Atomic Anesthesia
- Episódios
- 133
- Publicação
- várias vezes por semana
- Último episódio
- 13 nov 2026
Sobre o podcast
Welcome to Atomic Anesthesia, the essential podcast for nurse anesthesia residents seeking to master both basic and clinical science education (and RNs looking to become CRNAs, too!). Join us as we break down tough science concepts and demonstrating their practical clinical application in real-world scenarios. Each episode of Atomic Anesthesia is crafted to provide comprehensive explanations of complex scientific principles, tailored specifically for the needs of nurse anesthesia residents or nurses preparing for graduate school. Whether you're grappling with pharmacology, physiology, or any other challenging subject, our expert hosts are here to guide you through every step of the learning process. But we don't stop there. Atomic Anesthesia goes beyond the classroom, inviting esteemed guests from both the scientific and CRNA communities to share their insights and experiences. From discussions on graduate school training to invaluable tips for navigating the complexities of clinical practice, our diverse range of topics ensures that every episode is packed with valuable knowledge and practical advice. Whether you're commuting to clinicals, hitting the gym, or simply relaxing at home, Atomic Anesthesia is the perfect companion for learning on the go. Tune in and empower yourself with the knowledge and skills you need to excel in your journey towards becoming a proficient and confident nurse anesthethesiologist.
Episódios 133
PAIN MANAGEMENT PROCEDURES THAT GET RIGHT TO THE POINT (PREMIUM)│ EP133
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trialWelcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Your hernia patient shows up with an intrathecal pump, a spinal cord stimulator and a neck injection last month. In this members-only Week 6 episode of our SEE/NCE series, we walk you through the interventional pain procedures your patients have had, so you know what to do with each device and which complications to watch for.
In this episode:
- Interlaminar vs transforaminal epidural steroid injections, and why the side door is where the risk lives
- Particulate vs nonparticulate steroids and the safety rules for cervical injections
- Medial branch blocks and radiofrequency ablation for facet pain
- Sympathetic blocks from top to bottom: stellate ganglion, celiac plexus, lumbar sympathetic, superior hypogastric and ganglion impar
- Spinal cord stimulators and intrathecal pumps, including what to do with each on the day of surgery
- Anticoagulation timing, contrast and intravascular injection safety
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
CHRONIC PAIN PATHOLOGY: WHY DOES MORE DILAUDID MAKE THINGS WORSE? │ EP132
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trialWelcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Your fusion patient's pain gets worse every time you give more hydromorphone. Is she tolerant, or did the opioid make it worse? In Week 6 of our SEE/NCE series, we explain what changes in the nervous system when pain becomes chronic, so you can build a plan that actually works for your chronic pain patients.
In this episode:
- The four steps of pain (transduction, transmission, modulation and perception) and a memory trick to keep them straight
- Nociceptive vs neuropathic pain, plus allodynia vs hyperalgesia
- Peripheral and central sensitization, wind-up, and the magnesium "bouncer" at the NMDA receptor
- Chronic postsurgical pain, CRPS and the Budapest criteria, phantom limb pain, postherpetic neuralgia and fibromyalgia
- Opioid tolerance vs opioid-induced hyperalgesia, and what to do when more opioid makes the pain worse
- A perioperative plan and multimodal toolbox mapped to each step of the pain pathway
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
SPINE SURGERY WITHOUT LOSING YOUR NERVE │ EP131
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
ONE-LUNG VENTILATION: WHAT TO DO WHEN THE SAT STARTS DROPPING (PREMIUM) │ EP130
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trialWelcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Your patient is mid-lobectomy, the SpO2 is sliding from 94 to 88, and the surgeon wants that lung to stay down. In this members-only Week 5 episode of our SEE/NCE series, we walk you through one-lung ventilation from tube choice to physiology to rescue. You'll leave with a stepwise plan for exactly that moment, so you know what to check first and what to do next.
