Clinical

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.

Read More

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.

Read More

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.

Read More

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?”.

Read More

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?

Read More

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!

Read More

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.

Read More

“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!

Read More

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.

Read More

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!

Read More

Managing Perioperative Crises With a Cognitive Template

Crisis management is an important part of the anesthesia job. There are critical times when performing an anesthetic when CRNAs need to diagnose a problem quickly and ac-curately, and then correctly manage it. Training in crisis management is not standardized and there are only a few learning platforms that explain how to systematically manage a critical event. Until now!

Read More

Ep 249: Anesthesia Considerations for Cannabis

In this episode, Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!

Read More

Ep 246: POCUS of the Cricothyroid Membrane

In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!

Read More

Ep 243: A Crisis of Malignant Proportions

Malignant Hyperthermia (MH) is a rare and dreaded complication specific to anesthesia. It’s a systemic hypermetabolic syndrome that can result in severe disability or even death. In this episode Jeremy and Sass review the pathophysiology, preoperative considerations, signs and symptoms, complications, and management of this uncommon, but significant critical event.

Read More

Ep 240: The Anatomy of Acute Stress & Strategies to Manage It

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 affect our thinking and performance. He also points out how a certain amount of acute stress is actually helpful.

Read More

Ep 236: 3 Updated Guidelines for Neuromuscular Blocking Agents

Even in 2023, residual paralysis from neuromuscular blocking agents (NMBA) is still a problem. Recently a task force developed by the ASA released guidelines for the reversal of NMBA. Jeremy and Sass examine these guidelines and talk about what they mean for current anesthesia practice.

Read More

Ep 233: The Treatment for Hypovolemic Shock

Hypovolemic shock is the final shock state in this series of episodes that focuses on the identification, management, and differential diagnosis of different shock states. Jeremy and Sass discuss current treatment options for a patient experiencing hypovolemic shock and some of the various problems that can occur during this crisis.

Read More

Ep 230: The Best Options for Push-Dose Vasopressors

Jeremy and Sass talk about the various options and situations for blousing vasopressors, and perhaps most importantly which one to use. In fact, recently there was a Journal Course in the AANA Journal talking about the increased (and safe) use of push dose Norepinephrine which they review in this episode.

Read More

Ep 227: Crisis Checklist for Cardiogenic Shock

You’re quietly sitting behind the drape and all of a sudden you see significant dysrhythmias on the ECG during an operation. Now what? In this episode Jeremy and Sass review a case of Cardiogenic Shock and go over the crisis checklist for this critical event. They also examine current diagnostic strategies and potential differential diagnoses.

Read More

Ep 224: ASA 2022 Difficult Airway Algorithm Update

The American Society of Anesthetists initially released the Difficult Airway Algorithm in 1993 to provide a guide for managing a patient with a difficult airway. It has been updated every 10 years since with the fourth iteration being released in January 2022.
The latest update has a number of key changes that Jeremy and Sass will take you through in this episode of the podcast.

Read More