Podcasts about Anesthesia

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!

We got a new cat and total chaos has ensued between all of them. I'll share all the hissing, growling, and late nite shenanigans. Plus, I had an epic Dad night, bought a bucket hat, and took a stress test. I'll share all the details.All this and more, on this week's The Daily Life of Frank!Check out the podcast and all the fun at www.thedailylifeoffrank.com--------------------------------------------------------------------------------------------Let's connect! Find all my social channels here: https://linktr.ee/thedailylifeoffrank

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

Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamFinal exam peper 2025.2 VIVA 4Viva StemYou are providing anaesthesia in the interventional radiology suite of your major hospital. On the list is a 22 year old woman who requires a CT-guided biopsy of a left renal mass that was discovered incidentally on abdominal imaging. The patient was admitted today for the procedure and is accompanied by her parents who are her legal guardians and carers. A postoperative bed has been booked for the patient.Medical HistorySevere cerebral palsy- spastic quadriplegia- moderate intellectual disabilityRecurrent aspiration pneumonia- severe gastro-oesophageal reflux- oropharyngeal dysphagia- gastrostomy feeding tube (feeds ceased for six hours)Anxiety- distress with medical proceduresEpilepsyMedications - Baclofen 10 mg tds - Levetiracetam 1000 mg bd- Pantoprazole 40 mg once dailyAllergies- Nil knownObservations- height 155 cm - estimated weight 40 kg estimated - (BMI approx. 16.6 kg/m2) - HR 90 bpm- BP 95/55 mmHg- SpO2 96% on room airPreoperative Investigations- Blood test results are normal- Blood Group and Hold has been conductedWhat are your specific considerations when planning anaesthesia care for this patient?---------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.PerOral Endoscopic Myotomy Failed intubation | Final Exam Viva

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.

Episode 239 - May 18th, 2026 - Monday Refresh - Violations Counter - DJ Intence - 0 x Walt - 1 x Ceddy - 5- The personal lives of the Podcast Mates - Walt's adventure into Surgery & Anesthesia - Happy Haitian Flag Day - NBA Playoffs & NBA Talk - Chud the Builder (aka Dalton Eatherly) Story - Elon Musk vs Sam Altman Lawsuit over Open Ai - Adrien Broner Story - 22 Buddist Monk detained for Marijuana Drug Bust (200+ Pounds of Marijuana) - Donald Trump creates a Slush Fund for Trump Allies that been “WRONGED” by the Federal Government for $1.776 Billion - Raffle Winner wins a Super Prize with a $117 Raffle Ticket - Drake being called out by A Podcaster & calls ICEMAN trash of an album - Hip-Hop vs Rap. Our POVs into the Genre. Is their a SPLIT going on for now?? - Will Drake go Independent or Sign with another Label??- Rick Ross vs Drake - Wise Guy Segment - Larry Wheeler announces a split with his Ex-Super model Wife. Wheeler's still continues to pay her bills & Etc. The Wheeler Story - Wise Guy Segment - Story Time. The @jccartershow. The HORROR STORY of a Women dating a Single Father. 

