Podcasts about Anesthesiology

Cannabis is often discussed as either a miracle remedy or a dangerous drug, but the reality is far more nuanced. In this episode, Dr. Jen speaks with naturopathic doctor and cannabinoid researcher Dr. Michelle Sexton about the endocannabinoid system, medical cannabis, chronic pain, sleep, inflammation, menopause, and opioid reduction. They explore why dose, age, product quality, delivery method, and THC potency all matter, how cannabis differs from CBD, and why modern high-potency products are not the same as the cannabis used decades ago. Dr. Sexton also shares practical guidance on starting low, avoiding unnecessary exposure during brain development and pregnancy, and using cannabis as a carefully considered medical tool rather than a one-size-fits-all solution.Dr. Michelle Sexton, ND, is a licensed naturopathic doctor, researcher, author, and internationally recognized expert on cannabinoid pharmacology and the endocannabinoid system. She completed her naturopathic medical training at Bastyr University and an NIH-funded postdoctoral fellowship at the University of Washington, where she studied cannabis, immune function, neuroinflammation, and neurodegeneration. Dr. Sexton has also served as an Assistant Adjunct Professor in the Department of Anesthesiology at UC San Diego and has worked with patients through the university's Center for Integrative Medicine. Her work focuses on translating cannabinoid science into responsible, practical guidance for pain, sleep, inflammation, women's health, and opioid reduction. Website: https://www.msextonnd.com LinkedIn: https://www.linkedin.com/in/michelle-sexton-a40408b  Facebook: https://www.facebook.com/msextonnd  PODCAST: Thank you for listening please subscribe and share! Shop supplements: https://healthybydrjen.shop/CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavoritesFOLLOW ME:Instagram: https://www.instagram.com/integrativedrmom/Facebook:  https://www.facebook.com/integrativedrmomYouTube: https://www.youtube.com/@integrativedrmomFTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you).  I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only.  For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

What does it take to compete on the world's biggest stage and then pivot to one of the most demanding training paths in professional life? Today's guest, Samantha "Sammy" Kolowrat, has done both, and she has some fascinating insights into the commonalities of those two worlds on this episode of Raise the Line. “Something that really drew me to medicine is the team atmosphere that's there as you work towards a common goal, and there's this level of intensity that's very reminiscent of the experiences I had as a professional athlete.” Originally from Prague, Kolowrat represented Czechia at six IIHF Women's World Championships and the 2022 Beijing Olympics, and also captained the Division I women's hockey team at the University of Vermont while earning degrees in biology and pharmacology.  As she starts an anesthesiology residency at Vanderbilt University, she credits her athletic career with shaping how she handles pressure, feedback, and teamwork in medicine. "The more I improve, the more knowledge I acquire, the more skills I hone, the better care my patients get," she tells host Lindsey Smith, describing what drew her to a field that rewards the same relentless fine-tuning as elite sports. This engaging conversation also explores: How crippling performance anxiety as a Division I athlete ended up preparing Kolowrat for the operating room; Why she was drawn to anesthesiology's "well-oiled machine" atmosphere; The mentorship gap she's working to close for the next generation of athlete-physicians. Mentioned in this episode: Vanderbilt University Anesthesiology Residency Program If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Send us Fan MailDr. Jocelyn Foran is a Canadian medical doctor and Staff Anesthesiologist at Nova Scotia Health Authority, holding a Fellowship from the Royal College of Physicians and Surgeons of Canada (FRCPC) and a Diplomat of the American Board of Obesity Medicine.Through her private practice, Upstream Metabolic Medical, she promotes ketogenic and carnivore diets as treatments for chronic disease and metabolic conditions — dietary approaches that remain contested within mainstream nutrition science and are not endorsed by major public health bodies.While her clinical background is in anesthesiology rather than nutrition or dietetics, she has pursued additional training as a Metabolic Health Practitioner through the Nutrition Network, an organization that advocates low-carbohydrate diets.Metabolism is the process of turning food into form and function- yes, we ARE what we eat. Our metabolism is the core to our health, balancing everyday building (anabolism) with the breakdown of cells (catabolism). In our 21st-century toxic food environment, many of us are now living with metabolic dysfunction and chronic diseases that result: high blood pressure, obesity, insulin resistance, diabetes, infertility, autoimmune illnesses, mental illnesses and cancer. These chronic diseases are not cured, but rather “managed” with medications, often for the rest of our lives.Metabolic coaching focuses on root cause healing to address and reverse chronic illnesses, empowering patients to improve their health by addressing lifestyle issues.Find Dr. Jocelyn Foran at-https://www.metabolicmedical.ca/aboutIG- @MetabolicMedicalFB- @Metabolic MedicalFind Boundless Body at-myboundlessbody.comBook a session with us here! 

if you have any feedback, please send us a text! Thank you!Decreasing insurance reimbursements, rising costs, longer hours, lower pay, less agency over your working conditions, and increasing administrative and educational requirements. These are just a few of the issues that many anesthesiologists and physicians face. Meanwhile, governments make ill-considered rules, cut funding, prevent fair and equitable negotiations, and non-physician providers continue to fight for greater authority to practice medicine without having attended medical school. A physician and anesthesiologist shortage emboldens them to feel entitled to greater independence. New residencies are being developed to counter this shortage, but how can they successfully navigate all the obstacles they may face? How do any of us try to make our practices, working conditions, or pay structures better?Organizations like the California Society of Anesthesiologists and others exist to support their members. They advocate, educate, collaborate, network, and elevate anesthesiologists throughout California. None of this work can be done without engaged and enthusiastic members.Join my guests today as they explain why they got involved with the CSA and why they think it is important for all members to do so.Dr. Newhide completed his Anesthesiology residency training at the University of Maryland Medical Center and a fellowship in Regional Anesthesia and Acute Pain Management at the University of Pittsburgh Medical Center. With a strong commitment to serving the underserved, he returned to his home state of California to help found a new residency program in Stockton, CA. He is currently serving as the Residency Program Director at St. Joseph's Medical Center, helping to develop a new generation of anesthesiologists to serve the Central Valley.Dr. Klein is a fourth-year resident in anesthesiology at UCLA and serves as her residency program's ASA and CSA resident delegate. She will be completing her fellowship in Regional Anesthesia and Acute Pain Management at Duke University in the upcoming academic year. As a resident on a research track, she is involved in informatics and policy-related research on insurance utilization and physician payments. She plans to practice in a large academic setting so she can continue on her path as a physician-researcher while staying involved in the health policy space.Dr. Mariam Sarwary is currently a Clinical Assistant Professor at Stanford and the Program Director for the Regional Anesthesia and Acute Pain Medicine Fellowship. She has been involved with the CSA since residency and currently sits on the organization's Board of Directors. Mariam also serves as a mentor for Stanford's Leadership Education in Advancing Diversity (LEAD) program and is a member of the GME Well-Being Committee.Dr. Christina Menor is a board-certified anesthesiologist in private practice in Los Angeles. She specializes in ambulatory, pediatric, and obstetric anesthesiology. Dr. Menor currently serves as the President of the California Society of Anesthesiologists. She co-authored an article that describes California survey data on medical titles. She is a member of Physicians Protecting Patients and is an active advocate for physician-led care and title transparency. She has been active with the CSA since residency.

Prior to becoming an anesthesiologist, Alyssa Burgart trained in bioethics. She now counts herself among a growing number of certified clinical bioethicists who help doctors, nurses, patients, and their families handle ethically complex medical decisions at the bedside. Bioethicists are critical to care, Burgart argues, helping patients facing difficult choices to clarify personal values and weigh a complex array of risks and benefits, as well as emotions and familial, cultural, and religious norms. While much of her work is in pediatrics and maternal-fetal cases, she also studies how moral distress and moral injury impact clinicians, contributing to burnout among doctors and nurses. Having a strong ethical community brings resilience to these challenging environments, Burgart tells host Russ Altman in this episode of Stanford Engineering's The Future of Everything podcast. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Alyssa Burgart Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces guest Alyssa Burgart, a professor of anesthesiology and perioperative pain at Stanford University. (00:03:16) Path into Bioethics & Anesthesiology How Burgart became a bioethicist and then chose anesthesiology. (00:05:18) What Bioethics Means How bioethics helps connect medical decisions to values, risks, and benefits. (00:07:03) Making Hard Decisions Manageable How ethics consultation helps clinicians act with integrity. (00:08:33) Ethics Consults A detailed explanation of hospital ethics services  (00:12:23) Pediatric Ethics Examples of Dr. Burgart's work with children, families, and clinicians (00:15:45) Culture, Faith, and Trust Navigating cultural and religious differences as a bioethicist. (00:17:57) Family Decision-Making How ethics consultants help families and care teams honor a patient's voice. (00:21:55) Moral Injury What is moral injury and how do clinicians specifically experience it? (00:24:52) Institutional Betrayal Why barriers like policies, laws, and denied approvals can create moral strain. (00:26:37) Moral Distress What is moral distress and how does it manifest itself in healthcare. (00:28:28) Moral Residue When clinicians experience repeated moral strain and cannot recover between incidents. (00:29:33) Treating Moral Injury & Distress Strategies for helping clinicians manage these parts of their work. (00:33:54) Future In a Minute Rapid-fire Q&A: clinical bioethics, human dignity, and moral resilience. (00:36:15) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Ketamine clinics have exploded worldwide, offering low-dose intravenous infusions for chronic pain patients who've run out of options. But is this practice actually backed by evidence, or has off-label use outpaced the science? In this episode of the PainExam Podcast, Dr. David Rosenblum reviews the current literature on subanaesthetic-dose ketamine infusions (SDKIs) for chronic pain, drawing on the 2023 British Journal of Pain review by Harry M. Griffiths, "Low-dose ketamine infusions for chronic pain management: Does this qualify as evidence-based practice?" Topics covered: Why conventional analgesics (opioids, anticonvulsants, antidepressants) fail in 60–70% of chronic pain patients How ketamine works as an NMDA receptor antagonist, and why that mechanism is likely an oversimplification Typical SDKI dosing (~0.35–0.5 mg/kg) versus anesthetic dosing, and why the IV route dominates the evidence base What the meta-analyses actually show: modest, time-limited pain reduction (mean difference around -1.83 on a 0–10 scale) with higher efficacy but more side effects at higher doses Key trials — Corriger et al.'s 1-year follow-up (256 patients), Orhurhu et al.'s systematic review and meta-analysis, and smaller RCTs in CRPS, fibromyalgia, and ischemic limb pain Common side effects (nausea, psychomimetic symptoms) versus rare but serious adverse events (hepatic, cardiac, urogenital) — and how dose and premedication with clonidine/midazolam affect risk Why blinding failure (up to 93% of patients correctly guessing their treatment in one trial) may be inflating reported effect sizes The absence of standardized protocols, guidelines, or a clear "exit strategy" for patients on long-term SDKI therapy What needs to happen next: larger multicenter RCTs, ketamine clinic registries, and better outcome measures beyond simple pain scores Bottom line: SDKIs offer a promising but still under-evidenced option for refractory chronic pain — reserved for the right patient, with modest expectations and careful monitoring. Reference: Griffiths HM. Low-dose ketamine infusions for chronic pain management: Does this qualify as evidence-based practice? Br J Pain. 2023;17(5). https://journals.sagepub.com/doi/full/10.1177/20494637231182804 Show Image About the Host David Rosenblum, MD is Director of Pain Management at Maimonides Medical Center and Co-Owner/Clinic Director of AABP Integrative Pain Care and Wellness in Brooklyn, NY. Dual board-certified in Anesthesiology and Pain Medicine, he is a co-author of the ASIPP Peripheral Nerve Stimulation (PNS) guidelines and a widely recognized educator in regenerative pain medicine (PRP, BMAC, amniotic therapies). As founder of NRAP Academy, he has trained 3,500+ physicians for pain board certification since 2008, and hosts the PainExam, AnesthesiaExam, and PMRExam podcasts. He has been named a New York Magazine "Top Doctor" from 2016–2026. Living with chronic pain? Dr. Rosenblum sees patients for interventional and regenerative pain treatment — including epidurals, nerve blocks, spinal cord & peripheral nerve stimulation, and PRP/BMAC — at his Brooklyn, NY office. Visit RosenblumPain.com for more information. For Physicians & APPs — Continue Your Education: CME Course Calendar: https://www.nrappain.org/pages/upcoming-pain-management-conferences Virtual Pain Fellowship: https://www.nrappain.org/bundles/Virtual-Pain-Fellowship PainExam Board Prep: https://www.nrappain.org/pages/pain-management-cme-couåçrses This episode is brought to you by NRAP Academy and PainExam — visit www.NRAPpain.org for CME in neuromodulation, regional anesthesia, and pain medicine.

Ketamine clinics have exploded worldwide, offering low-dose intravenous infusions for chronic pain patients who've run out of options. But is this practice actually backed by evidence, or has off-label use outpaced the science? In this episode of the PainExam Podcast, Dr. David Rosenblum reviews the current literature on subanaesthetic-dose ketamine infusions (SDKIs) for chronic pain, drawing on the 2023 British Journal of Pain review by Harry M. Griffiths, "Low-dose ketamine infusions for chronic pain management: Does this qualify as evidence-based practice?" Topics covered: Why conventional analgesics (opioids, anticonvulsants, antidepressants) fail in 60–70% of chronic pain patients How ketamine works as an NMDA receptor antagonist, and why that mechanism is likely an oversimplification Typical SDKI dosing (~0.35–0.5 mg/kg) versus anesthetic dosing, and why the IV route dominates the evidence base What the meta-analyses actually show: modest, time-limited pain reduction (mean difference around -1.83 on a 0–10 scale) with higher efficacy but more side effects at higher doses Key trials — Corriger et al.'s 1-year follow-up (256 patients), Orhurhu et al.'s systematic review and meta-analysis, and smaller RCTs in CRPS, fibromyalgia, and ischemic limb pain Common side effects (nausea, psychomimetic symptoms) versus rare but serious adverse events (hepatic, cardiac, urogenital) — and how dose and premedication with clonidine/midazolam affect risk Why blinding failure (up to 93% of patients correctly guessing their treatment in one trial) may be inflating reported effect sizes The absence of standardized protocols, guidelines, or a clear "exit strategy" for patients on long-term SDKI therapy What needs to happen next: larger multicenter RCTs, ketamine clinic registries, and better outcome measures beyond simple pain scores Bottom line: SDKIs offer a promising but still under-evidenced option for refractory chronic pain — reserved for the right patient, with modest expectations and careful monitoring. Reference: Griffiths HM. Low-dose ketamine infusions for chronic pain management: Does this qualify as evidence-based practice? Br J Pain. 2023;17(5). https://journals.sagepub.com/doi/full/10.1177/20494637231182804 Show Image About the Host David Rosenblum, MD is Director of Pain Management at Maimonides Medical Center and Co-Owner/Clinic Director of AABP Integrative Pain Care and Wellness in Brooklyn, NY. Dual board-certified in Anesthesiology and Pain Medicine, he is a co-author of the ASIPP Peripheral Nerve Stimulation (PNS) guidelines and a widely recognized educator in regenerative pain medicine (PRP, BMAC, amniotic therapies). As founder of NRAP Academy, he has trained 3,500+ physicians for pain board certification since 2008, and hosts the PainExam, AnesthesiaExam, and PMRExam podcasts. He has been named a New York Magazine "Top Doctor" from 2016–2026. Living with chronic pain? Dr. Rosenblum sees patients for interventional and regenerative pain treatment — including epidurals, nerve blocks, spinal cord & peripheral nerve stimulation, and PRP/BMAC — at his Brooklyn, NY office. Visit RosenblumPain.com for more information. For Physicians & APPs — Continue Your Education: CME Course Calendar: https://www.nrappain.org/pages/upcoming-pain-management-conferences Virtual Pain Fellowship: https://www.nrappain.org/bundles/Virtual-Pain-Fellowship PainExam Board Prep: https://www.nrappain.org/pages/pain-management-cme-couåçrses This episode is brought to you by NRAP Academy and PainExam — visit www.NRAPpain.org for CME in neuromodulation, regional anesthesia, and pain medicine.

Resident host, Dr. Wade Coomer, joins fellow resident, Dr. Toyin Thompson, and medical student, Surya Indukuri, for an interview with the Chair of ASA's Annual Meeting Oversight Committee for 2026, Dr. Linda Shore-Lesserson. In this episode, sponsored by NorthStar Anesthesia, Dr. Lesserson takes listeners behind the scenes for a peek at ANESTHESIOLOGY 2026 planning as she shares advice on expectations, priorities, and what trainees can gain from the meeting. Recorded July 2026. 

A recently identified genetic mutation, passed down on the maternal line, can cause otherwise healthy patients to develop severe and often permanent neurological injury after routine sevoflurane exposure. This episode breaks down the underlying mitochondrial mechanism, why TIVA with propofol is the safer anesthetic strategy, and the family history red flags every provider should be screening for.A newly identified genetic mutation that turns routine sevoflurane exposure into catastrophic, permanent neurological injuryThe mitochondrial mechanism behind it, and why some patients have zero reserve capacity to absorb the hitWhy TIVA with propofol becomes the clear anesthetic choice once you understand what spares Complex ISource: Sanz-Pons J, et al. "Effects of a Mitochondrial Genetic Variant on Sevoflurane Hypersensitivity." Anesthesiology 2026;144:1286–98.FREE RESOURCE FOR THIS EPISODE:GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.MORE FREE STUDY RESOURCES:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageMalignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page referenceWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.Mentioned in this episode:

Editor's Choice:  Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: 2026 updateEditorial: The evolving landscape of personalized perioperative care: A commentary on the 2026 ERAS® Gynecologic oncology guidelinesHosted by: Sean C. Dowdy, MD; Division of Gynecologic Oncology, Mayo Clinic College of Medicine, Rochester, MN, USAFeaturing: Gregg Nelson, MD, PhD; Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, CanadaRichard D. Urman, MD; Department of Anesthesiology, The Ohio State University Wexner Medical Center and College of Medicine, Columbus, OH, USAOlle Ljungqvist, MD, PhD; Department of Molecular Medicine & Surgery, Karolinska Institutet, Stockholm, SwedenCheck out more content on the journal's homepage  at https://www.gynecologiconcology-online.net

If you've ever heard “it's just pressure” during a C-section and felt your gut twist, you're not alone, and it may be a patient safety issue hiding in plain sight. We sit down with Dr. Ruthi Landau, the Virginia Apgar Professor of Anesthesiology and Director of Obstetric Anesthesiology at Columbia University, to get practical about what patients actually feel during cesarean delivery anesthesia and what we can do when those sensations become uncomfortable.We talk through why labeling sensations as pressure versus pain misses the point, and why the better clinical question is simple: “Is it uncomfortable?” From there, we unpack a safer communication loop that invites patients to speak up and gives them real choices for relief, whether that means dosing through an epidural, using IV medication, or escalating plans when neuraxial techniques are not working. We also dig into opioid-sparing strategies for C-section pain management, including multimodal non-opioid analgesia, the risks of cookie-cutter discharge prescriptions, and how shared decision-making can reduce leftover opioids at home. Finally, Dr. Landau shares current practice insights on dexmedetomidine for shivering, anxiety, and visceral discomfort, along with the evolving evidence base and dosing approaches being used today.If you care about safer cesarean delivery, obstetric anesthesia best practices, and preventing opioid-related harm, subscribe, share this with a colleague, and leave a review so more clinicians can find the conversation.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/316-safer-c-section-pain-control-revisited-part-1/© 2026, The Anesthesia Patient Safety Foundation

What does an oral and maxillofacial surgeon actually do? Most people think of wisdom teeth—but that's only a small part of the story. In this episode of Stay Healthy Knoxville, Dr. John-Mark Chesney sits down with Dr. Josh Manuel of Knoxville Oral & Maxillofacial Surgery to explore the broad scope of oral and maxillofacial surgery and how it impacts patients of all ages. Together, they discuss: What an oral and maxillofacial surgeon does beyond wisdom teeth Dental implants and modern advances in oral surgery TMJ disorders and when conservative treatment vs. surgery is appropriate The collaborative role between oral surgeons, dentists, and physical therapists Hospital trauma care, facial injuries, and oral pathology Training the next generation of oral surgeons Common misconceptions about oral surgery and anesthesia Dr. Manuel's best advice for staying healthy Whether you're dealing with jaw pain, considering dental implants, wondering about wisdom teeth, or simply interested in learning more about this unique surgical specialty, this episode provides valuable insights into one of healthcare's most diverse fields. About Dr. Josh Manuel Dr. Josh Manuel joined Knoxville Oral & Maxillofacial Surgery in 2019 after completing his oral and maxillofacial surgery residency at the University of Texas Medical Branch in Galveston, Texas. He earned his Doctor of Dental Surgery from the University of Tennessee Health Science Center and his undergraduate degree in Microbiology and Business from East Tennessee State University. Dr. Manuel is board certified by both the American Board of Oral and Maxillofacial Surgery and the National Dental Board of Anesthesiology. www.knoxoms.com 865-584-6207   If you enjoyed this episode, be sure to subscribe, leave a review, and share it with someone who wants to live a healthier, more active life. Stay Healthy Knoxville is a podcast dedicated to connecting our community with local healthcare experts and providing practical, evidence-informed conversations to help you stay healthy, active, and informed.

Dr. Kiran Patel shares a story of a post-surgical continued spine pain patient that gets relief after having a dorsal root ganglion stimulation procedure. Kiran V. Patel, MD is a global leader in neuromodulation and interventional pain, widely recognized for advancing dorsal root ganglion (DRG) stimulation in clinical practice and physician education. She is board-certified in Anesthesiology and Pain Medicine and serves as Director of Pain Medicine at Lenox Hill Hospital in New York City and Founder and CEO of the NYC Neuromodulation Center of Excellence. Dr. Patel also leads the ACGME-accredited Pain Medicine Fellowship at the Zucker School of Medicine at Hofstra/Northwell, where she is dedicated to training the next generation of interventional pain specialists. Her work focuses on advancing precision-based, function-driven care through targeted therapies and innovation in neuromodulation. A nationally and internationally sought-after educator, Dr. Patel trains physicians in advanced pain procedures and neuromodulation techniques across the globe. She also leads a robust portfolio of clinical research in neuromodulation and the integration of artificial intelligence to improve patient selection, outcomes, and care delivery. Dr. Patel serves as a Director-at-Large for the International Neuromodulation Society and has previously served on the Executive Board of the North American Neuromodulation Society (NANS) as well as the American Association of Pain Program Directors (AAPD). Her leadership has focused on advancing physician education, training standards, and the evolution of neuromodulation practice. Resources: Neuromodulation Abbott Clinic Locator Show Sponsor: The Cox 8 Table by Haven Medical

Recorded live from the IFNA World Congress in Australia, we sat down with physician and Dr. Jonathan Chejfec of the Mexican Federation of Colleges of Anesthesiology to examine one of the most significant patient safety events in recent anesthesia history. Together, they explore how healthcare can move from blame to learning, why human factors matter, and what organizations everywhere can do to build safer systems before tragedy occurs. Here's some of what you'll hear in this episode:

In this podcast, recorded at the Top Articles of 2025 Session at PEDICRITICON 2025, Dr. Traci Wolbrink interviews Drs. Ashish Agarwal and Ramesh Kumar Ramachandran about two randomized controlled trials. These studies comparing 0.9% normal saline with Ringer's lactate in diabetic ketoacidosis and the efficacy of high flow nasal cannula versus nasal prong bubble CPAP in bronchiolitis. The conversation reveals challenges in resource-limited settings, emphasizing the importance of protocol adherence, mentorship, and resource management. Valuable insights into fluid management, respiratory support, and research execution are offered for healthcare professionals keen on advancing clinical practice and research knowledge. Learning Objectives - Recognize the limitations of using normal saline in diabetic ketoacidosis - Understand the physiological benefits of balanced fluids like Ringer's Lactate - Identify the logistical challenges in conducting trials in resource-limited settings - Appreciate the role of teamwork and protocol adherence in research success AUTHORS Ashish Agarwal, MD Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India Ramachandran Rameshkumar, MD, DM, FRCPCH Division of Pediatric Critical Care, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India Pediatric Intensive Care Unit, Department of Pediatrics, Mediclinic City Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates Traci Wolbrink, MD, MPH‌ Co-Director, OPENPediatrics Senior Associate in Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: July 1, 2026. ARTICLES REFERENCED Agarwal A, Jayashree M, Nallasamy K, Dayal D, Attri SV. 0.9% Saline versus Ringer's lactate as initial fluid in children with diabetic ketoacidosis: a double-blind randomized controlled trial. BMJ Open Diabetes Res Care. 2025;13(2):e004623. https://pubmed.ncbi.nlm.nih.gov/40194836/ Maya M, Rameshkumar R, Selvan T, Delhikumar CG. High-Flow Nasal Cannula Versus Nasal Prong Bubble Continuous Positive Airway Pressure in Children With Moderate to Severe Acute Bronchiolitis: A Randomized Controlled Trial. Pediatr Crit Care Med. 2024;25(8):748-757. https://pubmed.ncbi.nlm.nih.gov/38639564/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/szcrpthcfg3w4398gkvf9ch/202606_Pedicriticon_Podcast_2025_Transcript Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Agarwal A, Rameshkumar R, Wolbrink TA. PEDICRITICON 2025: Top Articles in PICU Research. 07/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pedicriticon-2025-top-articles-in-picu-research.

Send us Fan MailCheck out my insensitive interview prep session at this link:https://events.humanitix.com/int2026 ---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Send us Fan MailCheck out the IV cannulation online course here: https://anaesthesia.thinkific.com/courses/ivcThe YouTube playlist is here: https://www.youtube.com/watch?v=T5r2NtAxg98&list=PLKoga8GNPk1VipzD8wDqvnIcVbHWgX5Qd---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.

In this World Shared Practice Forum Podcast, first authors Drs. Frances Balamuth and Chanu Rhee describe the objectives and methodology for their study “National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data” published in the March 2026 edition of JAMA. They discuss the process of modifying the Phoenix Sepsis Criteria to an electronic health record-based Pediatric Sepsis Event (PSE) definition and the methods for validating this definition. The authors share salient findings from their study, noting the limitations, and share their hopes for the future direction of sepsis surveillance research. LEARNING OBJECTIVES - Understand the derivation for the Pediatric Sepsis Event definition for electronic health record-based pediatric sepsis surveillance - Review the validation process for the Pediatric Sepsis Event definition - Compare the Pediatric Sepsis Event definition to the Phoenix Sepsis Criteria - Discuss the results and limitations of the electronic health record-based study design - Express the goals for the future direction of pediatric sepsis surveillance research AUTHORS Frances Balamuth, MD, PhD, MSCE Professor of Pediatrics, Chief of Pediatric Emergency Medicine University of Pennsylvania Perelman School of Medicine Children's Hospital of Philadelphia Chanu Rhee, MD, MPH Associate Professor of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Traci Wolbrink, MD, MPH‌ Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATE Initial publication date: June 23, 2026. ARTICLES REFERENCED Rhee C, Balamuth F, Dysart K, et al. National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data. JAMA. 2026;335(15):1321-1331. https://pubmed.ncbi.nlm.nih.gov/41865411/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/swj4kvkgg686b6p9whmbht/20260622_WSP_Rhee_and_Balamuth_Transcript Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Balamuth F, Rhee C, O'Hara JE, Wolbrink TA. National Estimates of Pediatric Sepsis. 06/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-national-estimates-of.

At Euroanaesthesia in Rotterdam, TopMedTalk hosts Andy Cumpsty and Kate Leslie speak with Denise Veelo Professor of Anesthesiology at the Amsterdam University Medical Center and Bernd Saugel Professor of Anesthesiology and Vice Chair of the Department of Anesthesiology in the Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, about two JAMA blood-pressure trials published on the same day. Veelo describes a 3,500-patient, two-center randomized trial comparing usual care (MAP 65) with more intensive, risk-stratified higher MAP thresholds (70/80/90) using a functional recovery primary outcome, stopped early for futility. Saugel outlines the 1,300-patient IMPROVE trial in 15 German centers, individualizing the lower intervention threshold to each patient's preoperative nighttime MAP versus routine MAP 65, with a 7-day composite outcome; no significant difference was found and event rates were ~30%. They conclude routine targeting substantially above MAP 65 is not supported for broad populations, note special circumstances may differ, and they discuss limitations, vasopressor-heavy practice, and future research including the ASPIRE 85 delirium-focused trial and work on autoregulation and physiology. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Send us Fan MailSee the full article here:https://www.sciencedirect.com/science/article/pii/S0007091226002588?dgcid=coauthor---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.

At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026

In this World Shared Practice Forum Podcast, Drs. Mark Peters and Scott Weiss provide their expert insight on the methodology and development of the 2026 International Surviving Sepsis Campaign guidelines. They discuss challenges encountered during the process and review notable changes to these guidelines compared to previous iterations. The authors share the recommendations that will most impact their personal practice for patients with sepsis, and reflect on how we can improve global research infrastructure to address salient knowledge gaps in pediatric critical care. LEARNING OBJECTIVES - Understand the design and methodology for the 2026 Surviving Sepsis Campaign guidelines - Review notable changes in the 2026 sepsis guidelines compared to the 2020 edition - Discuss the implications of the altered recommendations for clinical practice changes - Consider methods to improve global pediatric research infrastructure and data organization AUTHORS Mark Peters, MBChB, PhD, MRCP, FFICM, FRCPCH Professor of Paediatric Intensive Care NIHR Senior Investigator UCL Great Ormond St Institute of Child Health Hon. Consultant Paediatric Intensivist Paediatric Intensive Care Unit and Children's Acute Transport Service Great Ormond St Hospital Scott Weiss, MD, MSCE Professor of Pediatrics and Pathology & Genomic Medicine, Division Chief of Critical Care, Vice-Chair of Research for the Department of Pediatrics, Nemours Children's Hospital, Sidney Kimmel Medical College at Thomas Jefferson University Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: May 26, 2026. ARTICLES REFERENCED & ADDITIONAL REFERENCES - Weiss SL, Peters MJ, Oczkowski SJW, et al. Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026. Pediatr Crit Care Med. 2026;27(4):379-434. https://pubmed.ncbi.nlm.nih.gov/41869844/ - Balamuth F, Weiss SL, Long E, et al. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026. https://pubmed.ncbi.nlm.nih.gov/42028918/ - Weiss SL, Balamuth F, Long E, et al. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials. 2021;22(1):776. Published 2021 Nov 6. https://pubmed.ncbi.nlm.nih.gov/34742327/ - Steven Pinker "Enlightenment Now” - https://stevenpinker.com/publications/enlightenment-now-case-reason-science-humanism-and-progress - Blood Poison: The Untold Story of Sepsis - https://amplifypublishinggroup.com/product/nonfiction/health-medicine-and-wellness/general-health-medicine-and-wellness/blood-poison/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/r9q8w9vhsbpg7wwzn35kbmz/202605_WSP_Peters_and_Weiss_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge among healthcare providers worldwide who care for critically ill children across all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Peters MJ, Weiss SL, O'Hara J, Burns JP. Pediatric Surviving Sepsis: Insights From the Leadership. 05/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-surviving-sepsis-insights-from-the-leadership-by-m-peters-s-weiss-openpediatrics.

Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamFinal exam peper 2025.2 VIVA 4Viva StemYou are providing anaesthesia in the interventional radiology suite of your major hospital. On the list is a 22 year old woman who requires a CT-guided biopsy of a left renal mass that was discovered incidentally on abdominal imaging. The patient was admitted today for the procedure and is accompanied by her parents who are her legal guardians and carers. A postoperative bed has been booked for the patient.Medical HistorySevere cerebral palsy- spastic quadriplegia- moderate intellectual disabilityRecurrent aspiration pneumonia- severe gastro-oesophageal reflux- oropharyngeal dysphagia- gastrostomy feeding tube (feeds ceased for six hours)Anxiety- distress with medical proceduresEpilepsyMedications - Baclofen 10 mg tds - Levetiracetam 1000 mg bd- Pantoprazole 40 mg once dailyAllergies- Nil knownObservations- height 155 cm - estimated weight 40 kg estimated - (BMI approx. 16.6 kg/m2) - HR 90 bpm- BP 95/55 mmHg- SpO2 96% on room airPreoperative Investigations- Blood test results are normal- Blood Group and Hold has been conductedWhat are your specific considerations when planning anaesthesia care for this patient?---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.PerOral Endoscopic Myotomy Failed intubation | Final Exam Viva

From the World Congress of Anesthesiologists in Marrakech, TopMedTalk hosts Mike Grocott and Kate Leslie discuss perioperative cardiac risk assessment with Hilary Grocott, Professor and Head of, The Department of Anesthesiology, Pharmacology & Therapeutics (University of British Columbia) and Michelle Chew Professor of Anesthesiology and Intensive Care Medicine at Karolinska Institutet, Stockholm, Sweden, and editor for the British Journal of Anaesthesia. The conversation reviews perioperative cardiac biomarkers, noting abundant prognostic data but limited evidence for biomarker-led management. The discussion emphasizes that elevated troponins can reflect non-cardiac complications (AKI, PE, sepsis) as well as myocardial injury or heart failure, requiring context-specific follow-up pathways. The group highlights NT-proBNP as a specific marker for heart failure and useful for screening and optimization. The podcast then focuses on pulmonary hypertension and failing right ventricle: detect via history, exam, echo, and biomarkers; prioritize preemptive preparation, arterial beat-to-beat monitoring, modest fluids, early vasopressors/inotropes (norepinephrine, low-dose epinephrine), ventilatory optimization, and vigilant, rapid intervention. If you enjoyed this piece there's a fantastic Perioperative Profile with Michelle Chew you can hear here: https://topmedtalk.libsyn.com/perioperative-profiles-professor-michelle-chew-on-seizing-opportunities-in-anaesthesia-research-editing-and-guideline-work -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

In this episode of The Cardiac Recovery Room, moderator Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, spoke with Dr. Nadia Hensley, Associate Professor and Physician Advisor for Anesthesiology and Critical Care Medicine at John Hopkins School of Medicine; Dr. Nawwar Al-Attar, consultant cardiac surgeon at NHS Golden Jubilee National Hospital in Scotland; and Dr. Serdar Gunadyin, Head of Department at the University of Health Sciences in Turkey. The focus of their conversation was on surgical bleeding. Chapters  00:00 Intro  02:35 Case 1, Diffuse Coagulopathy  03:26 Bleeding Scale  08:13 Team-Wide Bleeding Language  11:07 Alternative Approaches  14:09 Standardizing Test Results Response  18:04 No Access to Visoelastic Testing  19:55 Topical Hemostatic Agents  23:08 Case 2  24:14 Coagulopathy vs Surgical Bleeding  28:08 Passive Hemostatic Agent  29:10 Visoelastic Testing  31:29 Closing Points They discussed two different cases, including patient details and case specifics: one involving diffused coagulopathy and the other concerning focal bleeding. While examining these cases, they talked about hemostasis and the hemostasis checklist. They also discussed the validated intraoperative bleeding (VIBe) scale and its purposes, and the importance of being on the same page as your team. Additionally, they delved into viscoelastic testing and algorithms and addressed scenarios where access to viscoelastic testing may not be available. They also explored the thresholds for guided therapy, including functional fibrinogen levels. Lastly, the experts touched on passive hemostatic and how to teach residents coagulopathy and surgical bleeding. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamYou are the duty anaesthetist at a busy tertiary hospital. Your provisional fellow calls you forurgent assistance with an airway emergency.They have performed a rapid sequence induction and attempted to intubate a 22-year-old manfor a Per-Oral Endoscopic Myotomy (POEM) procedure for type 2 achalasia in the maintheatres.Intubation was attempted with a videolaryngoscope and hyperangulated blade. The percentageof glottic opening visible was 10% and they were unable to pass the endotracheal tube or agum elastic bougie. They were then unable to bag-mask ventilate the patient but successfullyplaced a second generation supraglottic airway. Ventilation has been restored, and greentinged fluid has been noted in the gastric port.Current observations are:HR 95 bpmBP 97/56 mmHgSpO2 90% on FiO2 1.0ETCO2 41 mmHg (5.47 kPa)TV 400 mL with a small air leakWeight 169 kgHeight 199 cmBMI 42 kg/m2Past Medical HistoryType 2 achalasiaClass III obesityAttention deficit hyperactivity disorderMild developmental delaySevere anxietyMedicationLisdexamfetamine 70 mg once dailyMelatonin 4 mg nocteDiazepam 10 mg was given orally preoperativelyAllergiesNil knownWhat are your priorities in managing this situation?---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical

if you have any feedback, please send us a text! Thank you!When Congress celebrated July 4 by enacting House Resolution 1 (known as H.R. 1 or the “One Big Beautiful Bill Act”), experts warned of massive impacts on Medicaid programs nationwide and the more than 70 million people who rely on them.H.R. 1 cut nearly $1 trillion from Medicaid, the largest funding reduction in the program's 60-year history. The nonpartisan Congressional Budget Office estimates that by 2034, as many as 10 million individuals nationwide will become uninsured as numerous new eligibility rules are imposed in Medicaid and ACA programs.The Medicaid program, known as Medi-Cal in California, covers more than half of the state's children, 2.2 million seniors and people with disabilities, 1 in 5 working Californians, and millions of other people with low incomes. H.R. 1 is expected to cut $30 billion a year in federal funding from Medi-Cal, reducing overall access to care and possibly pushing some safety net providers into dire straits, according to the California Budget and Policy Center. Up to 3.4 million state residents could lose coverage, the center said. As the uninsured population rises, more medical bills will go unpaid, cutting revenue for California's health care safety net.Join my guests today who will explain the impact this will have on rural healthcare in California and the effect on anesthesiology services. Charley Yan is a fourth-year medical student at UC Davis with a background in Medicaid policy. Before medical school, he helped drive California's Medicaid expansion efforts and has since analyzed coverage and safety-net policies across multiple states.Mary Morales is an anesthesiologist at Stanford. She is the current vice chair of the CSA Justice, Equity, Diversity, and Inclusion committee (JEDI). Naileshni Singh (pronounced Na-Lesh-Knee Sing) is a pain interventionalist with a background in Anesthesiology from the University of California, Davis.  She is the current chair of the California Society of Anesthesiologist's Justice, Equity, Diversity, and Inclusion committee (JEDI).   Resources:https://csahq.org/2025/09/02/federal-funding-cuts-threaten-rural-californias-health-anesthesia-care/https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/ 

In this episode, I'm joined by Dr. Tejal Raju to discuss chronic pain, inflammation, joint pain, and the role that plant-based nutrition can play in supporting overall health and pain management. Dr. Raju is a double board-certified interventional pain physician in Anesthesiology and Pain Management who has been serving rural Southwest Virginia for over 14 years. In addition to her clinical work, she teaches medical, physician assistant, and resident trainees through her academic appointments at the Edward Via College of Osteopathic Medicine and Radford University Carilion. For over a decade, Dr. Raju has followed a plant-based lifestyle and is passionate about the role of nutrition in reducing inflammation and supporting long-term health. She also shares evidence-based nutrition and lifestyle content through her Instagram platform, Fork Over the Pain. In this conversation, we discuss: What chronic pain conditions she sees the most The connection between inflammation and pain Common chronic pain and joint conditions The role of plant-based nutrition in reducing inflammation Fibre, gut health, and why most people are not getting enough How lifestyle approaches can work alongside conventional medicine Connect with Dr. Raju on her website tejalrajumd.com and her Instagram @forkoverthepain. ____________________________________________________________________ Vegan Boss Radio is hosted by Shawna Barker, a nutritionist with over 12 years of experience, sharing evidence-based insights on plant-based nutrition, health, and vegan living. ____________________________________________________________________

In this World Shared Practice Forum Podcast, Drs. Briseida Mema and Wynne Morrison share their journeys into medical humanities, and reflect on the principles of narrative writing that resonate with healthcare workers. They explore how mentorship in narrative writing evolves through fostering connections and leads to community-building. The authors discuss the qualities of effective narrative pieces and share examples of impactful work on their professional practice. LEARNING OBJECTIVES - Understand the role of medical humanities in healthcare practice - Discuss community building and mentorship in narrative writing - Review narrative medicine examples and their impact on professional identity AUTHORS Briseida Mema, MD, MHPE Professor, Staff Physician University of Toronto, Hospital for Sick Children Wynne Morrison, MD, MBE Professor, Departments of Anesthesiology and Critical Care and Pediatrics Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: April 28, 2026. REFERENCES - Morrison WE. A PCCM Narrative, in Verse. Pediatr Crit Care Med. 2022;23(10):836-837. - Healy LI, Helmers A, Mema B. Vulnerability through art: a path forward. Intensive Care Med. 2025;51(7):1380-1383. - https://niallwilliams.com/pages/this-is-happiness - https://www.middlebury.edu/writers-conferences/writers-conference - https://www.penguinrandomhouse.com/books/743358/on-call-by-anthony-fauci-md/ - https://www.penguinrandomhouse.com/books/183598/cutting-for-stone-by-abraham-verghese/ - https://en.wikipedia.org/wiki/Fathers_and_Sons_(novel) - https://www.poetryfoundation.org/poets/eavan-boland TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/2p43kr4k2546gzw3qr75n/20260417_WSP_Mema_and_Morrison_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Mema B, Morrison W, Burns JP. Reflection and Community Building Through Narrative Writing. 04/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/reflection-and-community-building-through-narrative-writing-by-b-mema-et-al.

8:05PM: Excessive Napping May Be a Warning Sign of Underlying or Developing Health Conditions in Older Adults. What your napping habits could reveal… Guest: Dr. Chenlu Gao (pronounced CH-EN-LOU – G-AH-OW) – lead author of the study & an investigator in the Department of Anesthesiology in the Mass General Brigham, who is also an affiliated research fellow in the Division of Sleep and Circadian Disorders in the Department of Medicine 8:15PM: Project Bread's Walk for Hunger Returns to Boston Common Sunday, May 3rd. Now in its 58th year, the event draws participants for a family-friendly 3-mile loop as well as virtual walkers across the Commonwealth and country to raise $1 million annually to support Project Bread’s work connecting children and families across Massachusetts to reliable, nutritious food. Guest: Erin McAleer – CEO of Project Bread 8:30PM: The broader employment landscape in the veteran community. What types of options are available for our veterans when they finish their service? Guest: Chris Newsome - SVP Government Services & US Army Veteran with RecruitMilitary 8:45PM: Somerville rolls out tools and tips to tackle rodent activity head on! This week is “DeRATification” Week for taking on Somerville Rats! Guest: Somerville Mayor Jake WilsonSee omnystudio.com/listener for privacy information.

Join Dr. Megha Karkera Kanjia who discusses safety frameworks and how they can improve systems thinking!

In this episode, Dr. Hemal Patel explores how cellular energetics and membrane biology play a central role in health, resilience, and disease. He explains that the cell membrane is not just a barrier, but a dynamic and intelligent system that organizes signaling, regulates energy, and may even influence aging.Dr. Patel shares insights into:How mitochondria and membranes work together to control energy productionThe role of circadian rhythms and cellular “oscillations” in maintaining healthWhy aging and chronic disease may begin with membrane breakdownHow communication across the body may be driven through the blood as a signaling systemA major focus of the conversation is MeScreen, a novel test designed to assess mitochondrial function using a simple blood sample. By exposing lab-grown cells to a person's plasma, MeScreen evaluates how their internal biochemical environment influences energy production, oxidative stress, and mitochondrial resilience.The episode highlights a key shift in thinking:Health isn't just about individual organs or genes, but about how systems communicate, adapt, and maintain energy balance over time.Neuroveda Health patients receive $250 off when ordering through the clinic. For those ordering independently, MeScreen is offering $200 off at MeScreen.com using code NEUROVEDA.https://mescreen.com/products/mescreen-mitochondrial-function-test-healthcare-provider-consultBio: Dr. Hemal Patel is a tenured professor and Vice-Chair for Development and Advancement in the Department of Anesthesiology at the University of California, San Diego. He also serves as a VA Research Career Scientist and Pharmacologist at the VA San Diego Healthcare System and is Chief Advisor for Versea Discovery. With a PhD in Pharmacology and Toxicology, his research focuses on how cell membranes and energetics shape human health, aging, and disease, with implications across cardiovascular, metabolic, neurodegenerative, and chronic conditions.

Parents and clinicians are often faced with an important question: is anesthesia safe for young children? In this episode, medical student Kaavya Gudapati is joined by Dr. Maria Valeria Carrasquero and Dr. Ana Mavarez to review the current evidence on anesthesia exposure and the developing brain, and to provide practical guidance for clinical decision-making and family counseling. Specifically, they will: Review the FDA warning regarding repeated or prolonged anesthesia exposure in children under 3 years of age Compare key findings from animal studies and human clinical trials Summarize major studies including PANDA, MASK, and GAS Discuss strategies for counseling families and addressing parental concerns Identify considerations for timing of elective versus urgent procedures Review approaches to minimize exposure and explore potential neuroprotective strategies Special thanks to Dr. Heather Byrd and Dr. Rebecca Yang for peer reviewing this episode. CME available free with sign up: Link coming soon! References: 1. Vinson AE, Houck CS. Neurotoxicity of Anesthesia in Children: Prevention and Treatment. Curr Treat Options Neurol 2018; 20:1–10. https://doi.org/10.1007/S11940-018-0536-Z/TABLES/1. 2. Hansen TG. Anesthesia-related neurotoxicity and the developing animal brain is not a significant problem in children. Pediatric Anesthesia 2015; 25:65–72. https://doi.org/10.1111/PAN.12548. 3. O'Leary JD. Human Studies of Anesthesia-Related Neurotoxicity in Children: A Narrative Review of Recent Additions to the Clinical Literature. Clin Perinatol 2019; 46:637–45. https://doi.org/10.1016/j.clp.2019.08.001. 4. FDA Drug Safety Communication: FDA review results in new warnings about using general anesthetics and sedation drugs in young children and pregnant women | FDA n.d. https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-review-results-new-warnings-about-using-general-anesthetics-and (accessed August 28, 2025). 5. FDA Drug Safety Communication: FDA approves label changes for use of general anesthetic and sedation drugs in young children | FDA n.d. https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-approves-label-changes-use-general-anesthetic-and-sedation-drugs (accessed August 28, 2025). 6. SmartTots. SmartTots consensus statement on the use of anesthetic and sedative drugs in infants and toddlers.Published 2015. Updated 2017. Accessed September 17, 2025. https://smarttots.org 7. Sun LS, Li G, Miller TLK, Salorio C, Byrne MW, Bellinger DC, et al. Association between a single general anesthesia exposure before age 36 months and neurocognitive outcomes in later childhood. JAMA - Journal of the American Medical Association 2016; 315:2312–20. https://doi.org/10.1001/JAMA.2016.6967. 8. Warner DO, Zaccariello MJ, Katusic SK, Schroeder DR, Hanson AC, Schulte PJ, et al. Neuropsychological and behavioral outcomes after exposure of young children to procedures requiring general anesthesia: The mayo anesthesia safety in kids (MASK) study. Anesthesiology 2018; 129:89–105. https://doi.org/10.1097/ALN.0000000000002232. 9. McCann ME, Berde C, Soriano S, Marmor J, Bellinger D, de Graaff JC, et al. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicenter, randomised controlled equivalence trial. Lancet 2019; 393:664. https://doi.org/10.1016/S0140-6736(18)32485-1. 10. Davidson AJ, Disma N, de Graaff JC, Withington DE, Dorris L, Bell G, et al. Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): An international multicentre, randomised controlled trial. The Lancet 2016; 387:239–50. https://doi.org/10.1016/S0140-6736(15)00608-X. 11. Reighard C, Junaid S, Jackson WM, Arif A, Waddington H, Whitehouse AJO, et al. Anesthetic Exposure During Childhood and Neurodevelopmental Outcomes: A Systematic Review and Meta-analysis. JAMA Netw Open 2022;5: e2217427. https://doi.org/10.1001/JAMANETWORKOPEN.2022.17427. 12. Jadhav U, Bhanushali J, Sindhu A, Shiv Kiran Reddy B, Toshniwal A, Rashmika M. A Comprehensive Review of Pediatric Obstructive Sleep Apnea: From Assessment to Intervention 2025. https://doi.org/10.7759/cureus.78051. 13. Andropoulos DB. Neuroprotective strategies in anesthesia-induced neurotoxicity. Best Pract Res Clin Anaesthesiol 2023; 37:52–62. https://doi.org/10.1016/J.BPA.2022.11.005. 14. Ji F, Sun J, Sun L, et al. Effects of Dexmedetomidine and Remifentanil on Neurodevelopmental Outcomes After Sevoflurane Anesthesia in Infants: A Randomized Clinical Trial. Anesthesiology. 2025. 143(4), 827–834. https://doi.org/10.1097/ALN.0000000000005634 15. Saynhalath, R, Disma, N, Taverner, FJ et al. on behalf of the TREX (Trial Remifentanil DEXmedetomidine) Consortium. Short-term Outcomes in Infants after General Anesthesia with Low-dose Sevoflurane/Dexmedetomidine/Remifentanil versus Standard-dose Sevoflurane (the TREX Trial). Anesthesiology 141(6): p 1075-1085, December 2024. | DOI: 10.1097/ALN.0000000000005232 16. Ing C, Warner DO, Sun LS, Flick RP, Davidson AJ, Vutskits L, McCann ME, O'Leary J, Bellinger DC, Rauh V, Orser BA, Suresh S, Andropoulos DB. Anesthesia and Developing Brains: Unanswered Questions and Proposed Paths Forward. Anesthesiology. 2022 Mar 1;136(3):500-512. doi: 10.1097/ALN.0000000000004116. PMID: 35015802.

if you have any feedback, please send us a text! Thank you!Dr. Ludwig Lin (@LudwigLin) of CSA's Vital Times Podcast catches up with one of the Match 2026 viral stars - Shay Taylor Allen (@Shayy.Taylor), a MS4 at Howard University School of Medicine, whose clip of herself jumping up and down in celebration when she matched to her first choice of Yale Anesthesiology Residency. As the first episode in a CSA Vital Times podcast arc about job crafting within Anesthesiology, Drs. Lin and Taylor Allen talk about her journey through life and medicine, and the important mentors, allies and champions who helped her innate resilience in clarifying and achieving her goals. #Jobcrafting #ShayTaylorAllen

On the heels of the weekend premiere of her new CNN series, “Kara Swisher Wants To Live Forever,” Kara brings together a panel of experts to talk more about longevity, anti-aging, and the money that's pouring into the wellness industry. Katie Couric is a journalist. She's also been a longtime advocate for early cancer screenings since her first husband died of colon cancer and she was diagnosed with breast cancer.  Amy Larocca is an award-winning journalist and author of the book, “How To Be Well: Navigating Our Self-Care Epidemic, One Dubious Cure At A Time.”  And Kara's brother, Dr. Jeffrey Swisher, is chairman of the Department of Anesthesiology at California Pacific Medical Center in San Francisco. He recently caught a so-called “widowmaker” heart attack before it happened, and his wife has also been diagnosed with stage 3 colon cancer. Kara, Katie, Amy and Jeff talk about the explosion of health misinformation online and why people have become so skeptical of medical experts. They also talk about the promising health care science on the horizon and the real secrets to living a long, happy life.  Questions? Comments? Email us at on@voxmedia.com or find us on YouTube, Instagram, TikTok, Threads, and Bluesky @onwithkaraswisher. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Part two of our retrospective on TopMedTalk's coverage of last year's fascinating ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part two of a two part piece. Part 1 is here: https://topmedtalk.libsyn.com/anesthesiology-2025-digest-part-1 This podcast contains clips and discussion from the following podcasts in our free archive: Exciting news from Desiree Chappell https://topmedtalk.libsyn.com/exciting-news-from-desiree-chappell Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/innovations-in-anesthesia-ge-healthcares-advanced-solutions-at-anesthesiology-2025 Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-the-future-of-perioperative-care-insights-from-anesthesiology-2025 Perioperative Profile, Steven Shafer https://topmedtalk.libsyn.com/perioperative-profile-steven-shafer Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/optimizing-pediatric-blood-health-insights-from-anesthesiology-2025 Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/exploring-viscoelastic-testing-and-patient-blood-management-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Enhancing Research and Publishing in Obstetric Anesthesia https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-enhancing-research-and-publishing-in-obstetric-anesthesia Understanding Medical Errors: Cognitive Basis and Systemic Solutions at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/understanding-medical-errors-cognitive-basis-and-systemic-solutions-at-anesthesiology-2025 Insights from ANESTHESIOLOGY® 2025: Surgical Site Infections, Oxygen Therapy, and Thermoregulation https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-surgical-site-infections-oxygen-therapy-and-thermoregulation Advancing Patient-Centered Monitoring Outcomes ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/advancing-patient-centered-monitoring-outcomes-anesthesiology-2025 Adrian Gelb on Neuroanesthesia, Global Patient Safety, and WFSA-WHO International Standards https://topmedtalk.libsyn.com/adrian-gelb-on-neuroanesthesia-global-patient-safety-and-wfsa-who-international-standards -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

For years, Dr. Kelly Victory warned of the dangers of mRNA shots, only to be censored and criticized by her peers as an “anti-vaxxer”. But today, the receipts are in: a Senate investigation revealed federal health officials intentionally buried vaccine stroke risks in seniors, alongside a groundbreaking study showing clinical benefits of “the I word” medication and Mebendazole in cancer patients. Dr. Kelly Victory returns to Ask Dr. Drew to break down the latest bombshell medical reports, the media's new “Bird Flu” fear campaign, and the truth about embalmers' clots found after mRNA shots. Dr. Jessica Duncan (Chief Medical Officer at Ivim Health) joins to discuss the MAHA movement, why the FDA is severely restricting critical peptide research, and the urgent need for real nutrition education in modern medical schools. Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company and a trauma and emergency specialist with over 30 years of experience. She is a contributing author of “Toxic Shot: Facing the Dangers of the COVID Vaccines.” Find more at https://x.com/DrKellyVictory Dr. Jessica Duncan, MD, DABOM, DABA, is a board-certified obesity medicine physician and Chief Medical Officer at Ivim Health. She holds board certifications from the American Board of Obesity Medicine and the American Board of Anesthesiology, with an undergraduate degree from Georgetown University, Cum Laude. Learn more at https://instagram.com/doctorjessica.md and find Ivim Health at https://ivimhealth.com 「 SUPPORT OUR SPONSORS 」 • STRONG CELL – If you want to feel more like your younger self, go to https://strongcell.com/ and use code DREW for 20% off. • AUGUSTA PRECIOUS METALS – Thousands of Americans are moving portions of their retirement into physical gold & silver. Learn more in this 3-minute report from our friends at Augusta Precious Metals: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/gold⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or text DREW to 35052 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hosted By • Dr. Drew Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

A look back on the TopMedTalk coverage of last year's incredible ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part one of a two part piece. Featuring clips and discussion from the following podcasts: Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz https://topmedtalk.libsyn.com/pediatric-airway-management-advances-insights-from-annery-garcia-marcinkiewicz The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/the-center-for-anesthesia-workforce-studies-at-the-asa-2025 Understanding Anesthesia Information Management Systems with Dr. David Kennedy https://topmedtalk.libsyn.com/understanding-anesthesia-information-management-systems-with-dr-david-kennedy Transforming Pain Medicine: An Insight into the Pain Medicine Coalition https://topmedtalk.libsyn.com/transforming-pain-medicine-an-insight-into-the-pain-medicine-coalition Clinical Readiness and Training Affiliation in Army Anesthesiology https://topmedtalk.libsyn.com/clinical-readiness-and-training-affiliation-in-army-anesthesiology Navigating Governance in Anesthesiology Groups: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/navigating-governance-in-anesthesiology-groups-insights-from-asa-2025 Anesthesiology Economics: Current Trends and Future Directions https://topmedtalk.libsyn.com/anesthesiology-economics-current-trends-and-future-directions Insights on the Future of Anesthesia Quality Improvement with AQI https://topmedtalk.libsyn.com/insights-on-the-future-of-anesthesia-quality-improvement-with-aqi Insights from ANESTHESIOLOGY® 2025: New Guidelines for Anesthesiology in Older Adults https://topmedtalk.libsyn.com/insights-from-anesthesiology-2025-new-guidelines-for-anesthesiology-in-older-adults Nitrous Oxide as a Treatment for Severe Depression: Insights from ANESTHESIOLOGY® 2025 https://topmedtalk.libsyn.com/nitrous-oxide-as-a-treatment-for-severe-depression-insights-from-anesthesiology-2025 -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

By their 4th year of medical school, most students have chosen one specialty - one path forward. But what if the career you actually want doesn't fit neatly into a single box? For students drawn to both the fast-paced, undifferentiated world of emergency medicine and the physiology- and pharmacology-driven world of anesthesiology, there was once a fork in the road. Now for some, that fork may not have to exist. In this episode, we explore one of the most unique medical training pathways: combined emergency medicine and anesthesiology residency. What does it look like to train in two specialties at once? How do the two skill sets complement each other, and what kind of career options open up on the other side? To learn about this, we spoke to Dr. David Leon, an anesthesiologist and emergency medicine physician at UC Davis Health in Sacramento, California.Episode produced by: Griffin K JohnsonEpisode recording date: 12/05/2025

In this World Shared Practice Forum Podcast, Drs. Luregn Schlapbach and Janet Kelly-Geyer discuss the implementation and impact of the Airway, Breathing, Circulation - Plan, Risk, Options (ABC-PRO) handover tool in the Pediatric Intensive Care Unit. They discuss how a structured, proactive risk assessment during clinical handovers can reduce cardiac arrest rates and improve patient outcomes. They share perspectives on enhancing team situational awareness by anticipating high-risk events, identifying management strategies, and encouraging multidisciplinary participation in anticipatory care. Lastly, they highlight how the ABC-PRO framework advances overall patient safety in critical care settings. LEARNING OBJECTIVES - Understand the ABC-PRO tool's function in reducing cardiac arrests and enhancing safety - Examine bedside team-based discussions around key patient risks during handovers using the ABC-PRO tool - Recognize the significance of interdisciplinary collaboration in patient management - Assess the potential for implementing similar handover improvements in diverse healthcare settings AUTHORS Luregn Schlapbach, MD, PhD Professor in Pediatric Intensive Care, Head of Department of Intensive Care and Neonatology, University Children`s Hospital Zurich Janet Kelly-Geyer, MBChB Senior PICU Consultant University Children's Hospital Zurich Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: March 24, 2026. ARTICLES REFERENCED - Catchpole KR, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth. 2007;17(5):470-478. doi:10.1111/j.1460-9592.2006.02239.x - Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556 - Riley CM, Diddle JW, Harlow A, et al. Shifting the Paradigm: A Quality Improvement Approach to Proactive Cardiac Arrest Reduction in the Pediatric Cardiac Intensive Care Unit. Pediatr Qual Saf. 2022;7(1):e525. Published 2022 Jan 21. doi:10.1097/pq9.0000000000000525 - Spaeder MC, Lee L, Miller C, Keim-Malpass J, Harmon WG, Kausch SL. Incidence of cardiac arrest following implementation of a predictive analytics display in a pediatric intensive care unit. Resusc Plus. 2025;21:100862. Published 2025 Jan 2. doi:10.1016/j.resplu.2024.100862 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/f7xr7vcxc6f4mhc9736tzpb/202603_WSP_Schlapbach___Kelly-Geyer_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Schlapbach LJ, Kelly-Geyer JF, Burns JP. Reducing Cardiac Arrests in the PICU with ABC-PRO. 03/2026. OPENPediatrics. Online Podcast.

Procedural Supervision with Drs. Zoe Brown and Sarah Chehab

Basics of Research: Data Interpretation with Proshad Efune, MD, MSCS

Ten Tips on How to Give a Great Scientific Presentation with Debnath Chatterjee, MD, FAAP

Medication Errors: Recognition and What to Do When They Happen with Joanna Rosing Paquin, MD

Professional Development with Stephanie A. Black, MD, EdM

At the ANESTHESIOLOGY® 2025 meeting in San Antonio, TopMedTalk hosts Andy Cumpstey and Kate Leslie interviewed Professor of Anesthesia and Perioperative Care at University of California, San Francisco, Adrian Gelb, this year's Ellison Pierce Lecturer. Dr Gelb recounts training in South Africa, work in England and Canada, and how he was steered into neuroanesthesia at a high-volume cerebral aneurysm center, becoming engaged by understanding surgical outcomes and encouraging trainees to learn the operative field. He describes developing global health interests, joining the World Federation of Societies of Anaesthesiologists (WFSA) through Alan Merry and others, and progressing from the patient safety committee to WFSA president. Gelb outlines updating WFSA standards with WHO involvement, emphasizing additive "minimum" requirements (e.g., oxygenation and pulse oximetry) and clarifying differences among policies, guidelines, and legally binding standards, urging implementation-focused sequencing. He also highlights AI's potential to advance decision-making, documentation, data, and feedback. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Hello and welcome to the SAMOPS Specialty Spotlight podcast. This podcast was created to help inform military medical students about experiences and opportunities in military medicine. We aim to interview physicians either currently in or retired from the military, from all branches of service, in various specialties.Today I have Air Force Anesthesiologist, Maj Kayla Knuf, with me to discuss her path to Anesthesia and what it looks like to be a military physician. Currently Dr. Knuf serves as Associate Program Director of the SAUSHEC Anesthesiology Residency. We hope you enjoy this honest conversation regarding Anesthesiology in the military. DISCLAIMER: All the opinions presented in this podcast are our own and do not reflect the opinions of any branch in the U.S. Military or the Department of Defense.

Intraoperative Teaching with Susan Martinelli, MD

Principles of Medical Education with Michael R. Hernandez, MD, MSHPEd

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. Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy