Podcasts about Anesthesia

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!

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:Why a full anesthesia machine check matters​How to perform a systematic pre-use machine checkout​Understanding and testing safety features and failure modes​Checking ventilation, leak integrity, and waste gas handling​Using structured tools to build a fast, reliable habit

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.Topics included in this episode:Academic anchor habits for SRNAs and new CRNAsDeliberate clinical practice, including “one skill per shift” and quick weekly case debriefs.​Mindset strategies like a “wins log” to fight imposter syndrome.​Professional growth through scary-but-safe opportunities, CRNA business basics, and exploring fellowship prerequisites.​Personal boundaries around sleep, non‑anesthesia hobbies, and phone/social media use to prevent burnout.​Early burnout recognition and proactive check-ins with mentors or a therapist.

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

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 from ancient time until Ether Day in 1846. Featuring M4 Sheena Pubien

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:

Episdoe 2298 - Kid A.G. and El Pres coming to you from Murphy's Irish Lair, digging through old episodes for retro rewinds and getting lost in the memories They yap about a straight-laced religious husband waking from anesthesia and unloading the dirtiest fantasies on his horrified nurse as his wife cries in a corner, proof that even the most buttoned-up people are packed with filth waiting to spill out. Sobriety has stripped away Kid's excuses, so now every stupid thing he does has the potential to get called out loud, no buffer left. The Conversation veers into repressed urges and the relief of just not giving a damn. T They drool over Hottie Rachel Cook's feed, scroll endless racks on same.energy, and cringe at a trans influencer whose illegal mineral-oil-and-laxative face injections turned her into a melted nightmare. Baseball offseason chatter mixes with gripes about scattered streaming games, Diddy's mess hitting Netflix, mechanic liars, political ass-kissing, and AI-spawned songs about motorboating and soup-can dicks. Kid rants about a flat tire in the cold, government shutdown threats, and a plea for listeners to blow up the hotline 989-341-3314 with whatever drunk chaos they've got. Just two guys talking shit, experimenting with tech, and refusing to polish any of it. Go Deep.

Level up your veterinary dental skills today — save $100 on any online course with code START26! Explore expert-led webinars and courses designed to take your practice to the next level: 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, delves into the art of combining drugs for effective sedation and induction. They discuss the use of heavy sedatives like Acepromazine and Dexmedetomidine, multi-drug induction protocols, and the unique properties of Alfaxalone. Learn how to tailor drug combinations to individual patient needs, minimize side effects, and optimize anesthetic outcomes. What You'll Learn:  ✅ Understand the peak effects of Acepromazine and how it influences anesthetic planning.  ✅ Discover strategies for minimizing cardiovascular effects with Dexmedetomidine.  ✅ Simplify multi-drug induction protocols for balanced anesthesia.  ✅ Apply best practices for Ketamine administration to increase heart rate.  ✅ Master the use of Alfaxalone, including its unique properties and versatility.  ✅ Recognize the importance of pre-oxygenation and monitoring during induction. Key Takeaways:  ✅ Acepromazine's peak effects occur 30-60 minutes post-administration; adjust vaporizer settings accordingly.  ✅ Combining Dexmedetomidine with other drugs allows for lower doses and reduced cardiopulmonary side effects.  ✅ Pre-oxygenate and initiate monitoring before administering induction drugs to address potential complications proactively.  ✅ Ketamine can be used as an IV bolus to increase heart rate by 10-20 beats per minute.  ✅ Alfaxalone is a cardiac and respiratory stable induction drug suitable for unstable and critical patients. Questions This Episode Answers: ❓ When should you choose moderate vs. heavy sedation in veterinary dental patients? ❓ How can you safely combine Acepromazine or Dexmedetomidine with other drugs to reduce side effects? ❓ Why don't Acepromazine's sedative effects peak immediately—and how should that change your anesthetic plan? ❓ How do you adjust vaporizer settings when sedatives are still peaking during induction? ❓ When is a single-drug induction appropriate versus a multi-drug induction protocol? ❓ How can Ketamine be strategically used to increase heart rate during anesthesia? ❓ Why is pre-oxygenation and monitoring before induction critical for patient safety? ❓ How does Alfaxalone compare to Propofol in fragile, unstable, or critical patients? ❓ Can Alfaxalone be safely used IM, IV, or as a CRI—and in which species? ❓ How do you minimize cardiovascular, respiratory, and thermoregulatory compromise during anesthesia? —------------------------------------------------------------------- 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, Sedation, Anesthesia, Induction Protocols, Acepromazine, Dexmedetomidine, Ketamine, Alfaxalone, Drug Combinations, Pre-oxygenation, Patient Monitoring

This episode is about how to thrive in your anesthesia elective rotation. The anesthesia rotation isn't like any other rotation you've done before. Anesthesia is different. In this podcast episode I'm going to go over some general tips, how to set up the OR, preop, post op and some resources I used during my rotations. Featuring M4 Sheena Pubien.

Cosmetic surgery must be pain free.  To have painless procedures, plastic surgeons often use general anesthesia, where a breathing tube is placed and your brain is basically anesthetized.  This type of anesthesia is important for liposuction, tummy tucks, and most  breast procedures.  But general anesthesia has risks, particularly cardiac problems and postoperative nausea.  So, when possible, intravenous sedation, using propofol and versed, is used.  Face and eyelid lifts are procedures that often are done under IV sedation.  And finally, some procedures can be done with you wide awake, using only lidocaine local anesthesia.  Mole and scar revisions can be done that way, and with the proper patients, eyelid lifts, small liposuctions, and procedures like chin impalnts can also be done under local anesthesia.  On this show, we discuss the various types of anesthesia used for cosmetic surgery. 

What is a call? How does a person know if God is calling them to mission service? Join in a discussion as these and other questions are addressed.

We grant a brand new Christmas Wish, Vont doesn't want to go to the pot luck, and more!

We grant a brand new Christmas Wish, Vont doesn't want to go to the pot luck, and more!See omnystudio.com/listener for privacy information.

Take your veterinary dental expertise to the next level — save $100 on any online course with code START26! Access our full library of live and on-demand courses today: 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, discusses strategies for optimizing pre-anesthetic medication protocols. They discuss how drug choices, administration sites, and dosages impact sedation quality, patient experience, and potential side effects. Gain insights into selecting appropriate tranquilizers, analgesics, and anticholinergics to enhance patient comfort and safety during dental procedures. What You'll Learn:  ✅ Understand the impact of premedication administration sites on drug efficacy.  ✅ Discover the benefits of intranasal Dexmedetomidine for sedation.  ✅ Simplify the selection of appropriate tranquilizers and analgesics.  ✅ Apply strategies to minimize opioid-induced side effects in cats.  ✅ Master the use of anticholinergics and preventative eye care.  ✅ Recognize the importance of considering non-anesthetic drugs. Key Takeaways:  ✅ Intramuscular injections into the semimembranosus muscle provide higher quality sedation with more predictable onset times.  ✅ Intranasal Dexmedetomidine offers comparable sedation to IM administration with reduced cardiovascular effects.  ✅ Diphenhydramine (Benadryl) can lower blood pressure; monitor patients accordingly.  ✅ Tailor opioid selection based on patient-specific needs, considering chronic pain and potential psychological effects.  ✅ Cats with dilated pupils may be sensitive to bright light; minimize light exposure to reduce stress. Questions This Episode Answers:

Moderator: James P. Rathmell, M.D. Participants: Elliott Bennett-Guerrero, M.D. and Juan P. Cata, M.D. Articles Discussed: Anesthesia Type During Cancer Surgery: Results of the GA-CARES Randomized, Multicenter Trial Volatile General Anesthetics and Oncologic Surgery: A Safe Choice

Low resource settings require much innovation and streamlining resources to meet set goals. With healthcare becoming more commercial and profit driven, missional healthcare in low resource settings faces many challenges. Sustainability is a big question with people finance , and equipment scarce and hard to come by. Missional models of healthcare often run into hurdles of sustainability, longevity and relevance even as healthcare slowly turns into business. In this setting of multifactorial challenges and increasing compliances how can missional healthcare be relevant and sustainable? Many saints of God have committed their lives to fulfil this great commission in some of the most underserved and unreached areas of the world. With the birth of Emmanuel Hospital Association (EHA) a different model of missional healthcare emerged in India. Over the last 55 years of its existence, EHA has shown that through all the challenges, this may be one of the ways to sustain missional healthcare in areas of need. With increasing divide between the rich and poor, overwhelmed government systems, a ruthless insurance system, and high end corporate healthcare, it is still possible for missional healthcare to provide low cost, high quality, technologically advanced care to people in need while remaining sustainable. We bring lessons from India and our experience with Emmanuel Hospital Association over the last 3 decades.

Are eggs good or bad for the brain? Low levels of a key nutrient can foster anxiety; Dealing with muscle cramps that develop hours after exercise; Garlic mouthwash outperforms chemical antibacterials; 76% of the world's population aren't getting enough omega-3s; Surgery may hasten progression to Alzheimer's, but a vitamin may help; After marijuana legalization, some states want a do-over.

Blue is out this week, and Old Ninja is still mute. This week we talk about Jiu Jitsu, Prodigy has a Colonoscopy experience, Anesthesia, prostates, Video Game Awards, battle passes, DLC, Metroid Prime 4 Beyond, Baldur's Gate 3, Saints Row, God of War, Uncharted, The Golden Eggplant Awards, Wicked, Surviving Diddy, and more! Come follow us: http://www.beenhadproductions.squarespace.com/bthanbti SoundCloud: https://soundcloud.com/bthanbtiI Facebook: https://www.facebook.com/BthanBTI/ Twitch: https://www.twitch.tv/bthanbti Twitter: @BthanBTI iTunes: https://itun.es/i6SJ6Pw YouTube: https://www.youtube.com/c/BlackerThanBlackTimesInfinity Rescue + Residence https://www.rescueresidence.org/ Donate: https://www.givebutter.com/R_R_Champions

"How Africa is Revolutionizing Obstetric Anesthesia for Safer Births." From ASRA Pain Medicine News, November 2025. See the original article at www.asra.com/november25news for figures and references. This material is copyrighted. Support the show

Desiree Chappell and Sol Aronson discuss innovations in anesthesia at ANESTHESIOLOGY® 2025 with Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare and John W Beard, Chief Medical Officer at GE Healthcare - Patient Care Solutions. They unveil GE's new premium anesthesia platform designed for both current and future needs, emphasizing enhanced workflow, patient safety, and adaptable technology. The conversation highlights the platform's advanced features, including a dual compute architecture, innovative vaporization system, and digital solutions for improved perioperative care. Find out more here: https://www.gehealthcare.co.uk/products/perioperative-care/carestation-850 Listen to more of John W Beard here: https://topmedtalk.libsyn.com/cost-savings-through-continuous-vital-sign-monitoring-anes23 And find more of Brandon Henak here: https://topmedtalk.libsyn.com/tom-westrick-and-brandon-henak-from-ge-healthcare-topmedtalk

Ready to transform your dental practice? Save $100 on any online course using code START26 and gain 24/7 access to cutting-edge veterinary dental training: 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, discusses essential anesthetic planning strategies for veterinary dentistry, emphasizing balanced protocols, patient assessment, and the importance of acting on pre-anesthetic laboratory values. Learn how to create a complete anesthetic plan to provide seamless and optimal care for each patient. What You'll Learn:  ✅ Master balanced anesthetic protocols for dental procedures.  ✅ Understand the importance of pre-anesthetic patient assessment.  ✅ Discover how to interpret and act on pre-anesthetic lab results.  ✅ Simplify fasting guidelines for dogs and cats.  ✅ Apply gastric protection strategies to prevent reflux.  ✅ Recognize the impact of patient temperament on drug selection. Key Takeaways:  ✅ Implement updated fasting guidelines to stabilize blood glucose and reduce reflux risk.  ✅ Utilize proton pump inhibitors and SYP pride to minimize gastroesophageal reflux during anesthesia.  ✅ Tailor drug doses based on patient physical status, comorbidities, and temperament.  ✅ Prioritize thorough patient assessment, including lab work and physical exams, to inform anesthetic choices.  ✅ Scale drug doses appropriately for fragile or geriatric patients to avoid overdosing.

Close your eyes and repeat after me: "Less Pharma, More Karma"... In this fascinating interview, Dr. Jeni Noerenberg -- anesthesiologist AND integrative medicine physician -- takes a couple of noobs like Amit and Jeff and explains how techniques like noetic medicine, acupuncture, guided imagery, aromatherapy, nutrition, clinical hypnosis (and more!) are being used in the perioperative space to reduce anxiety, decrease anesthetic and opioid requirement, reduce nausea and pain, and improve other important patient outcomes. We learned a TON and Jeni left us inspired to learn more. Oh, and If you don't hear from us for a while, it just means we're not back from our shamanic journey yet.    Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, and perioperative care!    Links:

Dr. Lori Bidwell was raised on a farm in Grand Rapids, Michigan. She earned a BFA in Art History, then returned home and started working at a veterinary clinic and decided to pursue veterinary medicine as a career.She earned her DVM from Michigan State University in 2001, then did an Internship at Rood and Riddle Equine Hospital, followed by a Residency in Anesthesia at Michigan State University, becoming Board Certified in Anesthesia and Analgesia in 2008.She then returned to Rood and Riddle to become Head of Anesthesia. Afterwards, she was on faculty at Ross University School of Veterinary Medicine. She returned to Kentucky to work in anesthesia in both equine and small animal practice. At this time she became certified in Acupuncture and Tui Na from Chi University.After returning to Michigan State University to work in Anesthesia and Equine Lameness and Sports Medicine, she Co-Founded her current business, East West Equine Sports Medicine, where she provides sports medicine services and equine anesthesia consultation and training for equine surgical facilities.Please enjoy this conversation with Dr. Lori Bidwell as we discuss her education, clinical practice, holistic training, and participation in organized veterinary medicine.

Dr. Lori Bidwell was raised on a farm in Grand Rapids, Michigan. She earned a BFA in Art History, then returned home and started working at a veterinary clinic and decided to pursue veterinary medicine as a career.She earned her DVM from Michigan State University in 2001, then did an Internship at Rood and Riddle Equine Hospital, followed by a Residency in Anesthesia at Michigan State University, becoming Board Certified in Anesthesia and Analgesia in 2008.She then returned to Rood and Riddle to become Head of Anesthesia. Afterwards, she was on faculty at Ross University School of Veterinary Medicine. She returned to Kentucky to work in anesthesia in both equine and small animal practice. At this time she became certified in Acupuncture and Tui Na from Chi University.After returning to Michigan State University to work in Anesthesia and Equine Lameness and Sports Medicine, she Co-Founded her current business, East West Equine Sports Medicine, where she provides sports medicine services and equine anesthesia consultation and training for equine surgical facilities.Please enjoy this conversation with Dr. Lori Bidwell as we discuss her education, clinical practice, holistic training, and participation in organized veterinary medicine.

Dr. Sumedha Sonde, pulmonologist and critical care physician at Hamilton Physician Group - Specialty Care in Dalton, Georgia. Dr. Sonde completed residency training in Anesthesia and Pain Management and additional residency training in Internal Medicine. She then completed a Pulmonary and Critical Care fellowship in New York.Dr. Sonde treats patients with sleep or pulmonary disorders. chronic obstructive pulmonary disease (also referred to as COPD), asthma, pulmonary fibrosis, lung cancer, COVID conditions, pneumonia, acute and chronic pulmonary hypersensitivity conditions, pulmonary hypertension, bronchiolitis, and more. For more information or an appointment at Hamilton Physician Group - Specialty Care, call 706-529-3072 or visit VitruvianHealth.com/specialtycare. This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Full Show Notes: BenGreenfieldlife.com/cam2025 Dr. Cameron Chesnut is an internationally recognized facial plastic surgeon in Spokane known for delivering minimally invasive cosmetic surgery results that are both natural and transformative. Sought after by high-performers from around the world, he combines innovative surgical artistry with a progressive focus on regenerative medicine and advanced recovery techniques. His approach goes beyond the operating room: Dr. Chesnut prepares like a professional athlete, entering each procedure in a neurocognitively optimized flow state to achieve subtle yet powerful outcomes. Episode Sponsors: The Medicin: Immune Intel AHCC is a clinically studied shiitake mushroom extract that enhances immune cell communication through a patented fermentation process creating highly bioavailable alpha glucans. Backed by 30+ human studies and used in over 1,000 clinics worldwide, AHCC supports immune function for everyday wellness and chronic health challenges—learn more at TheMedicin.com and use code BEN for 10% off. Our Place: Upgrade to Our Place today and say goodbye to forever chemicals in your kitchen. Go to fromourplace.com and enter my code BEN at checkout to receive 10% off sitewide. Muse: Muse S Athena combines clinical-grade EEG and fNIRS technology to train your brain in real time while tracking sleep with 86% expert-level accuracy. Get 15% off at choosemuse.com/BENGREENFIELD or use code BENGREENFIELD at checkout. IM8: Ditch the cabinet full of supplements—IM8 packs 92 powerhouse ingredients into one delicious scoop for all-day energy, gut health, and cellular support. Go to IM8Health.com and use code BEN for an exclusive gift—fuel your body the right way! Manukora: You haven’t tasted or seen honey like this before - so indulge and try some honey with superpowers from Manukora. If you head to manukora.com/ben or use code BEN, you’ll automatically get $25 off your Starter Kit.See omnystudio.com/listener for privacy information.

Dr. Sumedha Sonde, pulmonologist and critical care physician at Hamilton Physician Group - Specialty Care in Dalton, Georgia. Dr. Sonde completed residency training in Anesthesia and Pain Management and additional residency training in Internal Medicine. She then completed a Pulmonary and Critical Care fellowship in New York.Dr. Sonde treats patients with sleep or pulmonary disorders. chronic obstructive pulmonary disease (also referred to as COPD), asthma, pulmonary fibrosis, lung cancer, COVID conditions, pneumonia, acute and chronic pulmonary hypersensitivity conditions, pulmonary hypertension, bronchiolitis, and more. For more information or an appointment at Hamilton Physician Group - Specialty Care, call 706-529-3072 or visit VitruvianHealth.com/specialtycare. This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Prepare to rethink surgery, healing, anesthesia, and recovery. This episode gives you a complete, high-performance playbook for surgical preparation and accelerated healing, built on biohacking, functional medicine, neuroprotection, and mitochondrial resilience. You will learn how to recover up to three times faster, protect your brain from anesthesia related inflammation, and enter any procedure with the stability and metabolic readiness of an elite performer. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey talks with Dr. Cameron Chesnut, a facial plastic surgeon trusted by the world's high performers. Patients travel from every corner of the globe for his minimally invasive results that look natural, rejuvenated, and untouched. He is known for progressive regenerative medicine techniques, brain safe anesthesia protocols, advanced postoperative recovery strategies, and a personal commitment to performance readiness that mirrors the mindset of elite athletes. His methods bridge functional medicine, metabolism, supplements, sleep optimization, nootropics, and regenerative science to transform the entire surgical experience. Together, they reveal how to avoid the hidden pitfalls that create postoperative brain fog, inflammation, mitochondrial dysfunction, and slow recovery. You learn how to work with your anesthesiologist, avoid harmful drug combinations, and stack ketones, fasting, NAD, glutathione, stem cell rich fat grafts, IV therapy, and hyperbarics for rapid healing. Dr. Chesnut explains why fillers migrate, why general anesthesia often disrupts cognition, how exogenous ketones stabilize neurons, and how regenerative peptides, ketosis, circadian timing, and nutritional density shift the biology of recovery. You'll Learn: • How Host Dave Asprey prepares his brain and mitochondria before anesthesia • Why standard anesthesia protocols increase neuroinflammation and cognitive dysfunction • How to use ketamine and dexmedetomidine instead of benzos, opiates, and amnesia drugs • Why fillers migrate and how regenerative fat grafting outperforms traditional filler • How exogenous ketones enhance neuronal stability during anesthesia • Why hyperbarics, red light, PEMF, and IV therapy shorten recovery time • How peptides like BPC, GHK copper, and TB4 support tissue repair • Why metabolic health, carnivore leaning nutrition, and real protein accelerate healing• How nicotine influences angiogenesis and when it can help • The real difference between healing fast and healing well • How to structure your recovery environment for sleep optimization and better outcomes • Why elite performers treat surgery like an athletic event and prepare the same way • How to talk to your surgical team so your biology stays protected and optimized Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Regenerative surgery optimization, anesthesia brain protection, postoperative cognitive dysfunction, accelerated surgical healing, functional medicine surgery prep, ketamine conscious sedation, dexmedetomidine anesthesia protocol, mitochondrial recovery support, stem cell rich fat grafting, surgical hyperbaric therapy, exogenous ketone neuroprotection, fasting preparation, nootropic assisted recovery, peptide tissue repair, filler migration correction, angiogenesis enhancement, circadian prep, sleep optimized anesthesia, metabolic healing strategy, nicotine angiogenesis Thank you to our sponsors! -Essentia | Go to https://myessentia.com/dave and use code DAVE for $100 off The Dave Asprey Upgrade. -ECHO Water | Go to http://echowater.com/dave and use code DAVE10 for 10% off your ECHO Flask. -ARMRA | Go to https://tryarmra.com/ and use the code DAVE to get 15% off your first order. -Caldera + Lab | Go to https://calderalab.com/DAVE and use code DAVE at checkout for 20% off your first order. Resources: • Cameron's Clinic: https://www.clinic5c.com/• Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 0:00 - Trailer 2:05 - Pre-Surgery Optimization 5:41 - Stem Cells and Fat Transfer 9:28 - Brain Safe Anesthesia 15:43 - Propofol Alternatives 21:06 - Non-Opioid Pain Control 27:22 - Recovery Protocols 29:11 - Xenon Gas Insights 31:02 - Racetams and Brain Protection 33:18 - IV Glutathione 43:24 - Ketones for Surgery 44:06 - Growth Hormone and Peptides 55:57 - Nicotine and Healing 58:37 - Surgical Lighting 1:05:23 - Filler Migration 1:15:18 - Final Takeaways See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textIn this Thanksgiving episode, we break down why operating rooms are closing, why anesthesia staffing fell behind demand, and what hospitals can do now to keep cases moving. Have a question for Dr. Brian Schmutzler? Submit them to any of the social media pages below or on his website at https://www.drbrianschmutzler.com/Facebook: https://www.facebook.com/drbrianschmutzlerInstagram: https://www.instagram.com/drbrianschmutzlerTikTok: https://www.tiktok.com/@drbrianschmutzler?lang=enProvider or Medical Student?? Subscribe to his Patreon Page to get exclusive content and access to Medical Blocks:https://www.patreon.com/user?u=89356957&utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=creatorshare_creator&utm_content=join_linkThanks to our show sponsor: Butterfly Networkhttps://store.butterflynetwork.com/us/en/?rsCode=BRIAN25You can get $750 off the latest IQ3. Check it out at ButterflyNetwork.comSupport the show

Ageism might not be the first ‘ism' that comes to mind in healthcare, but it's one that affects every provider eventually. Today's guest, Cynthia Farina, DNP, CRNA, RN, CNE, is an educator who has devoted much of her life to advocating for wellness, inclusion, and professional longevity. She joins Kevin and Charity to break down the subtle ways age bias shows up in anesthesia—from assumptions about “slowing down” to underestimating younger providers—and how both ends of the spectrum can experience its effects. Dr. Farina was recently part of an AANA webinar titled Respect Across the Lifespan: Tackling Ageism in Anesthesia, and her message today is clear: if you're lucky, you'll age too—so build a profession that welcomes wisdom, not just youth. Here's some of what we discuss in this episode:

On this episode, Randy Robbins, MD, President of Valiant Anesthesia Associates, joins the podcast to discuss the effects of COVID on anesthesia, the importance of quality of care, and fostering strong physician engagement.

Dr. Sumedha Sonde, pulmonologist and critical care physician at Hamilton Physician Group - Specialty Care in Dalton, Georgia. Dr. Sonde completed residency training in Anesthesia and Pain Management and additional residency training in Internal Medicine. She then completed a Pulmonary and Critical Care fellowship in New York.Dr. Sonde treats patients with sleep or pulmonary disorders. chronic obstructive pulmonary disease (also referred to as COPD), asthma, pulmonary fibrosis, lung cancer, COVID conditions, pneumonia, acute and chronic pulmonary hypersensitivity conditions, pulmonary hypertension, bronchiolitis, and more. For more information or an appointment at Hamilton Physician Group - Specialty Care, call 706-529-3072 or visit VitruvianHealth.com/specialtycare. This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Ever walked into a new OR and spent the first ten minutes hunting for an airway bougie or a computer log-in that actually works? We dig into the hidden safety risks of a transient anesthesia workforce and share practical, fast-moving fixes that keep patients safe while keeping rooms open. With staffing shortages reshaping coverage models across the United States and beyond, locum clinicians are essential—but inconsistent environments, unclear escalation paths, and fragmented communication can turn small friction points into big hazards.We unpack what the current evidence says—and doesn't—about locum-related outcomes. A UK qualitative study surfaces predictable threats like unfamiliar systems and weak team integration, while primary care data shows prescribing differences without higher adverse events. In anesthesia, large safety studies are scarce, so leaders must rely on smart design: targeted orientation, standardized room setups, and shared mental models that don't depend on who's on the schedule. We also talk dollars and sense, highlighting a simulation-based break-even estimate for when full-time hiring outperforms locum coverage, and how to weigh cost without compromising safety.From the main OR to higher-risk non-operating room anesthesia sites, we outline concrete steps that work across settings. Limit initial deployment to oriented locations, add locum staff to all communication channels from day one, and use checklists, cognitive aids, and universal timeouts to reduce variability. Establish clear role definitions and escalation trees posted in every anesthetizing location, and fold temporary clinicians into audits, feedback loops, and ongoing education. The aim is simple: compress the ramp-up, eliminate guesswork, and make the safe action the easy action—even when teams change daily.If you care about perioperative safety, access, and team resilience, this conversation gives you a playbook to act now. Subscribe, share with a colleague who onboards locums, and email your best orientation tip so we can feature it on a future show.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/282-building-safer-anesthesia-teams-in-a-locum-driven-world/© 2025, The Anesthesia Patient Safety Foundation

Can natural herbs aid recovery from anorexia? What an analysis of Hitler's DNA tells us about how genes shaped his personality; Can surgical anesthesia accelerate memory loss?  Bananas could be interfering with your smoothie's health benefits; Not just sun, but pesticides and herbicides increase risk for melanoma; Chemical residues on produce impair male fertility; Proliferation of fast-paced social media videos are dumbing us down; Doctors aren't less resilient, the demands of medicine are just fostering unprecedented levels of physician burnout.

Katelyn talks to Kris Mendoza about his first place finish at the SLO CAL Spartan Ultra. His potential return to OCR - including the Killington Ultra and World's Toughest Mudder. They talk about his journey to becoming a dental anesthesiologist. Katelyn also asks Kris a round of rapid fire questions that include his go to karaoke song, his favorite ice cream and more!   Start – 2:59 – Intro 2:59 – 6:20 – Quick News 6:20 – 7:42 – Content Preface 7:42 – 1:53:18 - Kris Mendoza Interview 1:53:18 – End – Outro Next weekend we will likely be having a returning guest in the same year which we usually dont do but breaking a world record is a great reason! ____ News Stories: Adam Lovellette Engaged Catman Made it to Melbourne Veejay Jones Married to Sarah Tyler Veerman JFK 50 Miler Half Marathon to Drop Charges Chase Scene Secret Link Dark Jump Secret Link Nutella Monster Secret Link Flying Squirrel Secret Link Snapping Turtle Secret Link ____ Related Episodes: 98. World's Toughest Mudder! (Part 2: Champion's Brunch and Bar Crawl), and Taunton YMCA Turkey Trot! 151. World's Toughest Mudder Brunch Audio and Bar Crawl Interviews! 358. World's Toughest Mudder 2023 (Part 1: Community Dinner and Race Day Interviews) 444. World's Toughest Mudder 2025! (Part 2: Event Day Audio, Interviews, and Katelyn's Pit Audio) ____ The OCR Report Patreon Supporters: Jason Dupree, Kim DeVoss, Samantha Thompson, Matt Puntin, Brad Kiehl, Charlotte Engelman, Erin Grindstaff, Hank Stefano, Arlene Stefano, Laura Ritter, Steven Ritter, Sofia Harnedy, Kenny West, Cheryl Miller, Jessica Johnson, Scott "The Fayne" Knowles, Nick Ryker, Christopher Hoover, Kevin Gregory Jr., Evan Eirich, Ashley Reis, Brent George, Justin Manning, Wendell Lagosh, Logan Nagle, Angela Bowers, Asa Coddington, Thomas Petersen, Seth Rinderknecht, Bonnie Wilson, Steve Bacon from The New England OCR Expo, Robert Landman, Shell Luccketta and Jules Estes. Sponsored Athletes: Javier Escobar, Kelly Sullivan, Ryan Brizzolara, Joshua Reid, and Kevin Gregory! Support us on Patreon for exclusive content and access to our Facebook group Check out our Threadless Shop Use coupon code "adventure" for 15% off MudGear products Use coupon code "ocrreport20" for 20% off Caterpy products Like us on Facebook: Obstacle Running Adventures Follow our podcast on Instagram: @ObstacleRunningAdventures Write us an email: obstaclerunningadventures@gmail.com Subscribe on Youtube: Obstacle Running Adventures Intro music - "Streaker" by: Straight Up Outro music - "Iron Paw" by: Dubbest

On this episode, Randy Robbins, MD, President of Valiant Anesthesia Associates, joins the podcast to discuss the effects of COVID on anesthesia, the importance of quality of care, and fostering strong physician engagement.

On this episode, Randy Robbins, MD, President of Valiant Anesthesia Associates, joins the podcast to discuss the effects of COVID on anesthesia, the importance of quality of care, and fostering strong physician engagement.

⬇️ TEETH CLEANING?? The chore no dog mom wants to do ⬇️Honestly brushing my Dalmatian's teeth is a pain in the toe beans - she is an anxious dog and is very particular about having her paws and mouth touched. We've done our best desensitizing her by positive reinforcement, but brushing her teeth is still a struggle. Lindsey Campbell joins us today to talk about the must-dos to keep our dogs' teeth clean and discuss the new technological advances in pet dental health. I hope this episode is insightful and informative, and helps you understand more about dental health and bacteria growth.Warmest of regards, Jen GlaserHost of Dog Mom Podcast & Co-Founder of ZippyPaws—-----------------------------------------------—-----------------------------------------------

Cosmetic procedures like fillers and Botox have become increasingly popular in recent years. Today, we're going to explore the world of cosmetic treatments and how they work. You're going to learn about some common misconceptions and the little-known risks and side effects. Today's guest, Dr. Cameron Chesnut, is a world-renowned facial plastic surgeon. He works with patients all over the world, focusing on minimally invasive procedures, regenerative recovery, and a holistic approach. On this episode of The Model Health Show, Dr. Chesnut is pulling back the curtain on the most common cosmetic treatments that are gaining popularity today.  You're going to discover the impact that anesthesia can have on cognitive health and sleep, and why surgical recovery is a major stressor to your mitochondria and metabolism. We're also going to discuss modern healing modalities like red light therapy, hyperbaric oxygen, and much more. Listen in and enjoy the show! In this episode you'll discover: What filler is made of and how it works. (3:51) The truth about how long filler actually lasts in the body. (5:24) How Botox interacts with muscles and skin. (9:12) What the phenomenon of perception drift is. (12:38) The different types of anesthesia and how they work. (21:14) How anesthesia can impact your sleep. (30:18) Different healing modalities that can be used pre- and post-operation. (32:40) What plastic surgery actually is. (40:32)  Why surgery is a test of metabolic flexibility and mitochondrial health. (50:55) Dr. Chesnut's pre-surgery routine. (57:39) How making changes to your appearance can affect communication. (1:02:10) The top things you can do to look and feel your best. (1:10:35) Items mentioned in this episode include: Piquelife.com/model - Get exclusive savings on bundles & subscriptions!  Thelumebox.com/model - Get an exclusive $260 off your red light therapy device!  Connect with Dr. Cameron Chesnut Website / Instagram Be sure you are subscribed to this podcast to automatically receive your episodes:  Apple Podcasts Spotify Soundcloud Pandora YouTube  This episode of The Model Health Show is brought to you by Pique and Lumebox. Go to Piquelife.com/model for exclusive savings on bundles & subscriptions on cutting-edge solutions for your head-to-toe health and beauty transformation. The LUMEBOX is clinically designed to deliver both red (660 nm) and near-infrared (850 nm) wavelengths in one sleek handheld device. Independently lab-tested for performance: more coverage, higher irradiance, and a greater effect. Enjoy an exclusive $260 off the premium LUMEBOX red light therapy system, designed to boost recovery, skin health, and overall vitality by using my exclusive link: thelumebox.com/model.

Regional anesthesia, typically with a spinal or epidural, haslong been favored for cesarean births due in part to concerns about the effects that general anesthesia (GA) may have on newborns at delivery. However, data has shown that up to 1 in 6 women may experience pain with a “topped-off”labor epidural, during the cesarean. A new publication in the journal Anesthesia is now being interpreted as implying that general anesthesia may be a valid alternative electively. Is that what this new study found? Has GA been linked to postpartum depression? What about later child neurodevelopmental delays? This is a fascinating topic…Listen in for details. 1.     Langer, Sarah M.D.1; Lim, Grace M.D., M.Sc.2;Qiu, Yue M.D.3; Biaesch, Jingyuan D.O.4; Neuman, Mark D. M.D., M.Sc.5. NeonatalOutcomes with Regional versus General Anesthesia for Cesarean Delivery: AMeta-analysis of Randomized Controlled Trials. Anesthesiology():10.1097/ALN.0000000000005785, November 12, 2025. | DOI:10.1097/ALN.00000000000057852.     Guglielminotti J, Monk C, Russell MT, Li G.Association of General Anesthesia for Cesarean Delivery with PostpartumDepression and Suicidality. Anesth Analg. 2025 Sep 1;141(3):618-628. doi:10.1213/ANE.0000000000007314. Epub 2024 Dec 4. PMID: 39630595; PMCID:PMC12134152.3.     Chen, YC., Liang, FW., Tan, PH. et al.Association between general anesthesia for cesarean delivery and subsequentdevelopmental disorders in children: a nationwide retrospective cohort study.BMC Med 23, 119 (2025). https://doi.org/10.1186/s12916-025-03886-64.     https://www.pennmedicine.org/news/new-study-challenges-fears-about-general-anesthesia-during-c-section

In this episode of the PFC Podcast, Dennis and Kevin discuss the complexities of using narcotics in long-term care, particularly in a military or austere environment. They delve into the importance of understanding drug metabolites, context-sensitive half-times, and the implications for patient care. The conversation covers various anesthetic agents, their effects, and the clinical considerations necessary for effective pain management and sedation during and after surgical procedures.TakeawaysMetabolites of narcotics can significantly impact patient care.Fentanyl infusions can provide prolonged analgesia but require careful monitoring.Midazolam has a longer context-sensitive half-time compared to other anesthetics.Morphine's metabolite can lead to increased potency and potential overshooting.Dilaudid is preferred over morphine for its predictability in effects.Vecuronium's metabolite can cause prolonged neuromuscular blockade, especially in renal impairment.Ketamine can have unexpected, prolonged effects postoperatively.Timing of drug administration is crucial in prolonged field care scenarios.Patients with low urine output may require adjusted medication dosages.Understanding context-sensitive half-times is essential for effective anesthesia management.Chapters00:00 Introduction to Narcotics in Long-Term Care01:43 Understanding Metabolites and Context-Sensitive Half-Time05:02 Fentanyl Infusions and Prolonged Analgesia06:54 Comparing Anesthetic Agents: Midazolam, Ketamine, and Propofol10:11 Clinical Implications of Metabolites in Anesthesia13:27 Challenges with Ketamine and Other Narcotics16:03 Timing and Context-Sensitive Half-Time in Anesthesia20:39 Managing Post-Operative Pain and Sedation23:29 Key Takeaways on Metabolites and Infusion TimingFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Greg Schooler, Chief Operating Officer, Cincinnati GI, CGI Anesthesia Associates, Anderson Endoscopy Center, LLC. He shares insights on maintaining ASC independence, leveraging AI to enhance efficiency and care quality, and the importance of strong teams in driving long-term success.

What does it take to deliver anesthesia in a hospital with no ventilator, scarce medication, and power that cuts out mid-surgery? Today we're joined by Dr. Mark Newton, pediatric anesthesiologist and longtime medical missionary, Mary Mungai, one of Kenya's first licensed nurse anesthetists and a leader in anesthesia education across East Africa; and Jackie Rowles, IFNA President and founder of Our Hearts Your Hands will take ​you ​far ​beyond ​the ​walls ​of ​the ​US ​Hospitals ​and ​surgery ​centers ​into ​low ​income ​countries ​where ​nurse ​anesthetists ​are ​delivering ​care ​under ​some ​of ​the ​most ​resource-limited ​and ​demanding ​conditions ​in ​the ​world.   Together, they share extraordinary stories of resilience, courage, and compassion — from training the first nurse anesthetists in Kenya to bringing safe anesthesia to war-torn regions like South Sudan and Somaliland. It's a look at how education, mentorship, and global partnerships are transforming access to safe surgical care — one provider, one patient, and one country at a time. Here's some of what you'll hear in this episode:

This week we're shining a light on the critical role that CRNAs play in rural healthcare, especially in honor of National Rural Health Day. Hosts Kevin and Olivia are joined by two dedicated CRNAs, Pete Hext and Hayden Hayes, who share their personal experiences and the unique challenges they face while providing anesthesia care in rural Texas. Here's some of what we discuss in this episode:

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Megan Friedman, DO, Chair and Medical Director at Pacific Coast Anesthesia. She shares insights on how technology, data-driven scheduling, and closer collaboration between anesthesia teams and ASC leadership are transforming efficiency, staffing, and patient care in today's rapidly growing ASC market.

274: Dr. Cameron Chesnut isn't your typical plastic surgeon. He focuses on a root-cause, functional approach to skin aging. From eliminating microplastics in his operating room to using better-for-you anesthetics, Dr. Chesnut prioritizes long-term health instead of short-term results. We're getting into Dr. Chesnut's hot takes, like why he'll never use filler or implants, and why he's so selective on the patients he accepts. Topics Discussed: → How does a functional approach to plastic surgery differ from the traditional one? → Why has filler become the seed oil of the plastic surgery world? → How can you prepare your body nutritionally and metabolically before surgery for better healing? → What are the benefits of fat transfers over fillers? → How has Dr. Chesnut eliminated microplastics and toxins from his operating room and procedures? Sponsored By: → Cowboy Colostrum | For a limited time, our listeners get up to 25% off their entire order, just head to https://www.cowboycolostrum.com/realfoodology and use code REALFOODOLOGY at checkout. → Vandy | Ready to give Vandy a try? Get 25% off your first order by going to https://www.vandycrisps.com/realfoodology and using code REALFOODOLOGY. → Our Place | Save up to 35% sitewide now through December 2nd at https://www.fromourplace.com! Their 100-day risk-free trial, free shipping, and free returns, you can shop with total confidence. Shop the Our Place Black Friday Sale right now, no code needed. → BIOptimizers | For 15% off go to https://www.bioptimizers.com/realfoodology and use promo code REALFOODOLOGY. During the week from Nov 23 to Dec 3, you can get 25% off plus gifts with purchase on orders above $250. → Beekeeper's Naturals | Go to https://www.beekeepersnaturals.com/REALFOODOLOGY or enter code REALFOODOLOGY to get 20% off your order. → Paleovalley | Save at 15% at https://www.paleovalley.com/realfoodology and use code REALFOODOLOGY. Timestamps:  → 00:00:00 - Introduction  → 00:04:10 - Dr. Chesnut's Background  → 00:08:40 - Botox, Elastin, & Collagen → 00:19:43 - Skin ‘Workouts'   → 00:25:45 - The Truth About Filler  → 00:35:30 - Fat Transfers   → 00:41:30 - Surgeries: Quality vs Quantity  → 00:44:58 - Celebrity Surgeries: Lindsay Lohan & Kim Kardashian → 00:47:26 - Refresh, Not Reshape → 00:53:02 - Breast Implants, Sutures, Threading  → 00:58:40 - Dr. Chesnut's Approach + Post Surgery Protocol  → 01:04:45 - Anesthesia → 01:11:58 - Eliminating Microplastics  → 01:21:09 - Dr. Chesnut's Surgery Prep  → 01:25:59 - Hyperbaric Oxygen Therapy  → 01:29:05 - Consultations with Dr. Chesnut  Show Links: → Clinic 5C   Check Out: → Dr. Cameron Chesnut  Check Out Courtney:  →  LEAVE US A VOICE MESSAGE →  Check Out My new FREE Grocery Guide! →  @realfoodology →  www.realfoodology.com →  My Immune Supplement by 2x4 →  Air Dr Air Purifier →  AquaTru Water Filter →  EWG Tap Water Database

It's World Anesthesia Day tomorrow! So, we invite you to take a deep breathe. Picture a relaxing scene. Maybe a beach in Tahiti, your toes in the sand, a cold drink in hand. Now imagine your favorite music playing in the background. If Dr. Alopi Patel were your anesthesiologist, that's exactly what she'd have you do while you waited for surgery. Before she puts patients under the sway of anesthesia, she likes to explain everything that will happen after they lose consciousness and lead them in guided imagery to help them relax before their procedure. She calls this "verbal anesthesia," and says "it's a type of anesthesia you can't really put in an I.V." Anesthesia is a cornerstone of modern medicine makes tons of surgeries possible today. But Dr. Patel says it wasn't always this way — and shares the history and mechanisms behind this once-controversial procedure. (encore)Curious about other breakthroughs in the history of science? Let us know by emailing shortwave@npr.org!Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy