Podcasts about Anesthesia

Dr. Kate Bailey, vice president of medical excellence and education at MedVet and a board-certified veterinary anesthesiologist, is our guest this week. From plans to pursue equine surgery to discovering a passion for anesthesiology, teaching, and medical quality, Dr. Bailey reflects on how mentorship, new experiences, and an openness to changing direction shaped each step of her career. She also shares why we shouldn't feel pressured to find the “perfect” job right away and how focusing on what matters most to you can open the door to opportunities you never knew existed.Thank you to our podcast partner Hill's Pet Nutrition! You can find more information about Hill's Pet Nutrition at https://www.hillspet.com/ and https://www.hillsvet.com/. 

Beyond the Ether is the new clinical series from Beyond the Mask, bringing together four experienced CRNAs to talk about the science, judgment, technology, and real-world decision-making behind anesthesia practice. In this first episode, Laura Ardizzone, MS, MBA, DNP, CRNA, Jeff Molter, MSN, MBA, CRNA, Tracy Castleman, DNP, CRNA, APN-A, and Daniel King, DNP, MNA, APRN, CRNA, CPPS, CNE, introduce themselves, share the mentors and experiences that shaped their careers, and look ahead to AI, pharmacogenomics, ultrasound, perioperative optimization, and the constantly evolving future of anesthesia. Here's some of what you'll hear in this episode:

Send us Fan MailThank you Dr Rani for your expertise and insights into complex airway assessment and management---------Find us atInstagram: https://www.instagram.com/abcsofanaesthesia/Twitter: https://twitter.com/abcsofaWebsite: http://www.anaesthesiacollective.comPodcast: ABCs of AnaesthesiaPrimary Exam Podcast: Anaesthesia Coffee BreakFacebook Page: https://www.facebook.com/ABCsofAnaesthesiaFacebook Private Group: https://www.facebook.com/groups/2082807131964430---------Check out all of our online courses and zoom teaching sessions here!https://anaesthesia.thinkific.com/collectionshttps://www.anaesthesiacollective.com/courses/---------#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded ---------Please support me at my patreonhttps://www.patreon.com/ABCsofA---------Any questions please email abcsofanaesthesia@gmail.com---------Disclaimer: The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this video. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode' Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Examine the mechanics of anesthesia and what happens to the mind when it is rendered unconscious during surgery. We explore the transition between wakefulness and induced sedation.By observing the sequence of medical procedures from prep to procedure, we consider the architecture of the mind under clinical control. It is for those interested in the intersection of biological science and the subjective experience of being put under.We break down the clinical reality of anesthesia and how it alters our perception of time and self. By analyzing the patient experience, we can better grasp the cognitive processes that define our internal reality when the body is undergoing a major surgical experience.This inquiry bridges the gap between physiological monitoring and the loss of human consciousness. Subscribe for weekly explorations of the human mind, and comment below on your perspective regarding the nature of medical sedation.If you enjoyed this episode, the best way to support the show is to subscribe, leave a rating or review, and share it with someone who might find it interesting. You can find new episodes, links, and more at robbcast.com. Just a quick note: this podcast is for informational and educational purposes only. Nothing here is medical advice, and exploring altered states always comes with real risks and responsibilities. Until next time — stay curious.

It's the day before the pain boards, so Dr. David Rosenblum skipped the Zoom and recorded a rapid-fire, last-minute review of the high-yield keywords and "board traps" most likely to show up on the ABA Pain Medicine exam. Listen on your commute or at the gym. High-yield topics covered Neonatal pain: A-delta and C fibers and ascending pathways work before birth, but descending inhibition is immature, so neonatal pain may be exaggerated or prolonged. Board trap: incomplete myelination does not mean neonates can't feel pain. Dorsal horn anatomy: Rexed laminae I, II and V. Lamina II is the substantia gelatinosa. Peripheral vs. central sensitization: the "inflammatory soup" (prostaglandins, bradykinin, H+, ATP, histamine, serotonin, cytokines, NGF) causes primary hyperalgesia. NMDA activation, wind-up and expanded receptive fields cause secondary hyperalgesia and allodynia. Superficial cervical plexus (C2–C4): lesser occipital, great auricular, transverse cervical and supraclavicular nerves. Blocked behind the SCM, and useful for clavicle pain. Eagle syndrome: an elongated styloid process irritating the glossopharyngeal nerve. Pain scales: NIPS, CRIES, FLACC and modified FLACC, Wong-Baker FACES, FPS-R, NRS, VAS and PROMIS-10 Global Health. Statistics: sensitivity and specificity don't depend on prevalence, but PPV and NPV do. Type I error is a false positive (α = 0.05) and Type II error is a false negative. Acetaminophen toxicity: use the Rumack-Matthew nomogram at 4 hours or later (acute single ingestion only). N-acetylcysteine is the antidote. Buprenorphine: a high-affinity partial mu agonist and kappa antagonist, with a ceiling effect on respiratory depression. Drug toxicities: carbamazepine (SIADH, SJS with HLA-B*1502, CYP3A4 induction), methotrexate (leucovorin rescue), hydroxychloroquine (retina), TNF-α inhibitors (TB reactivation), JAK inhibitors (boxed warning for MACE, thrombosis, malignancy), NSAIDs, SSRIs/SNRIs and tramadol (hyponatremia). Muscle relaxants: baclofen, tizanidine, cyclobenzaprine, methocarbamol, metaxalone, carisoprodol (meprobamate), chlorzoxazone, dantrolene, diazepam and botulinum toxin (cleaves SNARE proteins). Upcoming events Coming up: the NY/NJ Pain Congress in November and the Latin American Pain Society meeting next year. Hands-on NRAP ultrasound courses in New York are coming up in October and November. See the calendar at nrappain.org. Taking the boards next year? Start here: More CME, board review and ultrasound training at www.NRAPpain.org. Patients: in pain in Brooklyn or NYC? Dr. Rosenblum treats patients with back, neck, joint and nerve pain in Brooklyn, NY, and offers virtual second opinions. Visit RosenblumPain.com or call (718) 436-7246 to book an appointment. For educational purposes only. Not medical advice.

In this episode, Sean Bitts, CRNA and Vice President of Clinical Affairs at CCI Anesthesia, and Alex Gorecki, President of CCI Anesthesia, explore why a singular focus on anesthesia can make a meaningful difference for clinicians, patients, and hospital operations. Moderated by Doug Simpler, the conversation examines how specialized leadership can strengthen clinician retention and autonomy, improve OR efficiency and patient outcomes, and create a more collaborative partnership between anesthesia teams and health system leaders.This episode is sponsored by CCI Anesthesia. 

In this episode, Sean Bitts, CRNA and Vice President of Clinical Affairs at CCI Anesthesia, and Alex Gorecki, President of CCI Anesthesia, explore why a singular focus on anesthesia can make a meaningful difference for clinicians, patients, and hospital operations. Moderated by Doug Simpler, the conversation examines how specialized leadership can strengthen clinician retention and autonomy, improve OR efficiency and patient outcomes, and create a more collaborative partnership between anesthesia teams and health system leaders.This episode is sponsored by CCI Anesthesia. 

