APEX Live Anesthesia
36 episodes - English - Latest episode: over 2 years ago - ★★★★★ - 311 ratingsPractical anesthesia knowledge and wisdom for CRNAs by CRNAs.
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
33. Say what? Q&A Round 4
January 01, 2022 08:00 - 33 minutes - 19.4 MBEpisode Summary Ding, ding, ding…it’s time for Round 4 Q&A! The gloves are on, and we are ready to jump back in the ring for more questions and answers. In this episode, we’re going to mix it up a little by answering the other guys’ questions…cold turkey…so this should be fun. 😁 This time we focus the questions specifically on cardiovascular and pulmonary physiology. This is one round you won’t want to miss…Say what? You got it…Q&A! What You’ll Learn ⦁ Evaluate the medications that inhi...
32. Demystifying Awake Intubation
December 01, 2021 09:30 - 33 minutes - 19.3 MBEpisode Summary In this episode we talk about an airway procedure that we rarely perform…that can be somewhat daunting…but can make an enormous difference in patient safety…we talk about awake intubation. We review the ASA’s Difficult Airway Algorithm and the Difficult Airway Society’s and the Canadian Airway Focus Group’s recommendations regarding awake intubation. We go over the indications, equipment, positioning, and other key features to help demystify the performance of this impo...
31. Let’s Get Hyped with Pheochromocytoma
November 01, 2021 08:30 - 31 minutes - 18.4 MBEpisode Summary In this episode we discuss pheochromocytoma. We highlight a clinical case of a patient with an undiagnosed pheochromocytoma, and then we dive into the differential diagnoses, signs and symptoms, preoperative preparation, and intraoperative management of this neuroendocrine tumor. This is one episode that will definitely get your sympathetic nervous system firing! What You'll Learn Review the pathophysiology of a pheochromocytoma. Discuss the differential diagn...
30. Say What? Q & A Round 3
October 01, 2021 07:00 - 27 minutes - 15.6 MBEpisode Summary We’re returning to the ring for another Q & A! The crowd is cheering and asking for more, so let’s give them another round…say what! In this episode, we’ll test your mental toughness with questions that review pharmacology, pathophysiology, and airway. Along the way, we’ll give you tips and suggestions to help dust out the cobwebs and bring that anesthesia knowledge back into the forefront of your mind. So, put those gloves together, “ding ding!” it’s time to g...
29. Hypocalcemia
September 01, 2021 07:00 - 38 minutes - 22.3 MBEpisode Summary In this episode of the APEX Live Anesthesia podcast, we review the essentials of calcium and the physiologic consequences that occur when this important cation becomes low. We’ll discuss how the body regulates calcium, the signs of hypocalcemia, something called the “Lethal Diamond” and so much more. APEX family…grab a big glass of milk and let’s talk calcium! What You'll Learn Assess how the body regulates calcium. Examine normal calcium values. Di...
28. Say What? Q & A Round 2
August 01, 2021 07:00 - 28 minutes - 16.3 MBEpisode Summary We went into the ring and knocked out the first Q & A in episode 25. Because of the overwhelmingly positive feedback, we are back for another round…Say What! In this episode, we’ll go over several pharmacology questions that range from medications that affect hypoxic pulmonary vasoconstriction to platelet inhibitors. Along the way, we’ll give you tips and suggestions to help dust out the cobwebs and bring that anesthesia knowledge back into the forefront of your mind....
27. Vasopressors for Hypotension During Anesthesia – Should We Be Less Pushy?
July 01, 2021 07:00 - 33 minutes - 19.3 MBEpisode Summary Anesthesia-induced hypotension is commonly treated with push dose vasopressors. Today we dive into what the newest evidence is showing us about the use of phenylephrine, ephedrine, and norepinephrine IV bolus doses. We talk about cerebral oxygen concentrations and cardiac output when administering these vasopressors and ultimately ask ourselves…should we be less pushy? What You'll Learn Review usual practice standards for anesthesia-induced hypotension. Discus...
26. Anesthesia through the eyes of the grand master! A conversation with John Nagelhout.
June 01, 2021 07:00 - 45 minutes - 26 MBEpisode Summary Our episode today is with the one and only Dr. John Nagelhout PhD, CRNA, FAAN. He is a pharmacology master who has taught thousands of CRNAs over the years. He the creator and has been the primary author of the core nurse anesthesia textbook “NURSE ANESTHESIA” for the last 20 years. Jeremy and Sass have an engaging discussion about his experience as a nurse anesthetist since the 1970’s, the story behind his creation of the first and subsequent editions of Nurse Anesth...
25. Say what? Q&A
May 01, 2021 07:00 - 29 minutes - 17 MBEpisode Summary Over the past several months we’ve had many CRNAs request a podcast that evaluates answering test questions. Basically, something that helps to dust out the cobwebs and bring that anesthesia knowledge and that question answering expertise back into the forefront of your mind. APEX family…we hear you! In this episode Sass and Jeremy review several multiple choice questions related to anesthesia. The topics range from postoperative visual loss to signs you may see whe...
24. Anesthesia Management for Parkinson’s Disease
April 01, 2021 07:00 - 37 minutes - 21.5 MBEpisode Summary Today we dive into a discussion about Parkinson’s disease. We talk about what causes this disease, how it is medically and pharmacologically managed, and most important for CRNAs…what is the best evidence for taking care of patients who have Parkinson’s disease. There’s no doubt that at some point you will provide anesthesia for these patients and we want to help you, so sharpen those pencils and get ready to take some notes! What You'll Learn Determine the differenc...
23. Kicking COVID Butt with Valerie Sedor CRNA and Mark Gabot CRNA
March 01, 2021 08:00 - 44 minutes - 25.7 MBEpisode Summary This is our first interview and we wanted it to be with CRNAs on the front lines of the COVID-19 pandemic who are getting it done! We focus our discussion on the expanding roles of CRNAs within the hospital and within our communities. We talk to retired Navy Commander and veteran clinical coordinator Valerie Sedor CRNA, about her roles in the ICU and ED, and what it’s like during this COVID surge. We also talk with author and clinical expert Mark Gabot CRNA, about his...
22. Ask an Intelligent Question; Get Another Mediocre Answer
February 01, 2021 08:00 - 31 minutes - 18 MBEpisode Summary In this episode of the APEX Live Anesthesia Podcast, we address more of the questions we’ve received from our listeners. And yes, we do our best to answer these intelligent questions with even more marvelously mediocre answers. It’s a fun conversation about random topics that will leave you on the edge of your seat wanting more! What You’ll Learn What are the recommended vasopressors for stenotic and regurgitant valves? Is alpha or beta blockade preferred in a ...
21. APEX Live Virtual Conference Appetizers
January 01, 2021 08:00 - 23 minutes - 13.7 MBEpisode Summary In this episode of the APEX Live Anesthesia Podcast we’ll give you a little taste of our virtual conference…let’s call them appetizers! Sass talks a bit about volatile agent pharmacology, Jeremy talks airway in a patient with elevated ICP, and we finish off discussing shock. What You’ll Learn What is the difference between oil/gas and blood/gas solubility of a volatile agent? Which volatile agent is the most potent? How should an airway be managed when a patient...
20. Crisis Checklists – Bringing the Team Together
December 01, 2020 08:00 - 34 minutes - 20 MBEpisode Summary When was the last time you used a cognitive aid in the OR? You probably have some in your OR, albeit they’re likely buried in a drawer somewhere. In today's episode, we'll discuss all things related to anesthesia checklists and how they can help you improve patient care. What You’ll Learn Where did anesthesia crisis checklists originate? Do crisis checklists improve performance? Why don’t we use crisis checklists more often? What does the current evidence say a...
19. Plan D - Cric It While It's Hot
November 01, 2020 07:00 - 26 minutes - 15.3 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary What's your plan D during an airway crisis? In this episode of the APEX Live Anesthesia Podcast, we’ll discuss all things cricothyrotomy and give you everything you need to know if you ever need to use it in your practice. What You’ll Learn What's the history of cricothyrotomy? How often is emergency ...
18. Malignant Hyperthermia: It’s Getting Hot In Here
October 01, 2020 07:00 - 33 minutes - 19.5 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we’ll discuss one of the anesthetic crises we all learned about in anesthesia school…malignant hyperthermia. We’ll talk about how to recognize MH, and most importantly, how to manage this emergency if it ever happens to you! What You’ll Learn What is ...
17. Stop Bleeding! Antifibrinolytics.
September 01, 2020 07:00 - 22 minutes - 12.7 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast we talk clotting…or more specifically how to promote blood clotting and STOP BLEEDING by giving an antifibrinolytic. We review the mechanisms of how a clot is formed and broken down. We then discuss several large trials published within the last decade that focus...
16. Ketamine: The Swiss Army Knife of Anesthetic Drugs
August 01, 2020 07:00 - 20 minutes - 12 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we are going to dive into the world of ketamine. We’ll review the little brother to PCP, and talk about all the situations where it can be useful…it really is the swiss army knife of anesthetic meds! Episode Webpage https://www.apexlive.com/blog/episode-16 ...
15. Are you having trouble breathing? ARDS or COIVD.
June 30, 2020 07:00 - 29 minutes - 17 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In the first part of this episode of the APEX Live Anesthesia Podcast we’ll review the pathophysiology of ARDS and discuss the multiple theories about the pathology of COVID-19. The second part is a discussion of the management similarities and differences between ARDS and COVID-19. Episode Webpage https://www...
15. Are you having trouble breathing? ARDS or COVID.
June 30, 2020 07:00 - 29 minutes - 17 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In the first part of this episode of the APEX Live Anesthesia Podcast we’ll review the pathophysiology of ARDS and discuss the multiple theories about the pathology of COVID-19. The second part is a discussion of the management similarities and differences between ARDS and COVID-19. Episode Webpage https://www...
14. Dexmedetomidine
June 01, 2020 07:00 - 22 minutes - 13.2 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, it’s all about dexmedetomidine. Or, simply… just dex. We’ll discuss its pharmacological properties and share clinically relevant content related to its use in clinical anesthesia. Episode Webpage https://www.apexlive.com/blog/episode-14 Attend an APEX Live...
13. Ask An Intelligent Question - Get a Mediocre Answer!
May 01, 2020 07:00 - 26 minutes - 15.4 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we answer several clinical questions submitted by our listeners. The topics range from using ondansetron to treat hypotension from neuraxial anesthesia to using a cephalosporin in a patient with a penicillin allergy. Buckle up… you’re not going to want to miss t...
12. Airway Management in the Era of COVID-19
April 03, 2020 07:00 - 31 minutes - 18.3 MBFirst and foremost, we want to thank all the CRNAs, nurses, technicians, MDs, housekeeping personnel, and front-line providers who provide care in both the prehospital and hospital environments. Your sacrifices and commitment are truly heroic. All of us at APEX Live have enormous respect for you and wish you safety and good health as we move forward during this crisis. In this episode of the APEX Live Anesthesia Podcast, we talk about intubating the patient with suspected or confirmed COVI...
11. It's Toxic... It's LAST
April 01, 2020 07:00 - 27 minutes - 15.6 MBHow Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your feedback. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we dive into local anesthetic systemic toxicity (LAST). We discuss what it is, how it happens, special populations that may be at higher risk, and the newest dosing protocols. If you administer any local anesthetic medica...
10. Got Stress? BVM It!
March 01, 2020 08:00 - 28 minutes - 16.4 MBHow Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your feedback. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll take a break from talking about clinical anesthesia and look at acute stress. We'll explain how the brain reacts to acute stress and then dive into why stress is both helpful and hurtful. F...
9. VAE & CO2 Gas Embolism (When Gases Attack)
February 01, 2020 08:00 - 34 minutes - 19.5 MBHow Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your feedback. Episode Summary You asked, and we listened! In this episode of the APEX Live podcast, we're going to do a little Q&A. We'll give you practice questions, and then we'll break each one down step-by-step. It’s kind of like going back to the basics or back to square one. Whether you're stud...
