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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]
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]
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]
CRNAs are in demand. Salaries are strong. Jobs are plentiful. So why is Dr. Randy Moore sounding the alarm? In this episode, Randy joins Sharon and guest host Kevin Chem, DNP, CRNA to unpack his viral Substack article, “No One Is Coming to Save Us.” The core message is uncomfortable but clear: while anesthesia organizations remain divided over turf and titles, payers are quietly reshaping reimbursement policy in ways that could have long-term consequences for both CRNAs and anesthesiologists. Here's some of what you'll hear in this episode:
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]
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]
Advocacy can feel intimidating, especially as a student. But what if your future scope of practice, reimbursement, autonomy, and even student loan access are being shaped right now? Mackenzie and Levi recently attended Lobby Day in Florida and Nicolas went to Capitol Day in Arizona. Kelsey asks them about their experiences and advice for other SRNAs. You'll learn more about what advocacy events actually look like, how they prepared, what surprised them most, and the powerful realization that legislators often know very little about what CRNAs truly do. Showing up to advocate isn't just crucial for policy, it's also important for every SRNA's professional journey. Here's some of what we discuss in this episode:
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]
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]In this episode:One-week launch countdown plus a behind-the-scenes tour of the new Atomic Anesthesia platform.Overview of current features: 150+ lessons, quiz builder with 2,000+ questions, and gamified learning with avatars, gems, and leaderboards.Breakdown of seven core pharmacology concepts to make drug questions predictable instead of pure memorization.Clinical-style thinking tips: using receptor logic, dose–response, onset, redistribution, protein binding, and context-sensitive half-time to anticipate drug behavior.
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]In this episode:Focus on studying smarter, not longer, for better results in anesthesia school.Learn eight proven study techniques that actually improve retention.Apply each strategy with real-life examples tailored to SRNAs.Organize and condense notes for more efficient learning.
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]In this episode:The 9 core physiology principles that explain most intraoperative instabilityWhy oxygen delivery matters more than a normal pulse ox readingV/Q mismatch, shunt vs. dead space, and managing real OR hypoxiaPreload, afterload, contractility, and what MAP actually meansAcid–base balance, CO₂ management, drug redistribution, and autonomic shifts in anesthesia
In this special episode, the conversation goes beyond anesthesia, leadership, and practice models and into something just as essential: friendship, health, and wellness. In a profession that is demanding, high‑stakes, and often isolating, the relationships CRNAs build with one another can be a powerful source of strength. Sharon is joined by longtime friends Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Carole Doyscher, CRNA, BSN, MS, APRN—four CRNAs whose bond, known affectionately as the Fab Four, was forged through shared experiences, mutual respect, and plenty of laughter along the way. Together, they reflect on how authentic connection within the CRNA community supports resilience, personal well‑being, and professional longevity. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:How the clinical judgment model (CJM) helps SRNAs move beyond checklists to real‑time decision making in the OR.Four core phases of expert thinking: noticing, interpreting, responding, and reflecting.Practical OR examples to sharpen trend recognition, differentials, and prioritized responses.Quick update: Feb 23 launch of our 150‑lesson anesthesia platform with quiz builder, community, and live webinars.
Incivility doesn't always announce itself loudly—it often creeps in quietly, becoming normalized in high-stress clinical environments. In this episode, Lynn and Garry are joined by leadership veteran Meri Gilman-Mays, CRNA, DNP to continue a candid conversation on addressing incivility in nurse anesthesia. Part two of this conversation shifts from recognizing incivility to actively addressing it through leadership. We'll challenge the notion that leadership requires a title, highlighting how CRNAs lead daily at the bedside, in the operating room, and through committee work. Listeners are invited to consider the impact of silence versus intervention and how modeling professionalism under pressure influences team culture. After listening to this episode, participants will be able to: Identify leadership behaviors that CRNAs can demonstrate regardless of formal title or position. Apply real-time de-escalation strategies to address incivility while maintaining professionalism and authority. Utilize a structured framework for conducting difficult follow-up conversations and ensuring accountability. Describe strategies for fostering a culture of respect and psychological safety within anesthesia and perioperative teams. 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
Artificial Intelligence has become much more than a buzzword. It's transforming industries as it rapidly evolves, and the big question for CRNAs is what does this mean for anesthesia providers? Sharon and guest co-host Larry Sears, CRNA sit down with CRNA educator and technology thought leader Richard Wilson, DNPA, CRNA, FAANA to explore how AI is quietly reshaping perioperative care, education, and decision-making in the operating room. Here's some of what you'll hear in this episode:
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.