Laura and Nicole don't discuss thalidomide babies. 

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What happens when nurse anesthesia education moves beyond the traditional classroom? Recorded at the AANA Annual Congress in Boston, Sharon and guest co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, sit down with longtime CRNA educator Richard Wilson, DNAP, CRNA, FAANA to explore how virtual classrooms, simulation, podcasts, VR, AI, and new teaching strategies are changing the way future CRNAs learn. Here's some of what you'll hear in this episode:

20 exam windows invalidated. Roughly 150 graduates who thought they had a job in September now retaking a national certification exam. And a workforce gap between CRNAs and anesthesiologists that's up to 11,000 and accelerating. Joe Rodriguez sits down with Randy Moore and Tracy Young, three days into Tracy's term as president of his professional association. They don't agree on all of it. That's the point. The docket opens with the CAA certification crisis: what NCCAA found, why Tracy says the CRNA community shouldn't take a victory lap, and what it means for hospitals already stretched thin. From there, Randy walks through the supply and demand curves reshaping the locums market, Tracy lays out the data on the widening CRNA-anesthesiologist gap, and both agree a locums company bubble is forming, even if they disagree on the timeline. The sharpest moment of the episode: Randy makes the case that anesthesia groups have spent years selling themselves as a cost to minimize instead of an investment that drives OR volume, and argues that's the real reason contracts get lost. Plus: a difficult conversation about a real-world medication error making national headlines, handled from a systems and second-victim lens rather than a blame lens, and Joe closes with a personal reflection on what changes when you stop trying to win every argument. Takeaways: Test-bank leaks don't just fail an exam. They retroactively threaten seven years of certifications. Confidentiality isn't a control, it's a hope. Anesthesia supply is exploding on a delayed timeline. Cohort increases decided during COVID take three-plus years to hit the market. 2025's record graduate numbers are the first wave, not the peak. Pricing anesthesia is not a simple supply and demand exercise. Margins are sticky. Recruiting gets easier before rates ever move, and the real correction only lands when a hospital's actual costs force the renegotiation. Anesthesia groups lose contracts for one reason about 70% of the time: they can't cover the points of service. Cost is rarely the actual failure point, even though it's the stated one. Framing anesthesia as a cost to minimize instead of an investment that unlocks OR volume is the biggest strategic error facility partners make, and anesthesia groups reinforce it every time they lead with price. Power without discipline just wins arguments. Power used well finds the best answer and lets the argument go. _____________ Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Gary Keeling (VP of Anesthesia Services, Coronis RCM) To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Contributor: Travis Barlock, MD Educational Pearls: What is pulmonary edema?  Pulmonary edema is the accumulation of fluid initially in the interstitium of the lungs, that when severe enough can also accumulate in the alveolar air sacs. It develops when the rate of fluid filtration through the pulmonary vasculature out-paces the lymphatics ability to drain the fluid.  There are 2 theories for what causes pulmonary edema in the setting of naloxone administration: catecholamine surge vs negative pressure/barotrauma Catecholamine Surge : Naloxone administration precipitates an acute opioid withdrawal in which epinephrine and norepinephrine surge causing marked vasoconstriction on both the heart and the lungs   Negative Pressure/Barotrauma: This mechanism is not directly naloxone related but may be confounded by opioid effects. High dose synthetic opioids can induce sustained laryngospasm that is not mu-opioid mediated (thus not easily reversed by naloxone). With rapid awakening, respiratory muscles induce a negative pressure in the thoracic cavity against a closed glottis. This results in an alveolar barotrauma and a transudative pulmonary edema. What is the treatment for pulmonary edema secondary to opioid overdose reversal? Positive pressure ventilation is the mainstay treatment (CPAP/BiPAP) with oxygen supplementation. Importantly, diuretics are not recommended. The patient is not fluid overloaded like in the case of other pulmonary edemas, and diuresing the patient can worsen kidney injury which is already at an increased risk in opioid overdoses (rhabdomyolysis in particular).     References: Saari TI, Strang J, Dale O. Clinical Pharmacokinetics and Pharmacodynamics of Naloxone. Clin Pharmacokinet. 2024;63(4):397-422. doi:10.1007/s40262-024-01355-6 DailyMed - NALOXONE HYDROCHLORIDE injection, solution. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=201fdedf-1736-4e52-9d7d-de14292547fd Boyer EW. Management of Opioid Analgesic Overdose. New England Journal of Medicine. 2012;367(2):146-155. doi:10.1056/NEJMra1202561 Dezfulian C, Orkin AM, Maron BA, et al. Opioid-Associated Out-of-Hospital Cardiac Arrest: Distinctive Clinical Features and Implications for Health Care and Public Responses: A Scientific Statement From the American Heart Association. Circulation. 2021;143(16):e836-e870. doi:10.1161/CIR.0000000000000958 Kienbaum P, Thurauf N, Michel M, Scherbaum N, Gastpar M, Peters J. Profound Increase in Epinephrine Concentration in Plasma and Cardiovascular Stimulation after [micro sign]-Opioid Receptor Blockade in Opioid-addicted Patients during Barbiturate-induced Anesthesia for Acute Detoxification Anesthesiology. 1998;88(5):1154-1161. doi:10.1097/00000542-199805000-00004 Summarized by Dan Orbidan, OMS3 | Edited by Dan Orbidan & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

Dr. Gordon Morewood, physician lead for ASA's Center for Anesthesia and Perioperative Economics (CAPE), discusses the economic future of the specialty with Dr. Adam Striker. Find out why CAPE was created, what the Center is prioritizing, and how CAPE is working to secure the future. Recorded August 2026.

