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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
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.In this episode of Value-Based Care Insights, Daniel Marino is joined by Dr. Angel Martino-Horrall, 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.Get in touch with Dr. Angel: LinkedIn, https://halo-consultants.com/
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
Cologuard at home test link: https://www.cologuard.com/insuranceTo learn more about preparing your brain for anesthesia, read the Amen Clinics Blog on Anesthesia and POCD or the Amen Clinics Blog on Surgery Risks.Are Colonoscopies Helping Us? How to Make Colon Cancer a Problem You Don't Have to Havewww.healthcouragecollective.comAre colonoscopies actually helping (women and society)? Colorectal cancer (the second leading cause of cancer deaths in the U.S.) is one of the most preventable because it usually develops predictably over about 10 years and colonoscopy can both find and remove polyps in the same visit. She contrasts this with mammograms (episode 258) and explains why colonoscopy payoff is high but not perfect: prep quality and provider skill strongly affect what gets missed, with an adenoma miss rate around 24%. She reviews updated screening guidance to start at 45 (earlier with risk factors), discusses alternative tests like Cologuard and SHIELD, and weighs real risks—prep complications, perforation, bleeding, and sedation—against the dramatic survival difference between localized and metastatic disease.00:00 You Can Prevent This Cancer00:49 Podcast Welcome And Breathing01:37 Mammograms To Colonoscopies04:19 Why Colon Cancer Is Predictable06:42 Colonoscopy Removes Polyps07:55 Rising Rates And When To Screen09:35 Prep Quality And Doctor Metrics12:23 Miss Rates And Screening Gaps15:58 Risks And Sedation Concerns20:26 Risks Of Skipping Screening23:31 Other Tests And Costs25:38 Wrap Up And Final Thoughts Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started? Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!Join the Waitlist HereCome visit me: www.healthcouragecollective.comemail me: healthcouragecollective@gmail.com
Heavenly Basketball Game With Stepdad!What really happens in the moments after your heart stops? This episode of Round Trip Death brings together two guests with strikingly different connections to the same profound mystery: the near death experience.________________________Get 15% off OneSkin with code ROUNDTRIPat https://www.oneskin.co/ROUNDTRIP#oneskinpod #sponsored__________________________Host Eric sits down with Makai Calles — a journalist turned filmmaker who himself had a childhood NDE after a venomous scorpion sting in Mexico — and Bubba Herrick, a former college baseball pitcher whose routine elbow surgery turned into a full-blown clinical death. Makai wrote and hosted the new documentary Final Hours, and his own near-death experience as a seven-year-old set him on a lifelong path of investigating others' stories, including Bubba's.Bubba's account is the heart of this episode — and it's a wild one. After an allergic reaction to anesthesia stopped his heart on the operating table, he describes floating above his own body, undergoing an intense 360-degree life review filled with guilt and unexpected anger at himself, and then being pulled into a breathtaking realm of pure light. There, his deceased stepfather appears — not with words, but with a basketball, recreating a childhood memory in real time. Their telepathic "game" becomes the vehicle for a message about purpose, responsibility, and reluctant return.The conversation digs into why so many NDE experiencers report depression and grief after coming back, how life priorities shift dramatically post-experience (career changes, fading fears, even divorce), and why guilt-driven life reviews like Bubba's are actually the exception rather than the rule. Equal parts eerie, emotional, and hopeful, this episode asks the big question the show is built around: if these accounts are real, what do they tell us about fear, death, and how we're meant to live right now?VIDEO VERSIONRoundTripDeath.comDonate to this podcast: https://www.roundtripdeath.com/support/Makai's Film "Final Hours": https://www.theepochtimes.com/epochtv/final-hours-is-death-really-the-end-6027582
Uncogrim, a tattoo artist with a decade of experience, emphasizes the importance of breaking away from traditional tattooing norms, particularly in the realm of Japanese-style tattooing. In a recent podcast episode, he discusses how his unique approach often involves omitting backgrounds in his designs, allowing the human body to become an integral part of the artwork itself. Host Aaron Della Vedova interviews Uncogrim (Hoon Kim) at the Mondial du Tatouage in Paris. Aaron expresses his admiration for the exquisite detail and composition of Uncogrim's large piece work. Uncogrim shares insights about his journey as a tattoo artist, and despite the relatively short time, his impressive body of work suggests a deep commitment to his craft. Tune in to hear about his artistic inspirations and his dedication to pushing the boundaries of tattooing. For visuals of his incredible work, check out his Instagram at https://www.instagram.com/uncogrim Chat Highlights: 00:00:00 - Extreme Tattoo Sessions 00:01:59 - Uncogrim's Tattooing Journey 00:04:24 - The Concept of No Background in Tattoos 00:05:04 - Artistic Choices and Inspirations 00:07:02 - Breaking Traditional Tattoo Norms 00:10:35 - Tattooing Legality in South Korea 00:12:23 - Uncogrim's Path to Becoming a Tattoo Artist 00:14:12 - Mentorship and Studio Challenges 00:16:00 - Emotional Connection to Tattooing 00:17:23 - Pain Management in Tattooing 00:20:25 - Tattoo Session Structure 00:21:00 - Numbing Cream and Pain Relief 00:23:33 - Anesthesia in Tattooing 00:29:50 - Inspiration and Acknowledgements Quotes: "You don't stop until I die like this." "It's fun for me to see people breaking tradition." "If you can make another person happy with your art, what more do you need to get up every morning and love what you do?" "One of my big dreams, tattoo convention, because, you know, in South Korea, tattoo culture really closed and underground culture." "Your specific artistic aesthetic in the art of tattooing is wildly impressive to me." Stay Connected: Chats & Tatts: Website: http://www.chatsandtatts.com Tik Tok: https://www.tiktok.com/@chatsandtatts IG: http://www.instagram.com/chatsandtatts Chats & Tatts YouTube: https://www.youtube.com/c/chatsandtatts Connect with Aaron: Aaron IG: http://www.instagram.com/aarondellavedova Guru Tattoo: http://www.Gurutattoo.com Connect with Uncogrim: IG: https://www.instagram.com/uncogrim
Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.
AABP Executive Director Dr. Fred Gingrich is joined by AABP Vice President and Preconference Seminar Coordinator Dr. Elizabeth Quesnell Kohtz. Preconference seminars are small group courses focusing on a specific topic offering high quality continuing education. Seminars are a great way to learn a new skill or advance skills to offer services to your beef and dairy clients. Seminars are approved for eight hours per day of continuing education in jurisdictions that recognize RACE approval. These courses are an AABP member benefit and available to members who are veterinarians, veterinary technicians and students. There will be six seminars offered at the conference. There is also a student-only lameness seminar that will also be offered. Seminars available at the Minneapolis conference are below. Click on the name of the seminar to view a description and detailed agenda. Seminar 1 – Milk quality: Practical knowledge for boots on the ground veterinariansSeminar 2 – Bovine Dystocia and Fetotomy SeminarSeminar 3 – Transition cow health and managementSeminar 4 – From anecdote to evidence: conducting impactful field research in private practiceSeminar 5 – Immunology and vaccinology across beef and dairy production systemsSeminar 6 – Anesthesia, analgesia and sedation All conference information can be found under the Continuing Education menu of the AABP website. View session descriptions here. Register for the conference by going to this link. Early bird discounted registration ends July 16 so register before that date. Hotel information can be found on this page. Seminars with an inadequate number of registrations on July 16 are subject to cancellation with a full refund available if cancelled. #AABP2026
Could dental assistants soon administer local anesthesia in more states? Oregon is leading the way with one of the most progressive changes in dental assisting, and it could shape the future of the profession across the country. In this episode of the Dental Assistant Nation Podcast, Kevin Henry is joined by Tina Clarke, Atia Black, and Tony Garcia to discuss Oregon's new Local Anesthesia Function certification for dental assistants. They explain the education, training, and certification process required to perform this advanced function, why patient safety remains the top priority, and how expanding responsibilities can improve workflow, reduce burnout, and create new career opportunities. The conversation also explores whether Oregon's model could inspire similar changes in other states and where dental assistants can find reliable information about their own state's requirements. Whether you are an experienced dental assistant, a student, or part of the dental team, this episode offers valuable insight into one of the profession's most important developments. DANB Website: https://www.danb.org/ Connect with Tony Garcia Email: vipservice@danb.org Connect with Tina Clarke Email: tina@teachertinardh.com Website: https://www.teachertinardh.com/ ------------------- Dental assistants play a powerful role in whether patients move forward with treatment. You are a key part of the patient journey, and having the right financial options can make all the difference. CareCredit is a health and wellness credit card that offers flexible financing options, so patients can pay over time for the care they want or need, subject to credit approval. When money isn't the obstacle, patients say yes. Want to make CareCredit part of your practice's offerings and strengthen case acceptance? Email me at kevin@kevinspeaksdental.com and let's make it happen for your team.
