the Depth of Anesthesia Podcast Elective that’s available to MGH anesthesia residents. Special thanks to Dr. Saddawi-Konefka for supporting the initiative. Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts. — Follow us on Instagram @DepthofAnesthesia and o...

31: Do LMAs increase the risk of aspiration compared to ETTs? - Part I of II

August 10, 2022 12:27 - 34 minutes - 27.8 MB

Dr. Chris Di Capua and Dr. Bryan Glezerson (@BryanGlezerson) join the show to discuss the literature around the risk of aspiration with LMAs compared to ETTs. This is part I of a two-part series on LMAs. In part II, we discuss the safety of LMAs in specific patient populations including patients receiving positive pressure ventilation, patients undergoing laparoscopic surgery, obese patients, and pregnant patients. This is an episode produced from the Depth of Anesthesia Podcast Elective...

30: Live from the IARS Annual Meeting - Part II of II

May 23, 2022 00:33 - 29 minutes - 26.3 MB

In this special two-part series, we record a live episode at the International Anesthesia Research Society meeting. Dr. Dan Saddawi-Konefka and I revisit a question from our very first Depth of Anesthesia episode: is it necessary to confirm mask ventilation before paralyzing? Supporting graphics are available at depthofanesthesia.com and on our Instagram @DepthofAnesthesia. Special thanks to Dr. Seun Johnson-Akeju, Dr. Keith Baker, and Dr. Dan Leisman for their guidance and support.  T...

30: Live from the IARS Annual Meeting - Part 2 of 2

May 23, 2022 00:33 - 29 minutes - 26.3 MB

In this special two-part series, we record a live episode at the International Anesthesia Research Society meeting. Dr. Dan Saddawi-Konefka and I revisit a question from our very first Depth of Anesthesia episode: is it necessary to confirm mask ventilation before paralyzing? Supporting graphics are available at depthofanesthesia.com and on our Instagram @DepthofAnesthesia. Special thanks to Dr. Seun Johnson-Akeju, Dr. Keith Baker, and Dr. Dan Leisman for their guidance and support.  T...

29: Live from the IARS Annual Meeting - Part I of II

May 10, 2022 14:37 - 30 minutes - 27.5 MB

In this special two-part series, we record a live episode at the International Anesthesia Research Society meeting. Dr. Dan Saddawi-Konefka and I revisit a question from our very first Depth of Anesthesia episode: is it necessary to confirm mask ventilation before paralyzing? Supporting graphics are available at depthofanesthesia.com and on our Instagram @DepthofAnesthesia. Special thanks to Dr. Seun Johnson-Akeju, Dr. Keith Baker, and Dr. Dan Leisman for their guidance and support.  T...

29: Live from the IARS Annual Meeting - Part 1 of 2

May 10, 2022 14:37 - 30 minutes - 27.5 MB

In this special two-part series, we record a live episode at the International Anesthesia Research Society meeting. Dr. Dan Saddawi-Konefka and I revisit a question from our very first Depth of Anesthesia episode: is it necessary to confirm mask ventilation before paralyzing? Supporting graphics are available at depthofanesthesia.com and on our Instagram @DepthofAnesthesia. Special thanks to Dr. Seun Johnson-Akeju, Dr. Keith Baker, and Dr. Dan Leisman for their guidance and support.  T...

28: What is the infectious risk of arterial catheters?

March 11, 2022 18:16 - 32 minutes - 28.1 MB

Dr. Ben Weaver and Dr. Elisa Walsh (@elisacwalsh) from Massachusetts General Hospital join the show to discuss the literature around the infectious risk of arterial catheters and the role of barrier precautions. This is the first episode produced from a new podcast elective that’s available to MGH anesthesia residents. Special thanks to Dr. Saddawi-Konefka for supporting the initiative. Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and consider...

27: Does BIS monitoring reduce accidental awareness during general anesthesia?

January 10, 2022 22:12 - 44 minutes - 46.8 MB

Dr. Bryan Glezerson (@BryanGlezerson), a neuroanesthesiologist in Montreal, Canada, joins the show to discuss the literature around BIS monitoring and awareness with recall under general anesthesia. Special thanks to Dr. Ashwini Joshi for her assistance with researching for the episode.  Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and consider helping us offset the costs of production by donating through our Patreon at https://bit.ly/3n0sklh....

26: Should buprenorphine be discontinued preoperatively?

July 29, 2021 20:51 - 28 minutes - 24.6 MB

Dr. Tony Anderson, an anesthesiologist at the Stanford University School of Medicine, joins us to discuss the evolving literature and evidence around perioperative management of buprenorphine. Special thanks to Dr. Ashwini Joshi for her assistance with researching for the episode.  Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and consider helping us offset the costs of production by donating through our Patreon at https://bit.ly/3n0sklh. — ...

25: Should stress-dose steroids be given?

June 08, 2021 10:07 - 38 minutes - 32.7 MB

In this episode, Dr. Jonathan Charnin and Dr. Daniel Saddawi-Konefka join us to explore the evidence around perioperative stress dose steroids and adrenal insufficiency. Thanks for listening! If you enjoy our content, leave a 5-star review on Apple Podcasts and consider helping us offset the costs of production by donating through our Patreon at https://bit.ly/3n0sklh. -- Follow us on Instagram @DepthofAnesthesia and on Twitter @DepthAnesthesia for podcast and literature updates. E...

24: Is low flow anesthesia with sevoflurane safe?

April 27, 2021 10:00 - 25 minutes - 21.3 MB

In this episode, Dr. Ross Kennedy and Dr. Cas Woinarski join us to discuss the evidence on whether low-flow anesthesia with sevoflurane is safe. We discuss Compound A generation and nephrotoxicity. This episode was made possible through production and research support from Davies Agyekum, MD, PhD.  Thanks for listening! If you enjoy our content, consider helping us offset the costs of production by donating through our Patreon at https://bit.ly/3n0sklh. — Follow us on Instagram @Dept...

23: What is the data on COVID-19 vaccines? + FAQ

March 30, 2021 13:21 - 42 minutes - 34.8 MB

In this episode, Dr. Adam Flaczyk from Massachusetts General Hospital joins us to summarize the data on the latest COVID-19 vaccines and to answer frequently asked questions. Frequently asked questions start at 30:03 including: What is the data on side effects? What is the potential for anaphylaxis? Any data on use of antipyretics or NSAIDS with vaccination? — Thanks for listening! If you enjoy our content, consider donating to our Patreon at https://bit.ly/3n0sklh. Follow us o...

22: Is evidence-based medicine easy?

March 16, 2021 10:00 - 32 minutes - 26.1 MB

In this special episode, Dr. Justin Morgenstern of First10EM joins us to discuss a 6-step approach to primary literature. His strategy will give you the tools to feel more comfortable with taking an active role in reading and critically evaluating the literature. Step 1: How do I find a paper to read? Step 2: Is this paper worth reading? Step 3: Read the paper Step 4: Interpret the paper (stats are less important than you think) Step 5: Ask for help Step 6: Apply the research —...

21: Should smaller endotracheal tubes be used for elective surgery?

February 16, 2021 10:18 - 38 minutes - 32.7 MB

In this episode, we explore the evidence on whether smaller endotracheal tubes are... 1. Less likely to maintain a secure patent airway 2. Less reliable in facilitating positive pressure ventilation 3. Less able to seal the trachea and protect the lungs from aspiration We also discuss the potential harms associated with larger endotracheal tubes.  Our guests are Dr. Shamir Karmali and Dr. Peter Rose from the Department of Anesthesiology at Vancouver General Hospital. Thanks for l...

20: Do lower intraoperative tidal volumes reduce postoperative pulmonary complications?