Workplace culture in anesthesia doesn't just live in policies or mission statements, it shows up in hallways, handoffs, and yes, even the lounge. In Part I of this conversation, Lynn and Garry welcome guest Meri Gilman-Mays, CRNA, DNP, for an honest, thoughtful conversation about incivility in the perioperative environment and how it quietly shapes the daily experiences of nurse anesthetists. Part I focuses on awareness as the first step toward change. By helping CRNAs recognize incivility in its many forms and understand its ripple effects on wellness, teamwork, and patient care, this conversation invites reflection rather than blame. It's an educational yet relatable dialogue designed to validate lived experiences and encourage healthier, more respectful professional environments one interaction at a time. Here's some of what we'll discuss: ⚠️ What incivility actually looks like in anesthesia practice
Thinking about locums but unsure where to start? Tanner sits down with Gavin and Chase, CRNAs and co-founders of Krewe Anesthesia, to break down what locums really looks like—myths, red flags, lifestyle flexibility, credentialing, and how to find assignments that actually fit your goals. Whether you're a new grad, a seasoned CRNA, or just locums-curious, this episode gives you a grounded look at what it takes to make the jump with confidence.Visit kreweanesthesia.com to learn more and follow them at @krewe_anesthesia!Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
Dr. Lisa Mathew interviews Dr. Steven Klein of Wilmington Gastroenterology about how UnitedHealthcare's recent 15% reimbursement reduction for anesthesia services provided by certified registered nurse anesthetists (CRNAs) could affect the way independent gastroenterology practices structure anesthesia services and maintain patient access to procedures such as colonoscopy. Dr. Klein explains how independent GI practices rely on CRNAs to provide anesthesia and how those services are structured within his practice, offering a practical view of how insurer policy decisions can reshape care delivery in outpatient endoscopy settings. Join Dr. Mathew and Dr. Klein as they examine how this policy compounds existing pressures such as prior authorization requirements and site-of-service restrictions, the downstream effects on colorectal cancer screening and other procedures, and what insurers and policymakers need to understand about the real-world impact of these decisions on patient access. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, episode 88, presented by TissueCypher from Castle Biosciences
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 myocardial ischemia is the main cause of perioperative collapse in severe aortic stenosisCore anesthetic goals: maintain preload, afterload, sinus rhythm, and controlled HRHow to choose anesthesia type and airway strategy in urgent noncardiac surgery with ASPractical induction tactics to avoid hypotension and sympathetic surgesIntraop and postop management strategies to preserve coronary perfusion and oxygen deliveryTo contact Alex Gorman, CRNA, you can email him at: gorman82@hotmail.com
More CRNAs are stepping beyond the operating room and building something entirely new, and this episode dives into what that transition truly looks like. Today, we're sitting down with Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Ollivate app, a gamified learning platform designed to help CRNAs earn CEs and residents prepare for boards in a calmer, more effective way. Want to know what it's like to transition to entrepreneurship, the challenges of non-clinical business, and what it takes to succeed? Join us for this candid conversation with a fellow CRNA who's taken the bold leap. Here's some of what you'll hear in this episode:
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
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:What current research shows about long-term cognitive effects of general anesthesia, including key findings from the MAAS studyHow perioperative neurocognitive disorders present, who is at risk, and how common they areThe pathophysiology behind postoperative cognitive decline, focusing on neuroinflammation and anesthetic-related brain stressPractical, evidence-based strategies to protect brain health before, during, and after surgeryWhy brain health must be a shared, institution-wide priority across perioperative care teams
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:Hemodynamic goals and risks during induction in severe aortic stenosisLimitations and hypotensive effects of propofol in aortic stenosis patientsPharmacology and potential advantages of cipepofol (ciprofol) as a propofol derivativeKey findings of the JAMA Surgery randomized trial comparing cipepofol vs propofol in severe ASPractical induction strategies and future implications for managing severe AS patients under anesthesiaARTICLE: Hemodynamic Impact of Cipepofol vs Propofol During Anesthesia Induction in Patients With Severe Aortic Stenosis
Season two of Grade 1 View begins with a transition featuring new voices, new perspectives, and the same commitment to honesty, community, and growth. As we hand off the torch to a new group of future CRNAs, founding host Olivia Conn, RN, DNP introduces the new host team: Nicolas Alexander, BSN, SCRN, CCRN; Levi Davis, BSN, RN, CCRN; Mackenzie Lane, BSN, RN, CCRN; and Kelsey Muir, BSN, RN, CCCRN. Through candid introductions and rapid-fire questions, you get to know the people behind the microphones, not just where they are in CRNA school, but the winding paths that brought them here. From non-linear career journeys and long-distance relationships to favorite comfort shows, coffee orders, and unexpected habits picked up during anesthesia training, we'll keep things light as we kick off the new year. Here's some of what we discuss in this episode:
Dr. Lisa Mathew interviews Dru Riddle, Professor of Professional Practice and Director of Clinical Education in the School of Nurse Anesthesia at Texas Christian University and a past president of the American Association of Nurse Anesthesiology, about the role certified registered nurse anesthetists (CRNAs) play in providing anesthesia for GI care. CRNAs are essential to maintaining access to GI procedures that require anesthesia, particularly in outpatient endoscopy centers where many GI practices rely on CRNAs as their primary anesthesia workforce. UnitedHealthcare recently implemented a 15 percent reduction in reimbursement for anesthesia services provided by CRNAs, which could make it harder for outpatient endoscopy centers to maintain anesthesia coverage, push more care into hospital settings, and limit timely access to GI procedures. Join Dr. Mathew and Dr. Riddle as they discuss the importance of CRNA-delivered anesthesia, the potential impact of insurer policy changes on patient access to GI care, and practical considerations for independent GI practices that are navigating these issues. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, Episode 87, presented by TissueCypher from Castle Biosciences
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 mattersHow to perform a systematic pre-use machine checkoutUnderstanding and testing safety features and failure modesChecking ventilation, leak integrity, and waste gas handlingUsing structured tools to build a fast, reliable habit
Top 5 Topics:- 2 Years Of High Unmatched 6-Year OMFS Program Numbers, & the Future of Oral Surgery Training- Periodontists vs Oral Surgeons: The Silent Battle for Implants, Sedation & Dental School Influence- Is Office Anesthesia in Danger? The Fight to Save OMFS Sedation from CRNAs, Hospital Politics, And Misleading Data- The Economics of Becoming an Oral Surgeon: $750,000 Debt, Low Reimbursement & the New Reality- How Oral Surgery Can Survive: Marketing, Value, Full-Arch Implants, and Reclaiming the Specialty In The Dental SchoolQuotes & Wisdom:04:07 – “Oral surgery is the great bridge between dentistry and medicine.”05:37–06:56 – “You have to know when to step back… I think 25 years is a good run. I'll always be motivated to teach and motivated to share knowledge. That's been my passion from the beginning.”09:49–10:31 – “Along the way I grabbed my MBA as well… taking night school for three years every Monday night for four hours… Now, having the MBA has allowed me to kind of see the errors that I made early on in my own practice.”14:55–15:26 – “Our students are the consumer of the programs… If you look at the dynamics and the history of the specialty and what the specialty wanted to do 30 years ago, it may not be what the product of the specialty wants to do now.”18:56–19:44 – “You have to market. You've got to market to the consumer what the value is. And if that perceived value makes sense to the person, then you've got a win-win.”29:21–30:40 – “You think back to your own personal experience with the specialty… There is that one experience that really hits you in the heart, and you hold onto that experience and that's why you chose this field… You have to derive the value of the specialty for you, and it's going to be different for every individual.”38:17–39:06 – “I love this specialty. You want it to flourish. I want it to be there many years beyond my own existence, and that we're at the cutting edge… We want to expand without losing anything.”55:14–55:41 – “I think the data is going to be our defense… How many fewer patients would actually receive care if they didn't have access to our ability to give them anesthesia in dentistry? How can you argue with numbers?”Questions:05:23 - “Why this step back? To private practice at this point and step away from the director role?”13:23 – “Don't think all those years and rotations are necessary—how many rectal exams do you really need to do as an oral surgery resident, you know what I mean?”17:38 - “I get this question all the time: why the 6-year versus the 4-year OMS program? What did the 6-year track benefit for you, and what do you recommend for others to pursue with the MD?”21:11 – “If periodontists are filling the gap at the dental schools—doing implants, sedations, managing complications—what does that mean for oral surgery's foothold and for who gets called when something goes wrong?”32:32 – “If we don't make full-arch ‘all-on-X' a real requirement in OMFS training, is one of the other professions going to step in and own that space instead of us?”41:13 – “What drove you, during residency at Case Western, to go into the cosmetics direction? Did any other people from your program graduate and take that same path?”43:59 – “Do you have any residents rotate through your practice right now, or is it very separate from the residency?”
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.
As the year comes to a close, many CRNAs find themselves focused on family, travel, and well-deserved rest. But year-end is also one of the most important times to pause and take stock of your financial picture. Small, intentional decisions made before December 31 can have an outsized impact on your long-term success. In a special holiday episode of Beyond the Mask, Jeremy and Sharon walk through a ‘CRNA Christmas list' with 12 financial moves designed to help you finish the year strong and start the next one with confidence. Here's some of what you'll hear in this episode:
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:
As our wellness theme continues, today we're focused on student wellness, which is essential to producing competent, confident, and emotionally healthy CRNAs. Erin and Greg welcome Matthew Zinder, DNAP, CH, CRNA, practice owner, educator, wellness researcher, and co-founder of Program Prep, to break down the realities of stress inside anesthesia programs and what both faculty and students can do about it. Here's some of what you'll hear in this episode:
This episode of the Atomic Anesthesia Podcast focuses on dexmedetomidine (Precedex), a highly selective α2-adrenergic agonist that provides cooperative, arousable sedation, analgesia, anxiolysis, and sympatholysis with minimal respiratory depression for perioperative and ICU care. Aimed at nurse anesthesia residents, it reviews dexmedetomidine's α2-selective pharmacology, rapid distribution and hepatic metabolism, and its ability to mimic non-REM sleep via locus coeruleus inhibition while significantly reducing MAC and opioid requirements. Listeners learn practical dosing strategies for OR, ICU, and procedural sedation, common indications such as awake fiberoptic intubation, MAC cases, withdrawal management, and pediatric emergence delirium, and key safety considerations including bradycardia, hypotension, transient hypertension with rapid loading, and the ongoing need for vigilant airway and hemodynamic monitoring when incorporating dexmedetomidine into multimodal anesthetic plans.Want to learn more? Grab our Cardiac Pharm Course --> [HERE]⚛️ CONNECT:
The political and legal landscape of nurse anesthesia is constantly shifting for CRNAs and the threats to our autonomy are real. But so are the opportunities, and that's why we wanted Elizabeth Bamgbose, PhD, CRNA to join us for this conversation. She's a CRNA, educator, practice owner, and a fierce political advocate, and we're going to break down everything CRNAs must understand about scope of practice, opt-out rules, bylaws, credentialing, and how power structures shape your daily practice more than most realize. Here's some of what you'll hear in this episode:
In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand speaks with Michael Hoess, CRNA and Lead CRNA for Education at Cooper University Hospital, about the crucial role of CRNAs in austere and tactical medical environments. Drawing on over a decade of trauma and resuscitation experience, Mike shares how CRNAs contribute to training military and government medical teams operating in resource-limited or remote conditions. The discussion explores how core anesthesia principles adapt when blood banks, ventilators, or full surgical teams aren't available, emphasizing the importance of airway control, hemodynamic management, and damage control resuscitation in the field. Mike also discusses building resilience through high-stress simulations, developing adaptive leadership skills, and fostering mission readiness for both seasoned CRNAs and students. Listeners gain insight into how these lessons from austere medicine can strengthen everyday anesthesia practice and prepare clinicians for the challenges of modern conflict and disaster response.If you want to reach out to Michael, you can contact him at michael.p.hoess@gmail.com or hoess-michael@cooperhealth.eduArticles:Austere Resuscitative and Surgical Care Teams: Supporting Far-Forward Trauma Care on the Future BattlefieldMilitary and Civilian Surgery Partner for Innovation, EffectivenessA Western trainer says talk of 'golden hour' would be laughable to Ukrainian forces.Want to learn more? Grab our Cardiac Pharm Course --> [HERE]⚛️ CONNECT:
The “Big Beautiful Bill” has created some concerns in the nurse anesthesia community, especially for future CRNAs who were left wondering what it means for their education, their financial reality, and the future of the profession. In this special episode of Grade 1 View, Greg Collins, DNP, CRNA and Michelle Canale, DNP, CRNA, APRN, FAANA join Olivia and Kevin to break down what the Department of Education's proposed borrowing caps really mean. They explain why the issue goes far beyond degree nomenclature, why CRNA education is so costly to deliver, and how the new limits could create barriers for students who simply cannot work during training. This latest legislation is just another reminder that advocacy for our profession is as important as ever. Current and future CRNAs need to be proactive in voicing their concerns and participating in advocacy efforts, and the AANA is there to help provide updates and actionable steps to help you stay informed and involved. Here's some of what we discuss in this episode:
This Thanksgiving, Beyond the Mask celebrates gratitude, giving, and the CRNAs who make a difference every day. Joining us for this special episode is John Yauger, PhD, CRNA, FAANA, the new CEO of the AANA Foundation, to discuss how the Foundation is shaping the future of nurse anesthesia through research, scholarships, and community support. It's an opportunity to shine a light on one of the cornerstones of our profession and reflect on everything they're doing to continue helping push the anesthesia profession forward. Here's some of what you'll hear in this episode:
Top 5 Topics:- 2 Years Of High Unmatched 6-Year OMFS Program Numbers, & the Future of Oral Surgery Training- Periodontists vs Oral Surgeons: The Silent Battle for Implants, Sedation & Dental School Influence- Is Office Anesthesia in Danger? The Fight to Save OMFS Sedation from CRNAs, Hospital Politics, And Misleading Data- The Economics of Becoming an Oral Surgeon: $750,000 Debt, Low Reimbursement & the New Reality- How Oral Surgery Can Survive: Marketing, Value, Full-Arch Implants, and Reclaiming the Specialty In The Dental SchoolQuotes & Wisdom:04:07 – “Oral surgery is the great bridge between dentistry and medicine.”05:37–06:56 – “You have to know when to step back… I think 25 years is a good run. I'll always be motivated to teach and motivated to share knowledge. That's been my passion from the beginning.”09:49–10:31 – “Along the way I grabbed my MBA as well… taking night school for three years every Monday night for four hours… Now, having the MBA has allowed me to kind of see the errors that I made early on in my own practice.”14:55–15:26 – “Our students are the consumer of the programs… If you look at the dynamics and the history of the specialty and what the specialty wanted to do 30 years ago, it may not be what the product of the specialty wants to do now.”18:56–19:44 – “You have to market. You've got to market to the consumer what the value is. And if that perceived value makes sense to the person, then you've got a win-win.”29:21–30:40 – “You think back to your own personal experience with the specialty… There is that one experience that really hits you in the heart, and you hold onto that experience and that's why you chose this field… You have to derive the value of the specialty for you, and it's going to be different for every individual.”38:17–39:06 – “I love this specialty. You want it to flourish. I want it to be there many years beyond my own existence, and that we're at the cutting edge… We want to expand without losing anything.”55:14–55:41 – “I think the data is going to be our defense… How many fewer patients would actually receive care if they didn't have access to our ability to give them anesthesia in dentistry? How can you argue with numbers?”Questions:05:23 - “Why this step back? To private practice at this point and step away from the director role?”13:23 – “Don't think all those years and rotations are necessary—how many rectal exams do you really need to do as an oral surgery resident, you know what I mean?”17:38 - “I get this question all the time: why the 6-year versus the 4-year OMS program? What did the 6-year track benefit for you, and what do you recommend for others to pursue with the MD?”21:11 – “If periodontists are filling the gap at the dental schools—doing implants, sedations, managing complications—what does that mean for oral surgery's foothold and for who gets called when something goes wrong?”32:32 – “If we don't make full-arch ‘all-on-X' a real requirement in OMFS training, is one of the other professions going to step in and own that space instead of us?”41:13 – “What drove you, during residency at Case Western, to go into the cosmetics direction? Did any other people from your program graduate and take that same path?”43:59 – “Do you have any residents rotate through your practice right now, or is it very separate from the residency?”Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #197- 11.2025
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:
Across the U.S., hospitals and surgical centers are facing a growing provider shortage—particularly among anesthesiologists. At the same time, demand for surgical and procedural services continues to rise, especially in ambulatory surgery centers (ASCs). This imbalance has forced many healthcare organizations to rethink their anesthesia coverage models. In this episode of Value-Based Care Insights, host Daniel J. Marino sits down with Dr. Thomas Pallaria, Assistant Professor and Director of the Nurse Anesthesiology Program at Rutgers School of Nursing, to discuss the evolving role of Certified Registered Nurse Anesthetists (CRNAs). Together, they explore the growing reliance on CRNAs to meet demand, the benefits and challenges of integrating them into care models, and the implications for hospitals, anesthesiologists, and patient outcomes.
In this episode of the Atomic Anesthesia Podcast, we talk with Dr. Hallie D. Evans, DNP, CRNA, APRN, CNE, a nationally recognized nurse anesthesia educator and clinician, about what it takes for CRNAs to step into the world of teaching. Dr. Evans discusses how her journey from clinical anesthesia to academic leadership began, the personal qualities that make an effective educator, and how to determine if you have the right temperament for academia. Listeners will learn the practical steps to becoming a nurse anesthesia educator, essential skills to develop when transitioning from the OR to the classroom, and what to expect in terms of salary, schedule, and sacrifices. With over 15 years of anesthesia experience and more than a decade in education, Dr. Evans shares her insights on balancing clinical practice with teaching, building innovative programs, and fostering future generations of CRNAs through mentorship and evidence-based pedagogy.Want to learn more? Create a FREE account at www.atomicanesthesia.com⚛️ CONNECT:
Episode 139 - Evolving Anesthesia Care Models: Leveraging CRNAs for Sustainable Coverage Across the U.S., hospitals and surgical centers are facing a growing provider shortage—particularly among anesthesiologists. At the same time, demand for surgical and procedural services continues to rise, especially in ambulatory surgery centers (ASCs). This imbalance has forced many healthcare organizations to rethink their anesthesia coverage models. On this episode Dan sits down with Dr. Thomas Pallaria, Assistant Professor and Director of the Nurse Anesthesiology Program at Rutgers School of Nursing, to discuss the evolving role of Certified Registered Nurse Anesthetists (CRNAs). Together, they explore the growing reliance on CRNAs to meet demand, the benefits and challenges of integrating them into care models, and the implications for hospitals, anesthesiologists, and patient outcomes. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
What happens when a CRNA challenges one of the most controversial questions in anesthesia: Who really leads anesthesia care? That's the title of the new book by Yana Krmic, MSN, CRNA, APRN, who returns to the show to discuss a topic that cuts to the heart of one of the most important and often misunderstood questions in our profession. Today, she walks us through her journey as an immigrant, the research behind the book, and the dynamics shaping the narrative around anesthesia. Here's some of what you'll hear in this episode:
October 30, 2025- Assemblymember Karines Reyes, a Bronx Democrat and registered nurse, discusses her legislation to define a role for certified registered nurse anesthetists (CRNAs) in New York's health care system.
In this episode of the Atomic Anesthesia Podcast, we tackle the complex reality of caring for patients under the influence of drugs or alcohol, a frequent challenge for nurse anesthesia residents and CRNAs. Covering the physiological effects and anesthetic implications of acute and chronic intoxication with alcohol, benzodiazepines, hallucinogens (such as LSD, PCP, and MDMA), cocaine, and cannabinoids, this episode offers fast, practical guidance for optimizing perioperative care and minimizing patient risk. Listeners will learn how substance use alters anesthetic requirements, impacts drug metabolism, and poses unique airway and hemodynamic risks, while also receiving actionable tips for drug class-specific management like when to use or avoid certain agents, the importance of invasive monitoring, and strategies for handling withdrawal or overdose. Tune in for a high-yield rundown that will help you make safer decisions when handling intoxicated patients in the OR.Want to learn more? Create a FREE account at www.atomicanesthesia.com⚛️ CONNECT:
What does it really take to make it through CRNA school, and what happens after the boards are over? Today, Kevin reconnects with former classmates Madison Martin and Nicole Strickland to reflect on their long journeys to becoming CRNAs. Every path to an anesthesia career is unique, and the joy is often found in the process of growth and learning. This episode will give you a candid, first-hand look at the challenges and opportunities that await you. Here's some of what we discuss in this episode: ✨ Real stories behind why each guest chose the CRNA path
Scammers have evolved far beyond poorly written emails and suspicious phone calls. Today's scammers are sophisticated, patient, and increasingly equipped with artificial intelligence (AI) tools that mimic real voices, copy official websites, and create personalized messages that look and sound legitimate. Jeremy has seen this happen all too often and will use this episode as an opportunity to help CRNAs identify red flags and apply real-world strategies to protect their future. ⚠️ Scammers evolve fast – AI and data breaches have made fraud more convincing than ever.
What does it take to lead through one of the most defining battles in CRNA history? In this Courage to Lead conversation, Larry Hornsby, CRNA, BSN reflects on his presidency during a pivotal and tumultuous era for the AANA at the turn of the century. Facing national policy shifts, physician supervision debates, and an all-out fight with the ASA, Larry shares the behind-the-scenes stories of late-night strategy sessions, fax campaigns to Congress, and standing on the rope line with President Clinton. This episode is more than history—it's a powerful look at leadership under pressure, the sacrifices required, and the resilience that shaped the future of nurse anesthesia. Here's some of what you'll hear in this episode: ⚖️ Policy at the crossroads – How supervision became the central fight for CRNAs.
In 2017, Dr. Randy Moore made the leap from the OR and into bigger and bigger leadership roles that challenged him to think beyond patient care. At that time, he thought he was done with clinical practice for good. But, as he explains on today's show, that assumption was very wrong. Join us to hear about this unique journey, from practicing CRNA to AANA CEO to Chief Anesthetist Officer at NorthStar Anesthesia CEO and then back to patient care after many years away. Here's some of what you'll hear in this episode: ⚖️ Leadership lessons – Strategy and long-term planning vs. OR split-second decisions.