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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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.
Read MoreAwake 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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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!
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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!
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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 MoreEp 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.
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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.
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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.
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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.
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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.
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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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Ep 218: Respiratory Q&A Test Prep
Check out the timestamps below to help you navigate through the many topics we discussed. On This Episode: We’ll shift gears a bit in this episode by focusing on the examination side of anesthesia by hosting our first Q&A episode. Since students are taking a lot of tests in anesthesia school and CRNAs are…
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Ep 215: Anesthesia Management for Septic Shock
Today Jeremy and Sass talk about the third type of distributive shock, septic shock. They review the need-to-know info for this shock state based on the updated Surviving Sepsis Guidelines released in 2021. They’ll walk you through a crisis checklist that will help you identify and manage septic shock. So, buckle up…it’s go time!
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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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Ep 208: Crisis Checklist for Neurogenic Shock
Check out the timestamps below to help you navigate through the many topics we discussed. On This Episode: In this episode, we’re going to continue discussing our crisis checklists and the ones that relate to distributive shock specifically. Let’s talk about what happens during neurogenic shock by discussing a case involving a 34-year-old male…
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