December 11, 2020 10:15 - 39 minutes - 46.6 MB

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 University of Chicago and Section Editor for Critical Care & Resuscitation for Anesthesia & Analgesia. Thanks for listening! If you enjoy our content, consider donating to our Patreon at https://bit.ly/3n0sklh. — Follow us on Instagram @DepthofA...

19: Is hydrocortisone, ascorbic acid (Vitamin C), and thiamine therapy effective for treatment of sepsis?

November 11, 2020 14:00 - 25 minutes - 22 MB

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 Multi-specialty Anesthesia and Critical Care Medicine at the Mayo Clinic Connect with us @DepthAnesthesia on Twitter or email us at depthofan...

18: Is mixing in lidocaine effective for preventing burning with propofol?

October 07, 2020 12:36 - 28 minutes - 24.6 MB

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 Harvard Anesthesia Research Training Fellowship. Connect with us @DepthAnesthesia on Twitter or email us at [email protected]. Thanks...

17: Is it important to reverse neuromuscular blockade? - Part 2 of 2

September 09, 2020 21:06 - 41 minutes - 34.1 MB

Our guest today is Dr. Daniel Saddawi-Konefka, residency program director at Mass General. 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. Connect with us @DepthAnesthesia on Twitter or email us at [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Naguib M, Kopman...

17: Is it important to reverse to a train-of-four target of 90%? - Part 2 of 2

September 09, 2020 21:06 - 41 minutes - 34.1 MB

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 [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Naguib M, Kopman...

16: Is emergence from sevoflurane substantially faster than from isoflurane?

August 03, 2020 22:04 - 23 minutes - 22 MB

We investigate the claim that emergence from sevoflurane is substantially faster than from isoflurane. We explore rationales and discuss cost.  Our guest today is Dr. Keith Baker, Vice Chair of Education at Massachusetts General Hospital.  Connect with us @DepthAnesthesia on Twitter or email us at [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  __ References Seitsonen ER, Yli-Hankala AM...

15: Is dural puncture epidural (DPE) the optimal labor analgesia technique?

July 03, 2020 00:49 - 26 minutes - 24 MB

In this episode, we investigate the following claims related to DPE: 1. Dural puncture epidural (DPE) technique improves analgesic quality versus traditional epidural 2. DPE technique has faster onset of analgesia versus traditional epidural 3. DPE has less adverse effects compared with combined spinal-epidural (CSE) Our guest today is Dr. Ronald George (@Ron_George), Professor and Chief of Obstetric Anesthesia at UCSF. Connect with us @DepthAnesthesia on Twitter or email us at dep...

14: What is the approach to post-extubation stridor in COVID-19?

May 07, 2020 12:56 - 25 minutes - 23 MB

In this episode, we explore the evidence for various strategies to manage post-extubation stridor and the applications to COVID-19 patients. Our guest today is Dr. Tiara Calhoun (@tiaraforsyth), an internal medicine resident at the Massachusetts General Hospital.  She is an active contributor to FLARE (Fast Literature Assessment and Review), a newsletter that appraises the rapidly evolving literature on SARS-CoV-2.  Check FLARE out here: https://www.massgeneral.org/news/coronavirus/tr...

13: Does COVID-19 cause ARDS?

April 29, 2020 21:42 - 40 minutes - 37.8 MB

Our guest today is Dr. Charles Hardin of the Division of Pulmonary and Critical Care Medicine at Massachusetts General Hospital.  He is an active contributor to FLARE (Fast Literature Assessment and Review), a collaborative effort within the Pulmonary and Critical Care Division and the Department of Medicine. The mission of FLARE is to appraise rapidly evolving literature on SARS-CoV-2.  Check FLARE out here: https://www.massgeneral.org/news/coronavirus/treatment-guidance/fast-literatur...

12: Does COVID-19 spread by aerosols and aerosol-generating procedures?

April 11, 2020 01:07 - 1 hour - 55.5 MB

Our guest today is Dr. Justin Morgenstern. His website www.first10em.com provides critical appraisals of important emergency medicine and critical care topics. Connect with us @DepthAnesthesia on Twitter or email us at [email protected] Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Justin Morgenstern, "Aerosol generating procedures", First10EM blog, April 6, 2020. Available at: https://first...

12: Is COVID-19 spread by aerosols and aerosol-generating procedures?

April 11, 2020 01:07 - 1 hour - 55.5 MB

Our guest today is Dr. Justin Morgenstern (@First10EM). His website (First10EM) provides critical appraisals of important emergency medicine and critical care topics. Connect with us @DepthAnesthesia on Twitter or email us at [email protected] Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  __ References Justin Morgenstern, "Aerosol generating procedures", First10EM blog, April 6, 2020. Available at: https:...

11: Does cricoid pressure reduce the risk of pulmonary aspiration?

January 03, 2020 01:22 - 35 minutes - 34.2 MB

For our first episode of 2020, we investigate claims related to the application of cricoid pressure. Claim 1. Cricoid pressure reduces the risk of pulmonary aspiration. Claim 2. Landmark technique is able to accurately identify the cricoid cartilage. Claim 3. Cricoid pressure should be routinely applied in all rapid-sequence intubations. Our guest today is Dr. Jerome Crowley, an adult cardiothoracic anesthesiologist and intensivist at the Massachusetts General Hospital. Connect wi...

Does cricoid pressure reduce the risk of pulmonary aspiration?

January 03, 2020 01:22 - 35 minutes - 34.2 MB

Happy New Year! For our first episode of 2020, we investigate claims related to the application of cricoid pressure. Claim 1. Cricoid pressure reduces the risk of pulmonary aspiration. Claim 2. Landmark technique is able to accurately identify the cricoid cartilage. Claim 3. Cricoid pressure should be routinely applied in all rapid-sequence intubations. Our guest today is Dr. Jerome Crowley, an adult cardiothoracic anesthesiologist and intensivist at the Massachusetts General Hospit...

10: Is a subjective assessment of functional capacity predictive of perioperative complications?

November 22, 2019 00:35 - 28 minutes - 23.4 MB

We investigate the claim that a subjective assessment is an accurate way to measure functional capacity. We also explore whether self-reported ability to climb two flights of stairs is the best subjective method to assess functional capacity and whether exercise tolerance greater than or equal to 4 metabolic equivalents predicts the risk of perioperative complications in any major non-cardiac surgery. Our guests today are Dr. Elisa Walsh and Dr. Laurie Shapiro of the Massachusetts Genera...

Is a subjective assessment of functional capacity predictive of perioperative complications?

November 22, 2019 00:35 - 28 minutes - 23.4 MB

We investigate the claim that a subjective assessment is an accurate way to measure functional capacity. We also explore whether self-reported ability to climb two flights of stairs is the best subjective method to assess functional capacity and whether exercise tolerance greater than or equal to 4 metabolic equivalents predicts the risk of perioperative complications in any major non-cardiac surgery. Our guests today are Dr. Elisa Walsh and Dr. Laurie Shapiro of the Massachusetts Genera...

9: Is it safe to peripherally administer norepinephrine?

October 11, 2019 00:28 - 45 minutes - 37.1 MB

We investigate the claim that norepinephrine is not safe for peripheral administration. Our guests today are Dr. Katarina Ruscic and Dr. Jamie Sparling of the Critical Care Division of the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Ca...

Is it safe to peripherally administer norepinephrine?

October 11, 2019 00:28 - 45 minutes - 37.1 MB

We investigate the claim that norepinephrine is not safe for peripheral administration. Our guests today are Dr. Katarina Ruscic and Dr. Jamie Sparling of the Critical Care Division of the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen Campbell, MD.  -- References Ca...

Peripheral Administration of Norepinephrine

October 11, 2019 00:28 - 45 minutes - 37.1 MB

We investigate the claim that norepinephrine is not safe for peripheral administration. Our guests today are Dr. Katarina Ruscic and Dr. Jamie Sparling of the Critical Care Division of the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia.  Rate us on iTunes and share with your colleagues! Music by Stephen Campbell, MD.  -- References Cardenas‐Garcia J, ...

Ketorolac and Surgical Bleeding

September 20, 2019 00:39 - 35 minutes - 36.6 MB

We investigate the claim that administering ketorolac (Toradol) increases bleeding and should be avoided in surgeries for which there is concern for bleeding.  Claim 1. Administration of intraoperative ketorolac increases the bleeding time due to platelet inhibition Claim 2. Increased bleeding time translates to higher rate of surgical bleeding Claim 3. The magnitude of bleeding propensity attributable to ketorolac is clinically relevant Our guest today is Dr. Jamie Sparling of the C...

Does ketorolac increase the risk of bleeding?

September 20, 2019 00:39 - 35 minutes - 36.6 MB

We investigate the claim that administering ketorolac (Toradol) increases bleeding and should be avoided in surgeries for which there is concern for bleeding.  Claim 1. Administration of intraoperative ketorolac increases the bleeding time due to platelet inhibition Claim 2. Increased bleeding time translates to higher rate of surgical bleeding Claim 3. The magnitude of bleeding propensity attributable to ketorolac is clinically relevant Our guest today is Dr. Jamie Sparling of the C...

8: Does ketorolac increase the risk of bleeding?

September 20, 2019 00:39 - 35 minutes - 36.6 MB

We investigate the claim that administering ketorolac (Toradol) increases bleeding and should be avoided in surgeries for which there is concern for bleeding.  Claim 1. Administration of intraoperative ketorolac increases the bleeding time due to platelet inhibition Claim 2. Increased bleeding time translates to higher rate of surgical bleeding Claim 3. The magnitude of bleeding propensity attributable to ketorolac is clinically relevant Our guest today is Dr. Jamie Sparling of the C...

7: How do you reverse neuromuscular blockade? - Part 1 of 2

August 19, 2019 23:18 - 30 minutes - 29.9 MB

We investigate claims about reversal of neuromuscular blockade.  Claim 1. Location of train-of-four assessment matters Claim 2. Train-of-four is unnecessary with "sufficient" time from the last dose  Claim 3. Fade can be discriminated by tactile assessment Our guest today is Dr. Daniel Saddawi-Konefka of the Massachusetts General Hospital.    Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks ...

Reversal of Neuromuscular Blockade - Part 1 of 2

August 19, 2019 23:18 - 30 minutes - 29.9 MB

We investigate claims about reversal of neuromuscular blockade.  Claim 1. Location of train-of-four assessment matters Claim 2. Train-of-four is unnecessary with "sufficient" time from the last dose  Claim 3. Fade can be discriminated by tactile assessment Our guest today is Dr. Daniel Saddawi-Konefka of the Massachusetts General Hospital.    Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia...

How do you reverse neuromuscular blockade? - Part 1 of 2

August 19, 2019 23:18 - 30 minutes - 29.9 MB

We investigate claims about reversal of neuromuscular blockade.  Claim 1. Location of train-of-four assessment matters Claim 2. Train-of-four is unnecessary with "sufficient" time from the last dose  Claim 3. Fade can be discriminated by tactile assessment Our guest today is Dr. Daniel Saddawi-Konefka of the Massachusetts General Hospital.    Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks ...

Optimal Position for Viewing the Glottic Opening

July 29, 2019 23:47 - 30 minutes - 31.6 MB

We investigate the claim that the sniffing position aligns the "axes" and is the optimal position for viewing the glottic opening.  Our guest is Dr. Keith Baker, Vice Chair for Education and a thoracic anesthesiologist at the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia.  Rate us on iTunes.  Music by Stephen Campbell, MD.  -- References El-Orbany M.I...

6: Is the sniffing position optimal for viewing the glottic opening?

July 29, 2019 23:47 - 30 minutes - 31.6 MB

We investigate the claim that the sniffing position aligns the "axes" and is the optimal position for viewing the glottic opening.  Our guest is Dr. Keith Baker, Vice Chair for Education and a thoracic anesthesiologist at the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen ...

Is the sniffing position optimal for viewing the glottic opening?

July 29, 2019 23:47 - 30 minutes - 31.6 MB

We investigate the claim that the sniffing position aligns the "axes" and is the optimal position for viewing the glottic opening.  Our guest is Dr. Keith Baker, Vice Chair for Education and a thoracic anesthesiologist at the Massachusetts General Hospital.  Full show notes available at depthofanesthesia.com.  Connect with us @DepthAnesthesia on Twitter or [email protected]. Thanks for listening! Please rate us on iTunes and share with your colleagues.  Music by Stephen ...

5: Do preoperative anxiolytics improve patient satisfaction?

July 24, 2019 01:24 - 32 minutes - 30.8 MB

We investigate pro and con positions on preoperative anxiolytics.  Pro claim: Preoperative anxiolytics improve patient satisfaction.  Con claim: Preoperative anxiolytics delay recovery and discharge. My guest is Dr. Matthew Vanneman, an attending cardiothoracic anesthesiologist at the Massachusetts General Hospital. Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia.  Rate us on iTunes.  -- ...

Do preoperative anxiolytics improve patient satisfaction?

July 24, 2019 01:24 - 32 minutes - 30.8 MB

We investigate pro and con positions on preoperative anxiolytics.  Pro claim: Preoperative anxiolytics improve patient satisfaction.  Con claim: Preoperative anxiolytics delay recovery and discharge. My guest is Dr. Matthew Vanneman, an attending cardiothoracic anesthesiologist at the Massachusetts General Hospital. Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia.  Rate us on iTunes.  -- ...

Satisfaction and Recovery with Pre-Operative Anxiolytics

July 24, 2019 01:24 - 32 minutes - 30.8 MB

We investigate pro and con positions on pre-operative anxiolytics.  Pro claim: Preoperative anxiolytics improve patient satisfaction.  Con claim: Preoperative anxiolytics delay recovery and discharge. My guest is Dr. Matthew Vanneman, an attending cardiothoracic anesthesiologist at the Massachusetts General Hospital. Full show notes available at depthofanesthesia.com.  Recommend a guest or topic at [email protected] or tweet us @DepthAnesthesia.  Rate us on iTunes.  --...

Is it safe to administer cefazolin in penicillin-allergic patients?

June 04, 2019 23:50 - 54 minutes - 55.4 MB

We investigate the claim that an alternative antibiotic to cephalosporins (e.g., cefazolin) should be selected for penicillin-allergic patients in the perioperative setting.  Claim 1. Alternative antibiotics may be as efficacious in preventing surgical site infections Claim 2. Cephalosporins (e.g., cefazolin) may be unsafe due to cross-reactivity.  Claim 3. Administering cephalosporins (e.g., cefazolin) may be against the standard of care. My guest this week is Dr. Matthew Vanneman, ...

Cefazolin in Penicillin-Allergic Patients

June 04, 2019 23:50 - 54 minutes - 55.4 MB

We investigate the claim that an alternative antibiotic to cephalosporins (e.g., cefazolin) should be selected for penicillin-allergic patients in the perioperative setting.  Claim 1. Alternative antibiotics may be as efficacious in preventing surgical site infections Claim 2. Cephalosporins (e.g., cefazolin) may be unsafe due to cross-reactivity.  Claim 3. Administering cephalosporins (e.g., cefazolin) may be against the standard of care. My guest this week is Dr. Matthew Vanneman, ...