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
A virus can feel “far away” right up until it lands in a preop bay with a fever, abdominal pain, and a story that only makes sense weeks later. We walk through what anesthesia, perioperative, and critical care teams need to know about hantavirus, why the incubation period (often 7 to 42 days) complicates detection, and how the Andes virus changes the conversation because it is the only hantavirus known to spread person to person.We start with the basics that matter at the bedside: common transmission pathways like inhalation of aerosolized particles from rodent droppings, the two major clinical syndromes (hantavirus cardiopulmonary syndrome and hemorrhagic fever with renal syndrome), and the pathophysiology that drives non cardiogenic pulmonary edema, shock, thrombocytopenia, and organ failure. We also cover diagnosis (PCR and antibody testing), reporting to public health, and why supportive care remains the foundation, including when ECMO may be considered as a bridge to recovery.Then, we bring it into the perioperative space with clear, practical infection control guidance for operating rooms and procedural areas. We talk elective case delays after known exposure, emergency surgery planning with bleeding risk, negative pressure isolation rooms, and PPE choices like N95 or PAPR for clinicians. We also share concrete anesthesia circuit precautions recommended by occupational health experts, including HEPA filtration placement, safer gas sampling scavenging, and how to handle circuit disconnections to reduce room contamination.If you want a focused, evidence aware checklist for hantavirus preparedness in anesthesia care, hit play, share this with a colleague, and subscribe so you do not miss the next safety update. After listening, leave a review and tell us: what is the single biggest gap in your OR infection control plan right now?For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/312-hantavirus-readiness-for-anesthesia-teams/© 2026, The Anesthesia Patient Safety Foundation
Why do dreams matter, and how can we use them to support waking life? In this episode of The Dream Journal, host Katherine Bell speaks with Canadian author and health journalist Karen Van Kampen about her book The Brain Never Sleeps: Why We Dream and What It Means for Our Health. Together they explore dream science, memory, mental health, dream sharing, nightmare rescripting, dream engineering, lucid dreaming research, and the emerging study of anesthesia dreams as potentially healing experiences. Karen shares how childhood experiences in her father's sleep lab shaped her fascination with dreaming, why dreams may act like a “highlight reel” of waking concerns, and how practices such as dream journaling, dream salons, and imagery rehearsal therapy can help us engage dreams with curiosity and care. The conversation also looks at cutting-edge research on guiding dreams, communicating with lucid dreamers, and the possibility that anesthesia dreams may help people revisit difficult memories in a calm, transformative state. Why dreams are connected to memory, mental health and waking life How dream sharing builds empathy and new perspectives Imagery rehearsal therapy and practical ways to rewrite nightmares Dream engineering, sleep onset creativity and technology-assisted dreaming Lucid dreaming research and two-way communication with dreamers Anesthesia dreams, healing dreams and post-traumatic growth How stories, memories and dreams shape identity Timestamps 00:00 Introduction to The Dream Journal 01:02 Meet Karen Van Kampen and The Brain Never Sleeps 03:36 Karen's early life with her sleep-scientist father 05:12 Dream deprivation, sleep and mental health 07:31 Memory consolidation and the “next up” model of dreaming 09:47 Dream salons, dream sharing and collective insight 15:33 How dreams reveal waking-life concerns 17:16 Thought suppression and why it can rebound in dreams 18:36 Imagery rehearsal therapy and rewriting nightmares 24:44 Dream engineering and guiding dreams with technology 28:20 Lucid dreaming and two-way communication with dreamers 31:46 Anesthesia dreams and healing dream experiences 39:43 Consciousness, memory and dreams as a 24-hour continuum 44:31 Final encouragement: becoming empowered dreamers BIO: Karen van Kampen is a Canadian author and journalist who specializes in health and science. Her latest book is the instant national bestseller “The Brain Never Sleeps: Why We Dream and What it Means for our Health”. Her fascination with dreams began at the age of nine when she was her father’s first sleep lab “assistant,” helping him practice electrode hook-up and testing. Contact our guest: KarenvanKampen.com This show, episode number 368, was recorded during a live broadcast on June 20, 2026 at KSQD.org, community radio of Santa Cruz. SHARE A DREAM FOR THE SHOW or a question or enquire about being a guest on the podcast by emailing Katherine Bell at katherine@ksqd.org. Follow on LI, IG, YT, FB, & LT @ExperientialDreamwork #thedreamjournal. To learn more or to inquire about exploring your own dreams go to ExperientialDreamwork.com. Video podcast available at youtube.com/@experientialdreamwork. Popular playlists: “Dream Journal shorts” and “FULL LENGTH VIDEOS”. Here are links to some other Dream Journal episodes you might be interested in: Get a Better Night’s Sleep with Dr. Chris Winter Nightmares and Suicide with Dr Michael Nadorff Intro and outro music by Mood Science. Ambient music new every week by Rick Kleffel. Archived music can be found at Pandemiad.com. Many thanks to Rick for also engineering the show and to Erik Nelson for answering the phones. The Dream Journal aims to: Increase awareness of and appreciation for nightly dreams. Inspire dream sharing and other kinds of dream exploration as a way of adding depth and meaningfulness to lives and relationships. Improve society by the increased empathy, emotional balance, and sense of wonder which dream exploration invites. A dream can be meaningful even if you don’t know what it means. The Dream Journal is produced at and airs on KSQD Santa Cruz, 90.7 FM. Catch it streaming LIVE at KSQD.org 10-11am Pacific Time on Saturdays. Call or text with your dreams or questions at 831-900-5773 or email at onair@ksqd.org. Podcasts are available on all major podcast platforms the Monday following the live show. The complete KSQD Dream Journal podcast page can be found at ksqd.org/the-dream-journal/. Thanks for being a Dream Journal listener! Available on all major podcast platforms. Rate it, review it, subscribe, and tell your friends.