Broadcast from KSQD, Santa Cruz on 9-10-2026: The Pennsylvania measles outbreak has reached 540 confirmed cases with 119 new cases in the past week—the highest yearly count in 35 years, with likely three-fold undercount. Dr. Dawn emphasizes measles' R-value of 14 (versus COVID's peak of 3), its four-day pre-rash contagion window, and two-hour airborne persistence. Lancaster County's pediatric vaccination has dropped from the 95% threshold needed for herd immunity to 87%. She discusses the recent infant death (measles at birth with subsequent splenic rupture during vaginal delivery), the impossibility of vaccinating pregnant women against this live-virus disease, and public health workers doing pop-up clinics and home vaccine delivery. Dr. Dawn criticizes federal threats to strip tax-exempt status and terminate federal grants from universities like UCLA and UC Davis over race-conscious admissions. She argues this targets exactly the schools admitting students most likely to serve underserved communities and enter primary care—where the physician shortage is most acute—rather than dermatology or interventional radiology at tertiary centers. UCLA's Eisenberger social pain lab found that social exclusion (via a rigged game with undergraduates) activates the same brain regions as physical pain (dorsal anterior cingulate cortex and anterior insula on fMRI). A follow-up study showed acetaminophen blunted both self-reported social pain and empathy for others' pain, later replicated with EEG changes in DACC. Dr. Dawn suggests strategic use before stressful social events—though not combined with alcohol. Orexins are wakefulness-regulating neurotransmitters discovered in narcoleptic Doberman Pinschers and Labrador Retrievers. Takeda's oveporexton was approved August 5 as the first orexin agonist for narcolepsy, and Eli Lilly recently paid $8 billion for a related biotech, with Morgan Stanley projecting $16 billion in annual sales. Beyond narcolepsy, orexin agonists show promise for ADHD, attention/motivation, and potentially sleep apnea, with lower abuse potential than methylphenidate or Adderall. A caller advocates for free education and mandatory multilingual instruction in elementary school. Dr. Dawn describes France's tuition-and-food-subsidized medical education with post-graduation community service requirements built in, and shares her own experience with 2% National Defense Student Loans established after Sputnik. Researchers identified a distinctive brain-wave signature marking the transition to unconsciousness under propofol anesthesia—the loss of alpha-band coordination between the parietal cortex and thalamus. Delivered via scalp electrodes, this signature could enable individualized anesthesia dosing and provide non-behavioral markers of consciousness for brain-injured patients. A grandmother caller asks about protecting her first-grader during the measles outbreak. Dr. Dawn confirms two-dose MMR vaccination provides 100% protection against severe measles and 98% against mild disease, and reminds her to prompt women of childbearing age to verify their vaccination status before pregnancy, since maternal measles or COVID infection carries much higher mortality. Researchers studying breath and stool volatile compounds in asthmatic children identified four molecular markers that could enable early sepsis detection through breath analysis. This would prove especially valuable in neonates, where blood cultures are technically difficult, and could provide hours-to-days warning before clinical sepsis manifests. Vaginal birth exposes the infant to maternal vaginal and fecal bacteria that serve as the first beneficial inoculation, with some maternal microbes crossing the placenta prenatally. During the first week of life, maternal antibodies in colostrum and breast milk train the neonatal immune system to tolerate friendly bacteria—preventing later asthma, food allergies, and autoimmune disease. Dr. Dawn highlights colostrum as the critical component and suggests it should be sourced for infants who cannot be breastfed. Magnesium L-threonate crosses the blood-brain barrier efficiently, with about a gram at bedtime improving deep and REM sleep, morning alertness, mood, and productivity. It also reduces migraine severity, and one of Dr. Dawn's patients successfully replaced ADD medications with 3g daily. The only meaningful upper limit is diarrhea, which signals malabsorption.

Episode: 1627 A shocking look at medications in 1892 shows us how far we've come.  Today, we measure how far we've come.

How do you choose between thrombolysis, mechanical thrombectomy, or open surgery for acute limb ischemia, and what options remain when there's no vessel to open? On this episode of the BackTable Podcast, host Dr. Chris Beck is joined by vascular surgeon Dr. Anahita Dua (Massachusetts General Hospital) and interventional radiologist Dr. Ripal Gandhi (Miami Cardiac and Vascular Institute) to explore treatment strategies across the full spectrum of limb ischemia. They discuss presentation and referral patterns, the imaging and exam findings that start the clock, single-session mechanical thrombectomy, the evolving role of lysis, procedural endpoints, and deep vein arterialization for chronic limb-threatening ischemia. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported byStryker Peripheral Vascularhttps://www.stryker.com/us/en/peripheral-vascular.html --- Timestamps 00:00 - Introduction02:27 - Presentation, Referral Patterns, and Imaging06:07 - Acute Limb Ischemia: Treatment Algorithm 12:16 - Thrombectomy Device Selection16:09 - Thrombolysis and Applications Beyond Lower Extremity18:46 - Procedural Endpoints, Closure, and Case Selection24:43 - Deep Vein Arterialization: Patient Selection and Planning31:25 - DVA Technique: Imaging, Anesthesia, and Access34:58 - Step-by-Step DVA Approach 41:56 - Surveillance and Managing Expectations45:59 - Wound Care and Amputation Decisions49:40 - Future Directions in PAD52:43 - Closing Remarks --- More about this episode The conversation moves from acute interventions for the cold leg, where mechanical thrombectomy has become first-line and lysis is held in reserve, to the stepwise management of no-option chronic cases, including pedal access, valve disruption, and inflow for deep vein arterialization. Drs. Dua and Gandhi share practical insights on device selection, preventing distal embolization, and when to consider open embolectomy or hybrid approaches. The episode closes with a discussion of post-procedure surveillance, wound care, and the need for better measures of perfusion to improve limb salvage and patient outcomes. --- Resources Rutherford classification of acute and chronic limb ischemia. https://doi.org/10.1016/S0741-5214(97)70045-4 Global vascular guidelines on the management of chronic limb-threatening ischemia. Conte, Bradbury, Kolh et al., Journal of Vascular Surgery, 2019. https://doi.org/10.1016/j.jvs.2019.02.016 PROMISE II. Transcatheter Arterialization of Deep Veins in Chronic Limb-Threatening Ischemia. Shishehbor et al., New England Journal of Medicine, 2023.https://doi.org/10.1056/NEJMoa2212754 BackTable VI Episode 618, How to Manage Advanced DVA Cases: Techniques and Tips, with Dr. Kumar Madassery and Dr. Sabeen Dhand. https://www.backtable.com/shows/vi/podcasts/618/how-to-manage-advanced-dva-cases-techniques-tips --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

What does nurse anesthesia practice look like in Finland? That question is at the center of this episode of Beyond the Mask, recorded at the International Federation of Nurse Anesthetists meeting in Australia. Sharon and guest co-host Kevin Chem sit down with Sari Pyhälä, a Finnish RN specialized in anesthesia and perioperative care, to learn more about how her profession differs from the model many U.S. CRNAs know. Sari explains Finland's education pathway, the role of on-the-job training, and how nurse anesthetists work within a physician-supervised model while still taking on significant responsibility for preparing, maintaining, and safely transitioning anesthesia care. Here's some of what you'll hear in this episode:

Your first day in anesthesia can be overwhelming with so many numbers, dials, alarms, and decisions that all land at once, and the stakes are high. We sit down with Dr. Lahiru Amaratanga to ask a simple question with big implications for anesthesia patient safety: how can technology make clinicians learn faster without losing the human touch that keeps patients safe?We dig into practical education innovation, starting with AI coaching and moving toward a “trainee dashboard” that could track real clinical experience like intubations, IV cannulation attempts, and areas that need deliberate practice. We talk about why this kind of visibility can help educators teach with confidence, reduce awkwardness for learners, and support competency-based medical education using spaced learning, mobile learning, and smart reminders. The goal is not more content, but better learning trajectories that translate into safer decisions in the OR.Then we widen the lens to teamwork and global safety. We reflect on what we can learn from high-performing day-to-day teams and surgeon anesthetist dyads, and why stable collaboration may improve outcomes. From an international anesthesia perspective, we highlight the need for minimal universal anesthesia monitoring standards and ask whether digital education closes the gap for low resource settings or risks widening it if new tools stay unaffordable.If you care about safer anesthesia care, smarter clinical training, and education that actually changes practice, listen now and share this with a colleague. Subscribe, leave a review, and tell us what innovation would most improve safety where you work.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/323-how-technology-can-speed-training-and-strengthen-anesthesia-patient-safety/© 2026, The Anesthesia Patient Safety Foundation

This week we revisit our conversation about anesthesiology: How does anesthesia work during a surgery? What medications and treatment options are available to help patients with pain? CRNA Brian Kvamme and Dr. Andrew Ellsworth explain how different anesthesia treatments are available for a variety of medical concerns.

0:00 Intro 0:06 Cheater 3:41 Misread 6:34 Banned 8:01 Accidental racist 10:04 Marvel 11:30 Three laxatives 12:50 Deep nap Learn more about your ad choices. Visit megaphone.fm/adchoices

The fastest way to improve anesthesia patient safety is often to stop asking people to be perfect and start redesigning the world they work in. Dr. Alli Bechtel sits down with Dr. Lahiru Amaratunge, a consultant anesthetist in Melbourne, to unpack how human factors engineering, smarter workflows, and better training systems can prevent harm before it happens.We trace Lahiru's path from supervising medical students to building the ABCs of Anesthesia YouTube channel and the Anesthesia Collective, creating practical videos and resources that trainees can watch before they step into the operating room. He shares the real behind-the-scenes work: the fear of posting, the sting and value of criticism, and why a five-minute procedural video can take an entire day to produce. We also talk about scaling learning with recorded exam practice, plus new projects that leverage AI as an exam coach and interview coach.From there, we zoom into systems safety: designing out medication errors, reducing wrong-route neuraxial risk with NRFit connectors, and learning from morbidity and mortality cases where “simple” design flaws lead to devastating outcomes. Lahiru explains how closed-loop communication, flattening hierarchy, and in situ simulation in places like MRI and the cath lab build sharper teams. We end with an honest look at smartphones in medical education: incredible access, real distraction, and why checklists and handwritten recall still matter.Subscribe, share this with a colleague, and leave a review so more clinicians can find practical anesthesia safety ideas that work in the real world.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/322-designing-safer-anesthesia/© 2026, The Anesthesia Patient Safety Foundation

Send us Fan MailDr. Barak Benaryeh, Sarah Wheeler, and Dr. Scott Brandt discuss anesthesia and trade stories. 

At The International Anesthesia Research Society (IARS) and Society of Critical Care Anesthesiologists (SOCCA) meeting in Montreal, TopMedTalk hosts Mike Grocott and former editor-in-chief Desiree Chappell speak with FAER board members Dr. Rebecca A. Aslakson, Chair and Professor with Tenure, Department of Anesthesiology, University of Vermont Health Network and Dr. Michael Gropper, Professor and Chair of the UCSF Department of Anesthesia and Perioperative Care, about the Foundation for Anesthesia Education and Research (FAER). We describe how FAER's early-career support—especially the Mentored Research Training Grant—helped launch our guest's own research trajectories and facilitates transition to larger funding, with about 60% of MRTG recipients later obtaining NIH funding. They outline FAER's origins (founded in 1986 in partnership with the ASA), funding mechanisms spanning medical students to early faculty, partnerships with multiple specialty organizations, and career development resources including networking, mock study sections, and a National Academy of Medicine collaboration, emphasizing mentorship and community as central to long-term research success. -- Find out more about EBPOM Dingle now: www.ebpom.org

Does age increase anesthesia risk in veterinary patients? Not necessarily. This episode of the VetFolio Voice podcast explores the critical difference between chronological age and true physiologic risk factors during anesthesia. While age-related physiologic changes may become more common as patients grow older, it is the presence and severity of those changes—not the number of birthdays—that influence anesthetic risk and decision-making.

A dental office can feel low-stakes until the moment it isn't. We pick up our conversation with Dr. Rita Agarwal to talk about the real-world safety gaps in dental sedation and dental anesthesia, especially for children, and the practical steps that can prevent a routine procedure from turning into a catastrophe.We walk through the exact questions families can ask before scheduling deep sedation or general anesthesia: What medications are being used? What level of sedation is planned, and how do you know it stays there? Who is responsible for the anesthesia, and is there a dedicated anesthesia provider whose only job is monitoring and rescue? Dr. Agarwal makes the key point behind the ASA sedation guidelines: sedation can go deeper than planned, so the team must be able to rescue from the next deeper level. That means airway rescue readiness, including the most basic lifesaving skill in the office-based anesthesia setting: effective bag-mask ventilation. We also talk about emergency medications and why asking about oxygen, naloxone, and flumazenil can reveal whether a practice is truly prepared.From there, we zoom out to the systems problem. We discuss why the U.S. still lacks consistent data and reporting, how state-by-state regulation creates uneven standards, and why simulation training should be routine anywhere sedation is delivered. Dr. Agarwal shares what she hopes to see next: better standardization, stronger requirements for deep sedation and general anesthesia, and robust databases that help us learn from every sedation, not just the cases that reach the news.If you care about pediatric dental sedation safety, office-based anesthesia, and preventing avoidable harm, listen, share this with a colleague, and subscribe. After you listen, leave us a review and tell us what change you want to see first in your state.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/321-safer-dental-anesthesia-part-2/© 2026, The Anesthesia Patient Safety Foundation

In this episode of the ASC Podcast with John Goehle, AAAHC has released v45 of the Standards — with brand-new Artificial Intelligence requirements and a December 15th effective date — and it's a big week around here too: a new ASC Central website, the 2026 Survey Guide, and our September conference week. Then John talks with Amanda Penrod about leading across the generations — how to mentor, retain, and get the best from a team that can span four decades of experience. Grab a coffee and join John and Sue. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: AAAHC Standards and Policy announcements (v45 FAQs and Policies & Procedures): aaahc.org - Standards and Policies AAAHC Achieving Accreditation - walk-through of the v45 Standards; September 14-16, 2026 (virtual) and December 10-11, 2026 (Las Vegas): aaahc.org - Achieving Accreditation FREE digital v45 handbooks for 1095 Engage users - Help Curtain (right-hand side of the screen), under “Released Handbook (Not Yet Effective)” for each program. Print editions available for preorder, delivery expected late September 2026: store.aaahc.org - v45 handbooks AAAHC has released v45 of the Standards - new Artificial Intelligence Standards in the Administration, Governance, and Credentialing & Privileging chapters (transparency, validation, data privacy and security, human oversight, bias mitigation). Effective for surveys conducted on or after December 15, 2026. Log in to 1095 Engage and select the Standards tab in your organization's Profile: 1095.aaahc.org Is Stark law reform finally on the table? - Becker's ASC (August 11, 2026): beckersasc.com 62% of ASCs cancel, delay cases over anesthesia gaps - Becker's ASC (August 14, 2026): beckersasc.com Half of NPs have been burned out for more than 2 years - Becker's ASC (August 12, 2026): beckersasc.com ANNOUNCEMENT - The new ASC Central website is live: asc-central.com What is changing for current members (the old Mighty Networks site stays open through March 31, 2027): asc-central.com - What's Changing Guide ANNOUNCEMENT - The Survey Guide for ASCs, 2026 Edition - fully revised and expanded: jgoehle.com The 2026 Survey Guide on Amazon: amazon.com - The Survey Guide for ASCs (2026 Edition) ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training ASC Leadership Mastery Course - 28-part video course (regulatory, clinical, staffing, financial); structured preparation for the concepts tested on the CASC exam; included with Premium Access or available separately: asc-central.com - Leadership Mastery Course Guest: Amanda Penrod, CEO and founder of RFX Solutions - “Leading Across the Generations.” INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Compare both programs: asc-central.com/memberships   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website

In this 341st episode I welcome Drs. Alia El-Mowafy and Rachel Tobis to the show to discuss how to prepare for and handle difficult airways and airway emergencies in the office-based setting. Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS: https://wearfigs.com* Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/ACCRAC for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Recorded live from the IFNA World Congress in Australia, Sharon and special co-host Kevin Chem sat down with Associate Professor Susannah Sherlock to offer a rare look inside hospital-based hyperbaric medicine and its connection to anesthesia, critical care, surgery, wound healing, and long-term cancer recovery. Here's some of what you'll hear in this episode:

    Bleeding is what kills people after injury. In this companion conversation to their earlier episode, host and vascular surgeon Dr. Wayne Causey asks Dr. John Pavlus, Chief of Interventional Radiology at Brooke Army Medical Center, to do the thing most medical conversations skip. He walks step by step through exactly how a bleeding trauma patient is treated without major surgery.   The tools are small. A needle, a short hollow tube called a sheath placed in the artery at the groin, wires thinner than a strand of spaghetti, and catheters steered by live X-ray to the one vessel that is leaking. The patient leaves with a bandage instead of an incision. The decisions behind those tools are what make the difference.    It starts with the CT scan. Contrast is injected and images are captured at three different moments, and the timing of those pictures decides what the doctor believes he is looking at. A scan done for a different purpose at an outside hospital can make a patient look like an arterial bleeder when the bleeding is coming from a vein instead, and veins are not something a catheter can easily fix. Getting the timing right is the difference between the right treatment and the wrong one.     From there the conversation turns to the system. At Brooke Army Medical Center, a trauma activation commits the interventional team to having a needle in the artery within sixty minutes of the call, at any hour. That standard was not bought with equipment. It was built on years of trust with the trauma surgeons, to the point that when a trauma surgeon calls a bleed, nobody argues about the pictures. Everyone moves, including anesthesia.    Then come the organs. The liver is complicated because it carries two separate blood supplies, and one of them cannot be reached easily from the inside. The spleen is the favorite, shut down with a metal coil placed at a precise landmark, sometimes in fifteen minutes. And the conversation closes on thrombin, a clotting agent injected through the skin under ultrasound, no X-ray required. It is cheap, it is simple, and it is the one tool a military interventional radiologist would want in his pack if told to deploy tomorrow.     The thread running through all of it is not equipment. It is repetition. Do the same thing the same way every time, and the mind is free to solve the problem that actually matters. Chapters (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows (07:15-12:23) The Sixty-Minute Clock and Activating the Trauma Interventional Radiology Pathway (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward Chapter Summaries (01:12-07:15) What Endovascular Care Actually Is and What the CT Scan Shows    Dr. Pavlus defines his specialty in the plain language he uses with patients. Minimally invasive, image guided procedures done through pinholes in the skin, either plugging up an artery that is bleeding or lining the inside of an injured one with a small tube. The discussion then turns to the CT scan, where contrast dye is imaged at three separate moments, and how the timing of those pictures determines whether the bleeding is arterial, venous, or a contained pocket of blood called a pseudoaneurysm. (07:15-12:23) The Sixty Minute Clock and Activating the Trauma Interventional Radiology Pathway   A trauma surgeon standing at the scanner calls a bleed and the pathway fires. A single alert reaches the interventional radiologist, the nurse, the technologist, and the resident at the same time, and everyone drives in. The standard is a needle in the artery within sixty minutes of the call, and the guest is direct that the only way to hold that standard is to remove every point of debate from the process. Anesthesia is activated at the same moment, because these patients are rarely stable enough for anything less. (12:23-20:49) A Bleeding Liver with Two Blood Supplies and Why Access Comes First   The liver is harder than most people assume because it carries two separate incoming blood supplies, and the second one cannot be reached quickly from inside a catheter. That is why a certain grade of liver injury belongs in the operating room with a surgeon rather than in the radiology suite. The guest then walks through his access routine in detail, from ultrasound guided puncture of the artery at the groin to the specific wire and catheter he uses every single time, and explains why keeping the hole in the artery as small as possible matters in a patient who may receive thirty units of blood. (20:49-28:59) A Bleeding Spleen with Microcatheters Coils and Knowing When Good Enough Is Enough Splenic bleeding can be shut down with a metal coil placed at a precise landmark between two small pancreatic arteries. Dr. Pavlus explains why he abandoned one widely used technique after it tore an artery early in his career, and why he now threads a much smaller catheter inside his working catheter to reach the target safely. He is also candid that in an unstable patient at two in the morning, the goal is not a perfect result. It is a live patient who can be handed back to the trauma team. (28:59-35:51) Thrombin and the Simple Tool Worth Carrying Far Forward    Thrombin is a clotting agent injected directly through the skin with a needle, guided by ultrasound rather than X-ray. It is the standard repair for a pseudoaneurysm in the groin, but the guest has extended it to bleeding inside solid organs and small vessels in soft tissue that would be difficult or impossible to reach with a catheter. Because it requires no X-ray suite and almost no equipment, he names it as the single technique he would most want available in a far forward combat setting. The episode closes on consistency, repetition, and adapting a fixed base technique to whatever the patient in front of you presents. Take Home Messages Timing of the Contrast Changes the Answer: A CT scan is not one picture. Contrast dye is imaged before it arrives, as it fills the arteries, and again after it has spread, and comparing those three moments is what separates arterial bleeding from venous bleeding from an old finding that was never bleeding at all. A scan ordered for a different purpose at an outside hospital can point a team toward the wrong treatment entirely. Trust Is Built Long Before the Emergency: The sixty minute standard from phone call to needle in the artery is not achieved with faster equipment. It is achieved by removing every point of debate from the pathway, which only happens after years of a trauma service and a radiology service learning to rely on each other. When the trauma surgeon calls a bleed, nobody re-argues the pictures. Everyone moves. Access Is the Whole Game: You can perform the most elegant procedure in the world inside a patient, and if the puncture in the artery is mishandled, that is the only part anyone will remember. Ultrasound guidance takes no meaningful extra time, and keeping the opening as small as possible protects a patient who may go on to receive massive amounts of blood. Perfect Is the Enemy of Alive: In a stable patient with a low grade injury there is time to chase an ideal result. In a crashing patient at two in the morning there is not. Placing a coil in a good enough position and stopping high flow bleeding so the trauma team can move on is a legitimate and often correct decision, and knowing which situation you are in is a clinical skill of its own. The Simplest Tool May Be the Most Deployable: Thrombin injection needs a needle, an ultrasound probe, and a vial. No X-ray suite, no power injector, no shelf of catheters. That is exactly why it stands out as the technique most likely to work far forward, where the equipment, the imaging, and the logistics that a modern hospital takes for granted simply are not there. Episode Keywords interventional radiology, military medicine, trauma interventional radiology, embolization, splenic artery embolization, liver embolization, solid organ injury, thrombin injection, pseudoaneurysm repair, endovascular hemorrhage control, non compressible torso hemorrhage, angiography, microcatheter, coil embolization, Brooke Army Medical Center, combat casualty care, far forward surgical care, vascular surgery, WarDocs podcast, military trauma care, hemorrhage control, John Pavlus, Wayne Causey Hashtags #MilitaryMedicine, #InterventionalRadiology, #TraumaCare, #HemorrhageControl, #CombatCasualtyCare, #VascularSurgery, #WarDocs, #MilitaryHealth Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast    