In this episode:
- Spill, leak and wash: the three buckets of absolute indications for lung isolation
- Double-lumen tube vs bronchial blocker, and why a left-sided DLT is the go-to for both right and left chest cases
- Confirming DLT position with fiberoptic bronchoscopy, and why auscultation alone misses so many malpositions
- Where gas and blood go in the anesthetized lateral patient, and how hypoxic pulmonary vasoconstriction cuts the shunt in half
- What weakens HPV, plus a lung-protective setup for the ventilated lung
- A stepwise rescue plan for desaturation, including why CPAP to the nonventilated lung is the single most effective move
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
CATCH YOUR BREATH WITH RESPIRATORY PHARMACOLOGY │ EP129
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Your patient with asthma starts wheezing a minute after intubation, and you have a whole cart of drugs within reach. In week 5 of our 12-week SEE/NCE series, we build every respiratory drug around one airway smooth muscle cell, so the mechanisms, side effects and the order of treatment finally fall into place.
In this episode:
- How cyclic AMP relaxes and calcium tightens airway smooth muscle, and where every bronchodilator fits
- Beta-2 agonists, why a LABA never travels alone in asthma, and the "shaky, speedy, low K" side effects
- Anticholinergics, methylxanthines, steroids, leukotriene modifiers and mast cell stabilizers, and when each one helps
- Why propofol, ketamine and sevoflurane are friends of the reactive airway, and why desflurane isn't
- The step-by-step treatment of bronchospasm under anesthesia, and the look-alikes to rule out first
- Drugs that can trigger bronchospasm, from nonselective beta blockers to histamine releasers
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
PULMONARY HYPERTENSION AND THE RIGHT VENTRICLE SPIRAL │ EP128
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trialWelcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Pulmonary hypertension can feel like a pile of numbers, groups and drug names, but board questions keep coming back to one idea: protect the right ventricle. In week 5 of our 12-week SEE/NCE series, we start with a patient on daily sildenafil whose blood pressure falls after propofol, and we show you how to recognize the RV failure spiral and what to do first.
In this episode:
- The current definition of pulmonary hypertension and how wedge pressure and PVR separate precapillary from postcapillary disease
- The five WHO groups, plus a memory trick to place any patient
- The RV failure spiral and why systemic hypotension is so dangerous
- What raises PVR (hypoxemia, hypercarbia, acidosis, hypothermia, pain) and what lowers it, including why nitrous oxide is the gas to avoid
- Managing acute right ventricular failure on induction with vasopressors, inotropes and inhaled nitric oxide
- Why nitroglycerin is dangerous in a patient taking sildenafil
Want more content like this? Become a member of our learning platform
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
THE CAPNOGRAPHY CLUE YOUR PULSE OX WILL MISS (PREMIUM) │ EP127
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trialWelcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Every capnogram reports on three things at once: metabolism, circulation and ventilation. Change any one of them and the waveform changes. In this members-only Week 4 episode of our 12-week SEE/NCE series, we learn to read the normal waveform, then name the abnormal ones, with a worksheet to practice on.
In this episode:
- Capnometry vs capnography, and sidestream vs mainstream monitors
- The normal capnogram: phases I to III and the alpha and beta angles
- ETCO2 vs PaCO2, and hypoventilation vs hyperventilation
- Bronchospasm and obstruction
- When the baseline won't return to zero: rebreathing, an exhausted absorber, incompetent valves
- When CO2 disappears: esophageal intubation, disconnection and sudden cardiovascular collapse
- The curare cleft, and a method for reading any capnogram
Want more content like this? Become a member of our learning platform.
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
CAN YOU TRUST THAT PULSE OXIMETRY READING? │ EP126
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
Your patient's SpO2 reads 100 percent, but they were just pulled out of a house fire. Can you trust it? In Week 4 of our 12-week SEE/NCE series, we break down the assumptions behind that number so you can predict every misleading reading the boards throw at you.
