Join us this month with Airwayve hosts Grace and Winnie, alongside a special guest Dr. Juan Camilo Segura Salguero, to talk about cardiac anesthesia. Dr. Segura is a staff anesthesiologist at Hamilton Health Sciences, a subspecialist in cardiac anesthesia, and has also completed fellowships in Intensive Care and Thoracic Anesthesia at Toronto Gener…

Join two of our new Airwayve hosts Irene and Alex for this month's episode covering pediatric anesthesia. In today's talk they give an overview of pediatric anesthesia, including a discussion of anatomy and physiology, preoperative and intraoperative considerations, and common pediatric problems. Remember, kids aren't just little adults, and this e…

This month's episode with Airwayve hosts Winnie and Grace is an interview with Dr. Jennifer Nelli about neuroanesthesia. Dr. Nelli is a staff anesthesiologist at Hamilton Health Sciences, a subspecialist in neuroanesthesia, and the director of McMaster's neuroanesthesia fellowship program. Tune in to hear about her journey in anesthesia, doing her …

Join Airwayve hosts Winnie and Grace for another episode covering anesthetic considerations. In today's talk they cover postoperative nausea and vomiting, including the physiology of vomiting, risk factors, and prevention/management. Hopefully this episode doesn't make you feel queasy! Credits: - Writer: Muizz Hussain - Editor: Raven Kang, Winnie L…

Join Airwayve hosts Winnie and Grace as they launch Airwayve's newest mini-series covering anesthesia subspecialties. Today they are joined by Dr. Eli Adly, a staff anesthesiologist at Hamilton Health Sciences, a chronic pain subspecialist, and the director of McMaster's chronic pain management fellowship program. Tune in to hear about her journey …

Join Airwayve hosts Winnie and Raven for an episode covering an important concept in respiratory physiology - ventilation and perfusion - as well as anesthetic considerations for patients with chronic obstructive pulmonary disease! Credits: - Writer: Winnie Liu - Editor: Raven Kang - Resident Editor: Dr. Puru Panchal - Staff Reviewer: Dr. Andrew Sy…

This month's Airwayve episode is hosted by Dorisa and one of our new hosts, Maxine! We cover some physiologic changes during pregnancy and pre-operative, intra-operative, and post-operative anesthetic considerations for obstetric patients. Credits: - Writer: Maxine Maretzki - Editor: Raven Kang - Resident Editor: Dr. Grace Martin - Staff Reviewer: …

This month's Airwayve episode is hosted by Maia and one of our new hosts, Winnie! We cover some respiratory physiology, pathophysiological changes in asthma, and finally pre-operative, intra-operative, and post-operative anesthetic considerations for patients with asthma. Credits: - Writer: Winnie Liu - Editor: Raven Kang - Resident editor: Dr. Pur…

Join Airwayve hosts Raven and Dorisa for an episode on atrial fibrillation. This episode provides an overview of the electrical conduction system of the heart and a brief discussion on the classification of tachyarrhythmias. It also covers pathophysiology, complications, and anesthetic considerations for atrial fibrillation. Credits: - Writer: Rave…

Join Airwayve hosts Raven and Maia for part two of our discussion on diabetes mellitus. In this episode, we cover pharmacology and three life-threatening emergencies: diabetic ketoacidosis, hyperosmolar hyperglycemic state, and hypoglycemia. Credits: - Writer: Raven Kang - Resident editor: Dr. Puru Panchal - Staff editor: Dr. Mohamad Sharaf Aldeen …

Join Airwayve hosts Raven and Maia for an episode on anesthetic considerations for diabetes mellitus focusing on end organ complications. This episode provides an overview of cardiovascular, renal, neurological, metabolic, endocrine, and airway management implications of diabetes. Stay tuned for the next episode where we cover pharmacology and diab…

Join Airwayve hosts Raven and Dorisa as they provide an overview of awake intubation covering the following topics, illustrated with a clinical case: Review of airway management and indicators of potentially difficult airways Indications and contraindications of awake airway management Airway anatomy and innervation The flexible fiberoptic bronchos…

Join Airwayve host's Maia and Dorisa as they provide an overview of regional anesthesia using a clinical case to cover the following topics: What is regional anesthesia? An introduction to peripheral nerve blockade Indications and contraindications An overview of the Popliteal Sciatic nerve block and its relevant anatomy What are the techniques inv…

Join Airwayve host's Diljit and Cody as they provide an in-depth overview of neuraxial anesthesia using a clinical case to answer the following questions: What is neuraxial anesthesia? What is the relevant anatomy and physiology? What are indications and contraindications? What are the techniques involved? What are the advantages to using this moda…

Join Grace and Anushka as they take a deeper dive into the role of neuromuscular blocking agents in the context of patients diagnosed with Myasthenia Gravis. We highly encourage listeners to check out Airwayve S3E2 for a refresher on neuromuscular blocking agents before jumping into today's action-packed header. Support the show…

This episode will outline a general approach to understanding, diagnosing, and ultimately managing intra-operative hypotension. Join Airwayve Podcast host's Diljit Gill and Cody Tran as they provide: A review on the physiology of blood pressure A general approach to diagnosing and managing intra-operative hypotension Applying all of this to a guide…

