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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.
In this recent podcast episode featuring Ghis Melou, a seasoned tattoo artist and owner of Half Wolf Tattoo, the significance of maintaining a balance between work and personal life emerges as a central theme, along with the challenges that come with creating large-scale body art. Host Aaron De La Vedova sits down with Ghis Melou, the owner of Half Wolf Tattoo, live from the Mondial du Tatouage in Paris, France. Ghis shares insights into his artistic style, which beautifully fuses traditional American and Japanese tattoo techniques with bold colors. Listeners will gain a deeper understanding of the tattooing process, the challenges of the industry, and the dedication required to create stunning body art. Follow Ghis on Instagram at https://www.instagram.com/ghis_melou_tattooer to see his impressive body of work. Chat Highlights: 00:00:53 - Balancing Work and Family Life 00:01:34 - Ghis Melou's Tattooing Journey 00:03:13 - Tattoo Styles and Longevity 00:04:01 - Realism in Tattooing 00:05:06 - Efficiency in Tattooing 00:07:21 - Pain and the Tattoo Process 00:10:14 - Numbing Creams and Anesthesia in Tattooing 00:12:02 - Meditation and Spiritual Growth Through Pain 00:12:57 - Tattoo Machines: Coils vs. Pens 00:14:45 - Characteristics of a Great Client 00:16:43 - Evolution of the Tattoo Industry 00:18:05 - Future of Tattooing 00:19:52 - Tattoo Consultation Process 00:22:13 - Importance of Client Satisfaction Quotes: "After 16 years, you've got to find some balance." "It's not like time should be the most considerable thing when you're creating art. Like, art takes as much time as it takes, you know?" "I think pain is part of the process, and people have to understand it." "It's almost like that is opening a doorway to the client. You could have some of my energy "You have to find peace inside of your pain, really." "Someone who knows what they want, but gives you freedom artistically enough." "I hope it's going to go back to more passionate people, maybe passionate tattooers and passionate clients." "The design has to talk to you. Otherwise, it's better not to get tattoos, really." "I don't want to do anything else." 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 Ghis: IG:https://www.instagram.com/Ghis_Melou_tattooer
In this episode, Patrick Brady, MD, MSc, FAAP, editor-in-chief for Hospital Pediatrics, offers a rundown of the February issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Justin Long, MD, FAAP, about critical elements for the pediatric periprocedural anesthesia environment. For resources go to aap.org/podcast.
From anesthesia decisions to ablation strategy, what really separates a good outcome from a great one in bone tumor ablation? This BackTable MSK Brief features an enlightening conversation between host Kavi Krishnasamy and bone ablation pioneer Dr. Damian Dupuy. They cover anesthesia choices for different patient scenarios, optimal procedural techniques and agent selection for bone ablations, and the combination of local and systemic therapies for oligometastatic and oligo-progressive diseases. The doctors also tackle myths and realities around thermal and cryoablation, examining both clinical trial data and real-world experiences. Episode Outline 00:00 - Introduction 00:40 - Selecting General Anesthesia vs. MAC 03:30 - Approach to Multiple Bony Lesions in Metastatic Disease 07:27 - Ablation Confirmation and Techniques Utilized in Bone Ablation 09:00 - Research Insights Surrounding RFA in Bone 12:16 - Sclerotic vs. Lytic Lesions: Techniques and Considerations 14:47 - Skin Protection During Superficial Lesion Treatments 16:38 - Analyzing Clinical Trials: Motion and OPuS One 20:51 - Conclusion Resources Dr. Damian E. Dupuy, MD, FACR https://www.linkedin.com/in/damian-e-dupuy-md-facr-6b080b1b/ Radiofrequency Ablation Provides Rapid and Durable Pain Relief for the Palliative Treatment of Lytic Bone Metastases Independent of Radiation Therapy: Final Results from the OsteoCool Tumor Ablation Post-Market Study https://pmc.ncbi.nlm.nih.gov/articles/PMC10156864/ Cryoablation for Palliation of Painful Bone Metastases: The MOTION Multicenter Study https://pmc.ncbi.nlm.nih.gov/articles/PMC8011449/
How do experienced operators approach the most technically demanding aspects of Distal Venous Arterialization (DVA)? In this episode of BackTable, host Dr. Sabeen Dhand sits down with Dr. Kumar Madassery for a detailed discussion of procedural strategy, technical decision-making, and real-world troubleshooting in DVA. --- SYNPOSIS Dr. Madassery walks through his approach from pre-procedure planning to final scaffolding. The conversation begins with imaging review, patient selection, and anesthesia considerations, emphasizing how preparation influences technical success. They then examine venous mapping and access strategy, with specific attention to femoral and tibial disease patterns and how these anatomic variables shape crossing techniques.This episode also covers wire and catheter selection, techniques for creating the arteriovenous anastomosis, balloon sizing, valve management, and stent scaffolding. Throughout, Dr. Madassery shares practical solutions to common access challenges and highlights decision points that can determine procedural durability. The discussion closes with reflections on clinical management, operator fatigue, and the value of professional networks when navigating complex limb salvage cases. --- TIMESTAMPS 00:00 - Introduction03:08 - Pre-Procedure Imaging and Setup05:01 - Venous Access and Mapping07:27 - Anesthesia and Patient Preparation12:29 - Femoral and Tibial Disease Considerations23:17 - Crossing Techniques and Tools27:16 - Venous Access Challenges and Solutions35:54 - Creating the Anastomosis37:03 - Balloon Sizing and Scaffolding Techniques38:26 - Navigating Venous Access Challenges39:56 - Wire and Catheter Strategies42:08 - Dealing with Valves and Anastomosis44:16 - Proximal vs. Distal DVA Approaches47:01 - Scaffolding and Stent Techniques50:06 - Clinical Management and Case Fatigue01:01:10 - Networking and Seeking Advice01:05:41 - Concluding Thoughts and Future Directions
CRNAs are in demand. Salaries are strong. Jobs are plentiful. So why is Dr. Randy Moore sounding the alarm? In this episode, Randy joins Sharon and guest host Kevin Chem, DNP, CRNA to unpack his viral Substack article, “No One Is Coming to Save Us.” The core message is uncomfortable but clear: while anesthesia organizations remain divided over turf and titles, payers are quietly reshaping reimbursement policy in ways that could have long-term consequences for both CRNAs and anesthesiologists. Here's some of what you'll hear in this episode:
In this episode of A Tale of Two Hygienists, hosts Jessica Atkinson and David Torres sit down with Brittnee Thibault and Lindsay Richmond—two hygienists who graduated with no pediatric local anesthetic practice in school and went on to become confident clinicians providing local anesthesia for children. Brittnee and Lindsay share how they developed pediatric anesthesia skills after graduation, building confidence through preparation, mentorship, and real-world experience. They discuss behavior management, anesthesia techniques, and parent-provider communication—highlighting how being prepared allows clinicians to stay calm rather than panicked when treating pediatric patients. What We Cover Transitioning from no pediatric local anesthetic practice in school to confidently anesthetizing children Pediatric behavior management strategies that support successful anesthesia Practical anesthesia techniques and considerations for pediatric patients Managing children and their parents during appointments Parent-provider communication that builds trust and reduces anxiety Resources: Social Media Handles: @Lindsay.richmond16 LindsayRichmond.rdh@gmail.com @brittnee.thibault Brittneethibaultrdh@gmail.com
This week, Lynn and Garry sit down with guest Dru Riddle to tackle one of the most misunderstood and increasingly problematic concepts in perioperative care: the idea that patients can be “cleared” for anesthesia by non-anesthesia providers. While well-intentioned, this language blurs professional boundaries and creates real risks for patients and anesthesia teams alike. The goals for this show are to help you be able to: Differentiate between preoperative medical optimization and anesthesia clearance. Explain why anesthesia providers are uniquely qualified to determine anesthesia-related risk. Describe the appropriate role of non-anesthesia consultants in the perioperative period. Apply modern risk assessment tools, such as the DASI scale, to evaluate perioperative anesthesia risk. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Have you longed to integrate your Christian faith into your patient care—on the mission field abroad, in your work in the US, and during your training? Are you not sure how to do this in a caring, ethical, sensitive, and relevant manner? This “working” session will explore the ethical basis for spiritual care and provide you with professional, timely, and proven practical methods to care for the whole person in the clinical setting. https://www.dropbox.com/scl/fi/qpah9kh1lttg6cm1jjop9/Bob-Mason-Ethics-of-Spiritual-Care-revised.pptx?rlkey=0emve2ja8282nv8xc4uinq1hg&st=9033htwx&dl=0
In this episode of The Cardiac Recovery Room, moderator Dr. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society; and co-moderator Dr. Kevin Lobdell, Professor and Director of Regional Cardiovascular and Thoracic Quality, Education, and Research at Atrium Health spoke with Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center and Dr. Serdar Gunaydin, Head of Department at the University of Health Sciences in Turkey, about patient blood management. Chapters 00:00 Intro 01:14 Transfusion as a Risk Factor 07:08 Hemoglobin Drugs 08:24 Pillars of Blood Management 09:56 Anesthesia 12:30 Transfusion Triggers 17:33 O2 Delivery, Hemoglobin Number 22:20 Non-Transfusion Patients 23:22 Anemic Level Bottom Number 25:06 Bleeding Checklist 29:41 Anemia Tolerance They discussed independent risk factors for blood transfusion, the role of hemoglobin as a predictor for blood transfusion, and considerations related to anemic patients and hemoglobin levels. Additionally, they explored the key pillars of blood management, treating preoperative anemia, and anesthesia. They examined transfusion triggers, oxygen delivery, and the care of non-transfusion patients. Finally, they emphasized the importance of a bleeding checklist and anemia tolerance. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
In this episode of A Tale of Two Hygienists, hosts Jessica Atkinson and David Torres sit down with Brittnee Thibault and Lindsay Richmond—two hygienists who graduated with no pediatric local anesthetic practice in school and went on to become confident clinicians providing local anesthesia for children. Brittnee and Lindsay share how they developed pediatric anesthesia skills after graduation, building confidence through preparation, mentorship, and real-world experience. They discuss behavior management, anesthesia techniques, and parent-provider communication—highlighting how being prepared allows clinicians to stay calm rather than panicked when treating pediatric patients. What We Cover Transitioning from no pediatric local anesthetic practice in school to confidently anesthetizing children Pediatric behavior management strategies that support successful anesthesia Practical anesthesia techniques and considerations for pediatric patients Managing children and their parents during appointments Parent-provider communication that builds trust and reduces anxiety Resources: Social Media Handles: @Lindsay.richmond16 LindsayRichmond.rdh@gmail.com @brittnee.thibault Brittneethibaultrdh@gmail.com
Dr. George Tewfik, guest editor of the March ASA Monitor, and Dr. Emily Methangkool, contributor, discuss ambulatory anesthesia with Dr. Zach Deutch. Learn how ambulatory surgery centers (ASCs) are transforming care, how practicing in an ASC differs from the inpatient setting, what is on the horizon, and more. Recorded January 2026.
Learning Objectives:By completion of this program, attendees will be able to:Evaluate VTE risk factors in medical patients and apply appropriate prophylaxis strategies.Develop a management plan for VTE prophylaxis in post-surgical patients, including considerations for bleeding risk.Analyze VTE prophylaxis recommendations specific to neurosurgical and orthopedic populations.Apply VTE prevention strategies in trauma patients while considering contraindications and optimal dosing.Speaker:Thomas Vendegna, MD, CMO, Central Coast, California MarketModerator:John Morelli, MD, System Vice President, Acute Care Clinical Service Line, Physician EnterprisePanelists:Christian Chiavetta, DO, FACOI, FACP, SFHM, Medical Director, Northridge Hospital Medical CenterRuby Skinner, MD, FACS, CMO, Community Hospital of San BernardinoWilliam Wang, MD, DrPH, CPE, CMO, Glendale Memorial Hospital and Southern California MarketWyndham Strodtbeck, MD, System Vice President, Anesthesia and Perioperative Medicine, Physician Enterprise
Those who hope to honor God and advance Jesus' Kingdom face powerful opposition from spiritual, physical, and psychological enemies. Successful launching and long term fruitfulness depends on recognizing and, in dependence on the Holy Spirit, waging war against those enemies.