In this episode:
- What SpO2 measures, and why a perfect number doesn't rule out anemia or low cardiac output
- The Beer-Lambert law, red vs infrared light at 660 and 940 nm, and how the AC/DC ratio finds the pulse
- Functional vs fractional saturation and the oxyhemoglobin curve landmarks
- Why SpO2 can hide a big drop in PaO2 and can't monitor ventilation
- Carboxyhemoglobin, methemoglobin and the dyes that fool the probe
- Low perfusion, venous pulsation, probe site and response time
Want more content like this? Become a member of our learning platform.
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
GAS LAWS WITH MEMORY TRICKS THAT STICK │ EP125
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll …
Notas do episódio
🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial
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.
How many minutes of oxygen are left in that tank? Why does the nitrous gauge read full when the tank is almost empty? In Week 4 of our 12-week SEE/NCE series, we take every gas law straight to a patient and then give you a memory trick so it actually sticks.
In this episode:
- Boyle's, Charles's and Gay-Lussac's laws, from a pneumothorax at altitude to a cylinder near a fire
- Why the ideal gas law lets an oxygen gauge tell you what's left, plus quick E-cylinder math
- Critical temperature, and why the nitrous gauge reads full until the tank is nearly empty
- Dalton's and Henry's laws: partial pressure, desflurane at altitude and dissolved oxygen
- Diffusion with Graham's and Fick's laws, and why nitrous expands a pneumothorax or an obstructed bowel
- Laminar vs turbulent flow, Poiseuille's law, heliox and the Venturi mask
Want more content like this? Become a member of our learning platform.
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
MECHANICAL CIRCULATORY SUPPORT: IABP VS VAD VS ECMO (PREMIUM)│ EP124
Want more content like this? Become a member of our learning platform.Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear …
Notas do episódio
Want more content like this? Become a member of our learning platform.
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.
Your patient can't come off bypass, the pressors are climbing, and the surgeon wants a balloon. In this members-only episode of our SEE/NCE series, we break down the intra-aortic balloon pump, ventricular assist devices and ECMO with three questions you can use for every device: what does it support, how much, and for how long?
In this episode:
- Why mechanical support is used, and where it fits when a patient can't come off bypass
- IABP placement, counterpulsation, and the four timing errors (and which two are dangerous)
- IABP contraindications and complications
- LVAD physiology: preload dependence, afterload sensitivity, suction events and the right ventricle
- Why your LVAD patient may have no palpable pulse, and how to assess perfusion
- VA vs VV ECMO, LV distention, differential hypoxia, the Impella and the anesthesia plan for LVAD patients
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan: a structured, week-by-week plan to pass your boards
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
PACEMAKERS AND AICDS, TO MAGNET OR NOT TO MAGNET │ EP123
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform.
Letter codes, electrocautery, and a magnet that does something different depending on the device. Pacemakers and ICDs show up in almost every OR, and on boards. In Week 3 of our 12-week SEE/NCE series, we boil it down to two questions: what is this device doing for the patient, and what will electrical noise do to it?
In this episode:
- Pacemaker vs ICD, plus resynchronization, leadless and subcutaneous devices
- The pacemaker code letter by letter, and the modes you'll actually see (AAI, VVI, DDD, DOO)
- Why pacemaker dependence is the most important question you can ask
- What electrocautery does to pacemakers and ICDs, and monopolar vs bipolar cautery
- What a magnet does to a pacemaker vs an ICD, with board-style scenarios
- Preoperative device evaluation and the intraoperative and postoperative plan
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
CABG ANESTHESIA FROM PUMP TO PROTAMINE │ EP122
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform.
The pump, the cannulas, the cardioplegia, the drips. CABG can feel like too many moving parts to keep straight for boards. In Week 3 of our 12-week SEE/NCE series, we tie every step of the case back to one idea, myocardial oxygen supply versus demand, so the decisions finally make sense.
