Core Anesthesia Template: Recent Episodes
Tanner and Cole
Please enjoy this pre-recorded session from our 2022 Student Conference.
"Finding Your First Job" - Joseph Rodriguez DNAP, CRNA
Joseph A. Rodriguez, DNAP, CRNA, is co-founder and managing partner at Arizona Anesthesia Solutions, a multi-state group over 100 CRNAs and MDs, based in Phoenix, AZ. Dr. Rodriguez is the former president of the Arizona Association of Nurse Anesthesiology and currently on the board of directors for the American Association of Nurse Anesthesiology. Dr. Rodriguez has led policy reform at the state and federal level, and led significant reform within the association itself. He currently lectures at National University, and has written for the The Washington Times, Anesthesiology News, The Arizona Capitol Times, and Outpatient Surgery. He speaks nationally on business and leadership.
Thank you for your patience as we released our new mobile app - We look forward to producing more anesthesia content soon! We recorded this quick episode simply to discuss some of our favorite things about the app and help you understand its features a little better. If you haven't, check it out! It is free to download...we are confident you'll find it useful as you study or look to earn CEUs.
To 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
You asked, we listened. In this episode we discuss our journey from SRNA life to CNRA life. Was it what we expected? What do we wish we would've known? Is it stressful? All things we will discuss and talk about as we give you the inside scoop to our journey from SRNAs to CRNAs .
New name, same mission. We are thankful for all of your support and we are excited to continue to offer anesthesia education that fits within your busy schedule. Check out this episode for the cliff notes of where we are and where we are headed in the future. First up, STUDENT ONLY conference on July 30th. This all day virtual conference is geared specifically for students with speakers and topics that will be valuable to you as you progress through your training.
Precedex, ketamine, lidocaine, magnesium and more! Here we talk through the MOAs and dosing for these drugs as well as how we try to incorporate them into our personal practice.
In today's episodes we discuss several airway complications including laryngospasms, airway fires, pulmonary aspiration, and airway nerve injury. It is important to review these complications so that we can enact a plan to prevent them from occurring. We also briefly discuss management following each of these events building off of our difficult airway discussion.
Building off of our last episode, we now discuss the management of a difficult airway. We talk through cannot intubate, cannot ventilate situations, how to prepare for an awake intubation, and evaluate closed claims analysis to identify where we can improve our management of difficult airways.
In this episode we briefly discuss the A&P of the liver before discussing some common disease processes and how our anesthetic management should consider liver function.
If you haven't listened to our first episode, make sure you start there! To access our premium episodes find us on patreon and subscribe! In this episode we discuss different laws from Pv=nRT to Dalton's law to the Coanda effect and more. It is packed full of information that could be easy questions on your boards.
In this episode we discuss the receptors and neurotransmitters involved in the ANS. We talk through the adrenergic and muscarinic pathways as well as the reflexes involved with the ANS. Make sure you catch part two for the whole discussion!
Today we are doing PART TWO of local anesthetics. The first episode is all the way back at episode 6 but we wanted to round out the content of that first episode. In this segment we discuss the specifics of local anesthetics, their PKA, onset of action, duration of action, and why you might choose one over another based on their specific profiles.
Today is another "real talk" episode! In this episode we discuss tips we have used to form successful relationships with your clinical preceptors. Moving around to different facilities can be challenging but there are ways you can set yourself up for a great clinical day. Make sure to follow us on instagram for all of our latest content and announcements.
Here is our all-in-one episode for airway assessments and airway equipment! While we often combine many of these assessments, it is important that we identify each one individually and understand their unique importance. Following our discussion of the various assessments, we dive into the many different types of airway equipment and their respective uses.
Let's talk the SEE exam! In this episode we discuss how we prepared for the SEE, how we felt as we were taking it, and what test taking strategies we used to work through the test.
It is our privilege to welcome Dr. Gonzalez onto the podcast. Dr. Gonzalez has published extensively in the last few years on safety during upper endoscopy and we are confident you'll appreciate his discussions with us over the next two episodes.
Today's episode stopped just short of constructing the atom in 7th grade science class. Much of this information is basic review material but this is all fair game for boards! A clear understanding of the types of bonds, their relative strength, and how things like pressure and temperature affect substances is low hanging fruit for your board exam.
This episode builds on episode 77 so make sure you start there! In this episode, we discuss many of the common medications which work within the ANS.
There is more to life than sugammadex?! In this episode we discuss the different uses of NMBD reversals and how you pair them with anticholinergics to minimize their physiologic effects.
This episode starts with the basics of CIEDs and discusses the codes and functions of implanted cardiac devices. After we review these basics, we then talk about the patient considerations and the anesthetic management of patients with CIEDs.
We welcome back Dr. Gonzalez onto the podcast for part two of our short series on upper endoscopy procedures. Dr. Gonzalez has published extensively in the last few years on safety during upper endoscopy and we are confident you'll appreciate his discussions with us over these two episodes. Make sure you check out E79 if you haven't already!
For today's care plan we discuss the FESS procedure. This is a fairly common ENT procedure that you will most likely encounter early on in your training. It is important that you think about the various tubes you might want to use for intubation and also discuss with the surgeon to see if they have a preference for the type of anesthetic.
Let's talk money! No, not the fun stuff. More like the "how can I afford to go to anesthesia school and pay for groceries, rent, gas, books, internet, clothes, and tissues to wipe my tears" kind of stuff. Unfortunately, we have no magical answer! This is simply our experience. The things we did to prepare, things we wished we would've known, and how we plan to transition into life as a CRNA.
In today's episode we share some of the challenges we've experienced during anesthesia school. Each phase of school seems to bring on new, unique hardships. Often feelings of anxiety and depression are internalized and you may be tempted to feel like you are the only one struggling. We've got news for ya, YOU'RE NOT. In this episode we simply discuss our battles with mental health and a few things that have helped us throughout school. Remember, you are not alone!
Buckle up...this episode is a lot. Normally we like to discuss topics in general themes and then work though some specifics. Unfortunately, there really isn't a better way to capture this content other than simply stating the facts. In today's episode, we discuss the characteristics of various rhythms and how to differentiate them from one another.
Today we cover a care plans for colonoscopy, EGD, and ERCP procedures. These might seem like "easier" days but they are great opportunities to develop critical skills of tailoring medication administrations so your patients are comfortable while maintaining their airway.
Check out this care plan on our premium feed for a quick rundown of a c-section. Make sure you keep that blood pressure up after administering the spinal and monitor for nausea - this will typically be your first indication of hypotension! Communication with mom is key during this procedure!
Peds dental days are usually fast paced with lots of turn over. Make sure you get your setup done early so you can quickly be ready for your next case. Remember to have your emergency meds ready, a plan for you nasal intubation, and a good plan for wakeup. We hear having the patient bite the dentist is poor form...
If you are about to start your cardiac rotation then this episode is for you! In this episode we discuss the overall case flow from your setup all the way through going onto pump. Part TWO will cover your time on pump through transferring the patient safely to the ICU.
In today's episode we take a break from our usual discussions to talk about our journey to CRNA school. We talk about how we decided on anesthesia as a career, our differing ICU experiences leading up to school, and even how the podcast began. We hope this episode is helpful, especially for those of you who are considering anesthesia school!
Pressure control vs volume control? SIMV, PSV-Pro, PCV-VG? Sounds scary! Don't worry, in this episode we describe each of these modes and more as we talk about which ventilator settings you might want to use during your cases.
This episode picks up right where we left off on episode 69. We discuss going on pump and how you will manage your patient as you transition of pump and prepare to transfer to the ICU. Every case is different, but hopefully E69 and E70 will help you visualize the main steps of open heart anesthetics.
BASICS. Today we discuss strategies for performing a general induction and emergence. If you are a seasoned SRNA or a practicing CRNA, this episode is probably not for you! This episode is aimed at helping SNRAs transition into clinicals and providing some simple tools to think about as you begin your time at the head of the bed.
Here we discuss a typical carotid care plan. Make sure you are ready to manage that blood pressure!
In this episode, we discuss the heart's conduction system, how to measure cardiac rhythms, and how to interpret EKGs. You know, all the things you've learned, forgotten, learned, forgotten...Hopefully this can be a quick resource to refresh your understanding!
Don't skip the intro on this one! We were joined by the cutest co-host who helped us introduce this week's episode. On this episode we discuss how we typically study new concepts and how we try to retain the enormous amount of information that comes your way during anesthesia school.
Buckle up...this episode is a long one and packed full of information. We quickly discuss the respiratory anatomy and then move on to the physiology and problems we can see such as dead space and shunts.
While there are certainly specifics which differentiate specific back cases, today we discuss the overarching principles that you should consider while doing a general back case.
This is an episode we've been wanting to do for a while. Anesthesia school is TOUGH. While we fully anticipated the difficulty going into school, we definitely underestimated how difficult school would be on our families. Listen to this episode to hear from our wives as they discuss their experiences of going through anesthesia school.
Short, simple, to the point. Today we discuss shoulder surgeries and your typical setup. Remember, if you are in sitting position, go ahead and draw up your neo to stay ahead of the game. We like perfused brains!
Do you have difficulty sleeping? Try this episode...All joking aside, this episode is tough! This episode is packed full of facts to memorize to make sure you understand clotting cascades and how our bodies maintain hemostasis.
