Anesthesia Patient Safety Podcast

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Air embolism is one of those complications that feels impossible right up until it happens fast, quietly, and with life-altering consequences. We walk through the FDA’s 2025 Early Alert on the Watchman access system for left atrial appendage occlusion (LAAO) procedures and connect the dots between device exchange steps, transseptal puncture, and the anesthetic choice that can put patients at risk.

We talk about why the shift toward sedation and spontaneous ventilation in structural heart procedures can increase risk when an access system is open or imperfectly sealed. Negative intrathoracic pressure may create a suction gradient that favors air entry into the left atrium, where even small volumes can lead to coronary air embolism or cerebral air embolism. We also review what the FDA reported, including known cases of serious injury and death, and why registry rates may underestimate true events.

From there, we translate guidance into practical anesthesia patient safety moves you can use in the interventional cardiology suite: when to consider controlled positive pressure ventilation and PEEP, what to watch during sheath manipulation, and how to set clear roles for sheath control, flushing, and line management. We cover prevention details like keeping components below the level of the heart, slow flushing to maintain a continuous fluid column, and performing exchanges under saline or water baths. We also outline an immediate response plan: recognize quickly, support hemodynamics, consider Trendelenburg positioning, aspirate air if indicated, and activate perfusion support early when available.

If this topic touches your practice, share this with your cardiology and anesthesia team, then subscribe, leave a review, and send the episode to a colleague who does transseptal cases. What does your team do to prevent air entrainment during exchanges?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/318-air-embolism-alert/

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Many patients walk into labor and delivery picturing a birth day, not an operating room, and that mismatch is where preventable suffering can start. We sit down with Dr. Ruthi Landau to get practical about cesarean delivery anesthesia, with a focus on patient safety, respectful communication, and what to do when a patient says, “This isn’t comfortable.”

We dig into why setting expectations during neuraxial consent matters, and why active management of labor epidurals is not optional when an urgent intrapartum C-section may be around the corner. We also unpack what the literature keeps showing: epidural top-ups for intrapartum cesarean delivery are a common pathway to intraoperative discomfort. From re-dosing to adjuvants to real-time reassurance, we talk through concrete ways to prevent pain from being brushed off as “normal.”

The conversation goes beyond the OR. A traumatic cesarean experience can shape the next pregnancy, fuel avoidance, and contribute to childbirth-related PTSD. We discuss trauma-informed care, offering debriefs, connecting patients to maternal mental health services, and using patient-reported experience measures to learn where systems fail. On the technical side, we cover pain management for general anesthesia cases, when to keep using an existing epidural, how neuraxial opioids fit with SOAP consensus monitoring guidance, and what a solid multimodal plan looks like when there is no neuraxial option including TAP or QL blocks, acetaminophen, NSAIDs, and opioid stewardship.

Subscribe for more obstetric anesthesia and anesthesia patient safety conversations, share this with an anesthesia or OB colleague, and leave a review to help others find the show. What change are you most ready to make in your C-section anesthesia practice?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/317-setting-expectations-for-safer-cesarean-anesthesia-with-dr-ruthi-landau-revisited-part-2/

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If you’ve ever heard “it’s just pressure” during a C-section and felt your gut twist, you’re not alone, and it may be a patient safety issue hiding in plain sight. We sit down with Dr. Ruthi Landau, the Virginia Apgar Professor of Anesthesiology and Director of Obstetric Anesthesiology at Columbia University, to get practical about what patients actually feel during cesarean delivery anesthesia and what we can do when those sensations become uncomfortable.

We talk through why labeling sensations as pressure versus pain misses the point, and why the better clinical question is simple: “Is it uncomfortable?” From there, we unpack a safer communication loop that invites patients to speak up and gives them real choices for relief, whether that means dosing through an epidural, using IV medication, or escalating plans when neuraxial techniques are not working.

We also dig into opioid-sparing strategies for C-section pain management, including multimodal non-opioid analgesia, the risks of cookie-cutter discharge prescriptions, and how shared decision-making can reduce leftover opioids at home. Finally, Dr. Landau shares current practice insights on dexmedetomidine for shivering, anxiety, and visceral discomfort, along with the evolving evidence base and dosing approaches being used today.

If you care about safer cesarean delivery, obstetric anesthesia best practices, and preventing opioid-related harm, subscribe, share this with a colleague, and leave a review so more clinicians can find the conversation.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/316-safer-c-section-pain-control-revisited-part-1/

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Pain during cesarean delivery is not “just pressure,” and it is not rare. We dig into why inadequate pain control during C-section remains underrecognized even as patient-reported data suggest it may be one of the most common anesthetic complications in obstetric anesthesia, with consequences that can reach far beyond the operating room including PTSD, postpartum depression, disrupted bonding, and lasting distress about birth.

We walk through what the research has measured so far (conversion to general anesthesia, neuraxial replacement, and intravenous rescue medications) and what those markers can miss when the team does not recognize pain in real time. Patient stories, including lessons highlighted in The Retrievals podcast, make the safety gap impossible to ignore and help explain how bias, hierarchy, and cultural norms can quietly normalize suffering. We also unpack how language choices, especially the casual overuse of “pressure,” can minimize pain and derail clear assessment.

From there, we get practical. We talk about shared decision making, objective ways to identify intraoperative pain, and how teams can escalate care: pause when possible, optimize neuraxial anesthesia, use evidence-based adjuncts, and move to general anesthesia when regional anesthesia is not sufficient. We also cover why systems matter, from reliable block testing to OR readiness for safe obstetric general anesthesia and postoperative follow-up when pain occurs.

Subscribe for more anesthesia patient safety conversations, share this with a colleague on L&D, and leave a review so more clinicians can find it. What is one change you want your team to make after listening?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/315-pain-during-cesarean-delivery/

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Eye pain in the PACU can feel like an automatic page to ophthalmology, but it doesn’t have to be. We break down postoperative corneal abrasions on the show today.

We share practical, clinician-ready guidance drawn from a multidisciplinary PACU corneal abrasion protocol developed with anesthesiology and ophthalmology expertise. You’ll hear exactly what to ask and look for when a patient reports blurry vision or a gritty sensation, the red flag that changes everything (vision loss), and how fluorescein stain plus a cobalt blue light exam can quickly sort a true corneal defect from keratoconjunctivitis or dry eyes. We also cover straightforward treatment for an uncomplicated corneal abrasion, including erythromycin ointment every four hours until symptoms resolve, along with clear follow-up rules when symptoms persist beyond 24 hours.

Then, we dig into the quality improvement and operations side: how tracking cases in the electronic medical record supports reliable follow-up, how the protocol reduces unnecessary ophthalmology consults, and why this approach can improve patient satisfaction while protecting safety. You’ll also hear the real-world impact, including complete symptom resolution in tracked patients and substantial patient cost savings tied to avoided consult charges.

Subscribe for more anesthesia patient safety insights, share this episode with a colleague who staffs PACU, and leave a review to help more clinicians find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/314-pacu-corneal-abrasion-protocol/

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“Opioid-sparing” sounds like an automatic win until you look closely at what replaces the opioids. We take on one of the toughest questions in modern anesthesiology: how do we reduce opioid-related harm without trading it for medication interactions, kidney injury, bleeding risk, rebound pain, or poorly controlled postoperative pain?

We break down what individualized multimodal analgesia really means in day-to-day anesthesia practice. That starts before the first dose is ordered, with a preoperative assessment that weighs comorbidities, baseline renal function, hydration status, and potential drug-drug interactions. We also dig into the medication safety side of multimodal protocols, including why CYP2D6 matters for common oral opioids like hydrocodone, oxycodone, and tramadol, and how CYP2D6 inhibitors such as certain antidepressants can change opioid effectiveness and even extend opioid use after discharge.

Regional anesthesia remains a cornerstone, but we stay honest about the pitfalls: incomplete coverage, visceral pain that sneaks through, and the timing mismatch that can trigger rebound pain 12 to 24 hours after a single-shot block, sometimes when the patient is already home. We also discuss when continuous peripheral nerve blocks may better match the duration of perioperative stress and inflammation, plus the practical barriers that determine whether advanced regional techniques are feasible.

If you care about opioid-sparing anesthesia, patient safety, and better postoperative recovery, listen and share this with a colleague. Subscribe to the podcast, leave a review, and tell us: what’s one change you’ll make to your multimodal analgesia plan after hearing this?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/313-individualized-multimodal-analgesia/

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A virus can feel “far away” right up until it lands in a preop bay with a fever, abdominal pain, and a story that only makes sense weeks later. We walk through what anesthesia, perioperative, and critical care teams need to know about hantavirus, why the incubation period (often 7 to 42 days) complicates detection, and how the Andes virus changes the conversation because it is the only hantavirus known to spread person to person.

We start with the basics that matter at the bedside: common transmission pathways like inhalation of aerosolized particles from rodent droppings, the two major clinical syndromes (hantavirus cardiopulmonary syndrome and hemorrhagic fever with renal syndrome), and the pathophysiology that drives non cardiogenic pulmonary edema, shock, thrombocytopenia, and organ failure. We also cover diagnosis (PCR and antibody testing), reporting to public health, and why supportive care remains the foundation, including when ECMO may be considered as a bridge to recovery.

Then, we bring it into the perioperative space with clear, practical infection control guidance for operating rooms and procedural areas. We talk elective case delays after known exposure, emergency surgery planning with bleeding risk, negative pressure isolation rooms, and PPE choices like N95 or PAPR for clinicians. We also share concrete anesthesia circuit precautions recommended by occupational health experts, including HEPA filtration placement, safer gas sampling scavenging, and how to handle circuit disconnections to reduce room contamination.

If you want a focused, evidence aware checklist for hantavirus preparedness in anesthesia care, hit play, share this with a colleague, and subscribe so you do not miss the next safety update. After listening, leave a review and tell us: what is the single biggest gap in your OR infection control plan right now?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/312-hantavirus-readiness-for-anesthesia-teams/

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Twenty-two steps to reach an airway is not a quirky workflow problem, it’s a patient safety problem. We’re turning our attention to a neuro-interventional radiology (Neuro IR) suite where cables, monitors, and a poorly positioned anesthesia machine created a cramped, high-friction non-operating room anesthesia (NORA) environment. Joined by John Edwards, CRNA, we unpack how a real-world quality improvement project at the University of Kentucky Medical Center turned staff frustration into an evidence-based anesthesia workspace redesign.

We start with what triggered the change: frontline clinicians describing barriers to optimal patient care, unsafe ergonomics, and a layout that made simple tasks unnecessarily hard. From there, we connect the dots to broader NORA safety expectations, including the American Society of Anesthesiologists guidance on having sufficient space, equipment access, and the ability to reach the patient quickly. Them, the team brings anesthesia staff, interventional radiology personnel, and facilities managers together to redesign the room with minimal disruption.

You’ll hear the practical interventions that made the difference, like cable management using existing ceiling infrastructure, switching to a more compact anesthesia machine, and repositioning equipment to restore clear access to the patient. The results are striking: smoother movement, less clutter, improved morale, and a dramatic reduction in the distance to the airway. If you work in any NORA location, this is a blueprint for safer anesthesia workflows.

Subscribe for more NORA safety and patient safety insights, share this with a colleague who works off-site, and leave a review to help more clinicians find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/311-from-cable-chaos-to-one-step-airway-access/

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Condensation in an anesthesia circuit looks harmless until it starts skewing flow sensor readings or creating the kind of warm, wet environment where microbes can thrive. We pick up the story after the investigation into moisture and mold concerns in GE operating room ventilators, then move straight into the questions clinicians asked most: which filters matter, how low-flow anesthesia changes the moisture equation, and what “moisture mitigation” actually means at the bedside.

We walk through APSF guidance on filtration, including why a high-quality filter between the expiratory limb and the anesthesia machine is a key defense for keeping respiratory pathogens out of the workstation. We also talk about what HME filters do well for airway humidity and reducing moisture entering the machine, where their limits are (especially moisture generated by CO2 absorption), and why sidestream gas sampling lines deserve more attention in infection prevention and anesthesia machine protection.

Then we share GE Healthcare’s response, including what’s universal across modern anesthesia breathing systems, what features support moisture management, and when optional condensers may help depending on clinical usage patterns.

If this topic affects your OR workflow, subscribe, share the episode with a colleague, and leave a review so more anesthesia professionals can find these moisture management and patient safety insights.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/310-moisture-matters-in-anesthesia-circuits/

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Black particles in a breathing system are the kind of finding that makes every anesthesia professional stop and look twice. We’re sharing what a large health system uncovered after concerns for mold and moisture accumulation surfaced inside certain GE Healthcare anesthesia workstations used in operating rooms, especially during longer cases and in humid conditions. What started with a routine inspection quickly scaled into a broad audit of OR ventilators, a review of internal moisture points, and an urgent push for real-world mitigation.

We walk through what the investigation found, what cultures grew, and the question everyone asks first: what is the risk to patients? We discuss why the available evidence suggests the infectious risk is likely minimal when high-quality heat and moisture exchange (HME) filtration and breathing circuit filters are used correctly, and why the team still pulled affected machines from service for sterilization per manufacturer instructions. Patient safety isn’t only about infection, though, and we also cover how excess condensate can affect flow sensors and tidal volume accuracy.

Then we get concrete about prevention. We break down where moisture comes from inside an anesthesia ventilator, how low-flow anesthesia and rebreathing can increase water production in the circuit, and why simply turning up fresh gas flow isn’t the right fix when cost and environmental impact matter. You’ll hear the day-to-day moisture mitigation strategies that were implemented, including education, routine moisture and mold checks, overnight handling of circuits and sensors, and why add-on condenser drainage may be necessary for older compatible models.

If you want a practical checklist mindset for anesthesia workstation maintenance, OR ventilator safety, and moisture management, this is for you. Subscribe, share with your colleagues, and leave a review so more teams can spot problems early and keep patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/309-mold-risk-in-anesthesia-workstations/

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Delirium, pain, and prolonged ventilation can feel like “expected” bumps in perioperative care until you look closely at the data. We walk through four recent APSF In the Literature reviews and pull out what’s actually actionable for anesthesia patient safety right now, with clear numbers and real-world implications.

First, we dig into a randomized controlled trial of S-ketamine for elderly patients undergoing total hip or total knee arthroplasty under neuraxial anesthesia. With general anesthesia out of the equation, the study reports a notable drop in postoperative delirium, raising practical questions about when S-ketamine belongs in your plan and how you weigh neuroprotection alongside analgesia.

Next, we shift to the ICU after cardiac surgery and examine evidence on dexmedetomidine sedation and duration of invasive mechanical ventilation. We talk through the key nuance: dexmedetomidine is associated with longer ventilation overall, yet may shorten ventilation time in patients with a high “sedation burden,” highlighting how stacking sedatives can change the outcome you’re trying to optimize.

We then move to labor and delivery with a large prospective cohort on pain during cesarean delivery with neuraxial anesthesia, including higher risk with urgent cases and epidural top-ups, plus an important signal on language and the need for interpreters. We close with a pediatric trial where EEG-guided sevoflurane titration reduces emergence delirium and speeds recovery in the PACU.

Subscribe for weekly, evidence-focused anesthesia insights, share this with a colleague, and leave a review so more clinicians can find the latest perioperative patient safety updates.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/308-we-break-down-the-latest-evidence-on-safer-anesthesia-care/

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The world has the knowledge to make anesthesia safer, but too often it’s the basics that are missing where the need is greatest. We’re talking about perioperative patient safety in low- and middle-income countries (LMICs), where a smaller share of surgical volume can still carry a massive share of perioperative death and disability. That imbalance isn’t inevitable, and it isn’t solved by one tool or one training course. It changes when systems change.

We walk through the biggest systemic barriers starting with anesthesia workforce shortages and the downstream effects on access, delays, and confidence in care. We also dig into national surgical, obstetric, and anesthesia plans (NSOAPs) and how partnerships with organizations like the World Health Organization and the World Federation of Societies of Anesthesiologists can help countries set targets, build capacity, and track progress.

From there, we get painfully practical: monitors, oxygen, essential medicines, and rescue drugs. We discuss the WHO Surgical Safety Checklist, what makes implementation succeed, and why the WFSA International Standards for a Safe Practice of Anesthesia matter as both a minimum safety floor and a roadmap for improvement. We close on a critical question for quality improvement everywhere: how do you build accountability when risk-adjusted outcomes data is hard to collect, and what solutions are most realistic?

Subscribe for more anesthesia patient safety conversations, share this episode with a colleague, and leave a review so more clinicians can find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/307-perioperative-safety-in-low-and-middle-income-countries/

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Catastrophic neurologic injury after a routine anesthetic is the kind of signal that stops you in your tracks, and that’s exactly why we’re talking about new perioperative recommendations for patients with maternal Venezuelan ancestry. We’ve seen reports of otherwise healthy adults and children who deteriorated after general anesthesia, with sevoflurane appearing repeatedly in the documented events. That pattern has led the American Society of Anesthesiologists and the Society for Pediatric Anesthesia to issue updated guidance aimed at preventing harm while the science catches up.

We walk through what clinicians need to know about the suspected mitochondrial link and why maternal lineage matters for risk assessment. We also discuss why a negative family history does not reliably protect a patient and why laboratories must be explicitly alerted to the mutation of interest because it has been historically labeled a normal variant.

Then, we get practical: how to screen for maternal Venezuelan heritage with care and sensitivity, how to explain the question without implying anything about immigration status, and how to approach anesthetic planning when definitive genetic testing is unavailable. We cover current thinking on avoiding volatile anesthetics, when regional anesthesia may help, considerations around propofol infusions, processed EEG monitoring, and postoperative observation for return to neurocognitive baseline. If this is helpful, please subscribe, share the episode with your team, and leave a review so more clinicians can find these patient safety updates.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/306-venezuelan-ancestry-anesthesia-alert/

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The fastest way to weaken patient safety isn’t a missing checklist, it’s a team that stops trusting each other. We dig into “infinite anesthesia” and the next step, “leading infinitely,” a practical relational leadership approach designed to build psychological safety, empathy, humility, and civility in perioperative care.

We share why anesthesia professionals are uniquely positioned to lead across the full health system: we work at the intersection of surgeons, proceduralists, nurses, and hospital leaders, and we see how small culture signals impact big operational and safety outcomes. You’ll hear how trust-based teamwork can improve clinician well-being, strengthen system resilience, and support measurable gains in patient outcomes and retention.

We also break down the Lead Infinitely workshop series and what makes it different: teams learn together, practice concrete behaviors, and graduate with a strategic plan instead of a solo certificate. The conversation moves from training to scale, including why research, early wins, and credible champions matter if this work is going to spread beyond the OR and into onboarding, governance, and daily clinical practice.

If you want your workplace to feel safer, calmer, and more effective, listen now, share with a colleague, and subscribe so you don’t miss what’s next. After you listen, leave a review and tell us what leadership behavior you want to see more of on your team.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/305-lead-infinitely/

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Workforce shortages and rising demand are squeezing perioperative teams from every side and that pressure can turn colleagues into rivals. We push back on that mindset and explore a different way to think about the future: “infinite anesthesia,” a long-term approach to anesthesia patient care and anesthesia patient safety that prizes trust, teamwork, and a workplace where every clinician is valued.

We share highlights from the APSF Newsletter article “Leading Infinitely in Perioperative Care” and hear directly from author, Dr. Matt Sherrer, on why relational leadership has to extend beyond anesthesia, nursing, and the operating room. When surgeons, proceduralists, and hospital leaders join the same conversation, improvement scales faster and sticks longer. We also break down the “finite vs infinite game” idea and translate it into concrete behaviors: building trusting teams, learning from worthy rivals instead of fighting them, staying flexible with systems thinking and human factors, and having the courage to name tension while still celebrating progress.

Then we get tactical with “crossing the chasm,” a model from the technology adoption lifecycle that explains why great ideas stall without early adopters and strong relationships. If poor communication drives preventable harm, civility and clear dialogue are not soft skills, they are core safety tools. We close with a candid reflection from Dr. Richard Dutton on how scope battles and politics can impair access and quality when there is already more than enough work for everyone.

Subscribe for the next conversation, share this with a colleague, and leave a review so more perioperative teams can build safer systems together.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/304-infinite-anesthesia-is-not-unlimited-propofol/

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Measles can walk into your OR before the rash ever shows up, and that’s what makes perioperative measles planning so high stakes. We break down the timing that drives everything: incubation, the contagious window from four days before rash onset through four days after, and how recent exposure during an outbreak should change your elective surgery decisions.

We also zoom out to the bigger picture behind today’s resurgence of measles, including declining vaccination rates and travel-related reintroduction. Then we get practical about what anesthesia professionals need at the bedside: how to confirm immunity status, what symptoms and complications to watch for, and why supportive care is still the core treatment strategy since there are no antivirals. We talk through high-risk groups, from infants to pregnant and immunocompromised patients, and why measles immune suppression can create downstream risk for secondary infection and delayed wound healing well after the acute illness.

On the infection control side, we outline the precautions that protect your team and your facility: strict contact and airborne precautions and smart workflow choices like limiting staff to those with confirmed immunity status and using a negative pressure room for urgent or emergent procedures when possible. We also cover post-exposure prophylaxis options that can prevent or blunt infection, including vaccine timing and when immune globulin is indicated.

For the full checklist mindset, we point you to the featured APSF article and the summary table that pulls the perioperative considerations together. Subscribe, share this with a colleague who takes call, and leave a review so more clinicians can find clear guidance on measles anesthesia safety and operating room infection control.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/303-measles-in-the-or/

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A difficult airway is hard enough in a modern hospital. Now imagine managing it on a ship, far from resupply, where “availability supersedes preference” and a device that worked last month might quietly drift out of spec. That’s the tension we unpack while exploring reusable versus single-use airway devices in humanitarian anesthesia and why planning is what protects patients when seconds count.

We’re joined by Matt McGee, a Navy anesthesiologist who served as department head for anesthesiology aboard the USNS Comfort during Continuing Promise 2025. He walks us through what his team saw with reusable airway tools after repeated sterilization and handling, including progressive deformation of rigid stylets and how that kind of performance degradation can turn into delay during unanticipated difficult airway management. From there, we zoom out to the broader patient safety implications: infection control, sterilization capacity, operational throughput in multiple ORs, and the very real consequences of depending on a fragile supply chain for single-use equipment.

We also take sustainability and ethics seriously. Single-use airway equipment can deliver consistency and simplicity, but it increases medical waste and can strain host-nation disposal systems, raising environmental stewardship questions that belong in the same conversation as laryngoscopes and video laryngoscopes. The takeaway is practical and actionable: build a hybrid airway equipment strategy, monitor reusable devices with systematic inspection protocols, plan redundant procurement buffers for disposables, and coordinate pre-deployment waste management with host partners.

If you care about anesthesia patient safety in austere environments, global health, or perioperative systems planning, hit subscribe, share this with a colleague headed on mission work, and leave a review with your best tip for building redundancy without creating unnecessary waste.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/302-reusable-versus-single-use-airway-devices-when-seconds-count/

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Work stress doesn’t come only from long days and hard cases in the operating room. It also comes from the invisible rules a team lives by: who gets heard, how conflicts get handled, what “efficiency” really means, and whether anyone feels safe enough to speak up. We take on operating room culture change through the lens of pro-social behavior and explain why small, voluntary actions like cooperation, gratitude, and direct support can translate into lower burnout, clearer communication, and stronger patient safety.

We walk through Elinor Ostrom’s Nobel Prize winning core design principles for effective group collaboration and translate them into plain-language behaviors that OR team can actually use: shared purpose, fair decision-making, transparency, fast conflict resolution, and real accountability for helpful and unhelpful conduct. Then we pressure-test those principles against a clinical vignette where production pressure, hierarchy, and staffing strain pull clinicians away from the shared goal of safe, timely perioperative care and just having a nice day at work with colleagues.

You’ll also hear from author Ramona Houmanfar on burnout measurement and psychological flexibility, plus insights from Mary Fearon on why interdisciplinary partnership matters for sustainable change. We close with Acceptance and Commitment Training (ACT) and the ACT matrix as a practical tool to notice counterproductive patterns, choose value-aligned actions, and build an OR environment where efficiency and well-being can finally support each other.

Subscribe, share with a colleague who’s feeling the pressure, and leave a review so more clinicians can find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/301-pro-social-operating-rooms/

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The fastest way to make an operating room feel unsafe isn’t a broken monitor, it’s a team that stops acting like a team. We dig into pro-social behavior: the small, voluntary actions that support other people and the group, including kindness, cooperation, and gratitude, and why these behaviors can lower cognitive load, strengthen communication, and improve anesthesia patient safety when the schedule gets tight and the stakes are high.

We share highlights from the February 2026 APSF Newsletter feature “Reduce Burnout, Improve Safety and Efficiency: Consider Pro-Social Behavior,” with insights from APSF leader Jeffrey Feldman. He connects persistent preventable harm and rising clinician burnout to the day-to-day culture in perioperative care, where interactions can become impersonal and inconsistent under production pressure. A vivid OR scenario brings it to life: a difficult airway, staffing constraints, unfamiliar teammates, and the clock driving tension instead of coordination.

We also hear from Caoimhe Duffy, whose work in human factors and teamwork focuses on the “everyday actions” that keep patients safe before harm occurs. Her goal is practical: make positive behaviors more visible, more measurable, and easier to teach so teams can improve clinician well-being and patient safety at the same time. We close with a teaser for what’s next, including Elinor Ostrom's Nobel Prize-winning framework for collaboration and how it could offer an out-of-the-box model for building stronger perioperative teams.

Subscribe so you don’t miss part two, share this with a colleague who’s feeling the pressure, and leave a review to help more clinicians find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/300-pro-social-teams-safer-faster-kinder/

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Cannabis has gone mainstream, but perioperative risk has not improved. THC products are far more potent than they were decades ago, emergency room visits are climbing, and many patients still walk into surgery thinking that it’s safe. We want anesthesia professionals to have a clearer, evidence-informed way to think about cannabis and anesthesia before the next case.

We open the latest APSF newsletter feature article, “Cannabis and Anesthesia,” and bring in author Trisha Meyer to frame why this topic matters now. Together, we walk through the pharmacology that shows up at the bedside: THC vs CBD, CB1 and CB2 receptors, the endocannabinoid system, and how route of use changes onset and duration. Then we get practical about drug-drug interactions and highlight a free interaction-checking resource you can use in real time.

From there, we map cannabis use across the perioperative timeline. Preop means asking better questions and documenting details like product type, dose, frequency, last use, and withdrawal symptoms, plus knowing when intoxication should delay elective surgery and when cardiac risk may need more workup. Intraop means expecting possible higher propofol and sedative requirements, watching for cardiovascular instability, and preparing for airway hyperreactivity and bronchospasm in inhaled users. Postop means planning for higher pain needs, using multimodal analgesia, and recognizing withdrawal, hypothermia, and shivering patterns that can surprise teams.

