Super High Yield Anesthesia! – Details, episodes & analysis

Hey guys!

I will be starting residency in two weeks, so I just want to relax a bit, play video games, hang out with friends and family, and basically just enjoy the free time as best as I can before the next leg of my training.

I love doing this podcast, but unfortunately it is a very involved process since I do everything from the research to editing. But I don’t plan on leaving you guys completely dry though! I’m thinking of being more involved with my blog, where I could talk about more personal stuff like life as a resident, tips and tricks, that sort of thing. That blog is part of my website, so check there or the facebook page to get updates.

I hope to be back in a year when I finish intern year and actually start anesthesia. In the meantime, I recommend checking out the resources page of the website for further resources (especially the recommended books post).

I would love to hear from you! Connect via the facebook page, email, or the contact form on the website. I don’t hear from you often, but when I do it makes my day! Also, if you enjoy this podcast, please share with anyone else you think it could be beneficial! I don’t get sponsorships or anything, so it’s mainly just good for my ego haha.

It’s been fun starting this podcast, especially in such a weird year as 2020, but I’m glad I had the opportunity to not only do it, but also to have the opportunity to share the things I learned with you. Even if only one of you got something out of this, I feel like I did my job.

Best of luck to you all, you will all be fantastic anesthesiologists and anesthetists, and I look forward to calling you my colleagues someday.

This is Scott the Anesthesia Resident, bye for now, and I look forward to seeing you in the next episode!

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

Email: super.hy.anesthesia@gmail.com

In this episode we will discuss considerations for OR setup, induction techniques, and maintenance in the pediatric patient.

Learning Objectives:

• State the preop checklist for OR setup in peds cases
• Describe how to determine ETT size and depth for peds
• List the common sedatives, nonnarcotic analgesics, and emergency drugs commonly used in peds cases
• Explain the approach to fluid administration in peds cases
• Describe the different induction techniques and the pros / cons to each

Show Notes: https://drive.google.com/file/d/1A1phpsqYaGuBvhc9IJxMygOYAbBm3awO/view?usp=sharing

Open Anesthesia Pediatric Anesthesia: https://www.openanesthesia.org/pediatric_anesthesia_anesthesia_text/

Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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In this episode, we will kickstart our discussion of OB anesthesia by reviewing the physiologic changes that occur in pregnancy, the stages of labor, and review the pros and cons of different neuraxial methods in labor and delivery.

Learning Objectives

• Explain the physiologic changes in pregnancy (respiratory, circulatory, hematologic, GI, and central nervous system)
• Determine the implications of maternal physiology changes for general anesthesia
• Review the stages of labor and why it is important for pain management during delivery
• Other than general anesthesia, list the different options for pain control in labor and delivery

Show Notes: https://drive.google.com/file/d/1OsalGo0X1uTnIdN__eFQAKfzRtoMyi0n/view?usp=sharing

Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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In this episode we will introduce you to the basic concepts of mechanical ventilation and discuss the basic vent modes.

Learning Objectives:

- Explain the four parameters of mechanical ventilation

- Understand how to read the ventilation monitor curves (i.e. flow, pressure, volume)

- Explain peak / plateau pressure, and discuss the pathology associated with these

- Know the difference between Volume control and Pressure control

- State the pros and cons to Assist Control and SIMV

- Explain how Pressure Support Works

- List the parameters and criteria for extubation

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Show Notes: https://tinyurl.com/y62jcbte

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Useful Links:

Medcram: https://www.youtube.com/watch?app=desktop&v=gk_Qf-JAL84&ab_channel=MedCram-MedicalLecturesExplainedCLEARLY

Ventilator Teaching Module - Dr. Manoj Dalmia: https://anesthesia.bidmc.harvard.edu/ADEL/documents/Education/Education/Ventilator%20Lecture.pdf

Ventilator Pock Guide: https://anesthesia.ucsf.edu/sites/anesthesia.ucsf.edu/files/wysiwyg/Ventilator_Pocket_Guide_2020.pdf

Dr. Rishi Kumar (Critical Care / Cardiothoracic Anesthesiologist): https://rk.md/

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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In this final part of the Applying to Anesthesia Series, we will discuss things to consider during the interview season and match week. Specific topics include:

• Pre-interview season events (i.e. Open Houses, ASA Conference)
• Things program directors look for
• Letters of interest (for interviews)
• Tips on keeping track of interviews
• Discussion on how many interviews to attend
• Pre-Interview Dinners / Meet & Greets
• Equipment and set-up for Zoom interviews
• Interview Tips
• Post-Interview Communication (thank you letters, letters of intent / interest)
• Rank Order List (ROL) Discussion
• Match Week Events
• SOAP Overview

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NOTE: These are my views as an US DO medical student applying for residency in the United States.

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Show notes: https://tinyurl.com/3uped2z5

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High Yield Links:

· Charting Outcomes 2020 US MD: Stats for matched / unmatched USMD applicants in 2020

· Charting Outcomes 2020 US DO Stats for matched / unmatched USDO applicants in 2020

· Charting Outcomes 2020 IMG: Stats for matched / unmatched IMG applicants in 2020

· All NRMP Reports: Reports from NRMP

· VSAS: Portal to apply to away / audition rotations

· Clinician Nexus: Free service to apply for rotations at certain programs

· ERAS: Application Portal

· Residency Explorer: Helps compare your stats to other programs

· FREIDA: Helps look up programs, also has info on stats of matched applicants

· How the Algorithm Works: Video explaining how the match works

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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This is part 2 of the Applying to Anesthesia series in which we will discuss various aspects of preparing your application for residency through the Electronic Residency Application Service (ERAS). 

