APEX Live Anesthesia

Episode Summary Ding, ding, ding…it's time for Round 4 Q&A! The gloves are on, and we are ready to jump back in the ring for more questions and answers. In this episode, we're going to mix it up a little by answering the other guys' questions…cold turkey…so this should be fun.

Episode Summary In this episode we talk about an airway procedure that we rarely perform…that can be somewhat daunting…but can make an enormous difference in patient safety…we talk about awake intubation. We review the ASA's Difficult Airway Algorithm and the Difficult Airway Society's and the Canadian Airway Focus Group's recommendations regarding awake intubation. We go over the indications, equipment, positioning, and other key features to help demystify the performance of this important airway skill.   What You'll Learn 1. Review several airway society's recommendations about awake intubation. 2. Discuss the decision-making regarding awake intubation. 3. Evaluate indications and situations where awake intubation can be utilized. 4. Focus on the physiologic difficult airway and why patients experiencing these signs and symptoms should be considered for an awake intubation approach 5. Examine the equipment used and positioning for an awake intubation.   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com      

Episode Summary In this episode we discuss pheochromocytoma. We highlight a clinical case of a patient with an undiagnosed pheochromocytoma, and then we dive into the differential diagnoses, signs and symptoms, preoperative preparation, and intraoperative management of this neuroendocrine tumor. This is one episode that will definitely get your sympathetic nervous system firing!   What You'll Learn Review the pathophysiology of a pheochromocytoma. Discuss the differential diagnosis associated with a pheochromocytoma. Assess the signs and symptoms of an undiagnosed pheochromocytoma. Apply preoperative and intraoperative techniques to adequately manage a patient with a diagnosed pheochromocytoma.   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary We're returning to the ring for another Q & A! The crowd is cheering and asking for more, so let's give them another round…say what! In this episode, we'll test your mental toughness with questions that review pharmacology, pathophysiology, and airway. Along the way, we'll give you tips and suggestions to help dust out the cobwebs and bring that anesthesia knowledge back into the forefront of your mind. So, put those gloves together, “ding ding!” it's time to get back into the ring!  Say what? That's right, it's Q & A day!APEX family…grab a big glass of milk and let's talk calcium!   What You'll Learn Review the medication that should be avoided in a patient with adrenal insufficiency. Examine the electrolytes that can precipitate cardiac toxicity. Discuss the physiologic effects of beta receptors in several organs. Explain the local anesthetics that are affected by a pseudocholinesterase deficiency. Review anatomy for a superior laryngeal nerve block.   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary In this episode of the APEX Live Anesthesia podcast, we review the essentials of calcium and the physiologic consequences that occur when this important cation becomes low. We'll discuss how the body regulates calcium, the signs of hypocalcemia, something called the “Lethal Diamond” and so much more. APEX family…grab a big glass of milk and let's talk calcium! What You'll Learn     Assess how the body regulates calcium.      Examine normal calcium values.     Discuss the physiologic manifestations of acute and chronic hypocalcemia.     Explain the concept of the “Lethal Diamond”.     Review effective methods to replace calcium.   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our previous events were a blast! Check out the rest of our 2021 dates in the link below. Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary We went into the ring and knocked out the first Q & A in episode 25. Because of the overwhelmingly positive feedback, we are back for another round…Say What! In this episode, we'll go over several pharmacology questions that range from medications that affect hypoxic pulmonary vasoconstriction to platelet inhibitors. Along the way, we'll give you tips and suggestions to help dust out the cobwebs and bring that anesthesia knowledge back into the forefront of your mind. So exercise that mind, we are going back into the ring!   Say what? That's right, it's Q & A day!   What You'll Learn     Review the medications that inhibit hypoxic pulmonary vasoconstriction.     Examine the metabolism of cisatracurium.     Discuss the physiologic effects associated with phenylephrine.     Explain the medications contraindicated during malignant hyperthermia.     Review the most appropriate time to stop platelet inhibitors.   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our previous events were a blast! Check out the rest of our 2021 dates in the link below. Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Anesthesia-induced hypotension is commonly treated with push dose vasopressors. Today we dive into what the newest evidence is showing us about the use of phenylephrine, ephedrine, and norepinephrine IV bolus doses. We talk about cerebral oxygen concentrations and cardiac output when administering these vasopressors and ultimately ask ourselves…should we be less pushy?   What You'll Learn Review usual practice standards for anesthesia-induced hypotension. Discuss the most commonly used push dose vasopressors. Examine the evidence comparing commonly administered vasopressors. Discuss the physiologic consequences of push dose vasopressor use.    Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Our episode today is with the one and only Dr. John Nagelhout PhD, CRNA, FAAN. He is a pharmacology master who has taught thousands of CRNAs over the years. He the creator and has been the primary author of the core nurse anesthesia textbook “NURSE ANESTHESIA” for the last 20 years. Jeremy and Sass have an engaging discussion about his experience as a nurse anesthetist since the 1970’s, the story behind his creation of the first and subsequent editions of Nurse Anesthesia, how he came to teach pharmacology to so many CRNAs, his opinion on the greatest strength of a CRNA, and his thoughts on the future of nurse anesthesia. This episode is a treasure you won’t want to miss! What You'll Learn An insight on nurse anesthesia through the eyes of a pharmacology grand master. How the core nurse anesthesia textbook “Nurse Anesthesia” was developed. Dr. Nagelhout’s thoughts on the future of nurse anesthesia and what exactly is a CRNAs greatest strength. A history of nurse anesthesia since the 1970s. Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Over the past several months we’ve had many CRNAs request a podcast that evaluates answering test questions. Basically, something that helps to dust out the cobwebs and bring that anesthesia knowledge and that question answering expertise back into the forefront of your mind. APEX family…we hear you! In this episode Sass and Jeremy review several multiple choice questions related to anesthesia. The topics range from postoperative visual loss to signs you may see when giving sugammadex. Say what?  That’s right, it’s Q & A day!   What You'll Learn Determine the signs associated with Sugammadex administration. Examine the physiologic effects of naloxone. Discuss what medications may cause confusion and hyperthermia. Explain an accurate indicator for preoxygenation. Review the factors that contribute to cerebral oxygenation.   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our previous events were a blast! Check out the rest of our 2021 dates in the link below. www.apexlive.com   How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com

Episode Summary Today we dive into a discussion about Parkinson’s disease. We talk about what causes this disease, how it is medically and pharmacologically managed, and most important for CRNAs…what is the best evidence for taking care of patients who have Parkinson’s disease. There’s no doubt that at some point you will provide anesthesia for these patients and we want to help you, so sharpen those pencils and get ready to take some notes! What You'll Learn Determine the difference between Parkinson’s disease and Parkinsonism. Examine how Parkinson’s disease is pharmacologically managed. Discuss how Parkinson’s disease is non-pharmacologically and surgically managed. Determine evidence-based practices for the perianesthetic management of Parkinson’s disease. Review the potential drug interactions and critical events that could occur during the anesthetic management of a patient with Parkinson’s disease. Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our first event was a blast! Check out our 2021 dates in the link below. www.apexlive.com How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com

This is our first interview and we wanted it to be with CRNAs on the front lines of the COVID-19 pandemic who are getting it done! We focus our discussion on the expanding roles of CRNAs within the hospital and within our communities. We talk to retired Navy Commander and veteran clinical coordinator Valerie Sedor CRNA, about her roles in the ICU and ED, and what’s it’s like during this COVID surge. We also talk with author and clinical expert Mark Gabot CRNA, about his experience working as a primary member on the Rapid Airway Response Team. Buckle up, this is a great discussion!           

Episode Summary In this episode of the APEX Live Anesthesia Podcast, we address more of the questions we’ve received from our listeners. And yes, we do our best to answer these intelligent questions with even more marvelously mediocre answers. It’s a fun conversation about random topics that will leave you on the edge of your seat wanting more!   What You’ll Learn What are the recommended vasopressors for stenotic and regurgitant valves? Is alpha or beta blockade preferred in a patient with a pheochromocytoma? Which herbal medications influence anticoagulation? Why does bradycardia occur after a spinal anesthetic? What are the complications of a cricothyrotomy and transtracheal jet ventilation?   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference. We have 6 events scheduled for 2021. We hope to see you there! Learn more at www.apexlive.com   Episode Sponsor The University of Kansas Health System is committed to creating a culture in which the employees thrive.  We are all living through challenging times and learning how to succeed in our new normal. Rapid growth has given us the opportunity to expand our team. Over the last 5 years our CRNA group has grown from 35 to 100+ and shows no signs of slowing down. We are looking for individuals who align with our style and culture. We are seeking self-starters, critical thinkers and team players. Based in Kansas City, Kansas, with locations throughout the state, the health system has become a staple of the community. A household name in the Kansas City metro area, we value many local partnerships, including with the Kansas City Royals, the Kansas City Chiefs, T-Mobile Center and Kansas Speedway. Please contact dpennington2@kumc.edu or jkessen@kumc.edu for more information.   How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com  

Episode Summary In this episode of the APEX Live Anesthesia Podcast we’ll give you a little taste of our virtual conference…let’s call them appetizers! Sass talks a bit about volatile agent pharmacology, Jeremy talks airway in a patient with elevated ICP, and we finish off discussing shock.   What You’ll Learn What is the difference between oil/gas and blood/gas solubility of a volatile agent? Which volatile agent is the most potent? How should an airway be managed when a patient has elevated ICP? What are the hemodynamic parameters that should be maintained during intubation in a patient with elevated ICP? Will someone please discuss the pathophysiology of shock?   Want to Attend an APEX Live Event? Our first (and only event of 2020) was a blast! We'll announce our 2021 dates soon, so check out www.apexlive.com for details.   Episode Sponsor The University of Kansas Health System is committed to creating a culture in which the employees thrive.  We are all living through challenging times and learning how to succeed in our new normal. Rapid growth has given us the opportunity to expand our team. Over the last 5 years our CRNA group has grown from 35 to 100+ and shows no signs of slowing down. We are looking for individuals who align with our style and culture. We are seeking self-starters, critical thinkers and team players. Based in Kansas City, Kansas, with locations throughout the state, the health system has become a staple of the community. A household name in the Kansas City metro area, we value many local partnerships, including with the Kansas City Royals, the Kansas City Chiefs, T-Mobile Center and Kansas Speedway. Please contact dpennington2@kumc.edu or jkessen@kumc.edu for more information.   How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

Episode Summary When was the last time you used a cognitive aid in the OR? You probably have some in your OR, albeit they’re likely buried in a drawer somewhere. In today's episode, we'll discuss all things related to anesthesia checklists and how they can help you improve patient care.   What You’ll Learn Where did anesthesia crisis checklists originate? Do crisis checklists improve performance? Why don’t we use crisis checklists more often? What does the current evidence say about anesthesia crisis checklists? Which anesthesia crisis checklists are currently available?   Want to Attend an APEX Live Event? Our first (and only event of 2020) was a blast! We'll announce our 2021 dates soon, so check out www.apexlive.com for details.   Episode Sponsor The University of Kansas Health System is committed to creating a culture in which the employees thrive.  We are all living through challenging times and learning how to succeed in our new normal. Rapid growth has given us the opportunity to expand our team. Over the last 5 years our CRNA group has grown from 35 to 100+ and shows no signs of slowing down. We are looking for individuals who align with our style and culture. We are seeking self-starters, critical thinkers and team players. Based in Kansas City, Kansas, with locations throughout the state, the health system has become a staple of the community. A household name in the Kansas City metro area, we value many local partnerships, including with the Kansas City Royals, the Kansas City Chiefs, T-Mobile Center and Kansas Speedway. Please contact dpennington2@kumc.edu or jkessen@kumc.edu for more information.   How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Episode Summary What's your plan D during an airway crisis? In this episode of the APEX Live Anesthesia Podcast, we’ll discuss all things cricothyrotomy and give you everything you need to know if you ever need to use it in your practice.   What You’ll Learn What's the history of cricothyrotomy? How often is emergency front of neck access (eFONA) required in clinical practice? What are the indications for eFONA and FONA? How do you perform cricothyrotomy?   Want to Attend an APEX Live Event? Our first (and only event of 2020) was a blast! We'll announce our 2021 dates soon, so check out www.apexlive.com for details.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Episode Summary In this episode of the APEX Live Anesthesia Podcast, we’ll discuss one of the anesthetic crises we all learned about in anesthesia school…malignant hyperthermia. We’ll talk about how to recognize MH, and most importantly, how to manage this emergency if it ever happens to you!   What You’ll Learn What is the genetic defect that leads to MH susceptibility? How can you identify MH in the operating room? Which tests can confirm the diagnosis of MH? What are the specific treatments and medications needed to manage MH successfully?   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on this year's APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Click here to learn more.

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast we talk clotting…or more specifically how to promote blood clotting and STOP BLEEDING by giving an antifibrinolytic. We review the mechanisms of how a clot is formed and broken down. We then discuss several large trials published within the last decade that focus on situations where antifibrinolytics may be useful. Episode Webpage https://www.apexlive.com/blog/episode-17 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we are going to dive into the world of ketamine. We’ll review the little brother to PCP, and talk about all the situations where it can be useful…it really is the swiss army knife of anesthetic meds! Episode Webpage https://www.apexlive.com/blog/episode-16 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In the first part of this episode of the APEX Live Anesthesia Podcast we’ll review the pathophysiology of ARDS and discuss the multiple theories about the pathology of COVID-19. The second part is a discussion of the management similarities and differences between ARDS and COVID-19. Episode Webpage https://www.apexlive.com/blog/episode-15 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, it’s all about dexmedetomidine. Or, simply… just dex. We’ll discuss its pharmacological properties and share clinically relevant content related to its use in clinical anesthesia. Episode Webpage https://www.apexlive.com/blog/episode-14 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we answer several clinical questions submitted by our listeners. The topics range from using ondansetron to treat hypotension from neuraxial anesthesia to using a cephalosporin in a patient with a penicillin allergy. Buckle up… you’re not going to want to miss the mediocre madness! Episode Webpage https://www.apexlive.com/blog/episode-13 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

First and foremost, we want to thank all the CRNAs, nurses, technicians, MDs, housekeeping personnel, and front-line providers who provide care in both the prehospital and hospital environments. Your sacrifices and commitment are truly heroic. All of us at APEX Live have enormous respect for you and wish you safety and good health as we move forward during this crisis. In this episode of the APEX Live Anesthesia Podcast, we talk about intubating the patient with suspected or confirmed COVID-19 infection. We talk about how to prepare safely using personal protective equipment and discuss the current protocols clinicians are using to conduct airway management.   Show notes available at: https://www.apexlive.com/blog/episode-12   Want to Attend an APEX Live Event? Get everything you need to pass the CPC Assessment while having plenty of time to enjoy your vacation. Click here to learn more.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com

How Are We Doing?   To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your feedback.   Episode Summary In this episode of the APEX Live Anesthesia Podcast, we dive into local anesthetic systemic toxicity (LAST). We discuss what it is, how it happens, special populations that may be at higher risk, and the newest dosing protocols. If you administer any local anesthetic medications in your practice, you don't want to miss this episode!   Episode Webpage   https://www.apexlive.com/blog/episode-11     Attend an APEX Live Conference   Learn more about APEX Live events at www.apexlive.com     Legal Disclaimer   APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing?     To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers.   Click here to share your feedback.     Episode Summary     In this episode of the APEX Live Anesthesia Podcast, we'll take a break from talking about clinical anesthesia and look at acute stress.   We'll explain how the brain reacts to acute stress and then dive into why stress is both helpful and hurtful.   Finally, we'll discuss simple strategies that you can start using today, which are scientifically proven to help manage acute stress.     Episode Webpage     https://www.apexlive.com/blog/episode-10     Attend an APEX Live Conference     Learn more about APEX Live events at www.apexlive.com     Legal Disclaimer     APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.   Music by Eino Toivanen, kongano.com

How Are We Doing?   To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your feedback.     Episode Summary You asked, and we listened! In this episode of the APEX Live podcast, we're going to do a little Q&A. We'll give you practice questions, and then we'll break each one down step-by-step. It’s kind of like going back to the basics or back to square one. Whether you're studying for the NCE or the CPC Exam, this isn't an episode you'll want to miss.   Episode Webpage https://www.apexlive.com/blog/episode-9   Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share feedback. Episode Summary Happy New Year! To kick off 2020, we're going to dive into how to approach the patient with an anticipated difficult airway. We'll explore several common airway algorithms, and we'll also discuss the "topical thunder" technique to anesthetize the airway for awake intubation. Episode Webpage https://www.apexlive.com/blog/episode-8 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your thoughts. Episode Summary Surprise! In this mid-month bonus episode of the APEX Live Anesthesia Podcast, we'll talk about our friend and foe nitrous oxide. You know…that anesthetic gas that is great and horrible all at the same time. We'll briefly review its pharmacologic properties and then consider the current thinking and controversies about its clinical use. Episode Webpage https://www.apexlive.com/blog/episode-7 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Comments or Suggestions? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your comments and suggestions. Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we talk about difficult airway identification and the exams we use to help us recognize an airway that may be challenging. We also take a deep dive into what the different airway algorithms say about strategies for management. Episode Freebie: Failed Airway Checklist https://www.apexlive.com/blog/episode-6 Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we discuss a critical event that we could likely manage at some point in our anesthesia practice. Anaphylaxis is a severe life threatening generalized or hypersensitivity reaction. We will discuss the incidence, triggering agents, mechanism of action, signs and symptoms, and management of this crisis. Episode Freebie: Anaphylaxis Checklist https://www.apexlive.com/blog/episode-5-anaphylaxis Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast we talk about the effort that goes into identifying and preventing aspiration and the controversies that surround RSI and cricoid pressure. We take a look at past research and opinions that have shaped the way we manage the prevention of aspiration, and what current research and opinion tells us now. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we will discuss hypotension and the treatments you can consider when you experience refractory hypotension. We talk about different causes of refractory hypotension with a focus on vasoplegic syndrome, what causes vasoplegic syndrome, and specific treatments for vasoplegic syndrome. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll review the function of the hypothalamic-pituitary-adrenal axis, talk about glucocorticoids and mineralocorticoids, and discuss supplementation. We'll also elaborate on what the evidence says about adrenal crisis, the best dose for PONV prophylaxis, how to use for pain management, and if perioperative steroid administration affects site infections or cancer recurrence. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll review the principles of pulse oximetry. Then, we'll consider a selection of clinically relevant topics related to using the pulse oximeter in the preoperative period. Finally, we'll tie it all together with a case study. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

How Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com.  About APEX Live APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way. Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com