Clinical

Ventilating the Future: CRNAs at the Forefront of Lung Protective Strategies

In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care.

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Beyond the Clouds: Anesthesia for Cannabis Enthusiasts

With marijuana legalization spreading across the globe and vaping gaining popularity, it’s crucial for healthcare providers and patients alike to understand how these factors can impact the surgical experience. In this episode, we’ll explore this topic and share the considerations CRNAs need to make when dealing with cannabis users

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From Standards to Testimony: The Anatomy of Medical Legal Review

We’ll cover anesthesia standards created and published by the American Association of Nurse Anesthesiology, and share some of our own experiences acting as expert witnesses in medical legal complaints filed on behalf of patients.

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Automated Bliss: Transforming Anesthesia Care through Artificially Intelligent Drug Delivery

Today’s episode explores the revolutionary landscape of automated drug delivery systems in anesthesia. The hosts unravel the intricacies of these technologies, discussing real-world examples and contemplating the integration of adaptive, intelligent computer systems.

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The Anesthesia Enigma: Decoding Sedation and Cognitive Aftermath

Today, we will closely examine a phenomenon that’s growing in frequency and importance and getting more and more attention in the anesthesia community: postoperative delirium.

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The Remimazolam Revolution: Changing the Anesthetic Game

Today Garry and Terry will be focusing on the revolutionary benzodiazepine – remimazolam. In this episode, we unravel the intriguing tales from diverse case studies, exploring the unique applications and benefits of remimazolam in different surgical scenarios.

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Hematoma or Hemostasis: Anticoagulants’ Influence on Anesthetic Outcomes

Today we want to unravel the intricate relationship between anticoagulants and regional anesthesia. Join Garry and Terry as they navigate through the delicate balance of benefits and risks associated with these practices. We’ll dive into the world of anticoagulation reversal agents, discussing FDA-approved options such as Idarucizumab and Andexanet.

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Unmasking PTSD: A Candid Conversation with Jim Reed, a Special Operations CRNA

In this episode, we’re excited to welcome in LTC(ret) Jim Reed, DNP, MSNA, CRNA to shed some light on diversion and substance use disorder. They begin by discussing Jim’s current activities and then delve into his background, starting with his early life in the sunny southwest. Jim shares his journey from growing up in Arizona, joining the military, and becoming an enlisted man in the Army.

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From Struggle to Strength: A CRNA’s Journey Through Diversion and Recovery

Today we’re looking forward to sharing a deep and insightful conversation with Anita Bertrand, a seasoned CRNA, about the challenging topic of nurse anesthesia diversion and recovery.

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From Crisis to Recovery: Anesthesia Professionals’ Journey with PTSD & SUD

Today, we embark on a journey into the heart of some very challenging and critical issues within the anesthesia profession. Our goal is to shed light on the often-overlooked topics of “Second Victim Anesthesia Providers,” the clandestine world of “Diversion of Controlled Substances,” and the poignant struggle against “Substance Use Disorders.”

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The Block Stops Here: A Deep Dive into Neuromuscular Blockades

In this episode of Anesthesia Alchemy, Garry and Terry briefly discuss the history, physiology, and pharmacology of using non-depolarizing neuromuscular blocking drugs as anesthesia adjuncts.

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A-OK for Amniotic Fluid Embolism

An amniotic fluid embolism (AFE) remains one of the most devastating conditions in obstetric practice. In today’s episode, Sass and Jeremy review the pathophysiology, signs and symptoms, and management of this rare, but lethal condition.

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Crisis Management on Demand

This is a super fun episode where we welcome Mark Gabot, DNP, CRNA, FAANA on the show as a cohost. Mark and Jeremy presented at the 2023 AANA Annual Congress in Se-attle and recorded this episode at the same time.

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Q&A for the CPCA

We all have the current requirement to take the CPC Assessment for recertification, and many of our colleagues are asking us “How can I prepare?”.

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PCN Allergy…Why Not Give Ancef?

Caring for surgical patients who have an associated penicillin allergy is relatively common. Should we avoid cefazolin (Ancef) in these patients?

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Video-Laryngoscopy Including Flexible Intubation (VIFI)

Have you ever managed an airway with both a video-laryngoscope and a flexible intubating (fiberoptic) scope? Wait…what??? Yep, in this episode Jeremy and Sass talk about an evolving airway management technique that utilizes both devices to help secure difficult airways. They call it VIFI!

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Demystifying Awake Intubation

Awake tracheal intubation is a procedure that many of us rarely perform. In this episode, Jeremy and Sass focus on the indications for awake intubation.

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“Cric It While It’s Hot” – Surgical Cricothyrotomy

Cricothyrotomy is what’s known as a High Acuity Low Occurrence (HALO) procedure. Meaning anesthesia providers do not often perform this procedure, but when the clinical situation calls for a cricothyrotomy…it can be extremely stressful!

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Topical Thunder: An Awake Intubation Technique That Works

In this episode Jeremy and Sass talk about a specific technique for anesthetizing the airway they call “TOPICAL THUNDER” in preparation for an awake intubation. This is cutting edge, tip of the spear stuff that you won’t want to miss.

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Awake Flexible Intubation: The Down & Dirty

In today’s episode Jeremy & Sass talk about the flexible intubation technique and some troubleshooting tips that may help you while placing an ETT in an awake patient using the flexible intubation scope. Previously known as “fiberoptic intubation”, this is an infrequent anesthesia technique that is still pertinent today!

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