In this episode:
- Coronary perfusion pressure, the coronary territories and why tachycardia is the enemy
- Preoperative medications, monitoring and the hemodynamic goals for induction
- Cardiopulmonary bypass basics, heparin dosing, ACT targets and protamine, plus why you never draw up protamine ahead of time
- Cardioplegia: how it stops the heart, and antegrade vs retrograde delivery
- Separating from bypass, vasoplegia and post-bypass ventricular dysfunction
- The major complications, from bleeding and tamponade to stroke and AKI
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
EKG AND DYSRHYTHMIAS WITHOUT SKIPPING A BEAT (PREMIUM) │ EP121
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform.
A lot of EKG questions are really measurement questions in disguise, and a scary strip on the monitor is sometimes just a loose lead. In this members-only Week 2 episode of our 12-week SEE/NCE series, we walk through 18 rhythm strips on the study sheet with one system you can use every time, so you can name the rhythm and know when it actually needs treatment in the OR.
In this episode:
- Reading the grid, two quick heart rate methods, and a seven-step system for every strip
- Sinus rhythms and their most common intraoperative causes
- Atrial fibrillation, atrial flutter, SVT and the Wolff-Parkinson-White trap
- PVCs, ventricular tachycardia, torsades de pointes and VF, plus synchronized cardioversion vs defibrillation
- All four AV blocks, with a memory trick for each
- Electrolyte and ischemia changes, and three questions to ask before you treat any new rhythm
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
ANTICOAGULANTS AND REVERSAL IN ONE CLEAN CASCADE │ EP120
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform.
Strange suffixes, different labs, different hold times and a different antidote for every drug. Anticoagulants are where a lot of board points get lost. In Week 2 of our 12-week SEE/NCE series, we organize every anticoagulant around one question: where in the coagulation cascade does it hit? Answer that, and you can predict the lab, the risks and the reversal.
In this episode:
- A simple map of the coagulation cascade and which lab tests which pathway (PT/INR, aPTT, ACT)
- Unfractionated heparin, heparin resistance, ACT targets for bypass, and protamine dosing and reactions
- Heparin-induced thrombocytopenia: why it's a clotting problem, not a bleeding problem
- Low-molecular-weight heparin, fondaparinux and the neuraxial hold times you need to know
- Warfarin, the "1972" factors, and when to reach for vitamin K, four-factor PCC or FFP
- The DOACs and their antidotes (idarucizumab and andexanet alfa), antiplatelet agents, and balancing bleeding against thrombosis
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
VALVULAR HEART DISEASE WITHOUT THE HEARTACHE │ EP119
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform.
Valvular heart disease feels like a memorization topic, but the table of arrows in every review book isn't random. In Week 2 of our 12-week SEE/NCE series, we show you how two questions (pressure or volume problem, systole or diastole) let you rebuild the hemodynamic goals for every valve lesion in the middle of your exam.
In this episode:
- The shortcut: stenosis is full, slow and tight; regurgitation is full, fast and forward
- Aortic stenosis: severe AS numbers, the atrial kick, why phenylephrine is the go-to and why CPR rarely works
- Aortic regurgitation: acute vs chronic, why neuraxial is well tolerated, and the balloon pump contraindication
- Mitral stenosis: protecting the right heart, avoiding PVR triggers, and why wedge pressure overestimates LVEDP
- Mitral regurgitation: the large v wave and why phenylephrine can worsen the leak
- A rapid-fire board review of every lesion, plus how to handle mixed valve disease
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
ADME UP: A COMPREHENSIVE REVIEW OF PHARMACOKINETIC CONCEPTS (PREMIUM) │ EP118
In this premium episode, we’re breaking down pharmacokinetics, the concepts that explain what happens to a drug after it enters the body. From distribution and protein binding to metabolism, clearance, and …
Notas do episódio
In this premium episode, we’re breaking down pharmacokinetics, the concepts that explain what happens to a drug after it enters the body. From distribution and protein binding to metabolism, clearance, and context-sensitive half-time, we’ll connect the equations and terminology to how anesthetic drugs actually behave in the OR and focus on the high-yield concepts you need to know for the SEE/NCE.