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This episode introduces four new Airwayve Podcast hosts Diljit Gill, Cody Tran, James Cho, and Emily Au. Join us as we welcome back former Airwayve hosts and new Anesthesia PGY1's Dr. Grace Martin and Dr. Puru Panchal for an in depth Q&A style discussion focused on preparing for CaRMS. Support the show…

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Dr. Cooper a Professor Emeritus in the Faculty of Medicine at the University of Toronto. He spent his career as a Clinical anesthesiologist at University Health Network, Toronto General Hospital from 1981-2019. He was the founder and former Director of the Anesthesia Advanced Airway Fellowship at Toronto General Hospital and the Past President of T…

Neuromuscular blocking agents are used to chemically paralyze skeletal muscle during surgery to: Provide paralysis of the vocal cords for intubation Enhance operating conditions for surgeons How does skeletal muscle work normally? An action potential triggers the release of acetylcholine into the neuromuscular junction, which binds to nicotinic rec…

Key principles of pharmacology : Pharmacokinetics : What the body does to the drug. A. Absorption D. Distribution M. Metabolism E. Excretion Pharmacodynamics: A drug’s biochemical and physiologic effects on the body. Receptor binding Receptor sensitivity Post-receptor effects 4 induction agents to familiarize yourself with for the first day in the …

Happy New Year! Airwayve is back to bring you tips for your anesthesia rotations. This episode highlights the importance of professionalism in anesthesia and provides 10 practical tips to help you succeed. We thought this episode was quite timely as the second-year medical students at our institution, McMaster University, are beginning their clerks…

Dr. Dolores McKeen grew up and did her medical training in Newfoundland. She moved to Halifax to further train at the IWK on a 2-year plan, and ended up staying in Nova Scotia for the last 21 years with her husband Roger, 3 adult children and a senior Yorkie-poo named Miss Molly! She has conducted research in the areas of post-operative pain manage…

This is the final episode of this series on general anesthesia! PACU handover can seem complicated, but it's ultimately about transferring professional and care responsibility for your patient after surgery. For this week's episode, remember the acronym "ISBAR" - as always, check out our step-by-step approach below: ID + Introduction: introduce you…

What is emergence? The time from discontinuation of an anesthetic to when the patient can make a non-reflex response to verbal command Maneuvers to improve the elimination of inhaled anesthetics: Increase FiO2 Increase gas flow rate Increase PEEP to prevent atelectasis Factors that affect emergence: Patient factors (e.g. obesity, advanced age, hepa…

Two overarching goals for the maintenance phase of an anesthetic: Maintain appropriate depth of anesthetic Maintain patient’s stability Inhalational Anesthetics Volatile agents: sevoflurane and desflurane (most common), isoflurane (less common) Nitrous oxide: low potency, can be used in MH, flammable Minimum alveolar concentration (MAC): alveolar c…

Overall approach to a difficult airway Always ask for help! The goal is oxygenation, not intubation Your first attempt is your best attempt Don’t panic! Preoperative Assessment (check out Episode 1 of the series for a review!) Identify risk factors for a potentially difficult airway: Difficult ventilation Difficult intubation Difficulty with patien…

Check out this great video which summarizes the steps below: https://www.youtube.com/watch?v=8AOB2PtHfVM&ab_channel=InterAnest Here are a few key steps in airway management: Ask yourself: Will I be able to mask ventilate? Will I be able to perform laryngoscopy, directly or indirectly? Will I be able to intubate this patient? Is there a significant …

In this episode, we discuss induction, the stage of general anesthesia that encompasses the onset of sedation, amnesia, analgesia, and sometimes akinesia. The anesthesiologist’s goals are to achieve induction smoothly and safely, maintaining the patient’s hemodynamic stability throughout. Step 1: Place monitors on patient (see Episode 2 show notes …

In this episode, we discuss setting up the operating room for a general anesthetic. The mnemonic SOAP-IM(S) is a helpful checklist for organizing all of the necessary equipment. 1. Suction Is the suction equipment (Yankauer/suction system) present and working? 2. Oxygen: Check circuit tubing, gas analyzer tubing, filter, face mask Check for availab…

This is the first episode in series #2 (approach to general anesthesia). In this episode, we break down the pre-operative evaluation. Step 1: Confirm patient identifiers and NPO status Step 2: Focused anesthetic history Review of systems: CV, resp, GI, GU, neuro (Bonus: endo) PmHx/PsHx with previous surgical complications - always ask about pseudoc…

Dr. John Centofanti is an Assistant Professor in the Department of Anesthesia and Program Director of the Critical Care Residency Program McMaster University. He is also a critical care physician and anesthesiologist in Hamilton, Ontario. Join us as we ask about his unique experiences in training and his insights into a career in anesthesiology. Su…

In this episode, we discuss the diverse roles that anesthesiologists have in the hospital and outpatient settings and tackle some stereotypes and myths about the specialty. Anesthesiologists can be seen in: The operating room and pre-op clinics ICU ER Labour and delivery On the wards as part of the Acute Pain Service (APS) In chronic pain clinics C…

In this episode, we provide a brief overview of our podcast, and the general modalities of anesthesia. These encompass: General Anesthesia: Provides analgesia and amnesia, with or without muscle relaxation depending on the surgical indications. The goal is to maintain normal physiological function during the operative period. Regional Anesthesia: A…