In this session, attendees will be equipped to navigate the discernment process of identifying the best-fit sending agency for them.

Sharon Pearce, DNP, CRNA, FAANA, FAAN has spent decades practicing, advocating, leading, mentoring, and telling the stories of nurse anesthesia. But behind the titles is a career shaped by formative mentors, difficult clinical days, unexpected opportunities, and a strong sense of responsibility to the profession. Nicolas and Kelsey have a great conversation with Sharon, not just a former AANA president and longtime voice in nurse anesthesia, but also a CRNA shaped by mentors, advocacy, hard clinical lessons, and a deep belief in giving back to the profession. She shares the stories behind her career, the people who helped build her confidence, what students can learn from difficult days, and why preserving the history of nurse anesthesia has become such an important part of her legacy. Here's some of what we discuss in this episode:

A dental chair shouldn't be a place where safety standards slip, yet that's the reality Dr. Rita Agarwal lays out with unsettling clarity. We talk through why office-based dental sedation and dental anesthesia can slide into dangerous territory: unclear definitions, uneven training, inconsistent monitoring requirements, and a system that often can't even tell you how many serious complications occur.Dr. Agarwal, a pediatric anesthesiologist and longtime patient safety advocate, traces how dentistry and medicine evolved along parallel anesthesia paths, then explains what happens when those paths don't share the same safeguards. We discuss the tragic story of six-year-old Caleb Sears and how “someone will be monitoring” can mean very different things across settings. From oral anxiolysis to deep sedation and general anesthesia with drugs like propofol and opioids, the episode highlights the moment risk spikes: when ventilation fails and no one in the room is trained, equipped, and empowered to rescue.We also get practical about what reduces harm right now: smarter patient selection (especially with comorbidities like obstructive sleep apnea or cardiac disease), consistent terminology that reflects the true depth of sedation, and an independent anesthesia professional whose only job is caring the patient. Finally, we dig into the dental anesthesia data problem and why reporting adverse events and near misses is the foundation for real systems change.If you care about patient safety, perioperative monitoring, and preventing clinical deterioration in any outpatient setting, listen through and share your take. Subscribe, share this episode with a colleague, and leave a review so more clinicians and families can find it.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/320-dental-anesthesia-safety-gaps-part-1/© 2026, The Anesthesia Patient Safety Foundation

Many nurse anesthesia students enter their programs with an interest in teaching, but that interest can fade without formal guidance or hands-on opportunities. The Minneapolis School of Anesthesia is addressing that gap through a student faculty mentorship track designed to prepare future educators before graduation. In this episode, Nickie and Louisa are joined by faculty members Dr. Travis Laffoon, DNP, CRNA, APRN, Megan Kakela, DNP, CRNA, APRN, Jordan Popp, DNP, CRNA, APRN, and Dr. Grace Bedu, DNP, CRNA, APRN to discuss how the program combines mentorship, clinical release time, exam development, simulation teaching, and exposure to the realities of academic life. Their experience offers a practical model for strengthening the nurse anesthesia faculty pipeline. Here's what you'll hear in this episode:

Ketamine for emergency intubation has a reputation for hemodynamic stability, but does the best evidence back that up when your patient is truly sick? Today, we walk through four fresh research summaries that sharpen day-to-day anesthesia patient safety decisions, from airway management in shock and sepsis to the way teams and technology shape outcomes in the OR.First, we break down a large randomized controlled trial comparing ketamine versus etomidate for tracheal intubation in critically ill adults across U.S. emergency departments and ICUs. Mortality is similar, but ketamine shows more peri-intubation cardiovascular collapse, including hypotension and increased vasopressor use, especially in sicker patients. Our practical focus is how to choose an induction agent based on hemodynamic risk and how to prepare for peri-intubation instability.Next, we head into the cardiac OR to explore why surgeon-anesthesiologist dyad familiarity may be a systems-level patient safety strategy. A large retrospective study links more consistent pairings with lower operative mortality and better perioperative outcomes, raising real questions about scheduling, teamwork, and communication under pressure. We also review evidence on BIS-guided closed-loop anesthesia systems that improve anesthetic depth control by reducing excessively deep anesthesia without increasing light anesthesia, and we close with perioperative brain health, highlighting why routine preoperative cognitive screening is still uncommon and what resources could finally make it standard practice.Subscribe to the Anesthesia Patient Safety Podcast, share this with a colleague, and leave a review so more clinicians can find the latest evidence-focused perioperative safety insights.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/319-four-new-studies-that-change-daily-anesthesia-safety-decisions/© 2026, The Anesthesia Patient Safety Foundation

Send us Fan MailIn Part 1, Tracy and Rob examine the Arizona State Board of Dental Examiners' handling of a dentist's billing for regional block anesthesia. They discuss the ADA ethical principle to “code for what you do,” why a procedure being excluded from most dental plans does not make the code improper, and how Arizona's non-covered services law may apply. They also address a troubling question: How did this matter progress when the Board reportedly did not initially recognize that regional block anesthesia had its own dental code?Support the show

Dr. Aaron Primm, editor for Summaries of Emerging Evidence (SEE), speaks with Dr. Adam Striker about three items featured in SEE Volume 42B related to anesthesia for GI endoscopy: a comparison of remimazolam and propofol, a consideration of the value of anesthesiologists in procedural settings, and a look at insurance coverage for buprenorphine. Recorded July 2026.

Adam Flowe, MSN, CRNA returns to Beyond the Mask for a follow-up conversation on onco-anesthesia, cancer research, and the rapidly changing tools that may shape the future of care. After stepping away from a longtime leadership role at Duke and moving into a smaller practice setting, Adam reflects on career change, identity, and the importance of staying open to growth. The conversation then turns to one of the biggest unresolved questions in anesthesia: does the anesthetic technique used during cancer surgery affect long-term cancer outcomes? Adam discusses why several major research studies were expected to provide clarity, how funding cuts have stalled key randomized controlled trials, and why providers are still left with more questions than answers. Here's some of what you'll hear in this episode:

From the 58th annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) in Montreal, Mike Grocott and new co-host Joe Larvin speak with SOAP president Ron George about SOAP's growth to over 1,000 attendees and its international, collaborative community. George outlines his career from Dalhousie to UCSF and back to Canada as director of obstetric anesthesia at Mount Sinai Hospital in Toronto, highlighting its high-risk referral practice and large, internationally diverse fellowship program. He reflects on his presidency's focus on mission alignment and partnerships, including work with the New York State Society of Anesthesia, discussions with the California Society of Anesthesia, and a planned memorandum of understanding with the World Federation of Societies of Anaesthesiologists (WFSA) to support evidence-based global education. He also discusses formative work in low- and middle-income settings, advocacy, peripartum anesthesiologist roles, and meeting highlights such as trainees, pain during cesarean delivery panels, and the Gerard W. Ostheimer Lecture. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Anesthesia coverage is now the single most cited financial headache for surgery center leaders in the country, and MD-only care is disappearing fast: QZ billing is up 15%, team-based coverage is up 30%, and CRNA-involved cases have nearly doubled in Florida over 14 years. Joe Rodriguez sits down with Randy Moore, Chief CRNA and Chief Strategy Officer at North Star Anesthesia, and first-time guest Andrew Woodmancey, founder and managing partner of Anesthesia Operations Consultants, a mid-sized consulting firm based in Florida, to break down what's actually driving these numbers. They don't agree on all of it. The conversation opens with a new VMG Health survey on where anesthesia subsidies are headed in 2026, then moves into the billing data behind the shift away from MD-only care. Andrew, brought on as the non-clinical voice in the room, argues the real economic problem is reimbursement and industry infighting, not scope-of-practice fights. Joe pushes further, arguing that credentials alone don't guarantee value: the market only pays for solving someone else's problem, and if surgeons can eventually do it without anesthesia providers, they will. Randy and Joe also spar over how much weight to give data versus identity in shaping the industry's direction. Also in this one: what change management actually looks like for an anesthesiologist moving from a one-to-three model to zone coverage, and why the math behind CRNA-only staffing might be quietly reversing in some markets.  TAKEAWAYS 1. MD-only anesthesia care is significantly decreasing, not because of politics or scope-of-practice wins, but because the economics stopped supporting it. QZ billing is up 15%, team-based coverage up 30%. 2. In Florida, roughly 90% of anesthesia cases now involve a CRNA, up from about 70%. 3. Credentials alone don't create economic value. Value in this market is transactional to some degree, tied to solving someone else's problem, not to years of training. 4. QZ utilization is increasing across states, though unevenly, some markets seeing modest growth, others far more dramatic shifts. MD-only care is significantly decreasing nationally, and medical direction/team models are increasing at varying rates by state. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Gary Keeling (VP of Anesthesia Services, Coronis RCM) To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Sponsored by MyStaffSchedule, in this episode, Dr. Adam Striker interviews a husband-and-wife team who developed a scheduling platform for healthcare organizations. Listen in as CRNA, Ms. Krista Niedermeier, and IT professional, Mr. Ricky Niedermeier, discuss how it all began, the problems they hoped to solve, the current state of anesthesiology from their POV, and more. Recorded June 2026.

Many patients walk into labor and delivery picturing a birth day, not an operating room, and that mismatch is where preventable suffering can start. We sit down with Dr. Ruthi Landau to get practical about cesarean delivery anesthesia, with a focus on patient safety, respectful communication, and what to do when a patient says, “This isn't comfortable.”We dig into why setting expectations during neuraxial consent matters, and why active management of labor epidurals is not optional when an urgent intrapartum C-section may be around the corner. We also unpack what the literature keeps showing: epidural top-ups for intrapartum cesarean delivery are a common pathway to intraoperative discomfort. From re-dosing to adjuvants to real-time reassurance, we talk through concrete ways to prevent pain from being brushed off as “normal.”The conversation goes beyond the OR. A traumatic cesarean experience can shape the next pregnancy, fuel avoidance, and contribute to childbirth-related PTSD. We discuss trauma-informed care, offering debriefs, connecting patients to maternal mental health services, and using patient-reported experience measures to learn where systems fail. On the technical side, we cover pain management for general anesthesia cases, when to keep using an existing epidural, how neuraxial opioids fit with SOAP consensus monitoring guidance, and what a solid multimodal plan looks like when there is no neuraxial option including TAP or QL blocks, acetaminophen, NSAIDs, and opioid stewardship.Subscribe for more obstetric anesthesia and anesthesia patient safety conversations, share this with an anesthesia or OB colleague, and leave a review to help others find the show. What change are you most ready to make in your C-section anesthesia practice?For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/317-setting-expectations-for-safer-cesarean-anesthesia-with-dr-ruthi-landau-revisited-part-2/© 2026, The Anesthesia Patient Safety Foundation

In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker's Hospital Review: beckershospitalreview.com CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov Elevance's 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker's ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker's ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com Companion episode: Episode 283 — Pharmacy Management and Recalls . INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

This week, we're talking about how becoming a CRNA doesn't have to be the finish line—it can be the beginning of so much more. Cole and Tanner sit down with Jon and Rhianna Schoeller to chat about using anesthesia as a launchpad to build financial freedom, create new opportunities, and design a life centered around what matters most. They share practical advice on avoiding lifestyle inflation, making smart financial decisions, and investing in ways that can give you more flexibility and time with your family. Whether you're still in school or already practicing, this conversation will leave you thinking differently about what your CRNA career can make possible.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com 

Recorded live from the IFNA World Congress in Australia, Sharon and special co-host Kevin Chem welcome Richard Henker, PhD, CRNA, FAANA, FAAN, whose work with the World Health Organization and the G4 Alliance is helping reshape global anesthesia through data. We'll explore ​how ​the ​Operative ​and ​Encounter ​Registry ​serves ​as ​a ​simple ​point ​of ​care ​tool ​that ​allows ​anesthesia ​providers ​to ​capture ​essential ​surgical ​and ​anesthesia ​data, ​making ​our ​care ​visible ​in ​ways ​it ​hasn't ​been ​before. Here's some of what you'll hear in this episode:

Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:

(0:00) About the Boardroom Governance Summit (Aug 26-27, 2026)  (0:55) Intro (2:37) About the podcast sponsor: The American College of Governance Counsel. (3:24) Start of interview.  (4:23) Origin story Mayree Clark (6:08) Origin story Linda Riefler (8:23) About their Leading-Edge Stewardship framework and personal road-map. (11:38) Teamwork and Long-Term Value Creation (16:03) On board diversity and pace of change (19:02) Boards in distress: Mayree joining Ally Financial in financial crisis (2009) (21:39) MSCI Culture and CEO Relations (26:02) Tough calls on CEO transitions (example of CSX CEO transition) (32:39) Private Equity Board Lessons (flexibility on decision-making and talent pools) (36:22) Handling under-performing directors (43:11) German Governance Across Borders (Mayree's experience serving on Deutsche Bank's board) (48:06) Purpose, Adversity, and Stewardship (50:42) What are the 1-3 books that have greatly influenced your life:  Mayree: Self Renewal : The Individual and the Innovative Society, by John Gardner (1963) Linda: A Brief History of Everything, by Ken Wilber (2017) How the Word is Passed, by Clint Smith (2021) The Spark Within, by Michael Neal (coach) (53:36) Who were their mentors, and what they learned from them. (56:37) An unusual habit or an absurd thing that they love. (1:00:16) The living person they most admire. Mayree Clark is a longtime corporate director, founder and Managing Partner of Eachwin Capital, and former senior executive at Morgan Stanley. She currently serves on the boards of Ally Financial and Deutsche Bank AG.  Linda Riefler is an experienced corporate director and former senior executive at Morgan Stanley. She currently serves on the boards of CSX Corporation, MSCI Inc., and North American Partners in Anesthesia, and is chair of Pencils of Promise. You can follow Evan on social media at:X: @evanepsteinLinkedIn: https://www.linkedin.com/in/epsteinevan/ Substack: https://evanepstein.substack.com/__To support this podcast you can join as a subscriber of the Boardroom Governance Newsletter at https://evanepstein.substack.com/__Music/Soundtrack (found via Free Music Archive): Seeing The Future by Dexter Britain is licensed under a Attribution-Noncommercial-Share Alike 3.0 United States License

At the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists (ANZCA) and Faculty of Pain Medicine (FPM) held in Auckland, New Zealand, Kate Leslie and Andy Cumpstey interview Neel Desai about non-opioid multi-modal analgesia, especially the use of paracetamol/NSAID combinations for minor surgery. Dr Neel Desai is a Consultant Anaesthetist at Guys and St Thomas's Hospital, London, UK. He is supported by AFT Pharmaceuticals. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

As hospitals face increasing financial pressures, workforce shortages, and growing demands for surgical efficiency, perioperative performance has never been more critical. Yet one of the most overlooked drivers of success may be sitting right in the operating room.On this episode Dan is joined by Dr. Angel Martino-Horrell, anesthesiologist, consultant, and perioperative operations expert, to discuss the evolving role of anesthesia leadership in surgical services governance. Together, they explore why traditional perioperative leadership structures are no longer sufficient, how anesthesiologists provide a unique system-wide perspective across the surgical continuum, and why leading organizations are giving anesthesia a stronger voice in operational decision-making. Whether you're a hospital executive, perioperative leader, surgeon, or anesthesia professional, this conversation offers valuable insights into building stronger governance structures and improving surgical performance across the organization. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

The FTC just notched its second win against the biggest roll-up in anesthesia history. Welsh Carson settled first. Now USAP. So who actually won, and who pays next? Joe Rodriguez sits down with Randy Moore and Gary Keeling for the kind of conversation that usually happens at the bar after the conference, not on the record. No "where did you go to school" warm-ups. Just three operators reading the headlines everyone else is misreading. Gary drops the frame that defines the episode: this is two Goliaths at war. Private equity built 70 percent market share with borrowed money. Insurers answered with the No Surprises Act and rate cuts. Now IDR is swinging back, hospitals are eating the shortfall through subsidies, and the FTC just stepped into the ring. Anesthesia providers are standing in the middle of all of it. Then the gloves come off on the anesthesiologist assistant fight. Sixty bills in thirty years. Gary says there's enough work for everybody and braces for the hate mail. Randy makes the case that should worry every workforce planner in the country: this shortage isn't a cycle anymore, it's structural, and it's not normalizing for five to seven years. Joe closes with the contrarian bet he's making with his own money. If you book the cases, staff the rooms, or sign the subsidy checks, this episode is your briefing. Takeaways The FTC win is a settlement, not a verdict. USAP admitted no fault and the terms are still being executed. The real signal is that the roll-up playbook now carries regulatory risk that didn't exist a decade ago. The Goliath framework: insurers wanted fragmented anesthesia markets they could play against each other. PE consolidated to fight back. The NSA flipped leverage to insurers, IDR is flipping it back, and hospitals absorb every swing through subsidies. PE's debt structure is the tell. Buy with borrowed money, load the debt onto the asset, run admin on a skeleton crew, jettison through bankruptcy when it breaks. Margin expectations beyond 6 to 15 percent in a service business are the warning sign. AA legislation has a 30-year losing record. Roughly 60 attempts, 47 straight failures from 2010 to 2019, and only 5 of 40 passed in 2025 during a historic shortage. If it was going to break through, that was the year. Randy's call: the workforce shortage is structural, not cyclical. Every CRNA program is expanding cohorts and demand still outruns supply. No meaningful normalization for five to seven years. The pipeline counterweight: 147 nurse anesthesia programs with 17 more coming. Joe's on the record preparing for demand growth to slow. Cycles always turn. Gary's operator test: the 2 percent of groups with excess staff aren't lucky, they built culture and systems. Everyone else is churning providers and renting locums at whatever price locums name. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Gary's is VP of Anesthesia Services, Revenue Cycle Management To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Joe Rodriguez sits down with Randy Moore and Tracy Young, to work through the week's hardest stories. Let the spicy takes flow! Reimbursement: UnitedHealthcare stops paying for physical status. Oklahoma and Louisiana fight back with legislation. Tracy makes the case that anesthesia has been commoditized, and that hospital subsidies taught payers they never have to pay full price. Private equity: California and Oregon pass laws to curb PE in medicine. Tracy argues we legislate against bad actors instead of punishing them. Randy defends consolidation, then explains why the Oregon deal was a playbook of what not to do. And the line nobody else will say: hospitals don't fire anesthesia groups that are doing a good job. Workforce: AA bills fail in Iowa and Minnesota. Joe argues the entire AA strategy asks the wrong question. Tracy disagrees with both hosts and predicts a sorted market: CRNA-centric facilities on one side, MD and AA medical-direction models on the other, driven by math, not preference. Plus: why anesthesia companies obsessed with growth keep losing contracts, and why CRNA residents work full-time hours unpaid while physician residents draw a salary. Takeaways: Hospital subsidies are functioning as a defacto safety net for the entire industry. They are the mechanism that lets payers keep cutting. Every subsidy dollar confirms someone else will cover the gap. Differentiation in anesthesia is no longer simply price. It is recruiting and retention, full stop. Culture is the product. Hospitals don't replace groups that are performing. If a contract gets shopped, there was a problem, whatever the press release says. Growth without product is a failure of leadership. The large groups losing contracts did it to themselves. The workforce will sort itself in the next decade. The average anesthesiologist is 55. CRNA graduation just crossed 3,000 for the first time.  Profit motive is not a disease. Imbalance is. Everyone you've ever hired has a profit motive, including you. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Tracy Young: Incoming President of the American Association of Nurse Anesthesiology To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices