Drug that causes anesthesia
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V dnešnom podcaste budeme hovoriť o nedávnom úmrti dieťaťa na záškrt a o iných "úspechoch" antivax hnutia. Potom si povieme o náleze, ktorý naznačuje, že čínski lekári mohli používať lokálne znecitlivenie už pred 700 rokmi. Zdroje Nezaočkovaný chlapec v Česku zomrel na záškrt, rodinu izolovali v nemocnici Policie řeší úmrtí neočkovaného dítěte na záškrt. Rodičům může hrozit trest Notes from the Field: Tetanus in Four Children — Idaho, Minnesota, Missouri, and Wisconsin, 2024 Ming Dynasty Surgeons Used Poison as an Anesthetic, Ancient Tools Reveal Surgical anaesthesia in Ming China: scientific analysis of aconitine residues on medical instruments Image by Irina from Pixabay
Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) represents one of the most complex and physiologically demanding procedures encountered in modern perioperative medicine. In this episode of Anesthesia Alchemy: Lynn & Garry Unplugged, Garry takes listeners on a deep dive into the anesthetic management of these challenging cases. Rather than a checklist approach, this conversation walks through how to think during a HIPEC case—understanding the phases, recognizing evolving physiology, and staying ahead of rapid changes. Here's some of what you'll hear in this episode:
Moderator: BobbieJean Sweitzer, M.D. Participants: Michael Furdyna, M.D. and Grace Lim, M.D., M.Sc. Articles Discussed: Frequency and Management of Maternal Peripartum Cardiac Arrest During Anesthetic Care: A Multicenter Retrospective Cohort Analysis Maternal Cardiac Arrest: Big Data, Rare Events, and Moving from Incidence to Insight Transcript
This week Sarah officially loses the plot after her anesthetic hasn't worn off in time for the pod. CRAZY Vegas activities and Joel almost ruins a family holiday with … bum hair? Brand new podcast episodes available every TUESDAY!If you'd like to work with us, email the studio on workwithafterhours@fellasstudios.com
We discuss this ominous complication of providing local anesthesia. Hosts: Elaine Jonas, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/LAST.mp3 Download Leave a Comment Tags: Critical Care, Toxicology Show Notes I. Pathophysiology & Mechanisms Definition: Systemic toxicity secondary to local anesthetic (LA) via accidental intravascular injection or excessive systemic absorption. Threshold: Occurs when plasma concentration exceeds the safety threshold for cardiac and neural tissue. Agent Profile: Bupivacaine (High Risk) Highly lipophilic with high protein binding. “Fast-on, Slow-off” Kinetics: Strong Na+ channel binding with extremely slow dissociation during diastole. Myocardial Depression: Direct inhibition of Ca2+ release from the sarcoplasmic reticulum, impairing contractility. Low CC:CNS Ratio: The dose required for cardiac collapse is very close to the dose that triggers seizures (narrow safety margin). Contributing Factors: Acidosis/Hypercapnia: Increases the fraction of free drug and promotes ion trapping in the brain/heart; shifts the LA-binding curve toward higher toxicity. Hypoxemia: Exacerbates myocardial depression and lowers seizure threshold. II. Risk Assessment & Prevention Patient-Specific Risk Factors Extremes of Age: Neonates (low α-1-acid glycoprotein) and elderly (reduced clearance). Body Composition: Low muscle mass/frailty (decreased volume of distribution). Organ Dysfunction: Hepatic: Reduced metabolism of amide LAs. Renal: Accumulation of metabolites; risk of metabolic acidosis lowering seizure threshold. Cardiac: Reduced cardiac output slows hepatic delivery/clearance; heart failure patients are more sensitive to Na+ channel blockade. Pregnancy: Increased sensitivity to cardiotoxicity. Procedural Risk Factors Vascularity of Site (Highest to Lowest Risk): Intercostal blocks (highest absorption rate). Caudal/Epidural. Interfascial plane blocks (e.g., TAP block). Psoas compartment/Sciatic. Brachial plexus. Technique: Large volume infiltration, lack of ultrasound, lack of incremental injection. Prevention Mandates Weight-Based Dosing: Lidocaine (Plain): Max 4.5 mg/kg. Lidocaine (with Epi): Max 7 mg/kg. Bupivacaine: Max 2.5–3 mg/kg. Incremental Injection: 3–5 mL aliquots with frequent aspiration. Intravascular Marker: Use Epinephrine (1:200,000) to detect accidental IV placement (HR increase >10 bpmor SBP increase >15 mmHg). III. Clinical Presentation Neurologic Phase (Early to Late) Subjective: Metallic taste, tinnitus, circumoral numbness/tingling. Objective: Visual disturbances, agitation, confusion, tremors. Critical: Generalized tonic-clonic seizures, rapid progression to CNS depression, coma, and apnea. Note: Early phases are often masked in patients receiving midazolam or propofol. Cardiovascular Phase Initial: Hypertension and tachycardia (if epi used) or transient stimulatory phase. Conduction Defects: PR prolongation, QRS widening (classic sign), bundle branch blocks. Dysrhythmias: Bradycardia (most common), VT/VF, PEA, asystole. Contractility: Profound, refractory hypotension and cardiogenic shock. IV. Immediate Management Algorithm Goal: Prevent hypoxia/acidosis and sequester the toxin. 1. Initial Actions Stop Injection: Immediately halt all LA administration. Call for Help: Specify “LAST Protocol” and “Intralipid Kit.” Airway Management: 100% O2. Hyperventilate slightly if needed to counter respiratory acidosis. Low threshold for intubation (hypoxia/acidosis rapidly worsen LAST). 2. Seizure Control First-line: Benzodiazepines (e.g., Midazolam). Avoid: Propofol if hemodynamically unstable (exacerbates cardiac depression). Neuromuscular Blockers: May be needed for ventilation, but remember they do not stop CNS seizure activity. 3. Lipid Emulsion Therapy 20% Indications: Start at first sign of serious toxicity (airway compromise, seizures, or CV instability). Bolus: 1.5 mL/kg IV over 1 minute. Infusion: 0.25 mL/kg/min immediately following bolus. If Instability Persists: Repeat bolus (up to 2 times). Increase infusion to 0.5 mL/kg/min. Upper Limit: ≈12 mL/kg total dose. 4. Modified ACLS Epinephrine: Use low doses (
Send us Fan MailWe connect an Easter-season question to a real anesthesia fact: propofol is formulated with egg lecithin from egg yolk, and that doesn't automatically mean people with egg allergies can't receive it. We also break down why propofol safety depends on monitoring and dosing, then pivot to a listener question on CRPS and a practical look at multimodal pain control and long-term opioid risks. 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=BRIAN25Get $750 off the latest iQ3 at ButterflyNetwork.comSupport the show
The patients who ghost you aren't going to cheaper, more convenient DSOs. They disappear because of an unaddressed threat response your practice triggered and never resolved. Disarm that first. They exhale. They accept treatment. They tell people about the place that didn't feel like dentistry. That's your real job.
If a patient could get an equally solid diagnosis and treatment plan somewhere else tomorrow at a lower price, why would they choose you anyway? That answer is your real practice. In this episode, Dr. Dave unpacks expertise decay, the exponential AI curve most dentists aren't watching, and the shift from delivering answers to creating certainty.
Friend or foe? More powerful or less? Your team is answering those two questions about every person in your building, all day, on repeat. Dr. Dave walks through the four characters that emerge from that scan, why your Cynic is costing you more than you think, and why the place to start is you.
You're not yelling. You're not micromanaging. But your best people are still leaving.Most dentists lead the way they were trained — high standards, head down, no need for a pat on the back. But your team doesn't run on internal validation. They need a signal. And when it doesn't come, they don't complain. They just leave.In this episode, Dr. Dave breaks down the leadership blind spot that pushes great people out — and the 10-second fix that changes everything.
Your best clinical work isn't random — it's the product of specific conditions most practices are accidentally designed to prevent. In this episode Dr. Dave breaks down why control and flow can't coexist, and what your practice is really engineered to produce. If everything runs through you, this is the episode that explains the cost.
A dentist who wasn't in the room just overruled your clinical judgment — and your patient is starting to wonder if you're honest. Dr. Dave delivers a raw, unfiltered breakdown of what dental insurance is actually costing you. Not just in fees. In trust. Sonnet 4.6
Your pathology-scanning brain is the best tool in your practice. It's also keeping you up at night. Here's a 3-question protocol to fix that.
Metrics measure everything except what matters most.Dr. Dave discusses why mission comes first — and what's at stake when it doesn't.
Logic got you here. It won't keep you here.AI just made intelligence available to everyone — which means it's no longer your edge. The practices that win from here will need less spreadsheet and more imagination.
if you have any feedback, please send us a text! Thank you!Welcome to another episode of Vital Times.In January 2026 the American Society of Anesthesiologists (ASA) and the Society for Pediatric Anesthesia (SPA) issued an updated joint communication regarding severe neurologic complications, including stroke and death, in healthy young adult (oldest reported so far is 36) and pediatric patients of Venezuelan ancestry following routine general anesthesia. There have been about 36 known or suspected cases worldwide although that number seems to be regularly increasing. The majority of cases have occurred in South American countries, with six reported in in the United States and eight in Europe. Genetic testing on a subset of the patients found a genetic mutation in mitochondrial DNA, known as the ND4 mutation. (for an interview with the physician and mother listen here https://www.instagram.com/reel/DUb4tYGjfdM/?utm_source=ig_web_copy_link .In July 2025, anecdotal communications from South American anesthesiology societies described cases of patients having severe complications from general anesthesia. Despite incomplete and emerging clinical and scientific information, ASA and SPA felt the severity of the cases warrant an expert opinion communication to inform anesthesiologists and their patients.Detailed family histories of patients who were recently affected revealed that all were of Venezuelan heritage and several had family members who also had adverse outcomes after an otherwise uneventful anesthetic. Four anesthesiologists at the leading edge of this newly discovered condition joined the show today to explain how it was discovered, what is known and what we can do about it. Dr. Jim Fehr is the past President of the Society for Pediatric Anesthesia, and the Division chief of Pediatric Anesthesia at Stanford Lucile Packard Children's Hospital. He is one of the coauthors of the joint statement, a member of the Society for PEdiatri Anesthesia's Wake Up Safe initiative and very involved with Patient Safety. Dr. Veronica Zoghbi is a Venezuelan pediatric anesthesiologist and Director of Pediatric Regional Anesthesia at the University of Miami in Miami, Florida. South Florida and Miami have one of the highest concentrations of people from Venezuela in the USA. She and our other 2 guests are members of VAPOR (Venezuelan Anesthesiologist Perioperative Risk Reduction) Dr. Claudia Bruguera Torres is a pediatric anesthesiologist from Venezuela and Assistant Professor at Cincinnati Children's Hospital. Dr. Luis Rodriguez is a Venezuelan Pediatric Anesthesiologist from Miami FL, and currently serves as the Vice President for the Florida Society of AnesthesiologistsFinally, if complications occur in patients with the ND4 mutation, anesthesiologists should report the case to their institutions' patient safety organization and the Anesthesia Incident Reporting System of the Anesthesia Quality Institute.
Peter Hedlin (PhD, MD) recalls being a 'young, naïve medical student' when he asked a mentor a question that's stuck with him for years. "I remember asking how anaesthetics work on the brain," said Hedlin. "And he said, 'we actually don't really know'. And I thought that was crazy." Today, Hedlin is an anesthesiologist and clinician scientist at the University of Saskatchewan's College of Medicine. He examines what surgery and sedation do to the human body — in particular, to aging brains. Trained first as a microbiologist who earned his PhD as a vaccine researcher at VIDO (Vaccine and Infections Disease Organization), Hedlin was always drawn to medicine. He gravitated toward helping patients one-on-one, and loved the immediate feedback of operating‑room decisions. "I love to see immediate consequences of actions and anesthesia's perfect for that," he said. "Some people hate being in hospitals, but I love it." In this episode, Hedlin unpacks post‑operative delirium: the "loopiness" many people feel a day or two after surgery. Most of the grogginess eventually wears off, but for those over age 60, it can persist. In older adults, cognitive dysfunction may appear as visible agitation, as patients hallucinate or pull out intravenous lines following surgery. Conversely, it can be easier to miss when patients enter a quieter, hypoactive state, withdrawing and not talking as much. That 'acute brain failure' can last weeks, months, even years. It's linked to longer hospital stays, higher short‑term mortality and a greater chance of ending up in long‑term care. "We don't have a great understanding why that happens," said Hedlin. "I'd love to make care for our elderly patients better, and we know cognitive dysfunction in the surgical period is common." Hedlin says that work begins before long the patient's surgery date. Along with nursing managers, psychiatric and geriatric specialists, he's piloting a screening tool to assess older patients for frailty and cognitive risk. He asks patients to bring along a friend or a family member, who knows their baseline, to assist with daily delirium checks before and after the operation. "When we can identify these patients several weeks before their surgery, then it gives potentially an opportunity to intervene and optimise that patient prior to their their surgical event," he said. Hedlin is also participating in larger, randomized studies, and is watching developments in other parts of the country with interest. But Hedlin also points to simple fixes hospital staff can make, such as returning patients' hearing aids and glasses, and ensuring older patients get a good night's sleep after surgery. "Just returning people to as normal a situation as possible is really quite helpful for reorienting them in that post-operative period," he said.
Hospitals are phasing out the use of a popular anesthetic used in operating rooms, all in an effort to combat global warming. This is the daily Tech and Business Report. Today, KCBS Radio anchor Holly Quon spoke with Bloomberg's Emma Court.
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:Cirrhosis pathophysiology and portal hypertension.Compensated vs decompensated cirrhosis risk.Systemic effects: ascites, encephalopathy, coagulopathy, cardiomyopathy.Altered anesthetic drug metabolism and sensitivity.Anesthetic goals: preserve liver perfusion, avoid hypotension/bleeding.
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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:Application of IV anesthetic pharmacology to real clinical case scenarios rather than just PK/PD theory How to choose between propofol, ketamine, etomidate, and dexmedetomidine based on patient and surgical factors Decision frameworks for managing high-risk situations like trauma, sepsis, cardiac disease, and difficult airways Common pitfalls with induction agents and how to prevent hypotension, apnea, and airway obstruction How anesthesia choices change across environments like OB, ICU, MRI, GI suite, and neurosurgery
Vaping has exploded in popularity among teens, young adults, and even surgical patients who don't think of themselves as “smokers.” But for anesthesia providers, vaping is not harmless. It brings new airway, cardiovascular, and pharmacologic challenges to the OR. This week we're joined by Beth Wilkes, DNAP, CRNA, CHSE, FAANA to break down what CRNAs must understand about vaping: how these devices work, what chemicals they contain, why adolescents are drawn to them, and the rapidly emerging evidence on how it's impacting anesthesia. Here's some of what you'll hear in this episode:
it's a death-focused episode as we tackle first wild strawberries then jinako's chapter of ccc.next time, we'll be covering the interlude and chapter 5 of ccc. for yuri teatime we're covering killer of sheep (1978).featuring co-hosts Benn Ends (@bennends.itch.io) and fen (@fenic.moe).support the show and get access to bonus episodes: https://www.patreon.com/cryingruleslink to the fate/moon archive new and improved schedule: http://moonarchive.art/schedulesection timestamps:intro - 0:00yuri teatime - 2:38wild strawberries - 8:02fate/extra ccc - 40:42floor 10 - 49:15floor 11 - 1:37:54floor 12 - 2:27:29jinako/karna boss fight - 3:26:56outro - 4:44:16list of non type-moon works referencedwild strawberriesthis episode carries content warnings for discussions of death, fatphobia, dying.email us at cryingrulesactually@gmail.com with questions, comments, and compliments.cover art by Benn Ends, intro music by Benn Ends, remaining music from works covered.
In this episode of the Trauma and Burn Anesthesia Series, we take a deep dive into one of the most critical moments in trauma care: the induction and maintenance of anesthesia in hemodynamically unstable patients. We break down the principles behind choosing the right agents, why dose reductions and careful titration are essential, and how rapid sequence induction sets the standard in trauma. You'll hear about the role of etomidate and ketamine, why propofol is dangerous in unstable patients, and when vasopressors may actually be appropriate to support induction. We also cover strategies for managing volatile anesthetics, why nitrous oxide should be avoided, and how to prevent intraoperative recall in patients at extremely high risk. From heating strategies to avoid coagulopathy, to lung-protective ventilation in the face of pulmonary injury, and even emergency interventions like thoracotomy and REBOA, this episode takes you through the challenges and nuanced decision-making of trauma anesthesia. If you've ever wondered how to balance unconsciousness, perfusion, and safety in critically injured patients, this is the episode for you.Want to learn more? Create a FREE account at www.atomicanesthesia.com⚛️ CONNECT:
If you're gearing up for a perioperative clinical, prepping for an exam, or transitioning into surgical or PACU nursing, this episode is for you. Today, we're diving into the anesthetic gases. Hit play on this episode and you'll learn: High-level overview of how inhaled anesthetics work in the body The difference between volatile and non-volatile gases Common agents such as isoflurane, sevoflurane, and nitrous oxide Key complications to watch for What to look out for in the post-anesthesia period (hello, hypotension
Stav, Abby & Matt Catch Up - hit105 Brisbane - Stav Davidson, Abby Coleman & Matty Acton
What happened when you woke up from Anesthetic?
Welcome to our miniseries on common claims within veterinary medicine. This week we are joined again by Dr. Kara Escutia but this time we are discussing common feline claims. Dr. Escutia is an AVMA Trust veterinarian and helps review veterinary claims every day. She shares the top three feline claims they see and different ways to navigate these situations. These include anesthetic complications, human injuries and communication errors. It is a great conversation with a lot of helpful tips and insights.Thank you to our podcast partner, NVA General Practice, a community of 1,000 neighborhood veterinary clinics across the U.S. and Canada. Learn how NVA invests in your career journey at https://GP.NVA.com Remember we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.orgFollow us on social media @AVMAVets #MyVetLife #MVLPodcast
Send us a textKetamine has been in the news a lot lately and there are a lot of misconceptions about how this medicine is used for the treatment of mental health conditions. Is it safe and effective? Is it addictive? Is it a psychedelic? What's the difference between ketamine and the FDA approved depression medicine, Spravato? In today's episode of the Psychedelic Therapy Frontiers podcast, we discuss the history and clinical applications of these two medicines as we attempt to answer these important questions.For those of you who are new to the show, welcome! Psychedelic Therapy Frontiers is brought to you by Numinus Network and is hosted by Dr. Steve Thayer and Dr. Reid Robison.Learn more about our podcast at https://numinusnetwork.com/learn/podcast/Learn more about psychedelic therapy training opportunities at https://numinusnetwork.com/training/Learn more about our clinical trials at https://www.numinusnetwork.com/researchLearn more about Numinus at https://numinusnetwork.com/Email us at ptfpodcast@numinus.com Follow us on Instagram: https://www.instagram.com/drstevethayer/https://www.instagram.com/innerspacedoctor/https://www.instagram.com/numinushealth/
In this episode, Dr. Yavor Metodiev delves into the anesthetic considerations that should be taken when caring for a patient with oncological disease during pregnancy. Dr. Metodiev and colleagues concisely summarize the complexities of treating patients with oncological disease, emphasizing the crucial balance between maternal and fetal safety. With the increasing incidence of oncological disease … Read More Read More
Anesthesia is a vital part of veterinary care—it's what makes lifesaving and life-improving procedures possible for our patients. But for many pet owners, the thought of anesthesia can be downright nerve-wracking. From easing general worries and tackling tough cost conversations to navigating the emotional challenges of unexpected complications, one thing is clear: compassionate, honest communication makes all the difference. In this episode of the North American Veterinary Anesthesia Society (NAVAS) Podcast, host Dr. Bonnie Gatson is joined by returning guest and communication pro Dr. Erik Hofmeister to explore the do's, don'ts, and definitely-don't-say-thats of discussing anesthetic risk with clients. From setting expectations to managing risk-averse pet parents, and navigating the emotional terrain of adverse events, we're covering it all—with plenty of practical tips along the way. Whether you feel like a seasoned orator or you're just trying to survive conversations without sweating through your scrubs, this episode is sure to provide helpful pointers for communicating effectively about anesthesia to your clients with confidence, clarity, and compassion.If you like what you hear, we have a couple of favors to ask of you:Become a member of NAVAS for access to more anesthesia and analgesia educational and RACE-approved CE content. The NAVAS Virtual Spring Symposium will be held on May 3-4, 2025. Registration for the event is open now. Spread the word. Share our podcast on your socials or a discussion forum. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.
This podcast was created using NotebookLM. This podcast explores the claim that repeated short-acting nerve blocks can reset central sensitization in chronic pain. Dr. Glenn Clark argues that this idea is unlikely due to the complex neurobiological changes involved in established chronic pain. Research suggests that while nerve blocks can prevent sensitization, they are less effective at reversing it because central sensitization involves receptor modifications, genetic changes, structural remodeling, and glial activation, which are not easily reversed by temporary input blockage.
Mark Morton Talks Chester Bennington, Solo Album Without The Pain & Lamb Of God's Future On The Loaded Radio Podcast TL;DR: Lamb Of God guitarist Mark Morton joins the Loaded Radio Podcast to talk about his soulful new solo album Without The Pain, collaborating with late Linkin Park frontman Chester Bennington, the creative process in Lamb Of God, and his honest thoughts on both current and former bandmates. Mark Morton Unleashes His Blues-Driven Side With Without The Pain Mark Morton isn't just the riff-slinging guitar beast from Lamb Of God. On this week's episode of the Loaded Radio Podcast, the guitarist pulls back the curtain on his newest solo release Without The Pain, a record steeped in blues, southern rock, and emotional depth. Released via Rise Records, Without The Pain features a diverse lineup of guests, including Cody Jinks, Neil Fallon (Clutch), Grace Bowers, Jason Isbell, Charlie Starr (Blackberry Smoke), and Jaren Johnston (The Cadillac Three). It's a sharp turn from the punishing rhythms of Lamb Of God, yet unmistakably Mark Morton. During the podcast, Morton explains how the album was years in the making, allowing him to fully explore the stylistic roots that shaped his musical identity long before he ever set foot on a metal stage. Collaborating With Chester Bennington: The Story Behind “Cross Off” One of the most emotionally resonant points of the podcast is Morton's reflection on working with late Linkin Park singer Chester Bennington. The two teamed up on “Cross Off,” a standout track from Morton's 2019 debut solo album Anesthetic. Morton opens up about the power of that collaboration — how Bennington brought a raw intensity to the track, and how the session still resonates with him today. Lamb Of God, Sobriety, And Looking Forward Of course, no conversation with Mark Morton is complete without diving into Lamb Of God. In this episode, he shares honest reflections on the band's internal dynamics — both past and present. Morton touches on his long journey with sobriety, how it's impacted his creative process, and how the band's chemistry continues to evolve after more than two decades of making heavy music together. Morton also hints at what's ahead for Lamb Of God, suggesting that while his solo work is a vital creative outlet, there's plenty of fuel left in the fire when it comes to the band's future output. Listen To The Full Interview Want to hear Mark Morton discuss songwriting secrets, guest collaborations, Lamb Of God's legacy, and his love of southern blues? Hit play on the podcast episode below and get the full story straight from the man himself. FAQ Q: What is Without The Pain by Mark Morton? A: It's Mark Morton's second solo album, exploring blues and southern rock influences with a range of guest musicians. Q: Who features on Without The Pain? A: The album includes appearances by Cody Jinks, Neil Fallon, Grace Bowers, Jason Isbell, Jaren Johnston, and more. Q: Did Mark Morton work with Chester Bennington? A: Yes, on the track “Cross Off” from his first solo album Anesthetic in 2019. Q: Is Mark Morton still in Lamb Of God? A: Absolutely. Morton continues to be a key creative force in Lamb Of God while exploring other musical avenues through solo work. Q: What did he say about Chris Adler? A: Morton remains reluctant to discuss the former Lamb Of God drummer and the reasons behind his departure. Mark Morton Bio Mark Morton is the longtime lead guitarist for the Grammy-nominated groove metal band Lamb Of God. Known for his tight, aggressive riffing and technical solos, Morton has been a core part of the band since its early days as Burn the Priest. Outside of Lamb Of God, Mark has carved out a distinct solo identity that explores blues, southern rock, and deeply personal themes. His 2019 debut solo album Anesthetic featured collaborations with artists like Chester Bennington and Jacoby Shaddix, while his 2025 release Without The Pain leans further into heartfelt, roots-driven territory. Morton is also open about his sobriety and personal growth, often using music as a vehicle for emotional expression. He remains one of heavy metal's most versatile and thoughtful guitarists.
This AI-generated episode of RAPM Focus discusses the May 2024 publication of “Single-bolus Injection of Local Anesthetic, With or Without Continuous Infusion, for Interscalene Brachial Plexus Block in the Setting of Multimodal Analgesia: A Randomized Controlled Unblinded Trial” by Dr. Patrick Rhyner et al.” For anyone facing shoulder surgery, pain management after the procedure is crucial. In this paper, Rhyner et al. question whether or not a continuous infusion of pain medication through a catheter is better than giving a patient a single injection after having shoulder surgery. The paper discusses a multimodal approach of pain management—dethamexazone, magnesium, acetaminophen, and ketorolac. In this study, patients undergoing two common shoulder surgeries—shoulder arthroplasty or arthroscopic rotator cuff repair—were divided into two groups, in which one group received a continuous infusion of medication via catheters, or a single dose of pain relief. Results were measured by how much morphine patients needed through a patient-controlled analgesia pump during the first 24 hours after surgery. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @ Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.
Susy and Barbara discuss ways to set up your day when you work alone, and Barbara shares her experiences with doing dentals. There is a little Brush talk in the beginning of the show, too.
The OMS Foundation Daniel M. Laskin Award recognizes authors of the most outstanding article published in the Journal of Oral and Maxillofacial Surgery during the previous year. The Journal Editorial Board selected “Is Recreational Marijuana Use Associated With Changes in the Vital Signs or Anesthetic Requirements During Intravenous Sedation?” Disclaimer
Wes & Erin continue their discussion the 1970 classic “M.A.S.H,” and whether irony ought always to be our anesthetic, when confronted with traumas that are otherwise unspeakable.
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It begins with the “stupidest song ever written,” as Robert Altman called it, and ends with a self-referential jab at the very idea of finding comic relief in the tragedy of war. But it is equally unserious, the film “M.A.S.H” seem to suggest, to take seriously the authority of war-making institutions, and their pretense to putting violence in service of an ideal. And so morality succumbs to mockery, love to hedonism, and military rank to the form of authority immanent in the power to save lives. Yet suicide is not in fact painless, if it means robbing others of our presence, or ridding ourselves of the capacities for grief and earnestness. Wes & Erin discuss the 1970 classic “M.A.S.H,” and whether irony ought always to be our anesthetic, when confronted with traumas that are otherwise unspeakable.
Dr. Beckman's International Veterinary Dentistry Institute offers courses in all areas of vet dentistry. Online & Live Courses for Vets and Techs https://veterinarydentistry.net/ To request an invitation to the VDP Program: https://ivdi.org/ In this episode of The Vet Dental Show, Dr. Brett Beckman, a board-certified veterinary dentist, and Annie Mills, LVT, Dental Technician Specialist (VTS), share tips on preventing hypothermia in patients, managing anesthesia during full mouth extractions, and the role of veterinary technicians in dental charting. This episode also discusses post-op care, the importance of nerve blocks, and using sedation for anxious pets. Podcast Details Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM
New drones inspired by birds that jump for take-off. It's Weird Wednesday and Reggie has orcas that are wearing salmon for hats, the Merriam-Webster's word of the year, and the winner of the Spanish Scrabble Championship who doesn't speak Spanish. Plus, on This Day in History, Dr. Horace Wells and the first use of anesthetic in dentistry. Bird-inspired drone can jump for take-off | ScienceDaily For Orcas, Dead Salmon Hats Are Back in Fashion | Scientific American No, Orcas Probably Aren't Reviving the 'Dead Salmon Hat' Trend, Despite a Viral Photo, Experts Say. Here's Why | Smithsonian There's something fishy about a recent sighting of an orca in a salmon ‘hat' | CNN ‘Polarization' is Merriam-Webster's 2024 word of the year | AP News He won the Spanish Scrabble championships, yet he doesn't speak Spanish | CNN Horace Wells | Biography, Anesthesia, & Facts | Britannica Sponsored by Factor - use promo code coolstuff50 to get 50% off your first box plus free shipping Factormeals.com/50coolstuff Contact the show - coolstuffcommute@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices
From episode #407 - This is a rather unfortunate (and funny as all hell) story about the side effects of a general anesthetic. Give us a follow if you haven't already ~ Jay and Dunc. Want to get in touch? Hit us up, here: https://linktr.ee/notforradio
In the ever-evolving field of anesthesia, new research constantly reshapes how we approach patient care. In this episode, we explore the compelling findings of a recent systematic review and meta-analysis on the impact of propofol-based total intravenous anesthesia (TIVA) on cancer outcomes. Here's some of what we discuss in this episode: We'll provide an overview of the study and some of the key findings. The biological underpinnings of propofol's benefits. The preservation of immune function could be a key factor in why propofol is associated with better survival outcomes. Dissecting the findings on recurrence-free survival. A deep dive into propofol's role in lung cancer. Clinical implications and practical considerations. The future of anesthesia and cancer research. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: 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 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken
This is the third and final episode of the series focused on basic anesthetic drugs. In this episode, we will explore vasopressors and inotropes. After listening to this episode, you will be able to: 1. Outline the role of vasopressors 2. List the 5 main vasopressors used in the OR and their indications 3. Describe the mechanism of action for Phenylephrine, Ephedrine, Norepinephrine, Epinephrine, and Vasopressin
PDF Notes for Surgery 101 episode on Basic Anesthetic Drugs: Vasopressors and Inotropes
PDF Notes for Surgery 101 episode on Basic Anesthetic Drugs: Maintenance & Emergence
In this episode, Swetha Prakash will be looking at the vital aspect of maintaining anesthesia, particularly through inhaled agents, as well as emergence from anesthesia. After listening to this episode, you will be able to: 1. Define the goals of the maintenance phase of anesthesia. 2. Define Minimum Alveolar Concentration (MAC) and its use in providing an adequate level of anesthesia. 3. Describe the advantages and disadvantages of volatile anesthetics. 4. Name 5 inhalation anesthetics that can be used and provide a brief description of when each one can be used. 5. Describe the key steps of emergence from anesthesia.
PDF Notes for Surgery 101 episode Basic Anesthetic Drugs: Introduction & Induction
Swetha Prakash is a medical student at the University of Alberta. In this three part series, Swetha will discuss the essential components of general anesthesia and discuss the key medications associated with each one. The goal is to enhance your understanding of the basic drugs administered to surgical patients within the framework of a general anesthetic. After listening to this episode, listeners will be able to: 1. Describe the 4 components of a general anesthetic 2. List the 3 phases of anesthesia 3. List four medications commonly used as amnestic/hypnotic agents in induction 4. Describe how each induction plan is tailored to the specific patient
Dr. Amy Thomson joins us to explore non-anesthetic dentistry and client communication, tackling common fears about anesthesia and the importance of clear language in veterinary care. Learn from her expertise as she and Dr. Andy Roark discuss how to effectively manage cases like Nico, a Chihuahua with good teeth but bad breath on this week's episode of the Cone of Shame Veterinary Podcast. Don't miss these crucial insights that could transform your approach and elevate your practice. Let's get started, gang! LINKS American Veterinary Dental College: https://avdc.org/ Veterinary Dental Forum: https://www.veterinarydentalforum.org/ Amy Thomson IG: https://www.instagram.com/toothy.thomson/ Referenced Obi Vet Course: https://obivet.com/product-category/certificates/ VetHive:https://www.vethive.com Amy Thomson website: https://toothythomson.ca ABOUT OUR GUEST Dr. Amy Thomson, often known as "Toothy," is passionate about teeth! However, it was not always this way—she started her career in small animal practice with very minimal dentistry knowledge. She was fortunate to have a great mentor in her first job, where she learned a lot and her desire to learn more grew. Once she attended her first Veterinary Dental Forum in 2013, she KNEW dentistry was her passion—and became affectionately known as “Toothy Thomson.” With time and support from her family, friends, colleagues, and a big ‘shove' from her mentor, she applied for a dentistry and oral surgery residency and was overjoyed when she matched at the University of Wisconsin-Madison. During her residency, her passion grew not only for dentistry but also for teaching. And because life is always full of surprises, Dr. Thomson found herself at a crossroads in 2020 in the early stages of the pandemic—so she started her own mobile dentistry practice! In addition to working alongside small animal general practice teams, she also became very active online, sharing her knowledge. It has always been important for her to share as much as she can, given it took hundreds of hours and thousands of dollars to obtain the knowledge she did while in general practice. Knowledge she wants to see all veterinary teams have!
Ketamine prescriptions for chronic pain and mental health are increasing, but what is known about the safety and effectiveness for off-label use? And how are doctors prescribing a drug approved as an anesthetic in clinical settings for outpatient use? Dr. Caleb Alexander returns to the podcast to talk with Lindsay Smith Rogers all about ketamine.