Today's episode focuses on the lumbar plexus and the sacral plexus. Understanding this anatomy, we can perform nerve blocks for various lower extremity procedures.
Part two of our hematology discussions. In this episode, we use the information from part one as the groundwork to discuss specific hematologic diseases.
Although each institution's practices are unique, today we discuss the basics of pediatric inductions. From an inhalational induction to a RSI, we cover the processes and dosages of managing a pediatric induction.
Today we lay the groundwork for the next several episodes. It is important to understand the different physiological values for the pediatric population so we can appropriately manage their care. The next several episodes we will discuss specific considerations and build off of this groundwork.
In today's episode we discuss the circulation in utero and several heart defects and the associated physiology. Be sure to leave us a review on Apple Podcasts!
Today's episode walks through the basic care plan for a parathyroidectomy. You'll be drawing PTH levels throughout the case so think ahead about where you'll have access for blood draws. Also, pay attention to your calcium levels and check with the surgeon regarding monitoring. You'll most likely use a NIM tube for this case!
This case will most likely be your bread and butter as you begin doing generals. Pay attention to your respiratory mechanics while they insuflate the abdomen and keep an eye on your EtCO2 levels!
In today's episode we discuss the physiology of diastolic and systolic heart failure. We then discuss the management of HR, CO, pre-load, and after-load to appropriately manage these patients.
In this episode we briefly discuss the normal physiology and blood flow through the heart. We move on to talk about the left side of the heart and how stenosis and regurgitation affect pressures, volumes, and coronary perfusion.
Check out this care plan for knee procedures. These will be common procedures especially as you begin developing your anesthesia practice. Whether you choose a general anesthetic plan or spinal, be sure you are prepared for possible complications and how you will manage them as they arise.
Part two of our neuro anesthesia discussion. Today we talk about basic positioning for neuro cases, managing stimulation throughout the case, and management of aneurysms and spasms.
Today we discuss the care plan for the T&A procedure. These are quick! Make sure you are adequately set up for this procedure and try to time your emergence with that second tonsil being removed. You got this!
Today's discussion focuses on the fluid compartments within the body, and how we manipulate fluid shifts to promote hemostasis. In this episode we also discuss administration of blood products and some complications which may arise.
Today we discuss fetal heart rate monitoring and the implications for our anesthesia practice. While this might not be a huge aspect of our daily anesthesia management, remember FHR monitoring is fair game for boards!
Episode 2 of our OB discussions. Today we focus on the common medications used to stimulate or reduce contractions, treat hemorrhaging patients, and reduce pain during delivery. We also briefly touch on the plan of care for emergent C-sections. Make sure to subscribe!
Here we discuss the use of double lumen tubes (DLTs). When they are indicated, how to place them, and proper management and troubleshooting. We also discuss the typical indications for lung surgeries and the preoperative testing, intra-operative management, and post-operative care involved.
Today's episode discusses our innate and adaptive immune systems. We go over hypersensitivity reactions and briefly discuss several autoimmune diseases.
Today's discussion focuses on GI, spine, and ophthalmic abnormalities which may need to be emergently managed in the pediatric population. Topics include myelomeningocele, TEF, NEC, pyloric stenosis, omphalocele, gastroschisis and more.
In today's discussion, we discuss the neuro anatomy and physiology and how our anesthesia affects this system. The meds that we give and the way we ventilate patients greatly impacts the CBF, CRMO2 and ICP dynamics.
Today's episode focuses on the lumbar plexus and the sacral plexus. Understanding this anatomy, we can perform nerve blocks for various lower extremity procedures.
In today's episode we discuss management of patients with burn injuries. Patient's with burn injuries will present differently depending on when in their recovery timeline we provide anesthesia. It is important to understand the different physiologic states and how we will manage them during surgery. Pay attention to fluids, temperature, and as always, tailor your medications to their specific needs.
In today's discussion, we discuss anesthetic management of patients with vascular disease. We walk through the general steps of managing a carotid and AAA to provide examples of how we should monitor and care for patients with vascular disease.
A brief overview of ultrasound mechanics and the blocks involving the brachial plexus. We discuss the inter-scalene block, supra-clavicular block, infra-clavicular block, and the axillary block.
Monitors! Pulse oximetry, BP, BIS, ETCO2, CVP and more. In this episode we discuss these various monitors, their methods of measurement, and the physiology behind their waveforms.
This is the 4th episode focusing on OB anesthesia! Today we talk about amniotic fluid embolisms and the treatment plan to care for the mother and baby. We briefly discuss pre-eclampsia and eclampsia at the end and include the common methods of treatment. Be sure to leave us a review!
In this episode we discuss two special populations and the hemodynamic changes that anesthesia providers should anticipate. We also discuss specific anesthesia management practices that may be altered to meet the needs of the patients.
The first of several episodes focused on OB. Today we discuss the typical changes seen during pregnancy and how that will affect our anesthesia management.
Today's episode covers common positioning techniques for surgical procedures. Specifically we address hemodynamic changes and injuries associated with the various surgical positions. At the end of the episode, we review common nerve injuries and their presentations.
If you haven't, leave us a review on Apple Podcasts! Today is part two of our discussion on inhaled anesthetics. In this episode we discuss the effects of volatile anesthetics on the various body systems followed by a quick discussion of nitrous oxide.
In this episode, we discuss common blocks, medications, and complications associated with ophthalmic anesthesia. While ophthalmic anesthesia may not be a central focus of our anesthesia training, it is important that we have a good understanding of this topic to provide safe, effective care for our patients.
NMBD (PART ONE). In this episode, we discuss the differences between depolarizing and non-depolarizing muscle relaxants. This information, along with a brief synopsis of neuromuscular monitoring is the foundation for understanding the specific medications used to achieve a neuromuscular blockade.
NMBD (PART TWO). Today's discussion builds on Episode 10's discussion of NMBDs. Here we discuss specific muscle relaxants and their time of onset, length of duration, and mechanism of metabolism.
Quick refresher on airway anatomy. Today we discuss the paired and unpaired cartilages, nerves, and muscles found in the airway. Next episode we will discuss airway assessment and common tools used to secure an airway.
BASICS! Today we discuss airway assessment and airway equipment. Make sure you understand airway anatomy (Episode 12) before moving on to this episode. Mallampati, ULBT, Cormack, ETTs, LMAs and more!
In this episode we briefly review endocrine anatomy followed by a more in depth discussion of growth hormone, parathyroid hormone, and insulin. We discuss common complications due to alterations of these hormones and the anesthesia considerations associated.
This discussion outlines the anatomy and physiology of the neuromuscular junction. This discussion is the foundation of understanding neuromuscular blocking agents. We also discuss several neuromuscular diseases and their special considerations for anesthesia management.
Today's discussion covers the transduction, transmission, perception, and modulation of the pain pathway. With this understanding, we briefly discuss some common modalities used to treat pain.
Today's episode lays the groundwork for understanding regional anesthesia. This discussion covers the basic anatomy of nerves and the chemical structures of local anesthetics used to provide regional anesthesia.
This discussion provides a basic overview of the anesthesia machine. Here we discuss the high, intermediate, and low pressure systems of the anesthesia machine along with a quick overview of circuits.
Discussing the various pathways involved with PONV and the medications and anesthetic strategies we use to prevent PONV
Laparoscopic surgeries are commonly performed within the OR. Creating a pneumoperitoneum during this procedure can have implications for the anesthesia team. This episode will discuss common complications associated with the use of a pneumoperitoneum.
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Whew....This was a long one! While there aren't many meds to discuss, each of them are used so frequently that we felt like we needed to take our time on each one. In this episode we discuss propofol, etomidate, ketamine, precedex, benzos, and barbiturates. Make sure you subscribe and leave a review!
We briefly discuss the pain pathway (see episode 7) and the anatomy of the opioid receptors. During the rest of this episode, we focus on the commonly used opioids and their unique characteristics.
Part TWO of our endocrine discussions. Today's discussion focuses on the adrenal cortex and medulla along with the thyroid gland.
To begin, we briefly break down the differences between COPD and Asthma. During the rest of this discussion we focus on the different pharmacologic modalities we can use to optimize our patient's respiratory function. (Beta2 Agonists, Methylxanthines, Cholinergic Antagonists, Corticosteroids, Phosphodiesterase Inhibitors, Antileukotrienes, Mast Cell Stabilizers, Ventilatory Stimulants)
(Part 1) Episode 20 dives into the anatomy and physiology of the kidneys. We specifically discuss the nephron and the sites of ion transport. Be sure to look out for episode 21 where we build on this information and discuss the medications and diseases associated with the renal system.
(PART 2) of the renal discussions. In episode 20, we discussed the A&P of the nephron. Today, we use that understanding to discuss the sites of action for the various diuretics. Additionally, we discuss renal injury and their anesthesia implications.
Welcome to the Core Anesthesia Podcast! Find us online at coreanesthesia.com or contact us at studentnurseanesthesia@gmail.com
This is a brief episode discussing the pathology of malignant hyperthermia. While hopefully we don't encounter this problem clinically, it is important to recognize the early warning signs and understand the emergent treatment.
The fun stuff! In this episode we discuss how inhaled anesthetics work and how we can monitor their effects. We discuss the differing measures of potency and onset and some unique characteristics associated with isoflurane, desflurane, and sevoflurane. Make sure to leave us a review!!