The Society of Critical Care Anesthesiologists

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What We Need to Know About AI: A Snapshot for All Critical Care Anesthesiologists
by George Istafanos, DO, Michael Salomon, MD, and Piyush Mathur, MD, FASA, FCCM, FAMIA

The integration of Artificial Intelligence (AI) in various industries has progressed rapidly in medicine, particularly in critical care. The number of articles published regarding AI in critical care medicine tripled from 2018 to 2020.1 From the use of AI to predict the likelihood of sepsis, intensive care unit (ICU) mortality, and length of stay, many predictive models have been developed for use in the ICU setting. It is essential for the modern intensivist to understand the basics of how AI works and how to analyze studies based on AI. This article aims to fulfill these two goals and provide a foundation of knowledge that can be used to implement AI in your practice.

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Women in Critical Care: Year in Review
by Shahla Siddiqui, MD, MBBS, MSc, FCCM

SOCCA WICC ended the year with a Fireside chat featuring three Intensivists in different phases of their career to share their unique journeys in academia, professional life, and career challenges. Drs. Sheela Pai Cole, Brigid Flynn, and Emily Vail joined Drs. Tabaie and Siddiqui to host the fourth and final Fireside Chat for WICC in November. Dr. Tabaie moderated the panel and asked varied questions of the speakers about mentorship, balancing academic focus and clinical demands, strategies for saying ‘no’ to opportunities when stretched, and pulling back and re-engaging with an academic career due to family obligations. The panelists spoke with candor and authenticity and shared wise pearls of experiential learning and advice on resilience. The chat provided a welcome semi-formal atmosphere for the audience to hear from successful academic intensivists and have them share workplace experiences, offering a space for support and for practicing methods to achieve career advancement.

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The Anesthesia Critical Care Medicine Fellowship Match Remains a Buyer’s Market for the Second Year in a Row
by Erin Hennessey, MD, MEHP and Babar Fiza, MD

Introduction
Anesthesia Critical Care Medicine (ACCM) is the oldest ACGME board-certified subspecialty within Anesthesiology, and similar to other subspecialty fellowship training programs, our growth has outpaced the current interest in our field. This year’s match proved again to be difficult for many programs in light of the low application numbers.

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Perspectives on Pursuing an Anesthesiology Fellowship in Critical Care Medicine
by Beth M. Teegarden, MD, FASA, Ernesto Lopez Valencia, MD, PhD, and Lindsay D. Nowak, MD

It is an exciting time to pursue an anesthesiology fellowship in critical care medicine (CCM). As we emerge from COVID-19, there is a renewed energy for scientific investigations, making connections, and integrating wellness strategies to mitigate burnout. Technological advances in hemodynamic monitoring, the use of artificial intelligence or data analytics, and application of novel biomarkers are all captivating areas of investigation. Moreover, the integration of bedside point-of-care ultrasound (POCUS) continues to grow and offers opportunities to be at the forefront of clinical care. If you’ve had a chance to attend recent regional or national anesthesiology or CCM meetings, you have likely noticed expanded opportunities to network and for mentorship at all stages of training. There has been a palpable energy around these connections and a desire to collaborate. It has been a real pleasure to connect with former colleagues, meet new friends and learn from a diverse collection of experts in the field.  

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Emergent ECMO for a TE-Fistula: Fundamentals are Key
by Amber N. Campbell, MD, MS and Christopher Chung, MS3-UTHealth Houston

Introduction

This case report describes a young man who developed a tracheal-esophageal fistula (TEF) from endotracheal intubation with prolonged elevated cuff pressure after a traumatic fall. This case report describes the intra-operative management of profound hypoxia, shedding light on crucial pre-operative indicators that could serve as vital cues to prevent the occurrence of this potentially serious complication.

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SOCCA Interchange Needs You!

Interchange seeks to deliver timely, relevant, and high-quality content to SOCCA members. Contributions from members are not only welcome but essential to ensure that Interchange meets these goals. If you are interested in authoring content concerning clinical challenges, emerging research findings, member accomplishments, or anything of general interest to the membership, please reach out to vabalama@iars.org.

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