Beyond The Mask: Innovation & Opportunities For CRNAs

Mental health and substance use have been impacting CRNAs and SRNAs, but we've come a long way in recognizing and addressing these challenges thanks to organizations like the Parkdale Center for Professionals. This episode is a powerful one centered on healing, growth, and the critical role of peer support. We're excited to welcome Linda Stone, DNP, CRNA, peer advisor Jack Stem, and Bridget Petrillo, MS, APRN, CRNA to reflect on 10 years of progress since the founding of the Parkdale Center. They share powerful personal stories of struggle and recovery, the evolution of peer assistance in nurse anesthesia, and how initiatives like the AANA helpline and Parkdale's 24/7 peer-driven support have become literal lifelines. Here's some of what you'll hear in this episode:

Most CRNAs graduate, get a job, and settle into the profession. But Dr. Erik Rauch proves there's another path—one of leadership, advocacy, and endless opportunity. In this episode of Grade 1 View, Erik joins hosts Kevin and Charity to share his 17-year journey from clinical CRNA to program director, pain management fellow, MBA graduate, AANA Board of Directors, and now Chief Clinical Officer of a CRNA anesthesia management company. You'll hear how economics and workforce shifts are creating unprecedented opportunities for CRNAs to practice independently, and why new grads who embrace skills like ultrasound-guided blocks and critical decision-making will be in high demand. Here's some of what we discuss in this episode:

Today's guest is helping shape the next generations of CRNAs one post, one message, and one connection at a time through his platform, CRNA Mentor. Tyler Anderson, CRNA has ​become ​a ​guiding ​voice ​for ​aspiring ​and ​practicing ​nurse ​anesthetists ​across ​the ​country. In this episode, he shares the story behind the creation of CRNA Mentor, his vision for mentorship in the CRNA community, and how social media is playing a pivotal role in fostering connections. Here's some of what you'll hear in this episode:

In the world of financial planning, we often focus on numbers, assets, and strategies, but what about emotions? Just as the concept of "love languages" has helped people understand how to connect with their partners, it can also offer valuable insight into how we approach money management. In this episode, Jeremy and Sharon explain how the five love languages can inform a more compassionate and effective approach to financial planning. Here's some of what you'll hear in this episode:

CRNA school is one of the toughest journeys a nurse can take, but success isn't just about grades and clinical skills. It's also about wellness, belonging, and support. Today's guest is a passionate advocate for students in CRNA school and someone you want to listen to if you've felt stressed or anxious about the process. In this episode of Grade 1 View, Olivia sits down with Dr. Jorge Valdes, clinical professor and dean at Florida International University, to talk about what it really takes for SRNAs to thrive. You quickly understand how much he cares about the future of this profession as he shares why community, kindness, and emotional intelligence are just as important as technical training. Here's some of what we discuss in this episode:

Thoracic anesthesia is one of the most complex and high-stakes specialties in medicine, where the airway may literally be open on the table, and every breath depends on seamless teamwork. In this episode of Anesthesia Alchemy, Lynn and Garry welcome Dr. Melissa Puskac, a CRNA and thoracic anesthesia expert, to unpack the challenges and breakthroughs that define this field. From carinal resections and sleeve lobectomies to esophagectomies and mediastinal mass surgeries, Dr. Puskac explains how modern techniques like cross-field ventilation, high-frequency jet ventilation (HFJV), and ECMO are transforming survival and recovery. Here's some of what you'll hear in this episode:  

The AANA's Annual Congress just set a new record—over 4,000 CRNAs and SRNAs came together in Nashville for the largest meeting in the association's history. In this special episode of Beyond the Mask, Bill Bruce, CEO of the AANA, sat down with us in Nashville to ​share ​what's ​happening ​at ​the ​national ​level ​and ​how ​it ​directly ​impacts ​CRNAs ​across ​the ​country. Here's some of what you'll hear in this episode:

Our guests in this episode are representatives from Woman Within International, an organization dedicated to empowering women through self-discovery and healing. Katey Hurd, president of the Women Within Central USA Board and Linda Stulz, RN, M. ED, join us to explore why many women find themselves overwhelmed and disconnected from their true selves. Today you'll learn about the organization's programs that help women set healthy boundaries, heal from burnout, and build lasting community through circles, weekends, and leadership opportunities. Here's some of what you'll hear in this episode:

Have you ever wondered what it would take to make the shift from an RN to a CRNA? Would it be manageable? Today we're sharing our conversation with two talented women who are in the middle of that process right now. Larry and Kevin sat down with Jasmine Dhalla, BSN, BLS, ACLS, PALS, CCRN, TNCC and Damilola Olarenwaju, BSN, RN, CCRN, TNCC at the AANA Congress in Nashville so they could share their powerful journeys as ICU nurses taking their first steps toward nurse anesthesia school.   Here's some of what we discuss in this episode:

In a world where men don't usually don't like discussing their feelings, the Mankind Project USA stands as a beacon of hope for men seeking connection and personal growth. In our latest podcast episode, Nathan Ed-wards, CRNA and Boysen Hodgson share their experiences with this transformative organization, which is dedicated to redefining masculinity and fostering a culture of vulnerability and compassion among men. Here's some of what you'll hear in this episode:

Office-based anesthesia (OBA) is no longer the “wild west” of healthcare. It's a thriving, highly specialized branch of anesthesia practice that's changing the way patients experience surgery. In this episode, Lynn and Garry take you inside the rapidly growing world of OBA, where 10 million procedures a year are now performed outside hospitals and ambulatory surgery centers. They explore why patients and providers are embracing this setting, the evolving safety standards, and the anesthetic techniques that make it work. Here's some of what you'll hear in this episode:

For years, anesthesia providers have relied on subjective assessments to evaluate neuromuscular recovery. These methods, while familiar, often fall short in ensuring patient safety. As evidence mounts regarding the risks associated with residual paralysis, the need for more precise and objective monitoring has never been clearer. That's why we're taking a closer look at Quantatative train-of-four (TOF) monitoring with Richie Flowers, CHSE, CRNA, DNP, FAANA and Lisandro Hernandez, DNP, CRNA to learn more about why it's gaining traction in operating rooms nationwide. Here's some of what you'll hear in this episode:

For many years, it was rare to see a new CRNA grad get a 1099 opportunity, but that's been changing over the past decade. This new generation of CRNAs looks at work differently than previous generations and 1099 fits their lifestyle needs much better. So what do you really need to know if you are choosing between traditional W2 employment and the increasingly popular 1099 pathway? Kevin and Larry welcome on Beyond the Mask hosts Jeremy Stanley, EA, CFP®, AIF® and Sharon Pearce, DNP, CRNA, FAANA, FAAN to talk tax advantages, income potential and career flexibility. Here's some of what we discuss in this episode:

When seconds matter, preparation saves lives. Today's case study involving a 47-year-old man with severe obesity and obstructive sleep apnea is a great example of that. When a routine EGD resulted in rapid hypoxia shortly after sedation after conventional methods failed, it was the McMurray Enhanced Airway that made all the difference. Sharon shares the experience in this episode and we invited Roxanne McMurray, DNP, CRNA, APRN, FAANA back to the show to talk about how this novel airway tool is changing the game for CRNAs. Here's some of what you'll hear in this episode:

Good governance is proactive, not reactive, and a potential bylaw change could help the AANA move more in that direction. In this episode of Beyond the Mask, Jeremy and Sharon welcome AANA president-elect Tracy Young, MSNA, MBA, CRNA to discuss one of the most important proposals facing the AANA: a new bylaw amendment that would establish a clear, fair process for removing a board member before a crisis demands it. We'll ​walk ​through ​what ​the ​amendment ​proposes, ​the ​rationale ​behind ​it, ​and ​the ​potential ​implications ​for ​the ​AANA ​moving ​forward. Here's some of what you'll hear in this episode:

In this episode of Grade 1 View, we had the privilege of speaking with Tom Baribeault, DNP, CRNA, a pioneer in the field of opioid-free anesthesia. As the president and founder of the Society of Opioid Free Anesthesia, Tom has dedicated his career to advancing pain management techniques that prioritize patient safety and comfort. Today he'll share how his own clinical curiosity led him to abandon intraoperative opioids altogether, and what happened next. From reducing postoperative nausea to improving respiratory safety, this conversation will challenge you to question the status quo and expand your definition of what anesthesia can look like. Here's some of what we discuss in this episode:

In a world where access to healthcare can vary dramatically, the role of global outreach initiatives has never been more critical. In this week's episode, we're joined by nurse anesthesia doctoral student Chris Wheelock to ​discuss ​the ​impact ​of ​global ​outreach ​and ​how ​an ​initiative ​he ​was ​involved ​in ​is ​shaping ​the ​future ​of ​global ​health ​care. Here's some of what you'll hear in this episode:

We dive into the latest research on ketamine's therapeutic potential, including its role in treating ischemic stroke, postoperative cognitive dysfunction (POCD), and PTSD. You'll hear how scientists are studying its effects on brain regions like the hippocampus and amygdala, as well as its impact on neuroinflammation, fear memory, and neurogenesis.   We'll also explore ketamine's use in anesthesia, its interactions with drugs like oral morphine, and how it's monitored using tools like EEG. From molecular techniques like RT-qPCR and Western blotting to real-world applications—this episode breaks down the science driving ketamine's future in medicine.   Here's some of what you'll hear in this episode:

CRNAs bring technical precision and expertise to the operating room, but our most powerful impact might be how we show up for our patients during their most vulnerable moments. In this episode, Sharon and Jeremy sit down with Casi Short, a CRNA who developed a compassionate care program for women experiencing pregnancy loss. Hear how her own fertility struggles and second-trimester losses inspired her to create a supportive program at her hospital for women facing similar grief. This ​is ​a ​story ​of ​heart ​healing ​and ​the ​quiet ​strength ​it ​takes ​to ​stand ​beside ​someone ​in ​their ​darkest ​hour, ​​and ​how ​one ​CRNA ​is ​helping ​transform ​loss ​into ​love ​through ​meaningful ​change. Here's some of what you'll hear in this episode:

What does wellness really look like for nurse anesthesia residents? Today, Kevin and Charity chat with second-year nurse anesthesia resident Cassie Keefe, co-chair of the AANA Resident Wellness Committee, to answer real questions submitted by residents across the country. From burnout and self-doubt to meal prep and mental health, Cassie, Kevin, and Charity share their strategies for academic and clinical success.   Here's some of what we discuss in this episode:

Before ​we ​get ​started ​with ​today's ​show, ​we ​want ​to ​take ​a ​moment ​to ​dedicate ​this ​episode ​to ​someone ​very ​special. ​Emma, ​Sharon's ​granddaughter ​and ​the ​daughter ​of ​today's ​guest ​co-​host ​Michelle, ​was ​born ​prematurely ​and ​spent ​her ​short ​life ​in ​the ​NICU. ​She ​passed ​away ​just ​three ​days ​after ​she ​was ​born. ​Today's ​episode ​is released on ​Emma's ​birthday ​and ​we're ​honored ​to ​share ​it ​in ​her ​memory. Our guest today is a mother and former labor and delivery nurse who has become an incredible entrepreneur. Ashley Crafton joins us to share the incredible story behind her startup, Galena Innovations, and the development of the Hannah Cervical Cup, a device designed to help prevent spontaneous preterm birth. Here's some of what you'll hear in this episode:

The ​nursing ​profession ​has ​always ​been ​a ​cornerstone ​of ​the ​healthcare ​system, ​but ​in ​recent ​years, ​the ​pressure, ​burnout ​and ​emotional ​toll ​have ​reached ​crisis ​levels. That's why we wanted to spend time with functional health expert Vince Pitstick, founder & CEO of Vidal Coaching, to help bring awareness to the hidden epidemic facing America's nursing workforce. Vince draws on decades of experience as a coach and advocate for holistic wellness to reveal how chronic stress, broken reimbursement models, immune system overload, and poor nutritional support are pushing nurses to their breaking point. Here's some of what you'll hear in this episode:

From a 72-hour labor in rural India to the operating room as a nurse anesthesia resident, Taranjeet Rathore's journey is nothing short of extraordinary. Along with Olivia and Kevin, Taranjeet, a nurse anesthesia resident at National University, opens up about the moment that inspired his career in healthcare, the cultural barriers he's worked to overcome, and his mission to represent underserved voices in nurse anesthesiology. Here's some of what we discuss in this episode:

It's bold. It's fast. And it's the first of its kind in nurse anesthesiology. Sharon and guest co-host AANA President Jan Setnor welcome back nurse innovator Rebecca Love, RN, MSN, FIEL to introduce a groundbreaking addition to the AANA Annual Congress: the first-ever Nurse Anesthesia Hackathon. Rebecca ​has ​always ​challenged ​the ​status ​quo ​and ​this ​year ​she's ​bringing ​that ​energy ​straight ​to ​the ​AANA ​​with ​something ​bold ​and ​exciting. From patient safety to AI to perioperative brain health, the challenges are real, and so is your chance to make a difference. Here's some of what you'll hear in this episode:

Today, we're diving into a critical topic in modern healthcare: the perioperative management of patients with implanted electronic devices undergoing noncardiac surgery. With significant advancements in cardiology and cardiothoracic surgery, cardiac implantable electronic devices (CIEDs), including pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy devices, are becoming increasingly common in the surgical population. From pre-op assessment and EMI planning to post-op reprogramming, this deep dive breaks down complex protocols into actionable, life-saving steps. Here's some of what we discuss in this episode:

The Tax Cuts and Jobs Act (TCJA), enacted in 2017, introduced sweeping changes to both individual and business tax provisions—many of which have significantly benefited Certified Registered Nurse Anesthetists (CRNAs). But with key components set to expire at the end of 2025, now is the time to understand what's at stake and how it might affect your financial picture. Here's some of what you'll hear in this episode:

What if that voice in your head saying “you don't belong here” isn't telling the truth? So many professionals suffer from imposter syndrome and that's no different for CRNAs. We've had multiple people talk about this subject with us so we wanted to invited on Jeffrey R. Darna, CRNA, ACNP-BC, DNP, program director at USC and one of the nation's leading voices on imposter phenomenon in nurse anesthesiology. Along with Olivia and Larry, Dr. Darna shares his own story of self-doubt, explains how imposter feelings affect high-achieving professionals, and outlines daily practices that can help students and practitioners manage this silent struggle. Here's some of what we discuss in this episode:

In 2017, a fatal medication error shocked the medical world, and its aftermath has left the nursing community forever changed. In this gripping episode, Jeremy and Sharon sit down with RaDonda Vaught, the nurse who was found guilty of two felony charges in 2022. She shares the story of how a routine shift, a medication override, and a system-wide communication failure led to a tragedy — and eventually, criminal prosecution. This is more than a case study in medical error. It's a conversation about system design, transparency, accountability, and what it means to truly support healthcare professionals in moments of crisis. Here's some of what you'll hear in this episode: ⚖️ Criminal charges after a medical error — what happened and why

Dexmedetomidine — or “Dex” — has become one of the most intriguing and versatile drugs in the anesthesia world. In this episode of Anesthesia Alchemy with hosts Lynn Macksey, MSN, CRNA and Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN dive deep into the pharmacology, clinical application, and emerging research surrounding this alpha-2 agonist. Here's some of what we discuss in this episode:

In this special crossover episode of Beyond the Mask, we sit down with two hosts from the Grade 1 View, a new podcast hosted by nurse anesthesia residents for nurse anesthesia residents. Kevin Chem and Charity Garno join Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA to reflect on mentorship, the student experience, and the future of the CRNA profession. Here's some of what you'll hear in this episode:

What if studying for boards could actually be fun and sustainable? In this episode of Grade 1 View, Kevin Chem sits down with Dr. Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Olivate app, to talk about the realities of CRNA education, board exam burnout, and what it means to walk alongside students instead of just lecturing from the front of the room. From the emotional toll of imposter syndrome to the power of spaced repetition, Dr. Olson offers both empathy and innovation, sharing why he's passionate about changing how CRNAs prepare, teach, and stay mentally healthy. Whether you're a student wondering if you're good enough (you are) or a seasoned CRNA curious about the future of education, this episode delivers encouragement, fresh perspective, and practical tools for learning that lasts.   Check out Ollivate - Game Your Brain - https://www.ollivate.com Web Application - https://app.ollivate.com/ Download for iOS Devices - https://apps.apple.com/us/app/ollivate/id6740267864   More of what we discuss in this episode:

