The Nurse Anesthesia Podcast

It's Airway Adventure time! In this episode of The Nurse Anesthesia Podcast, Jeremy dives into Volume II of Airway Management Adventures with four senior nurse anesthesia students. He discusses with each of them, their airway adventure from locations that include the ICU to the Operating Room. Each case illustrates critical decision-making under challenging circumstances, where key actions by both the nurse anesthesia student and CRNA are essential. The cases include information on videolaryngoscopy including flexible intubation (VIFI), preparing for an awake intubation…but then suddenly changing the plan, how to manage a massive goiter, and what it feels like to save the airway in the ICU. Buckle up, because it’s AIRWAY TIME!  Resources/information discussed in podcast·      Anesthesia Patient Safety Foundation – Emergency Tracheostomy Management: https://www.apsf.org/article/keeping-patients-safe-during-emergency-tracheostomy-management/ ·      National Audit Project 4 (NAP 4): https://www.rcoa.ac.uk/research/research-projects/national-audit-projects-naps/nap4-major-complications-airway-management ·      Get your free The Nurse Anesthesia Crisis Checklists at www.thenurseanesthesia.com·      Sign up for our Crisis Management Video Series. You’ll get 10 different crisis management videos packed with the most up-to-date information. ·      Nurse Anesthesia Residents…you will receive a steep discount on our Crisis Management Video Series. Simply email us at [email protected] tell us what nurse anesthesia program you’re in, and we’ll send you a discount code.   About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us 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. We continuously strive for accuracy, however, 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 

In this episode of The Nurse Anesthesia Podcast, host Jeremy Heiner, is joined by co-host Mark Gabot, and special guest Zohn Centimole, PhD, CRNA, for a practical discussion about moving “beyond the BIS Index number” and using electroencephalography (EEG) to better understand the brain’s response to anesthesia. The conversation explores how raw and processed EEG can provide anesthesia professionals with a real-time window into the organ they are actually anesthetizing—the brain.Jeremy, Mark, and Zohn then break down the characteristic EEG frequencies encountered during anesthesia. They talk about burst suppression, the density spectral array (DSA), and how recognizing patterns may allow clinicians to titrate anesthetics more thoughtfully and individualize care rather than relying exclusively on MAC values, vital signs, or traditional dosing strategies.The takeaway is simple: let’s start looking at the EEG! Put the monitor on, observe the changes from induction through emergence, correlate the patterns with anesthetic interventions, and begin developing the skills necessary to use brain monitoring as another tool for individualizing anesthesia care.References1.    Aldecoa C, Bettelli G, Bilotta F, et al. Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus-based guideline on postoperative delirium in adult patients. Eur J Anaesthesiol. 2024;41(2):81-108. doi:10.1097/EJA.00000000000018762.    Jegarl AM, Walline MC, Goldstein PA, Safavynia SA. Is Electroencephalographic Burst-Suppression Good, Bad, or Indifferent for Brain Health? Context Matters. Anesth Analg. 2026;142(6):1169-1179. doi:10.1213/ANE.00000000000077393.    Purdon PL, Sampson A, Pavone KJ, Brown EN. Clinical Electroencephalography for Anesthesiologists: Part I: Background and Basic Signatures. Anesthesiology. 2015;123(4):937-960. doi:10.1097/ALN.00000000000008414.    Xu A, Arnaout B, Scott DA, McGuigan S. Intraoperative electroencephalogram-derived measures and their association with postoperative delirium: a systematic review and meta-analysis. Br J Anaesth. 2025;135(6):1684-1703. doi:10.1016/j.bja.2025.08.038About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! Advanced Anatomy, Physiology, and Pathophysiology is coming soon.CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 

Hypotension can occur during surgery and anesthesia in patients with a history of hypertension who take angiotensin converting enzyme inhibiting (ACEI) or angiotensin receptor blocking (ARB) medications. In this episode Jeremy and Mark talk about what the current evidence says about holding or allowing patients to take their ACEI or ARB on the day of surgery. This has been a hot topic in the anesthesia community with no clear guidelines…until now. Tune in to find out!  References•     Giannas E, et al. Perioperative management of renin-angiotensin system inhibitors in patients undergoing elective major noncardiac surgery: a mixed model investigation using systematic review, meta-analysis, multicentre service evaluation, and national survey. Br J Anaesth. 2025;135:861–869.•     2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery. Circulation. 2024. DOI: 10.1161/CIR.0000000000001285. [Supersedes 2014 ACC/AHA Guideline]•     Kidney Disease: Improving Global Outcomes (KDIGO) 2024 CKD Guideline — perioperative RAS inhibitor management recommendations. https://kdigo.org/guidelines/ckd-evaluation-and-management/•     Keshock M, et al. Hold ACE inhibitors and ARBs before noncardiac surgery? Emerging evidence suggests a patient-specific approach. Cleve Clin J Med. 2025;92(10):619–626. About The Nurse Anesthesia:We provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at: www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia Courses:Our CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 

We spend a lot of time and effort attempting to prevent aspiration during anesthesia, and advising patients to avoid eating or drinking before surgery is an established practice. In this episode, Jeremy and Mark discuss new guidelines from an international multidisciplinary panel that challenges some long established NPO practices. Some of the big shake-ups include allowing clear liquids up to the time of surgery, permitting a small amount of milk in coffee and still calling it a clear liquid, and promoting salivation stimulants such as gum or a lollipop both before and after surgery. Tune in to check out these new guidelines and decide for yourself if it’s time to shake things up! References1.    Rüggeberg A, El-Boghdadly K, Bilotta F, et al. Peri-operative fasting in adults: an international, multidisciplinary consensus statement. Anaesthesia. Published online February 9, 2026. doi:10.1111/anae.701302.     MENDELSON CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol. 1946;52:191-205. doi:10.1016/s0002-9378(16)39829-53.    Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting. Anesthesiology. 1999;90(3):896-905. doi:10.1097/00000542-199903000-000344.    Joshi GP, Abdelmalak BB, Weigel WA, et al. 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration. Anesthesiology. 2023;138(2):132-151. doi:10.1097/ALN.0000000000004381About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 

In this episode of The Nurse Anesthesia Podcast, Jeremy explores the supporting evidence, mechanisms, and clinical applications of high flow nasal oxygenation (HFNO) in anesthesia practice with Simon McDonald and Amanda Virginia. These experts share their insights on how HFNO technology enhances patient safety during airway management, procedural sedation, and extubation. During their conversation, Jeremy, Simon, and Amanda discuss the development of HFNO, the mechanisms that provide significant physiological benefits for oxygenation, and most importantly…the clinical applications of this therapy in anesthesia practice. For anesthesia providers who want to take their practice to the next level of advanced oxygenation for patients, this is a must listen!  References1.    Patel A, Nouraei SA. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia. 2015;70(3):323-329. doi:10.1111/anae.12923 2.    Thiruvenkatarajan V, Sekhar V, Wong DT, Currie J, Van Wijk R, Ludbrook GL. Effect of high-flow nasal oxygen on hypoxaemia during procedural sedation: a systematic review and meta-analysis. Anaesthesia. 2023;78(1):81-92. doi:10.1111/anae.15845  Fisher & Paykel Healthcare: https://www.fphcare.com/us/hospital/optiflow-thrive/anesthesia/About The Nurse AnesthesiaWe’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We're here for you. Let's do this together. It's Go Time!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 

It's Q&A time with Sass and Jeremy...where they willingly subject themselves—and you—to the intellectual equivalent of laryngoscopy without topicalization! In this episode they dive headfirst (cephalad to caudad of course) into the pharyngeal and laryngeal anatomy that every anesthesia provider thinks they remember… until they don’t. From the classic “wait… is that CN IX or CN X?” moment, to realizing the posterior cricoarytenoid is the only muscle keeping that airway open—this episode rocks the upper airway questions in all the right ways.But here’s the deal—this isn’t just an academic exercise. There’s a method to the madness.Question-based learning is one of the most powerful, evidence-based learning strategies out there. Retrieval practice (aka forcing your brain to recall information under pressure) strengthens memory pathways and improves long-term retention far better than passive review.And let’s be honest… if you’re a CRNA, you’re already living this life thanks to the NBCRNA's MAC program. Quarterly questions aren’t optional—they’re part of the deal. So, let’s get to it and train like we play! About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 

In this episode of The Nurse Anesthesia Podcast, Jeremy talks with Roxane McMurray, DNP, CRNA, APRN who is the creator of the McMurray Enhanced Airway (MEA). The MEA is in a new airway device classification known as “Distal Pharyngeal Airways” or DPAs. Her innovative device is placed orally to help maintain a patent airway in patients who are at risk for upper airway obstruction while under anesthesia or even during airway emergencies. The MEA facilitates ventilation in several airway management situations and solves many of the problems we encounter with basic airway devices such as oral pharyngeal airways (OPAs) and nasal pharyngeal airways (NPAs), by being better positioned at the junction of the oro- and hypo-pharyngeal space or distal pharyngeal space…thus bypassing the areas that cause upper airway obstruction. Roxanne has reimagined basic airway management. Her device is being used in critical care areas, EMS, and in anesthesia for monitored anesthesia care cases and difficult airway management situations. If you have not heard of the McMurray Enhanced Airway, and even for those who have…this is a must listen!References1.    For more information about the McMurray Airway: https://www.mcmurraymed.com/ 3.    Daniel C, Feeney M, Gordon L. A New Distal Pharyngeal Airway Device Associated with a Reduced Need for Chin-Lift and Jaw-Thrust Maneuvers in Sedated Patients. AANA J. 2024 Apr;92(2):115-120. PMID: 38564207.4.    DuCanto J. Sudden Hypoxemia in GI Procedure Relieved by a New Distal Pharyngeal Airway (DPA): Case Report. Anesthesia Patient Safety Foundation (APSF). 2023 Jul16. https://www.apsf.org/article/sudden-hypoxemia-in-gi-procedure-relieved-by-a-new-distal-pharyngeal-airway-dpa-case-report/5.    McMurray R, Becker L, Olsen KF, McMurray M. Airway Management for Deep Sedation: Current Practice, Limitations, and Needs as Identified by Clinical Observation and Survey Results. AANA J. 2020 Apr;88(2):123-129. PMID: 32234203.6.    McMurray RR, McMurray MR. Introducing the First Distal Pharyngeal Airway. A A Pract. 2023;17(6):e01691. Published 2023 Jun 19. doi:10.1213/XAA.0000000000001691 About The Nurse AnesthesiaWe’re seasoned educators and practicing CRNAs who know anesthesia and our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 SummaryJeremy and Sass discuss the anesthetic management for a thyroidectomy in this 43rd episode of The Nurse Anesthesia Podcast.They first review the physiology and signs and symptoms of both hyperthyroidism and hypothyroidism, and then review the essential case management strategies for this front of neck procedure. A key part of the anesthesia management is the pharmacology that’s involved, and knowing what type of medication to give and when is crucial when caring for these patients. This is an episode packed full of anesthesia pearls that you won’t want to miss!References1.    Bajwa SJ, Sehgal V. Anesthesia and thyroid surgery: The never ending challenges. Indian J Endocrinol Metab. 2013;17(2):228-234. doi:10.4103/2230-8210.109671 2.    Biello A, Kinberg EC, Menon G, et al. Thyroidectomy. [Updated 2024 Nov 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563279/3.    Guzzetti L, Inversini D, Bacuzzi A. Anaesthesia for thyroid and parathyroid surgery. BJA Educ. 2024;24(8):270-276. doi:10.1016/j.bjae.2024.04.0044.    Elisha S, Boytim M, Bordi S, Heiner J, Nagelhout J, Waters E. Anesthesia case management for thyroidectomy. AANA J. 2010 Apr;78(2):151-60. PMID: 20583462. About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses 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. We continuously strive for accuracy, however, 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 SummaryIn this episode of The Nurse Anesthesia Podcast Jeremy discusses the medications used to block/inhibit/blunt the sympathetic response to laryngoscopy and intubation. He discusses the mechanisms of how lidocaine, fentanyl, esmolol, or dexmedetomidine can be used to limit or even prevent the tachycardia and hypertension that can occur from placing a laryngoscope blade into the hypopharynx. Gear up…because we’re about to explain how to do laryngoscopy without the hyperdynamic drama! References1.    Chung KS, et al. “A comparison of fentanyl, esmolol, and their combination for blunting the haemodynamic responses during rapid-sequence induction.” doi:10.1007/BF030082872.    Gurulingappa, et al. “Attenuation of Cardiovascular Responses to Direct Laryngoscopy and Intubation-A Comparative Study Between iv Bolus Fentanyl, Lignocaine and Placebo(NS).” doi:10.7860/JCDR/2012/4070.2619 3.    Hassani V, et al. “Comparison of fentanyl and fentanyl plus lidocaine on attenuation of hemodynamic responses to tracheal intubation in controlled hypertensive patients undergoing general anesthesia. doi:10.5812/aapm.64424.    Mendonça FT, et al. “Effects of lidocaine and esmolol on hemodynamic response to tracheal intubation: a randomized clinical trial.” doi:10.1016/j.bjane.2021.01.0145.    Mulimani SM, et al. “Efficacy of a Bolus Dose of Esmolol and Bolus Dose of Lignocaine for Attenuating the Pressor Response to Laryngoscopy and Endotracheal Intubation in General Anesthesia: A Comparative Study.” . doi:10.4103/aer.AER_31_196.    Qi DY, et al. “Efficacy of intravenous lidocaine versus placebo on attenuating cardiovascular response to laryngoscopy and tracheal intubation: a systematic review of randomized controlled trials.” 7.    Qin J, et al. “Effects of intravenous lignocaine on haemodynamic responses to laryngoscopy and tracheal intubation in adults under general anaesthesia: A systematic review and meta-analysis.” doi:10.4103/ija.ija_201_25 8.    Saleh A, et al. “Effects of Dexmedetomidine vs Esmolol on Postintubation Hemodynamics: A Meta-Analysis.” doi:10.2344/23-00599.    Sharma S, et al. “Comparison of Esmolol and Dexmedetomidine for Suppression of Hemodynamic Response to Laryngoscopy and Endotracheal Intubation in Adult Patients Undergoing Elective General Surgery: A Prospective, Randomized Controlled Double-blinded Study.” . doi:10.4103/aer.AER_226_1710. Teong, Cheng Yeon et al. “The Haemodynamic Response to Endotracheal Intubation at Different Time of Fentanyl Given During Induction: A Randomised Controlled Trial.” doi:10.1038/s41598-020-65711-9 Resources/information discussed in podcast  About The Nurse AnesthesiaFor 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!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists get a steep discount! Email us at [email protected] to get your discount code.Learn more about our courses at www.thenurseanesthesia.com   Follow us on Instagram