The Music of America Podcast Season 3 winds down this week with Wyoming and wow! What a way to end a season. We begin a duo who goes by the name Sparrow Bones. Mattias Russell and Alyssa kick the week off from Casper with songs that include Colossus, Anesthesia, I Am Sure and Take Me To the Water
Send us Fan MailLee has been a perfusionist for over 43 years. He was at the Cleveland Clinic for 17 years, during which the team there was involved in creating many techniques still used today. He now has a TikTok page where he tells stories from the early years of heart surgery and also discusses modern techniques.Learn about career options from the people doing it
Most patients on antidepressants are told they can't take methylene blue, even for brain fog. Steven E. Warren, a physician and longevity medicine clinician, joins Kevin to discuss his KevinMD article "51 cases that reframe methylene blue serotonin syndrome." You'll hear why 50 of the 51 published serotonin-syndrome cases involved high-dose IV methylene blue given under anesthesia, mostly during parathyroid surgery, rather than the low oral doses used in outpatient longevity practice. Steven walks through the Goldilocks dosing posture he uses for patients with brain fog, why he screens every patient's full medication list for interactions before starting, and why he tells every patient there are no randomized trials behind methylene blue. He also describes the broader longevity practice he sees daily: patients stacking peptides from the gym, megadosing vitamin D from podcasts, and ordering supplements off Amazon without quality control. If you're a clinician fielding methylene blue questions or a patient considering it, listen for the questions Steven thinks should be asked before starting any unstudied supplement. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-KevinMD to learn more. VISIT SPONSOR → https://ChenMed.com/physicians-KevinMD Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
In this episode of Core Anesthesia, Tanner and Cole sit down with CRNA Anthony to talk about his recent anesthesia mission trip to the Philippines. Anthony shares how he got involved, what it took to plan and organize the trip, and the challenges of providing anesthesia in a resource-limited setting. The conversation explores the importance of partnering with local communities, adapting to different clinical environments, and making a lasting impact beyond the operating room. Anthony also reflects on the personal and professional growth that came from the experience and offers encouragement for anyone considering medical mission work.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
CRNA education has never been more demanding. As nurse anesthesia programs have evolved into rigorous 36-month doctoral programs, educators are seeing increasing levels of stress, anxiety, burnout, and mental health challenges among students. So how can faculty better support students while maintaining the high standards required of the profession? In this episode of Airway Exchange, hosts Nickie and Erin welcome Gerard Hogan, DNSc., APRN-BC, CRNA, FAANA, LtCol, USAF (ret.), psychiatric mental health nurse practitioner, educator, and researcher, for an important conversation about resilience in nurse anesthesia education. Dr. Hogan discusses his research on resilience among nurse anesthesia residents and explains why resilience is a skill that can be taught, strengthened, and developed over time. Here's some of what you'll hear in this episode:
Michael Huot, M.D., Anesthesiologist and Medical Director at the Pain Management Clinic in Rapid City is back for his third Doc Talk appearance, this time from a more personal angle. In February, he was Doc Talk host Mark Houston's anesthesiologist for colorectal surgery, and that experience opens a wide-ranging conversation about what's actually happening while you're under anesthesia. Dr. Huot walks through the science of consciousness, the realities of trauma cases, malignant hyperthermia, the role of AI in the operating room and why anesthesiologists tend to be the chillest doctors in the building. Then, for the first time, the host gets put in the hot seat. Hosted on Acast. See acast.com/privacy for more information.
At this year's Euroanaesthesia meeting in Rotterdam, TopMedTalk host Andy Cumpsty interviews Wolfgang Buhre, Professor of Anesthesia and Perioperative Medicine at Utrecht University Medical Center and past president of the European Society of Anaesthesiology and Intensive Care (ESAIC). The discussion starts with a focus upon the annual ESAIC congress and its international reach, with next year's meeting planned for Copenhagen. Buhre explains ESAIC's White Paper, developed over two years using interviews and desk research with clinicians, stakeholders, and patient perspectives, to clarify the role of anesthesiologists and communicate core values and strategic goals for 2026. Key priorities include addressing workforce shortages and Europe-wide variation in training and working conditions, protecting patient safety, ensuring availability of critical medicines and supplies, and expanding standardized education tools such as the European Diploma. He outlines next steps focused on advocacy with European institutions and support for national societies. -- 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
In this episode, host Alyssa Watson, DVM, welcomes Thomas K. Day, DVM, MS, DACVAA (Emeritus), DACVECC (Emeritus), CVA, Cert. IVUSS, to discuss his recent Clinician's Brief article, “Anesthesia for Dental Surgery in a Dog With Myxomatous Mitral Valve Disease.” With his broad background in anesthesia and critical care, Dr. Day shares a wealth of useful information for handling these challenging anesthetic cases. You will want to keep your notebook close to take notes on everything from drug selection to dosing to even fluid dosing. Resources: https://www.cliniciansbrief.com/article/mmvd-dental-anesthesia-quiz https://www.apoquel.com Contact: podcast@instinct.vet Where To Find Us: Website: CliniciansBrief.com/Podcasts YouTube: Youtube.com/@clinicians_brief Facebook: Facebook.com/CliniciansBrief LinkedIn: LinkedIn.com/showcase/CliniciansBrief/ Instagram: @Clinicians.Brief X: @CliniciansBrief The Team: Alyssa Watson, DVM - Host Alexis Ussery - Producer & Multimedia Specialist
Dr. Keya Lock interviews Drs. Jun Ma and Mo Azam, guest editors of July's ASA Monitor, about practice management staffing models. Listen in as they consider adaptive staffing models, managing NORA expansion, workforce strategies, burnishing leadership skills, what the future might look like, and more. Recorded June 2026.