In this episode:
- Volume of distribution, protein binding, and drug distribution
- Clearance, elimination, and half-life
- First-order vs. zero-order kinetics
- Hepatic extraction ratio and factors that affect drug metabolism
- Context-sensitive half-time and continuous infusions
- High-yield pharmacokinetic concepts for the SEE/NCE
This episode is part of our 12-week SEE/NCE podcast series, designed to follow the Atomic Anesthesia SEE/NCE Study Plan week by week.
Want to study along with the episode? Join the Atomic Anesthesia learning platform to get the accompanying worksheet, plus access to our members-only podcast episodes and additional SEE/NCE study resources.
FREE RESOURCE FOR THIS EPISODE:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards. Head to atomicanesthesia.com/freebies/see-nce-study-plan to grab it free.
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs: 800 lessons, 10,000 quiz questions, flashcards, and interactive features. Join at atomicanesthesia.com.
SEDATION SHOWDOWN: BARBITURATES VS. BENZODIAZEPINES │ EP117
In this episode, we’re covering barbiturates and benzodiazepines, two drug classes that both act at the GABA-A receptor but have important differences in their pharmacology, clinical effects, and reversal.In …
Notas do episódio
In this episode, we’re covering barbiturates and benzodiazepines, two drug classes that both act at the GABA-A receptor but have important differences in their pharmacology, clinical effects, and reversal.
In this episode:
- How barbiturates and benzodiazepines modify the GABA-A receptor
- Why barbiturates increase chlo ride channel duration while benzodiazepines increase frequency
- Methohexital, thiopental, midazolam, diazepam, and lorazepam
- Key pharmacokinetic and clinical differences between the major drugs
- Flumazenil reversal and the board-relevant risks you need to remember
This episode is part of our 12-week SEE/NCE podcast series, designed to follow the Atomic Anesthesia SEE/NCE Study Plan week by week.
Want to study along with the episode? Join the Atomic Anesthesia learning platform to get the accompanying worksheet, plus access to our members-only podcast episodes and additional SEE/NCE study resources.
FREE RESOURCE FOR THIS EPISODE:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards. Head to atomicanesthesia.com/freebies/see-nce-study-plan to grab it free.
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs: 800 lessons, 10,000 quiz questions, flashcards, and interactive features. Join at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
BLOCK PARTY: NEUROMUSCULAR BLOCKERS (PARALYTICS) FOR THE SEE/NCE │ EP116
Neuromuscular blockers are packed with high-yield SEE/NCE material and knowing the drug names isn’t enough. In this episode, we break down the pharmacology you need to understand so you can apply it to …
Notas do episódio
Neuromuscular blockers are packed with high-yield SEE/NCE material and knowing the drug names isn’t enough. In this episode, we break down the pharmacology you need to understand so you can apply it to board-style questions and clinical scenarios.
In this episode:
- Depolarizing vs nondepolarizing neuromuscular blockade
- Succinylcholine pharmacology, contraindications & major complications
- Rocuronium, vecuronium & cisatracurium
- Pseudocholinesterase deficiency & the dibucaine number
- Factors that potentiate or cause resistance to neuromuscular blockade
- Reversal, residual blockade & high-yield board pearls
This episode is part of our 12-week SEE/NCE podcast series, designed to follow the Atomic Anesthesia SEE/NCE Study Plan week by week.
Want to study along with the episode? Join the Atomic Anesthesia learning platform to get the accompanying worksheet, plus access to our members-only podcast episodes and additional SEE/NCE study resources.
FREE RESOURCE FOR THIS EPISODE:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards. Head to atomicanesthesia.com/freebies/see-nce-study-plan to grab it free.
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs: 800 lessons, 10,000 quiz questions, flashcards, and interactive features. Join at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
CAROTID ENDARTERECTOMY: PROTECTING THE BRAIN ONE CLAMP AT A TIME │ EP115
Carotid endarterectomy is a critical procedure requiring careful management to protect cerebral perfusion, especially during cross-clamping. This episode delves into essential intraoperative considerations …
Notas do episódio
Carotid endarterectomy is a critical procedure requiring careful management to protect cerebral perfusion, especially during cross-clamping. This episode delves into essential intraoperative considerations, particularly mean arterial pressure (MAP) targets, and strategies to maintain cerebral blood flow through monitoring and potential shunting.