Jeremy & Mark focus on another potential anesthesia critical event in this 41st episode of The Nurse Anesthesia Podcast…the rare but frothy crisis known as Negative Pressure Pulmonary Edema (NPPE). They discuss the clinical presentation, signs and symptoms, etiology, pathophysiology, and most importantly…the management of this potential problem that can occur after general anesthesia or even during the critical care of certain patients. Tune in and catch-up on the important points you need to know to effectively manage this possible emergency.About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provie the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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! CRNAs & RN’s get CE credits when they purchase this series.Resident Registered Nurse Anesthesiologists will also find a ton of value in taking these courses!Learn more about our courses 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. We continuously strive for accuracy, however, 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 SummaryOver the past few weeks, we’ve taken a bit of a break from the podcast. But we're back for our first episode of 2026! We wanted to start out the year by reviewing some of the best papers in 2025. In this episode Mark and Jeremy each select two of their favorite papers from the past year. They discuss preoxygenation and anesthesia case management using high flow nasal oxygenation, review ultrasound guided neuraxial anesthesia, and explore the updates from the Difficult Airway Society's 2025 Unanticipated Difficult Airway Guidelines. Giddyap for this EBP Roundup…it’s go time!References1.    High Flow Nasal Oxygenation (HFNO) for preoxygenation at various flow rates: Sjöblom, Albin et al. “Preoxygenation with high-flow nasal oxygen at various flow rates in elective surgical patients: a prospective, randomised, single-blind clinical trial.” British journal of anaesthesia, S0007-0912(25)00816-5. 18 Dec. 2025 2.    HFNO use during general anesthesia: Frassanito, Luciano et al. “High-Flow Nasal Oxygen versus Mechanical Ventilation Through a Laryngeal Mask During General Anesthesia Without Muscle Paralysis: A Randomized Clinical Trial.” Anesthesia and analgesia vol. 141,5 (2025): 1116-1125.3.    Ultrasound-guided neuraxial anesthesia: de Carvalho, Clístenes Crístian et al. “Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: a systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials.” Regional anesthesia and pain medicine vol. 50,9 737-746. 4 Sep. 2025a.    If you want to see great images on US-guided neuraxial anesthesia check out this article: https://link.springer.com/article/10.1007/s40140-021-00456-34.    Updated Difficult Airway Society Unanticipated Difficult Airway Guidelines: Ahmad, Imran et al. “Difficult Airway Society 2025 guidelines for management of unanticipated difficult tracheal intubation in adults.” British journal of anaesthesia vol. 136,1 (2026): 283-307. About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re passionate educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. It's Go Time!Visit us at www.thenurseanesthesia.com   Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase & complete this series.Resident Registered Nurse Anesthesiologists will absolutely find value in taking these courses!Learn more about our courses 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. We continuously strive for accuracy, however, 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&

One of the best ways we learn is by answering questions. In this episode of The Nurse Anesthesia Podcast Jeremy and Sass cover several Hypermetabolic Syndromes in Round 8 of our Q&A format. We like to periodically host these episodes as a way to sharpen our thinking, reinforce the fundamentals, and keep our clinical decision-making strong.Answering questions about content we’ve learned in the past helps our brains develop the neural connections that makes information stick. This is active recall in action…where we not only recognize information, but retrieve it, apply it, and turn it into something we can use in the operating room.And for CRNAs, this now part of our professional lives. Through the NBCRNA’s Maintenance of Anesthesia Certification, or MAC program, we’re expected to stay engaged with our knowledge by answering anesthesia-related questions every three months as part of our recertification. So, put on those headphones and let’s get right to it!About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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!Visit us at www.thenurseanesthesia.com  Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase this series.Resident Registered Nurse Anesthesiologists will also find value in taking these courses!Learn more about our courses at www.thenurseanesthesia.com  Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia Podcast is for educational and informational purposes only. It does not constitute medical. We continuously strive for accuracy, however, 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 

Sass and Jeremy talk about the preparation and perioperative management of a patient who requires the removal of a pheochromocytoma. They discuss the important preoperative optimization that’s required to appropriately care for these patients, and what you can do if you ever experience an unexpected pheochromocytoma during the anesthetic care of your patients.References1.    Elisha S. “Anesthesia Case Management for Excision of a Pheochromocytoma.” Case Studies in Nurse Anesthesia. 1st ed. Elsevier, 2021.2.    Elisha S. “The Endocrine System and Anesthesia.” In Elisha S, Heiner JS, Nagelhout JJ. Nurse Anesthesia. 7th ed. Elsevier 2023.3.    Fagundes GFC, Almeida MQ. Perioperative Management of Pheochromocytomas and Sympathetic Paragangliomas. J Endocr Soc. 2022;6(2):bvac004. Published 2022 Jan 14. doi:10.1210/jendso/bvac004 4.    Kamath AS, Singh K. Perioperative Management of Pheochromocytoma. [Updated 2023 Jul 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs. Our goal is provide the very best in anesthesia education, and to build a commUNITY of learning in anesthesia and critical care!We’re seasoned educators and practicing CRNAs who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. We are 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! Visit us at www.thenurseanesthesia.com Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & RN’s get CE credits when they purchase this series.Resident Registered Nurse Anesthesiologists will absolutely find value in taking these courses!Learn more about our courses at www.thenurseanesthesia.com Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia Podcastis for educational and informational purposes only. It does not constitute medical. We continuously strive for accuracy, however, 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 

In this episode of the Nurse Anesthesia Podcast, Jeremy sits down with two SUPERSTAR ultrasound and acute pain management educators…Nicolette Hooge, DNP, CRNA, FAANA and Christian Falyar, DNAP, CRNA, FAANA from the Middle Tennessee School of Anesthesia. They talk about the core ultrasound-guided anesthesia nerve blocks that every CRNA should learn and have available as part of their skill set for anesthesia practice. If you’re interested in peripheral nerve blocks and ultrasound-guided regional anesthesia…this is an amazing conversation with so many gems and take-aways…you absolutely will want to listen! Resources/information discussed in podcast1.    Acute Surgical Pain Management Fellowship at Middle Tennessee School of Anesthesia at this link: https://mtsa.edu/admissions/fellowship/2.    Nurse Anesthesia 7th edition  About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs, and our goal is to build a commUNITY of learning in anesthesia and critical care! We’re seasoned educators and clinicians who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs & 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. We continuously strive for accuracy, however, 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 

Our guests in this episode are Christian Falyar, DNAP, CRNA, FAANA and Nicolette Hooge, DNP, CRNA, FAANA from the Middle Tennessee School of Anesthesia. They are some of the top educators of regional anesthesia in the country, and direct the only Acute Surgical Pain Management Fellowship for CRNAs. They literally are the rock stars of regional anesthesia! Jeremy had the opportunity to sit down with them and talk about the state of the state regarding ultrasound-guided regional anesthesia education.  You can find more information about them and the Acute Surgical Pain Management Fellowship at Middle Tennessee School of Anesthesia at this link: https://mtsa.edu/admissions/fellowship/ References1.    Nurse Anesthesia 7th edition    About The Nurse AnesthesiaWe provide continuing education for CRNAs and RNs, and our goal is to build a commUNITY of learning in anesthesia and critical care! We’re seasoned educators and clinicians who know anesthesia. We literally write the textbook! We have the clinical expertise, educational experience, and practical know how to give you the most current and relevant anesthesia content available. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! CRNAs and 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. We continuously strive for accuracy, however, 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 Mixed & Edited by Next Day [email protected]

In this episode Jeremy talks about a powerful dual-technique for intubation that blends two modern airway tools — the video laryngoscope and the single-use flexible intubating scope — into a single, coordinated approach.He calls this method Videolaryngoscopy Including Flexible Intubation, or VIFI. This airway technique combines the visibility of the videolaryngoscope with the precision of the flexible intubating scope. During this episode Jeremy talks about some patient conditions and situations where VIFI may be useful as well as a step-by-step description on how to perform this technique. This is one you definitely should check out!  References1. Hu, Hui-Zhong et al. “A visual laryngoscope combined with a fiberoptic bronchoscope improves intubation outcomes in patients with predicted difficult airways in thoracic surgery.” BMC pulmonary medicine vol. 24,1 558. 7 Nov. 2024, doi:10.1186/s12890-024-03369-z2. Ottoveggio, Gaetano et al. “Combined videolaryngoscope and fiberoptic intubation for difficult airways in head and neck surgery: A prospective observational study.” Current problems in surgery vol. 70 (2025): 101852. doi:10.1016/j.cpsurg.2025.1018523. Strayer RJ, Caputo N. “How to Use Video-Assisted Flexible Endoscopic Intubation.” ACEP Now: The Official Voice of Emergency Medicine. November 11, 2022. https://www.acepnow.com/article/how-to-use-video-assisted-flexible-endoscopic-intubation/?singlepage=14. Stein, M L et al. “Efficacy of a hybrid technique of simultaneous videolaryngoscopy with flexible bronchoscopy in children with difficult direct laryngoscopy in the Pediatric Difficult Intubation Registry.” Anaesthesia vol. 78,9 (2023): 1093-1101. doi:10.1111/anae.16049 About The Nurse AnesthesiaWe provide continuing education for CRNAs and Nurses which the goal of building a commUNITY of learning in anesthesia and critical care! We’re 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 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! CRNAs and RNs 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 Podcast is 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 Mixed & Edited by Next Day [email protected]

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  

In this episode of The Nurse Anesthesia Podcast, Sass and Jeremy talk about the most commonly used benzodiazepine in anesthesia practice…Midazolam. Without a doubt, this is one of the medications we use frequently to help relieve patient anxiety prior to an operation…it’s just like the Ramones sing…”(They) Wanna Be Sedated!”You won’t want to miss the discussion between Jeremy and Sass as they review the mechanism of action, indications, pharmacokinetics, and reasons we use this drug in anesthesia practice. Resources/information discussed in podcastCome check us out at the Western Summit for Nurse Anesthesiology on October 3-5.We’ll be running the Advanced Airway Workshop on Friday October 3 and presenting on Crisis Management and Awake Intubation using the TOPICAL THUNDER technique on Saturday October 4.https://westerncrnasummit.com/  About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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 have always dreamed of. 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  Come get your FREE Anesthesia and Critical Care Crisis Checklists at www.thenurseanesthesia.com Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex GrohlMixed & Edited by Next Day [email protected]

This is the 7th round of Q&A with TNA, and in this round Jeremy and Sass ask some questions and give some answers on Inotropic medications including Epinephrine, Norepinephrine, Milrinone, Dobutamine, Dopamine, and Isoproterenol. This is a perfect episode to brush up on your question and answer skills while learning or relearning these medications at the same time!About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and practicing anesthesia clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you! For anyone who wants to learn or 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 have always dreamed of. 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  Get our FREE Crisis Management Checklists at www.thenurseanesthesia.com   Follow us on Instagram @thenurseanesthesia Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl 

The Nurse Anesthesia Team gets together on this episode to talk all things cricothyrotomy in preparation for the AANA Annual Congress in Nashville! Jeremy, Sass, and Mark will be hosting and running the Advanced Airway Skills Workshop at the Annual Congress. Part of that workshop includes practicing several cricothyrotomy techniques. In this episode, they discuss the three cricothyrotomy techniques that include: (1) percutaneous needle cricothyrotomy; (2) percutaneous wire-guided cricothyrotomy; & (3) the surgical bougie-assisted cricothyrotomy. Even though this is a rare procedure, it is absolutely essential to have an understanding of these techniques and to regularly practice them so that you’ll be ready if you’re ever in an emergency airway situation where you cannot intubate and cannot ventilate/cannot oxygenate.  References1.Apfelbaum JL, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022;136(1):31-81. 2.Cook TM, et al. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011 May;106(5):617-31. 3.Joffe AM, et al. “Management of Difficult Tracheal Intubation: A Closed Claims Analysis.” Anesthesiology vol. 131,4 (2019): 818-829. 4.Law JA, et al. “Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient.” Canadian journal of anaesthesia vol. 68,9 (2021): 1373-1404.5.Infographic on the bougie-assisted cricothyrotomy - Price TM, et al. “Emergency front of neck access in airway management.” BJA education vol. 19,8 (2019): 246-253.  Sign up for The Nurse Anesthesia Courses!Our CRISIS MANAGEMENT VIDEO SERIES is currently available! RN’s get CE credits when they purchase this series.Learn more about it at www.thenurseanesthesia.com   We also have a book of FREE Crisis Checklists Come get them at www.thenurseanesthesia.com   Follow us on Instagram @thenurseanesthesia

This was a super fu episode where Jeremy invites Rhea Temmermand on the show! Dr. Rhea Temmermand PhD, MSN, CRNA, FAANA is a distinguished research scientist specializing in neuropharmacology within the Department of Pharmacology and Physiology at Drexel University. In addition to her full-time research endeavors, she serves as an Adjunct Professor in Drexel University’s Nurse Anesthesia program. She is also the co-founder of Atomic Anesthesia and co-host of the Atomic Anesthesia Podcast.In this episode, Jeremy and Rhea go through 10 crises with a focus on how to target the correct diagnosis and then appropriately manage each one…and they do this in a format that is rapid fire!Resources/information discussed in podcastGo get our FREE Crisis Management Checklists! www.thenurseanesthesia.comCheck out the Atomic Anesthesia Podcast: https://open.spotify.com/show/4Kdd7jV7x0AE5LmejLYc0E  About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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 have always dreamed of. 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 @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Episode Summary In this episode of The Nurse Anesthesia Podcast, Jeremy reviews basic kidney function and focuses on the different types of Diuretic Medications. These include Osmotic agents, Loop Diuretics, Carbonic Anhydrase Inhibitors, Thiazide Diuretics, Aldosterone Antagonists, Potassium Sparing Diuretics, and Vasopressin Antagonists. Some diuretics we use during anesthesia management and some medications patients take to manage medical conditions. If you want to brush up on your diuretic medications, then turn on this episode and “Let it flow”! About The Nurse Anesthesia We are building a commUNITY of learning in anesthesia and critical care! We are CRNA educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you! For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia Courses Our CRISIS MANAGEMENT SERIES is currently available!  RN’s get CE credits when they purchase this series. Learn more about it at www.thenurseanesthesia.com   ALSO…The Nurse Anesthesia Crisis Checklists are FREE to download from our website!  Follow us on Instagram @thenurseanesthesia  Legal Disclaimer The Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.  Music by Alex Grohl  

In this episode of The Nurse Anesthesia Podcast, Jeremy discusses questions and answers from previous TNA podcast episodes 22 – BIS Monitoring During Anesthesia, 24–Perioperative Hypovolemia: The Tank is Empty, & 25–Albuterol & Epinephrine for the Treatment of Intraoperative Bronchospasm.Here are several examples of questions he discusses in the episode. For a complete review of all the questions, check out the episode wherever you listen to podcasts!1.     Which EEG waveforms is most commonly associated with deep anesthesia and may indicate a patient who is excessively sedated or in a deeplyhypnotic state?a. Alpha waves (8-13 Hz)b. Beta waves (13-30Hz)c. Theta waves (4-8 Hz)d. Delta waves (0.5-4Hz)2.     Which hemodynamic finding is most consistent with severe intraoperative hypovolemia?a. Widened pulse pressure and bradycardiab. Elevated central venous pressure (CVP) and warm extremitiesc. Narrow pulse pressure and tachycardiad. Hypertension and bounding pulses3.     Which is the primary mechanism of action of albuterol causing bronchodilation?a. Inhibition of muscarinic receptorsb. Inhibition of acetylcholine release at the neuromuscular junctionc. Activation of G-proteins causes increased cAMP & smooth muscle relaxationd. Direct inhibition of calcium channels in bronchial smooth muscleAbout the Nurse AnesthesiaOur goal is to build acommUNITY of learning in anesthesia and critical care! Please consider sharing our podcast with your colleagues and friends. Follow us on Instagram@thenurseanesthesiaSign up for The Nurse Anesthesia Coursesour CRISIS MANAGEMENT SERIES is available! RNs can get CEs when they take this course.Learn more about it at www.thenurseanesthesia.comLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl 

Episode SummaryIn this episode of the nurse anesthesia podcast, Jeremy dives into some Airway Management Adventures! He discusses three airway cases from the Emergency Department to the Operating Room. Each case illustrates critical decision-making under challenging circumstances where key actions by the CRNA are essential. The cases include information on preoxygenation with nasal cannula and a non-rebreather mask, RSI, successful first-pass intubation using video-laryngoscopy, cricothyrotomy, and awake intubation. Major themes discussed in this episode involve preparation with airway plans, checklist use, stress preparation, adaptability, team coordination, and continuous learning from both success and difficulty in airway management. Resources/information discussed in podcast·         Get your free The Nurse Anesthesia Crisis Checklists at www.thenurseanesthesia.com·         Sign up for our Crisis Management Video Series. You’ll get 10 different crisis management videos packed full of the most up-to-date information. ·         Nurses…you can get CE credits when you sign up for the Crisis Management Video Series. About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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 have always dreamed of. 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 INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl  

In Episode 26 we welcome a special guest…Rhea Temmermand from the Atomic Anesthesia Podcast! Jeremy talks with Rhea about cognitive aids—like crisis checklists—which are essential tools in anesthesia for guiding rapid decision-making during high-stakes medical emergencies. Originally inspired by aviation’s Crew Resource Management, these aids were adapted for anesthesia…giving rise to Anesthesia Crisis Resource Management (ACRM). Using crisis checklists can help enhance performance, boosts patient safety, and supports better outcomes in perioperative care. This was a great conversation with Rhea!Oh yeah…and don’t forget to grab your FREE Anesthesia Crisis Checklists from www.thenurseanesthesia.com About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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 have always dreamed of. 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 @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Asthma is a chronic inflammatory disorder of the airways characterized by hyperresponsiveness, variable airflow obstruction, and airway remodeling. In the OR, we’re less concerned about chronic control and more focused on acute airway events…namely, bronchospasm.Bronchospasm during general anesthesia can be insidious. You may see rising peak airway pressures, decreased tidal volumes, wheezing if you’re lucky…and if you’re unlucky…desaturation and hypotension. Time is tissue. That’s when it’s time to get medications like albuterol and epinephrine out of the anesthesia cart.In today’s episode, Sass and Jeremy discuss the pharmacology of albuterol and epinephrine as they relate to the management of intraoperative bronchospasm. ReferencesMaddah SA, et al. The Effect of Albuterol Spray on Hypoxia and Bronchospasm in Patients with Chronic Obstructive Pulmonary Disease (COPD) under General Anesthesia: A bouble-Blind Randomized Clinical Trial. Ethiop J Health Sci. 2023;33(3):491-498. von Ungern-Sternberg BS, et al. Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies: The REACT Randomized Clinical Trial. JAMA Pediatr. 2019;173(6):527-533.Resources/information discussed in podcastGet your free copy of The Nurse Anesthesia Crisis Management Checklists at www.thenurseanesthesia.com  About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We’re educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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’ve always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! Registered nurses get continuing education credits (CEUs)Learn more about it at www.thenurseanesthesia.com  Follow us on Instagram @thenurseanesthesiaIf you have an idea for a show, please let us know. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl 

Episode 23 begins with Jeremy and Sass discussing the historical background of cannabis or “marijuana” use, and then dive into how this psychoactive drug affects each body system. They focus on what you need to know when providing anesthesia for an individual who is a chronic user or acutely intoxicated. Get ready…it’s go time! ReferencesHorvath C, et al. “Marijuana Use in the Anesthetized Patient: History, Pharmacology, and Anesthetic Considerations.” AANA journal vol. 87,6 (2019): 451-458.King DD. Anesthesia for Patients Who Self-Report Cannabis (Marijuana) Use Before Esophagogastroduodenoscopy: A Retrospective Review. AANA J. 2021 Jun; 89(3): 205–212.Kraft B. Lack of analgesia by oral standardized cannabis extract on acute inflammatory pain and hyperalgesia in volunteers. Anethesiology. 2008 Jul;109(1):101-10. Teitel A, Bozimoski G. A review of the pharmacology and anesthetic implications of cannabis. AANA J. 2020;88(3):237-243.Wiseman LK, et al. The Effect of Preoperative Cannabis Use on Postoperative Pain Following Gynaecologic Oncology Surgery. J Obstet Gynaecol Can. 2022;44(7):750-756.About The Nurse AnesthesiaWe’re educators and clinicians who want to provide valuable information to anyone interested in anesthesia and critical care. Our goal is to build a commUNITY of learning in anesthesia and critical care. It’s go time!Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT VIDEO SERIES is currently available! Get 50% off the current price with the code: TNA50Get our FREE Crisis Checklists – seriously…get them for FREE. They’re a great resource for anyone working in anesthesia or critical care.Learn more about it at www.thenurseanesthesia.com  Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl 

Episode SummaryMonitoring the depth of anesthesia, as a CRNA, is important for any surgical or medical procedure. In this episode of The Nurse Anesthesia Podcast, Jeremy and Sass review the bispectral index (BIS) monitor. They discuss the various electroencephalographic (EEG) waveforms the BIS monitor uses to determine depth of anesthesia, and identify the factors and medications that influence the BIS monitor. They finish the episode with an interesting set of studies that investigated at how electromyographic (EMG) activity is incorporated into the BIS algorithm. This is definitely one episode you’ll want to download and catch up on! References1.    Gu, Yichun et al. “Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis.” Anesthesiology research and practice vol. 2024 5555481. 7 Aug. 2024. 2.    Messner, M et al. “The bispectral index declines during neuromuscular block in fully awake persons.” Anesthesia and analgesia vol. 97,2 (2003): 488-491. 3.    Schuller, P J et al. “Response of bispectral index to neuromuscular block in awake volunteers.” British journal of anaesthesia vol. 115 Suppl 1 (2015): i95-i103.  About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! We are educators and clinicians who want to provide free and valuable information to anyone interested in anesthesia and critical care. We’re here for you!For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesOur CRISIS MANAGEMENT SERIES is currently available! Get 50% off the current price with the code: TNA50Learn more about it at www.thenurseanesthesia.com   Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesia Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl 

In this episode of The Nurse Anesthesia Podcast, Jeremy discusses questions and answers from the previous TNA podcast episodes 14 - POCUS of the Cricothyroid Membrane, 15 - How Anesthesia uses Ketamine, 19 - Push-dose Vasopressors, and 20 - Vasoplegic Syndrome.Here are several examples of questions he discusses in the episode. For a complete review of all the questions, check out the episode wherever you listen to podcasts!1. Which artery extends the length of the cricothyroid membrane?a. Superior thyroid artery b.Inferior cricoid arteryc.Transverse cricothyroid arteryd.Anterior tracheal artery 2. Which are two situations where ketamine can be used as an induction agent to secure an airway during an emergency situation? (SELECT 2)a. An agitated patient in the ED requiring intubation*b. Malignant hyperthermiac. Neuroleptic malignant syndromd. Massive hemorrhage with hypotension* 3. Which medication can be administered at the site of a norepinephrine intravenous extravasation?a. Epinephrineb. Methylene bluec. Phentolamine*d. Labetalol4. After vasopressors, IV fluids, and vasopressin have been administered for suspected vasoplegic syndrome, which is the next most effective treatment? a. Methylene blue*b. Verapamil c. 5% Albumind. Calcium chlorideAbout The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! Follow us on Instagram @thenurseanesthesiaSign up for The Nurse Anesthesia Coursesour CRISIS MANAGEMENT SERIES is currently available! Learn more about it at www.thenurseanesthesia.com  Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In this episode of The Nurse Anesthesia Podcast, Jeremy & Sass discuss what happens when the routine treatments for intraoperative hypotension don’t work, and focus on the interventions you can consider when refractory hypotension occurs. They talk about different causes of refractory hypotension with a focus on vasoplegic syndrome. They discuss the differences between refractory hypotension and vasoplegic syndrome, and then identify the potential causes and specific treatments for this rare condition. ReferencesArevalo VN. Methylene Blue as an adjunct to Treat Vasoplegia in patients undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass: A Literature Review. AANA J. 2018;86(6):455-463.Habib MA. Methylene Blue for Vasoplegic Syndrome Postcardiac Surgery. Indian J Crit Care Med. 2018;22(3) 168-173.Hosseinian L. Methylene Blue: Magic Bullet for Vasoplegia. Anesthesia and Analgesia. 2016;122(1):194-201.Levy B. Vasoplegia Treatments: The past, the present and the future. Critical Care. 2018;22(1):52.Liu H. Vasoplegic syndrome: An update on perioperative considerations. Journal of Clinical Anesthesia. 2017;40:63-71.About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia Coursesour CRISIS MANAGEMENT SERIES is currently available! Learn more about it at www.thenurseanesthesia.com  Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Anesthesia induced hypotension is commonly treated with push dose vasopressors. Today Jeremy & Sass dive into what the evidence is showing us about the use of phenylephrine, ephedrine, and norepinephrine IV bolus doses. We talk about cerebral oxygen concentrations and cardiac output when administering these vasopressors, and ultimately ask ourselves…should we be less pushy?ReferencesKee W, et al. Randomized double-blinded comparison of norepinephrine and phenylephrine for maintenance of blood pressure during spinal anesthesia for cesarean delivery. Anesthesiology. 2015 Apr;122(4):736-45. Larson S, et al. Effect of phenylephrine on cerebral oxygen saturation and cardiac output in adults when used to treat intraoperative hypotension: a systematic review. BI Evid Synth. 2020 Sep 15;19(1):34-58. Meng L,et al. Effect of phenylephrine and ephedrine bolus treatment on cerebral oxygenation in anaesthetized patients. Br J Anaesth. 2011 Aug; 107(2): 209–217.  Mohta M, et al. Comparison of the potency of phenylephrine and norepinephrine bolus doses used to treat post-spinal hypotension during elective caesarean section. Int J Obstet Anesth. 2019 May;38:25-31. Nissen P, et al. Phenylephrine but not ephedrine reduces frontal lobe oxygenation following anesthesia-induced hypotension. Neurocrit Care. 2010 Feb;12(1):17-23. Pelaez A, et al. Effect of adrenergic agonists on coronary blood flow: a laboratory study in healthy volunteers. Physiol Rep. 2016 May;4(10):e12806. Pancaro C, et al. Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study. Anesth Analg. 2020;131(4):1060-1065. Sharkey  A. Comparison of Intermittent Intravenous Boluses of Phenylephrine and Norepinephrine to Prevent and Treat Spinal-Induced Hypotension in Cesarean Deliveries: Randomized Controlled Trial. Anesth Analg. 2019 Nov;129(5):1312-1318. Simons C. The Safety and Efficacy of Peripherally Administered Norepinephrine during the Perioperative Period. AANA J. 2022;90(5):387-395.Thiele R, et al. The physiologic implications of isolated alpha(1) adrenergic stimulation. Anesth Analg. 2011 Aug;113(2):284-96. Vallee F, et al. Norepinephrine reduces arterial compliance less than phenylephrine when treating general anesthesia-induced arterial hypotension. Acta Anaesthesiol Scand. 2017 Jul;61(6):590-600. About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia Coursesour CRISIS MANAGEMENT SERIES is currently available! Learn more about it at www.thenurseanesthesia.com  Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaComments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Please contact us on Instagram with suggestionsLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third partyMusic by Alex Grohl 

 Episode Summary Point of care ultrasound (POCUS) assessments of the airway is simply awesome! By utilizing POCUS during our preoperative airway examination, we can now determine with a greater certitude the level of difficulty of a patient’s airway as well as locate anatomical structures (such as the cricothyroid membrane) and endotracheal tube positioning within the airway. In today’s episode Jeremy and Mark go over basic ultrasound skills and then discuss the various POCUS airway assessments. They then discuss two POCUS techniques for locating the cricothyroid membrane and finish up with a discussion on how to determine where the endotracheal tube is positioned using POCUS. It most definitely is POCUS “Go Time”! Link to Ultrasound Images: https://www.mdpi.com/2075-4418/13/9/1541 (Click on “Browse Figures”) References 1.    Lin J, et al. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023;13(9):1541. Published 2023 Apr 25. 2.    Gomes SH, et al. The Use of Ultrasound in Airway Management: Video in Clinical Anesthesia. Anesth Analg. 2024;139(4):887-890. About The Nurse Anesthesia We are building a commUNITY of learning in anesthesia and critical care. For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia Courses Our CRISIS MANAGEMENT SERIES is currently available! Learn more about it at www.thenurseanesthesia.com  Follow us on Instagram We post about all things anesthesia. Follow us on Instagram @thenurseanesthesia Comments or Suggestions? We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Please contact us on Instagram with suggestions. Legal Disclaimer The Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl 

Episode SummaryEvery fourth episode we will release a podcast where we ask and answer questions about an anesthesiology or pharmacological topic and we’ll call it ANESTHESIA Q&A. We do this to help our community solidify their learning! We also produce these episodes because nurse anesthesia students and practicing CRNAs are all engaged in answering questions whether it be on exams during anesthesia school or for CRNA recertification.In today’s episode we focus on reversal medications for opioids, benzodiazepines, and neuromuscular blocking drugs…all medications commonly used in ICUs and during anesthesia practice. This is Anesthesia Q&A Round 4! Resources/information discussed in podcast:• 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: https://pubs.asahq.org/anesthesiology/article/138/1/13/137379/2023-American-Society-of-Anesthesiologists  About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care. For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesWe are currently developing anesthesia content! Learn more about The Nurse Anesthesia at www.thenurseanesthesia.com Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesia Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Please contact us on Instagram with suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl

We all experience acute stress. Sometimes on a daily basis. In this episode Jeremy breaks down acute stress and talks about the anatomy and physiology of stress. He reviews a theory on how highly stressful situations can both physiologically and psychologically affect our thinking and performance. He also points out how a certain amount of acute stress is actually helpful.Then Jeremy discusses the meaning of BVM and how breathing, body position, visualizing success, speaking positively and motivating oneself with a mantra can help us deal with acute stress and come out on top. Got stress? BVM it!ReferencesDavid Grossman –On Combat: The Psychology and Physiology of Deadly Conflict in War and in Peace by Lt.-Col. Dave Grossman and Loren W. Christensen, PPCT Research Publications, 2004. A good site to see a representation of Grossmans’ Graph of how stress affects one’s psychological and physiological response: https://emcrit.org/emcrit/on-combat-by-grossman/Marcus, H. et al. “Practice makes perfect? The role of simulation-based deliberate practice and script-based mental rehearsal in the acquisition and maintenance of operative neurosurgical skills.” Neurosurgery vol. 72 Suppl 1 (2013): 124-30. Sanders, CW. et al. “Comparing the effects of physical practice and mental imagery rehearsal on learning basic surgical skills by medical students.” American journal of obstetrics and gynecology vol. 191,5 (2004): 1811-4. Cryder, S. et al. “Guided, motor, and mental imagery adjuncts to teaching central venous access.” AEM education and training vol. 7,2 e10867. 11 Apr. 2023, doi:10.1002/aet2.10867Hatzigeorgiadis, et al. Self-Talk and Sports Performance A Meta-Analysis. Perspectives on Psychological Science. 2011 6(4), 348–356. Tod, D., et al. Effects of self-talk: A systematic review. Journal of Sport and Exercise Psychology. 2011 33(5), 666. About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care. We want to set you up for a successful educational jOURney by providing short, meaningful courses to accelerate your critical care and nurse anesthesia learning. It's Go Time!Sign up for The Nurse Anesthesia CoursesWe’re excited to introduce THE NURSE ANESTHESIA CRISIS MANAGEMENT SERIES! This series is designed to equip you with the tools and strategies to handle high-stakes moments in the OR and ICU. Pick it up at www.thenurseanesthesia.com  Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In Episode 15 of the Nurse Anesthesia Podcast, Jeremy and Sass dive into the pharmacological world of ketamine. They talk about all the anesthesia situations where it can be useful. They discuss the pharmacology of ketamine, appropriate dosing, what the current evidence really shows about its use with increased intracranial pressure, and how it is frequently used for analgesia. It really is the Swiss army knife of anesthetic meds!ReferencesAleksandrova LR, et al. Antidepressant effects of ketamine and the roles of AMPA glutamate receptors and other mechanisms beyond NMDA receptor antagonism. J Psychiatry Neurosci. 2017 Jul; 42(4): 222–229. Bar-JosephG, et al. Effectiveness of Ketamine in Decreasing Intracranial Pressure in Children With Intracranial Hypertension. J Neurosurg Pediatr. 2009 Jul;4(1):40-6. Farrell A, Bendo D. Perioperative Management of Severe Traumatic Brain Injury: What Is New? Curr Anesthesiol Rep. 2018; 8(3): 279–289. Ghojazadeh M, et al. Using Ketamine and Propofol for Procedural Sedation of Adults in the Emergency Department: A Systematic Review and Meta-Analysis. Adv Pharm Bull. 2019 Feb;9(1):5-11.Hashimoto K. Rapid‐acting antidepressant ketamine, its metabolites and other candidates: A historical overview and future perspective. Psychiatry Clin Neurosci. 2019 Oct; 73(10): 613–627. Jankauskas V, et al. A review of ketamine’s role in ECT and non-ECT settingsNeuropsychiatr Dis Treat. 2018; 14: 1437–1450. Liriano F, et al. Ketamine as treatment for post-traumatic stress disorder: a review. Drugs Context. 2019; 8: 212305. Merelman AH, et al. Alternatives to Rapid Sequence Intubation: Contemporary Airway Management with Ketamine. West J Emerg Med. 2019 May; 20(3): 466–471. Porter S. Perioperative ketamine for acute analgesia and beyond. Rom J Anaesth Intensive Care. 2019 Apr; 26(1): 67–73.  Sign up for The Nurse Anesthesia CoursesWe are currently developing anesthesia content! Learn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In this episode Jeremy and Mark focus on the cricothyroid membrane. They discuss the anatomy, sizing, vasculature and orientation of this important airway landmark. They then highlight techniques for palpating the cricothyroid membrane, and finish up with a discussion that explains how to use Point of Care Ultrasound (POCUS) to mark where exact position of this membrane is on the neck. This is an episode you won’t want to miss!ReferencesLin J, Bellinger R, Shedd A, et al. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023;13(9):1541. Published 2023 Apr 25. doi:10.3390/diagnostics13091541 Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055. Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429.Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758.Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376. About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care. For anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesWe are currently developing anesthesia content! Learn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaComments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Please contact us on Instagram with suggestions.Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In today’s podcast Jeremy and Mark review several anesthesia concepts that were covered in previous episodes…specifically Malignant Hyperthermia, Pulse Oximetry, and Adrenal Crisis. As educators we know it’s important to revisit and review anesthesia concepts in order to help with long term memory retention. There’s actually a learning technique called spaced learning (or spaced repetition) where information is reviewed at increasing intervals over time, instead of being crammed in a single session. This method leverages the psychological spacing effect, where learning and retention are more effective when study sessions are spread out. And in the context of learning anesthesia concepts, spaced learning helps learners more efficiently memorize and deeply understand complex topics by reinforcing the material at various intervals, allowing for better long-term retention.Also, since all CRNAs will need to recertify their credential in the future with the NBCRNAs new MAC questions…these episodes will help with that too! ReferencesBruder EA, Ball IM, Pickett W. 2015. Single induction dose of etomidate versus other induction agents for endotracheal intubation in critically ill patients. Cochrane Database Syst Rev. doi 10.1002/14651858. Chabre O, et al. 2017. Epidemiology of primary and secondary adrenal insufficiency. Ann Endocrinol. 78(6):490-494.Chan ED, et al. Pulse oximetry: understanding its basic principles  facilitates appreciation of its limitations. Respir Med. 2013 Jun;107(6):789-99. Elisha, S., Heiner, J. S., & Nagelhout J. J. (2023). Nurse Anesthesia (7th ed.) Elsevier Saunders.Elshal MM, et al. Perfusion Index: Could It Be a New Vital Sign? Front Med (Lausanne). 2021 Oct 1;8:651909. Liu M., 2017. Perioperative steroid management. Anesthesiology, 127(1), 166-172.www.mhaus.org Yamamoto LG, et al. Nail polish does not significantly affect pulse oximetry measurements in mildly hypoxic subjects. Respir Care. 2008 Nov;53(11):1470-4. Resources/information discussed in podcastAbout The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In today’s episode Jeremy and Sass start by diving into normal physiologic function of the Hypothalamic-Pituitary-Adrenal (HPA) Axis. They then review how it’s regulated and the pathology/medications that can alter the HPA Axis. After that, it’s all about the adrenal glands, and Jeremy and Sass differentiate between Acute Adrenal Crisis and Adrenal Insufficiency. They talk about why chronic steroid use puts patients at risk for Adrenal Crisis and why cortisol is necessary for proper cardiovascular function and a whole lot more. This is definitely the nuts and bolts of “What you need to know”! References1. Bruder EA, Ball IM, Pickett W. 2015. Single induction dose of etomidate versus other induction agents for endotracheal intubation in critically ill patients. Cochrane Database Syst Rev. doi 10.1002/14651858. 2. Chabre O, et al. 2017. Epidemiology of primary and secondary adrenal insufficiency. Ann Endocrinol. 78(6):490-494.3. Liu M., 2017. Perioperative steroid management. Anesthesiology, 127(1), 166-172.  About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions.  Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl  

Episode SummaryNitrous oxide is one the OG of anesthesia gases and is one of three gases pipped into our anesthesia gas machine. It’s known on the anesthesia workstation by the color blue. In this episode Jeremy and Mark discuss the current use of nitrous oxide and both it’sdesirable and undesirable effects. Gear up to review or learn about the “Original Blue Gas”!Resources/information discussed in podcastYou can pick up a copy of Emergency Management in Anesthesia and Critical Care (EMACC) on Amazon, or from Elsevier:https://evolve.elsevier.com/cs/product/9780443106934?role=student     About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesWe are currently developing anesthesia content! Learn more about The Nurse Anesthesia at www.thenurseanesthesia.comFollow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaComments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Please contact us on Instagram with suggestions.Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl

This is a special episode where Jeremy & Sass talk with the one and only Dr. John Nagelhout, PhD, CRNA, FAAN. They talk with him about what it was like when he first went to anesthesia school, his transition into academics, how he gathered a group of CRNAs together to write the very first Nurse Anesthesia textbook, and the thousands of lives he’s influenced with his pharmacology lectures. There’s a reason we call him the “Grand Master of Nurse Anesthesia Education” and this is a piece of history you won’t want to miss!About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com   Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions.  Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl Mixed & Edit by Next Day podcast 

Episode SummaryThe pulse oximeter is a primary anesthesia and critical care monitor. Not only does it help identify hypoxemia, but it provides several other pieces of essential information when monitoring a patient during anesthesia and surgery. In this episode, we go over how the pulse oximeter functions, the current advantages and disadvantages, and other practical considerations that make pulse oximetry monitoring simple awesome!ReferencesWilkins MC. Residual bacterial contamination on reusable pulse oximetry sensors. Respir Care. 1993 Nov;38(11):1155-60. PubMed PMID: 10145923.Yamamoto LG, et al. Nail polish does not significantly affect pulse oximetry measurements in mildly hypoxic subjects. Respir Care. 2008 Nov;53(11):1470-4. PubMed PMID: 18957149.van Genderen ME, et al. Peripheral perfusion index as an early predictor for central hypovolemia in awake healthy volunteers. Anesth Analg. 2013 Feb;116(2):351-6. PMID: 23302972.Elshal MM, et al. Perfusion Index: Could It Be a New Vital Sign? Front Med (Lausanne). 2021 Oct 1;8:651909. doi: 10.3389/fmed.2021.651909. PMID: 34660615 Chan ED, et al. Pulse oximetry: understanding its basic principles  facilitates appreciation of its limitations. Respir Med. 2013 Jun;107(6):789-99.  PMID: 23490227Abdelnasser A, et al. Predicting successful supraclavicular brachial plexus block using pulse oximeter perfusion index. Br J Anaesth. 2017 Aug 1;119(2):276-280. doi: 10.1093/bja/aex166. PMID: 28854539. About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl 

This is our second Q&A episode and in this one, we review the anesthesia gas machine! We go over all the different pressure systems, variations in some of the anesthesia machines, we talk about some monitoring issues, and review content that falls within the anesthesia technology category…basically we talk about the stuff you will be tested on. There are sure to be some pearls you won’t want to miss!About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Episode SummaryIn today’s episode Jeremy and Sass talk about the anaphylactic shock state. They discuss the most common triggers for anaphylaxis, how it occurs at the cellular level, the signs and symptoms associated with anaphylaxis, and most important…how to manage this critical event. ReferencesMacy E. Penicillin and B-lactam allergy: Epidemiology and diagnosis. Curr Allergy Asthma Rep. 2014;14(11):476.Sadleir PHM, et al. Anaphylaxis. To neuromuscular blocking drugs: Incidence and cross reactivity in Western Australia from 2002-2011. British Journal of Anaesthesia. 2013;110(6):981-87.Dewachter P, et al. Anaphylaxis and anesthesia: controversies and new insights. Anesthesiology. 2009;111:1141-50. APSF Newsletter, June 2018.Tazazawa T, et al. Sugammadex and rocuronium induced anaphylaxis. J Anesth. 2016;30:290-97.Reber LL, et al. The pathophysiology of anaphylaxis. J Allergy Clin Immunol. 2017;140:335-48. About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Anesthesia induction agents are essential anesthesia medications that anesthesia providers need to learn about and understand so they can select the correct medication for the right patient/situation. The primary induction agents used in today’s anesthesia practice include: Propofol, Etomidate, and Ketamine…we refer to these as “The Knock Out Buch!” Without a doubt, propofol is used more often than any other anesthesia induction agent. In today’s episode, we talk about the pharmacokinetics, pharmacodynamics, mechanism of action, and clinical indications of each one of the anesthesia induction medications. Get ready, because this is an episode filled with key concepts and important information used for exams that is hard to find!ReferencesNagelhout J, Intravenous Induction Agents. Elisha S, Heiner J, Nagelhout J, eds. Nurse Anesthesia. 7th ed. Elsevier; 2023:101-117.Hailu S, et al. Effectiveness of ketofol versus propofol induction on hemodynamic profiles in adult elective surgical patients: A Randomized Controlled Trial. International Journal of Surgery Open. Vol 37, 2021.Carlson P. Spreading depolarization in acute brain injury inhibited by ketamine: a prospective, randomized, multiple crossover trial. J Neurosurg. 2018 May 25;1-7.Albanese J., et al., Ketamine Decreases Intracranial Pressure and Electroencephalographic Activity in Traumatic Brain Injury Patients during Propofol Sedation . Anesthesiology 1997; 87:1328–1334 doi: https://doi.org/10.1097/00000542-199712000-00011Gregers M., et. al., Ketamine as an Anesthetic for Patients with Acute Brain Injury: A Systematic Review. Neurocrit Care. 2020 Aug;33(1):273-282. doi: 10.1007/s12028-020-00975-7. About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

In this episode we highlight the various difficult airway algorithms and failed airway checklists developed by professional airway organizations. These tools used by anesthesia providers to develop their personal airway management plans and to help guide decision making in the event of a difficult or failed airway. ReferencesApfelbaum JL, et.al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002. PMID: 34762729. Frerk C, et al. Difficult Airway Society intubation guidelines working group. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015 Dec;115(6):827-48. doi: 10.1093/bja/aev371. Jung H. A comprehensive review of difficult airway management strategies for patient safety. Anesth Pain Med (Seoul). 2023 Oct;18(4):331-339. doi: 10.17085/apm.23123. Law JA, et. al. Canadian Airway Focus Group. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway. Can J Anaesth. 2021 Sep;68(9):1405-1436. doi: 10.1007/s12630-021-02008-z. Law JA, et. Al. Canadian Airway Focus Group. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient. Can J Anaesth. 2021 Sep;68(9):1373-1404. doi: 10.1007/s12630-021-02007-0. Resources/information discussed in podcast | Ariadne Labs OR Crisis Checklists: https://www.ariadnelabs.org/safe-surgery-safe-systems/surgical-safety/or-crisis-checklists/or-crisis-checklist-download/ Stanford Emergency Manual: https://emergencymanual.stanford.edu/  The Nurse Anesthesia Failed Airway Checklist:   About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl Mixed & Edited by Next Day [email protected]

We’ve heard from a lot of anesthesia students, RNs, and CRNAs about how they want some question-and-answer episodes…so we’re here to deliver! This is the first Anesthesia Q&A, and we’re calling it Round 1 (ding! ding! ding!). What better way to start Anesthesia Q & A than with some respiratory anatomy and physiology. We’ve had extensive experience writing questions for anesthesia students, CRNAs, and for national certifying exams. So put the gloves on, it’s time to jump into the ring and dive into some of the favored respiratory topics that are tested in anesthesia school and on national certification exams. About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com   Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions.  Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl Mixed & Edited by Next Day [email protected]

Episode SummaryLaryngoscopy and intubation are core skills that anesthesia providers need to perfect. In this episode Jeremy and Sass discuss some of the keys to direct laryngoscopy and intubation. They start by identifying the primary keys when preparing to perform a direct laryngoscopy called “SOAP ME”. They then discuss the keys used when actually performing direct laryngoscopy and intubating the trachea. Spoiler alert…it’s all about “Epiglotoscopy”! About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions.  Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl

Episode SummaryJeremy and Mark begin this episode by discussing the history of anesthesia gases. They discuss how volatile agents work and why we actually call them “volatile agents”. They discuss the pharmacokinetics and pharmacodynamics, get into the mechanism of action and discuss those test heavy topics of Oil:Gas and Blood:Gas Partition Coefficients. Phew! They round it out by talking about both adverse effects and contraindications. This is a great discussion about some core medications used in current anesthesia practice! About The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl

Episode SummaryIn this episode you’ll learn about the pathophysiology of malignant hyperthermia (MH), talk about prevention, and then review the managing techniques for this critical event. We review the use of Dantrolene for treatment of MH and talk about potential complications. If you’re currently learning or practicing anesthesia…this is a crisis you need to review! ReferencesElisha, S., Heiner, J. S., & Nagelhout J. J. (2023). Nurse Anesthesia (7th ed.) Elsevier Saunders.www.mhaus.orgAbout The Nurse AnesthesiaFor anyone who wants to learn or 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 have always dreamed of. Let's do this together. It's Go Time!Sign up for The Nurse Anesthesia CoursesLearn more about The Nurse Anesthesia at www.thenurseanesthesia.com  Comments or Suggestions?We’re here to help you improve your anesthesia learning and practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.Music by Alex Grohl