We know CRNAs are busy with limited time. That’s why we want to bring you clinical updates and reviews that are pertinent to your anesthesia practice.

This is Beyond the Mask – Clinical Edition with Jeremy Heiner and Sass Elisha.

Together, Jeremy and Sass have a combined 40 years of experience teaching anesthesia students and CRNAs. They speak nationally and at state associations, and also continue to practice anesthesia in the operating room. Jeremy and Sass author and edit several anesthesia textbooks including Nurse Anesthesia, the core anesthesia textbook used in the CRNA profession.

You can expect Jeremy and Sass to discuss case management, pharmacology, critical events, and other up-to-date topics in power-packed, concise episodes. Check out the series below and enjoy!

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.


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.


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.


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.


Ep 221: Name That Shock State

Jeremy and Sass believe in reviewing the principles related to crisis management so that you can make the correct diagnosis for every scenario you find yourself in. On this episode, we’re going to help you identify different shock states by reviewing differential diagnoses, the rationale for the treatment, and the mechanism of action of medications used for the treatment of the crisis. Then we’ll finish it off by providing a few test questions to better prepare you for upcoming exams.




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Sharon graduated from the Wake Forest University Baptist Medical Hospital Nurse Anesthesia program in 1992. She resides in North Carolina and currently works as a 1099 CRNA. Association service includes the President of the North Carolina Association of Nurse Anesthetists. She served three years on the AANA (American Association of Nurse Anesthetists) Public Relations (PR) committee and conducted Media Training for state associations in conjunction with the AANA Senior Director of Strategic Communications, Chris Bettin. Sharon was the producer of the AANA PR award-winning video, The Best Kept Secret in Healthcare.

She chaired the Government Relations Committee of the AANA in 2009-2010 and has been a registered lobbyist and legislative involvement for over 22 years. Board of Director service at the national level of the AANA has included Region 2 Director, Vice President, President-Elect, and President in 2014-2015. Sharon ran for the North Carolina House of Representatives in 2015-16 but unfortunately lost in the primary. Not to be deterred, Sharon returned to school to obtain her Doctorate at Yale University, leading her to design the first-ever Candidate School for Nurses and Midwives. Although Covid intervened, canceling the pilot program, Sharon has created a Facebook Group called Influential Nurses, a group to facilitate, encourage, and empower nurses running for elected office. Sharon believes the time is now for nurses to take their rightful seats in positions of INFLUENCE. 


Jeremy Stanley is the president and founder of CRNA Financial Planning ®, an AANA Member Advantage Program Partner. For more than two decades, he has been helping CRNAs utilize their career paths to pursue their dreams. As a member of the Wake Forest Baptist Health
Nurse Anesthesia Program Advisory Committee, as well as a Public Trustee to the AANA Foundation, Jeremy stays abreast of the ever-evolving healthcare landscape as well as the political issues that affect CRNAs. An advocate for the CRNA profession, Jeremy has written two books – exclusively for CRNAs. “The Wealthy CRNA” lays out a foundational road map for CRNAs to plan their financial futures, and “A CRNA’s Life After Anesthesia” is designed to assist CRNAs in planning for retirement. Both books have been prior approved by the AANA for Class A CE credits.