Recorded live at the EDGE Conference, this special episode brings all four hosts together for an honest, reflective conversation about what makes this meeting so meaningful for CRNA educators, and why it continues to matter more than ever. Here's some of what you'll hear in this episode:
You get a full pre-op booklet and a nurse walks you through every detail, but when surgery day is getting close, it's easy for things to go in one ear and out the other.To help make sense of it all, Jocelyn, one of our trusted LVNs, walks through the parts patients tend to skim: stopping certain meds, what anesthesia does to your body, why you need a responsible adult after surgery, and how simple things like pets, sleep position, and meal prep can make or break your recovery.You'll also learn about the emotional side of it all—how nerves and excitement show up together, why asking questions matters, and how being prepared helps you feel calmer, safer, and more confident heading into surgery and healing.LinksRead more about JocelynCNN, Man loses hands and feet after dog-related infectionHear 360 lipo patient Amie's smart recovery tips on How Amie Got The Body Of Her 20's Back (At 40-Something)Check our our plastic surgery recovery guideLearn 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.io Theme music: Busy People, SOOP
Guest: Andrew Baker DDS MD https://www.instagram.com/andyomfs/ Guest: Jaclyn Tomsic DMD MD https://www.jaclyntomsic.com/about-jacci Host: Serv Wahan DMD MD https://www.drwahan.com/ Keywords local anesthesia, dental techniques, oral surgery, anesthesia management, patient comfort, dental education, anesthesia challenges, dental procedures, pain management, dental injections, Jacci Tomsic, Andrew baker, Dr. Wahan, IAN block Summary In this conversation, oral surgeons Andy Baker and Jacci Tomsic discuss the importance of local anesthesia techniques in dental procedures. They share their personal experiences and methods for administering anesthesia, including the use of topical anesthetics, buffering solutions, and various injection techniques. The discussion also covers challenges faced during inferior alveolar nerve blocks, managing patient anxiety, and addressing common questions about local anesthesia. The conversation emphasizes the significance of effective pain management and the need for continuous learning in the field of oral surgery. Takeaways Local anesthesia is crucial for effective dental procedures. Topical anesthetics can significantly improve patient comfort. Buffering local anesthetics may reduce pain during injections. Injection techniques vary among practitioners but should prioritize patient comfort. Managing patient anxiety is essential for successful anesthesia administration. Infections can complicate anesthesia effectiveness due to pH levels. Communication with patients about their comfort is vital during procedures. Using a variety of techniques can enhance anesthesia success rates. Understanding individual patient anatomy is key to effective anesthesia. Continuous education and adaptation of techniques are important in oral surgery. Titles Mastering Local Anesthesia Techniques The Art of Pain Management in Dentistry Sound bites "I think it makes a difference." "I do a lot more local because..." "I always aspirate no matter what." Chapters 00:00 Introduction and Guest Reintroduction 01:10 The Importance of Local Anesthesia Techniques 04:32 Local Anesthesia Techniques for Maxilla and Mandible 10:06 Injection Techniques and Tools Used 19:34 Managing Anesthesia for Anterior Teeth 28:07 Challenges with Inferior Alveolar Nerve Blocks 39:12 Addressing Patient Anxiety and Pain Management 51:35 Common Questions About Local Anesthesia
What if the anesthesia workstation could see trouble coming and stop it before it starts? We explore how anesthesia moves from reactive to predictive by blending AI, medical-grade wearables, and closed loop systems with a strong safety culture. The story of Alex—a 75-year-old who developed postoperative delirium and fell—anchors the stakes and shows how early signals, if recognized and acted on, can change a life.We break down practical uses of machine learning in the perioperative space: forecasting hypotension minutes ahead, integrating multimodal physiologic data for real-time decision support, and taming alarm fatigue with smarter, context-aware alerts. From operating room monitors to infusion pumps, interoperability turns scattered data into timely action. Automation takes the next step with closed loop control. Imagine EEG-guided dosing that keeps hypnosis within target ranges, fluid and vasopressor titration that stabilizes hemodynamics, and a supervisory controller that coordinates these loops so clinicians can focus on communication, situational awareness, and patient advocacy. Through it all, safety culture remains the foundation: psychological safety, shared learning, and consistent prioritization of safety over short-term operational pressures. Technology should amplify the human connection, not replace it.You'll leave with a clear view of what to pilot now—AI decision support in high-yield scenarios, targeted wearable programs for high-risk pathways, and structured training that embeds safety into daily practice. If this vision sparks ideas or questions, reach out and join the conversation. Subscribe, share with a colleague who cares about perioperative safety, and leave a review to help more clinicians find the show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/293-reimagining-anesthesia-with-ai-wearables-and-safety-culture/© 2026, The Anesthesia Patient Safety Foundation
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:How the clinical judgment model (CJM) helps SRNAs move beyond checklists to real‑time decision making in the OR.Four core phases of expert thinking: noticing, interpreting, responding, and reflecting.Practical OR examples to sharpen trend recognition, differentials, and prioritized responses.Quick update: Feb 23 launch of our 150‑lesson anesthesia platform with quiz builder, community, and live webinars.
