The official podcast of the Anesthesia Patient Safety Foundation (APSF) is hosted by Alli Bechtel, MD, featuring the latest information and news in perioperative and anesthesia patient safety. The APSF podcast is intended for anesthesiologists, anesthetists, clinicians and other professionals with an interest in anesthesiology, and patient safety advocates around the world. The Anesthesia Patient Safety Podcast delivers the best of the APSF Newsletter and website directly to you, so you can ...
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#255 What You Need to Know Before Going Under
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27:18Fear of the unknown is one of the most significant sources of anxiety for surgical patients. What exactly happens when we're "put under"? Could we wake up during surgery? What side effects should we expect? Our latest episode tackles these common concerns by exploring the APSF's Patient Guide to Anesthesia and Surgery. We walk through a simulated p…
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#254 The Patient's Guide to Anesthesia and Surgery
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17:24Fear of the unknown can make surgery and anesthesia unnecessarily stressful. Approximately 90% of patients experience some degree of anxiety about "going under" before their procedure – worrying about pain, waking during surgery, or post-operative grogginess. But what if patients had reliable answers to their most pressing questions? The Anesthesia…
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#253 When Electrocautery Meets Implanted Devices: What Every Anesthesia Professional Needs to Know
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19:57The safe management of non-cardiac implantable electrical devices during surgery requires careful planning and knowledge of device-specific considerations. We continue our discussion from last week with actionable recommendations for each stage of perioperative care. • Electrocautery poses significant risks including device reprogramming, thermal b…
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#252 Managing Neurologic Stimulators: A Critical Guide for Safe Anesthesia
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18:19The podcast explores comprehensive recommendations for managing patients with non-cardiac implantable electrical devices during surgical procedures, emphasizing preoperative assessment, device interaction prevention, and safety protocols. • Types of devices include vagal nerve stimulators, deep brain stimulators, and spinal cord stimulators • Preop…
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Surgical fires are devastating yet entirely preventable events that continue to occur in operating rooms around the world. This eye-opening episode features biomedical engineer Mark Bruley and anesthesiologist Dr. Jeffrey Feldman, who share decades of expertise investigating and preventing these catastrophic incidents. The conversation reveals why …
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#250 Sugammadex in Special Populations: What Every Anesthesia Professional Needs to Know
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18:58Sugammadex safety considerations span across patient populations with renal impairment, pediatric patients, and pregnant or breastfeeding individuals, requiring nuanced clinical decision-making based on current evidence and ongoing research. • Sugammadex reversal of moderate blockade is safe and faster than using neostigmine/cisatracurium for patie…
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#249 Sugammadex Safety: Special Populations, Special Concerns
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16:48Discover the critical safety considerations when using Sugammadex, the seemingly "magical" neuromuscular blockade reversal agent that's fundamentally changed anesthesia practice. We delve deep into the science behind this medication and examine its use in three challenging patient populations: those with renal failure, pregnant patients, and pediat…
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#248 Beyond the Mask: An OpenAnesthesia Collaboration on Perioperative Drug Safety
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16:35Medication safety remains a cornerstone of anesthesia practice with complex environments and high-stakes decisions requiring vigilant attention to prevent errors. This collaboration between APSF and OpenAnesthesia spotlights critical aspects of perioperative drug safety with practical insights from Dr. Juan Li, a cardiothoracic anesthesia fellow at…
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#247 Nudge Your Way to Greener Pediatric Anesthesia
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13:44Climate change has arrived in the operating room, and pediatric anesthesiologists are taking action. Dr. Eva Lu-Boettcher, pediatric anesthesiologist and Director of Anesthesia Quality and Safety at the University of Wisconsin Children's Hospital, shares her journey toward sustainable anesthesia after witnessing firsthand the effects of climate cha…
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#246 Ditching Nitrous Oxide: The Bike Commuter's Guide to Safe and Sustainable Anesthesia
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18:21Dr. Liz Hansen takes us behind the scenes of a remarkable transformation at Seattle Children's Hospital, where pediatric anesthesiologists have reduced their greenhouse gas emissions by over 90% without compromising patient safety. A lifelong environmentalist and bike commuter, Dr. Hansen was shocked to discover that anesthesia gases contributed to…
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In our latest episode, we dive headfirst into the growing issue of medical misinformation and its alarming effect on anesthesia patient safety. As patients increasingly turn to social media for health information, the risks of encountering inaccurate content have soared, posing challenges for healthcare professionals. Join us as we explore a recent…
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#244 Battling Myths and Misinformation: Ensuring Patient Safety in Anesthesia
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15:12Join us as we dive into the critical topic of medical misinformation and its alarming impact on patient safety, particularly in the field of anesthesia. In this compelling episode, we unpack how misconceptions shape patient trust and communication with healthcare providers. Our conversation features insightful commentary from Dr. George Tewfik, who…
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#243 Unlocking Insights for Safer Anesthesia: Key Findings from the Literature and a Case Report
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16:56This episode delves into key findings in the literature, focusing on the nuances of neuromuscular blockade in pediatric patients and novel advancements in intubation techniques to enhance patient safety. We explore significant insights from recent studies that highlight age-related differences in recovery times from neuromuscular blockade and pract…
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#242 Enhancing Anesthesia Patient Safety: Literature Reviews, Guidelines, and Recommendations
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19:33Feeling overwhelmed about staying up to date with the anesthesia literature? We hope you will check out the APSF's In The Literature section. This resource brings you straightforward summaries of recent high-impact articles related to anesthesia patient safety. This episode highlights crucial updates in the literature concerning diabetes management…
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#241 The Impact of ISO 80369-6 Neuraxial Connectors: Patient Safety Challenges and Opportunities
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19:30This episode discusses the implementation of ISO 80369-6 neuraxial connectors in Japan, analyzing the challenges faced and the implications for patient safety. The conversation highlights the importance of clinician involvement and the need for clear communication and trials during the transition to new medical standards. • Overview of ISO 80369-6 …
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#240 Enhancing International Anesthesia Patient Safety: Insights on ISO Standards
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17:00The episode explores the challenges and lessons learned from Japan's recent implementation of ISO 80369-6 standards in anesthesia practices, highlighting the critical importance of clinician involvement in developing safety protocols. We discuss the historical context, issues with communication, and various complications arising from the transition…
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#239 Enhancing Defibrillation Skills: The APSF's Technology Education Initiative
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13:15Unlock the potential to save lives with our exciting discussion on the Anesthesia Patient Safety Foundation's Technology Education Initiative course. Featuring Dr. Michael Kazior, an esteemed anesthesiologist and intensivist, we spotlight the crucial skills of manual external defibrillation, cardioversion, and pacing. Dr. Kazior shares his personal…
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#238 Solutions to Reduce Pediatric Medication Errors during Anesthesia Care
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14:49Can we significantly reduce pediatric medication errors in anesthesia care? This podcast episode explores the urgent need to address medication errors in pediatric anesthesia, highlighting effective strategies to improve patient safety. We discuss the implementation of tools such as the Anesthesia Medication Template, pre-filled syringes, and barco…
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#237 Preventing Pediatric Medication Errors
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15:26Unlock the secrets of preventing pediatric perioperative medication errors with insights from our esteemed guests, Eva Lu-Boettcher and Rahul Koka. Pediatric patients face unique challenges due to variations in body weight and dosing calculations, making them particularly vulnerable to medication errors. Join us as we explore the discrepancies betw…
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#236 Revolutionizing Hand Hygiene in Anesthesia: A Path to Safer Surgeries
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17:54What if a simple change in routine could save lives in the operating room? Join us as we explore this possibility with Jonathan Charnin, who shares his expertise and passion for improving hand hygiene practices in anesthesia. Hand hygiene may seem like a small detail, but it plays a crucial role in preventing the spread of pathogens and reducing su…
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#235 Fresh Flow Podcast Takeover: Advancing Patient Safety from A to N to Zed
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40:33Join us on a fascinating exploration with Alli Bechtel, a dedicated anesthesiologist and the Anesthesia Patient Safety podcast host, who reveals the surprising journey from the United States to New Zealand in pursuit of a better work-life balance. Bechtel shares her unique insights into the supportive healthcare environment she found across the glo…
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#234 Malignant Hyperthermia Preparedness: Insights and Updates
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22:33What does it take to stay prepared for a rare but potentially life-threatening anesthesia complication like malignant hyperthermia (MH)? Join us as Dr. Henry Rosenberg, a trailblazer in the field and founder of the Malignant Hyperthermia Association of the United States, shares his insights on the evolution of MH diagnosis and management. We promis…
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#233 Revolutionizing Anesthesia: The Impact of Remimazolam
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26:49Unlock the future of perioperative medicine with insights into remimazolam, the cutting-edge benzodiazepine poised to transform anesthesia practices. We uncover the remarkable features of remimazolam, from its rapid onset and short duration to its unique reversibility and minimal impact on cardiac and respiratory systems. Discover why this novel se…
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#232 Embracing Safety and Sustainability in Anesthesia Care
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18:06What happens when a defective CO2 absorbent canister leads to ventilation failure during surgery? Our latest episode uncovers the hidden risks of hypoventilation and leaks in anesthesia machines following intra-procedure CO2 canister replacement. We discuss the critical role of manufacturers in providing warnings about potential equipment failures,…
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#231 Ensuring Anesthesia Safety: Risks of CO2 Canister Replacement and Technology Concerns
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17:30What if a simple component replacement could jeopardize patient safety during surgery? Join us as we discuss critical anesthesia safety concerns with our special guest, Dr. Yuki Kuruma, an experienced anesthetist from Japan's Saiseikai Matsusaka General Hospital. Kuruma sheds light on the potential dangers of replacing CO2 absorbent canisters and t…
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#230 Bridging Communication Gaps: Ensuring Safe Anesthesia Care for Patients with Limited English Proficiency
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18:56What impact do communication failures have on anesthesia patient safety, particularly for those with limited English proficiency? Join us as we welcome anesthesiology resident, Dr. Yasuko Mano, who sheds light on this critical issue. Drawing from her personal experiences and research, Mano reveals how language barriers can lead to less patient-cent…
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#229 Revolutionizing Anesthesia Care for Cardiac Patients: Shorter and Safer Dual Antiplatelet Therapy with Next-Gen Stents
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17:48What if the future of dual antiplatelet therapy (DAPT) could be shorter, safer, and more effective? Uncover the latest insights into drug-eluting stents and how they are transforming how we think about dual-antiplatelet therapy. Join us as we examine the game-changing recommendations from top cardiology societies, which suggest that newer-generatio…
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#228 The Journey of Drug-Eluting Stents and Anesthesia Patient Safety
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17:05What if the future of cardiac care meant shorter duration of dual antiplatelet therapy without compromising safety? Join us as we explore this possibility with Dr. Joseph Szokol, a leading expert in clinical anesthesiology at the Keck School of Medicine of USC. Dr. Szokol shares his insights into the revolutionary advancements in drug-eluting stent…
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#227 Technology's Impact on Patient Safety: Insights from Filmmaker Mike Eisenberg
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29:50Join us for an enlightening conversation with documentary filmmaker Mike Eisenberg, where we explore the transformative role of technology in patient safety, inspired by his acclaimed film "The Pitch." Discover how pioneers like Jeff Cooper have shaped anesthesia patient safety and learn how the world of aviation offers valuable lessons for the hea…
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#226 From the Ballpark to the Big Screen: Patient Safety's Next Generation
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21:38Documentary film director, Mike Eisenberg, shares his compelling journey from playing minor league baseball to directing films that change lives. Inspired by his late father, a prominent figure in patient safety, Eisenberg brings passion and insight to his exploration of patient safety in healthcare. His earlier work, "To Error is Human," laid the …
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#225 Collaborative Guidelines for Safe Anesthesia in OSA
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20:11Can anesthesia care for patients with obstructive sleep apnea (OSA) impact patient safety during surgery? Join me, Alli Bechtel, as I unravel the complexities of managing anesthesia for OSA patients, drawing insights from experts like Mandeep Singh and his team, featured in the June 2024 APSF newsletter. This episode promises to enhance your unders…
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#224 Staying Legal: Recording Conversations during Anesthesia Care
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18:34Wiretap laws might seem like a distant concern, but in the realm of clinical practice, they could be more relevant than you think. What if a simple audio recording could make or break your patient care approach? Join us as we unravel the complexities of wiretap regulations in healthcare with insights from Karolina Brook's enlightening APSF article,…
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#223 Navigating Wiretap Laws in Clinical Practice: Insights for Anesthesia Professionals
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17:16Ever wondered how wiretap laws impact your daily clinical interactions and patient safety measures? Discover the complexities of these laws with insights from our guest, Dr. Karolina Brook, an anesthesiologist from Boston Medical Center. Join us on the Anesthesia Patient Safety Podcast as we unravel the intricacies of one-party and all-party consen…
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#222 Best Practices for External Ventricular Drain Management - Part 3 of 3
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18:03Unlock the secrets to enhancing patient safety with our comprehensive discussion on the External Ventricular Drain (EVD) Safety Campaign. Ever wondered how to drastically reduce complications like ventriculitis? We promise you'll walk away with actionable insights, from the critical use of antimicrobial EVDs to the meticulous setup of devices by tr…
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#221 Enhancing Patient Safety in Neurocritical Care: Best Practices for Managing External Ventricular Drains with Dr. Abhijit Lele - Part 2 of 3
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15:10Curious about the best practices for managing patients with External Ventricular Drains (EVDs) during anesthesia and ICU transport? Join us as we talk to Dr. Abhijit Lele, a leading neuro-anesthesiologist and neuro-intensivist, who shares his expertise and personal journey from pediatrics to neuro-critical care. Discover the collaborative efforts b…
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#220 Enhancing Patient Safety with External Ventricular Drains: Launching the EVD Safety Campaign - Part 1 of 3
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17:17Curious about how to enhance patient safety with external ventricular drains or EVDs? Join us as we unravel the intricacies of EVDs and their pivotal role in perioperative care. With over 25,000 EVD placements annually in the United States, it's crucial for anesthesia and critical care professionals to master the management of these devices to prev…
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#219 Optimizing Outcomes in Anesthesia Care: Spotlight on Intraoperative Hypotension
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19:33Unlock the secrets to improving anesthesia patient safety as we tackle the critical issue of intraoperative hypotension. Did you know that hypotension during surgery can lead to severe complications like acute kidney injury, myocardial injury, delirium, and stroke? Join us as we dissect recent studies, including one by Ariyarathna and colleagues li…
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#218 Unmasking the Risks: The Dangers of Low Blood Pressure During Surgery
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17:37Ever wondered about the dangers of low blood pressure during surgery? This episode features Amy Yerdon, a certified registered nurse anesthetist and assistant professor at the University of Alabama, Birmingham, who brings to light the critical issue of intraoperative hypotension. Alongside co-authors Matt Scherrer and Desiree Chappell, Yerdon under…
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#217 Residents in a Room Podcast Takeover: Redefining Leadership in Anesthesiology
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38:19We are sharing the Residents in a Room Podcast episode #65 on Nontraditional Pathways - Leadership. Unlock the secrets of non-traditional leadership pathways within anesthesiology with Dr. Della Lin, a seasoned expert with over three decades of experience. Learn how Dr. Lin transitioned from a department chair to a speaker, healthcare think tank pa…
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#216 Guarding Against Opioid-Induced Respiratory Depression in Kids
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18:39Discover the critical steps to safeguarding pediatric patients from opioid-induced respiratory depression in our latest episode featuring experts Tricia Vecchione and Constance Monitto. Learn about the paramount risk factors, such as age and co-morbidities like obstructive sleep apnea, that put young patients at increased risk. We’ll explore essent…
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#215 Protecting Pediatric Patients from Opioid-Induced Respiratory Depression: Expert Insights and Strategies
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18:54How do we keep our youngest and most vulnerable patients safe from the deadly threat of opioid-induced respiratory depression? On this episode of the Anesthesia Patient Safety Podcast, we uncover the answers with invaluable insights from pediatric anesthesiologist Dr. Connie Monitto. Dr. Monitto, along with co-author Tricia Vecchione, breaks down t…
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#214 Navigating Anesthesia in Concussed Patients: Insights and Challenges
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16:20Can administering anesthesia to patients with concussions lead to complications? Join host, Alli Bechtel, as we unpack the pivotal findings from an insightful article by Arney Abcejo and Jeffrey Pasternak that was featured in the October 2018 APSF newsletter. This episode offers a comprehensive review of the clinical manifestations and challenges o…
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#213 Medication Labeling Errors and Anesthesia for Patients with Concussions
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17:47Can you imagine the horror of a medication mix-up between the overwrap and the infusion bag? In this episode, we tackle a crucial ISMP alert concerning a dangerous labeling error between dexmedetomidine and acetaminophen IV bags. Learn from a real-life case where this mistake led to a severe patient reaction, and discover essential steps to prevent…
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#212 Comprehensive Approaches to Pediatric Patients with Sickle Cell Disease and Workplace Violence Prevention
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15:51Ensuring the safety of pediatric patients with sickle cell disease during anesthesia care can be a complex and demanding task, but what if you had a detailed roadmap to navigate this critical process? Join us as we unpack essential strategies based on the June 2024 APSF Article, “Preoperative Transfusion and Sickle Cell Disease in the Pediatric Pat…
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#211 Safeguarding Pediatric Patients with Sickle Cell Disease During Anesthesia: Expert Insights and Strategies
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18:09Unlock the secrets to safeguarding pediatric patients with sickle cell disease during anesthesia. Join us for an enlightening discussion on the APSF article written by Dr. Megha Karkara Kanjia and Dr. Rahul Baijal, as they share their expertise on preoperative care strategies. Learn how to tailor transfusion plans uniquely for each child by conside…
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#210 Preventing Deadly Errors: Unpacking Safe Practices for Medication Administration in the OR
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19:16Can the simple act of changing medication packaging save lives? On this week's Anesthesia Patient Safety Podcast, we uncover the alarming truth about the recurrent and devastating error of inadvertent intrathecal tranexamic acid administration. This episode is a continuation of last week's urgent discussion, featuring insights from Elizabeth Rebell…
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#209 Preventing Catastrophic Medication Errors: The Dangers of TXA and Bupivacaine Mix-ups
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18:06Join us on the Anesthesia Patient Safety Podcast as we confront a critical patient safety issue: the recurring wrong drug, wrong route errors involving Tranexamic acid (TXA) and Bupivacaine. Elizabeth Rebello, an anesthesiologist at the University of Texas MD Anderson Cancer Center, sheds light on this alarming trend where lookalike vials lead to c…
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#208 It's an OpenAnesthesia Takeover Show
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36:10Unlock the secrets of enhancing perioperative patient safety with insights from experts in anesthesiology and critical care. Join us as we welcome Dr. Debnath Chatterjee, the editor-in-chief of OpenAnesthesia, who sheds light on the incredible educational resources available on the platform. From peer-reviewed mini-reviews to engaging podcasts and …
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#207 Patient Safety During Prone Positioning, Loss of Resistance Syringe Concerns, and Lidocaine versus Fentanyl for Induction
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15:32Unlock the essential strategies for ensuring patient safety during anesthesia in the prone position! On this episode, host Alli Bechtel welcomes Taizoon Dhoon, an associate professor at the University of California, Irvine, who shares his expertise from his recent article in the APSF newsletter. Dhoon sheds light on the often-overlooked risks of pr…
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#206 Enhancing Safety During Anesthesia Care in the Prone Position
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17:55What if the prone position during anesthesia is more hazardous than you think? Equip yourself with crucial knowledge about the overlooked risks and physiologic changes associated with prone positioning during surgery and procedures. This episode uncovers the some of the dangers such as peripheral nerve injuries, postoperative vision loss, and signi…
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