On this week's episodeScotty's girlfriend's mom listens to the show, and will thinks its hilarious. The Wins Surge has a sleeve and the Stanley Cup is heating up. Are stereotypes overrated or underrated, and what is the worst thing to hear before the Anesthesia kicks in? What are some funny fornication position names, and could you stereotype somebody and be wrong? Enjoy another episode and keep on laughing!
Send us an inquiry through a text message here!Buy VRT LIVE 2026 tickets here: https://www.axs.com/events/1451690/the-veterinary-roundtable-ticketsWelcome to another episode of The Veterinary Roundtable! In this episode, we sit down with Danielle Heberle, CVT, VTS-H Dentistry,Senior Manager of Clinical Services at Midmark Corporation, to talk about why so many veterinary teams feel overwhelmed even when they love the medicine, the workflow mistakes clinics don't even realize they're making, technician underutilization in anesthesia and dentistry, and so much more!Do you have a question, story, or inquiry for The Veterinary Roundtable? Send us a text or voicemail from the link above, ask us on any social media platform, or email theveterinaryroundtable@gmail.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!YouTube: https://www.youtube.com/@TheVeterinaryRoundtableInstagram: https://www.instagram.com/theveterinaryroundtable/TikTok: https://www.tiktok.com/@theveterinaryroundtableTimestamps:00:00 Intro02:05 Introducing Danielle & Her Journey09:44 Industry Patterns and Burnout13:11 AAHA's Stay, Please Study16:57 Best Dentistry Workflow22:24 Overcoming Resistance to Standardized Care29:38 Client Compliance & Preventive Care34:15 Optimizing Clinic Physical Design41:02 Preventing Anesthesia Mistakes49:13 Midmark's Training Academy54:14 Real-Life Anesthesia Simulation01:01:55 The Future of Veterinary Dentistry01:11:33 Outro
Condensation in an anesthesia circuit looks harmless until it starts skewing flow sensor readings or creating the kind of warm, wet environment where microbes can thrive. We pick up the story after the investigation into moisture and mold concerns in GE operating room ventilators, then move straight into the questions clinicians asked most: which filters matter, how low-flow anesthesia changes the moisture equation, and what “moisture mitigation” actually means at the bedside.We walk through APSF guidance on filtration, including why a high-quality filter between the expiratory limb and the anesthesia machine is a key defense for keeping respiratory pathogens out of the workstation. We also talk about what HME filters do well for airway humidity and reducing moisture entering the machine, where their limits are (especially moisture generated by CO2 absorption), and why sidestream gas sampling lines deserve more attention in infection prevention and anesthesia machine protection.Then we share GE Healthcare's response, including what's universal across modern anesthesia breathing systems, what features support moisture management, and when optional condensers may help depending on clinical usage patterns.If this topic affects your OR workflow, subscribe, share the episode with a colleague, and leave a review so more anesthesia professionals can find these moisture management and patient safety insights.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/310-moisture-matters-in-anesthesia-circuits/© 2026, The Anesthesia Patient Safety Foundation
Dr. Fred Rosenberg interviews Jay Kreger, chief executive officer of CRH Medical, a GI solutions company that provides anesthesia services to gastroenterology practices at more than 150 ambulatory surgery centers in 18 states, about how independent practices can keep anesthesia care reliable and accessible for patients. Independent GI practices depend on anesthesia services for many of the procedures they perform, but face increasing difficulty maintaining anesthesia coverage, from competition with hospitals and health systems to reimbursement cuts from insurance companies. Partnering with a company that provides anesthesia and other services is one way practices can address these challenges and stay focused on patient care. Join Fred and Jay as they discuss what options exist for practices that want to partner with an anesthesia services company, and the steps independent practices can take to keep dependable anesthesia care in place for their communities. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, episode 92, presented by TissueCypher from Castle Biosciences
Send us Fan MailSee the full article here:https://www.sciencedirect.com/science/article/pii/S0007091226002588?dgcid=coauthor---------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.
Moderator: James P. Rathmell, M.D. Participants: Boris D. Heifets, M.D., Ph.D. and Ben Julian A. Palanca, M.D., Ph.D., M.S.C.I. Articles Discussed: Feasibility of a Multicomponent Protocol to Promote Dreaming during Surgical Anesthesia Protocolizing Propofol Emergence: Turning "Milk of Amnesia" into Designer Dreams?
Could you imagine working in a rural location where access is truly a lifeline for people? Today's guest is April Erickson, DNP, CRNA, an Alaska based nurse anesthesiologist and anesthesia medical director with more than 15 years of experience in rural independent practice. Sharon and guest host Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, sit down with April to discuss frontier medicine, independent practice, leadership, and what it truly means to provide care where access is critical but not guaranteed. Here's some of what you'll hear in this episode:
At the SOAP meeting in Montreal, Desiree Chappell and Monty Mythen interview Dr. Marie Louise Meng, Assistant Professor of Anesthesiology at Duke University Department of Anesthesiology and her former cardio-obstetric fellow Liliane Ernst, assistant professor in the Obstetric and Gynecologic Anesthesia section Wake Forest University. The conversation focuses on cardio-obstetric anesthesia, hemodynamics, monitoring, and patient-centered care. Meng describes building multidisciplinary "pregnancy heart teams" to plan management for complex cardiac disease in pregnancy and reduce birth trauma. Ernst discusses research using the Premier database on preexisting atrial fibrillation in pregnancy (about 25 per 100,000 deliveries) and associated management and outcomes. They review cases including mechanical circulatory support with an Impella to prolong pregnancy and highlight knowledge gaps about placental perfusion and pulsatility, including Fontan physiology. Meng outlines individualized hemodynamic monitoring for labor and C-sections, emphasizes recognizing hypertensive instability, and details preeclampsia with severe features, its end-organ criteria, incidence, disparities, postpartum follow-up challenges, and potential use of remote monitoring and noninvasive cardiac output/SVR monitoring to guide therapy. Monty Mythen, founding editor-in-chief of TopMedTalk, is now Senior Vice President, Scientific Liaison, BD Advanced Patient Monitoring. He is also Emeritus Professor of Anaesthesia and Critical Care, University College London, UK. Desirée Chappell, former co-editor-in-chief of TopMedTalk, is now Director of Medical Affairs and Medical Science Liaison, BD Advanced Patient Monitoring. She is also a CRNA at NorthStar Anesthesia, USA. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - EBPOM World Congress 2026
In today’s VETgirl online veterinary continuing education podcast, we interview Cathy Mann, RVT, VTS (Surgery), (Anesthesia & Analgesia) about the long road to becoming a veterinary technician specialist in surgery! Tune in to hear about how to achieve this prestigious credential, how you can help mentor someone towards this achievement, or what doors open once you acquire this credential!
Around 48 to 72 hours after surgery, swelling peaks, the anesthesia haze lifts, and a lot of women look in the mirror and feel like they've made a mistake. Dr. Diana Breister has been in plastic surgery long enough to know that feeling almost never means what people think it means. Most of the time, it's not regret — it's chaos.Dr. Breister, who came to La Jolla Cosmetic after years of reconstructive work at City of Hope, walks Monique through what's actually happening between day one and day fourteen. The first 48 hours are what she calls a “pink bubble” — anesthesia still on board, surgery behind you, mostly relief. Then comes the crash: maximum swelling, pain pills affecting mood, a body shape that doesn't look like the final result yet, and the strange weight of doing nothing while everyone else is productive. They get into the difference between regret and shock, why facelifts feel harder than mommy makeovers, the mean-girl moment that derailed a breast reduction recovery, and what to do when your partner isn't showing up.Three words anchor the whole conversation: trust the process. Dr. Breister explains why she can promise, with 200% certainty, that the feeling will pass — and why the women who say “what did I do” at week one almost never remember saying it by year one.LinksMeet San Diego plastic surgeon Dr. Diana BreisterLearn more about facelift surgery at LJCSCQuestions answered by this episodeWhy do I feel sad or emotional after plastic surgery?When does swelling peak after cosmetic surgery?Is it normal to regret plastic surgery in the first two weeks?What is post-surgery depression and how long does it last?Can anesthesia and pain medication change how I feel emotionally?Why does my face or body look so different right after surgery?How should a partner or family member support someone recovering from cosmetic surgery?Why do facelifts feel harder emotionally than other procedures?What are the biggest mistakes people make in the first two weeks of recovery?How do I tell the difference between normal swelling and a real problem?About this podcastLearn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego's Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine's Best of San Diego Awards.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego's most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.ioTheme music: Busy People, SOOP
Black particles in a breathing system are the kind of finding that makes every anesthesia professional stop and look twice. We're sharing what a large health system uncovered after concerns for mold and moisture accumulation surfaced inside certain GE Healthcare anesthesia workstations used in operating rooms, especially during longer cases and in humid conditions. What started with a routine inspection quickly scaled into a broad audit of OR ventilators, a review of internal moisture points, and an urgent push for real-world mitigation.We walk through what the investigation found, what cultures grew, and the question everyone asks first: what is the risk to patients? We discuss why the available evidence suggests the infectious risk is likely minimal when high-quality heat and moisture exchange (HME) filtration and breathing circuit filters are used correctly, and why the team still pulled affected machines from service for sterilization per manufacturer instructions. Patient safety isn't only about infection, though, and we also cover how excess condensate can affect flow sensors and tidal volume accuracy.Then we get concrete about prevention. We break down where moisture comes from inside an anesthesia ventilator, how low-flow anesthesia and rebreathing can increase water production in the circuit, and why simply turning up fresh gas flow isn't the right fix when cost and environmental impact matter. You'll hear the day-to-day moisture mitigation strategies that were implemented, including education, routine moisture and mold checks, overnight handling of circuits and sensors, and why add-on condenser drainage may be necessary for older compatible models.If you want a practical checklist mindset for anesthesia workstation maintenance, OR ventilator safety, and moisture management, this is for you. Subscribe, share with your colleagues, and leave a review so more teams can spot problems early and keep patients safe.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/309-mold-risk-in-anesthesia-workstations/© 2026, The Anesthesia Patient Safety Foundation