Women's pain is too often dismissed in medicine. An alarming number of women report feeling major surgery and dealing with doctors and nurses who make light of their complaints.Susan Burton, reporter and host of the podcast “The Retrievals,” shares stories from just a few of the many cases of women who felt significant pain during their C-sections.Guest: Susan Burton, the host, writer and reporter of “The Retrievals,” a podcast series by Serial Productions.Background reading: A timeline of the problem of pain during cesarean and the efforts to solve it.A series examining the solutions to pain during C-sections.Photo: Illustration by Getty ImagesFor more information on today's episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!
In this episode, we discuss the use of low dose cryogenic application for anesthesia prior to intravitreal injection with Dr. Michael Singer, Adjunct Professor University of Texas Health Science Center, San Antonio.
Send us a textVivek Paul is a highly skilled Cardiac Perfusionist with a strong academic and clinical background in cardiovascular perfusion science. He completed his Bachelor's degree in Cardiac Perfusion Technology from the prestigious Narayana Hrudayalaya Institute of Cardiac Sciences. His professional journey has equipped him with extensive hands-on experience in conducting cardiopulmonary bypass for both adult and pediatric cardiac procedures, including minimally invasive cardiac surgeries. He is confident in operating a wide range of heart–lung machines and extracorporeal life support systems such as IABP and ECMO.Vivek is the Founder of the Global Perfusion Community, a fast-growing professional network of perfusionists with over 15,000 followers across Instagram and LinkedIn, dedicated to education, collaboration, and career growth in perfusion technology. In addition to his clinical expertise, he is also an accomplished author of several perfusion-focused books, including Perfusion Emergency & Problems and the Quick Review ECMO Handbook, reflecting his deep commitment to continuous learning and knowledge sharing.He is passionate about mentoring students and junior perfusionists and actively contributes to the profession through leadership roles. Vivek serves as an Executive Committee Member of the Indian Society of Extracorporeal Technology (ISECT) and the Association of Clinical Perfusionists in Maharashtra, India, where he works toward improving education standards, professional development, and patient safety in cardiac perfusion practice.Learn about career options from the people doing it
Maternal safety has never mattered more, and the stakes span far beyond the delivery room. We revisit four decades of progress in obstetric anesthesia—from safer neuraxial techniques and airway strategies to medication safeguards—and then get honest about what still puts patients at risk. With author insights and frontline examples, we connect the dots between evidence, teamwork, and the lived experience of childbirth to show where anesthesia can lead meaningful change.Rising patient complexity reshapes our role. We lean into risk stratification with the Obstetric Comorbidity Index, proactive antenatal planning, and sustained postpartum follow-up. We address maternal mental health and substance use disorder with trauma-informed care and smarter pain plans. And we face inequity directly—why Black women bear disproportionate harm and how standardized pathways, equitable escalation, and advocacy move outcomes in the right direction. Looking ahead, we explore point-of-care ultrasound for neuraxial guidance and aspiration assessment, AI-driven tools for early detection, wearables for postpartum monitoring, and enhanced recovery after cesarean to cut variation and strengthen reliability.Subscribe, share with a colleague on labor and delivery, and leave a review with one change you'll make this week to advance maternal safety.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/292-forty-years-of-obstetric-anesthesia-progress-and-the-work-ahead/© 2026, The Anesthesia Patient Safety Foundation
Epi 11Let's talk about the fear that no one wants to admit out loud — the fear of dying under anesthesia, waking up during surgery, or something going horribly wrong
ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie speak with Ruthi Landau, Virginia Apgar, Professor of Anesthesiology, Columbia University Medical Center and recently appointed editor-in-chief of the International Journal of Obstetric Anesthesia. The conversation dives deep into the importance of writing, reviewing, and publishing high-quality research. Dr. Landau highlights the significance of addressing relevant research questions, improving patient outcomes, and the evolving landscape of scientific publishing. The episode also explains strategies for reviewers and authors aiming to contribute impactful studies and the value of editorials in contextualizing research. The discussion concludes with the importance of social media and digital tools in disseminating and engaging with published content. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Is fear of general anesthesia stopping you from having the procedure you've longed for?Anesthesia shouldn't be the thing that stops you from getting the surgery you want. In this “save-and-replay” episode, Dr. Rady Rahban and his longtime head Board Certified anesthesiologist, Dr. Houston, answer your most common anesthesia questions—straight from your DMs.They break down the full hierarchy of anesthesia (local, conscious sedation, “twilight,” general), explain why “twilight is safer” is often a myth, and walk through what actually makes anesthesia safe: the right patient screening, the right monitoring, the right facility, and—most importantly—the right provider.You'll also get practical, patient-first answers to the questions everyone worries about:Can you wake up during surgery?What are the real risks of general anesthesia?Why do some people get nauseated—and how to prevent it?Does sleep apnea matter?What about GLP-1s like Ozempic/Wegovy/Mounjaro?Should you ask if your anesthesia provider is board-certified—and is that “offensive”?If anesthesia fear has been your biggest obstacle, this episode is your calm, clear, myth-busting guide to feeling informed, empowered, and safe.✨ If you enjoyed this episode of Plastic Surgery Uncensored:✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.✔️ Rate & Review—your feedback helps more people find us.✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:Instagram: @drradyrahbanTikTok: @radyrahbanMDYouTube: @Rady RahbanFacebook: @Rady Rahban✔️ Share this episode with someone considering plastic surgery—the right knowledge can save a life.