- Preoperative assessment and baseline establishment
- Intraoperative monitoring techniques and A-line importance
- MAP target calculation and cerebral autoregulation adjustments
- Induction and maintenance anesthesia specifics
- Strategies for smooth emergence and minimizing complications
FREE RESOURCE FOR THIS EPISODE:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards. Head to atomicanesthesia.com/freebies/see-nce-study-plan to grab it free.
MORE FREE STUDY RESOURCES:
Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page
GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Join at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
THE TWITCHING HOUR: TRAIN-OF-FOUR EXPLAINED │ EP114
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- Train-of-four basics, including what the twitches actually represent and how to interpret your TOF count
- TOF count vs TOF ratio, understanding fade, and why four twitches does not necessarily mean full recovery
- Post-tetanic count, depth of neuromuscular blockade, and when to use different stimulation patterns
- Ulnar vs facial nerve monitoring, Phase I vs Phase II succinylcholine blockade, and qualitative vs quantitative monitoring
- Using TOF to guide neostigmine and sugammadex reversal, plus high-yield SEE/NCE concepts and practice board questions
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- GPCR Cheat Sheet — The G-protein coupled receptor mechanisms behind the alpha antagonists, beta blockers, and signaling pathways that show up in every OR vasodilator conversation.
- SEE/NCE Study Plan — A structured plan to help you prepare for the SEE and NCE without burning out — hypertension treatment is a high-yield topic.
- Non-Opioid Pharmacology Cheat Sheet — Propofol, ketamine, dexmedetomidine, and the rest of the non-opioid sedation toolkit on one page.
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea & Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
VASODILATORS IN THE OR: WHEN THE PRESSURE NEEDS TO DROP NOW │ EP113
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- The three mechanism buckets every OR vasodilator falls into — nitric oxide donors, calcium channel blockers, alpha antagonists — and why the bucket tells you the side effect profile before you ever look up the drug
- The full NO → cGMP → PKG → smooth muscle relaxation cascade behind nitroglycerin and nitroprusside, and why one drops preload while the other balanced-dilates
- Cyanide toxicity and coronary steal with nitroprusside — when to use it, when to cap it, and when to pick something else
- Clevidipine vs nicardipine vs hydralazine — which drug fits which case, and why hydralazine is falling out of favor for tight OR control
- Controlled hypotension for neuro cases, afterload management in cardiac surgery, and hypertensive emergencies including aortic dissection and pheochromocytoma
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- GPCR Cheat Sheet — The G-protein coupled receptor mechanisms behind the alpha antagonists, beta blockers, and signaling pathways that show up in every OR vasodilator conversation.
- SEE/NCE Study Plan — A structured plan to help you prepare for the SEE and NCE without burning out — hypertension treatment is a high-yield topic.
- Non-Opioid Pharmacology Cheat Sheet — Propofol, ketamine, dexmedetomidine, and the rest of the non-opioid sedation toolkit on one page.
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.
💜 PARTNERS: The Incomologists®
You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.
Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.
We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
DECODING DEXAMETHASONE'S ANTIEMETIC EFFECT (MECHANISM EXPLAINED) │ EP112
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- Exactly how PONV happens in the brain, no vague "vomiting center" hand waving
- All 5 real mechanisms behind how dexamethasone actually stops nausea and vomiting
- The practical dosing, timing, and combination strategy that gets the best PONV prevention
References:
- Chu CC, Hsing CH, Shieh JP, Chien CC, Ho CM, Wang JJ. The cellular mechanisms of the antiemetic action of dexamethasone and related glucocorticoids against vomiting. Eur J Pharmacol. 2014;722:48-54.
- Horn CC, Wallisch WJ, Homanics GE, Williams JP. Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting. Eur J Pharmacol. 2014;722:55-66.