Specific topics discussed in this episode include:

- Snapshot of the 2020-2021 data 

- Types of anesthesia programs (categorical vs. advanced)

- Intern year only programs (preliminary and transitional year)

- General timeline for residency application

- Components of the ERAS application (e.g. CV, personal statement, etc.)

- Where to apply & how many applications to send

- Back up plans

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NOTE: These are my views as an US DO medical student applying for residency in the United States.

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Show notes: https://tinyurl.com/3uped2z5

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High Yield Links:

· Charting Outcomes 2020 US MD

o Stats for matched / unmatched USMD applicants in 2020

· Charting Outcomes 2020 US DO

o Stats for matched / unmatched USDO applicants in 2020

· Charting Outcomes 2020 IMG

o Stats for matched / unmatched IMG applicants in 2020

· All NRMP Reports

o Reports from NRMP

· VSAS

o Portal to apply to away / audition rotations

· Clinician Nexus

o Free service to apply for rotations at certain programs

· ERAS

o Application Portal

· Residency Explorer

o Helps compare your stats to other programs

· FREIDA

o Helps look up programs, also has info on stats of matched applicants

· How the Algorithm Works

o Video explaining how the match works

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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Now that the 2020-2021 Match Season is finally over, I wanted to talk a little bit about applying to anesthesiology for residency. This episode is the first of three episodes on the application process, with this one focusing on things to do / consider during your preclinical years to third year. 

Specific topics discussed in this episode include: 

- Things to consider during preclinical years 

- Thoughts on 3rd year core clerkships

- Letters of recommendations 

- Applying to Audition Rotations 

- Tips for doing well on Audition Rotations 

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NOTE: These are my views as an US DO medical student applying for residency in the United States. 

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Show notes: https://tinyurl.com/3uped2z5

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High Yield Links:

· Charting Outcomes 2020 US MD

o Stats for matched / unmatched USMD applicants in 2020

· Charting Outcomes 2020 US DO

o Stats for matched / unmatched USDO applicants in 2020

· Charting Outcomes 2020 IMG

o Stats for matched / unmatched IMG applicants in 2020

· All NRMP Reports

o Reports from NRMP

· VSAS

o Portal to apply to away / audition rotations

· Clinician Nexus

o Free service to apply for rotations at certain programs

· ERAS

o Application Portal

· Residency Explorer

o Helps compare your stats to other programs

· FREIDA

o Helps look up programs, also has info on stats of matched applicants

· How the Algorithm Works

o Video explaining how the match works

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

---
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Music promoted by https://www.free-stock-music.com
Creative Commons Attribution-ShareAlike 3.0 Unported
https://creativecommons.org/licenses/by-sa/3.0/deed.en_US
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In this episode we will review respiratory physiology for anesthesia. Topics will include a review of lung volumes (specifically tidal volume and functional residual capacity), pulmonary circulation (pulmonary vasoconstriction and lung zones), gas exchange (hypoxemia and hypercarbia), and control of breathing.

Show notes: https://tinyurl.com/y6z7zzdo

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Website: https://superhighyieldanesthesia.wordpress.com/

Facebook Page: https://www.facebook.com/Super-High-Yield-Anesthesia-Podcast-100627875164137

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Music promoted by https://www.free-stock-music.com
Creative Commons Attribution-ShareAlike 3.0 Unported
https://creativecommons.org/licenses/by-sa/3.0/deed.en_US
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In this episode we will review cardiac physiology concepts pertinent to anesthesia.  Topics will include physiological components of hypotension (e.g. mean arterial pressure, systemic vascular resistance, cardiac output, cardiac index, heart rate, stroke volume, ejection fraction, preload, contractility), nervous system effects on the heart (e.g. autonomic innervation, baroreceptors, chemoreceptors), and briefly discuss coronary blood flow. Show Notes: https://tinyurl.com/yybucwe4

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Music promoted by https://www.free-stock-music.com
Creative Commons Attribution-ShareAlike 3.0 Unported
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In this episode we will introduce ultrasound relevant to anesthesia such as echocardiography and ultrasound guided procedures. Specifically we will talk about transthoracic anesthesia (because that is what I had access to at my school) and talk about the different viewing windows, use of color doppler, and regional wall motion. Regarding U/S guided procedures, we will talk about the viewing windows like the long and short axis views, and discuss how you could use it for procedures like central lines and nerve blocks. Since ultrasound is a visual technique, I highly recommend checking out the show notes to actually see what I talk about. | Show notes: https://drive.google.com/file/d/1popEGtwKjR9zDV5ACnIzWKzoPzqP-POY/view?usp=sharing

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Music promoted by https://www.free-stock-music.com
Creative Commons Attribution-ShareAlike 3.0 Unported
https://creativecommons.org/licenses/by-sa/3.0/deed.en_US
Sound effects from https://www.free-stock-music.com