A cocaine-positive patient rolls into the OR and the monitors look fine—until twenty minutes after induction, when the blood pressure plummets. We unpack that swing from sympathetic surge to sudden crash through two real cases: an emergent trauma laparotomy complicated by asystole and a chronic intranasal user with profound hypotension that only responded to direct-acting vasopressors. From there, we connect the dots to the pharmacology that makes these events predictable and, with the right plan, manageable.We talk candidly about what matters before wheels-in: timing of last use, objective signs of toxicity, and targeted testing. You'll hear why urine screens can stay positive for weeks, why indirect agents like ephedrine can fail, and how phenylephrine or norepinephrine often become first-line choices. For regional anesthesia, we flag contamination risks and local anesthetic systemic toxicity concerns that call for dose adjustment and intralipid readiness. Chronic cocaine use adds another layer, including left ventricular dysfunction, myocardial infarction and fibrosis, and calcium dysregulation.Hospital policy and equity loom large. Automatic cancellations for cocaine positive patients can worsen pain, delay care, and disproportionately impact patients with limited access. We review current evidence suggesting many asymptomatic, cocaine-positive patients tolerate elective noncardiac surgery under general anesthesia with hemodynamics comparable to controls when vigilant management is in place. The takeaway: build flexible, evidence-informed pathways that prioritize patient safety without reflexive delays, and keep a rescue mindset with careful monitoring and direct vasopressors within reach. If this sparked ideas for your practice, subscribe, share with a colleague, and leave a review so more clinicians can find these insights.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/291-managing-anesthesia-risks-for-patients-with-acute-and-chronic-cocaine-use/© 2026, The Anesthesia Patient Safety Foundation
An anti-Trump Florida nurse reveals he won't give Republicans anesthesia, plus Grace is joined by Mark Krikorian to discuss the ongoing events in Minnesota. Visit the Howie Carr Radio Network website to access columns, podcasts, and other exclusive content.
Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with family life, and his ongoing passion for advancing evidence-based perioperative practice. The conversation also explores his work with the CMS, contributions to healthcare policy, and his future aspirations. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/
Artificial Intelligence has become much more than a buzzword. It's transforming industries as it rapidly evolves, and the big question for CRNAs is what does this mean for anesthesia providers? Sharon and guest co-host Larry Sears, CRNA sit down with CRNA educator and technology thought leader Richard Wilson, DNPA, CRNA, FAANA to explore how AI is quietly reshaping perioperative care, education, and decision-making in the operating room. Here's some of what you'll hear in this episode:
Take the next step in your veterinary dentistry journey — discover how you can join Dr. Beckman's elite training community! https://ivdi.org/inv ----------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Brett Beckman explains how properly performed regional nerve blocks dramatically improve anesthesia safety, efficiency, and patient recovery in veterinary dentistry and surgery. He walks through how nerve blocks prevent pain signals from reaching the brain, allowing patients to remain at a lighter plane of anesthesia while maintaining stable physiologic parameters. Dr. Beckman also shares his real-world anesthesia protocols, how nerve blocks reduce hypothermia risk during long procedures, and why patients recover faster, stand sooner, and go home happier. This episode highlights how nerve blocks not only benefit patients — but also improve workflow efficiency and owner confidence in anesthesia. ----------------------------------------------------------------- What You'll Learn: ✅ How regional nerve blocks block pain at the C-fiber level ✅ Why lighter anesthesia planes improve patient safety ✅ How nerve blocks support stable heart rate, respiration, and blood pressure ✅ Anesthesia protocols used for dogs and cats in clinical practice ✅ How nerve blocks reduce hypothermia during long procedures ✅ Why patients wake up faster and recover more smoothly ✅ How quick recovery improves practice efficiency ✅ How to communicate anesthesia safety benefits to pet owners Key Takeaways: ✅ Regional nerve blocks allow safer, lighter anesthesia ✅ Stable physiologic parameters improve perfusion and oxygenation ✅ Reduced anesthesia depth lowers hypothermia risk ✅ Faster recoveries shorten turnover time between patients ✅ Patients go home alert, comfortable, and pain-controlled ✅ Clear owner communication builds trust and reduces anesthesia fear Questions This Episode Answers: ❓ How do regional nerve blocks work in veterinary patients? ❓ Why do nerve blocks improve anesthesia safety? ❓ Can patients feel surgery while under light anesthesia? ❓ Why do some patients move but still feel no pain during procedures? ❓ How nerve blocks allow lighter anesthesia planes ❓ What anesthesia protocols are commonly used with nerve blocks? ❓ How nerve blocks help prevent hypothermia during long procedures ❓ Why veterinary patients wake up faster with nerve blocks ❓ How nerve blocks improve recovery time and efficiency ❓ How to explain anesthesia safety to concerned pet owners ----------------------------------------------------------------- Transform your dental practice today — request your invite to the Veterinary Dental Practitioner Program: https://ivdi.org/inv Explore Dr. Beckman's complete library of veterinary dentistry courses and CE resources! https://veterinarydentistry.net/ ----------------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or cases related to veterinary anesthesia and dentistry! ----------------------------------------------------------------- Veterinary Dentistry, IVDI, Brett Beckman, Veterinary Anesthesia, Regional Nerve Blocks, Vet Dental Show, Pain Management, Anesthesia Safety, Veterinary Surgery, Dog Dental Care, Cat Dental Care, Veterinary Education, Veterinary CE, Patient Recovery, Hypothermia Prevention
Thinking about locums but unsure where to start? Tanner sits down with Gavin and Chase, CRNAs and co-founders of Krewe Anesthesia, to break down what locums really looks like—myths, red flags, lifestyle flexibility, credentialing, and how to find assignments that actually fit your goals. Whether you're a new grad, a seasoned CRNA, or just locums-curious, this episode gives you a grounded look at what it takes to make the jump with confidence.Visit kreweanesthesia.com to learn more and follow them at @krewe_anesthesia!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
In this episode of Viral Mindfulness, I explore repetition as a core value of the soul and a vital practice for staying awake in unordinary times. Part five of the Winter's Edge Soul Care series, this teaching draws on Francis Weller's work to examine how repetition fosters depth, memory, devotion, and resilience—countering our cultural pull toward novelty, progress, and forgetting. Through stories of music, meditation, grief, recovery, creativity, and career reinvention, I invite you to consider repetition not as boring or mechanical, but as musical, rhythmic, and alive. This episode is an invitation to return—again and again—to what matters most. MidWinter Wise Circle Open For Enrollment! Grab your seat → viralmindfulness.com
Dr. Lisa Mathew interviews Dr. Steven Klein of Wilmington Gastroenterology about how UnitedHealthcare's recent 15% reimbursement reduction for anesthesia services provided by certified registered nurse anesthetists (CRNAs) could affect the way independent gastroenterology practices structure anesthesia services and maintain patient access to procedures such as colonoscopy. Dr. Klein explains how independent GI practices rely on CRNAs to provide anesthesia and how those services are structured within his practice, offering a practical view of how insurer policy decisions can reshape care delivery in outpatient endoscopy settings. Join Dr. Mathew and Dr. Klein as they examine how this policy compounds existing pressures such as prior authorization requirements and site-of-service restrictions, the downstream effects on colorectal cancer screening and other procedures, and what insurers and policymakers need to understand about the real-world impact of these decisions on patient access. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, episode 88, presented by TissueCypher from Castle Biosciences
In this episode, Dr. Zain Hassan, an anesthesiologist and medical influencer, discusses common misconceptions about anesthesia, the impact of various substances on anesthesia, and the different types of anesthesia available. He emphasizes the importance of honesty with anesthesiologists regarding drug use and health conditions, and explores the rise of ketamine clinics as a treatment for depression. The conversation provides valuable insights into the safety and risks associated with anesthesia, as well as practical advice for patients preparing for surgery.#anesthesia
Desiree Chapell hosts an insightful discussion featuring colleagues from NorthStar Anesthesia; Dr. Josh Lumley, Chief Quality Officer at NorthStar Anesthesia, Adam Spiegel, Chief Executive Officer of NorthStar Anesthesia and Romeo Kaddoum, Chief Medical Officer, NorthStar Anesthesia We delve into the impacts of workforce issues, hospital financials, the value of outsourced anesthesia services, and the importance of leadership and clinical engagement at NorthStar Anesthesia. The discussion also covers their commitment to providing clinicians with growth opportunities and ensuring a high level of patient care.
Take the next step in your veterinary dentistry journey — discover how you can join Dr. Beckman's elite training community! https://ivdi.org/inv ------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Brett Beckman shares five critical statements that should never be uttered in your veterinary dental suite. He emphasizes the importance of adequate procedure time, obtaining owner consent for extractions, the necessity of full-mouth radiographs, avoiding rushed treatments, and the crucial role of preemptive nerve blocks for optimal patient outcomes. What You'll Learn: ✅ Understand the impact of scheduling adequate time for dental procedures. ✅ Discover the importance of clear communication and owner consent for extractions. ✅ Recognize the necessity of full mouth radiographs for detecting hidden pathology. ✅ Master strategies to avoid rushing through dental treatments. ✅ Appreciate the benefits of preemptive nerve blocks for anesthesia and analgesia. ✅ Apply best practices for pain management using agents like liposome bupivacaine. Key Takeaways: ✅ Properly scheduling dental procedures is crucial for quality care and patient outcomes. ✅ Owner communication and consent are vital to avoid misunderstandings and maintain client trust. ✅ Full mouth radiographs uncover hidden pathology, leading to better treatment plans. ✅ Rushing dental procedures compromises quality and patient well-being. ✅ Preemptive nerve blocks improve anesthesia, reduce pain, and enhance post-op recovery. Questions This Episode Answers: ❓ How long should a veterinary dental procedure take? ❓ Why do veterinary dental procedures take so long? ❓ Is an hour and a half too long for a veterinary dental cleaning? ❓ How many dental procedures should a veterinary practice schedule per day? ❓ Why rushing veterinary dental procedures is dangerous for patients ❓ Are full-mouth dental radiographs necessary in veterinary dentistry? ❓ What dental disease is missed without dental X-rays in dogs and cats? ❓ Why skipping dental radiographs harms patient outcomes ❓ Should veterinarians extract teeth without owner permission? ❓ Why client communication is critical before veterinary dental extractions ❓ What are the most common mistakes made in veterinary dental suites? ❓ Why nerve blocks should be used in veterinary dentistry ❓ When should nerve blocks be placed during dental procedures? ❓ How dental nerve blocks improve anesthesia safety in dogs and cats ❓ How proper pain management improves veterinary dental outcomes ------------------------------- Transform your dental practice today — request your invite to the Veterinary Dental Practitioner Program: https://ivdi.org/inv Explore Dr. Beckman's complete library of veterinary dentistry courses and CE resources! https://veterinarydentistry.net/ ------------------------------- Questions? Leave a comment below with your thoughts, experiences, or cases related to veterinary dentistry! ------------------------------- Veterinary Dentistry, IVDI, Brett Beckman, Dog Dental Care, Cat Dental Care, VetTech Tips, Animal Health, Veterinary Education, Veterinary Dental Practitioner Program, Vet Dental Show, Tooth Extraction, Dental Radiographs, Nerve Blocks, Pain Management, Anesthesia
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:What current research shows about long-term cognitive effects of general anesthesia, including key findings from the MAAS studyHow perioperative neurocognitive disorders present, who is at risk, and how common they areThe pathophysiology behind postoperative cognitive decline, focusing on neuroinflammation and anesthetic-related brain stressPractical, evidence-based strategies to protect brain health before, during, and after surgeryWhy brain health must be a shared, institution-wide priority across perioperative care teams
A single syringe swap should never decide a patient's fate. We pull back the curtain on forty years of anesthesia medication safety to show what truly works—then tackle the hard part: getting proven safeguards into every OR, every time. From look-alike vial hazards to standardization that actually sticks, this conversation blends frontline realities with practical steps leaders can implement now.We dig into the high-stakes TXA wrong-drug, wrong-route crisis and explain why eliminating vials and moving to ready-to-administer IV bags is a must. Along the way, we unpack new FDA label warnings, the APSF–ISMP joint recommendations, and the forcing functions that prevent catastrophes, including NRFit for neuraxial routes and barcode verification at the point of care. We also surface quieter threats—vial coring, variable concentrations, and chaotic storages—and show how color-coded, readable labels and organized carts reduce cognitive load when seconds matter.Opioid safety gets equal focus. We connect preoperative risk assessment, multimodal analgesia, and smart postoperative monitoring to reduce opioid-related harm without compromising comfort. Technology has matured too: AI-driven clinical decision support can flag dosing and drug-choice risks in real time, but only if woven into workflows that clinicians trust. Throughout, we return to the implementation gap: success depends on leadership support, supply chain alignment, failure mode analysis, transparent reporting, and peer support that sustains a just culture.If you care about safer anesthesia—standardized labels and concentrations, prefilled syringes, organized storage, barcode checks, and a culture that learns—this is your playbook. Listen, share with your team, and help push your institution from knowing to doing. Subscribe, leave a review, and tell us which safeguard you'll champion next.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/289-forty-years-of-anesthesia-medication-safety-what-works-and-whats-next/© 2026, The Anesthesia Patient Safety Foundation
This week -The Hiester - What would you want if it could be anything? I may have gotten this all wrong! -Connecting with people through your favorite bands and songs -My first bass - Peavy T-40 from Charleston Pawn for $175 USD. My mom paid for half. Stranger Things Finale Talk and more Any questions or comments 1-360-830-6660 MXPX is coming! 2026 JAN with The Ataris -Friday January 23 - Santa Cruz, CA at the Catalyst -Saturday January 24 - San Francisco,CA at the Fillmore MAR with The Ataris -Thursday March 26 - Washington DC at 9:30 Club -Friday March 27 - Norfolk, VA at The Norva -Saturday March 28 - Charlotte, NC at The Fillmore -Sunday March 29 - Charleston, SC at Charleston Music Hall APRIL Saturday April 11 - Denver, CO at Mission Ballroom w/Goldfinger, Zebrahead and Home Grown https://linktr.ee/Mikeherrerapodcast Leave a voicemail- 360-830-6660 --------------------- Check out the new MxPx album 'Find A Way Home' at MxPx.com and streaming everywhere now! Sterling By Music Man Mike Herrera Signature StingRay Electric Bass Guitar - Orange Creamsicle MIKE HERRERA SIGNATURE SERIES BASS OG Listen or watch "Linoleum" here MXPX - Self Titled Deluxe Edition If you like the podcast- Subscribe, rate and review on Apple. Support what I do at MXPX.com and also add MXPX and Mike Herrera to your music libraries on whatever streaming platfrom you use. Producing and editing by Bob McKnight. @Producer_Bob
About our Guests: Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children's Hospital and Assistant Professor of Anesthesia at Harvard Medical School.Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.Learning Objective:By the end of this podcast series, listeners should be able to discuss:An expert approach to the peri-intubation management of the critically-ill child, including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockadeStrategies using direct vs. video laryngoscopy in academic PICUsRecognize the need and discuss potential strategies for ongoing maintenance of airway management skillsQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Send us a textSunny is a practicing CAA, currently working both as a locum and on a W2 basis. He currently practices in Texas and Indiana, where he is proud to provide quality anesthesia care in the anesthesia care team. Sunny began his career in the Marine Corps, where he developed a respect for education that led him to the University of Arizona. Sunny graduated magna cum laude with a degree in medical physiology before attending the Indiana University School of Medicine's CAA program. He graduated top of his class and earned the Outstanding Academic Achievement Award. Sunny has done anesthesia for level 1 trauma, cardiac, neurosurgery, outpatient surgery, high-risk OB, and everything in between. Sunny was awarded the 2024 Outstanding Clinical Educator Award by the Indiana University School of Medicine's CAA school, and he currently runs a TikTok dedicated to educating people about the CAA profession.Learn about career options from the people doing it
In this episode we'll explore how anesthesia changed not only medicine, but the way we think about pain, consciousness, and being human. We'll go through the journey to anesthesia which was filled with bold experiments, strange theories, and breakthroughs that changed medicine forever. This episode in particular will focus on anesthesia after Ether Day in 1846 and its journey to modern anesthesia. Featuring M4 Sheena Pubien
Watch every episode ad-free & uncensored on Patreon: https://patreon.com/dannyjones Stuart Hameroff is an astrobiologist, retired anesthesiologist and leader of the Science of Consciousness conferences at the University of Arizona. Hameroff is best known for his controversial belief that consciousness originates from quantum states in neural microtubules. SPONSORS https://prizepicks.onelink.me/LME0/DANNY - Use code DANNY to get $50 in lineups when you play your first $5 lineup. https://shopmando.com - Use code DANNY to get $5 off your Starter Pack. https://dupe.com - Find similar products for less - 100% free to use. https://whiterabbitenergy.com/?ref=DJP - Use code DJP for 20% off EPISODE LINKS https://x.com/StuartHameroff https://consciousness.arizona.edu/science-consciousness-2026 FOLLOW DANNY JONES https://www.instagram.com/dannyjones https://twitter.com/jonesdanny OUTLINE 00:00 - Connection between anesthesia & consciousness 02:14 - How anesthesia works 08:54 - Overdosing vs. underdosing anesthesia 12:31 - Scariest patients to administer anesthesia to 15:45 - Why computers can't replicate consciousness 21:18 - Consciousness & the collapse of the wave function 29:15 - Consciousness is fundamental, not emergent 30:19 - Simulation theory is a "cop-out" 34:29 - NASA's OSIRIS-REx Asteroid sample return mission 40:56 - The origin of life on Earth 42:20 - Microtubules & time crystals 43:58 - Evidence of consciousness in plants 46:27 - Why microtubules could be the source of consciousness 48:25 - Can AI develop consciousness? 53:48 - Psilocybin consciousness experiment 55:08 - What happens to consciousness when the body dies 01:01:53 - Consciousness is controlled by our subconscious 01:03:32 - How evolution is driven by consciousness & pleasure 01:06:47 - Life is the vehicle for consciousness 01:10:32 - How to create consciousness from scratch 01:13:13 - Consciousness in the afterlife & reincarnation 01:15:23 - Consciousness is a hologram 01:17:35 - How psychedelics elevate consciousness 01:23:25 - The logic of dreams 01:25:37 - memories encoded in organ transplants 01:32:07 - How to confirm microtubules hypotheses 01:35:53 - The leading Alzheimer's treatment is a scam 01:41:41 - Top Alzheimer's treatment researchers VANISHED 01:44:20 - New theoretical Alzheimer's cure 01:50:08 - Beneficial effects of ultrasound therapy 01:53:58 - Dangers of ultrasound technology 01:59:18 - New study on ultrasound on the brain 02:06:11 - Proof of ultrasound reversing Alzheimer's 02:09:10 - Quantum consciousness + parapsychology 02:16:42 - Neuron biology & why the brain is more than a computer 02:20:09 - Suspicious movement of plasma ball lightning 02:23:18 - Anesthesia vs. the corona effects Learn more about your ad choices. Visit podcastchoices.com/adchoices
About our Guests: Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children's Hospital and Assistant Professor of Anesthesia at Harvard Medical School.Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.Learning Objective:By the end of this podcast series, listeners should be able to discuss:An expert approach to the peri-intubation management of the critically-ill child including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockadeStrategies using direct vs. video laryngoscopy in academic PICUsRecognize the need and discuss potential strategies for ongoing maintenance of airway management skillsQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
We're back once again for our annual conversation with NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer/Executive Vice President of Clinical Strategy Randy Moore, DNP, MBA, CRNA to provide us with a state of the profession as we begin 2026. They're here to help us make sense of the ever-evolving anesthesia ecosystem by explaining what's going on in our space right now and telling us where they think we're headed. Here's some of what you'll hear in this episode: Current state situation in the anesthesia business sector Status of CRNA supply shortage and its impact on the labor market What's going on with private equity supported firms? Current state of hospital and outsourced anesthesia firms relationships What's going on with hospitals today? Learn more about Northstar Anesthesia: https://northstaranesthesia.com/our-culture/our-leadership/ Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1
Don't miss out — elevate your skills and save $100 on any online course with code START26! Join our library of live and on-demand veterinary dental courses here: https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26 —------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Victoria Lukasik, DVM, DACVAA, tackles the complexities of managing high-risk dental cases. Through detailed case studies, they discuss anesthetic protocols for patients with hepatic portal shunts and chronic heart failure. Learn how to navigate potential complications like hypoglycemia, hemorrhage, and ventricular tachycardia, while ensuring patient safety and optimizing recovery. What You'll Learn: ✅ Understand anesthetic considerations for patients with hepatic portal shunts. ✅ Discover strategies for managing hypoglycemia and electrolyte imbalances. ✅ Simplify anesthetic protocols for patients with chronic heart failure. ✅ Apply techniques for recognizing and treating ventricular tachycardia. ✅ Master the use of short-acting and reversible drugs in high-risk patients. ✅ Recognize and address delayed recovery in the post-anesthetic period. Key Takeaways: ✅ Patients with hepatic portal shunts require short-acting, reversible drugs to minimize liver burden. ✅ Intermittent hemorrhage in patients with hepatic dysfunction may lead to platelet consumption and anemia. ✅ Bounding femoral pulses can indicate dehydration; adjust fluid therapy accordingly in cardiac patients. ✅ Lidocaine has centrally depressing effects; anticipate mental dullness or sedation post-administration. ✅ Early intervention with lidocaine is crucial for managing ventricular tachycardia and preventing further complications. Questions This Episode Answers: ❓ How should anesthetic protocols be adjusted for patients with hepatic portal shunts? ❓ Which anesthetic and analgesic drugs are safest for patients with true hepatic dysfunction? ❓ When should dextrose supplementation be considered in dental patients with liver disease? ❓ How do you manage intermittent hemorrhage, anemia, and low platelets during dental procedures? ❓ What causes delayed anesthetic recovery—and how do you systematically troubleshoot it? ❓ How should cardiac medications be handled on the morning of anesthesia for heart failure patients? ❓ What do bounding femoral pulses indicate, and how should fluid therapy be adjusted? ❓ Why can lidocaine cause deep sedation and delayed recovery after anesthesia? ❓ How do you recognize ventricular tachycardia intraoperatively—and when should you intervene? ❓ What recovery expectations should you have after treating ventricular tachycardia with lidocaine? —------------------------------------------------------------------- Explore Dr. Beckman's complete library of veterinary dentistry courses and CE resources! Save $100 on any online course with code START26! https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26 —------------------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or cases related to veterinary dentistry! —------------------------------------------------------------------- KEYWORDS: Veterinary Dentistry, IVDI, Brett Beckman, Dog Dental Care, Cat Dental Care, VetTech Tips, Animal Health, Veterinary Education, Veterinary Dental Practitioner Program, Vet Dental Show, Anesthesia, High-Risk Patients, Hepatic Portal Shunt, Chronic Heart Failure, Ventricular Tachycardia, Lidocaine, Hypoglycemia, Electrolyte Imbalance, Delayed Recovery
As we finish up wellness month, today's conversation is about substance use disorder, recovery, and how people think about intentional living around this time of the year. Hosts Nickie Damico and Louisa Martin are joined by Bridget Petrillo, MS, CRNA and Rodrigo Garcia, CEO of Parkdale Center of Professionals, for an honest, deeply personal conversation about SUD, recovery, stigma, and hope within the anesthesia community. Drawing from their own lived experiences, our guests explain why anesthesia providers face unique occupational risks, how shame and fear often delay getting help, and why recovery is not only possible but life-giving. The discussion also highlights the importance of peer support, education, and institutional resources, including the AANA Helpline, Wellness Ambassador Network, and Anesthetists in Recovery (AIR) meetings. As the year comes to a close, we turn our focus to intentional living, gratitude, and wellness, especially during the holidays, when stress and isolation can intensify. The 24/7 confidential, AANA Helpline (800-654-5167) answered by addiction professionals to improve access to help for SUD. Here's some of what you'll hear in this episode: