This is the first episode of the new OA Pain Procedure Series! Dr. Alexa Lean describes the cervical epidural anatomy relevant to this procedure, shows the technique step by step, reviews imaging tips, highlights potential complications, and compares alternative techniques, all while emphasizing patient safety.

Pediatric Anesthesia Fellowships: Update

Meera Gangadharan, MD, interviews three leaders in pediatric anesthesia education: Doyle J. Lim, MD, Nemours Children’s Health, Wilmington, DE; Philip Carullo, MD, Emory University, Atlanta, GA; Sabina Khan, MD, UT Health Houston, Houston, TX

Drs. Karsten Bartels and Ted Reniers discuss the article “The Effects of Dexamethasone in Cardiac Surgery: A Registry-Based, Real-World Data Analysis of Clinical Outcomes From the Netherlands Heart Registration” published in the December 2025 issue of Anesthesia & Analgesia.

Drs. Satya Krishna Ramachandran and Garrett Burnett discuss the article “Association of Intraoperative Occult Hypoxemia With 30-Day and 1-Year Mortality” published in the December 2025 issue of Anesthesia & Analgesia.

New podcast series! Trauma Anesthesiology Ask the Expert 

Dr. Meera Gangadharan interviews two experts, Dr. Raj Nathwani and Dr. Justin Knittel, about the role of the trauma anesthesiologist in patient care.

Epidurals, Ethics, and Expectations: Talking Risks and Benefits in Obstetric Anesthesia with Joey Bryant-Huppert, MD, Weill Cornell Medicine, New York City, NY

Drs. Shannon Farmer and Kevin Trentino discuss the article “Data and Metrics for Patient Blood Management: A Narrative Review and Practical Guide” published in the November 2025 issue of Anesthesia & Analgesia.

Global Perspectives on Obstetric Anesthesia: Challenges and Priorities for Advancing Maternal Health with Jakob Gamboa, MD, University of Colorado, Aurora, CO

Drs. Thomas Vetter and Jeanna Blitz discuss the article “Development of a Standardized Perioperative Medicine Fellowship Curriculum” published in the October 2025 issue of Anesthesia & Analgesia.

Drs. David Hepner and Angela Edwards discuss the article “Unique Perioperative Medicine Education Programs Designed to Fill Gaps in Postgraduate Medical Education” published in the October 2025 issue of Anesthesia & Analgesia.

Ying Hui Low, MD, FASA, FASE; Mitchell Fuller, MD; William Lao, MD

Keeping Yourself Safe at Work with Emily Hesselink, MD

Drs. Satya Krishna Ramachandran and Robert Farney discuss the article “Quantified Ataxic Breathing Can Detect Opioid-Induced Respiratory Depression Earlier in Normal Volunteers Infused with Remifentanil” published in the September 2025 issue of Anesthesia & Analgesia.

Authors: Justin Ellenberg, MD; Latha Panchap, MD; Zia Siddiqui, MD; and Babar Fiza, MD

Section Editor: Yuriy Bronshteyn, MD

Drs. Jennifer Weller, Fred Shapiro and Vikranth Chinthareddy discuss the article “Office-Based Anesthesia: An Update on Current Trends and Practice” published in the August 2025 issue of Anesthesia & Analgesia.

Drs. James DiNardo and Laura Downey discuss the article “Effect of In Vivo Administration of Fibrinogen Concentrate Versus Cryoprecipitate on Ex Vivo Clot Degradation in Neonates Undergoing Cardiac Surgery” published in the August 2025 issue of Anesthesia & Analgesia.

Professionalism in Pediatric Anesthesiology with Allison Kinder Ross, MD, ACC

University of Colorado Global Anesthesiology Fellowship

Dr. Jake Gamboa, who just completed the University of Colorado Global Anesthesiology Fellowship, talks with Dr. Sam Percy about his motivations, his experience and his future goals supporting capacity building, education and research in anesthesiology around the world.

@pedianesthesia & @openanesthesia present "Communication and Active Listening" with Allison Kinder Ross, MD, ACC

@pedianesthesia & @openanesthesia present "Informed Consent in the Pediatric Setting" with Adam C. Adler, MS, MD, FAAP, FASE 

Spinal Pathologies in Obstetric Anesthesia: Neuraxial Risk Assessment and Decision-Making with Tural Alakbarli, MD, MSc, Dalhousie University, Halifax, Nova Scotia, Canada

Drs. Tong J. Gan and Duminda Wijeysundera discuss the article “Intraoperative Hypotension in Patients Having Major Noncardiac Surgery Under General Anesthesia: A Systematic Review of Blood Pressure Optimization Strategies” published in the July 2025 issue of Anesthesia & Analgesia.

Drs. Thomas Hemmerling and Arman Valadkhani discuss the article “Diastolic Versus Systolic or Mean Intraoperative Hypotension as Predictive of Perioperative Myocardial Injury in a White-Box Machine-Learning Model” published in the July 2025 issue of Anesthesia & Analgesia.

Listen as Dr. Elizabeth Malinzak, APSF Liaison to the OpenAnesthesia Editorial Board, is interviewed by Dr. Alli Bechtel of the APSF, our content collaborator and section affiliate. See original podcast here: https://www.apsf.org/podcast/260-openanesthesia-and-the-apsf-achieving-safe-and-quality-anesthesia-care-with-education-innovation/

Show Notes:
Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast will be an exciting journey towards improved anesthesia patient safety.

Dr. Elizabeth Malinzak takes us behind the scenes of a fascinating educational initiative bridging knowledge gaps in anesthesiology. As a pediatric anesthesiologist at Duke University and liaison between the Anesthesia Patient Safety Foundation and Open Anesthesia, she’s spearheaded the development of over 30 patient safety and quality improvement summaries designed for today’s learners.

Malinzak reflects on crucial topics like crisis resource management, fatigue mitigation, and handover protocols that weren’t part of traditional training. This educational void inspired her to create accessible, concise resources that meet modern learning preferences. Gone are the days of textbook deep-dives; today’s professionals need searchable, digestible content they can absorb between cases or during brief study sessions.

What makes these summaries particularly valuable is their breadth and collaborative development. Each summary is peer-reviewed and often created through mentoring relationships between experienced clinicians and trainees, creating educational value beyond the finished product.

Malinzak offers a clarifying perspective on how quality improvement relates to patient safety: “Patient safety is the goal… That’s what we want to accomplish with every single patient. Quality improvement is the process… how we get to the goal.” As anesthesiologists face increasingly complex cases and efficiency pressures, this distinction helps practitioners develop systematic approaches to protect vulnerable patients. Looking ahead, she envisions technologies like AI reducing administrative burdens so clinicians can focus entirely on vigilant patient care. Discover these valuable resources by visiting Open Anesthesia’s website and filtering for patient safety topics – you never know which summary might teach you something new today.

We hope that you will check out OpenAnesthesia.org and the OA Summaries.

https://www.openanesthesia.org/about-oa/

https://www.openanesthesia.org/keywords/

This episode was edited and produced by Mike Chan.

Subscribe to our YouTube Channel here: https://www.youtube.com/@AnesthesiaPatientSafety

Be sure to check out the APSF website at https://www.apsf.org/

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Follow us on Twitter @APSForg

Questions or Comments? Email me at podcast@apsf.org.

Thank you to our individual supports https://www.apsf.org/product/donation-individual/

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Additional sound effects from: Zapsplat.

© 2025, The Anesthesia Patient Safety Foundation

Medical Safety Principles with Tyler P. Morrissey, MD and Megan Nash, DO

Author: Eric R. Heinz, MD, PhD, George Washington University, Washington, DC

Section Editor: Yuriy Bronshteyn

Drs. Edward Nemergut, John Mitchell and Thomas Caruso discuss the article “Pro-Con Debate: Virtual Reality Compared to Augmented Reality for Medical Simulation” published in the June 2025 issue of Anesthesia & Analgesia.

Drs. Edward Nemergut and Samuel Blacker discuss the article “An Exploratory Analysis of ChatGPT Compared to Human Performance With the Anesthesiology Oral Board Examination: Initial Insights and Implications” published in the June 2025 issue of Anesthesia & Analgesia.

Transitioning to Inclusivity in OB Anesthesia with Hilary MacCormick, MD, FRCPC and James Damron, MD

This file is too large so it can be viewed here: https://vimeo.com/1088241795

When Mistakes Happen: Error Reporting and Breaking Bad News with Casey Quinlan, MD; Matthew Goodmanson, MD; and Katherine R. Gentry, MD, MA

Conflict Management and Resolution with Destiny F. Chau MD, FAAP, MSLOD, ACC

Conflict Management and Resolution with Destiny F. Chau MD, FAAP, MSLOD, ACC

Five Tips for Managing the Pediatric Difficult Airway with Jina Sinskey, MD, FASA

Approaches to the Thoracic Paravertebral Block with Dr. Melody Anderson (Herman)

Parasternal Blocks: Superficial and Deep Approaches with Dr. Melody Anderson (Herman)

Drs. Karsten Bartels and Clark Fisher discuss the article “Opioid Dose Variation in Cardiac Surgery: A Multicenter Study of Practice” published in the May 2025 issue of Anesthesia & Analgesia.

Drs. Girish Joshi, Nikolas Georgakis and Daniel Arango discuss the article “Risk of Acute Complications with Rocuronium versus Cisatracurium in Patients with Chronic Kidney Disease: A Propensity-Matched Study” published in the May 2025 issue of Anesthesia & Analgesia.

Lung Ultrasound with Drs. Yuriy Bronshteyn, Diana Hsu, Ashley Vincent, and Sophia Dunworth

The Brain in Pregnancy: Eclampsia with Anna G. Euser, MD, PhD

Patient Advocacy in the Hospital and Society, with Ashlee Murray, MD, MPH 

Gastric Ultrasound, Part 3 of 3 with Mitchell Fuller, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH; and Ying Hui Low, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH

Apologies! We forgot to upload this episode last year.

Gastric Ultrasound, Part 2 of 3 with Mitchell Fuller, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH; and Ying Hui Low, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH

Apologies! We forgot to upload this episode last year.

Gastric Ultrasound, Part 1 of 3 with Mitchell Fuller, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH; and Ying Hui Low, MD, Dartmouth Hitchcock Medical Center, Lebanon, NH

Apologies! We forgot to upload this episode last year.

Gastric Ultrasound in the Setting of GLP1 Use, Part 3 of 3 with Henry Lather, MD, Duke University, Durham, NC; and Yuriy Bronshteyn, MD, FASE, Duke University Health System, Durham, NC

Apologies! We forgot to upload this part of March 2024 episode last year. Parts 1 and 2 are here: 

https://sites.libsyn.com/45403/march-2024-pocus-case-of-the-month-part-1-of-3

https://sites.libsyn.com/45403/march-2024-pocus-case-of-the-month-part-2-of-3

Feedback in the Clinical Setting with Jamie Rubin, MD

Drs. Vijaya Gottumukkala and Nicholas Perry discuss the article “Cancer Biology and the Perioperative Period: Opportunities for Disease Evolution and Challenges for Perioperative Care” published in the April 2025 issue of Anesthesia & Analgesia.

Drs. Tong J. Gan and Julie M. Mani discuss the article “Examining the Impact of the Human Microbiome in the Perioperative Setting” published in the April 2025 issue of Anesthesia & Analgesia.

Obesity & Anesthesia with Jamey E. Eklund, MD, DABOM

Vodcast Series: Professional Development

QI Methodology with Rajeev Iyer, MBBS, MD, MS, FASA, Children's Hospital Philadelphia

Introduction to Lung Ultrasound with Dr. Yuriy Bronshteyn 

Drs. Shannon Farmer, Wei Pan and Thomas Powell discuss the article “Direct Reinfusion of Unwashed Shed Autologous Blood During Thoracoabdominal Aortic Aneurysm Repair: A Retrospective Analysis” published in the March 2025 issue of Anesthesia & Analgesia.

Drs. James DiNardo and Priti Dalal discuss the article “Reviewing “Nil Per Os” Guidance for Clear Fluids in Children Before Anesthesia: Survey of the Pediatric Anesthesia Leadership Council” published in the March 2025 issue of Anesthesia & Analgesia.

Understanding Trauma: The Effect on Our Patients and Us with Jaime Daly, MD

View the full article on Anesthesia & Analgesia here: https://journals.lww.com/anesthesia-analgesia/fulltext/2024/10000/the_use_of_ultrasound_in_airway_management__video.28.aspx

Drs. Narasimhan Jagannathan and Yandong Jiang discuss the article “Effectiveness of Ventilation via an Endotracheal Tube in Pharynx Versus a Facemask in Patients With Potentially Difficult Airway: A Randomized, Crossover, and Blind Trial” published in the February 2025 issue of Anesthesia & Analgesia.

Drs. Narasimhan Jagannathan and Denise Battaglini discuss the article “The Future of Artificial Intelligence Using Images and Clinical Assessment for Difficult Airway Management” published in the February 2025 issue of Anesthesia & Analgesia.

Intermediate Cervical Plexus with Melody Herman, MD

Suprainguinal Fascia Iliaca Block with Melody Herman, MD

Drs. Zeev Kain and Jonathan Gal discuss the article “Scoping Review: Anesthesiologist Involvement in Alternative Payment Models, Value Measurement, and Nonclinical Capabilities for Success in the United States of America” published in the January 2025 issue of Anesthesia & Analgesia.

Drs. Girish Joshi and Troy Wildes discuss the article “Perioperative Care of Patients Using Wearable Diabetes Devices” published in the January 2025 issue of Anesthesia & Analgesia.