- Ho CM, Wu HL, Ho ST, Wang JJ. Dexamethasone prevents postoperative nausea and vomiting: benefit versus risk. Acta Anaesthesiol Taiwan. 2011;49(3):100-104.
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
THE DIFFICULT AIRWAY ALGORITHM, STEP-BY-STEP │ EP111
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- The three decisions that shape every airway plan: awake or asleep, noninvasive or invasive, and preserve or ablate spontaneous ventilation
- The most important fork in the algorithm, can you oxygenate or not, and how it sends you down the non-emergency pathway or the emergency pathway
- Managing the cannot intubate, cannot oxygenate crisis, including front-of-neck access and the scalpel-bougie-tube technique
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
10 HIGH-YIELD SEE/NCE BOARD QUESTIONS EXPLAINED │ EP110
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- Ten challenging SEE/NCE board questions, one from every corner of the NBCRNA blueprint, each read in full board style with a breakdown of why the right answer wins and why every distractor was built to fool you
- High-yield pharmacology and physiology traps, including Hofmann elimination for the organ-failure patient, shifting the oxyhemoglobin dissociation curve, and the MAC family from MAC-awake to MAC-BAR
- The clinical-reasoning questions that show up at the bedside, from autonomic hyperreflexia and infant bradycardia to coronary perfusion pressure and reading the capnograph waveform
- A local anesthetic maximum-dose calculation and a full walk-through of recognizing and treating local anesthetic systemic toxicity
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
PREECLAMPSIA AND THE OB PATIENT: PATHOPHYSIOLOGY THAT SAVES LIVES │ EP109
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- The cardiovascular, pulmonary, renal, and coagulation changes of normal pregnancy you need to know before you can recognize what's broken in preeclampsia
- Why preeclampsia is fundamentally a placenta problem that becomes a vascular endothelium problem — sFlt-1, soluble endoglin, VEGF neutralization, and the cascade that drives every symptom
- HELLP syndrome — microangiopathic hemolysis, hepatic involvement, and how it changes your anesthetic plan
- Magnesium sulfate pharmacology — NMDA antagonism, the dosing regimen, toxicity ladder, and why you must cut your non-depolarizing NMB dose by 30 to 50 percent
- Neuraxial vs general anesthesia in the severe preeclamptic — when neuraxial is safe, how to manage platelet thresholds, and how to blunt the catecholamine surge of laryngoscopy when general is unavoidable
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — OB pharm and physiology is high-yield on the exam — this plan tells you exactly where it fits in your prep timeline.
- Non-Opioid Pharmacology Cheat Sheet — Multimodal pain management options including the non-opioids that show up in OB anesthesia plans.
- GPCR Cheat Sheet — The receptor pharmacology behind the pressors and antihypertensives you'll be running on these patients.
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.
💜 PARTNERS: The Incomologists®
You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.
Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.
We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
CRNA WORKFORCE CHANGES: DO THESE THINGS TO LAND YOUR PERFECT JOB │ EP108
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 …
Notas do episódio
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.
Want more content like this? Become a member of our learning platform: http://atomicanesthesia.com
In this episode:
- Why the anesthesia staffing shortage has created one of the strongest job markets ever for new CRNAs
- What chief CRNAs are actually looking for during interviews and how to stand out as a candidate
- How to evaluate your first CRNA job based on pay, location, flexibility, autonomy, and most importantly, culture
- Why you have more leverage than you think when choosing a job, plus one simple interview strategy that can make you unforgettable
To contact Braden Clark, CRNA you can email him at: [email protected]
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
- Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
- GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
REGIONAL ANESTHESIA 101: BLOCKS EVERY CRNA SHOULD KNOW │ EP107
Regional anesthesia is one of the highest-yield, most heavily tested areas on the boards, but most review content buries the clinically useful details under anatomy that never gets asked. This episode breaks …
Notas do episódio
Regional anesthesia is one of the highest-yield, most heavily tested areas on the boards, but most review content buries the clinically useful details under anatomy that never gets asked. This episode breaks down the brachial plexus approaches boards actually tests, the truncal and lower extremity blocks showing up in modern multimodal protocols, and the complication patterns examiners use as answer traps.
In this episode:
- The four brachial plexus approaches and why phrenic nerve risk drops as you move from interscalene to axillary
- Why adductor canal block has replaced femoral nerve block for TKA, and the volume myths that trip up test-takers
- The LAST risk hierarchy by injection site, and the Exparel interaction rules boards loves to test
FREE RESOURCES:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards
GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia.
Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page
Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
THE 5 OPIOIDS YOU ACTUALLY USE IN THE OR │ EP106
Understanding opioid selection in the OR is all about recognizing pharmacokinetics and how they align with surgical needs and patient factors, rather than focusing solely on receptor effects. This episode …
Notas do episódio
Understanding opioid selection in the OR is all about recognizing pharmacokinetics and how they align with surgical needs and patient factors, rather than focusing solely on receptor effects. This episode explores the five opioids you use most—morphine, fentanyl, sufentanil, remifentanil, and hydromorphone—and offers a framework for choosing optimally among them.
- Opioid receptor mechanisms and their clinical outcomes
- Lipid solubility's role in opioid kinetics
- Pharmacokinetics of morphine, fentanyl, sufentanil, remifentanil, and hydromorphone
- Managing side effects like respiratory depression and opioid-induced hyperalgesia
- Guidelines for opioid selection based on case specifics and patient renal function
Resources
Atomic Anesthesia Platform — In-depth lessons and quizzes on each opioid.
FREE RESOURCE FOR THIS EPISODE:
GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.
MORE FREE STUDY RESOURCES:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards
Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page
Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
COMPLEX I, SEVOFLURANE, AND THE VENEZUELAN MITOCHONDRIAL VARIANT │ EP105
A recently identified genetic mutation, passed down on the maternal line, can cause otherwise healthy patients to develop severe and often permanent neurological injury after routine sevoflurane exposure. This …
Notas do episódio
A recently identified genetic mutation, passed down on the maternal line, can cause otherwise healthy patients to develop severe and often permanent neurological injury after routine sevoflurane exposure. This episode breaks down the underlying mitochondrial mechanism, why TIVA with propofol is the safer anesthetic strategy, and the family history red flags every provider should be screening for.
- A newly identified genetic mutation that turns routine sevoflurane exposure into catastrophic, permanent neurological injury
- The mitochondrial mechanism behind it, and why some patients have zero reserve capacity to absorb the hit
- Why TIVA with propofol becomes the clear anesthetic choice once you understand what spares Complex I
Source: Sanz-Pons J, et al. "Effects of a Mitochondrial Genetic Variant on Sevoflurane Hypersensitivity." Anesthesiology 2026;144:1286–98.
FREE RESOURCE FOR THIS EPISODE:
GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.
MORE FREE STUDY RESOURCES:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards
Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page
Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
PROPOFOL: THE DRUG YOU THINK YOU KNOW │ EP104
Propofol, a cornerstone in anesthesia practice, functions as a positive allosteric modulator at the GABA-A receptor. This episode explores its receptor pharmacology, the mechanisms behind its dose-dependent …
Notas do episódio
Propofol, a cornerstone in anesthesia practice, functions as a positive allosteric modulator at the GABA-A receptor. This episode explores its receptor pharmacology, the mechanisms behind its dose-dependent clinical effects, and addresses common questions like propofol infusion syndrome and pain on injection.
- Receptor pharmacology and allosteric modulation
- Pharmacokinetics and context-sensitive half-time
- Cardiac and respiratory effects
- Risk and management of propofol infusion syndrome
- Handling egg allergy concerns
- Strategies to reduce pain on injection
FREE RESOURCE FOR THIS EPISODE:
GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.
MORE FREE STUDY RESOURCES:
SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards
Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page
Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference
WANT THE FULL PLATFORM?
Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.
Mentioned in this episode:
💜 PARTNERS: The Incomologists®
https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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