What does pain look like in cats? A new Purr Podcast with Dr. Tamara Grubb. Tammy is back for our second episode, and this time we do a deep dive into pain management in cats. Some of the signs are clear enough that even the most casual observer would notice, but cats are masters of concealment, and most of the time they hide their discomfort so well that even devoted owners and experienced clinicians can miss what is right in front of them. We talk about what to look for, how to think about pain assessment across different situations and life stages, and what we can do about it once we actually find it.Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
Eva Lu-Boettcher, MD, FASA, FAAP
In today's digital age, many of us have experienced that strange phenomenon of losing track of time while scrolling through social media. Have you ever found yourself deep in TikTok or Instagram, only to realize that hours have passed without you remembering what you even looked at? This feeling of being disconnected from reality is what I like to call "emotional anesthesia." In this post, we will dive into what emotional anesthesia means, how it affects our children, and what we can do to help them reconnect with their emotions.www.knbcommunications.com
Delirium, pain, and prolonged ventilation can feel like “expected” bumps in perioperative care until you look closely at the data. We walk through four recent APSF In the Literature reviews and pull out what's actually actionable for anesthesia patient safety right now, with clear numbers and real-world implications.First, we dig into a randomized controlled trial of S-ketamine for elderly patients undergoing total hip or total knee arthroplasty under neuraxial anesthesia. With general anesthesia out of the equation, the study reports a notable drop in postoperative delirium, raising practical questions about when S-ketamine belongs in your plan and how you weigh neuroprotection alongside analgesia.Next, we shift to the ICU after cardiac surgery and examine evidence on dexmedetomidine sedation and duration of invasive mechanical ventilation. We talk through the key nuance: dexmedetomidine is associated with longer ventilation overall, yet may shorten ventilation time in patients with a high “sedation burden,” highlighting how stacking sedatives can change the outcome you're trying to optimize.We then move to labor and delivery with a large prospective cohort on pain during cesarean delivery with neuraxial anesthesia, including higher risk with urgent cases and epidural top-ups, plus an important signal on language and the need for interpreters. We close with a pediatric trial where EEG-guided sevoflurane titration reduces emergence delirium and speeds recovery in the PACU.Subscribe for weekly, evidence-focused anesthesia insights, share this with a colleague, and leave a review so more clinicians can find the latest perioperative patient safety updates.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/308-we-break-down-the-latest-evidence-on-safer-anesthesia-care/© 2026, The Anesthesia Patient Safety Foundation
Transforming healthcare delivery in resource-limited contexts around the world calls for compassionate, innovative solutions. Learn how The Luke Commission is bringing healthcare to the most isolated and underserved in Eswatini through a scalable model for advancing health equity.
The world has the knowledge to make anesthesia safer, but too often it's the basics that are missing where the need is greatest. We're talking about perioperative patient safety in low- and middle-income countries (LMICs), where a smaller share of surgical volume can still carry a massive share of perioperative death and disability. That imbalance isn't inevitable, and it isn't solved by one tool or one training course. It changes when systems change. We walk through the biggest systemic barriers starting with anesthesia workforce shortages and the downstream effects on access, delays, and confidence in care. We also dig into national surgical, obstetric, and anesthesia plans (NSOAPs) and how partnerships with organizations like the World Health Organization and the World Federation of Societies of Anesthesiologists can help countries set targets, build capacity, and track progress. From there, we get painfully practical: monitors, oxygen, essential medicines, and rescue drugs. We discuss the WHO Surgical Safety Checklist, what makes implementation succeed, and why the WFSA International Standards for a Safe Practice of Anesthesia matter as both a minimum safety floor and a roadmap for improvement. We close on a critical question for quality improvement everywhere: how do you build accountability when risk-adjusted outcomes data is hard to collect, and what solutions are most realistic? Subscribe for more anesthesia patient safety conversations, share this episode with a colleague, and leave a review so more clinicians can find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/307-perioperative-safety-in-low-and-middle-income-countries/© 2026, The Anesthesia Patient Safety Foundation
Alan dives into the clinical and psychological mysteries of pain tolerance and the supreme value of profound anesthesia. Alan opens up about a humbling experience with a phobic patient who simply wouldn't go numb, his deep love for his trusty Septodont Perject "pencil" syringe, and why he fiercely stands by Itena DentoTemp for zero-failure provisionals. Wrap it all up with a passionate, unfiltered defense of the proud "regular ass dentist" in a world obsessed with full-arch overhauls, and you've got a classic, relatable session in the basement studio. Some links from the show: DentoTemp from Itena Paroject ("the pencil") from Septodont BufferPro from Septodont Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk hosts Desiree Chappell and Mike Grocott interview SOAP board member Dr. Dan Katz, an obstetric anesthesiologist at Mount Sinai, outgoing annual meeting chair and incoming vice president. Katz reports record attendance—over 900 preregistrations and nearly 1,100 total—plus standing-room sessions and review of 600+ abstracts. He highlights opening with research presentations (magnesium and postpartum hemorrhage, gestational thrombocytopenia and hemorrhage, and potential immunotherapies tied to uterine atony), a translational theme on how guidelines evolve, public health/advocacy, and a maternal mortality panel. Programming includes split research and clinical tracks, updates on postpartum hemorrhage, and an emerging focus on fetal surgery. More here: http://soap.org -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair. They discuss her priorities for her upcoming presidency, healthcare's shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania. Lim emphasizes anesthesiologists as systems thinkers linking perioperative and perinatal care with population health and social determinants, and describes SOAP goals to improve representation, support community and rural sites lacking subspecialists, and ensure scalable, culturally sensitive care. She also cites sustainable funding and philanthropy efforts, including "Party With a Purpose." Lim outlines SOAP's ELEVATE Project on patient-centered cesarean anesthesia choices and notes maternal mental health as a key mortality driver. She summarizes a pilot study using Hemosphere monitoring during labor epidurals to detect hypotension trends and assess patient and nurse acceptability. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
At the 58th Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, TopMedTalk guest host Desiree Chappell and co-editor-in-chief Mike Grocott interview Dr. Grace Lim, SOAP vice president/president-elect and new University of Utah department chair. They discuss her priorities for her upcoming presidency, healthcare's shifting challenges, highlighting the Frederick W. Hehre Lecture_,_ from Valerie A. Arkoosh about a systems-focused career from obstetric anesthesiology to leading public health roles in Pennsylvania. Lim emphasizes anesthesiologists as systems thinkers linking perioperative and perinatal care with population health and social determinants, and describes SOAP goals to improve representation, support community and rural sites lacking subspecialists, and ensure scalable, culturally sensitive care. She also cites sustainable funding and philanthropy efforts, including "Party With a Purpose." Lim outlines SOAP's ELEVATE Project on patient-centered cesarean anesthesia choices and notes maternal mental health as a key mortality driver. She summarizes a pilot study using Hemosphere monitoring during labor epidurals to detect hypotension trends and assess patient and nurse acceptability. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. Visit: https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --------------------------------------------------------------------------------------- This week's episode answers some of the most common and clinically relevant veterinary dentistry questions submitted during recent online trainings. Annie Mills shares practical guidance for general practice teams on anesthesia management, patient warming, dental recovery protocols, pain management, and technician involvement in advanced dental workflows. The discussion begins with strategies for preventing hypothermia during lengthy dental procedures, including how to maximize thermal support in small patients undergoing advanced periodontal treatment and full mouth extractions. Annie explains why maintaining body temperature directly impacts recovery quality and anesthetic safety, especially in cats and small breed dogs. --------------------------------------------------------------------------------------- What You'll Learn in This Episode
Let's talk about fear-free feline anesthesia! Feline anesthesia has changed dramatically, and so has our understanding of pain in cats. Our next Purr Podcast guest, Dr. Tamara Grubb, is a Diplomate of the American College of Veterinary Anesthesia and Analgesia and an internationally recognized expert in pain management. She shared the biggest mistakes that veterinarians make in feline anesthesia!Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
Pain in cats is notoriously easy to miss and dangerously easy to undertreat, and in this episode of the Purr Podcast, Dr. Susan and Dr. Jolle sit down with Dr. Tamar Grubb to unpack why. A diplomate of the American College of Veterinary Anesthesia and Analgesia with a research focus on multimodal pain management, Dr. Grubb brings both the science and the clinical wisdom to a topic that touches every cat owner and every veterinarian who has ever wondered whether their feline patient is truly comfortable. From the subtleties of recognizing pain in a species that evolved to hide it, to the latest thinking on anesthetic protocols tailored to the unique feline physiology, this conversation is as practical as it is eye-opening. Whether you share your home with a cat or care for them professionally, this is one episode you will not want to miss.
In this episode, first aired in 2014, we examine three very different kinds of black boxes—spaces where we know what's going in, we know what's coming out, but can't see what happens in-between. From the darkest parts of metamorphosis to a sixty-year-old secret among magicians, and the nature of consciousness itself, we shine some light on three questions. But for each, we contend with an answerless space, leaving just enough room for the mystery and magic, always wondering what's inside the Black Box. EPISODE CREDITS: Reported by Tim Howard and Molly Webster Produced by Tim Howard and Molly Webster EPISODE CITATIONS: Radio Show: ABC's Keep Them Guessing (https://tinyurl.com/9r9zmftr)LATERAL CUTS: Last year we shared a story on our feed about butterfly researcher Dr. Martha Weiss, and how she befriended a little boy on the other side of the world who wanted to do his own caterpillar memory study. Martha's daughter Annie Rosenthal captured the whole adventure on tape and produced a gorgeous audio feature, “Caterpillar Roadshow,” which was first published in the audio magazine Signal Hill. You can find it on our feed (https://zpr.io/xPdAYXFUMr4s) –or on Signal Hill's website. (https://zpr.io/a4bjPKeXJQWK) Signup for our newsletter!! It includes short essays, recommendations, and details about other ways to interact with the show. Sign up (https://radiolab.org/newsletter)! Radiolab is supported by listeners like you. Support Radiolab by becoming a member of The Lab (https://members.radiolab.org/) today. Follow our show on Instagram, Twitter and Facebook @radiolab, and share your thoughts with us by emailing radiolab@wnyc.org. Leadership support for Radiolab's science programming is provided by the Simons Foundation and the John Templeton Foundation. Foundational support for Radiolab was provided by the Alfred P. Sloan Foundation.