SPINE SURGERY WITHOUT LOSING YOUR NERVE │ EP131
Show notes
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Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.
A six-level fusion, a patient prone on a frame all day, real blood loss, and a neuromonitoring team at the head of the bed. Where does your plan even start? In Week 6 of our SEE/NCE series, we break spine surgery into the pieces the boards love to test, so you can protect the eyes, the cord and the blood volume with confidence.
In this episode:
- Turning prone safely, and what the prone position does to venous return, oxygenation and bleeding
- Postoperative visual loss, ischemic optic neuropathy vs central retinal artery occlusion, and the six ION risk factors
- Spinal cord blood supply, the artery of Adamkiewicz, and why SSEPs can miss anterior spinal artery syndrome
- SSEPs vs MEPs, and how volatiles, TIVA and muscle relaxants change your signals
- What to do when the signals drop, the wake-up test, blood conservation and venous air embolism
- Extubation decisions and multimodal pain control after spine surgery
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Mentioned in this episode:
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