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/

What does it really cost to follow Jesus? And what does it cost us when we don't?In this powerful conversation, Steve Adams welcomes Morgan Snyder to the Embracing Brokenness Podcast for a deep and honest discussion about discipleship, formation, healing, risk, and the slow work of becoming whole in Christ.Morgan reflects on his 26 years in formal relationship with Wild at Heart, his transition with his wife Cherie into the Become Good Soil movement, and the deeper work of apprenticeship to Jesus in the second half of life. He shares why he and Cherie are now focused on “going deeper with fewer,” investing in the thirsty few who long for more of God and the abundant life.Together, Steve and Morgan explore the danger of consumer Christianity, the difference between information and formation, the invitation to become wholehearted men and women, and why brokenness is not the end of the story but often the beginning of deeper restoration.This episode is for anyone who feels stuck, spiritually dry, overextended, or aware that simply “believing the right things” has not produced the healing, maturity, intimacy, and purpose they long for. Morgan reminds us that God is not far away. He meets us at the end of our rope, in our need, in our pain, and in the ordinary moments where we create space to notice His voice.Learn more about Morgan and Cherie Snyder's work at Become Good Soil:https://becomegoodsoil.comLearn more about Embracing Brokenness Ministries:https://embracingbrokenness.orgChapters00:00 — God Meets Us at the End of Our Rope01:00 — Welcome to the Embracing Brokenness Podcast01:32 — Introducing Morgan Snyder02:14 — Morgan's History with John Eldredge and Wild at Heart03:34 — Becoming Good Soil and Going Deeper with Fewer04:55 — Husband and Wife Ministry in the Second Half of Life05:45 — Don't Waste Your Pain07:01 — Preferring a Circle Over a Platform08:00 — The Hidden Years and Carrying Water09:11 — Steve's First Wild at Heart Retreat11:08 — Trusting the Slow Work of God12:33 — The Interior Work of Becoming Whole14:23 — We Are All Being Discipled by Something16:21 — Leaving Platform, Salary, and Momentum17:45 — Brokenness, Anesthesia, and the Fire in the House21:22 — The Cost of Not Following Jesus22:36 — Sabbath as Resistance23:48 — God as the Father Who Initiates Our Children24:56 — Why Embrace Brokenness?27:16 — Living Where God Has to Show Up29:16 — Becoming the Kind of Person God Can Entrust30:25 — Risk at the Core of Discipleship31:05 — Prison Ministry and Holy Ground34:11 — What Is Burdening Morgan's Heart?35:48 — Dallas Willard and the Discipleship Crisis37:40 — Power, Service, and the Vulnerable39:52 — The Incomplete Gospel41:57 — Consumer Christianity and Hyper-Individualism43:53 — Information Is Not Enough45:22 — What If God Feels Distant?46:31 — How Do I Find God?47:31 — Creating Space to Notice God48:37 — The Gift of Margin49:35 — Micro-Shifts That Change a Life50:31 — Start with What Is Necessary51:08 — Becoming a King and Practical Resources52:02 — Become Good Soil and the Thirsty Few53:28 — Participating in the Restoration of All Things54:05 — Closing Thoughts

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/

Send us Fan MailCheck our the full viva in the Final Exam Coursehttps://anaesthesia.thinkific.com/courses/FinalExamYou are the duty anaesthetist at a busy tertiary hospital. Your provisional fellow calls you forurgent assistance with an airway emergency.They have performed a rapid sequence induction and attempted to intubate a 22-year-old manfor a Per-Oral Endoscopic Myotomy (POEM) procedure for type 2 achalasia in the maintheatres.Intubation was attempted with a videolaryngoscope and hyperangulated blade. The percentageof glottic opening visible was 10% and they were unable to pass the endotracheal tube or agum elastic bougie. They were then unable to bag-mask ventilate the patient but successfullyplaced a second generation supraglottic airway. Ventilation has been restored, and greentinged fluid has been noted in the gastric port.Current observations are:HR 95 bpmBP 97/56 mmHgSpO2 90% on FiO2 1.0ETCO2 41 mmHg (5.47 kPa)TV 400 mL with a small air leakWeight 169 kgHeight 199 cmBMI 42 kg/m2Past Medical HistoryType 2 achalasiaClass III obesityAttention deficit hyperactivity disorderMild developmental delaySevere anxietyMedicationLisdexamfetamine 70 mg once dailyMelatonin 4 mg nocteDiazepam 10 mg was given orally preoperativelyAllergiesNil knownWhat are your priorities in managing this situation?---------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 ---------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

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

What is cultural distress? It is a negative response rooted in a cultural conflict where the patient lacks control over their situation. It results in more physiologic effects on the body resulting in allostatic overload. To prevent this, healthcare practitioners must use strategies such as cultural humility to help patients navigate healthcare. Come find the best ways to deliver culturally sensitive care in any setting.

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.

if you have any feedback, please send us a text! Thank you!When Congress celebrated July 4 by enacting House Resolution 1 (known as H.R. 1 or the “One Big Beautiful Bill Act”), experts warned of massive impacts on Medicaid programs nationwide and the more than 70 million people who rely on them.H.R. 1 cut nearly $1 trillion from Medicaid, the largest funding reduction in the program's 60-year history. The nonpartisan Congressional Budget Office estimates that by 2034, as many as 10 million individuals nationwide will become uninsured as numerous new eligibility rules are imposed in Medicaid and ACA programs.The Medicaid program, known as Medi-Cal in California, covers more than half of the state's children, 2.2 million seniors and people with disabilities, 1 in 5 working Californians, and millions of other people with low incomes. H.R. 1 is expected to cut $30 billion a year in federal funding from Medi-Cal, reducing overall access to care and possibly pushing some safety net providers into dire straits, according to the California Budget and Policy Center. Up to 3.4 million state residents could lose coverage, the center said. As the uninsured population rises, more medical bills will go unpaid, cutting revenue for California's health care safety net.Join my guests today who will explain the impact this will have on rural healthcare in California and the effect on anesthesiology services. Charley Yan is a fourth-year medical student at UC Davis with a background in Medicaid policy. Before medical school, he helped drive California's Medicaid expansion efforts and has since analyzed coverage and safety-net policies across multiple states.Mary Morales is an anesthesiologist at Stanford. She is the current vice chair of the CSA Justice, Equity, Diversity, and Inclusion committee (JEDI). Naileshni Singh (pronounced Na-Lesh-Knee Sing) is a pain interventionalist with a background in Anesthesiology from the University of California, Davis.  She is the current chair of the California Society of Anesthesiologist's Justice, Equity, Diversity, and Inclusion committee (JEDI).   Resources:https://csahq.org/2025/09/02/federal-funding-cuts-threaten-rural-californias-health-anesthesia-care/https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/ 

Catastrophic neurologic injury after a routine anesthetic is the kind of signal that stops you in your tracks, and that's exactly why we're talking about new perioperative recommendations for patients with maternal Venezuelan ancestry. We've seen reports of otherwise healthy adults and children who deteriorated after general anesthesia, with sevoflurane appearing repeatedly in the documented events. That pattern has led the American Society of Anesthesiologists and the Society for Pediatric Anesthesia to issue updated guidance aimed at preventing harm while the science catches up. We walk through what clinicians need to know about the suspected mitochondrial link and why maternal lineage matters for risk assessment. We also discuss why a negative family history does not reliably protect a patient and why laboratories must be explicitly alerted to the mutation of interest because it has been historically labeled a normal variant. Then, we get practical: how to screen for maternal Venezuelan heritage with care and sensitivity, how to explain the question without implying anything about immigration status, and how to approach anesthetic planning when definitive genetic testing is unavailable. We cover current thinking on avoiding volatile anesthetics, when regional anesthesia may help, considerations around propofol infusions, processed EEG monitoring, and postoperative observation for return to neurocognitive baseline. If this is helpful, please subscribe, share the episode with your team, and leave a review so more clinicians can find these patient safety updates.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/306-venezuelan-ancestry-anesthesia-alert/© 2026, The Anesthesia Patient Safety Foundation

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.

Workforce shortages and rising demand are squeezing perioperative teams from every side and that pressure can turn colleagues into rivals. We push back on that mindset and explore a different way to think about the future: “infinite anesthesia,” a long-term approach to anesthesia patient care and anesthesia patient safety that prizes trust, teamwork, and a workplace where every clinician is valued. We share highlights from the APSF Newsletter article “Leading Infinitely in Perioperative Care” and hear directly from author, Dr. Matt Sherrer, on why relational leadership has to extend beyond anesthesia, nursing, and the operating room. When surgeons, proceduralists, and hospital leaders join the same conversation, improvement scales faster and sticks longer. We also break down the “finite vs infinite game” idea and translate it into concrete behaviors: building trusting teams, learning from worthy rivals instead of fighting them, staying flexible with systems thinking and human factors, and having the courage to name tension while still celebrating progress. Then we get tactical with “crossing the chasm,” a model from the technology adoption lifecycle that explains why great ideas stall without early adopters and strong relationships. If poor communication drives preventable harm, civility and clear dialogue are not soft skills, they are core safety tools. We close with a candid reflection from Dr. Richard Dutton on how scope battles and politics can impair access and quality when there is already more than enough work for everyone. Subscribe for the next conversation, share this with a colleague, and leave a review so more perioperative teams can build safer systems together.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/304-infinite-anesthesia-is-not-unlimited-propofol/© 2026, The Anesthesia Patient Safety Foundation

Moderator: BobbieJean Sweitzer, M.D. Participants: Britta Sylvia von Ungern-Sternberg, M.D., Ph.D. Articles Discussed: Perspectives of Children, Parents, and Healthcare Providers on Outcomes after Anesthesia for Surgery: An International Mixed Methods Stakeholder Engagement Study from the Pediatric Perioperative Outcomes Group Transcript

Aesthetic treatments like Botox and dermal fillers are more common than ever, but they may be creating hidden risks in the operating room. While these procedures are often viewed as routine cosmetic enhancements, they can alter facial anatomy, mask muscle responses, and complicate airway management in ways many providers don't expect.   Krystin Jones, a third-year student in Duke University's Anesthesia Program, joins the show today to discuss how these growing trends are impacting anesthesia care and what CRNAs need to watch for. Awareness, better questioning, and preparation are critical to keeping patients safe when aesthetics meet anesthesia, and today's conversation will better equip CRNAs for this new challenge. Here's some of what you'll hear in this episode:

At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand. They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive. Using standard monitoring plus BD APM noninvasive continuous hemodynamic monitoring, they compared HIV-positive and HIV-negative patients and found higher hypotension incidence in HIV-positive women (68% vs 64%), with lower heart rate and lower cardiac index over 60 minutes. Additional testing included echocardiography with speckle tracking, pro-BNP, and autonomic assessments, with HIV-positive patients showing stiffer ventricles; Apgar scores did not differ. They discuss replication, multicenter research, and potential machine-learning tools to predict hypotension risk, and describe BD Advanced Patient Monitoring grant support enabling equipment, sensors, staffing, and training (~200 staff) to complete data collection in about six months. Edwards Lifesciences is now known as Becton Dickinson Advanced Patient Monitoring (BD APM). Desiree Chappell, former Co Editor in Chief of TopMedTalk, is now Director, Medical Science Liaison, Medical Affairs, BD Advanced Patient Monitoring. The views expressed on this program are her own and not those of her employers. We mention Adrian Gelb, if you'd like to hear his recent conversation with us go here: https://topmedtalk.libsyn.com/professor-adrian-gelb-on-patient-safety-and-essential-medicines-in-anaesthesia -- 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/  

In this episode, Lynn and Garry explore the clinical, ethical, and deeply human realities of death and dying in anesthesia. From the illusion of control to the complexities of end-of-life decision-making, they reflect on what it means to care for patients when cure is no longer possible. More importantly, they examine how these moments shape us as providers challenging our assumptions, deepening our empathy, and redefining what it means to offer meaningful care. Here's some of what you'll hear in this episode:

Choosing a DNP project can feel overwhelming, especially when you're early in your program and still figuring out your clinical interests. Many students think they need to create something groundbreaking, but the reality is much more practical. The key isn't reinventing the wheel, it's finding a topic that's meaningful, manageable, and backed by existing research. In this episode, the team breaks down the DNP process with Kelsey's DNP partner and fellow resident Greer Lesnieski, BSN, SRNA, from narrowing down your topic to building a strong PICO question and finding the right resources. Here's some of what we discuss in this episode:

In this 331st episode I welcome Dr. Connor Schmenk, a dental anesthesiologist, to the show to discuss the ins and outs of performing anesthesia in the dental office. We discuss the training that dental anesthesiologists have and the ways to make sure you are prepared to keep your patients safe in a dental office or any similar environment.Our Sponsors:* Check out BetterHelp: https://www.betterhelp.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: http://factormeals.com/accrac50off* Check out Quince: https://quince.com/ACCRACAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

gonna get a lot of e-mails from folks who don't understand the gag offering to redo the youtube thumbnail on this one i tell you what full episode on our patreon: https://www.patreon.com/posts/knockout-154358089

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.