What does leadership look like in a profession that never stands still? In this episode, we're excited to welcome back Bill Bruce, CEO of the American Association of Nurse Anesthesiology, to talk about the challenges and opportunities for CRNAs in 2025. Since ​stepping ​into ​his role, ​Bill ​has ​brought ​a ​fresh ​perspective ​and ​a ​deep ​commitment ​to ​advancing ​the ​role ​of ​CRNAs ​across ​the ​healthcare ​landscape. Here's some of what you'll hear in this episode:

It's election season for the AANA, and that means it's time to hear directly from the candidates. In this special edition of Beyond the Mask, we continue the annual tradition of giving CRNAs across the country an opportunity to listen to the voices, values, and visions of those running for national office. You'll hear from all 10 candidates for Director, both Treasurer candidates, and the individuals running for Vice President and President-Elect. Each message has been lightly edited for clarity and time, but the core message is unchanged: these are the professionals who want to help shape the future of nurse anesthesiology. Whether you're undecided or just want to hear where your peers stand on leadership, advocacy, education, and innovation, this episode will help you make an informed decision before casting your vote. Voting is open now through May 27. Don't miss your chance to be heard. Login into AANA.com and vote here: https://www.aana.com/membership/elections-and-governance/governance/election-center/candidates/   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

What happens when SRNAs take their training to the global stage? Today, Charity welcomes Natalie, Cailtyn, and Mamawa to discuss their recent life-changing medical service trips to Mauritania and Honduras. These future CRNAs share their experiences providing anesthesia in resource-limited settings, highlighting the unique challenges and rewarding moments they encountered along the way. Thanks to these three for sharing their experience! Natalie Janes, 3rd year SRNA, Wayne State University – Service Trip to Honduras Caitlyn Pichette, 3rd year SRNA, Wayne State University – Service Trip to Honduras Mamawa Hollendyke, 3rd year SRNA, York College (graduating in a week!) – Service Trip to Mauritania (Africa) Here's some of what we discuss in this episode:

Placenta accreta is one of the most dangerous and rapidly growing challenges in obstetrics, and CRNAs are often on the front lines when things go wrong. This week we're joined by OB anesthesia specialists Kira Bruck, CRNA and Kelsey Getzloff, DNP, CRNA to share the latest research, discuss the reasons behind the increase in cases, and outline essential anesthesia strategies for managing high-risk deliveries. Coordination, communication, and preparation saves lives and this episode will help inform CRNAs about what's most important to know about accreta cases. Here's some of what we discuss in this episode:

Today, we're excited to bring back Emily Funk, DNP, CRNA to talk about tranexamic acid, or TXA—a drug making waves for its ability to control bleeding and improve surgical outcomes. Originally developed decades ago, TXA has gained new momentum due to its remarkable ability to control bleeding and improve surgical outcomes. Join us as we explore the fascinating story behind TXA's discovery, its evolving applications, and the impact it's having on patient safety and recovery. Here's some of what we discuss in this episode:

What does it really mean to advocate for your profession, and why does it matter before you even graduate? In this episode of Grade 1 View, hosts Kevin and Larry sit down with AANA lead lobbyists Matt Thackston and Kristina Weger to provide a look into the world of CRNA advocacy. From behind-the-scenes insights on Capitol Hill to tips for making your voice count at Mid-Year Assembly, they share eye-opening stories, practical advice, and real talk about how change happens in healthcare policy. Here's some of what we discuss in this episode:

Today, ​we're ​focusing ​on ​the ​next ​generation ​of ​CRNAs ​and ​the ​importance ​of ​early ​engagement ​with ​the ​American ​Association ​of ​Nurse ​Anesthesiology ​and ​the ​AANA ​Foundation. ​As ​new ​grads ​step ​into ​their ​careers, ​they ​have ​a ​unique ​opportunity ​to ​connect, ​contribute ​and ​grow ​within ​the ​profession. ​Recent grad Jake Bonnema, DNP, APRN-CRNA joins us to ​discuss ​why ​it's so important to engage and how ​CRNAs ​can ​play ​a ​pivotal ​role ​in ​shaping ​the ​future ​of ​nurse ​anesthesia. Here's some of what we discuss in this episode:

Have you ever wondered about the potential impact of surgery and anesthesia on cognitive function? Today's show will discuss the complexities of Perioperative Neurocognitive Disorders (PND), a term encompassing conditions like postoperative delirium (POD), postoperative cognitive decline (POCD), and delayed neurocognitive recovery (DNR). Through insightful discussions rooted in the latest research, we aim to shed light on: The prevalence and impact of PND, drawing from studies highlighting its occurrence after various surgical procedures. Potential risk factors that may make individuals more susceptible to developing PND. Innovative approaches for prevention and management, including the investigation of medications like dexmedetomidine and anesthetic techniques such as total intravenous anesthesia (TIVA) with propofol, which some studies suggest may have neuroprotective properties. The intricate underlying mechanisms of PND, exploring the roles of neuroinflammation, oxidative stress, and even insulin signaling in the central nervous system. The use of monitoring techniques like electroencephalography (EEG) to better understand and potentially mitigate neurocognitive complications. The importance of early identification and comprehensive care for individuals experiencing PND. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Happy Earth Day! In this special episode of Grade 1 View, Kevin and Olivia explore how anesthesia providers can make a real impact on the environment, one case at a time. As healthcare professionals, CRNAs play a significant role in the healthcare sector, which is responsible for nearly 10% of greenhouse gas emissions. This episode emphasizes the importance of being environmentally conscious in our practices, especially when it comes to anesthesia. Here's some of what we discuss in this episode:

How can a quick bedside ultrasound transform patient safety in anesthesia? Today, Sharon and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN explore the growing role of gastric point-of-care ultrasound (PoCUS), a tool helping anesthesia providers assess stomach contents in real time. Joined by Rachel Edgerton, DNAP, MSNA, CRNA, APRN, CHSE and three doctoral students from St. Mary's University - Molly O'Neill, BSN, RN, Hannah Peine, BSN, RN, CCRN, CMC, Alyssa Klein, BSN, RN - the episode dives into their groundbreaking DNP project educating CRNAs on this skill. Here's some of what we discuss in this episode:

In this episode of Grade 1 View, we sat down with two incredibly brave and inspiring guests, Louisa Martin, PhD, CRNA and Rigo Garcia, MSN, MBA, CRNA, who opened up about their personal battles with substance use disorder. They didn't hold anything back. From near rock bottom to recovery, from fear and shame to leadership and advocacy, their stories are raw, real, and deeply relevant to our lives as students and future CRNAs. Here's some of what we discuss in this episode:

As more CRNAs continue practicing well into their 60s and 70s, it raises a critical and complex question: how do we balance respect for experience with the need to protect patient safety? As ​healthcare ​evolves, ​so ​does ​the ​understanding ​of ​how ​aging ​affects ​performance ​in ​high ​stakes ​environments ​like ​the ​operating ​room. Today we're going to have an open and honest conversation with longtime educator and CRNA Judy Thompson about ​cognitive ​health ​testing ​protocols ​and ​the ​path ​forward ​for ​those ​at ​the ​peak ​of ​their ​careers. With over 35 years of leadership in nurse anesthesia education, Judy brings both professional insight and personal experience to the discussion. We'll tackle everything from mandatory retirement age debates, discrimination concerns, and the value (and pitfalls) of cognitive testing, to what healthcare systems—and CRNAs themselves—can do to navigate this sensitive issue fairly. Here's some of what we discuss in this episode:

Today we're going to break down three life-threatening syndromes that every CRNA, anesthesia provider, and healthcare professional should know: Serotonin Syndrome, Neuroleptic Malignant Syndrome (NMS), and Malignant Hyperthermia (MH). Though these conditions are rare, their symptoms often overlap—making quick, accurate diagnosis and intervention critical. Garry and Terry take a deep dive into the causes, symptoms, physiology, and treatment protocols for each condition, while also sprinkling in their signature humor and real-world insights. Here's some of what we discuss in this episode:

Postoperative cognitive disorders (POCD) are often misunderstood, underdiagnosed, and underestimated, but they can dramatically affect a patient's recovery and long-term quality of life. We've invited Dr. Christine Detwiler to join us so we can better understand the science behind POCD, the risk factors, and the strategies anesthesia providers are using to protect brain health. Along with guest co-host Dana Pederson, CRNA, we dive into this topic with Christine while it's still very fresh on her mind. She shares the insights she uncovered during her doctoral research, including risk factors, early signs to watch for, and why anesthesia providers play a bigger role in brain health than they might think. Here's some of what we discuss in this episode:

All four hosts are back together to welcome an inspirational guest to the show. We're excited to spend time with David Warren, a nurse practitioner turned CRNA and well-known content creator in the nurse anesthesia community. David opens up about his unconventional journey—going from emergency medicine to nurse anesthesia—and the lessons he's learned along the way. Here's some of what we discuss in this episode:

CRNAs take pride in the precision and care that goes into every procedure, but what happens when things don't go as planned? In the high-stakes world of healthcare, when something goes wrong, the patient isn't the only one affected. Today we're going to shine a light on Second Victim Syndrome—the emotional trauma healthcare professionals experience following adverse patient events. Joined by Maria van Pelt, PhD, CRNA, CNE, CPPS, FAAN, FAANA and Luci New, DNP, CRNA, FAANA we'll share personal stories and professional insight on this overlooked phenomenon. Here's some of what we discuss in this episode:

What's next for CRNAs and the future of nurse anesthesia? Today we're bringing you an exclusive update from the leadership at the American Association of Nurse Anesthesiology about the strategic vision for the future of the profession. AANA President Jan Setnor, MSN, CRNA, Col. (Ret), USAFR, NC and President-Elect Jeff Molter, MBA, MSN, CRNA join us to share key updates, insights, and advocacy efforts shaping nurse anesthesia. Here are some of the key topics we discuss:

Why is incivility still a major issue in the healthcare field, and how does it impact students, nurses, and CRNAs? In this episode of Grade 1 View, Kevin and Larry had the privilege of speaking with Dr. Louisa Martin, a distinguished nurse anesthetist and educator about the widespread issue of workplace incivility in nurse anesthesia training and beyond. Dr. Martin was selected to present at the AANA Annual Congress this year for the Jan Stewart Memorial Wellness Lecture about this topic, so we're excited to have the chance to gain some wisdom from her. The conversation will focus on her research on how hostile work environments, bullying, and toxic leadership can affect learning, patient safety, and overall job satisfaction. She also discusses practical strategies for handling incivility, advocating for yourself as a student, and creating a culture of support in clinical settings. Here's some of what we discuss in this episode:

Does the type of anesthesia used during surgery impact cancer outcomes?  Today we're going to explore the relationship between cancer and anesthesia with Adam Flowe, Chief CRNA at Duke University Hospital. This topic goes beyond the operating room to cover patient outcomes, recovery and even reoccurrence. Join us to learn more about the growing field of Onco-Anesthesia and its critical role in cancer treatment and patient survival. Here are some of the key topics we discuss:

Understanding systolic vs. diastolic heart failure is crucial for anesthesia providers, as both conditions present unique challenges in the operating room. In this episode, Terry and Gary break down the key differences between these two types of heart failure, their underlying mechanisms, and the best strategies for anesthesia management. They discuss the risk factors, symptoms, and pathophysiology of each condition, as well as how preoperative evaluation can help identify high-risk patients. The episode also covers the importance of intraoperative monitoring, fluid management strategies, and why tailoring anesthesia care to each patient can significantly improve outcomes. Tune in as they unpack the latest evidence, share real-world experiences, and provide practical takeaways for managing heart failure patients in the OR. Here's some of what we discuss in this episode: