Anesthesia Clerkship Podcast

Nov 29 2023 13 ep. 18 mins 10

Anesthesia Clerkship Podcast artwork

This is a near-peer teaching medical education resource intended to help prepare new clerkship students for their core Anesthesia rotation. For any questions, corrections, or suggestions please email: [email protected] By Blake Birnie UBC Anesthesiology R1

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12 - Hypotension / Approach to Hemodynamic Instability in the OR

Nov 29 2023 27 mins

VTDAT Approach This should complement teachings you've likely already received on an ABCDE approach. Three boxes: Anesthetic, Surgical, Patient Categories: Hypovolemic, Distributive, Cardiogenic, Obstructive, Mixed Use history, physical, non-invasive and invasive monitors, investigations (ECG, blood work, ultrasound, etc) to rule in or rule out your differential. Trial t

11 - Post Dural Puncture Headache (PDPH) / Epidural Blood Patch

Nov 29 2023 14 mins

PDPH is a recognised complication of neuraxial anesthesia. Around 4 minutes I misspoke and stated an 18G spinal needle - I meant epidural needle, I corrected myself the second time I stated it, sorry for the confusion! Have questions, comments, corrections, or concerns? Please reach out via email: ⁠[email protected] References: 1. Gobel, Hartmut. “7.2.1 Post-D

10 - Multimodal Analgesia / Treating Acute Post-Surgical Pain

Nov 19 2023 18 mins

In this episode, we define multimodal analgesia and give a brief introduction to the many agents that can be utilised. Opioids are a mainstay of treating post-surgical pain and the goal of multimodal analgesia is not to avoid opioids (termed opioid-sparing analgesia) but to reduce the negative side effects while providing adequate post-surgical pain. The medications listed are th

09 - High Airway Pressure / An Approach to Unstable Patients and Anesthesia Emergencies

Nov 19 2023 12 mins

We discussed the VTDAT approach to unstable patients in the OR (although this could also apply to out-of-OR situations). Vitals (Alert the Room) Temporize Differential Diagnosis Assessment Treatment We also discuss an approach to high airway pressure - patient to machine or machine to patient. Have questions, comments, corrections, or concerns? Please reach out via email:

08 - Difficult Airway and Algorithms

Nov 18 2023 12 mins

We give an example of an "unanticipated" difficult airway situation along with a basic overview of some of the algorithm suggestions. I would strongly encourage you to check out the Vortex approach, the link is at the bottom of the references. Have questions, comments, corrections, or concerns? Please reach out via email: ⁠[email protected]⁠ References:

07 - Obstetric Anesthesia

Sep 28 2023 26 mins

This episode focuses on an overview of physiological changes in pregnancy and how this can impact anesthesia. We discuss the preference for neuraxial anesthesia and use the ABCDE approach to cover some anesthetic considerations. Have questions, comments, corrections, or concerns? Please reach out via email: [email protected] References: 1. Gropper MA, Cohen NH, Eriks

BTD 01 - Airway Assessment - A Deeper Dive with Dr. John Veall

Dec 05 2022 34 mins

Behind the Drapes: Highlights of teaching sessions in the operating room. Ep 1: Airway Assessment - A Deeper Dive with Dr. John Veall. TLDR: Airway management is a complex interplay of anatomy, physiology, circumstance and human factors. Our assessment, preparation and training should reflect that. References: Huitink JM, Bouwman RA. The myth of the difficult airway: airway manage

06 - Pediatric Anesthesia

May 26 2022 23 mins

This episode focuses on general anesthesia in pediatric patients. When organising your "considerations" - (I wouldn't worry about this much as an MSI3, but for any MSI4s preparing for electives this is a good thing to start practising) try to develop a system to maintain an organised approach. We introduce an ABCDE method in this episode. Link to the website / app for

05 - Neuraxial Anesthesia / Spinal Anesthesia / Epidural Anesthesia

Mar 12 2022 19 mins

References: 1. Uptodate 2. Sullivan P. Ottawa Anesthesia Primer. ECHO BOOK PUBLISHING; 2012. 3. Butterworth J, Mackey D, Wasnick J. Morgan & Mikhail’s Clinical Anesthesiology. 5th ed. McGraw-Hill Education; 2013. 4. Snider, K. T., Kribs, J. W., Snider, E. J., et al. (2008). Reliability of Tuffierʼs Line as an Anatomic Landmark. Spine, 33(6), E161–E165. doi:10.1097/br

04 - Paralytics / Neuromuscular Blockade / Muscle Relaxants

Nov 23 2021 21 mins

Neuromuscular Blockade: - Facilitates intubation - Facilitates better surgical conditions - Facilitates mechanical ventilation (i.e. ARDS, hyperventilating in increased ICP) Two Categories: - Depolarizing: ex. Succinylcholine (1-1.5mg/kg IV) depolarizes the muscle and prevents repolarization. - Non-depolarizing: ex. Rocuronium (0.6-1.2mg/kg IV) Outcompetes ACh for the recepto