Episode 34: Topical Thunder for Awake Intubation - It's Go Time! episode artwork

EPISODE · Sep 15, 2025 · 34 MIN

Episode 34: Topical Thunder for Awake Intubation - It's Go Time!

from The Nurse Anesthesia Podcast · host Jeremy Heiner, Sass Elisha, & Mark Gabot

In this episode of The Nurse Anesthesia Podcast, Jeremy, Sass, Mark, and Chloe Gomez discuss the evolution of Topical Thunder for Awake Intubation. They examine how this topical technique for anesthetizing the airway was developed, and talk about each of their unique experiences with Topical Thunder for awake intubation.  Topical Thunder is a technique that uses only topical lidocaine to anesthetize the airway in preparation for awake intubation. It consists of three steps: Step 1 is spraying the oral and hypo-pharyngeal structures with atomized 4% lidocaine solution.Step 2 utilizes 5% lidocaine paste to anesthetize the posterior tongue and vallecular structures.Step 3 involves spraying the hypopharyngeal and periglottic structures with atomized 4% lidocaine solution.  This is an episode you absolutely do not want to miss, because when it comes to awake intubation…it really is…GO TIME! Resources/information discussed in podcastCheck out the My Favorite Learners Podcast on your favorite podcatcher and on YouTube! https://www.youtube.com/@myfavoritelearners/search About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are seasoned educators and clinicians who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, practical know how to give you the most current and relevant anesthesia content available. We’re here for you!For anyone who wants to learn or if you just want to review anesthesia concepts…we will set you up for a successful educational jOURney by providing short, meaningful courses to accelerate your nurse anesthesia learning, tackle your training, and become the successful CRNA you want to be. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! RN’s get CE credits when they purchase this series.Learn more about it at www.thenurseanesthesia.com   Follow us on Instagram @thenurseanesthesia Legal DisclaimerThe Nurse Anesthesia Podcastis for educational and informational purposes only. It does not constitute medical or professional advice. While we strive for accuracy, medicine is constantly evolving, and clinical decisions should always be made based on current guidelines, institutional policies, and individual patient considerations. The views expressed are those of the hosts and guests, and Do NOT necessarily reflect the opinions of any affiliated institutions. Listeners should consult their own healthcare providers before making any medical decisions.  Music by Alex Grohl  

Episode metadata supplied by the publisher feed · Published Sep 15, 2025

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In this episode of The Nurse Anesthesia Podcast, Jeremy, Sass, Mark, and Chloe Gomez discuss the evolution of Topical Thunder for Awake Intubation. They examine how this topical technique for anesthetizing the airway was developed, and talk about each of their unique experiences with Topical Thunder for awake intubation. Topical Thunder is a technique that uses only topical lidocaine to anesthetize the airway in preparation for awake intubation. It consists of three steps: ...

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Episode 34: Topical Thunder for Awake Intubation - It's Go Time!

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