Ep 174: Anesthesia Practice Considerations When Dealing with a Methamphetamine Patient

With the rise in methamphetamine use across the country, CRNAs need to be prepared to provide anesthesia to a substance use disorder patient. Jenny Krogh, CRNA, has noticed several misconceptions and conflicting management of patients who have used methamphetamines through her time working and researching. Today she joins us to explain the effects of methamphetamines on the body and clarifies some of the inaccuracies. 

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

You don’t have to work in healthcare to know the impact that methamphetamines have had on our country. The use of the drug is one the rise and likely under-reported because of its criminal nature, and it makes up a significant portion of the Substance Use Disorders (SUD) that have been diagnosed.

This increase in methamphetamines means that many CRNAs will likely face a situation where they have to provide anesthesia on a substance use disorder patient. Jenny Krogh, CRNA, has seen it first hand through the work she’s performed and the researched she’s done. Today she joins us to share her insight and experience, and she’ll help clarify some of the misconceptions around methamphetamine.

Check out the full conversation using the audio player above. As you get started on the episode, keep an ear out for these topics:

  • The rise in methamphetamines and her experience seeing it in hospitals.
  • The changes that happen in a person’s neurochemistry.
  • What leads someone to chasing this high?
  • How methamphetamines change anesthesia.
  • What can you do to treat hypertension?
  • How she’s treated a laboring patient who has used methamphetamines.
  • What she’s learned through her research and how people can access it.
  • Her algorithm

Check it out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

2:39 – Introducing our guest

5:28 – Why we are talking about this

7:14 – The use of meth in patients

8:52 –  Why words are important

10:21 – Neurochemistry

14:39 – Chasing the high

17:59 – How meth use changes anesthesia

20:44 – Treating hypertension 

23:01 – How it affects work in the OB

28:09 – Use of Ketamine

30:20 – Her research

34:04 – Final thoughts

37:21 – Lightning Round 

Additional Resources:

See the Methamphetamine Algorithm

Read the research Jenny did on the topic

“Methamphetamine is days sometimes where their brain is still lit up. This is why you’ll see patients that have used methamphetamines, they haven’t slept for maybe two or three days, they’re just amped up and ready to go. Then they crash and they crash hard.”

-Jenny Krogh, CRNA





COVID-19 Pandemic

Ep 213: Moral Injury and Nurse Anesthesia

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.

Current Events

Ep 212: Thankful for the AANA and Its Ongoing Efforts for CRNAs

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angie Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.


Ep 211: Anesthesia Management for a Pheochromocytoma

We’ve had CRNAs and SRNAs ask us to give them the essential information needed to manage a particular case and today we’re going to do that with Pheochromocytoma. This is the second episode in our endocrine surgical procedures series and there will be some valuable info that you might find on exams as well. Here’s the power-packed episode for anesthesia management for a Pheochromocytoma that we hope you get a lot out of.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.