8. Topical Thunder – An Awake Intubation Technique
January 01, 2020 08:00 - 41 minutes - 24 MBHow Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share feedback. Episode Summary Happy New Year! To kick off 2020, we're going to dive into how to approach the patient with an anticipated difficult airway. We'll explore several common airway algorithms, and we'll also discuss the "topical thunder" technique to anesthetize the airway for awake intubation. Episode W...
7. To Laugh or Not to Laugh – Truths About Nitrous Oxide
December 15, 2019 08:00 - 24 minutes - 14.2 MBHow Are We Doing? To help us better help you, we'd be forever thankful if you answered a few quick questions. Please be absolutely honest in your answers. Click here to share your thoughts. Episode Summary Surprise! In this mid-month bonus episode of the APEX Live Anesthesia Podcast, we'll talk about our friend and foe nitrous oxide. You know…that anesthetic gas that is great and horrible all at the same time. We'll briefly review its pharmacologic properties and then consider the cu...
6. Difficult Airway Assessments and Algorithms
December 01, 2019 08:00 - 48 minutes - 27.6 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we talk about difficult airway identification and the exams we use to help us recognize an airway that may be challenging. We also take a deep dive into what the different airway algorithms say about strategies for management. Episode Freebie: Failed Airway Ch...
5. Name That Crisis: Anaphylaxis
November 01, 2019 07:00 - 55 minutes - 32.1 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we discuss a critical event that we could likely manage at some point in our anesthesia practice. Anaphylaxis is a severe life threatening generalized or hypersensitivity reaction. We will discuss the incidence, triggering agents, mechanism of action, signs and ...
4. Aspiration, RSI, and Cricoid Pressure Controversies
October 01, 2019 07:00 - 57 minutes - 33.2 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast we talk about the effort that goes into identifying and preventing aspiration and the controversies that surround RSI and cricoid pressure. We take a look at past research and opinions that have shaped the way we manage the prevention of aspiration, and what curr...
3. Hypotension with a Side of Vasoplegic Syndrome
September 01, 2019 07:00 - 34 minutes - 19.8 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we will discuss hypotension and the treatments you can consider when you experience refractory hypotension. We talk about different causes of refractory hypotension with a focus on vasoplegic syndrome, what causes vasoplegic syndrome, and specific treatments for...
2. A Crisis Of Adrenal Proportions (Steroids & Anesthesia Practice)
August 01, 2019 07:00 - 19 minutes - 11.3 MBIn this episode of the APEX Live Anesthesia Podcast, we will briefly review the function of the hypothalamic-pituitary-adrenal axis, talk about both glucocorticoids and mineralocorticoids, and discuss to supplement and why. We’ll discuss the serious crisis that can occur when insufficient amounts of these hormones are available. We’ll finish by discussing what the evidences says about important topics related to steroids such as the best dose for PONV prophylaxis, should they be given for pa...
2. A Crisis Of Adrenal Proportions
August 01, 2019 07:00 - 19 minutes - 11.3 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll review the function of the hypothalamic-pituitary-adrenal axis, talk about glucocorticoids and mineralocorticoids, and discuss supplementation. We'll also elaborate on what the evidence says about adrenal crisis, the best dose for PONV prophylaxis, how to ...
1. Pulse Ox Awesomeness
July 01, 2019 06:05 - 23 minutes - 13.3 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Episode Summary In this episode of the APEX Live Anesthesia Podcast, we'll review the principles of pulse oximetry. Then, we'll consider a selection of clinically relevant topics related to using the pulse oximeter in the preoperative period. Finally, we'll tie it all together with a case study. Attend an APEX Live Conference ...
0. Welcome to the APEX Anesthesia Podcast
June 28, 2019 20:36 - 8 minutes - 4.92 MBHow Are We Doing? We’re here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Attend an APEX Live Conference Learn more about APEX Live events at www.apexlive.com. About APEX Live APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun a...