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The SHYA: 2nd Edition podcast is a peer-to-peer learning resource in anesthesia, and the primary purpose is to share the things I learn with you as an anesthesia resident. This podcast will be most useful to anesthesia trainees (e.g. residents, medical students, and SRNAs). The main educational component of this podcast will be episodes on anesthesia considerations for various procedures and diseases, so you could get HY information on these things in order to come up with your anesthetic pl ...
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In this episode, we will discuss various non-opioid analgesics: NSAIDs General Characteristics (1:06) Propionic Acid (Ibuprofen & Naproxen) (10:59) Acetic Acid Derivatives (Indomethacin, Diclofenac, & Ketorolac) (12:56) COX-2 Inhibitors (Celecoxib) (18:08) Acetaminophen (19:52) --- Shownotes:https://drive.google.com/file/d/1TI4_iS-mMNNFHFdB…
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In this episode we will discuss non-opioid perioperative infusions to augment pain control Ketamine (1:15) Lidocaine (6:02) Naloxone (7:49) Magnesium (10:07) Alpha 2 Agonists (11:36) --- Shownotes:https://drive.google.com/file/d/1_ZaQ5li14nIqIPgoMiINIWHkMaacAi4R/view?usp=drive_link --- Website: https://superhighyieldanesthesia2nd.wo…
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In this episode we will continue our discussion on major opioids with an emphasis on practical clinical tidbits General Guidelines (1:51) Morphine Milligram Equivalents (MME) and Equianalgesic Dosing Chart (8:11) Opioid Rotation (18:41) Management of Opioid Side Effects (20:40) --- Shownotes: https://drive.google.com/file/d/1wsHabo2q1Gid0…
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In this episode we will discuss the major opioids used in pain management and the perioperative period. General Mechanism of Action (1:55) Major Opioids Overview (5:39) Morphine (7:02) Fentanyl (12:16) Hydromorphone (14:39) Alfentanil (19:23) Remifentanil (20:32) Oxycodone (27:40) Hydrocodone (30:31) Codeine (31:54) Tramadol (33:00) Methadone (34:4…
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In this episode we will continue our discussion on neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Inhibitory neurotransmitters (eg glycine, GABA, NE, serotonin, adenosine, Ach) (1:41) Neuropeptides (8:48) Central Signal Propagation and 2nd Messenger Systems (ie ion channels) …
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In this episode we will discuss the neurochemical mechanisms of somatosensory pain signaling (e.g. all the chemicals that contributes to neuronal activity). Big Ideas (3:44) Inflammatory Mediators (5:49) Excitatory Neurotransmitters and NDMA / Non-NMDA Receptors (21:57) --- Shownotes: https://docs.google.com/document/d/1zZhVtwx2VDkeO9Qlfh7UFtcaf…
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In this episode we will kick off our acute pain series by talking about the anatomy and physiology of pain signaling. Topics covered include: Somatosensation, Nociception and Pain (4:48) Sequence of Pain Signaling (7:27) Peripheral Mechanisms (11:30) Spinal Mechanisms (16:10) Second Order Nociceptive Spinal and Spinal Trigeminal Projection Neurons …
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Episode 22: The Residency Experience - Life Updates, CA-1 Year Recap, and the Grind of CA-2 Year
1:48:41
1:48:41
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1:48:41
In this episode, I bring back Drs. Kenneth Nguyen and Bowei Su to the show for the annual update! Join us as we discuss life updates, reflections on CA1 year, and how CA2 year is going. Life Updates (00:25) Reflection on CA1 (42:03) CA2 Year (1:18:48) Fellowship or Nah? (1:30:40) --- Looking for a podcast on the fundamentals of anesthesia? Check ou…
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In this episode, I chat with Drs. Mohit Bhatt and Matthew Holsclaw about what it is like to have kids during residency, and a little bit about their plans for fellowship. --- Looking for a podcast on the fundamentals of anesthesia? Check out the original Super High Yield Anesthesia Podcast! --- Website: https://superhighyieldanesthesia2nd.word…
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In this third and final episode of the high risk parturient series, we will parturients with heart disease: Background and Epidemiology (1:28) Congenital Heart Disease (3:43) Ventricular / Atrial Septal Defects (7:08) Pulmonary Hypertension and Eisenmenger Syndrome (8:10) Valvular Heart Disease (17:25) Aortic Stenosis (17:25) Aortic Insufficiency /…
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Episode 19: OB Anesthesia - Management of the High Risk Parturient Part 2: Obstetric Hemorrhage, Advanced Maternal Age, Preterm Delivery, and Substance Use
42:21
In this episode, we will continue our discussion on high risk parturients, specifically the following: Categories of Obstetric Hemorrhage (1:23) Antepartum Hemorrhage (e.g Placenta Previa and Placental Abruption) (2:00) Postpartum Hemorrhage (e.g. Uterine Atony) (14:40) Uterotonic Therapy (16:14) Advanced Maternal Age (22:15) Preterm Delivery (24:1…
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Episode 18: OB Anesthesia - Management of the High Risk Parturient Part 1: Hypertensive Disorders, Diabetes, and Obesity
34:18
In this episode, we will begin our discussion on high risk parturients, specifically the following: Hypertensive disorders of pregnancy (1:50) Pathophysiology of Preeclampsia (6:10) General and Anesthetic Management of Preeclampsia / Eclampsia (21:20) Gestational Diabetes (28:48) Obesity (31:00) Source material: Barash, Clinical Anesthesiology (201…
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Episode 17: Anesthesia Considerations for Tubal Ligations / Placenta Removal / Uterine Inversion & Cerclage
17:41
In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as Tubal Ligations / Placenta Removal / Uterine Inversion & Cerclage Tubal Ligations / Placenta Removal / Uterine Inversions (starts at 1:08) Cerclage (starts at 11:08) Source material: Barash, Clinical Anesthesiolo…
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Episode 16: Anesthesia Considerations for C-Sections / Emergent OB Hysterectomy / Repair of Uterine Rupture
23:57
In this episode we will continue our adventures in OB Anesthesia by talking about anesthesia considerations for common procedures such as C-sections, emergent hysterectomy, and uterine rupture repair. Source material: Barash, Clinical Anesthesiology (2017) --- Check out the original SHYA podcast episodes for absolute basics of OB anesthesia (episod…
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In this episode we will begin our adventures in OB Anesthesia by talking about analgesia in labor and delivery. Specific topics will include: Stages of labor and relation to the anatomy and physiology of pain Systemic medications (opioids and ketamine) Regional techniques (neuraxial, paracervical, paravertebral lumbar sympathetic block, pudendal bl…
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Episode 14 - Intro to Trauma Anesthesia Part 6 - Management of Traumatic Brain Injury, Spinal Cord Injury, and Pregnant Patients
28:06
In this sixth and last episode in the intro to trauma anesthesia series, we will discuss management of traumatic brain injury, spinal cord injury, and pregnant patients in trauma cases. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/L5okh4zf6sPW5NCDA Post Survey: https://forms.gle/ocW2mi…
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In this fifth episode of a six part series on trauma anesthesia, we will discuss burns in trauma cases. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/DThRiBMt2r8Hn5co8 Post Survey: https://forms.gle/MPn2DyMDQsEkFEvZ6 --- Shownotes: https://docs.google.com/document/d/1fBrDhIjmHbDTI8wXh2Q…
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Episode 12: Intro to Trauma Anesthesia – Part 4 – Common Intraoperative Complications in Trauma
21:04
In this fourth episode of a six part series on trauma anesthesia, we will discuss common complications in trauma cases. Specifically, topics will include: Persistent hypotension Hypothermia Coagulation Abnormalities Electrolyte and Acid-Base Abnormalities Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: htt…
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Episode 11: Intro to Trauma Anesthesia – Part 3 – Shock and General Intraoperative Management
39:42
In this third episode of a six part series on trauma anesthesia, we will discuss shock and intraoperative management for the trauma patient. Specifically, topics will include: Shock Differential Diagnosis in Trauma Classes of Hemorrhage Markers of Organ Perfusion General Resuscitation Considerations General OR Setup Considerations Induction / Maint…
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Episode 10: Intro to Trauma Anesthesia – Part 2 – Initial Evaluation, Airway Management, and Breathing Abnormalities
24:42
In this second episode of a six part series on trauma anesthesia, we will discuss initial evaluation in the trauma bay (including airway considerations), suggestions for airway management, and common breathing abnormalities in trauma. Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/bfengz…
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Episode 09: Intro to Trauma Anesthesia – Part 1 – Hemostasis Review, Blood Products, Thromboelastography (TEG), and Trauma Physiology
32:16
In this first episode of a six part series on trauma anesthesia, we will discuss normal coagulation physiology, blood products, Thromboelastography (TEG), and trauma physiology Primary source for this episode: Barash, Baby Miller, and Morgan & Mikhail --- Pre Survey: https://forms.gle/3WLS7o5rpN8Rm8Q18 Post Survey: https://forms.gle/UKoJfqzv9XqeqyJ…
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In this short episode / PSA, I try to communicate with you all that if you feel like you suck at things, you are definitely not alone. I'm riding that struggle bus with you too! Training is hard, and it may seem like we are just going through the motions, but we'll get through it! I believe in you, buddy. --- Website: https://superhighyieldanesthes…
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In this episode we will discuss my tips and tricks on handling neurosurgery cases as I wrap up my neuro month. Specific topics will include: Initial setup Things to do before induction, after induction, and how to conduct the flip for prone cases My current method for emergence Primary source for this episode: me A big thank you to my attendings an…
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In this episode we will continue our neuro adventures and discuss anesthesia considerations for cervical spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgic…
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In this episode we will continue our neuro adventures and discuss anesthesia considerations for thoracolumbar spine procedures. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of S…
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Episode 04: Anesthesia Considerations - Craniotomy for Tumor Excision / Skull Tumor Excision
22:17
In this episode we will continue our neuro adventures and discuss anesthesia considerations for craniotomies. Specific topics will include: Surgical considerations Preoperative considerations (systems based) Intraoperative considerations Postoperative considerations Primary source for this episode is Anesthesiologist's Manual of Surgical Procedures…
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In this episode, we will discuss the different types of neuromonitoring and its implications on anesthetic management. Topics include: Somatosensory Evoked Potentials (SSEP) Motor Evoked Potentials (MEP) Electromyography (EMG) Brainstem Auditory Evoked Potentials (BAEP) Visual Provoked Potentials (VEP) Importance of knowing neuromonitoring for anes…
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In this episode we will discuss neuroanatomy and neurophysiology necessary for anesthesia. Topics will include: Anatomy Review: Brain compartments, CSF production, Spinal Cord Pathways Neurophysiology: Cerebral blood flow, flow metabolism coupling, autoregulation, effects on anesthetic drugs Pathophysiology: Monroe-Kelly Doctrine, ICP, Clinical Pre…
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In this episode I interview my co-residents (Drs. Bowei Su and Kenneth Nguyen) on their experiences starting CA-1 year and embarking on the journey to become anesthesiologists. We will discuss interesting / challenging cases, our challenges, and will give advice for CBY's with the gift of hindsight. Get a drink, grab a cozy seat, and enjoy the show…
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Welcome to the Super High Yield Anesthesia Podcast: 2nd Edition! The SHYA podcast is a peer-to-peer learning resource in anesthesia, and the primary purpose is to share the things I learn with you as an anesthesia resident. This podcast will be most useful to anesthesia trainees (e.g. residents, medical students, and SRNAs). The main educational co…
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continue reading
