Part 1 of 2
Brambrink MAA10 Interview Transcript 1 of 2.pdf
Jevtovic-Todorovic_2013 Anaesthetic neurotoxicity
| Ansgar Brambrink, MD | |||
| Part 1 of 2 | |||
| mins | secs | msecs | |
| Topic: definition of adequate anaesthetic | 1 | 19 | |
| Topic: the role of neuromuscular blocking agents (NMBAs) or muscle relaxants (MRs) in an adequate anaesthetic | 1 | 19 | |
| Topic: GA is a balance: 3 goals-painlessness, unawareness, and muscle relaxation | 2 | 38 | 2 |
| Topic: the ability of anesthesia to maintain physiologic homeostasis & correct the impact surgical trauma | 2 | 57 | |
| Topic: summary definition: adequate anesthesia | 3 | 14 | |
| Topic: the role of amnesia as an adequate goal of anesthesia | 3 | 54 | 21 |
| Topic: patient can not tolerate an ideal level anesthesia: adequate goal is amnesia of unpleasant experiences | 5 | 0 | |
| Topic: unconcious mind: imprint trauma into patient's mind | 5 | 19 | |
| amnesia only in extreme circumstances as adequate goal anaesthesia | 5 | 50 | 1 |
| Topic: implicit emotional memory | 6 | 2 | 10 |
| Topic: mind operates at several layers-one is concious mind | 6 | 25 | 26 |
| Topic: explicit memory from childhood starts around the age of 5 | 6 | 40 | 15 |
| Topic: What are the anesthetic implications for children without the ability to encode explicit memory? | 7 | 13 | |
| Topic: impact of unpleasant experiences during anesthesia on personality characteristics? | 7 | 18 | |
| Topic: How long can trauma induced amnesia endure? | 7 | 26 | |
| Topic: risks of deep vs. light anaesthesia | 8 | 15 | |
| Topic: greater risk: neurtoxicity vs psychological problems ? | 8 | 15 | |
| Topic: what is the evidence for this risk ? | 9 | 19 | |
| Topic: how does trauma influence the mind and result in long term sequelae ? | 10 | 36 | 4 |
| Topic: How does childhood trauma impact adult life ? | 11 | 4 | 25 |
| Topic: How does the duration of anesthesia impact the risk of neurotoxity on the developing brain ? | 11 | 24 | 7 |
| Topic: how can the risk of anesthethic neurtoxicity be decreased ? | 12 | 42 | |
| Topic: what is the role of Dexmedetomidine in pediatric anesthesia ? | 13 | 15 | |
| Topic: What is the definition of adequate pediatric anaesthesia ? | 13 | 47 | |
| Topic: can an adequate anaesthesia in adult have neurotoxic effects: delerium ? | 14 | 5 | |
| Topic: how avoid delerium ? | 15 | 3 | |
| Topic: are brain monitors effective ? | 15 | 38 | |
| Topic: describe the risk between neurotoxicity vs child exposed to aversive stimulus ? | 16 | 30 | 9 |
| Topic: how does hyperalgesia in later periods of life occur after anesthesia and surgery ? | 17 | 3 | 25 |
| Topic: What is the impact of anesthesia and surgery on pediatric brain ? | 18 | 8 | 19 |
| Topic: is there active brain function under adequate planes of anesthesia ? | 18 | 38 | 1 |
| Topic: Prof. Mary Fitzgerald: the effect noxious surgical stimuli on pediatric brain | 19 | 18 | |
| Topic: Prof. Mary Fitzgerald: the effect noxious surgical stimuli on pediatric brain | 19 | 28 | |
| Topic: Prof. Mary Fitzgerald: the effect noxious surgical stimuli on pediatric brain | 20 | 0 | 25 |
| Topic: Dr Bambrink describes the goal of anesthesiologists: to limit pain & suffering & death | 20 | 11 | 11 |
| Topic: What are the anesthetic treatments for limb movement ? | 20 | 43 | 5 |
| Topic: What are the anesthetic treatments for limb movement ? | 21 | 26 | 20 |
| Topic: would Dr Bambrink talk to the patient? | 22 | 25 | |
| Topic: would Dr Bambrink talk to the patient? | 22 | 27 | 27 |
| Topic: would Dr Bambrink talk to the patient? | 24 | 17 | 5 |
| Topic: would Dr Bambrink talk to the patient? | 24 | 24 | 10 |
| Topic: Dr Bambrink's view of his relationship with surgeons in the operating room | 25 | 28 | 1 |
| Topic: Do politics in the operating room vary by country ? | 25 | 48 | 19 |
| Topic: USA hierarchy between surgeon and anesthesiologist vs europe & UK | 26 | 13 | |
| Topic: USA hierarchy between surgeon and anesthesiologist vs europe & UK | 26 | 34 |
Part 2 of 2
Brambrink MAA10 Interview Transcript 2 of 2.pdf
Vega-Avelaira, D., R. McKelvey, G. Hathway and M. Fitzgerald (2012). "The emergence of adolescent onset pain hypersensitivity following neonatal nerve injury." Mol Pain
| Ansgar Brambrink, MD | min | secs | msecs |
| Part 2 of 2 | |||
| Topic: hierarchy in operating room continued from part 1: differences between USA vs. Europe | 0 | 0 | 0 |
| Topic: hierarchy in operating room continued from part 1: differences between USA vs. Europe | 0 | 41 | 4 |
| Topic: hierarchy in operating room continued from part 1: differences between USA vs. Europe | 2 | 9 | 0 |
| Topic: hierarchy in operating room continued from part 1: differences between USA vs. Europe | |||
| Topic: malignant hierarchy | 4 | 38 | 14 |
| Topic: the impact of hierarchy or power struggle on use/overuse of NMBs/MRs | 5 | 38 | 12 |
| Topic: Do we need to adjust pediatric anesthetic techniques ? | 5 | 38 | 12 |
| Topic: MRs and perceived expectancy of surgeons-robotic surgery and need stable surgical operating conditions | 9 | 56 | 22 |
| Topic: what are the preconditions for use of NMBs/MRs ? | 10 | 23 | |
| Topic: Surgeon requests NMBs/MRs during surgery | 10 | 23 | |
| Topics: what is the history of going from giving neonates only NMBs/MRs to full anesthetics? | 13 | 22 | 15 |
| Topic: anesthesia to neonates challenge-fragile physiologic systems | 13 | 53 | |
| Topic: delirium as a possible complication of anesthesia: | 17 | 36 | |
| Topic: Do we adjust anesthethic techniques based on current data ? | 18 | 2 | |
| end |
Dr. Ansgar Brambrink
Anesthesiologist-in-chief at NewYork-Presbyterian/Columbia University Medical Center
Dr. Brambrink, an internationally renowned expert in brain injury, specializes in clinical care, research, and educational aspects of anesthesia and its applications to the treatment of patients with neurological conditions, including stroke. He had been professor and the vice chair of faculty development and advancement in the Department of Anesthesiology and Perioperative Medicine at Oregon Health & Science University.
Dr. Brambrink received his doctorate and medical degrees from Westfälische Wilhelms-University School of Medicine in Germany and completed a residency in anesthesiology and an anesthesiology and neurosurgery fellowship in the intensive care units at University Hospital at Johannes Gutenberg University in Mainz, Germany. He also completed a clinical and research fellowship in anesthesiology at Johns Hopkins University. He served on the faculty of Johannes Gutenberg University from 1996 until 2003 before joining OHSU. Within four years, Dr. Brambrink had joint appointments in three OHSU departments: anesthesiology and perioperative medicine, neurology, and neurologic surgery. At OHSU, he was instrumental in building a multidisciplinary neuroscience intensive care unit, which he directed for five years.
Michael Wang
TOPIC: Awake paralysis – the heart of AAGA PTSD
BIOGRAPHY AND AREAS OF RESEARCH:
Michael Wang is Emeritus Professor of Clinical Psychology in the
College of Medicine, Biological Science and Psychology,
University of Leicester UK, and Honorary Consultant Clinical
Psychologist in Anaesthesia, Critical Care and Pain Management
at Leicester Royal Infirmary UK. He is a former Chair of the
Division of Clinical Psychology of the British Psychological
Society. He has worked as a clinical psychologist for more than
35 years, treating patients with PTSD, anxiety disorders, depression, obsessional compulsive disorder, and in particular, psychological problems arising from unplanned anaesthetic and surgical incidents. He has worked closely with anaesthetists in both clinical and research contexts for more than 20 years. Alongside Dr Ian Russell he has championed the Isolated Forearm Technique as the gold standard for
detecting intra-operative consciousness.
Anthony Messina
Anthony Messina, MD, MSPH, MBA is a retired Adjunct Professor of Healthcare Management at the Jindal School of Management, University of Texas at Dallas and anesthesiologist.