If you care about perioperative patient safety, listen, share this with a colleague, and subscribe so you don’t miss what’s next.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/299-cannabis-and-anesthesia/

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Postoperative delirium is one of the most common adverse events after surgery for older adults, and it can change a patient’s recovery, independence, and quality of life. We take a practical, evidence-focused look at what anesthesia teams can actually do to support perioperative brain health, using the latest recommendations from the APSF Brain Health Patient Safety Advisory Group.

We walk through the four questions clinicians keep asking at the bedside. First, does intraoperative hypotension drive delirium? We break down why the data is mixed, what mechanisms make hypotension plausible, and why individualized hemodynamic goals with rapid correction still belong in a modern patient safety strategy. Next, we tackle benzodiazepines and the Beers Criteria: newer trials and practice advisories suggest short-acting agents like midazolam and ultra-short-acting options like remimazolam do not need to be avoided solely to prevent postoperative delirium, while medication review, deprescribing, and cognitive screening remain essential.

From there, we get into anesthetic depth and intraoperative EEG monitoring. EEG guidance can reduce burst suppression and may help tailor dosing as part of precision anesthesia, but the evidence is still inconclusive on whether it prevents delirium in older adults. We close with the long-debated choice between general anesthesia and regional anesthesia, highlighting recent meta-analyses and trials showing no significant difference in delirium incidence once confounders are controlled, with a key nuance around avoiding excessive sedation.

Subscribe for more anesthesia patient safety updates, share this with a colleague, and leave a review if the conversation helps you bring a brain health lens to your next case.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/298-new-apsf-brain-health-guidance-for-older-adults/

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Transfers don’t have to feel like controlled chaos. We break down how to move a critically ill patient from the OR to the ICU with confidence by pairing structured handoffs with disciplined infection prevention—so information moves seamlessly while pathogens hit a dead end.

We start by revisiting the ICU’s influence on anesthesia practice through the story of ARDS and lung-protective ventilation. The shift to 6 ml/kg ideal body weight didn’t just save lungs in the unit; it reshaped intraoperative strategy to reduce ventilator-induced injury for surgical patients. From there, we zoom into the human factors of handoffs: why complex, time-sensitive details—hemodynamics, antimicrobials, ventilator settings, imaging, and goals of care—so often fall through the cracks, and how IPASS, OR-to-ICU structured handoffs, and explicit role assignments align teams.

Then we tackle pathogen transmission where it thrives: device-rich environments and high-touch surfaces. We unpack how environmental reservoirs and biofilms turn bed rails and anesthesia machine into unseen vectors, and why consistent, high-frequency hand hygiene is the most powerful countermeasure. Clear targets make habits stick: at least four sanitizer uses per hour in the ICU and eight per hour in the OR, coupled with strict isolation adherence and diligent decontamination.

By the end, you’ll have a tight, transferable playbook: adopt lung-protective settings across care areas, script handoffs with shared tools and timed calls, measure sanitizer touches, and treat the environment as a clinical variable. If this conversation helps your team cut errors or infections, share it with a colleague, subscribe for future episodes, and leave a review with one change you’ll make this week.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/297-from-or-to-icu-how-checklists-and-clean-hands-save-lives/

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A small air bubble, a missed monitor cue, a late call for help—tiny moments that can change everything. We sit down with Dr. Max Feinstein to unpack how real-world anesthesia education builds safer clinicians, why attention is our most precious resource, and how culture—not heroics—prevents harm. From clear talk about morbidity and mortality to practical tactics like just-in-time simulation and curated literature, we map out a grounded approach to training that sticks under pressure.

For new attendings, the leap to autonomy can feel surreal. We talk through imposter syndrome, the virtue of asking for help early, and how to choose a practice that backs safety over production pressure. Want red flags? Proceeding with non-NPO patients or brushing off new chest pain are hard stops. You’ll also hear about Dr. Feinstein’s current research in blood and transfusion management for cardiac surgery, his YouTube channel that demystifies anesthesia for learners and patients, and a nonprofit close to his heart, Heart Care International, supporting care for kids with congenital heart disease.

If you care about anesthesia safety, team culture, and teaching that actually changes behavior, this conversation will give you tools you can use on your next case. Subscribe, share with a colleague who mentors trainees, and leave a review with your top strategy for reducing OR distractions—what works best for your team?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/296-how-we-build-safer-anesthesia-teams-one-trainee-at-a-time/

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Curiosity can change a career—and a field. We sit down with pediatric cardiac anesthesiologist and creator Dr. Max Feinstein to trace how a love of ethics, a pandemic schedule, and a phone camera evolved into a mission to make anesthesia safer through clear, accessible education. From the first CA1 walk throughs to high-stakes cardiac cases, Max explains how video demystifies monitors, medications, and moments that raise anxiety for patients and challenge new clinicians.

We dig into the roots of patient safety—why medication errors still matter, how standardized setups and closed-loop communication reduce risk, and where pediatric data remains thin. Max shares the unexpected insights from filming veterinary anesthesia, revealing shared tools and parallel workflows across species. He also talks candidly about the hardest shoot: obtaining layered consent in the OR, balancing transparency with compassion, and earning trust from everyone in the room.

Now serving as the inaugural APSF digital editor, Max walks us through building collaborative patient-safety videos on platforms people actually use. Think opioid safety explained for patients, monitoring made visual for trainees, and practical lessons from human factors that stick when the pressure is high. Along the way, we highlight how partnerships with experts, attorneys, and working groups help turn guidelines into engaging stories that change behavior, not just views.

If you care about anesthesia patient safety, pediatric cardiac care, or how medical education is evolving on YouTube and beyond, this conversation offers tools you can use today. Subscribe, share with a colleague, and leave a review with the safety topic you want us to unpack next.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/295-from-or-to-youtube-what-happens-when-patient-safety-meets-digital-storytelling/

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When air meets uncertainty, judgment matters most. We dig into the evolving landscape of airway management where video laryngoscopy, supraglottic devices, and even ECMO promise better outcomes, yet cognitive errors and non‑OR settings still account for many of the most devastating events. Drawing on recent studies, malpractice claims, and national audits, we map the pressure points that turn a difficult intubation into a crisis and show how to defuse them with clearer plans, tighter teamwork, and sharper skills.

We start with three high‑yield rules that change outcomes fast: cap the number of attempts, anticipate physiologic crashes, and switch early to rescue strategies. From there, we unpack the INTUBE findings on hypoxemia and cardiovascular instability, plus data showing how repeated attempts compound failure. Video laryngoscopy gets a balanced look: why it lifts first‑pass success across ED and ICU intubations, and how overreliance can silently erode direct laryngoscopy and awake fiberoptic competence. Expect practical strategies to preserve breadth: intentional DL reps, awake FOI workshops, and shared mental models that define time limits and bailout triggers.

We also tackle unsettled ground. Aspiration risk reduction remains murky; cricoid pressure under general anesthesia has not delivered clear benefits, and robust trials comparing asleep rapid‑sequence to awake, topicalized methods in high‑risk patients are missing. We offer a decision lens to tailor approach by anatomy, physiology, and available expertise. For extreme airways—think massive goiter or tracheal compression—we explore where ECMO fits: preemptive, standby, or rescue. You’ll hear how activation criteria, cannulation readiness, and interprofessional rehearsal turn a complex tool into a safety net rather than a new hazard.

By the end, you’ll have a cleaner playbook: plan A–D that you can execute under stress, a review of device trade‑offs, and concrete ways to reduce cognitive traps that drive harm. If this conversation sharpens your next airway, share it with a colleague, subscribe for future episodes, and leave a quick review to help others find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/294-from-video-laryngoscopy-to-ecmo-what-keeps-airway-management-safe/

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What if the anesthesia workstation could see trouble coming and stop it before it starts? We explore how anesthesia moves from reactive to predictive by blending AI, medical-grade wearables, and closed loop systems with a strong safety culture. The story of Alex—a 75-year-old who developed postoperative delirium and fell—anchors the stakes and shows how early signals, if recognized and acted on, can change a life.

We break down practical uses of machine learning in the perioperative space: forecasting hypotension minutes ahead, integrating multimodal physiologic data for real-time decision support, and taming alarm fatigue with smarter, context-aware alerts. From operating room monitors to infusion pumps, interoperability turns scattered data into timely action.

Automation takes the next step with closed loop control. Imagine EEG-guided dosing that keeps hypnosis within target ranges, fluid and vasopressor titration that stabilizes hemodynamics, and a supervisory controller that coordinates these loops so clinicians can focus on communication, situational awareness, and patient advocacy. Through it all, safety culture remains the foundation: psychological safety, shared learning, and consistent prioritization of safety over short-term operational pressures. Technology should amplify the human connection, not replace it.

You’ll leave with a clear view of what to pilot now—AI decision support in high-yield scenarios, targeted wearable programs for high-risk pathways, and structured training that embeds safety into daily practice. If this vision sparks ideas or questions, reach out and join the conversation. Subscribe, share with a colleague who cares about perioperative safety, and leave a review to help more clinicians find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/293-reimagining-anesthesia-with-ai-wearables-and-safety-culture/

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Maternal safety has never mattered more, and the stakes span far beyond the delivery room. We revisit four decades of progress in obstetric anesthesia—from safer neuraxial techniques and airway strategies to medication safeguards—and then get honest about what still puts patients at risk. With author insights and frontline examples, we connect the dots between evidence, teamwork, and the lived experience of childbirth to show where anesthesia can lead meaningful change.

Rising patient complexity reshapes our role. We lean into risk stratification with the Obstetric Comorbidity Index, proactive antenatal planning, and sustained postpartum follow-up. We address maternal mental health and substance use disorder with trauma-informed care and smarter pain plans. And we face inequity directly—why Black women bear disproportionate harm and how standardized pathways, equitable escalation, and advocacy move outcomes in the right direction. Looking ahead, we explore point-of-care ultrasound for neuraxial guidance and aspiration assessment, AI-driven tools for early detection, wearables for postpartum monitoring, and enhanced recovery after cesarean to cut variation and strengthen reliability.

Subscribe, share with a colleague on labor and delivery, and leave a review with one change you’ll make this week to advance maternal safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/292-forty-years-of-obstetric-anesthesia-progress-and-the-work-ahead/

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A cocaine-positive patient rolls into the OR and the monitors look fine—until twenty minutes after induction, when the blood pressure plummets. We unpack that swing from sympathetic surge to sudden crash through two real cases: an emergent trauma laparotomy complicated by asystole and a chronic intranasal user with profound hypotension that only responded to direct-acting vasopressors. From there, we connect the dots to the pharmacology that makes these events predictable and, with the right plan, manageable.

We talk candidly about what matters before wheels-in: timing of last use, objective signs of toxicity, and targeted testing. You’ll hear why urine screens can stay positive for weeks, why indirect agents like ephedrine can fail, and how phenylephrine or norepinephrine often become first-line choices. For regional anesthesia, we flag contamination risks and local anesthetic systemic toxicity concerns that call for dose adjustment and intralipid readiness. Chronic cocaine use adds another layer, including left ventricular dysfunction, myocardial infarction and fibrosis, and calcium dysregulation.

Hospital policy and equity loom large. Automatic cancellations for cocaine positive patients can worsen pain, delay care, and disproportionately impact patients with limited access. We review current evidence suggesting many asymptomatic, cocaine-positive patients tolerate elective noncardiac surgery under general anesthesia with hemodynamics comparable to controls when vigilant management is in place. The takeaway: build flexible, evidence-informed pathways that prioritize patient safety without reflexive delays, and keep a rescue mindset with careful monitoring and direct vasopressors within reach. If this sparked ideas for your practice, subscribe, share with a colleague, and leave a review so more clinicians can find these insights.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/291-managing-anesthesia-risks-for-patients-with-acute-and-chronic-cocaine-use/

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A remarkable safety story runs through regional anesthesia, from the era of blind needle placement to a modern practice guided by real-time ultrasound, lipid rescue, and reliable team checklists. We walk through the key milestones that cut complications, accelerated block onset, and lowered conversion to general anesthesia, while keeping a clear eye on the hazards that remain. Along the way, we explain how a simple seven-point timeout helps prevent wrong-sided blocks and why ultrasound has reshaped dosing, local anesthetic spread confirmation, and failure rates.

We also dig into the numbers around local anesthetic systemic toxicity and neurologic injury, translating data into everyday decisions at the bedside. You’ll hear how improved dosing protocols, reduced volumes with ultrasound guidance, and rapid access to lipid therapy drive cardiac toxicity toward zero. We unpack the real contributors to failed blocks—anatomic variation, communication barriers, obesity, surgical factors, and experience—and share practical, high-yield steps for safer performance, from short-bevel needle selection to injection pressure monitoring and clear patient counseling.

Looking forward, we explore the next wave of tools transforming the block room: 3D and 4D ultrasound for richer visualization, needle tip tracking for faster and steadier trajectories, and pressure monitoring that warns before harm. We spotlight how AI could assist with ultrasound interpretation, trajectory planning, and complication prediction, while wearables and high-fidelity simulation extend safety beyond the procedure to early detection and better training. If you care about preventing never events, reducing LAST, and building a resilient regional anesthesia workflow, this conversation lays out what works now and what’s coming next.

Enjoyed the insights? Subscribe, share with a colleague, and leave a review to help more clinicians advance patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/290-from-blind-needles-to-ultrasound-the-safety-revolution-in-regional-anesthesia/

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A single syringe swap should never decide a patient’s fate. We pull back the curtain on forty years of anesthesia medication safety to show what truly works—then tackle the hard part: getting proven safeguards into every OR, every time. From look-alike vial hazards to standardization that actually sticks, this conversation blends frontline realities with practical steps leaders can implement now.

We dig into the high-stakes TXA wrong-drug, wrong-route crisis and explain why eliminating vials and moving to ready-to-administer IV bags is a must. Along the way, we unpack new FDA label warnings, the APSF–ISMP joint recommendations, and the forcing functions that prevent catastrophes, including NRFit for neuraxial routes and barcode verification at the point of care. We also surface quieter threats—vial coring, variable concentrations, and chaotic storages—and show how color-coded, readable labels and organized carts reduce cognitive load when seconds matter.

Opioid safety gets equal focus. We connect preoperative risk assessment, multimodal analgesia, and smart postoperative monitoring to reduce opioid-related harm without compromising comfort. Technology has matured too: AI-driven clinical decision support can flag dosing and drug-choice risks in real time, but only if woven into workflows that clinicians trust. Throughout, we return to the implementation gap: success depends on leadership support, supply chain alignment, failure mode analysis, transparent reporting, and peer support that sustains a just culture.

If you care about safer anesthesia—standardized labels and concentrations, prefilled syringes, organized storage, barcode checks, and a culture that learns—this is your playbook. Listen, share with your team, and help push your institution from knowing to doing. Subscribe, leave a review, and tell us which safeguard you’ll champion next.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/289-forty-years-of-anesthesia-medication-safety-what-works-and-whats-next/

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Seconds define outcomes in the OR, and medication safety lives in those seconds. We take you inside four decades of work by the Anesthesia Patient Safety Foundation to show how our field shifted from relying on vigilance to building systems that make the right action the easy action. Along the way, guest contributor, Dr. Elizabeth Rebello, shares why standardization, technology, and culture are not buzzwords but lifelines when a single clinician must select, prepare, and administer drugs under pressure.

We break down the STPC framework born from the 2010 Stoelting Conference—standardization, technology, pharmacy/pre-filled/pre-mixed, and culture—and translate it into real steps: standardized concentrations for high-alert medications, removal of concentrated lethal agents from the OR, barcode-based identification before draw-up or administration, and smart infusion pumps with user-friendly drug libraries. You’ll hear how prefilled syringes, automated dispensing, and clinical pharmacist integration reduce prep errors and free up attention when it matters most.

The story moves forward with the 2018 focus on drug safety profiles and the stubborn challenge of shortages. We explore actionable ideas: building a standing shortage committee, communicating substitutions fast, simplifying carts and labels when suppliers change, and embracing multimodal analgesia.

By the end, you’ll have a clear map of what to implement now—printed labels, prefilled syringes, smart-pump integration with your anesthesia record—and what to champion next across your institution. Subscribe and share with a colleague who leads in the OR. Then tell us: which safety step will you push across the finish line this year?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/288-forty-years-of-perioperative-medication-safety-progress/

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Nausea shouldn’t be the most memorable part of surgery. We take a clear, evidence-based look at postoperative nausea and vomiting, from identifying who’s at risk to building smarter prophylaxis bundles and choosing the right rescue when prevention falls short. With guest insights from Dr. Connie Chung, we unpack the Fourth Consensus Guidelines, translate them into practical workflows, and explore how Amisulpride—an atypical D2 antagonist—changes the game with an FDA indication for rescue after failed prophylaxis.

We start by shrinking baseline risk: consider regional anesthesia when feasible, leverage TIVA with propofol, avoid nitrous and volatiles in longer cases, hydrate well, and spare opioids with multimodal analgesia. Then we scale prophylaxis to risk: dexamethasone at induction, 5-HT3 antagonists at the end, transdermal scopolamine for select patients, and low-dose Droperidol where appropriate. When prophylaxis fails, we explain why repeating ondansetron rarely helps and how switching classes boosts rescue success. Along the way, we map the safety terrain for D2 antagonists—QT prolongation, extrapyramidal risks, anticholinergic effects—so you can individualize care for elderly patients, those on antipsychotics, or anyone with potential drug interactions.

We also dig into what’s new: contemporary analyses of Droperidol at antiemetic doses, and growing evidence that Amisulpride pairs well with Ondansetron or Dexamethasone to improve outcomes. Pediatric pearls include TIVA, fluids, and a two-drug prophylaxis backbone for longer or higher-risk cases. The result is a practical, stepwise approach you can apply tomorrow—reduce risk, layer mechanisms, and rescue smartly—to cut PACU delays, avoid unplanned admissions, and deliver a recovery that feels as good as the surgical fix.

If this deep dive helps your practice, follow, share with your team, and leave a quick review to help others find the show. Tell us your go-to PONV bundle and whether your site stocks Amisulpride.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/287-a-new-era-for-ponv-safety-guidelines-and-smarter-rescue/

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Safety for children under anesthesia shouldn’t depend on luck or location. We walk through 100+ years of progress in pediatric anesthesia and focus on the next wave of innovations that can make first attempts safer, dosing smarter, and systems more reliable—especially for neonates and infants who face the highest risk.

We start with the historical milestones that changed outcomes: pulse oximetry, capnography, standardized monitoring, and the rise of pediatric training and ICUs. Then we examine where progress must accelerate. Video laryngoscopy is improving first-pass success and reducing desaturation by giving teams a brighter, shared view of the airway. Ultrasound enhanced by AI promises needle guidance, better vascular access, and more consistent regional anesthesia. Gastric ultrasound could reshape fasting practices, reducing hypotension, nausea, and anxiety while safeguarding against aspiration. Alongside these tools, processed EEG helps tailor volatile agents and propofol to the developing brain, pushing practice from population averages to precision dosing.

We also look ahead to artificial intelligence as a connective layer across perioperative care. Think risk stratification in the EHR, early-warning analytics for intraoperative instability, and smarter OR management that reduces cancellations and costs. With expert insights from pediatric anesthesiologist, Dr. Elizabeth Malinzak, we name the real barriers—training, cost, bias, regulation—and stake a claim for proactive safety science over reactive fixes. The goal is equitable, high-quality anesthesia care for every child, in every setting.

If this conversation resonates, follow the show, share it with a colleague, and leave a quick review. Your support helps spread practical tools and ideas that keep our smallest patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/286-pediatric-anesthesia-safety-past-gains-next-frontiers/

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A routine dental visit should never turn into a medical emergency. We sit down with Dr. Rita Agarwal, pediatric anesthesiologist and patient safety advocate, to unpack why dental anesthesia operates on a separate track from hospital-based care—and how that gap can put patients at risk. From the heartbreaking story of six-year-old Caleb Sears to the hard truths about monitoring requirements, staffing models, and training, this conversation brings clarity to a topic most families and many clinicians assume is standardized.

We dive into what “sedation” really means in dentistry, why route-based labels can hide true depth of anesthesia, and how inconsistent state rules leave dangerous blind spots. Dr. Agarwal explains the pillars of safer dental sedation: careful patient selection, a separate and qualified anesthesia provider for deep sedation or general anesthesia, and the ability to rescue from the next deeper level, including effective bag-mask ventilation and the timely use of reversal agents. We also explore the role of capnography, reliable oxygen supply, and scenario-based drills that make rapid response second nature.

Safety grows when systems learn. That’s why we spotlight the urgent need for robust data: routine reporting of outcomes and near misses from dental offices using a simple, standardized tool. Pair that with harmonized terminology aligned to ASA levels, simulation training, and clear emergency protocols, and dentistry can match the reliability gains anesthesia has achieved in hospitals. For parents and patients, we offer direct, practical questions to ask before consenting to sedation—who monitors, what training they have, what equipment is on hand, and whether sedation is truly necessary.

If this conversation gave you new tools or changed your perspective, help us spread the word. Subscribe, share with a colleague or a parent who needs it, and leave a review so more people can find evidence-based guidance on dental anesthesia safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/285-safer-smiles/

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The fastest way to improve post-cesarean recovery is to start before the first incision—by setting expectations, testing the block, and validating what patients feel. We sit down with Dr. Ruth Landau, Virginia Apgar Professor and Chief of Obstetric Anesthesia at Columbia University, to map a safer path from the OR to the nursery: neuraxial-first analgesia, scheduled non-opioids, and small, truly PRN opioid prescriptions at discharge. She explains how intrapartum cesareans carry higher risk for discomfort and why simple shifts—active epidural management, timely redosing, and clear, compassionate communication—reduce pain, opioid exposure, and the chance of a traumatic birth experience.

We break down practical steps that clinicians can apply today. Learn the difference between systemic and neuraxial opioids for breastfeeding safety, when to use ultrasound-guided TAP or QL blocks after general anesthesia, and how micro-boluses of IV dexmedetomidine can blunt visceral sensations, anxiety, and shivering. Dr. Landau also shares the latest from ASA statements and SOAP guidance, including dose-dependent monitoring strategies that make neuraxial opioids feasible even in resource-constrained settings.

The conversation moves beyond pharmacology to focus on outcomes that matter to families: fewer leftovers at home, less persistent opioid use, and birth memories grounded in trust instead of fear. We talk debriefs, trauma-informed care, and patient-reported experience measures, plus new research on sensation profiles and intrathecal adjuvants like dexmedetomidine and clonidine. If you’re building an opioid-sparing cesarean pathway—or refining the one you have—this is a clear, evidence-informed playbook.

If this resonates with you, follow the show, share it with your OB and nursing teams, and leave a review with one change you plan to make next shift. Your feedback helps more clinicians find these strategies and keeps more parents safe and comfortable.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/284-safer-c-section-pain-control-with-ruth-landau-md/

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Anterior mediastinal masses make even seasoned anesthesiologists pause, and for good reason: a stable, upright patient can decompensate with a single change in position or a single dose of the wrong drug. We walk through a clear, stepwise approach that starts with anatomy and symptom red flags, then translates imaging, echocardiography, and pulmonary function testing into real-world decisions at the bedside. The focus stays practical: how to pick the safest setting, when to avoid general anesthesia, and what to prepare before anyone touches the airway.

We break down adult and pediatric risk criteria, including mass-to-chest ratio, degree of tracheal compression, SVC obstruction, pericardial effusion, and standardized tumor volume in children. From there, we outline sedation-first strategies using ketamine, dexmedetomidine, and carefully titrated remifentanil to preserve spontaneous ventilation and avoid precipitous loss of tone. For patients who truly need general anesthesia, we share an OR playbook: lower-extremity access when SVC flow is threatened, semi-upright preoxygenation, slow induction while maintaining spontaneous ventilation, awake intubation options, and selective use of short-acting agents to test tolerance of positive pressure.

Ventilation choices can make or break the case. We explain why long expiratory times and low respiratory rates reduce air trapping and auto-PEEP, and how fiberoptic bronchoscopy can guide tube position, predict extubation risk, and inform postoperative support. Rescue pathways are explicit: repositioning and CPAP, mechanical stenting with an endotracheal tube or rigid bronchoscope, rapid escalation to airway stents, and ECMO when distal collapse or cardiovascular compromise persists. We also spell out who needs ICU monitoring after surgery and why the safest path often means doing less.

If this topic raises your heart rate, you’re not alone. Tune in to sharpen your plan, align your team, and build a safer pathway from preop to postop for both adults and kids. Subscribe, share with your OR team, and leave a review with your best tip for managing high-risk mediastinal masses.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/283-how-to-plan-induce-and-recover-patients-with-anterior-mediastinal-mass-without-triggering-collapse/

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Ever walked into a new OR and spent the first ten minutes hunting for an airway bougie or a computer log-in that actually works? We dig into the hidden safety risks of a transient anesthesia workforce and share practical, fast-moving fixes that keep patients safe while keeping rooms open. With staffing shortages reshaping coverage models across the United States and beyond, locum clinicians are essential—but inconsistent environments, unclear escalation paths, and fragmented communication can turn small friction points into big hazards.

We unpack what the current evidence says—and doesn’t—about locum-related outcomes. A UK qualitative study surfaces predictable threats like unfamiliar systems and weak team integration, while primary care data shows prescribing differences without higher adverse events. In anesthesia, large safety studies are scarce, so leaders must rely on smart design: targeted orientation, standardized room setups, and shared mental models that don’t depend on who’s on the schedule. We also talk dollars and sense, highlighting a simulation-based break-even estimate for when full-time hiring outperforms locum coverage, and how to weigh cost without compromising safety.

From the main OR to higher-risk non-operating room anesthesia sites, we outline concrete steps that work across settings. Limit initial deployment to oriented locations, add locum staff to all communication channels from day one, and use checklists, cognitive aids, and universal timeouts to reduce variability. Establish clear role definitions and escalation trees posted in every anesthetizing location, and fold temporary clinicians into audits, feedback loops, and ongoing education. The aim is simple: compress the ramp-up, eliminate guesswork, and make the safe action the easy action—even when teams change daily.

If you care about perioperative safety, access, and team resilience, this conversation gives you a playbook to act now. Subscribe, share with a colleague who onboards locums, and email your best orientation tip so we can feature it on a future show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/282-building-safer-anesthesia-teams-in-a-locum-driven-world/

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Imagine stepping into an operating room where oxygen isn’t guaranteed, capnography is rare, and one anesthesiologist might serve a million people. That’s the reality many patients face, and it’s exactly where meaningful change can save the most lives. We sit down with Dr. Kelly McQueen, professor of anesthesiology and department chair at the University of Wisconsin, to explore what it takes to deliver safe anesthesia in low and middle-income countries and how practical solutions—rooted in training, equipment reliability, and data—can close the gap.

We trace how safety became foundational in anesthesiology in high-resource settings while many colleagues abroad still rely on vigilant listening and teamwork to compensate for missing monitors and essential medicines. Dr. McQueen explains the workforce crisis—too few trained providers, concerns with credentialing, limited continuing education—and why the fix starts with lifting current teams, not replacing them. We discuss how ministries of health, medical schools, and national anesthesia societies can drive lasting change by investing in local training pipelines, fair compensation, and clear standards that elevate both physician and non-physician providers.

From the WHO Surgical Safety Checklist to Lifebox-style initiatives, we look at how checklists adapted to local constraints can improve outcomes when paired with reliable oxygen, pulse oximetry, and capnography. We also dive into the power of perioperative mortality reviews which can turn scarce data into quality improvement that sticks. Dr. McQueen makes a compelling case for bilateral partnerships that build capability, confidence, and leadership so anesthesiologists can advocate for what their patients need most.

If you care about global health equity, safer surgery, and the systems that truly protect patients, this conversation brings clarity and momentum. Listen, share with a colleague, and subscribe so you don’t miss future episodes—and leave a review to help others find the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/281-safer-anesthesia-everywhere/

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What if the biggest risks in maternal care are not just clinical, but cultural? We dig into the hard truth that speaking up can feel risky, pain during cesarean is often underestimated, and rare obstetric crises can overwhelm memory. From there, we chart a path toward safer births with practical tools that any team can use: psychological safety to unlock communication, structured pre‑briefs and rapid debriefs, and cognitive aids that turn chaos into coordinated action.

We walk through the lived reality of intraoperative pain—why negative skin tests don’t guarantee visceral coverage, how fear of general anesthesia can delay needed care, and the downstream consequences for bonding, breastfeeding, and mental health. You’ll hear clear, patient‑centered steps: standard sensory assessment, explicit pain check‑ins, decisive treatment or conversion when indicated, and honest conversations that validate experience. The message is simple and urgent: pain is preventable harm, and timely action saves more than minutes—it protects families.

Readiness matters beyond big hospitals. Rural teams face OB unit closures, low volumes, and limited resources. Mobile simulation and statewide programs show how to keep skills sharp for postpartum hemorrhage, eclampsia, and high‑risk transfers. We also highlight the Four Ps for anesthesia professionals—presence, preemption, proficiency, and platform—to embed safety into daily practice, from risk screening to standardized pathways. Finally, we extend the safety net into the community with sepsis bundles and accessible education so patients and their support networks recognize warning signs and act fast. Along the way, we touch on pediatric safety and emerging evidence that EEG‑guided anesthesia can reduce emergence delirium.

If transforming maternal care speaks to you, join us. Subscribe, share this episode with a colleague, and leave a review with one change your team will make this month. Your insight could be the spark another unit needs to save a life.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/280-speak-up-to-save-lives/

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Power, control, and communication shape every birth—and too often, they decide whether care feels safe or traumatic. We dig into practical ways to prevent harm in obstetric anesthesia by centering trauma-informed care, reducing stigma around substance use disorder, and giving real choice during cesarean delivery.

We start by distinguishing complications from trauma and laying out the six pillars that make care safer: safety, transparency, peer support, collaboration, empowerment, and cultural humility. From there, we map prevention across three levels—primary disruption of trauma through clear communication and environment, secondary recognition and mitigation of events, and tertiary support for patients with PTSD. You’ll hear concrete steps for SUD in pregnancy, including continuing methadone or buprenorphine, optimizing regional anesthesia, avoiding medication switches, and using person-first language that builds trust rather than barriers.

We also spotlight the Elevate project, which advances patient-centered anesthesia choices for cesarean delivery through stakeholder engagement, research, and an in-person summit focused on equity and shared decision-making. The aim is simple and vital: align what clinicians must do with what patients most value, from how we speak at the drape to who is present in the room. Finally, we share life-saving resources from the AFE Foundation—education, an international registry, and a stabilization checklist—to turn rare crises into moments of coordinated, effective response.

If these ideas resonate, share this episode with a colleague, subscribe on your favorite platform, and leave a review with one change you plan to make on your next shift. Your feedback helps more clinicians find these tools and deliver safer, more humane maternal anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/279-from-birthrooms-to-boardrooms-preventing-trauma-and-elevating-maternal-anesthesia-care/

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Maternal care is at a breaking point: delivering hospitals are disappearing while deaths that could be prevented keep climbing. We pull back the curtain on how structural racism, policy headwinds, and technology blind spots compound risk for birthing people—especially Black, Hispanic, rural, and low‑income patients—and what it takes to change the trajectory now.

We start by naming the problem with data: stable birth rates alongside a steep decline in maternity units have created care deserts. From there, we dig into disparities in obstetric anesthesia, including lower neuraxial labor analgesia use and higher rates of general anesthesia for cesarean delivery among Black and Hispanic patients. Drawing on ASA recommendations, we outline practical actions that reduce harm: accurate documentation of race, ethnicity, and language; disparities dashboards; education on bias and structural racism; shared decision making; and proactive epidural management to improve conversion to surgical anesthesia without general anesthesia.

Then we turn to implementation science—the missing link between guidelines and reliable practice. We map a simple decision pathway from efficacy to effectiveness to context and strategy, and we share the real levers that move systems: targeted education, inter‑institutional collaboration, policy mechanisms like bundles, and the business case that earns C‑suite commitment. When leaders see the return on investment in safety, liability reduction, and community trust, sustained resources follow.

Finally, we explore technology as an equity engine. AI‑guided ultrasound can extend expertise in low‑resource settings. Predictive analytics may flag fetal heart rate decelerations before they turn critical. And we confront the accuracy gaps in pulse oximetry tied to skin pigmentation and low perfusion, especially during the neonatal transition. With vendor accountability, rigorous validation across diverse populations, smarter sensor selection and placement, and frontline education, monitoring can serve every patient equally.

If this conversation resonates, help us spread the word. Subscribe on Spotify or YouTube, share this episode with a colleague, and leave a review so more clinicians can join the effort to make labor and delivery the safest unit in the hospital. Your feedback and stories shape where we go next.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/278-transforming-maternal-care-through-equity-science-and-tech/

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Welcome back to our 2025 Stoelting Conference Podcast Series.

Fever isn’t the fail-safe it’s made out to be—especially in pregnancy. We walk through the subtle ways maternal sepsis hides in plain sight, why a quarter of those who died never had a fever, and how early warning tools, rapid antibiotics, and source control change the odds. From there, we pivot to maternal hemorrhage and show how quantifying blood loss with calibrated drapes plus a treatment bundle outperforms the old habit of visual estimation. We dig into TXA timing for high‑risk cesarean patients, the evidence gaps on transfusion strategies, and how placenta accreta spectrum demands regionalized teams and rehearsed playbooks.

The conversation then turns to venous thromboembolism, still a leading cause of maternal mortality. Risk climbs five- to six-fold and peaks postpartum, so we stress reassessment at prenatal intake, during any antepartum admission, at delivery, and before discharge. We compare heparin and low molecular weight heparin in real-world settings, highlight extremely low neuraxial hematoma risk when following ASRA guidance, and share concrete workflow tactics: pre-delivery anesthesia consults, unit-wide alerting, anticoagulant hold triggers, and pre-procedure huddles that keep patients safe while preserving neuraxial options.

Threaded through each segment is a practical theme: faster recognition, standardized bundles, and tight communication save mothers’ lives. If you’re building a safer unit, start with tools that measure what matters, empower nurses to escalate, and remove delays between suspicion and action. Subscribe, share with your team, and leave a review with one change you’ll make this week—what will you implement first?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/277-transforming-maternal-care-faster-sepsis-recognition-smarter-hemorrhage-response-and-safer-vte-prevention/

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Maternal safety changes when we stop relying on heroics and start building systems. We open the door to the 2025 APSF Stolting Conference series with a fast, practical tour of what truly reduces morbidity and mortality: collaboration across anesthesia, obstetrics, cardiology, and nursing; open‑source AIM bundles; early warning tools; and standards that compress time-to-treatment when minutes matter. Along the way, we confront the three deadly D’s—denial, delay, dismissal—and replace them with teamwork, tools, timeliness, and trust.

We dig into the history that got us here, from case reports and confidential inquiries to robust maternal mortality review committees and rapid-cycle data that power real change. Then, we zero in on the leading cause of pregnancy-related death—cardiovascular disease—and why risk spikes in the postpartum period. A vivid case of peripartum cardiomyopathy shows how quickly decompensation unfolds and why anesthesia must be in the room early: shaping plans, managing hemodynamics, placing monitors, coordinating with cardiology and OB, and, when needed, activating ECMO. We highlight actionable steps like antenatal anesthesia consults for high‑risk patients, postpartum telemetry monitoring, and pregnancy heart teams that make escalation the rule, not the exception.

Progress is real for hemorrhage and hypertension, but disparities remain stark for Black, Hispanic, and Asian Pacific Islander patients. We talk about implicit bias, access, and respectful care, and we share multilingual urgent maternal warning signs so patients and clinicians recognize danger sooner. The ASA’s recommendations give a clear roadmap for anesthesiologist leadership—on review committees, quality teams, simulation programs, and implementation of SOAP and ACOG frameworks—so that safety becomes predictable.

If this conversation sparks ideas for your unit, we’d love to hear them. Subscribe, share with a colleague who works on labor and delivery, and leave a review telling us the one system change you’ll champion this month.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/276-maternal-care-transformed/

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A patient rolls into the OR with a tracheostomy—do you maintain the current tube, intubate orally, or go through the stoma? We break down the decision tree that keeps patients safe, from assessing tract maturity and surgical needs to choosing cuffed vs uncuffed strategies and planning for positive pressure ventilation. Then we shift to a critical safety pivot: total laryngectomy. When the trachea is sutured to the skin, the mouth and nose no longer connect to the lungs, and attempts at oral intubation can be deadly. We explain how to recognize the anatomy fast, oxygenate at the neck, and advance through a stepwise algorithm that reduces risk in time‑sensitive emergencies.

Drawing on practical pearls and human‑factors design, we highlight why bedside signs and EMR alerts matter, how standardized language improves handoffs, and where airway exchange catheters, bougies, and wire‑reinforced tubes fit into safe practice. You’ll hear clear guidance on cuff placement relative to the stoma, avoiding mainstem intubation, using waveform capnography for continuous confirmation, and preventing false passages in fresh tracheostomies. We also review eye‑opening data on attempted oral intubations after laryngectomy, underscoring the need for staff education, patient engagement, and systems that make the right move the easy one.

If you manage airways in perioperative or emergency settings, this conversation strengthens your mental models and your muscle memory. Tune in for concise, actionable steps, download the signage and algorithms from the show notes, and share the episode with your team. If this helped sharpen your airway plan, subscribe, leave a review, and tell us your go‑to approach for trach and laryngectomy cases.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/275-tracheostomy-and-laryngectomy-patient-safety/

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Tracheostomy complications occur at an alarming rate, affecting nearly half of all patients during their initial hospitalization. When these emergencies strike, having a systematic approach can make the difference between life and death.

We dive deep into the critical steps for managing a malfunctioning tracheostomy, beginning with immediate actions like cuff deflation and rapid information gathering about the tracheostomy's history. You'll learn how to systematically troubleshoot ventilation problems, from checking for simple obstructions to determining if the tracheostomy has become dangerously displaced into subcutaneous tissues.

The episode walks through the crucial decision points when standard ventilation fails: Should you attempt oral intubation or go through the stoma? We break down the specific factors that should guide this high-stakes decision, including patient anatomy, tracheostomy maturity, and clinician experience. You'll discover practical techniques for both approaches, including helpful adjuncts like bougies and bronchoscopes that can increase your chances of success.

Perhaps most valuable are the ready-to-use tools shared in this episode - standardized bedside signs and emergency algorithms that can be implemented in your practice immediately. These resources ensure that critical information follows patients throughout their hospital stay and provides a clear pathway for any provider responding to a tracheostomy emergency.

Whether you're an experienced anesthesia professional or still in training, this episode provides essential knowledge for some of the most challenging airway emergencies you'll face. Subscribe now and download our next episode, where we'll continue this vital discussion on emergency tracheostomy management.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/274-critical-decision-points-in-emergency-tracheostomy-management/

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When our smallest patients need anesthesia care, their immature systems present unique challenges that demand specialized knowledge and vigilance. The risk of postoperative apnea in former preterm infants has long been recognized, but the evidence guiding management continues to evolve.

Join Dr. Alli Bechtel and pediatric anesthesiologist, Dr. Eva Lu-Boettcher as they explore the physiological vulnerabilities that make premature infants susceptible to respiratory complications after anesthesia. The conversation delves into the complex interplay between immature respiratory control centers and anesthetic agents, highlighting how premature infants respond differently to hypoxia and hypercapnia compared to their full-term counterparts.

Drawing from landmark studies and current literature, this episode offers clear, evidence-based recommendations for postoperative monitoring based on post-conceptual age and risk factors. You'll learn about the inverse relationship between post-conceptual age and apnea risk, the critical timing of apnea events, and practical guidelines for determining which patients require extended monitoring. The detailed discussion of monitoring protocols provides a roadmap for keeping vulnerable infants safe during the high-risk postoperative period.

What makes this episode particularly valuable is its practical approach to clinical decision-making. Whether you're determining if a 50-week post-conceptual age infant can be discharged after six hours of monitoring or establishing protocols for term infants who receive opioids, you'll find actionable guidance supported by the latest evidence. As Dr. Lu-Boettcher notes, ongoing meta-analyses and micro-analyses promise to further refine these recommendations in the near future, highlighting the dynamic nature of patient safety practices in pediatric anesthesia.

Curious about how your institution's protocols compare to current best practices? Wondering when it's truly safe to discharge a former preterm infant after anesthesia? Listen now to enhance your understanding of this critical aspect of pediatric anesthesia safety and help ensure that no child is harmed under your care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/273-breathless-moments-when-premature-babies-need-extra-vigilance/

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Could your CO2 sensor be putting patients at risk? This eye-opening Rapid Response to Questions from our Readers episode explores a serious patient safety concern that every anesthesia professional needs to understand.

We dive into two troubling cases where patients under general anesthesia developed respiratory acidosis despite normal-appearing monitoring parameters. The culprit? A semi-quantitative CO2 sensor being used in an operating room setting where it was never designed to function safely. Through detailed case analysis, we uncover how the Nihon Kohden cap-ONE TG920P CO2 analyzer—which operates on the assumption that inspired air contains zero CO2—failed to detect dangerous rebreathing when CO2 absorbers became exhausted.

What makes this situation particularly concerning is that these semi-quantitative sensors display waveforms similar to their quantitative counterparts, creating a false sense of security. Dr. Amrutha Bindu Nagella shares her firsthand experience discovering the problem and her recommendations for preventing future incidents. We also hear Nihon Kohden's response, including their commitment to improving device labeling and safety warnings.

This episode highlights a critical knowledge gap that exists when technology moves between different clinical environments without proper understanding of its limitations. Whether you're an anesthesiologist, CRNA, anesthesia technician, or hospital administrator making purchasing decisions, this information could prevent a potentially dangerous situation in your operating room. Subscribe to the Anesthesia Patient Safety Podcast for more essential safety updates that keep your patients protected during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/272-behind-the-waveform-critical-safety-implications-of-co2-sensor-selection/

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Patient engagement stands as the cornerstone of perioperative safety, bringing together the knowledge of medical professionals with the lived experiences of those receiving care. Through powerful personal testimonies and expert insights, we explore how this critical partnership transforms surgical outcomes.

Vonda Vaden Bates shares her heartbreaking journey that began with her husband's successful brain surgery but ended tragically with a fatal pulmonary embolism. Despite their active engagement with the healthcare team, a crucial knowledge gap existed - they didn't recognize the symptoms of a developing blood clot. This experience crystalized what Vonda calls "the intersection of engagement with education," highlighting why simply asking questions isn't enough when patients don't know which questions are most crucial.

The episode explores the comprehensive Patient Guide to Anesthesia and Surgery developed by the APSF, covering everything from understanding anesthesia types to post-surgical pain management strategies. This resource aims not just to inform but to empower patients to actively participate in their care journey, potentially taking preventative steps long before the morning of surgery.

Dr. Della Lin, an anesthesiologist and APSF board member, offers a profound perspective that reshapes how we think about the patient-provider relationship: "Patients are not the visitors to hospitals; we are visitors in their lives." This fundamental shift moves healthcare away from doing things to or for patients toward genuinely co-designing care with them. The APSF resources undergo rigorous review by both clinicians and patients, ensuring they address real questions using accessible language and helpful visuals. We encourage anesthesia professionals to not only share these materials but to study them as tools for better understanding patient perspectives. Have you incorporated these resources into your practice? Share your story at podcast@apsf.org and help us continue building bridges between medical expertise and patient experience.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/271-empowering-patients-the-key-to-safer-anesthesia/

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What happens when we truly listen to patients' fears about anesthesia? The Anesthesia Patient Safety Foundation (APSF) discovered something remarkable: despite the wealth of medical information available, patients' most pressing questions about anesthesia remained largely unanswered in accessible language.

This episode delves into the groundbreaking work of the APSF Patient Engagement Workgroup, featuring insights from Maria Van Pelt. We explore how this initiative transformed patient concerns into actionable resources through methodical research, including comprehensive surveys and in-depth interviews. The resulting Patient Guide to Anesthesia and Surgery addresses common questions like "What if I don't wake up from anesthesia?" and "Are there long-term side effects?"—questions that anesthesia professionals hear regularly but that patients struggle to find answers to online.

Since its October 2023 launch, the Patient Guide has become one of APSF's most visited resources, attracting over 10,000 visitors monthly. This success demonstrates the critical need for patient-centered information that bridges the gap between medical expertise and patient understanding. As Van Pelt powerfully states, "Our goal is to create a culture where patients' voices are not just heard, but actively sought out and valued as essential components of safe care." Discover how this resource is changing the conversation around anesthesia safety and why patient engagement isn't just beneficial—it's essential for optimal outcomes. Visit APSF.org today to explore the Patient Guide and share this valuable resource with your patients and colleagues.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/270-from-fears-to-facts-empowering-patients-before-surgery/

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Every anesthesia professional has encountered IV infiltration—but when neuromuscular blocking agents are involved, this common complication becomes a complex patient safety challenge with no established guidelines.

This episode delves into the critical management of infiltrated paralytics, a complication affecting 14% of peripheral IV catheterizations that can lead to delayed induction, compromised emergence, and potentially serious tissue injury. We're joined by Dr. Govind Rangrass, Professor of Anesthesiology and Critical Care, who shares why this overlooked issue deserves urgent attention: "When a paralytic is involved, the complexity skyrockets and there's almost no literature to guide us."

We break down a comprehensive management algorithm, from the counterintuitive first step of leaving the infiltrated catheter in place to attempt medication aspiration, through systemic absorption enhancement techniques using hyaluronidase and nitroglycerin paste. The episode covers detailed reversal strategies based on monitoring capabilities, explaining how to prevent recurarization and safely manage these patients postoperatively.

Beyond immediate management, we look toward a future where infiltration detection technologies and standardized guidelines are integrated into residency training and crisis checklists. This episode provides the missing guidance that anesthesia professionals need to navigate this surprisingly common complication with confidence.

Have you experienced neuromuscular blocker infiltration in your practice? What strategies have worked for you? Share your thoughts or questions at podcast@APSF.org and join us in building a safer future where no one is harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/269-infiltrated-iv-crisis-managing-complications-and-keeping-patients-safe/

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Ever wondered what happens when neuromuscular blocking agents infiltrate into surrounding tissue instead of flowing smoothly through an IV? The consequences can be serious and potentially life-threatening for patients recovering from anesthesia.

We dive deep into a complication that affects nearly 14% of the 150 million peripheral IV catheter insertions performed annually in the United States. While most healthcare providers have experienced IV infiltrations, few understand the unique dangers posed when paralytics like rocuronium leak into surrounding tissues. This scenario creates unpredictable pharmacokinetics with delayed absorption that can lead to secondary recurarization – muscle weakness and respiratory compromise that may occur hours after a patient appears to have fully recovered.

Experts Dr. Andrea Vannucci and Dr. Karolina Brook share their insights and clinical experience on this important patient safety topic. They outline a comprehensive management approach including immediate interventions (attempting medication aspiration, establishing alternative IV access), treating the infiltration site (with nitroglycerin paste and hyaluronidase), and preventing recurarization through careful medication dosing and extended monitoring. Most critically, they recommend monitoring extubated patients for a minimum of four hours following infiltration of neuromuscular blocking agents – a practice not universally followed but essential for patient safety.

Whether you're an anesthesiologist, CRNA, resident, or any perioperative clinician, this episode provides crucial information to help you recognize, manage, and prevent complications from this common but potentially dangerous event. Subscribe to the Anesthesia Patient Safety Podcast for more evidence-based strategies to protect your patients from harm.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/268-beyond-the-vein-the-dangers-of-infiltrated-muscle-relaxants/

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Navigating the fine line between effective pain control and minimizing harm from opioid medications remains one of anesthesiology's greatest challenges. This episode dives deep into the evolving landscape of perioperative pain management, examining how clinicians can achieve the delicate balance required for optimal patient outcomes.

Dr. Paul Guillod joins us to share his perspective as both an anesthesiologist and pain management specialist, highlighting how opioid-sparing techniques create opportunities for interdisciplinary collaboration and improved surgical recovery. We examine the substantial risks of traditional opioid-based approaches: respiratory depression, delayed bowel function, delirium, and paradoxically, opioid-induced hyperalgesia.

The episode showcases promising research on multimodal analgesia strategies that target multiple pain pathways simultaneously. By combining regional anesthesia techniques with medications like NSAIDs, acetaminophen, ketamine, dexmedetomidine, and newer options like suzetrigine, clinicians can dramatically reduce opioid requirements while maintaining effective pain control. Real-world implementation of these approaches through Enhanced Recovery After Surgery (ERAS) protocols has yielded impressive results: 50% reductions in in-hospital opioid use, shortened hospital stays, and improved pain scores across multiple surgical specialties.

Whether you're a clinician seeking to improve your pain management approach or simply interested in understanding how anesthesia care is evolving to address the opioid crisis, this episode offers valuable insights into creating safer, more effective perioperative experiences. Subscribe to the Anesthesia Patient Safety Podcast and join us in our commitment that no one shall be harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/267-beyond-opioids-revolutionizing-perioperative-pain-control/

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Perioperative stroke represents a rare but potentially devastating complication of anesthesia care. While occurring in less than 1% of non-cardiac surgical patients, this complication fundamentally threatens not just patient outcomes but their very identity. As Dr. Jacob Nadler poignantly notes in our podcast, "By maintaining brain health, we're preserving the essence of who our patients are—their memories, their personality, their ability to connect with friends and family."

The most significant recent development in this field comes from the 2024 joint guidelines that have dramatically shortened the recommended waiting period following stroke before elective surgery. What was once a nine-month wait has been reduced to just three months based on compelling evidence from a cohort study of 5.8 million patients showing risk stabilization after 90 days. This change has profound implications for surgical planning and patient care timelines.

Anesthesia professionals must be vigilant about key risk factors including advanced age, previous stroke history, renal dysfunction, and anemia. The podcast explores critical medication management considerations, particularly regarding anticoagulation protocols, alongside specific intraoperative targets for blood pressure and hemoglobin levels. For suspected perioperative stroke, rapid multidisciplinary intervention with emergent brain imaging, possible thrombolytics, and mechanical thrombectomy may be indicated.

For every anesthesia professional, this episode provides essential insights to help fulfill our commitment that no one shall be harmed by anesthesia care. Subscribe on Spotify or YouTube and share with colleagues to spread this vital safety information.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/266-protecting-the-brain-perioperative-stroke-prevention/

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A revolution in pain management has arrived. The FDA's approval of Suzetrigine in January 2025 introduces the first non-opioid analgesic for moderate to severe pain in over twenty years. This breakthrough medication targets the voltage-gated sodium channel, NAV1.8, effectively blocking pain signals at their source before they reach the brain.

What makes Suzetrigine remarkable is its precision. With over 30,000-fold selectivity for NAV1.8 channels, it delivers powerful analgesia without affecting the brain or heart, eliminating addiction risk, and minimizing side effects. Clinical trials involving over 2,100 patients demonstrated pain relief comparable to opioid-acetaminophen combinations but with a safety profile similar to placebo. For the more than 50% of surgical patients who experience moderate to severe postoperative pain, this non-addictive alternative represents a genuine breakthrough. Looking ahead, an exciting pipeline of additional NAV1.8 channel blockers, including intravenous formulations, promises to further transform perioperative pain management.

Have you struggled with limited options for managing your patients' postoperative pain? Subscribe to the Anesthesia Patient Safety Podcast for more on groundbreaking developments like Suzetrigine that are changing how we approach patient care and safety. Leave us a review to share your thoughts on this revolutionary advance in pain management.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/265-the-breakthrough-drug-changing-perioperative-pain-management/

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Cardiac arrest in the operating room presents unique challenges that standard Advanced Cardiovascular Life Support (ACLS) protocols simply were not designed to address. This eye-opening exploration with APSF author, Zachary Smith, reveals why traditional resuscitation guidelines fall short when emergencies strike during surgery and anesthesia care.

The dynamics of cardiac arrest differ dramatically in the perioperative environment. While out-of-hospital arrests typically stem from arrhythmic events, OR emergencies often result from hemorrhage, embolism, hypoxemia, or critical drug reactions like malignant hyperthermia or local anesthetic toxicity. These scenarios demand immediate, specialized interventions beyond standard ACLS algorithms.

Physical constraints further complicate matters. What happens when cardiac arrest occurs while a patient is positioned prone, lateral, or in steep Trendelenburg? Traditional compressions become impossible, and emerging research suggests prone CPR might actually be superior in some scenarios. Moreover, the advanced monitoring capabilities in the OR – arterial lines, central venous pressure readings, and echocardiography – provide critical data not incorporated into standard protocols.

The American Society of Anesthesiologists has responded with their Perioperative Resuscitation and Life Support Certificate program, addressing these gaps through specialized training that combines ACLS principles with OR-specific knowledge. Ready to enhance your skills beyond basic ACLS? Explore the ASA's certificate program to earn patient safety CME credits while gaining life-saving expertise tailored to the unique challenges of the operating room. Your specialized knowledge could make all the difference when seconds count.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/264-rethinking-resuscitation-in-the-operating-room-beyond-acls/

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The standard of care for monitoring blood pressure during surgery hasn't changed in nearly 40 years, despite technological advances that could prevent serious complications and save lives. This eye-opening episode takes listeners inside a recent Capitol Hill briefing where healthcare professionals, lawmakers, and patient safety advocates made the case for continuous blood pressure monitoring as a critical patient safety measure.

Alarming statistics frame the urgency of this issue: one in nine Americans undergoes surgery annually, with 88% experiencing potentially dangerous hypotension. Traditional arm cuffs that measure blood pressure only every few minutes leave dangerous blind spots where rapid drops may go undetected. The consequences can be devastating – kidney injury, heart damage, stroke, and even death. For pregnant women undergoing cesarean sections, the risks extend to their babies, with maternal hypotension potentially causing fetal acidosis and neurological compromise.

With the United States maintaining the highest maternal mortality rate among wealthy nations and evidence showing that more than half of pregnancy-related deaths are potentially avoidable, this episode makes a powerful case for updating our standards. The technology exists, the evidence supports it, and the benefits are clear – it's time for healthcare providers, policymakers, and industry leaders to collaborate in making continuous blood pressure monitoring the new standard of care.

Ready to become a champion for continuous blood pressure monitoring at your institution? Visit APSF.org to learn more about this lifesaving technology and join the movement to ensure no one is harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/263-blood-pressure-blind-spots/

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Ready for a refreshing summer dive into the latest anesthesia safety research? This episode explores three groundbreaking studies that could transform perioperative practice and patient outcomes.

First, we examine a fascinating randomized clinical trial on "just-in-time" training for inexperienced clinicians performing infant intubations. The results are impressive: trainees who received just 10 minutes of structured training immediately before the procedure achieved a 91.4% first-attempt success rate—significantly better than the 81.6% rate in the standard training group. Could this approach revolutionize how we prepare for all high-stakes medical procedures? The study suggests decreased cognitive load and improved competency with this targeted preparation technique.

Next, we explore a comprehensive meta-analysis of how intravenous antihypertensive medications affect cerebral blood flow. Good news: most medications maintain cerebral autoregulation even when reducing blood pressure. However, nitroprusside and nitroglycerin stand out as exceptions, potentially reducing cerebral perfusion even at appropriate doses. This critical information helps anesthesia professionals make more informed medication choices based on each patient's specific needs.

Finally, we investigate emerging research on GLP-1 receptor agonist medications (increasingly popular for diabetes, weight loss, and cardiovascular disease) and their potential link to vision problems. Several studies suggest these medications may increase the risk of non-arteritic ischemic optic neuropathy—a leading cause of vision loss. While the absolute risk remains small and no direct connection to postoperative vision loss has been established, additional research is needed going forward.

Each of these studies provides valuable insight into how we can continue improving anesthesia safety. Share this episode with your colleagues and join us next time as we work toward ensuring no one is harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/262-medical-literature-deep-dive-from-infant-intubation-to-glp-1-agonist-risks-and-more/

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Navigating the complex landscape of patient safety requires vigilance, knowledge, and adaptability. Today's episode takes us on a journey through two critical safety concerns that exemplify the challenges anesthesiologists face in diverse clinical settings.

We begin with an eye-opening exploration of cosmetic surgery safety in Colombia, which has emerged as a top global destination for aesthetic procedures. Despite performing nearly 500,000 cosmetic surgeries annually, Colombia faces alarming safety statistics—mortality rates potentially ten times higher than global averages for anesthesia-related deaths. This stark disparity highlights how regulatory gaps, substandard facilities, and inadequate patient selection can create perfect storms for adverse outcomes. The discussion illuminates how anesthesiologists can serve as safety champions by implementing rigorous standards and protocols.

The conversation then pivots to a surprisingly common yet overlooked danger in pediatric anesthesia: the administration of oxymetazoline. What seems like a routine medication becomes hazardous when delivery systems designed for upright, conscious patients are used on supine, anesthetized children. Through practical demonstrations and creative problem-solving, we uncover how simple modifications to delivery methods—specifically using atomizers with precisely filled syringes—can prevent potentially dangerous overdoses and create standardized, position-independent dosing.

Both topics underscore a central theme: anesthesia safety demands thoughtful adaptation of standards to fit unique circumstances. Whether dealing with international variations in practice or the specialized needs of pediatric patients, the commitment to "no one shall be harmed by anesthesia care" requires constant vigilance and innovation. We'd love to hear your experiences with similar challenges—have you encountered safety variations in different practice settings, or developed creative solutions to common problems? Visit APSF.org to explore our resources and join the conversation about advancing anesthesia patient safety worldwide.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/261-patient-safety-challenges-from-global-cosmetic-tourism-to-pediatric-medication-dosing/

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Dr. Elizabeth Malinzak takes us behind the scenes of a fascinating educational initiative bridging knowledge gaps in anesthesiology. As a pediatric anesthesiologist at Duke University and liaison between the Anesthesia Patient Safety Foundation and Open Anesthesia, she's spearheaded the development of over 30 patient safety and quality improvement summaries designed for today's learners.

Malinzak reflects on crucial topics like crisis resource management, fatigue mitigation, and handover protocols that weren't part of traditional training. This educational void inspired her to create accessible, concise resources that meet modern learning preferences. Gone are the days of textbook deep-dives; today's professionals need searchable, digestible content they can absorb between cases or during brief study sessions.

What makes these summaries particularly valuable is their breadth and collaborative development. Each summary is peer-reviewed and often created through mentoring relationships between experienced clinicians and trainees, creating educational value beyond the finished product.

Malinzak offers a clarifying perspective on how quality improvement relates to patient safety: "Patient safety is the goal... That's what we want to accomplish with every single patient. Quality improvement is the process... how we get to the goal." As anesthesiologists face increasingly complex cases and efficiency pressures, this distinction helps practitioners develop systematic approaches to protect vulnerable patients. Looking ahead, she envisions technologies like AI reducing administrative burdens so clinicians can focus entirely on vigilant patient care. Discover these valuable resources by visiting Open Anesthesia's website and filtering for patient safety topics – you never know which summary might teach you something new today.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/260-openanesthesia-and-the-apsf-achieving-safe-and-quality-anesthesia-care-with-education-innovation/

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Intrahospital transport of critically ill patients presents significant safety risks that can be mitigated through proper guidelines, checklists, and handoffs between care teams. The episode examines transport-related adverse events and complications while providing practical tools to enhance patient safety during these vulnerable transitions.

• Multiple categories of intrahospital transport adverse events including respiratory, cardiovascular, neurological and equipment-related complications
• Risk factors for transport complications including patient characteristics, transport circumstances, and team experience
• Society of Critical Care Medicine guidelines focusing on four components: communication, personnel, equipment and monitoring
• Comprehensive perioperative transport checklist covering identification, airway, breathing, circulation, neurological status and equipment
• Multi-Center Handoff Collaborative tools providing structured approaches to handoffs between care teams
• Recommendations including pre-transport risk assessment, education for all team members, and implementation of standardized checklists
• Importance of system design considerations like uncluttered hallways and team formations that optimize patient observation

The deadline for the October 2025 APSF newsletter is July 1st. Check out the guide for authors at APSF.org for more information.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/259-every-move-matters-why-transport-safety-can-save-your-critical-patients/

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The journey between hospital departments can be the most dangerous part of a patient's perioperative experience. This eye-opening episode dives deep into the hidden risks of intra-hospital patient transport. We examine the current literature on transport safety with particular focus on the challenges faced by anesthesia professionals. The data is sobering — between 4-9% of transported patients require medical intervention due to transport-related complications. With increasing production pressure, decreased support personnel, and rising patient acuity, we ask the critical question: are we transporting patients safely?

We break down transport-related adverse events into essential categories: respiratory, cardiovascular, neurological, and equipment-related. The 2023 I-TOUCH study provides valuable insights, showing cardiac events, respiratory complications, neurologic issues, and equipment problems as the most common challenges during transport. We explore how patient factors (age, illness severity, ventilation requirements) and system factors (transport duration, communication gaps, staff experience) contribute to these risks.

Beyond patient safety, we discuss the often-overlooked physical risks to anesthesia professionals themselves, who report high rates of work-related musculoskeletal injuries from maneuvering heavy transport equipment while managing patient care. The good news? Evidence-based guidelines exist to mitigate these risks. Join us next week as we continue this crucial conversation with practical recommendations from the American College of Critical Care Medicine and the Society of Critical Care Medicine for safer perioperative patient transport.

Have you experienced challenges during patient transport? Share your experiences and learn from colleagues by emailing podcast@apsf.org or visiting apsf.org for more resources on perioperative safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/258-wheels-of-risk-when-patient-safety-rolls-through-hospital-corridors/

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Sodium-glucose cotransporter-2 (SGLT2) inhibitors have revolutionized treatment for type 2 diabetes, heart failure, and chronic kidney disease—but they're creating new challenges for anesthesia professionals. With more patients on these medications heading to surgery, understanding their unique perioperative risks has never been more critical.

At the heart of this issue lies euglycemic ketoacidosis—a potentially life-threatening complication that's particularly insidious because it lacks the classic hyperglycemia that would normally trigger suspicion. We dive deep into the latest evidence, revealing that patients on SGLT2 inhibitors have an increased risk of developing postoperative ketoacidosis compared to those not taking these medications, with significantly worse outcomes when complications occur.

We present a practical algorithm for risk stratification, considering factors like procedure duration, anesthesia type, diabetes control, and comorbidities. You'll learn which patients should hold their medication, which can proceed with caution, and what monitoring strategies to implement when patients haven't properly discontinued their medication before surgery. This guidance is especially valuable for emergency cases where postponement isn't an option.

Whether you're developing institutional protocols or making decisions for individual patients, this episode equips you with the knowledge to navigate the complexities of SGLT2 inhibitor management in the perioperative period. Subscribe to stay informed about the latest in anesthesia patient safety and join our mission to ensure no one is harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/257-sweet-trouble-perioperative-management-of-sglt2-inhibitors/

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This is a Fresh Flow Podcast Takeover Show. The need for strong leadership in anesthesiology has never been more crucial. Join us as we discuss structured mentorship programs and the skills required to develop effective leaders in anesthesia. Dr. Mesrobian shares insights into cultivating future leaders and the importance of training in operational management.

Here are some of the highlights:

• Operating room management and operational efficiency directly impact physician wellness by reducing unpredictability
• Balancing the demand side of anesthesia services represents a crucial opportunity for the specialty
• Scale allows large organizations to develop standardized programs in patient experience and safety
• Anesthesiologists possess unique abilities to manage complex operations that no one else in the hospital can match
• Current residency programs need to incorporate leadership and operational training
• Developing future leaders requires identifying those with leadership attributes and providing structured mentorship
• The lines between academic and private practices are blurring as all face similar challenges
• Hospital partners increasingly expect "skin in the game" with performance metrics tied to financial support
• Standardization of processes offers opportunities to improve efficiency while maintaining safety

To learn more about improving perioperative processes, check out the Fresh Flow podcast, a collaboration between University of Alabama Medicine and the Association of Anesthesia Clinical Directors.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/256-skin-in-the-game-a-fresh-flow-podcast-takeover/

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Fear of the unknown is one of the most significant sources of anxiety for surgical patients. What exactly happens when we're "put under"? Could we wake up during surgery? What side effects should we expect? Our latest episode tackles these common concerns by exploring the APSF's Patient Guide to Anesthesia and Surgery.

We walk through a simulated pre-surgical consultation, addressing the questions that weigh heaviest on patients' minds. We also explore factors affecting wake-up time, from medication choices to individual metabolism, and why some patients experience delayed emergence.

The episode provides a comprehensive overview of potential side effects, from common temporary issues like dry mouth and nausea to rare serious complications. We discuss allergic reactions to anesthetics, distinguishing between true allergies, pseudo-allergic responses, and typical side effects. Throughout the conversation, we emphasize how patients can reduce their risks through open communication with their healthcare team, following pre-surgery instructions, and disclosing their complete medical history.

Knowledge is power, especially when facing surgery. By understanding what happens during anesthesia and how medical professionals ensure safety throughout the process, patients can approach their procedures with greater confidence and participate more actively in their care. Share this episode with anyone preparing for surgery who deserves clear, factual information about what to expect during their anesthetic journey.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/255-what-you-need-to-know-before-going-under/

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Fear of the unknown can make surgery and anesthesia unnecessarily stressful. Approximately 90% of patients experience some degree of anxiety about "going under" before their procedure – worrying about pain, waking during surgery, or post-operative grogginess. But what if patients had reliable answers to their most pressing questions?

The Anesthesia Patient Safety Foundation has developed a groundbreaking resource to address this need. In this episode, we introduce the Patient Guide to Anesthesia and Surgery – a comprehensive tool designed to demystify the perioperative experience. Salvador Gullo Neto, lead of the APSF Patient Engagement Workgroup, explains why patient involvement matters: "If the patient is the primary stakeholder in their own safety, why are they left out of these conversations?"

We explore the guide's three detailed sections – Anesthesia FAQ, Surgery FAQ, and Pain Management FAQ – covering everything from different types of anesthesia to essential questions patients should ask their clinicians before surgery. The guide addresses common concerns like the risks of anesthesia, what to expect during recovery, and options for managing post-operative pain. For medical professionals, it serves as a valuable reference during patient consultations.

Healthcare has evolved from being done "for" patients to being done "with" patients as active participants. This shift represents the future of medical care – a collaborative approach where informed patients and dedicated healthcare professionals work together to achieve the best possible outcomes. We hope that you will check out this invaluable resource today and share it with patients, colleagues, and loved ones. Visit APSF.org or check our show notes for more information.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/254-the-patients-guide-to-anesthesia-and-surgery/

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The safe management of non-cardiac implantable electrical devices during surgery requires careful planning and knowledge of device-specific considerations. We continue our discussion from last week with actionable recommendations for each stage of perioperative care.

• Electrocautery poses significant risks including device reprogramming, thermal burns, and damage to neural tissue
• Turn off devices or set to safe surgery mode before using electrocautery
• Bipolar cautery is safer than monopolar; if monopolar is needed, use lowest power setting
• Place grounding pads to minimize current through the device generator
• Somatosensory evoked potentials (SSEPs) are relatively safe while motor evoked potentials (MEPs) should be avoided
• Newer devices may be MRI conditional but require specific protocols including device interrogation
• Regional anesthesia should use ultrasound guidance rather than nerve stimulation techniques
• Neuraxial anesthesia is not contraindicated for spinal cord stimulator patients but must be placed below insertion level
• ECT can be performed with device turned off and careful electrode placement
• Devices should be turned back on before emergence from anesthesia
• Postoperative evaluation should include checking for thermal injuries and neurologic changes

Thanks for joining us for our 253rd episode! Wow, 250 and counting! Go tell a friend or colleague about our show as we work toward 500 episodes. If you enjoy the Anesthesia Patient Safety Podcast, please give us a five-star rating, subscribe, and share with colleagues.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/253-when-electrocautery-meets-implanted-devices-what-every-anesthesia-professional-needs-to-know/

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The podcast explores comprehensive recommendations for managing patients with non-cardiac implantable electrical devices during surgical procedures, emphasizing preoperative assessment, device interaction prevention, and safety protocols.

• Types of devices include vagal nerve stimulators, deep brain stimulators, and spinal cord stimulators
• Preoperative evaluation is crucial for identifying devices and contacting managing clinicians
• Algorithm provided for assessing potential interactions with electrocautery, MRI, and neuromonitoring
• Diathermy is absolutely contraindicated in patients with non-cardiac implantable devices
• Critical information needed includes device type, manufacturer, lead locations, and latest interrogation results
• Recent urgent safety alert issued about medication vial coring risks with specific interim recommendations

If you have any questions or comments, please email us at podcast@apsf.org. Visit apsf.org for detailed information and check out the show notes for links to all topics discussed.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/252-managing-neurologic-stimulators-a-critical-guide-for-safe-anesthesia/

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Surgical fires are devastating yet entirely preventable events that continue to occur in operating rooms around the world. This eye-opening episode features biomedical engineer Mark Bruley and anesthesiologist Dr. Jeffrey Feldman, who share decades of expertise investigating and preventing these catastrophic incidents.

The conversation reveals why the seemingly simple recommendation to limit open oxygen delivery to 30% is so critical for patient safety. Through forensic investigations and laboratory testing, we learn how oxygen-enriched environments transform common surgical materials into dangerously flammable substances. The experts describe the "two-fold risk" created when oxygen concentrations exceed safe limits: materials ignite more easily and flames spread exponentially faster, putting patients at serious risk of harm.

The experts outline clear, evidence-based approaches to prevent surgical fires, including the use of oxygen blenders for precise control and securing the airway when higher oxygen concentrations are clinically necessary. They share encouraging data showing significant reductions in surgical fire incidents over the past decade, while emphasizing that complete elimination is both possible and necessary.

Whether you're an anesthesia professional, surgeon, or perioperative nurse, this episode provides essential knowledge to protect your patients from this preventable complication. Visit the APSF website for comprehensive resources, including videos and algorithms, to implement surgical fire prevention protocols at your institution. By understanding and applying these recommendations, we can work together to ensure no patient is ever harmed by a surgical fire again.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/251-surgical-fires-the-30-oxygen-rule/

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Sugammadex safety considerations span across patient populations with renal impairment, pediatric patients, and pregnant or breastfeeding individuals, requiring nuanced clinical decision-making based on current evidence and ongoing research.

• Sugammadex reversal of moderate blockade is safe and faster than using neostigmine/cisatracurium for patients with renal impairment
• Quantitative neuromuscular monitoring is essential to ensure adequate reversal (TOF >90%)
• FDA approval exists for children 2+ years with the same dosing parameters as adults
• Infants <2 years require special consideration due to immature neuromuscular systems and distinct physiology
• Recurarization cases exist but are rare, primarily in very young patients
• Pregnancy considerations include theoretical concerns about progesterone binding
• Breastfeeding compatibility varies based on lactation stage, with early postpartum period requiring more caution
• Continued research needed to establish definitive guidelines, especially for neonates, infants, and lactating patients

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/250-sugammadex-in-special-populations-what-every-anesthesia-professional-needs-to-know/

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Discover the critical safety considerations when using Sugammadex, the seemingly "magical" neuromuscular blockade reversal agent that's fundamentally changed anesthesia practice. We delve deep into the science behind this medication and examine its use in three challenging patient populations: those with renal failure, pregnant patients, and pediatric patients.

For patients with kidney dysfunction, we explore the fascinating pharmacokinetics of Sugammadex and how its primarily renal excretion creates potential complications. With a normal half-life of approximately two hours extending to a 19 hours in severe renal impairment, understanding the risk of recurarization becomes essential. Despite these challenges, recent research suggests Sugammadex may still offer advantages over traditional reversal agents in these patients.

Pregnant patients present another complex scenario. Does Sugammadex bind to progesterone? What might this mean for maintaining pregnancy? We examine the current Society for Obstetric Anesthesia and Perinatology guidelines alongside emerging research that offers glimpses of hope for safe use. From animal studies to limited human case reports, we unpack what we know and the significant questions that remain unanswered.

The conversation extends to breastfeeding considerations and emergency scenarios where the risk-benefit analysis shifts dramatically. Through expert insights and references to the latest studies, we provide practical knowledge for anesthesia professionals navigating these challenging clinical situations. This episode serves as a crucial reminder that despite advances in pharmacology, patient safety still demands individualized care, vigilant monitoring, and thoughtful application of evolving evidence.

Want to further enhance your patient safety skills? Check out the Manual External Defibrillation course available at no cost through the ASA learning management system. Join us next week as we continue our discussion with a focus on pediatric patients and Sugammadex use.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/249-sugammadex-safety-special-populations-special-concerns/

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Medication safety remains a cornerstone of anesthesia practice with complex environments and high-stakes decisions requiring vigilant attention to prevent errors. This collaboration between APSF and OpenAnesthesia spotlights critical aspects of perioperative drug safety with practical insights from Dr. Juan Li, a cardiothoracic anesthesia fellow at Beth Israel Deaconess Medical Center.

• Perioperative anaphylaxis requires immediate recognition of cardiovascular, respiratory, and cutaneous manifestations
• Neuromuscular blocking agents and antibiotics represent common triggers for anaphylactic reactions
• Preoperative assessment must include thorough allergy history, medication reconciliation, and identification of drug-drug interactions
• Standardized drug concentrations, preparation methods, and equipment minimize medication errors
• Technology integration through barcode readers and computerized decision support enhances safety
• Pharmacy support with pre-mixed solutions and pre-filled syringes reduces preparation errors
• Post-operative monitoring remains critical for catching delayed medication reactions
• Safety culture should emphasize root cause analysis rather than punishment for medication errors
• Implementation of standard protocols is essential for managing new medications with limited safety data

Visit APSF.org and Openanesthesia.org for detailed information and resources on medication safety in anesthesia practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/248-beyond-the-mask-an-openanesthesia-collaboration-on-perioperative-drug-safety/

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Climate change has arrived in the operating room, and pediatric anesthesiologists are taking action. Dr. Eva Lu-Boettcher, pediatric anesthesiologist and Director of Anesthesia Quality and Safety at the University of Wisconsin Children's Hospital, shares her journey toward sustainable anesthesia after witnessing firsthand the effects of climate change—including her Wisconsin community experiencing the world's worst air quality from wildfires.

The healthcare sector contributes a staggering 8% of total U.S. greenhouse gas emissions, with anesthesia practices like high fresh gas flow during pediatric mask inductions representing significant contributors. Dr. Lu-Boettcher reveals how simple adjustments to match fresh gas flow with a patient's minute ventilation can dramatically reduce carbon emissions without compromising safety or induction effectiveness.

What makes Dr. Lu-Boettcher's approach particularly fascinating is her application of behavioral science and "nudge theory" to achieve lasting change. By implementing default ventilator settings, providing comparative feedback to providers, and creating electronic reminders, her team achieved a remarkable 41% increase in compliance with sustainable practices.

Ready to make your anesthesia practice more sustainable? Listen now to learn practical techniques for greener pediatric anesthesia care that maintains the highest safety standards while protecting our planet. The future of anesthesia must balance excellent patient care with environmental stewardship—and the time to start is now.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/247-nudge-your-way-to-greener-pediatric-anesthesia/

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Dr. Liz Hansen takes us behind the scenes of a remarkable transformation at Seattle Children's Hospital, where pediatric anesthesiologists have reduced their greenhouse gas emissions by over 90% without compromising patient safety. A lifelong environmentalist and bike commuter, Dr. Hansen was shocked to discover that anesthesia gases contributed to 7% of her hospital's total emissions. This revelation sparked a personal and professional journey to align her clinical practice with her environmental values.

The conversation reveals practical strategies for reducing anesthesia's carbon footprint, from eliminating nitrous oxide to implementing low-flow techniques. Dr. Hansen shares how her team gradually won over colleagues by demonstrating that sustainable practices could maintain or even improve patient outcomes. She offers detailed insights into working with child life specialists, adapting mask induction techniques, and using data tracking to drive continuous improvement.

What makes this story particularly powerful is the ripple effect beyond a single institution. Dr. Hansen co-founded Project SPRUCE (Saving Our Planet by Reducing Carbon Emissions), an international consortium of anesthesia groups collaborating to reduce their environmental impact. Member organizations have already achieved their first-year goal of 50% emissions reduction, with more ambitious targets on the horizon.

For anesthesia professionals concerned about climate change but unsure how to make a difference, this episode offers hope and concrete action steps. Remember, "the antidote to despair is action." Download the Yale Gassing Greener app, try a nitrous-free induction on your next cooperative patient, or advocate for addressing gas leaks in your facility's central supply system. Your individual choices matter, especially when they inspire others to follow your lead.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/246-ditching-nitrous-oxide-the-bike-commuters-guide-to-safe-and-sustainable-anesthesia/

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In our latest episode, we dive headfirst into the growing issue of medical misinformation and its alarming effect on anesthesia patient safety. As patients increasingly turn to social media for health information, the risks of encountering inaccurate content have soared, posing challenges for healthcare professionals.

Join us as we explore a recent article by George Tewfik and Raymond Malapero from the February 2025 APSF Newsletter, focusing on how misinformation can threaten patient safety, especially during critical procedures. We'll outline the detrimental consequences of misinformation, breaking them down into three distinct categories: fear and anxiety, delay of treatment, and avoidance of treatment altogether. Understanding the psychological and physiological impacts of misinformation is crucial for anesthesia professionals and helps to frame how we can best support our patients.

You’ll also learn actionable strategies for addressing these issues directly with patients. Empathy and compassionate communication are vital tools in combatting misinformation and fostering trust between healthcare providers and patients. By guiding patients towards reputable resources and encouraging open dialogue about their concerns, we can mitigate the effects of fear and anxiety, ultimately enhancing safety in anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/245-unmasking-medical-misinformation/

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Join us as we dive into the critical topic of medical misinformation and its alarming impact on patient safety, particularly in the field of anesthesia. In this compelling episode, we unpack how misconceptions shape patient trust and communication with healthcare providers. Our conversation features insightful commentary from Dr. George Tewfik, who highlights real-world examples of how misinformation spreads and influences patient decisions.

The rapid rise of social media as a primary information source has created a fertile ground for myths and misconceptions to thrive, leading to heightened anxiety among patients about anesthetic procedures. Misinformation, such as exaggerated risks linked to medications like propofol and fentanyl, can cause unnecessary fear and even affect the consent process.

As we walk through patient anxieties and barriers, we provide practical strategies for healthcare professionals to combat misinformation effectively. Emphasizing the need for transparent and empathetic communication, we aim to empower listeners with the tools to engage their patients constructively.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/244-battling-myths-and-misinformation-ensuring-patient-safety-in-anesthesia/

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This episode delves into key findings in the literature, focusing on the nuances of neuromuscular blockade in pediatric patients and novel advancements in intubation techniques to enhance patient safety. We explore significant insights from recent studies that highlight age-related differences in recovery times from neuromuscular blockade and practical recommendations. We also discuss a novel flexible stylet for intubation and the implications of intravenous catheter design during emergency needle decompression.

Highlights include:

• Exploring age-based variability in neuromuscular recovery
• Understanding the effects of volatile anesthetics on younger patients
• Emphasizing the importance of quantitative monitoring in pediatrics
• Introducing a new flexible intubation aid to enhance airway management
• Discussing a case report on emergency needle thoracostomy
• Practical recommendations for training to improve response in emergency situations

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/243-unlocking-insights-for-safer-anesthesia-key-findings-from-the-literature-and-a-case-report/

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Feeling overwhelmed about staying up to date with the anesthesia literature? We hope you will check out the APSF's In The Literature section. This resource brings you straightforward summaries of recent high-impact articles related to anesthesia patient safety. This episode highlights crucial updates in the literature concerning diabetes management, the impact of fatigue on anesthesia professionals, research about GLP-1 receptor agonists, and the use of methadone for next-day discharge surgery. These insights aim to enhance patient safety and improve the overall quality of anesthesia care.

• Updates on blood glucose management guidelines for diabetic patients
• Findings on the relationship between fatigue and patient safety
• The risks of aspiration in patients taking GLP-1 receptor agonists
• Insights on using methadone for pain control in outpatient surgeries
• Discussion on the implications of recent research for clinical practice

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/242-enhancing-anesthesia-patient-safety-literature-reviews-guidelines-and-recommendations/

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This episode discusses the implementation of ISO 80369-6 neuraxial connectors in Japan, analyzing the challenges faced and the implications for patient safety. The conversation highlights the importance of clinician involvement and the need for clear communication and trials during the transition to new medical standards.

• Overview of ISO 80369-6 and its significance in anesthesia care
• Challenges faced in Japan during the implementation of new connectors
• Historical context of the LOR connector and its risks
• Importance of clinician involvement in product testing and standard formulation
• Call for vigilance and advocacy among anesthesia professionals for patient safety when creating new medical devices and setting new standards

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/241-the-impact-of-iso-80369-6-neuraxial-connectors-patient-safety-challenges-and-opportunities/

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The episode explores the challenges and lessons learned from Japan's recent implementation of ISO 80369-6 standards in anesthesia practices, highlighting the critical importance of clinician involvement in developing safety protocols. We discuss the historical context, issues with communication, and various complications arising from the transition to new safety standards.

• Importance of ISO standards in enhancing patient safety
• Role of clinician input in developing safety protocols
• Japan's experience with the implementation of ISO 80369-6
• Historical context of neuraxial connection standards
• Issues arising from lack of communication during transitions
• Challenges faced by healthcare professionals adjusting to new standards
• Support structures needed for effective standards implementation
• Lessons learned for global anesthesia practices regarding ISO standards

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/240-enhancing-international-anesthesia-patient-safety-insights-on-iso-standards/

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Unlock the potential to save lives with our exciting discussion on the Anesthesia Patient Safety Foundation's Technology Education Initiative course. Featuring Dr. Michael Kazior, an esteemed anesthesiologist and intensivist, we spotlight the crucial skills of manual external defibrillation, cardioversion, and pacing. Dr. Kazior shares his personal journey and highlights the stark educational gaps in defibrillator usage among anesthesia professionals. This course, born from the collaboration between the APSF and the American Society of Anesthesiologists, promises an interactive learning experience that aims to bolster confidence and competence in using these vital life-saving devices. Additionally, this course is a robust addition to the APSF's suite of courses, including those on low-flow anesthesia and quantitative neuromuscular monitoring, all designed to equip anesthesia professionals with comprehensive knowledge of essential technologies.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/239-enhancing-defibrillation-skills-the-apsfs-technology-education-initiative/

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Can we significantly reduce pediatric medication errors in anesthesia care? This podcast episode explores the urgent need to address medication errors in pediatric anesthesia, highlighting effective strategies to improve patient safety. We discuss the implementation of tools such as the Anesthesia Medication Template, pre-filled syringes, and barcode scanning systems, as well as insights from experts on enhancing current practices.

• Examination of medication error statistics in pediatric anesthesia
• Discussion of the Anesthesia Medication Template (AMT) and its benefits
• Overview of pre-filled syringes as a safety measure
• Insights on challenges with pre-filled syringes
• Evaluation of barcode scanning systems and their impact on safety
• Expert opinions on future trends in medication safety
• Emphasis on proactive strategies to prevent medication errors

For healthcare professionals focused on refining patient safety, this episode is packed with practical insights and data-driven recommendations that could revolutionize your approach to pediatric care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/238-solutions-to-reduce-pediatric-medication-errors-during-anesthesia-care/

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Unlock the secrets of preventing pediatric perioperative medication errors with insights from our esteemed guests, Eva Lu-Boettcher and Rahul Koka. Pediatric patients face unique challenges due to variations in body weight and dosing calculations, making them particularly vulnerable to medication errors. Join us as we explore the discrepancies between self-reported and observed error rates and gain a deeper understanding of the workflow vulnerabilities anesthesia professionals encounter. We also share findings from the Wake Up Safe Collaborative, revealing the administration phase as the most error-prone and illustrating how preventative and mitigative barriers can effectively manage risks through a bowtie analysis.

Our commitment to enhancing patient safety doesn't end there. Discover the APSF Technology Education Initiatives, designed to equip anesthesia professionals with vital knowledge for safe practice. We highlight the Quantitative Neuromuscular Monitoring course, aligned with the ASA 2023 Practice Guidelines, as well as the importance of staying informed through courses on Low Flow Anesthesia and the upcoming Manual External Defibrillation, Cardioversion, and Pacing course. Our mission is to ensure that no one is harmed by anesthesia care, and this episode provides essential education and insights that every professional should incorporate into their practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/237-preventing-pediatric-medication-errors/

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What if a simple change in routine could save lives in the operating room? Join us as we explore this possibility with Jonathan Charnin, who shares his expertise and passion for improving hand hygiene practices in anesthesia. Hand hygiene may seem like a small detail, but it plays a crucial role in preventing the spread of pathogens and reducing surgical site infections.

We'll unravel the complexities behind implementing effective hand hygiene protocols and discuss the obstacles and opportunities that lie ahead. Discover the startling truth about how many hand hygiene events should occur during a routine anesthetic (hint: the answer is 8 times every hour). This episode promises to enrich your knowledge and commitment to patient care, as we highlight how meticulous attention to hand hygiene and environmental contamination can drastically improve outcomes in the perioperative setting.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/236-revolutionizing-hand-hygiene-in-anesthesia-a-path-to-safer-surgeries/

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Join us on a fascinating exploration with Alli Bechtel, a dedicated anesthesiologist and the Anesthesia Patient Safety podcast host, who reveals the surprising journey from the United States to New Zealand in pursuit of a better work-life balance. Bechtel shares her unique insights into the supportive healthcare environment she found across the globe and the role of teamwork in ensuring patient safety in anesthesia. Her story provides a meaningful look at the personal and professional transitions involved in moving to a new country and how a close-knit hospital community can enhance medical practice.

Discover the evolution of anesthesia patient safety initiatives and the pivotal contributions of the Anesthesia Patient Safety Foundation (APSF). Having joined the APSF during the pandemic, Alli recounts her path to becoming the host of their podcast, highlighting the foundation's dynamic shift from newsletters to engaging audio content. We discuss the APSF's commitment to collaboration and their comprehensive resources aimed at reducing errors and improving safety practices, sharing examples from recent publications that underscore the need for systemic solutions in anesthesia care.

This episode is a compelling blend of personal narrative, professional insight, and pioneering education strategies aimed at shaping the future of anesthesia practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/235-fresh-flow-podcast-takeover-advancing-patient-safety-from-a-to-n-to-zed/

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What does it take to stay prepared for a rare but potentially life-threatening anesthesia complication like malignant hyperthermia (MH)? Join us as Dr. Henry Rosenberg, a trailblazer in the field and founder of the Malignant Hyperthermia Association of the United States, shares his insights on the evolution of MH diagnosis and management. We promise you'll gain a deeper understanding of the transition from traditional muscle biopsy contracture tests to cutting-edge DNA diagnostic methods.

Preparedness and vigilance are key themes as we explore the responsibilities of anesthesia professionals in ensuring patient safety for those susceptible to MH. We delve into the necessity of genetic counseling and multidisciplinary follow-up care, including consultations with geneticists and neurologists, to identify potential underlying conditions. Even if you never encounter a case of malignant hyperthermia in your career, understanding these strategies equips you to handle the unexpected. As we wrap up our discussions for 2024, we invite you to continue supporting our mission by sharing this knowledge-rich episode and leaving a five-star review. Your feedback drives our commitment to delivering valuable content on anesthesia patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/234-malignant-hyperthermia-preparedness-insights-and-updates/

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Unlock the future of perioperative medicine with insights into remimazolam, the cutting-edge benzodiazepine poised to transform anesthesia practices. We uncover the remarkable features of remimazolam, from its rapid onset and short duration to its unique reversibility and minimal impact on cardiac and respiratory systems. Discover why this novel sedative is gaining traction for neurosurgery and neurology applications, especially for short procedures in the U.S. market.

Explore the nuances of remimazolam's pharmacology, its economic considerations, and how it stands out in complex cardiovascular cases and interventional radiology. With practical insights into its effective use even in MRI procedures for patients with claustrophobia or spinal cord stenosis, this episode is your gateway to understanding how remimazolam is reshaping anesthesia with enhanced patient safety and recovery. This information was previously published in Episodes #175 and #176 and brought together to make one high-yield revisited show all about Remimazolam today.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/233-revolutionizing-anesthesia-the-impact-of-remimazolam/

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What happens when a defective CO2 absorbent canister leads to ventilation failure during surgery? Our latest episode uncovers the hidden risks of hypoventilation and leaks in anesthesia machines following intra-procedure CO2 canister replacement. We discuss the critical role of manufacturers in providing warnings about potential equipment failures, the importance of backup systems, and the environmental considerations of CO2 absorbent usage and low flow anesthesia. By examining real-world scenarios and various ventilator types, we equip you with strategies to enhance patient safety, all while balancing the benefits of reduced gas flows with the ecological impact of absorbent materials. Tune in to explore these vital topics and the ways in which you can contribute to a safer future in anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/232-embracing-safety-and-sustainability-in-anesthesia-care/

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What if a simple component replacement could jeopardize patient safety during surgery? Join us as we discuss critical anesthesia safety concerns with our special guest, Dr. Yuki Kuruma, an experienced anesthetist from Japan's Saiseikai Matsusaka General Hospital. Kuruma sheds light on the potential dangers of replacing CO2 absorbent canisters and the risk of hypoventilation caused by defective canisters. Reflecting on a significant 2013 incident involving a canister leak, we uncover why these issues remain pressing today and the urgent need for heightened awareness among anesthesia professionals.

In addition to safety risks, this episode offers a valuable platform for addressing technology-related concerns in anesthesia care. Our rapid response column encourages listeners to submit their insights and experiences with tech-related safety issues, providing direct communication with industry experts and manufacturers. We aim to foster a proactive community dedicated to patient safety and vigilance. Don't miss this enlightening conversation that highlights the importance of staying informed and prepared to ensure the highest standards of care in anesthesia practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/231-ensuring-anesthesia-safety-risks-of-co2-canister-replacement-and-technology-concerns/

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What impact do communication failures have on anesthesia patient safety, particularly for those with limited English proficiency? Join us as we welcome anesthesiology resident, Dr. Yasuko Mano, who sheds light on this critical issue. Drawing from her personal experiences and research, Mano reveals how language barriers can lead to less patient-centered care and increased risks during high-pressure situations like medication reconciliation and obtaining informed consent. Through her insights, we explore the often-overlooked moments in healthcare settings where communication breakdowns can lead to adverse outcomes, especially in perioperative care.

Despite the availability of interpreter services in many hospitals, our discussion uncovers their underutilization at crucial times, such as during the initial check-in or induction of anesthesia. On the show, we outline a quality improvement initiative aiming to bridge these communication gaps. By proposing structural changes in preoperative and interoperative areas, the initiative seeks to enhance interactions between patients and the anesthesia care team with personalized translation tools. Together, we envision a future where high-quality and safe anesthesia care is accessible to all patients, regardless of language proficiency. Listen in to learn about practical solutions and the path toward more inclusive healthcare practices.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/230-bridging-communication-gaps-ensuring-safe-anesthesia-care-for-patients-with-limited-english-proficiency/

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What if the future of dual antiplatelet therapy (DAPT) could be shorter, safer, and more effective? Uncover the latest insights into drug-eluting stents and how they are transforming how we think about dual-antiplatelet therapy. Join us as we examine the game-changing recommendations from top cardiology societies, which suggest that newer-generation stents can significantly reduce the duration of DAPT, particularly for patients with a high bleeding risk. Listen in as we dissect the innovative tools like the PRECISE-DAPT score and ARC-HBR criteria used to determine bleeding risk, ensuring patient safety without compromising on the efficacy of treatment. We delve into pivotal studies, including the Global Leader Study and the STOP-DAPT trial, that back these groundbreaking changes.

Our conversation takes an intriguing turn as we explore the intersection of cardiology advancements with anesthesia practices. Discover how these developments are influencing preoperative settings, potentially altering surgical timing and decision-making in anesthesia care. We bring you exclusive insights from contributor, Janak Chandrasoma, featured in the October 2024 APSF newsletter. We urge you to explore further resources, share the knowledge with your peers, and join us in promoting patient safety in perioperative environments. Don't forget to rate, review, and share the episode with colleagues keen on staying at the forefront of anesthesia patient safety advancements.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/229-revolutionizing-anesthesia-care-for-cardiac-patients/

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What if the future of cardiac care meant shorter duration of dual antiplatelet therapy without compromising safety? Join us as we explore this possibility with Dr. Joseph Szokol, a leading expert in clinical anesthesiology at the Keck School of Medicine of USC. Dr. Szokol shares his insights into the revolutionary advancements in drug-eluting stent technology, which are reshaping how we approach perioperative care and patient safety. With over 600,000 cardiac stents placed each year, this episode is a must-listen for understanding the evolving landscape and its implications for anesthesia professionals.

Reflecting on past challenges, we transport you back to insights from the 2009 APSF newsletter that spotlighted the critical risks of stent thrombosis associated with older stent technologies. Discover how recommendations have dramatically shifted—from urging a 12-month delay for elective surgeries post-stent placement to adapting to breakthroughs in new generation stents. With a compelling narrative filled with historical context and cutting-edge research, this episode equips listeners with vital knowledge and updated guidelines that could significantly enhance perioperative patient management and safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/228-the-journey-of-drug-eluting-stents-and-anesthesia-patient-safety/

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Join us for an enlightening conversation with documentary filmmaker Mike Eisenberg, where we explore the transformative role of technology in patient safety, inspired by his acclaimed film "The Pitch." Discover how pioneers like Jeff Cooper have shaped anesthesia patient safety and learn how the world of aviation offers valuable lessons for the healthcare industry. We promise you'll gain insights into how embracing technological innovations can not only reduce complications and costs but also improve safety outcomes across the board. You'll hear about the fascinating parallels between industries and the potential of predictive analytics to preemptively tackle issues like low blood pressure during surgery.

In our discussion, we highlight the power of collaboration and storytelling in driving change within healthcare systems. We highlight the significance of dedicated events such as Patient Safety Awareness Week and World Anesthesia Day in bringing often-overlooked topics to the forefront. This episode underscores the collective effort needed to address patient safety issues, likening it to the global challenge of climate change. Listen in to understand the pivotal role of media and technology in shaping a safer future for patients worldwide.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/227-technologys-impact-on-patient-safety-insights-from-filmmaker-mike-eisenberg/

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Documentary film director, Mike Eisenberg, shares his compelling journey from playing minor league baseball to directing films that change lives. Inspired by his late father, a prominent figure in patient safety, Eisenberg brings passion and insight to his exploration of patient safety in healthcare. His earlier work, "To Error is Human," laid the groundwork for a critical conversation on improving patient safety in healthcare systems. Now, Eisenberg introduces his sequel, "The Pitch," which confronts the evolving role of technology in this ongoing mission. Through personal stories and expert insights, we learn how these documentaries have resonated with audiences and sparked a movement for change.

Our discussion takes an enlightening turn as we explore the cutting-edge innovations featured in Eisenberg's latest project. Our conversation highlights the vital role of technology in redefining patient safety. With a focus on the triumphs and trials faced by these innovators, listeners will gain a deeper understanding of how technological advances are shaping the future of healthcare and patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/226-from-the-ballpark-to-the-big-screen-patient-safetys-next-generation/

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Can anesthesia care for patients with obstructive sleep apnea (OSA) impact patient safety during surgery? Join me, Alli Bechtel, as I unravel the complexities of managing anesthesia for OSA patients, drawing insights from experts like Mandeep Singh and his team, featured in the June 2024 APSF newsletter. This episode promises to enhance your understanding of the challenges and solutions in perioperative care for OSA patients, highlighting the importance of preoperative screening and the pressing need for structured postoperative guidelines. With the prevalence of OSA higher in surgical patients, the frequent lack of diagnosis poses significant risks, and together, we explore how clinical guidelines are working to change that narrative.

The Society of Anesthesia and Sleep Medicine is at the forefront of the mission to keep sleep disorder patients safe, and I'm here to share their initiatives and collaborative efforts with you. From addressing the gaps in routine OSA screening to improving clinical training, this conversation is packed with actionable recommendations to elevate anesthesia care practices. Discover the significance of collaborative efforts with other medical societies to create comprehensive management guidelines that ensure patient safety. Whether you're directly involved in anesthesia care or interested in the latest advancements in patient safety, this episode is essential listening for navigating the complexities of OSA management in the perioperative period.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/225-collaborative-guidelines-for-safe-anesthesia-in-osa/

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Wiretap laws might seem like a distant concern, but in the realm of clinical practice, they could be more relevant than you think. What if a simple audio recording could make or break your patient care approach? Join us as we unravel the complexities of wiretap regulations in healthcare with insights from Karolina Brook's enlightening APSF article, "Wiretap Laws: Relevance to Clinical Practice and Patient Safety." We'll explore how these laws differ across states, affecting everything from face-to-face conversations to phone calls, and discuss the potential penalties that could arise from unintentional violations.

In our episode, we share practical tips for anesthesia professionals to navigate these legal waters, ensuring compliance while safeguarding privacy and safety. Whether you're an anesthesia professional or a legal enthusiast, this episode promises to equip you with valuable insights and strategies to remain informed and legally compliant.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/224-staying-legal-recording-conversations-during-anesthesia-care/

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Ever wondered how wiretap laws impact your daily clinical interactions and patient safety measures? Discover the complexities of these laws with insights from our guest, Dr. Karolina Brook, an anesthesiologist from Boston Medical Center. Join us on the Anesthesia Patient Safety Podcast as we unravel the intricacies of one-party and all-party consent states, and explore how these decades-old statutes are more relevant than ever in our digital age. Dr. Brook shares her personal experiences of being recorded by patients, which fueled her exploration into the legal frameworks that continue to shape our practice today.

Through our engaging discussion, you'll gain a deeper understanding of how state wiretap laws can affect anesthesia professionals. We delve into the nuances of what it means to practice in different consent jurisdictions and the importance of safeguarding patient trust while ensuring compliance. We navigate this rarely covered yet essential topic and provide valuable perspectives on the intersection of technology, legality, and patient safety—equipping you with the knowledge to better manage these real-world challenges in clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/223-navigating-wiretap-laws-in-clinical-practice-insights-for-anesthesia-professionals/

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Unlock the secrets to enhancing patient safety with our comprehensive discussion on the External Ventricular Drain (EVD) Safety Campaign. Ever wondered how to drastically reduce complications like ventriculitis? We promise you'll walk away with actionable insights, from the critical use of antimicrobial EVDs to the meticulous setup of devices by trained personnel under sterile conditions. We'll delve into essential preoperative steps such as patient history, neurological exams, and intracranial pressure (ICP) monitoring to ensure you're equipped with the best practices for patient care.

Our episode doesn't stop there. We go further to unravel the intricacies of correctly leveling an EVD and the importance of monitoring ICP waveforms, especially during patient transport. Should you travel with the EVD clamped or open? We've got you covered with practical guidelines and key considerations for continuous monitoring. Don't miss out on this treasure trove of knowledge tailored for healthcare professionals committed to elevating patient safety. For more details and resources, visit APSF.org, and feel free to reach out to us with your questions at podcast@APSF.org.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/222-best-practices-for-external-ventricular-drain-management/

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Curious about the best practices for managing patients with External Ventricular Drains (EVDs) during anesthesia and ICU transport? Join us as we talk to Dr. Abhijit Lele, a leading neuro-anesthesiologist and neuro-intensivist, who shares his expertise and personal journey from pediatrics to neuro-critical care. Discover the collaborative efforts between the Anesthesia Patient Safety Foundation (APSF) and the Society for Neuroscience and Anesthesiology and Critical Care (SNACC) aimed at improving the safety and outcomes for patients with EVDs.

Dr. Lele provides invaluable insights into the complexities of neuro-critical care, shedding light on advanced monitoring techniques and quality improvement initiatives. Learn about his dedicated approach to managing severe neurological conditions in both perioperative and intensive care settings, and how his experiences have shaped his passion for global patient safety. Tune in for practical recommendations and expert knowledge that will enhance your practice and ensure your patients with EVDs receive the highest standard of care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/221-enhancing-patient-safety-in-neurocritical-care-best-practices-for-managing-external-ventricular-drains-with-dr-abhijit-lele/

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Curious about how to enhance patient safety with external ventricular drains or EVDs? Join us as we unravel the intricacies of EVDs and their pivotal role in perioperative care. With over 25,000 EVD placements annually in the United States, it's crucial for anesthesia and critical care professionals to master the management of these devices to prevent serious complications. We delve into the fundamentals of EVDs, covering their function, placement, and the common risks associated with their use.

This episode features the launch of the EVD Safety Campaign, a collaboration between the Anesthesia Patient Safety Foundation (APSF) and the Society for Neuroscience in Anesthesiology and Critical Care (SNACC). We'll discuss the campaign's objectives, which include raising awareness, providing education, promoting standardized guidelines, and enhancing clinical proficiency. Discover the wealth of resources available in the EVD Knowledge Hub, designed to equip healthcare professionals with the skills needed to ensure optimal patient outcomes. Tune in for a comprehensive guide on safeguarding patients with EVDs and elevating your clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/220-enhancing-patient-safety-with-external-ventricular-drains-launching-the-evd-safety-campaign/

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Unlock the secrets to improving anesthesia patient safety as we tackle the critical issue of intraoperative hypotension. Did you know that hypotension during surgery can lead to severe complications like acute kidney injury, myocardial injury, delirium, and stroke? Join us as we dissect recent studies, including one by Ariyarathna and colleagues linking high vasopressor use to kidney damage, and another by Chiu and colleagues on the dangers of limiting IV fluid administration. With expert insights from Amy Yerdon, Matt Scherrer, and Desiree Chappell, this episode is packed with essential information on minimizing hypotensive events and optimizing patient outcomes through advanced monitoring and goal-directed therapy.

Stay ahead in your practice by understanding the differential diagnosis for intraoperative hypotension and the importance of continuous blood pressure monitoring. Learn strategies to balance fluid and vasopressor use effectively, ensuring patient safety. Whether you're an anesthesia professional or simply interested in medical advancements, this episode offers valuable knowledge and practical tips to enhance postoperative recovery. Don't miss out on these crucial insights that could transform your approach to anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/219-optimizing-outcomes-in-anesthesia-care-spotlight-on-intraoperative-hypotension/

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Ever wondered about the dangers of low blood pressure during surgery? This episode features Amy Yerdon, a certified registered nurse anesthetist and assistant professor at the University of Alabama, Birmingham, who brings to light the critical issue of intraoperative hypotension. Alongside co-authors Matt Scherrer and Desiree Chappell, Yerdon underscores the often-overlooked consequences that patients face post-surgery due to intraoperative hypotension, including acute kidney injury, myocardial injury, and even mortality. This discussion is a must-listen for anesthesia professionals dedicated to improving perioperative patient safety.

Tune in to understand how monitoring and managing blood pressure can significantly reduce postoperative complications and healthcare costs. We discuss the alarming gaps in knowledge among anesthesia professionals, largely due to insufficient postoperative reporting. This episode is packed with invaluable insights that could shape the future of anesthesia care and patient outcomes. Don't miss this crucial conversation on how proactive measures can prevent future harm by working to decrease and prevent intraoperative hypotension.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/218-unmasking-the-risks-the-dangers-of-low-blood-pressure-during-surgery/

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We are sharing the Residents in a Room Podcast episode #65 on Nontraditional Pathways - Leadership. Unlock the secrets of non-traditional leadership pathways within anesthesiology with Dr. Della Lin, a seasoned expert with over three decades of experience. Learn how Dr. Lin transitioned from a department chair to a speaker, healthcare think tank participant, and APSF board member, offering insights into leadership that go beyond titles. She reveals how behaviors that unite people and solve problems are at the heart of true leadership. Discover the essence of leading without conventional roles, and how anesthesiologists are uniquely positioned to excel in these arenas.

Hear firsthand about the challenges and fulfillment that come with stepping away from clinical practice to embrace leadership roles. With personal anecdotes about moments of doubt and the search for purpose, Dr. Lin offers practical advice on balancing new roles and pursuing your passions. Understand the power of self-reflection and the benefits of maintaining a reflective diary to guide your career decisions, making this conversation a must-listen for anyone looking to navigate their professional journey with intention and joy.

Dive into the ethical complexities of leadership in healthcare, from resource allocation during crises to incorporating patient voices into decision-making. Dr. Lin's experiences underscore the importance of integrity, trust, and alignment with one's values in leadership roles. Explore strategies for motivating and mentoring future leaders, particularly in volunteer settings, and recognize the profound impact such leadership can have on patient safety and community health. Join us for an inspiring discussion that blends practical advice with profound personal insights, offering a fresh perspective on leadership in anesthesiology and beyond.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/217-residents-in-a-room-podcast-takeover-redefining-leadership-in-anesthesiology/

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Discover the critical steps to safeguarding pediatric patients from opioid-induced respiratory depression in our latest episode featuring experts Tricia Vecchione and Constance Monitto. Learn about the paramount risk factors, such as age and co-morbidities like obstructive sleep apnea, that put young patients at increased risk. We’ll explore essential continuous monitoring strategies, emphasizing the importance of respiratory rate and pulse oximetry for those on parental opioids and patient-controlled analgesia.

Uncover the intricacies of effective pediatric respiratory monitoring, including why desaturation can be a dangerously late warning sign. We discuss the need for preemptive systems that can identify respiratory depression in time to prevent critical events. This episode outlines the ideal characteristics of respiratory monitors and provides a comprehensive overview of the available modalities, starting with the indispensable pulse oximeter. Stay informed with the latest recommendations from the Society for Pediatric Anesthesia and ensure the highest standard of patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/216-guarding-against-opioid-induced-respiratory-depression-in-kids/

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How do we keep our youngest and most vulnerable patients safe from the deadly threat of opioid-induced respiratory depression? On this episode of the Anesthesia Patient Safety Podcast, we uncover the answers with invaluable insights from pediatric anesthesiologist Dr. Connie Monitto. Dr. Monitto, along with co-author Tricia Vecchione, breaks down their June 2024 APSF newsletter article, highlighting the unique challenges of managing opioid-induced respiratory depression in children. Expect to learn why pediatric patients aren't just small adults and discover the critical importance of pediatric-specific risk assessments and monitoring protocols.

Our conversation zeroes in on the distinct physiological and communication aspects of children that demand specialized approaches in anesthesia care. We’ll guide you through practical strategies, such as identifying high-risk pediatric patients and implementing vigilant monitoring and opioid-sparing techniques. Plus, we delve into Figure 1 from the article, detailing the risk factors like age, prematurity, and comorbidities that can increase the likelihood of respiratory complications. This episode is a must-listen for anyone committed to elevating safety standards in pediatric anesthesia, offering actionable advice to protect our youngest patients and prevent life-threatening complications.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/215-protecting-pediatric-patients-from-opioid-induced-respiratory-depression/

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Can administering anesthesia to patients with concussions lead to complications? Join host, Alli Bechtel, as we unpack the pivotal findings from an insightful article by Arney Abcejo and Jeffrey Pasternak that was featured in the October 2018 APSF newsletter. This episode offers a comprehensive review of the clinical manifestations and challenges of providing anesthesia to recently concussed patients. Discover the prevalent causes of concussions, such as motor vehicle accidents, falls, and sports injuries, and gain an understanding of the nuanced care these vulnerable patients require.

We'll share intriguing statistics from a retrospective study, revealing that nearly 15% of patients received anesthesia within the first year of their concussion, with a significant portion occurring within the first week. Listen in as we discuss the complexities of elective procedures post-concussion and the heightened vigilance needed during the peri-anesthetic period. Whether you're a medical professional or interested in patient safety, this episode is packed with essential insights into the delicate balance of ensuring safe anesthesia care in concussed patients.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/214-navigating-anesthesia-in-concussed-patients-insights-and-challenges/

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Can you imagine the horror of a medication mix-up between the overwrap and the infusion bag? In this episode, we tackle a crucial ISMP alert concerning a dangerous labeling error between dexmedetomidine and acetaminophen IV bags. Learn from a real-life case where this mistake led to a severe patient reaction, and discover essential steps to prevent such incidents in your practice. We'll cover best practices for barcode scanning, proper medication administration, and how to educate your team to ensure patient safety.

But that's not all—travel back with us to the October 2018 APSF newsletter as we explore the unique challenges of managing anesthesia for patients with concussions. From historical insights to modern-day practices, this episode offers an all-encompassing look at anesthesia considerations for patients with concussions. Stay informed and ready to deliver the highest standard of care by tuning into these critical updates and practical tips.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/213-medication-labeling-errors-and-anesthesia-for-patients-with-concussions/

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Ensuring the safety of pediatric patients with sickle cell disease during anesthesia care can be a complex and demanding task, but what if you had a detailed roadmap to navigate this critical process? Join us as we unpack essential strategies based on the June 2024 APSF Article, “Preoperative Transfusion and Sickle Cell Disease in the Pediatric Patient” by Rahul Baijal, Priti Dalal, and Megha Kanjia, specifically tailored for pediatric anesthesia care. We break down the crucial factors like sickle cell genotype, baseline hemoglobin levels, and disease severity, offering a comprehensive guide for developing patient-specific preoperative transfusion plans. Discover the importance of a collaborative, interdisciplinary approach and gain insights into detailed preoperative evaluations that include baseline pulmonary status and stroke risk assessment.

Addressing another crucial aspect of patient safety, we turn our attention to the increasingly concerning issue of workplace violence in anesthesia settings. With alarming statistics showing high levels of harassment among anesthesiology faculty, the APSF has developed pivotal resources to combat this issue. Explore these video-triggered workshops that can raise awareness and foster important conversations within your team. These tools are designed to be integrated seamlessly into staff meetings and training sessions, aiming to create a safer, more supportive working environment. Stay vigilant and proactive to ensure no one is harmed by anesthesia care, whether patient or provider.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/212-comprehensive-approaches-to-pediatric-patients-with-sickle-cell-disease/

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Unlock the secrets to safeguarding pediatric patients with sickle cell disease during anesthesia. Join us for an enlightening discussion on the APSF article written by Dr. Megha Karkara Kanjia and Dr. Rahul Baijal, as they share their expertise on preoperative care strategies. Learn how to tailor transfusion plans uniquely for each child by considering critical factors such as sickle cell genotype, baseline hemoglobin, and surgical risk. This episode promises to arm you with evidence-based guidelines and best practices designed to improve perioperative outcomes for these vulnerable patients.

We provide an in-depth look at the challenges and solutions in managing sickle cell disease in pediatric anesthesia. Discover the complexities and cumulative risks these young patients face, from acute chest syndrome to vaso-occlusive pain crises. Listen to Dr. Karkara Kanjia's insights on the disease's prevalence and its significant impact on perioperative care. This episode is a must-listen for healthcare professionals dedicated to enhancing patient safety and optimizing outcomes for children with sickle cell disease.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/211-safeguarding-pediatric-patients-with-sickle-cell-disease/

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Can the simple act of changing medication packaging save lives? On this week's Anesthesia Patient Safety Podcast, we uncover the alarming truth about the recurrent and devastating error of inadvertent intrathecal tranexamic acid administration. This episode is a continuation of last week's urgent discussion, featuring insights from Elizabeth Rebello and colleagues, who stress system-focused solutions over human-reliant measures to tackle this critical patient safety issue.

We dissect the human factors contributing to these errors, particularly the look-alike nature of tranexamic acid and local anesthetic ampules. Highlighting prevention strategies, the episode underscores the importance of providing tranexamic acid in pre-mixed bags, aligning with recommendations from the 2010 APSF Stoelting Conference. Listen in as we break down the hierarchy of effectiveness for risk reduction strategies by the Institute for Safe Medication Practices (ISMP), ranging from simple reminders to advanced automation and fail-safes, all aimed at enhancing medication safety in the operating room.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/210-preventing-deadly-errors-unpacking-safe-practices-for-medication-administration-in-the-or/

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Join us on the Anesthesia Patient Safety Podcast as we confront a critical patient safety issue: the recurring wrong drug, wrong route errors involving Tranexamic acid (TXA) and Bupivacaine. Elizabeth Rebello, an anesthesiologist at the University of Texas MD Anderson Cancer Center, sheds light on this alarming trend where lookalike vials lead to catastrophic outcomes, including paralysis and death. Learn why this issue demands urgent action and the steps that are essential for anesthesia professionals to prevent such devastating mistakes.

We'll uncover real-world incidents and delve into the underlying challenges faced by anesthesia teams, from lack of standardization to high-pressure environments. Hear about the staggering 50% mortality rate associated with this error and revisit our previous coverage on a National Alert Network warning about similar TXA administration errors. This episode is a must-listen for those dedicated to advancing perioperative patient safety and mitigating the risks of medication administration errors in anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/209-preventing-catastrophic-medication-errors-the-dangers-of-txa-and-bupivacaine-mix-ups/

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Unlock the secrets of enhancing perioperative patient safety with insights from experts in anesthesiology and critical care. Join us as we welcome Dr. Debnath Chatterjee, the editor-in-chief of OpenAnesthesia, who sheds light on the incredible educational resources available on the platform. From peer-reviewed mini-reviews to engaging podcasts and vodcasts, discover how OpenAnesthesia is making a global impact, benefiting both trainees and seasoned clinicians.

We are excited to share one of the OpenAnesthesia Ask the Experts Podcasts on our show today.

Journey with us into the realm of pediatric anesthesia as Dr. Britta Regli-von Ungern-Sternberg and OpenAnesthesia Editor Dr. Jina Sinskey discuss perioperative respiratory adverse events in pediatric patients. Reflecting on the pivotal 2010 Lancet study and the more recent APRICOT study, we explore how anesthesia practices have evolved. Learn about the significant shift towards Total Intravenous Anesthesia (TIVA) and the reduced use of Desflurane, alongside practical recommendations like using propofol for high-risk children and preoperative salbutamol administration to mitigate respiratory risks.

Gain a unique perspective on the challenges faced by Perth’s sole children's hospital, especially in managing pediatric cases involving upper respiratory tract infections, including COVID-19. Through detailed insights, understand the criteria for proceeding with or canceling procedures and the logistical hurdles for rural and remote patients. Emphasizing the importance of experience, communication, and tailored approaches, this episode also navigates the balancing act of pursuing a career in academic medicine. Discover the value of mentorship, the necessity of maintaining personal relationships, and the flexibility required to thrive in both professional and personal spheres.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/208-its-an-openanesthesia-takeover-show/

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Unlock the essential strategies for ensuring patient safety during anesthesia in the prone position! On this episode, host Alli Bechtel welcomes Taizoon Dhoon, an associate professor at the University of California, Irvine, who shares his expertise from his recent article in the APSF newsletter. Dhoon sheds light on the often-overlooked risks of prone positioning, detailing the physiological changes and positioning injuries that can arise. This discussion is a treasure trove of knowledge for anesthesia professionals, aiming to elevate patient care practices and enhance collaborative efforts among medical teams.

Our journey begins with an in-depth review of recommended practices and preoperative considerations, emphasizing the critical role of thorough exams, patient history evaluations, and cardiac assessments. Discover the actionable steps you can take to improve safety, from pre-surgical planning to additional monitoring during procedures. Whether you're an experienced anesthetist or new to the field, this episode provides the insights and tools you need to navigate the complexities of prone positioning with confidence and precision. Tune in and empower your practice with expert advice and practical recommendations.

We are covering two bonus articles to discuss concerns with the Perifix® L.O.R. syringe (B-Braun, Melsungen, Germany) that is used with the loss of resistance (LOR) technique to confirm the epidural space, and we are diving into the literature. Our literature review summary takes you through the 2023 article, "Comparison of the hemodynamic effects o opioid-based versus lidocaine-based induction of anesthesia with propofol in older adults: a randomized controlled trial."

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/207-patient-safety-during-prone-positioning/

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What if the prone position during anesthesia is more hazardous than you think? Equip yourself with crucial knowledge about the overlooked risks and physiologic changes associated with prone positioning during surgery and procedures. This episode uncovers the some of the dangers such as peripheral nerve injuries, postoperative vision loss, and significant hemodynamic shifts that can endanger patient safety. Our discussion illuminates the necessity for anesthesia professionals to maintain heightened vigilance and adopt preventive measures.

We'll also explore the complex physiologic alterations that occur in the prone position. This episode offers actionable preoperative, intraoperative, and postoperative strategies to mitigate these risks and ensure optimal patient outcomes. By tuning in, you'll gain invaluable insights and practical recommendations to enhance your practice and safeguard your patients during prone surgeries. and. procedures. Don’t miss this essential guide to mastering the challenges of prone positioning during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/206-enhancing-safety-during-anesthesia-care-in-the-prone-position/

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Ever wondered about the underappredicated dangers of prone positioning during surgery? Join me, Alli Bechtel, as we navigate the complexities and risks of managing patients in this critical position. From pressure-related injuries to the eyes, nose, and shoulders, to nerve ischemia and shoulder dislocations, we'll cover it all. In this episode, inspired by Taizoon Dhoon and colleagues' article "The Underappreciated Dangers of the Prone Position," we’ll dissect the physiologic changes that can lead to severe complications if not properly managed. This is an essential listen for anyone involved in perioperative care.

Gain practical insights into protecting vulnerable areas and mitigating risks associated with prone positioning. We’ll explore common pitfalls and offer strategies to improve patient safety, including proper limb positioning and adequate padding. Learn about the specific nerves at risk and the physiologic changes affecting ocular health and overall patient well-being. Grab a pen and paper for this detailed discussion on how to safeguard patients and ensure optimal outcomes in the operating room.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/205-safeguarding-patients-navigating-the-dangers-of-prone-positioning/

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Discover the essential elements of a high-functioning anesthesia care team with our special guest Matthew Sherrer from the University of Alabama at Birmingham. In an episode that could redefine your understanding of teamwork in healthcare, we delve into the phenomenon of 'trust fractures' and their profound impact on patient safety. The authors offer rich insights from his experience, drawing striking parallels between aviation disasters like Korean Air Flight 801 and the critical importance of communication within medical teams. Prepare to be enlightened as we explore the sobering reality of communication failures in healthcare, and learn about innovative initiatives like UAB's Anesthesia Care Team Optimization Committee aimed at mending trust and bolstering team dynamics for the safety of our patients and wellbeing of healthcare professionals.

In the high-stakes world of anesthesia, the need for a culture that embodies mutual respect, curiosity, and empathy stands paramount. The University of Alabama at Birmingham's Anesthesia Care Team Optimization Committee has been at the forefront, pioneering a collaborative ethos that is transforming perioperative communication. In our conversation, we celebrate the team's triumphs—from implementing novel communication tools and educational sessions to fostering interprofessional cooperation via shared journal clubs. Witness the positive ripples of a collective intelligence model where cohesive teams not only enhance patient outcomes but also enrich healthcare professionals' lives with reduced stress and improved job satisfaction. Let this episode be your guide to cultivating excellence in patient safety and team performance in your healthcare environment.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/204-cultivating-excellence-in-anesthesia-teams-trust-communication-and-patient-safety/

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Discover how mastering situational awareness can revolutionize your approach to perioperative patient safety in our latest podcast episode. We are joined by David Tscholl, an esteemed anesthesiologist and researcher from the University Hospital in Zurich, Switzerland who unveils critical findings from recent studies in this February 2024 APSF newsletter article. The shocking revelation that 80% of adverse events in anesthesia and critical care are due to errors in situational awareness underscores the urgency of this discussion. This enlightening conversation promises to equip you with the knowledge to enhance your decision-making skills in the high-stakes perioperative environment.

With a deep dive into the concept's origins from aviation psychology to its application in anesthesia care, we dissect the cyclical sequence of perceiving, comprehending, and projecting crucial information for maintaining situational awareness. We also highlight how experience, knowledge, and training can build this critical skill, while cautioning against the negative impacts of fatigue and excessive workload. The episode is enriched with a visual tool in the show notes, helping to illustrate this three-tiered concept and its influence on patient outcomes. Join us for an episode that promises not only to inform but also to transform the way you perceive and react to the ever-changing dynamics of anesthesia patient care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/203-enhancing-perioperative-patient-safety-through-situational-awareness/

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Embark on a journey through the interplay of teamwork, civility, and patient safety with our esteemed guests, Matt Sherrer and Mitch Tsai from the Fresh Flow podcast, and emergency medicine savant Chris Turner. The conversation navigates the treacherous waters of workforce shortages and academic anesthesiology pressures, unearthing strategies to foster a thriving professional climate where mutual respect reigns supreme.

Feel the pulse of our professional interactions as we delve into reputation—your very own "theme tune" that echoes in the corridors of your workplace. We examine the subtle dance between the image we project and the legacy we yearn to build, from the ominous tones of Jaws to the symphony of positive influence. Uncover the critical role of psychological safety in knitting teams tightly together, as we reveal the cognitive cost of incivility's subtlest gestures and advocate for an environment enriched with courtesy and cooperation, ultimately uplifting patient care and collective morale.

Closing on a harmonious note, we contemplate the art of leadership and the quintessence of wisdom in the healthcare cosmos. We spotlight the transformative power of wise leaders who orchestrate a culture ripe for questioning and shared knowledge, instrumental in informed decision-making. Our exploration extends to the tender discussions of end-of-life care, aligning treatments with deeply held patient values. And for a final twist, we engage in a light-hearted riff on the transcendent language of music, comparing the distinctive strums of British and American guitar tones, affirming the melody of our unified pursuit: enhancing patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/202-teamwork-civility-and-the-quest-for-patient-safety-a-fresh-flow-podcast-takeover/

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Ever found yourself grappling with the complexities of peripheral nerve blocks and patient safety? This episode is a treasure trove of insights as we unpack the February 2024 APSF newsletter article by the esteemed trio Christina Ratto, Joseph Szokol, and Paul Lee, shedding light on the crucial precautions necessary for regional anesthesia procedures. Get ready for an enriching conversation with Paul Lee, Division Chief of Regional Anesthesia and Clinical Assistant Professor of Anesthesiology at Keck Medical Center, as he shares valuable personal experiences and stresses the need for meticulous safety checks.

Navigate through the nuances of handling emergencies, like dealing with seizures or arrhythmias associated with LAST, with confidence. We cover the must-know local anesthetic systemic toxicity checklist, providing concrete steps and dosing recommendations to ensure patient stability in a crisis. This is more than just another clinical discussion; it's about arming yourself with the knowledge to elevate patient care to the highest standard. Join us for an episode packed with actionable takeaways for any anesthesia professional dedicated to the noble cause of patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/201-enhancing-regional-anesthesia-practices-for-superior-patient-safety-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Can peripheral nerve blocks be the answer to improving patient satisfaction and joining the fight against the opioid crisis? Christina Ratto joins us for our milestone 200th episode to share her invaluable insights on this very question. We celebrate the world of regional anesthesia with important considerations for patient safety with peripheral nerve blocks. Together, we scrutinize the pros, like heightened patient contentment and a hopeful check on opioid usage, and consider the role of ultrasound guidance as a beacon for block success and minimizing complications. Our discussion navigates through the study by Sites and colleagues, offering a critical look at local anesthetic systemic toxicity and postoperative neurological symptoms, illuminating the imperative of safety in regional anesthesia.

Join us in this landmark celebration of knowledge and commitment to patient safety in the realm of regional anesthesia. As we celebrate 200 episodes, we extend an invitation to our listeners to interact, ask questions, and share insights, all in the service of a shared goal—no patient harm during anesthesia care. Your participation is the heartbeat of our podcast; your engagement online through likes, subscriptions, and shares propels our message further. Until we meet again in our next episode, we pledge to keep the conversation on patient safety alive, insightful, and at the heart of what we do.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/200-celebrating-the-200th-episode-safer-blocks-and-enhancing-regional-anesthesia-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are talking about the anesthesia patient safety implications of non-surgical cosmetic enhancements including permanent jewelry, nail polish, and gel manicures. It is vital for anesthesia professionals to perform a complete and sensitive preoperative assessment, provide information about potential adverse events, and maintain vigilance during the perioperative period to keep patients safe. This is another area where anesthesia professionals can be advocates for anesthesia patient safety.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/199-making-sure-that-looks-do-not-kill-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are turning the page in the February 2024 APSF Newsletter to discuss non-surgical cosmetic enhancements and anesthesia patient safety implications. Today, we are reviewing the considerations for neurotoxin injections, such as Botox, eyelash extensions, and oral and facial piercings for Part 1 of our 2-Part series. Spoiler alert: Asking patients to remove eyelash extensions or oral and facial piercings preoperatively is important for patient safety, and anesthesia professionals need to remain vigilant when these are unable to be removed.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/198-safe-anesthesia-care-and-cosmetic-enhancements/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving into the February 2024 APSF Newsletter with the Q&A article about post-alcohol consumption and cognitive performance. The aviation industry has recommendations for pilots and this is something that anesthesia societies and professionals need to consider to help determine the time from glass to mask in order to keep patients safe during anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/197-from-glass-to-mask-post-alcohol-consumption-and-anesthesia-performance/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we continue our coverage of the International Conference on Anesthesia Patient Safety 2024. Our highlights on the show include anesthesia for an aging society and perioperative brain health, communication and lucky breaks, acute pain management, and opioid stewardship. This is our fifth and final episode in this series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/196-icaps-2024-recap-part-5-perioperative-brain-health-pain-control-and-more/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we continue our coverage of the International Conference on Anesthesia Patient Safety 2024. Our highlights today include expectations for anesthesia professionals through the lens of regional strategies in Japan, the JSA and ASA approach, from a global perspective, a surgeon’s perspective, and a patient’s perspective.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/195-icaps-2024-recap-part-4-expectations-for-anesthesia-professionals/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we continue our coverage of the International Conference on Anesthesia Patient Safety 2024. We are discussing Anesthesia Professionals’ Role in the Perioperative Care Environment with talks that focus on anesthesia patient safety in Japan and Korea, medication safety, and ideal perioperative management to optimize patients prior to surgery and anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/194-icaps-2024-recap-part-3-patient-safety-in-the-perioperative-care-environment/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are highlighting the impact of single-use, disposable products during anesthesia care on patient safety, the environment, and the checkbook. Making the switch to reusable devices can make a big difference with decreased environmental impact and cost while maintaining patient safety and supply availability. Our focus today is on blood pressure cuffs, gowns, OR hats and arm coverings, and pulse oximetry probes for the exciting conclusion of this two-part series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/193-sustainable-and-safe-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are highlighting the impact of single-use, disposable products during anesthesia care on patient safety, the environment, and the checkbook. Making the switch to reusable devices can make a big difference with decreased environmental impact and cost while maintaining patient safety and supply availability. Our focus today is on laryngoscopes handles and blades for the first of this two part series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/192-want-to-save-money-and-the-planet/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we continue our coverage of the International Conference on Anesthesia Patient Safety 2024. Our highlights today include lessons learned from the Covid-19 Pandemic and an International Table Discussion on Non-Operating Room Anesthesia Patient Safety. We are challenging the notions of ‘It’s just a MAC” and ‘Pediatric patients are just small adults.’

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/191-icaps-2024-recap-part-2-learning-from-the-covid-19-pandemic-and-nora-considerations/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we begin our coverage of the first International Conference on Anesthesia Patient Safety 2024. Our show today reviews the APSF Newsletter: Past, Present, and Future Directions and what we have learned from the Covid-19 pandemic when it comes to emerging infectious diseases and perioperative medical supplies. Don’t miss this show if you want some answers to the questions regarding the Covid-19 pandemics: What worked? What didn’t work? What do we need to do differently next time?

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/190-the-first-international-anesthesia-patient-safety-conference-recap-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are returning to the conversation about GLP-1 receptor agonist medications today and listening to episodes #160 and #161 again. Patients taking these medications may be at increased risk for aspiration even after an appropriate preoperative fasting period. Tune in today as we talk about how to keep patients taking GLP-1 receptor agonists safe during anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/189-glp-1-receptor-agonist-recommendations-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are staying up to date with the latest in anesthesia patient safety by reviewing 5, that’s right 5, APSF summary articles written by the APSF Newsletter Editorial Board on some of the best medical journal articles. Join us as we dive into the literature and learn more about future morphine alternatives, the Anesthesia Risk Alert Program, anesthesia for hip fracture surgery, the surgeon-anesthesiologist dyad, and step counting during the perioperative period.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/188-new-year-new-literature-review/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We have talked about anesthesia patient safety in different areas of the hospital from the maternity wards to non-operating room anesthesia suites, but this time, we are heading into the main operating room to talk about one of the most challenging cases in the operating rooms with frequent hemodynamic changes, the possibility for massive blood loss and coagulopathy in sick patients and often that takes place in the middle of the night. That’s right, we are talking about keep patients safe during liver transplantation and returning to episodes #147 and #148 for a massive, revisited episode.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/187-keeping-patients-safe-during-liver-transplantation-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Take a walk with the APSF as we head to non-operating room anesthesia areas to talk about the latest consensus recommendations for the safe conduct of anesthesia in NORA locations. This is Part 2 of our two-part series. Today, we are reviewing important considerations related to the APSF Consensus Recommendations and reviewing the literature. Spoiler alert: we have more exclusive author content on the show today.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/186-safe-nora-care-consensus-recommendations-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Take a walk with the APSF as we head to non-operating room anesthesia areas to talk about the latest consensus recommendations for the safe conduct of anesthesia in NORA locations. Tune in to hear all the recommendations related to facility and location, equipment and supplies, staffing and teamwork, patient selection, periprocedural care, and quality improvement. Plus, we have exclusive content from our on the authors.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/185-consensus-recommendations-for-keeping-patients-safe-during-nora-care-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are talking about human error on the show today. Since anesthesia professionals are humans and thus prone to human error, then it is imperative that we apply a harm reduction approach to anesthesia patient safety to help keep patients safe from harm. Our show today highlights the principles of a harm reduction approach and how this can be applied in anesthesiology. Plus, we have exclusive content from the author.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/184-keeping-patients-safe-from-unavoidable-human-error/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Thanks for joining us in the New Year!! Tune in today for the exciting conclusion of our two-part Rapid Response series. We are reviewing the recommendations for pre-anesthesia machine checkout procedure and a couple cases of anesthesia machine malfunctions. If you are using older anesthesia machines, this episode may help identify a potential threat to anesthesia patient safety.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/183-rapid-response-anesthesia-machine-checkout-procedures-and-malfunctions-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in for a Rapid Response two-part series. First up, we discuss electronic interference between the radiofrequency detection wand, the Medtronic Situate Detection System X, and the Twitchview train of four monitorinng device from Blink Device Company. We also discuss the development of the pre-anesthesia machine checkout procedure before we review several cases of anesthesia machine malfunction next week.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/182-rapid-response-electronic-interference-and-anesthesia-machine-malfunction-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are back for Part 2 dedicated to discussing anesthetic considerations for patients undergoing endoscopic retrieval of food bolus or foreign body. Today, we are focused on choice of anesthetic technique, communication, and postoperative care. Spoiler alert: There is no uniform anesthetic approach.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/181-keeping-patients-with-food-bolus-impaction-or-foreign-object-ingestion-safe-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your anesthetic plan for patients presenting for endoscopy to remove food bolus impaction or foreign body ingestion? Tune in today as we discuss important considerations when deciding on location for performing this urgent procedure, need for additional resources, and anesthetic plan including general anesthesia or monitored anesthesia care. This is Part 1 of a two-part series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/180-anesthetic-considerations-for-patients-with-food-bolus-impaction/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We have a Letter to the Editor show with exclusive content from the author that focuses on a preventable airway management disaster, unrecognized esophageal intubation. Tune in to learn about new guidelines to help prevent this event and help keep patients safe. Key points from the recommendations include using video laryngoscopy when possible and confirming sustained exhaled carbon dioxide and adequate oxygen saturation following successful tracheal intubation.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/179-a-preventable-airway-disaster/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Anesthesia Professionals need to be aware of hazards in non-operating room locations while providing anesthesia care including patient transfers and invisible hazards. This is Part 2 of a two-part series all about clinician safety in NORA locations. Tune in to learn more about practical recommendations for making NORA locations safer with clinicians involved in room design, careful arrangement of anesthesia equipment, using a safety checklist, and mitigation of physical hazards.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/178-keeping-anesthesia-professionals-safe-in-nora-locations-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Anesthesia Professionals need to be aware of hazards in non-operating room locations while providing safe anesthesia care. This is Part 1 of a two-part series all about clinician safety in NORA locations. Tune in to learn about practical recommendations for room design that you can help implement at your institution.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/177-anesthesia-professionals-beware-hazards-in-nora-locations-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the conversation about a new medication on the anesthesia block, Remimazolam. Tune in for Part 2 of our two-part series on this novel and practice-changing medication including the unique pharmacokinetics and pharmacodynamics as well as the known limitations, adverse events, and contraindications as well as key clinical practice implications and current knowledge gaps for safe, widespread adoption.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/176-keeping-patients-safe-with-remimazolam-administration-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you heard of Remimazolam? Do you use this medication in your clinical practice? We are not talking about Midazolam and Remifentanil. We are talking about a new medication on the anesthesia block, Remimazolam. Tune in for Part 1 of a two-part series on this novel and practice-changing medication including the unique pharmacokinetics and pharmacodynamics, known limitations, adverse events, and contraindications as well as key clinical practice implications and current knowledge gaps for safe, widespread adoption.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/175-remimazolam-a-new-medication-on-the-anesthesia-block-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We have an exciting show for you today all about emerging medical technologies! That’s right, we are covering the APSF Stoelting Conference and discussing some of the important takeaways from the conference that took place September 6-7th, 2023. Tune in to learn more about the medical internet of things, acute care and wearable technology, a healthcare payer’s perspective, and consumer grade compared to medical grade wearable devices.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/174-the-intersection-of-emerging-medical-technologies-and-anesthesia-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for a special episode! The APSF joins forces with the Anesthesia and Critical Care Reviews and Commentary ACCRAC Podcast with Jed Wolpaw to discuss the Top 10 APSF Patient Safety Priorities. Tune in as we discuss each of the priorities, highlight patient safety implications, and discuss the related APSF activities.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/173-apsf-accrac-collaboration/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are returning to episodes #113 and #114 to talk about difficult airway management guidelines. Tune in as we discuss the pre-airway management decision making tool, steps for proceeding with awake airway management, and the emergency pathway for airway management after induction when ventilation is not adequate. Plus, we’re going through the pediatric difficult airway management algorithm too. Spoiler alert: It is critical to deliver oxygen and optimize oxygenation through the airway management process and limit the total number of attempts.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/172-difficult-airway-management-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for a special preview episode all about how you can get the most out of Anesthesiology 2023. We discuss APSF featured events and ways to contribute to APSF! We would love to see you in person at the APSF booth or virtually by tagging us @APSForg. Plus, we are doing a dive into the literature on chronic post-surgical pain that you will not want to miss.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/171-a-literature-review-and-patient-safety-at-anesthesiology-2023/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you used a distal pharyngeal airway? Do you use a Pyxis machine to retrieve medications? Today, we have a couple Articles Between Issues to discuss about keeping patients safe especially from hypoxemia in the GI Suite with the help of a DPA and when using an automated drug dispensing cabinet or Pyxis machine. Tune in to learn about these threats to patient safety and how to help keep patients safe.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/170-anesthesia-patient-safety-threats-hypoxemia-in-the-gi-suite-and-wrong-drug-in-the-pyxis-drawer/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us for a Rapid Response to Questions from our Readers show. Our topics today include endotracheal tube cuff failure and changes in drug dilution for infusions in the operating room. Plus, we hear from the manufacturers in response to the cases. Are you performing a pre-induction check of the pilot balloon and ETT cuff? Are you checking the concentration of drugs diluted in the operating room prior to administration? Tune in as we address these questions and more?

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/169-endotracheal-tube-cuff-failure-and-medication-safety-associated-with-drug-dilution/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Anesthesia professionals have a critical role for monitoring patients, recognizing physiologic changes that require intervention, and taking the appropriate steps to keep patients safe during anesthesia care. Tune in today as we discuss the need for safe and effective medical alarms. Spoiler alert: Alarm design and optimization are necessary to enable the constant vigilance required for safe anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/168-innovation-and-optimization-of-medical-alarms/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are turning the volume up and the flows down today as we return to episode #110 for a review on how to keep patients safe during low-flow anesthesia. Spoiler alert: Low-flow anesthesia is safe with knowledge of the circle system, appropriate fresh gas flows and vaporizer concentrations for the patient, and continuous monitoring of oxygen and anesthetic gas concentrations in the circuit. Plus, we highlight the new APSF Technology Education Initiative on low-flow anesthesia.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/167-low-flow-anesthesia-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are discussing quantitative monitors for neuromuscular blockade with updated practice guidelines to help keep patients safe. The big takeaway from the new guidelines is that quantitative monitoring is recommended to ensure a TOF ratio greater than or equal to 0.9, and the best location is the adductor pollicis muscle. Plus, sugammadex or neostigmine may be used for antagonism of blockade.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/166-keeping-patients-safe-with-the-brand-new-practice-guidelines-for-neuromuscular-blockade/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the conversation about Perioperative Brain Health on the show today for part 2 of our two-part series. Tune in for a discussion of the following strategies to help keep patients safe from delirium and cognitive decline during anesthesia care: EEG-based anesthetic depth monitoring, comprehensive programs dedicated to perioperative brain health, and the development of a Brain-ERAS program.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/165-optimizing-perioperative-brain-health-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you ever been asked by a patient, “How will anesthesia affect my brain?” Anesthesia professionals need to consider optimizing brain health throughout the perioperative period by identifying high risk patients and taking steps to decrease perioperative neurocognitive disorders. Join us today as we discuss using a multidisciplinary, team-based approach with interventions in the preoperative, intraoperative, and postoperative periods to help keep patients safe during anesthesia care and beyond.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/164-key-considerations-for-perioperative-brain-health/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today for Part 2 in our series on anesthesia patient safety considerations related to opioid-induced respiratory depression. We are doing a literature review and discussing a proposed new approach to postoperative opioid-induced respiratory depression to help keep patients safe.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/163-keeping-patients-from-opioid-induced-respiratory-depression/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

When was the last time you administered an opioid or ordered opioids for postoperative pain control? For many anesthesia professionals, this is something that we do on a routine basis. There are very important anesthesia patient safety considerations related to opioid-induced respiratory depression that we are talking about on the show today.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/162-no-patient-should-be-harmed-by-opioid-induced-respiratory-depression/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the conversation about GLP-1 receptor agonist medications today. Tune in today as we talk about how to keep patients taking GLP-1 receptor agonists safe during anesthesia care. Spoiler alert: We are reviewing the new guidance from the American Society of Anesthesiologists for patients taking GLP-1 receptor agonists.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/161-glp-1-receptor-agonist-alert-and-all-new-consensus-based-guidance/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are talking about GLP-1 receptor agonist medications today. Patients taking these medications may be at increased risk for aspiration even after an appropriate preoperative fasting period. Tune in today as we talk about how to keep patients taking GLP-1 receptor agonists safe during anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/160-breaking-perioperative-news-glp-1-receptor-agonist-alert/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We hope you tuned in last week to Part 1 of our two-part series on keeping pediatric patients safe during transport in the hospital. Today, we are continuing the conversation and talking about identifying and mitigating risk, effective communication and teamwork, and culture of safety. Join us for a literature review and discussion on teamwork and communication strategies to help keep patients safe during anesthesia care and beyond during transport.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/159-improving-pediatric-patient-safety-during-hospital-transport/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are keeping the June 2023 APSF Newsletter open for our show today. Calling all anesthesia professionals who take care of critically ill patients and are involved in transporting these patients around the hospital. Today, we are reviewing several cases of pediatric transport and reviewing airway and ventilation management risks.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/158-keeping-patients-safe-during-transport-around-the-hospital/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are picking up right where we left off last week to continue the conversation about keeping patients safe from medication errors due to look-alike and sound-alike drugs. Today, we are reviewing strategies to help decrease these medications errors at each step of the medication use process including procuring, prescribing, ordering, verifying, dispensing, administering, and stocking and storing. Spoiler alert: administration is the phase that is most vulnerable to medication errors.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/157-keeping-patients-safe-from-look-alike-sound-alike-medications/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving into the June 2023 APSF Newsletter today and talking about medication safety. Have you ever reached into your anesthesia drawer and grabbed a look-alike vial? This is a big threat to anesthesia patient safety. This is Part 1 of a two-part series on Look-alike and Sound-alike (LASA) drugs and medication errors.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/156-medication-errors-related-to-look-alike-sound-alike-drugs/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for an exciting Articles Between Issues show. First up, we are discussing EEG-based depth of anesthesia monitoring. Then, we cover the Con-side of the debate on the use of supraglottic airway devices for laparoscopic surgery. Are you prepared to urgently convert from an LMA to an endotracheal tube if needed? We are covering the steps on the show today and highlighting safety considerations.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/155-depth-of-anesthesia-monitoring/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Whether you are just starting your training in anesthesia, just starting your career after training, or have been providing anesthesia care for years, this show is full of tips, clinical scenarios, and resources so that you can keep patients safe during anesthesia care. Today, we review preoxygenation, communication skills and handovers, and speaking up and calling for help for Part 2 of our two-part series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/154-tips-for-anesthesia-trainees-to-help-keep-patients-safe-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Whether you are just starting your training in anesthesia, just starting your career after training, or have been providing anesthesia care for years, this show is full of tips, clinical scenarios, and resources so that you can keep patients safe during anesthesia care. Today, we review medication safety, communication skills, the time-out, and the use of checklists and references for Part 1 of our two-part series.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/153-how-to-keep-patients-safe-during-anesthesia-care-a-primer/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us on the show today as we continue our exploration of the fascinating and rapidly evolving field of artificial intelligence and anesthesia patient safety. In this second part of the series, we. delve deeper into different AI applications and examine some of the challenges and ethical considerations surrounding the use of AI in anesthesia.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/152-addressing-the-quintuple-aim-for-healthcare-delivery-during-anesthesia-care-with-ai/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us on the show today as we discuss the intersection of artificial intelligence and anesthesia patient safety. The future is bright with so many options for AI in anesthesiology including machine learning, natural language processing, and combining AI with clinical decision support with graphic user interfaces.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/151-artificial-intelligence-and-anesthesia-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What are the key attributes of effective leaders? Join us on the show today as we talk about these attributes: effective communication, collaboration, experience, and adaptability. There is a call to action that effective leadership in medicine is necessary to promote patient safety.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/150-maternal-mortality-newsflash-and-key-attributes-of-effective-leaders/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Progress towards improving anesthesia patient safety depends on individual anesthesia professionals building and maintaining a strong base of knowledge and technical skills and then remaining vigilant during anesthesia care to keep patients safe. It also depends on effective leadership to foster an organizational culture that is committed to anesthesia patient safety and this is what we are talking about today. Tune in to learn about safety culture, just culture, psychological safety, and more.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/149-the-best-work-environment-for-patient-safety-and-anesthesia-professionals/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are heading back into the main operating room to talk about one of the most challenging cases in the operating rooms, liver transplants. The conversation continues on the show today as we discuss considerations for minimizing blood product utilization and intraoperative hemodialysis. Tune in for strategies to help keep patients safe during liver transplantation.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/148-liver-transplantation-anesthesia-blood-transfusions-and-hemodialysis/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We have talked about anesthesia patient safety in different areas of the hospital from the maternity wards to non-operating room anesthesia suites, but this time, we are heading into the main operating room to talk about one of the most challenging cases in the operating rooms with frequent hemodynamic changes, the possibility for massive blood loss and coagulopathy in sick patients and often that takes place in the middle of the night. That’s right, we are talking about keep patients safe during liver transplantation.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/147-keeping-patients-safe-during-liver-transplantation/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Are you being smart when it comes to smart infusion pumps to help keep patients safe during anesthesia care? We are continuing the conversation about the intersection between anesthesia patient safety and technology on the show today. Join us as we discuss considerations for using smart infusion pumps during patient care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/146-a-smart-way-to-keep-patients-safe-from-medication-errors/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you provided anesthesia care for a patient with an Mpox infection? Today we are going to review the current evidence and go through a framework for perioperative care for patients infected with Mpox. anesthesia professionals need to be prepared for infection prevention in the anesthesia work environment.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/145-a-framework-for-perioperative-care-for-patients-infected-with-mpox/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you provided anesthesia care for a patient with limited English proficiency? Language barriers in healthcare are a big threat to patient safety. Today, we are talking about how we can keep patients with limited English proficiency safe during anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/144-keeping-patients-with-limited-english-proficiency-safe-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your airway management device of choice during laparoscopic surgery? Do you always reach for an endotracheal tube? Have you ever used a supraglottic airway device? Tune in today to learn about the benefits, risks, and considerations for the use of supraglottic airway devices during laparoscopic surgery.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/143-safe-use-of-supraglottic-airway-devices-during-laparoscopic-surgery/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing our journey into the new era for PONV. Tune in today for a review of PONV risk factors and management options. Plus, we are digging in to the recently updated Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. We hope that PONV management is an integral part of your anesthetic plans.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/142-ponv-updated-guidelines-and-medication-options/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Our show today is all about management of postoperative nausea and vomiting. We are reviewing the D2-antagonist medications that may be used for prevention and treatment of PONV. Spoiler alert: Amisulpride is the new drug in town with an excellent safety and efficacy profile.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/141-a-new-era-for-ponv-management-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we continue our discussion of cognitive bias in anesthesiology. This is a threat to anesthesia patient safety, so we need the tools to be able to recognize cognitive bias when it occurs, acknowledge the implications for patient safety, and work to reduce the impact of cognitive bias when we provide anesthesia care. Spoiler alert: the first step to combating cognitive bias is increasing education and awareness.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/140-combating-cognitive-bias-in-anesthesiology/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today for our discussion of cognitive bias in anesthesiology. This is a threat to anesthesia patient safety, so we need the tools to be able to recognize cognitive bias when it occurs, acknowledge the implications for patient safety, and work to reduce the impact of cognitive bias when we provide anesthesia care.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/139-understanding-cognitive-bias-in-anesthesiology/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

It is our first podcast takeover. For this special episode, we are partnering with the American Society of Anesthesiologists and the Residents in the Room podcast for a rebroadcast of the episode 46: Patient Safety. Tune in for an anesthesia resident discussion of patient safety and quality improvement that you do not want to miss.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/138-residents-in-the-room-discussing-anesthesia-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your anesthetic plan for ERCP procedures? Tune in today for the conclusion of our special Pro-Con debate series. We are reviewing the final arguments in favor of general endotracheal anesthesia. Spoiler alert: Both sides can agree that keeping patients safe requires a qualified anesthesia professional.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/137-the-debate-continues-general-endotracheal-anesthesia-for-ercp/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your anesthetic plan for ERCP procedures? The debate between monitored anesthesia care and general endotracheal anesthesia continues today. We are focusing on the Con-side of the debate in favor of GEA for ERCP with special guest, Luke Janik, who contributed audio clips to the show today.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/136-the-debate-continues-general-endotracheal-anesthesia-for-ercp/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your anesthetic plan for ERCP procedures? Tune in today for a special Pro-Con debate show. We are focusing on the Pro-side of the debate in favor of monitored anesthesia care for ERCP and reviewing clinical monitoring, options to provide supplemental oxygen, and development of a safe and effective anesthetic plan.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/135-pros-for-providing-monitored-anesthesia-care-for-ercp/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

What is your anesthetic plan for ERCP procedures? Tune in today for a special Pro-Con debate show. We are focusing on the Pro-side of the debate in favor of monitored anesthesia care for ERCP with special guest, Samantha Stamper, who contributed audio clips to the show today.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/134-keeping-patients-safe-during-monitored-anesthesia-care-for-ercp/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today to as we review perioperative considerations for methylene blue administration and the risk of serotonin toxicity. This is an article from our archives episode. We are talking all about serotonergic drugs, drug interactions, how to recognize serotonin toxicity, and treatment options.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/133-perioperative-considerations-for-methylene-blue-administration-and-serotonin-toxicity/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today in the cardiac catheterization laboratory as we discuss interventional cardiology procedures including TAVR, MitraClip, transcatheter mitral valve replacement, transesophageal echocardiography, and direct current cardioversion. Tune in to learn more about these procedures, unique complications, and strategies to help keep patients safe.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/132-keeping-patients-safe-during-interventional-cardiology-procedures/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

For the first episode of 2023 we are headed into the electrophysiology lab. Tune in today to learn more about patient safety considerations during off-site cardiology procedures. Don't miss our discussion on preoperative evaluation, different types of ablations procedures, choice of anesthetic agents, unique complications, and important communication strategies to help keep patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/131-keeping-patients-safe-in-the-electrophysiology-lab/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving back into the APSF Archives to discuss complications following epidural steroid injections. It is critical to understand the risks and benefits for these procedures. Tune in today as we review strategies to help keep patients safe during epidural steroid injections.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/130-keeping-patients-safe-during-epidural-steroid-injections/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us in the postanesthesia care unit today where we will be discussing the advantages and disadvantages of using this specialized unit for overflow intensive care unit patients. A key consideration is that anesthesia professionals must be included in the conversation to help keep postanesthesia patients and critically ill patients safe in the PACU.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/129-using-the-pacu-for-overflow-icu-patients-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us in the postanesthesia care unit today where we will be discussing the advantages and disadvantages of using this specialized unit for overflow intensive care unit patients. A key consideration is that anesthesia professionals must be involved in the conversation and planning to help keep postanesthesia patients and critically ill patients safe while receiving care in the PACU.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/128-are-we-in-the-pacu-or-the-icu/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Are you prepared to recognize and manage a patient with an amniotic fluid embolism? Tune in today for Part 2 of our series on amniotic fluid embolism. We are reviewing important keys to make the diagnosis, provide appropriate management, and debrief following a critical amniotic fluid embolism event. Be on the lookout for patients who present with cardiorespiratory arrest and acute coagulopathy on the labor and delivery ward.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/127-amniotic-fluid-embolism-are-you-prepared-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Are you prepared to recognize and manage a patient with an amniotic fluid embolism? Tune in today as we review important keys to make the diagnosis and provide appropriate management to help keep patients safe. Be on the lookout for patients who present with cardiorespiratory arrest and acute coagulopathy.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/126-amniotic-fluid-embolism-are-you-prepared/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

This is a special encore show where we look at the rising maternal mortality rates in the United States and what steps are being taken to reverse this concerning trend. Please join us to learn about Maternal Safety Bundles and the role of anesthesia professionals as peripartum physicians and advocates for improved maternal patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/125-maternal-safety-bundles-encore-presentation/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us for the exciting conclusion to our discussion on infection prevention for anesthesia professionals. We are covering vascular care and environmental cleaning today. Tune in to learn more about how you can help to save lives and keep patients safe by implementing these recommended infection prevention measures at your institution.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/124-a-guide-to-infection-prevention-for-anesthesia-professionals-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Now is not the time to wait! Tune in today to learn more about infection prevention strategies for anesthesia professionals to help keep patients safe during anesthesia care. We are talking about implementation strategies, key features, and the rationale behind the recommendations.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/123-a-guide-to-infection-prevention-for-anesthesia-professionals-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are opening the October 2022 APSF Newsletter today with a Rapid Response to Questions from Our Readers Section. We are discussing design differences and clinical implications of a substituted hyperinflation device due to supply shortages. Plus, we are reviewing considerations for best anesthetic practice during endoscopy procedures.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/122-hyperinflation-system-use-and-best-anesthetic-practice-during-endoscopy-procedures/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Heads up, we are talking about an important positioning technique that you can pull out of your toolbox the next time you manage a difficult airway. Plus, we are wrapping up our series on the 2022 APSF Stoelting Conference. Tune in to learn more about keeping patients safe in NORA locations now and in the future.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/121-heads-up-for-positioning-during-airway-management-and-nora-patient-safety-wrap-up/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for Part 4 of our series covering the 2022 APSF Stoelting Conference. We kick off the show with a NORA patient safety Q&A before diving into the session 3, “Designing NORA for Patient safety. Beyond Current State to a Future Best Practice.” Tune in to learn more about using data to improve patient safety as well as medication options and best practices to help keep patients safe during NORA.

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For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/120-welcome-to-the-future-of-nora/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today for more exciting coverage of the 2022 APSF Stoelting Conference. We are moving outside of the hospital to discuss important patient safety considerations in ambulatory surgery centers, office-based practices, and dental practices. Going forward, education, collaboration, and strong NORA guidelines will be key to keeping patients safe in these very different locations.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/119-key-patient-safety-considerations-in-out-of-hospital-locations/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do you take care of patients in NORA locations? If so, then this is a must-listen episode. We are reviewing NORA anesthesia patient safety threats. Plus, we’ll talk about ideas for possible solutions related to space planning in NORA and working collaboratively on a multidisciplinary team across a variety of different locations while maintaining safety and efficiency.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/118-requirements-for-safe-and-effective-anesthesia-patient-care-in-nora/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are so excited to kick off our series on the 2022 APSF Stoelting Conference which is all about anesthesia patient safety in NORA locations. Tune in today to learn about common allegations following adverse events as well as unique challenges in NORA locations. Spoiler alert: Appropriate patient selection is one of the keys.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/117-crucial-patient-safety-issues-in-nora-highlights-from-the-2022-apsf-stoelting-conference/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we discuss drug diversion and substance misuse in the anesthesia environment. There is a call to action for anesthesia professionals to promote continued open discussion, education, research, policy, and other interventions since there are unique considerations for drug diversion in the operating room and procedural areas. Spoiler Alert: We are taking a listen to part of the recent CHIME Opioid Action Center Podcast too.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/116-drug-diversion-in-the-anesthesia-environment/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we review important perioperative considerations for patients with cancer from the effects of chemotherapy treatment to intraoperative monitoring and positioning. In addition, we discuss strategies to help keep cancer patients safe with improved pain management.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/115-keeping-patients-with-cancer-safe-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are talking about the new and updated 2022 Difficult Airway Management Guidelines again today. Tune in as we discuss the emergency pathway for airway management after induction when ventilation is not adequate. Plus, we’re going through the pediatric difficult airway management algorithm too. Spoiler alert: It is critical to limit the total number of attempts.

Additional sound effects from: Zapsplat

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/114-difficult-airway-management-whats-new-in-2022-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are talking about the new and updated 2022 Difficult Airway Management Guidelines today. Tune in as we discuss the pre-airway management decision making tool and steps for proceeding with awake airway management. Spoiler alert: It is critical to deliver oxygen and optimize oxygenation through the airway management process.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/113-difficult-airway-management-whats-new-in-2022/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you placed a Laryngeal Mask Airway recently? Was it for routine use during general anesthesia or as part of the difficult airway algorithm or was it for a non-standard clinical practice? Join us today as we return to Episode #76 from December 2021 to learn about LMAs and the use of this device in clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/112-the-past-present-and-future-of-lma-use-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we head into the court room to discuss FDA regulations, off-label use, informed consent, and liability for anesthesia professionals. If you are hesitant to turn down the flows when using Sevoflurane due to the FDA recommendations, then you do not want to miss this show! Spoiler alert: negligence claims against anesthesia professionals for off-label use of medications during anesthesia care are uncommon.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/111-off-label-drug-use-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are turning the volume up and the flows down today as we discuss how to keep patients safe during low-flow anesthesia. Spoiler alert: Low-flow anesthesia is safe with knowledge of the circle system, appropriate fresh gas flows and vaporizer concentrations for the patient, and continuous monitoring of oxygen and anesthetic gas concentrations in the circuit.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/110-how-low-can-you-go-keeping-patients-safe-during-low-flow-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for Part 2 on keeping patients who use cannabis safe during anesthesia care. Our focus today is postoperative considerations. We also highlight the new collaboration with the Emergency Manuals Implementation Collaborative. Have you used an emergency manual or checklist to help keep a patient safe recently? Tune in to learn all about this important resource and more.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/109-cannabis-use-and-anesthesia-care-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do you screen all your patients for cannabis use during the preoperative interview? Does your anesthetic plan need to change for patients who used cannabis prior to surgery or who may be acutely intoxicated? Tune in as we review perioperative considerations for patients who use cannabis and learn how to keep these patients safe during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/108-keeping-patients-who-use-cannabis-safe-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Keeping patients safe during anesthesia care means keeping a close eye on the blood pressure. Our show today includes a review of an article from our archives on blood pressure changes and complications as well as review of a more recent article on perioperative hypotension. Get ready to learn more about the past, present, and future of perioperative blood pressure considerations.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/107-perioperative-blood-pressure-past-present-and-future/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the discussion about the APSF “Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.” We are talking about Just Culture and Culture of Safety and so much more. Tune for critical action items for healthcare institutions and professionals to prevent future errors and improve patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/106-criminalization-of-medical-error-a-call-to-action/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we review the APSF “Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.” We are talking about the changes that are needed at the healthcare system level to improve the culture of safety and reject the normalization of deviance that continues to put patients at risk from preventable medical errors.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/105-criminalization-of-medical-error-a-call-to-action/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Don’t miss the exciting conclusion of our 3-part interview series. We are continuing the conversation about sustainable health care with Jonathon McBride and Matthew Meyer, two APSF authors in the June 2022 APSF Newsletter. Tune in to learn about the steps that anesthesia professionals can take to keep patients safe and move towards a more sustainable healthcare system.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/104-continuing-the-conversation-on-sustainable-healthcare/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the conversation about sustainable health care with Jonathon McBride and Matthew Meyer, two APSF authors, for this exciting interview series. Tune in to learn about the steps that anesthesia professionals can take to keep patients safe and move towards a more sustainable healthcare system.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/103-keeping-patients-and-the-environment-safe/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving into the June 2022 APSF Newsletter today. First up, we are talking about the Letter to the Editor about the next patient safety movement, Sustainable Healthcare. Tune in to hear my interview with the authors and learn about anesthesia professionals can keep patients safe and make a big difference.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/102-the-next-patient-safety-movement-sustainable-health-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are revisiting the topic of Thermal Injuries from Convective Warming Devices once again today with a special question and answer show with Luke Janik. Plus, we talk about a case of LAST related to clinical decision making during the Covid Pandemic. Tune in for our jam-packed 101st episode!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/101-thermal-injuries-revisited-and-last-case-of-the-day/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Happy 100th Episode! To celebrate this important milestone, we are reviewing the revised monitoring recommendations from the APSF Committee on Technology. Anesthesia patient safety should not depend on the patient’s location in the world, so tune in to learn more about how we can keep patient safe with unified monitoring standards.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/100-new-monitoring-recommendations-for-safe-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for Part 2 of our second Anesthesia Patient Safety Podcast Interview. We have anesthesia patient safety expert, Dr. Steve Barker, on the show again today to discuss his role in the patient safety movement as well as the role of the patient in anesthesia patient safety. We also review effective handoffs of care and provide advice for new trainees entering the field of anesthesiology.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/99-continuing-the-conversation-with-dr-steve-barker-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for our second Anesthesia Patient Safety Podcast Interview. Joining us from Arizona in the United States, we have anesthesia patient safety expert, Dr. Steve Barker, on the show today to discuss what got him interested in anesthesia patient safety, the importance of communication in patient safety, and anesthesia monitors. Tune in to find out Dr. Barker’s favorite anesthesia monitor and so much more.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/98-anesthesia-patient-safety-experts-interview-with-dr-steve-barker-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us for Part 2 of our series on anesthesia considerations following button battery ingestion in children. This week, we are reviewing the critical steps for management. Spoiler alert: Honey or Carafate administration may be recommended prior to emergent button battery removal.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/97-patient-safety-threat-button-battery-ingestion-in-children-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are discussing a pediatric patient safety threat today. Tune in to learn more about the dangers of button battery ingestion in children. Plus, we review what anesthesia professionals need to know about initial management and risk stratification. Spoiler alert, emergent endoscopy may be required.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/96-pediatric-patient-safety-threat-button-battery-ingestion/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are back for the exciting conclusion to our 2-Part Rapid Response series on the safe use of convective warmers during anesthesia care. Join us today for the response from Smiths Medical, the manufacturer for the Level 1 Equator Convective Warming Devices as well as recommendations for continued safe use of these devices from Dr. Jeffrey Feldman. This is an important conversation about how to keep patients safe and warm in the operating room.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/95-still-keeping-patients-warm-and-safe-with-convective-warming-systems/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we discuss how to keep patients safe and warm in the operating room when using a convective warming system. This is a Rapid Response show from the February 2022 APSF Newsletter where we discuss two cases of thermal injuries sustained by patients while using convective warming systems during surgery under general anesthesia.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/94-keeping-patients-warm-and-safe-in-the-operating-room/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do epidurals cause autism? Join us on the show today for Part 2 as we continue the discussion about this important patient safety concern on the labor and delivery wards. Spoiler alert: The answer is No. In fact, epidurals for labor analgesia are safe and effective. Thank you to Caroline Thomas for her contributions for the show today.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/93-epidural-and-autism-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do epidurals cause autism? Join us on the show today as we discuss this important patient safety concern on the labor and delivery wards. Spoiler alert: The answer is No. In fact, epidurals for labor analgesia are safe and effective.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/92-no-epidurals-do-not-cause-autism-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for Part 2 of our Anesthesia Patient Safety Podcast Interview with Dr. Alan Merry. Our conversation includes the role of simulation and skill-based training as well as the impact of the pandemic and war on patient safety. Dr. Merry also shares his experiences as the former Chair of the Board of the New Zealand Health Quality and Safety Commission and with the Lifebox organization. You will have to tune in to discover what Dr. Merry hopes to see going forward with anesthesia patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/91-anesthesia-patient-safety-experts-interview-with-dr-alan-merry-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for our first Anesthesia Patient Safety Podcast Interview. Joining us from Auckland, New Zealand, we have an anesthesia patient safety expert, Dr. Alan Merry, on the show today to discuss what got him interested in anesthesia patient safety, practicing anaesthesia in New Zealand as well as medication safety and simulation.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/90-anesthesia-patient-safety-experts-interview-with-dr-alan-merry-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we dive back into the February 2022 APSF Newsletter article to learn about endotracheal tube securement and prevention of unplanned extubation events and related resources to help keep patients safe. We have more exclusive content from one of the authors, Lauren Berkow, MD and you will not want to miss Part 2 of this series.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/89-unplanned-extubation-events-prevention/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we dive into the February 2022 APSF Newsletter article to learn about the incidence and risk factors for unplanned extubation events. Spoiler alert: This event places patients at risk for major complications and comes with a high cost burden. Plus, we have exclusive content from one of the authors, Lauren Berkow, MD.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/88-unplanned-extubation-part-1-incidence-and-risk-factors/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we review the latest recommendations from the APSF and the ASA on the timing for elective surgery for patients following infection with COVID-19 to help minimize postoperative complications and keep patients safe. Tune in to hear answers to some of the following questions:

Is the patient still infectious?

What is the appropriate length of time to wait between recovery from COVID and surgery in terms of the risk to the patient for perioperative complications?

Is repeat testing necessary?

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/87-timing-for-surgery-following-covid-19-infection-and-postoperative-complications/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are talking about Second Victim Syndrome which is critical to acknowledge, recognize, and treat following an unexpected adverse event. Our featured article is from the October 2021 APSF Newsletter by Stephanie Davidson called “Primum Non Nocere But What Happens Next?” Tune in to find out what happens next and hear from the author as well.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/86-primum-non-nocere-but-what-happens-next/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we continue our discussion of advanced technology and quantitative neuromuscular monitoring devices. Plus, we will discuss the rollout of these new monitors in an anesthesiology department. If you are looking to incorporate quantitative neuromuscular monitoring in your department and practice, it will require time, money, education, training, and culture change, but it is a critical step help keep patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/85-quantitative-neuromuscular-monitoring-now-and-going-forward/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

On the show today, we might be in a NORA location or back in the operating room or in the Intensive Care Unit because we are discussing a device that may be used anywhere neuromuscular blocking agents are administered. That’s right, we are discussing advancements in neuromuscular monitoring. Have you used a quantitative neuromuscular monitor today? This is an important monitor to keep patients safe during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/84-keeping-patients-safe-and-strong-with-quantitative-neuromuscular-monitoring/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Our theme today is NORA patient safety. Join us for a closer look at the “Statement on Non-operating Room Anaesthetizing Locations” guidelines from the ASA before we jump back into our featured article, “Safety in Non-operating room locations.” Spoiler alert: This is an opportunity for anesthesia professionals to lead these multidisciplinary teams towards improved patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/83-keeping-patients-safe-during-nora-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are staying put in our NORA location as we review an article from the June 2019 APSF Newsletter, “Safety in Non-operating Room Locations.” Tune in to learn more about the challenges of providing safe patient care in these areas related to patient issues, personnel and support team issues, and equipment and monitoring.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/82-keeping-patients-safe-during-nora/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today from a NORA location, the CT-suite, as we discuss an emergency response protocol for Massive Hemoptysis following CT-guided lung biopsy. This protocol is a vital step towards improved communication and teamwork in a multidisciplinary team to respond quickly in an emergency. The goals for the protocol include securing the airway, lung isolation, vascular access, consultation of specialists. Tune in to learn more!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/81-massive-hemoptysis-in-the-ct-suite/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we move out of the operating room and head offsite to discuss keeping patients safe during non-operating room anesthesia (NORA). The focus for the show today is the implementation of a time-out checklist in NORA. We also discuss a rare and catastrophic case of massive hemoptysis during a NORA procedure and the development of a rapid emergency response protocol.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/80-using-a-time-out-to-keep-patients-safe-during-nora/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

The theme for our first show of 2022 is maternal patient safety with a spotlight on iron deficiency anemia in pregnancy. Tune in to learn more about the diagnosis, treatment options, and the role for anesthesia professionals. Plus, we have exclusive content from one of the authors that you do not want to miss.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/79-anemia-iron-supplements-and-maternal-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do you provide nitrous oxide for labor analgesia on your labor and delivery units? Tune in today as we review the efficacy of this medication as well as the maternal, fetal, and occupational safety considerations. Plus, we have APSF Grant Recipient, Vesela Kovacheva, on the show today to discuss her exciting project and passion for maternal patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/78-nitrous-oxide-for-labor-analgesia/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you placed a Laryngeal Mask Airway recently? Was it for routine use during general anesthesia or as part of the difficult airway algorithm or was it for a non-standard clinical practice? Join us today for Part 2 of our series to learn about LMAs and the safe use of this device in clinical practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/77-keeping-patients-safe-during-anesthesia-care-with-an-lma/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you placed a Laryngeal Mask Airway recently? Was it for routine use during general anesthesia or as part of the difficult airway algorithm or was it for a non-standard clinical practice? Join us today to learn about LMAs and the use of this device in clinical practice. Plus, we have exclusive content from Shauna Schwartz, one of the authors of our featured article, “The Laryngeal Mask Airway: Expanding Use Beyond Routine Spontaneous Ventilation for Surgery” from the October 2021 APSF Newsletter.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/76-the-past-present-and-future-of-lma-use/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us for the exciting conclusion to our two part series on Luer connections. Today, we review the article “Managing Luer Connections” by Bruce Hansel. We dive into strategies for making, managing, and monitoring luer connections to help keep patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/75-the-luer-of-anesthesia-patient-safety-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are luring you into the October 2021 APSF Newsletter. Join us for a Rapid Response to questions from our readers show. To kick things off, we are reviewing a case of air entrainment during aspiration of an extension set connected to a central venous line related to the Luer device. We continue with a review of this simple device and a reminder to stay vigilant to prevent leaks, disconnections, and misconnections and keep patients safe when using a luer connection.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/74-the-luer-of-anesthesia-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety. Join us for an encore presentation of Episode 6. We discuss the article, “Healthy Relationships Between Anesthesia Professionals and Surgeons are Vital to Patient Safety” by Jeffrey B. Cooper, PhD. Tune in learn about why this dyad is so important for patient safety and how to help strengthen this relationship.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/73-giving-thanks-and-an-encore-healthy-relationships-across-the-surgical-drapes/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we learn about the adoption and diffusion of an innovation, the Difficult Airway Response Team program at Kootenai Health Hospital in Coeur d’Alene, Idaho adapted from the DART program at Johns Hopkins Hospital. We are discussing the who, what, where, when, and how to identify high-risk patients, be prepared for difficult airways, and keep patients safe. Plus, we have exclusive content from Sarah Pierce as she shares her inspiration and motivation for this program and what she hopes to see going forward.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/72-building-a-difficult-airway-response-team-program/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are back to talk about a very important vital sign during and after anesthesia care – blood pressure. Last week, we discussed associations with perioperative hypotension. Today, we continue the conversation and review considerations for blood pressure management and hemodynamic goals in the operating room and during the early postoperative time period. Plus, we have more exclusive content on the show today from Daniel Sessler, MD, the Chair of the Department of Outcomes Research at the Anesthesiology Institute at the Cleveland Clinic.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/71-considerations-for-blood-pressure-management/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Whether you are cycling the blood pressure cuff or placing an arterial line, it is vital to monitor the blood pressure closely during anesthesia care. What happens when patients experience hypotension during the perioperative period? Tune in to learn more about the associations between hypotension and postoperative mortality, myocardial injury and ischemia, acute kidney injury, and delirium. Plus, we have exclusive content on the show today from our featured article author, Daniel Sessler, the Chair of the Department of Outcomes Research at the Anesthesiology Institute at the Cleveland Clinic.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/70-perioperative-hypotension-and-postoperative-mortality/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today is the final show in our four part series on the 2021 APSF Stoelting Conference, “Clinician Safety, To Care is Human.” We are answering some questions from the audience at the conference and discussing some calls to action that came out of the conference. Join us today for exclusive content from Della Lin and Josh Lea, two of the ASPF Board of Director Members who spoke at the conference and have a vision for clinician wellbeing going forward.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/69-lets-build-on-the-momentum-stoelting-conference-2021-wrap-up/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We have talked about the problems related to clinician safety and wellbeing recently. Join us today as we offer potential solutions. There is so much that departments, private practices, healthcare organizations, and societies can do to help support clinician wellbeing and there is so much that we can learn from other industries. Plus, you don’t want to miss behind the scenes takes with Michael Gropper, the Chair of the Department of Anesthesia and Perioperative Care at the University of California and San Francisco.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/68-tackling-the-problem-of-clinician-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today for the second episode in our series on the APSF 2021 Stoelting Conference: Clinician Safety, To Care is Human. Join us to learn all about barriers and facilitators of clinician wellbeing with a focus on organizational factors, societal and governmental factors, mental health, finding purpose at work, and considerations for trainee wellness. Plus, we have special guest Dan Cole, the new president of the APSF, on the show today. Spoiler alert: Cole discusses what he hopes to see going forward with anesthesia patient safety!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/67-barriers-and-facilitators-to-clinician-wellbeing-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for a special bonus episode all about how you can get the most out of Anesthesiology 2021. We discuss APSF featured events, patient safety sessions that contribute to patient safety CME for MOCA, and ways to contribute to APSF! We would love to see you inperson at booth 2117 or virtually by tagging us @APSForg.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/66-bonus-episode-patient-safety-at-anesthesiology-2021/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today for the first episode in our series on the APSF 2021 Stoelting Conference: Clinician Safety, To Care is Human. Join us to learn all about defining the problem of clinician safety with a focus on how this relates to patient safety. Plus, we have special guest Jina Sinskey from UCSF on the show to provide some insights from the conference that you do not want to miss.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/65-clinician-safety-to-care-is-human-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us on the Labor and Delivery floor today as we talk about a threat to parturient safety, Postpartum Peripheral Nerve Injuries. Thank you to our guest today, Emery McCrory, for her contributions to the show today. One of the big takeaways is to make sure that patients with lower extremity nerve injuries can ambulate safely with their infant prior to discharge home from the hospital.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/64-be-prepared-for-peripartum-peripheral-nerve-injuries/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show, we review perioperative considerations for patients with cardiovascular implantable electronic devices (CIEDs) from Episode #9 that includes the following: Pacemakers, Implantable cardioverter defibrillators or ICDs, and cardiac resynchronization therapy or CRT. We also take a listen to the 2020 update for patients with some of the newer and smaller devices from Episode #14 as well. Tune in for an electrifying show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/63-cardiovascular-implantable-electronic-devices-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are taking about the safe use of manifolds for IV medication administration in the operating room. Then, we dive into cases of malignant hyperthermia that survived without dantrolene therapy. Our discussion involves a review of the MH cases, MH resources, important articles, treatment options, and the Clinical Grading Scale. This is a Category 6 show that is “almost certain” to provide vital information to help keep patients safe during anesthesia care.

Additional sound effects from https://www.zapsplat.com.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/62-manifolds-and-malignant-hyperthermia-oh-my/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are turning up the flows once again. Join us as we review considerations for the use of High-Flow Nasal Oxygen (HFNO) with an emphasis on the benefits during difficult airway management balanced against the potential for increased fire risk. Spoiler alert: more research, reporting, education, and innovation is needed in this area before we see more routine use of high-flow nasal oxygen in the OR.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/61-anesthesia-patient-safety-triple-threat/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Do you use High-Flow Nasal Oxygen in the ICU or OR? We are turning up the flows on the show and reviewing the benefits and contraindications for the use of High-Flow Nasal Oxygen. Exclusive content on the show comes from one of the article authors, Dr. Jeremy Cooper. Join us as we discuss one of the most popular APSF articles, “Safe Use of High-Flow Nasal Oxygen With Special Reference to Difficult Airway Management and Fire Risk” from the October 2018 APSF Newsletter.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/60-safety-considerations-for-high-flow-nasal-oxygen-delivery/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today as we review a recent Joint Statement on COVID-19 vaccinations, a Q & A about patient body piercings and the risk of a burn injury, and a Rapid Response about the standard levels for relative humidity in the OR. Get ready for a packed show with vital information to help keep health care professionals and patients safe.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/59-vaccines-body-piercings-and-humidity-levels/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show we are reviewing one of the featured articles from the June 2020 APSF Newsletter, “Postoperative Recurarization After Sugammadex Administration Due to the Lack of Appropriate Neuromuscular Monitoring: The Japanese Experience.” Tune in to learn more about how to keep your patients safe and strong following perioperative neuromuscular blockade.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/58-sugammadex-administration-anaphylaxis-and-recurarization-revisited/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you taken care of a patient with a history of methamphetamine substance use disorder recently? These patients may be complicated and challenging to manage in the operating room and on the labor and delivery unit. Tune in as we discuss implications of methamphetamine substance use disorder and perioperative considerations to help keep these patients safe during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/57-perioperative-management-for-patients-with-methamphetamine-sud/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are reviewing noteworthy June 2021 articles related to anesthesia patient safety including two recent Rapid Response Articles. Spoiler alert, the field of Anesthesiology has seen significant improvements in patient safety over the past decade, but we are not done yet. Tune in to learn more about fire extinguishers in the OR and what to do with a kinked endotracheal tube as we continue to work towards our goal of zero patient harm during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/56-good-news-about-anesthesia-patient-safety-and-rapid-response-round-up/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for more information about medication safety as we continue our review of the list of 2021 critical medication errors and hazards reported to the ISMP. Plus, we highlight the December 2020 ASA Statement on Labeling of Pharmaceuticals for Use in Anesthesiology. Tune in to learn more about important labeling considerations to help keep patients safe during medication administration.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/55-be-on-the-look-out-for-look-alike-vials/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety. Be on the look-out for look-alike medication vials to help keep patients safe. Today, we are talking about the 7th APSF Patient Safety Priority, Medication Safety with exclusive content from the APSF Social Media Manager, Amy Pearson. Plus, we are diving back into the June 2021 APSF Newsletter to discuss Medication Errors and Hazards from 2021.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/54-medication-safety-and-look-alike-vials/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving into the June APSF 2021 Newsletter. That’s right, the newest release and we will be talking about a big threat to patient safety in the OR today. Our featured article is “Massive intraoperative hemorrhage” by Dhoon and colleagues. You will not want to miss our discussion of the Code Hemorrhage Response Model.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/53-massive-intraoperative-bleeding-and-the-code-hemorrhage-response/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are kicking off the 2nd year of the Anesthesia Patient Safety Podcast with a look back at the 2020 APSF Patient Safety Priorities before diving into the June 2021 APSF Newsletter. We discuss the updated APSF 2021 Top 10 Patient Safety Priorities. Tune in to see which priorities remain on the list and if there are any new priorities this year.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/52-celebrating-1-year-of-anesthesia-patient-safety-podcasts/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in for the third and final part of our exciting three part series on the low pressure alarm. Our featured article is “The Low-Pressure Alarm Condition: Safety Considerations and the Anesthesiologist’s Response” by David Raphael from the APSF Winter 1998 Newsletter. Today, the alarm pressure alarm sounds and we discuss the differential diagnosis and make our way to the end of the response algorithm.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/51-the-low-pressure-alarm-response-algorithm-part-3/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in for Part two of our exciting three part series on the low pressure alarm. Our featured article is “The Low-Pressure Alarm Condition: Safety Considerations and the Anesthesiologist’s Response” by David Raphael from the APSF Winter 1998 Newsletter. Today, the alarm pressure alarm sounds and we discuss the differential diagnosis and start to make our way through the response algorithm.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/50-addressing-the-low-pressure-alarm-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we kick off a review of one of the most popular APSF articles of all time, “The Low-Pressure Alarm Condition: Safety Considerations and the Anesthesiologist’s Response” by David Raphael from the APSF Winter 1998 Newsletter. We also have exclusive content from the ASPF Committee on Technology Chair, Jeffrey Feldman, who discusses the vital relationship between anesthesia patient safety and technology.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/49-anesthesia-monitoring-standards-and-the-low-pressure-alarm/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are continuing the conversation about postoperative delirium and perioperative cognitive function. Today, we discuss assessment tools for delirium and intervention strategies. We hope that you will join us for a journey to the next frontier in anesthesiology to optimize brain safety during surgery and anesthesia care and beyond.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/48-brain-safety-part-2-now-and-beyond/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we start the conversation about perioperative brain health and safety. This is such an important topic that this is only part one. Tune in to learn about postoperative delirium including risk factors, screening tools and more. Plus, we have exclusive content from one of the authors.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/47-brain-safety-then-now-and-beyond/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

One of the most common patient monitors is the pulse oximeter. In the operating room, it creates a constant beeping sound that reflects the patient’s oxygen saturation during surgery and anesthesia care. Today on the show, we take a closer look at the relationship between pulse oximetry and skin tone. Tune in as we discuss the New England Journal Article by Sjoding and colleagues, “Racial Bias in Pulse Oximetry Measurement” and the next steps to help keep patients safe with appropriate monitoring.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/46-pulse-oximetry-accuracy-and-skin-tone/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are jumping back in to the Rapid Response to Questions from our Readers column with the theme of IV lines and administration sets. If you have ever placed a Rapid Infuser Catheter or used a Burette for pediatric patients, we hope you will tune in to learn about these important patient safety considerations for using these devices.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/45-perils-pitfalls-and-pivs/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are once again outside the operating rooms and outside the hospital and making our way into the office to discuss important considerations for anesthesia patient safety in office-based practices. This is part two of a special two part series. Our featured article is from the June 2020 APSF Newsletter called, “Educating the Next Generation: A Curriculum for Providing Safe Anesthesia in Office-Based Surgery” by Brian Osman, MD and Fred Shapiro, DO, FASA. Tune in for a review of important resources for practice management, accreditation, and legislation to help keep patients safe during anesthesia care in the office.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/44-anesthesia-patient-safety-in-the-office-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are venturing outside the operating rooms and outside the hospital and making our way into the office to discuss important considerations for anesthesia patient safety in office-based practices. This is part one of a special two part series. Our featured article is from the June 2020 APSF Newsletter called, “Educating the Next Generation: A Curriculum for Providing Safe Anesthesia in Office-Based Surgery” by Brian Osman, MD and Fred Shapiro, DO, FASA. Tune in for a literature review, vital patient safety considerations, and exclusive content from the author.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/43-anesthesia-patient-safety-in-the-office-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

This is an APSF Newsletter archives show. Our featured article from the Summer 1997 APSF Newsletter is “Anesthesia Safety Always an Issue with Obstructive Sleep Apnea.” You will not want to miss this episode since anesthesia safety is still an issue for patients with OSA.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/42-keeping-patients-with-obstructive-sleep-apnea-safe-during-anesthesia-care/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

If you were wondering how you were going to be able to make it between the recent February 2021 ASPF Newsletter release and the next release in June, have no fear. The articles between the issues will continue to provide vital patient safety information throughout the year. Today, we are talking about tension pneumothorax and team work in the OR and something to watch out for when you remove a pulmonary artery catheter.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/41-patient-safety-issues-tension-pneumothorax-and-central-line-failure/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us today for a brief review of malignant hyperthermia before we switch gears to discuss several drug-induced syndromes with similar presentations. Just as anesthesia professionals need to be able to recognize and treat MH quickly, it is just as important that anesthesia professionals can recognize and treat quickly these other hypermetabolic syndromes. Tune in to learn more about these hypermetabolic syndromes so that you can be on the lookout to help keep patient safe during anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/40-be-on-the-lookout-for-mh-look-alikes/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Have you seen a patient with a perioperative hypersensitivity reaction? What was the culprit? Join us today as we discuss perioperative hypersensitivity reactions including the latest on identification and evaluation. Spoiler alert: This is a good time to partner with an allergy or immunology specialist. This is an important collaboration that can help keep patients safe during future anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/39-perioperative-hypersensitivity-and-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

The question is, “HEPA Filters. Do we really know enough?” Tune in today for more information about patient infection risk from contaminated breathing systems, viral transmission modes, the physics of filtration, different filters available, and standard tests for filter efficiency. This is another Rapid Response to questions from our readers review and you don’t want to miss it!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/38-breathing-system-filters-questions-and-considerations/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today as we dive into the FDA Adverse Event Reporting System to evaluate the database entries for Sevoflurane and Desflurane over the past 25 -30 years. We discuss important safety concerns related to these medications that are used every day in clinical anesthesia practice. We hope that you will stay pharmacovigilant so that no patient shall be harmed by anesthesia care.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/37-stay-pharmacovigilant-when-using-sevoflurane-and-desflurane/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in today to learn all about a method for process improvement than may be used to increase anesthesia patient safety with the added benefit of improved efficiency. That’s right today we are talking about “Proactive Perioperative Risk Analysis: Use of Failure Mode and Effects Analysis (FMEA)” by George Tewfik, MD and we discuss how FMEA can be used for anesthesia perioperative processes. We hope you will be proactive and listen to the show today.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/36-detecting-potential-failures-and-improving-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show we are covering 2 powerful patient safety areas that are featured in the February 2021 APSF Newsletter. Join us as we look at a case of an unexpected anesthesia machine failure. We also discuss considerations for performing elective surgery during a power outage. You don’t want to miss this energizing show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/35-powerful-anesthesia-patient-safety-questions-and-considerations/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving into the most recent February 2021 APSF Newsletter with exclusive content from one of the authors. Join us today to hear about why it is so important to develop and maintain a culture of safety with a disclosure process. That’s not all. Another important part of the culture of safety involves peer support programs and counseling resources for the involved healthcare professionals to aid recovery and build resilience.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/34-culture-of-safety-featuring-adverse-event-disclosure/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are returning to our review of local anesthetic systemic toxicity and this won’t be the LAST time. Tune in to learn all about incidence, risk factors, clinical presentation, and treatment for LAST. If you administer local anesthetics, this is a show that you don’t want to miss.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/33-not-the-last-word-on-anesthesia-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are heading into the APSF Newsletter archives to review the article, “Intralipid Treatment of Bupivacaine Toxicity” by Pete Stiles and Richard Prielipp that appeared in the Spring 2009 APSF Newsletter. This will not be the “LAST” show where we discuss local anesthetic systemic toxicity. In fact, it is part of a series that you won’t want to miss.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/32-intralipid-to-the-rescue/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we review the article from the February 2018 ASPF Newsletter, “Use of Methadone in the Perioperative Period” by Murphy and Szokol. So, what is the big deal with Methadone, what makes this a unique opioid analgesic, and why are we seeing an increasing role for perioperative methadone administration? Tune in to find the answers to these questions and so much more.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/31-pain-control-and-patient-safety-starring-perioperative-methadone/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

You are sure to be attracted to our Rapid Response to questions from our readers show today as we review the article, “Airway Emergencies and Safety in Magnetic Resonance Imaging (MRI) Suite” from the APSF February 2020 Newsletter. Tune in to learn more about how to keep your patients safe in case of an airway emergency no matter what zone you are in.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/30-airway-emergency-preparedness-in-mri/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

You do not want to miss this show with exclusive insights on the relationship between technology and anesthesia patient safety from Dr. Bob Thiele. We are also doing a re-boot of the Winter 2013 article, “Training Anesthesia Professionals to Use Advanced Medical Technology.” Tune in to learn more about important considerations for anesthesia professionals, health care organizations, and medical device industry representatives…and beyond.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/29-technology-and-anesthesia-patient-safety-reboot/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are back the exciting sequel to last week’s episode. We return to the world of pediatric anesthesia today and talking about the effect of anesthesia agents on the developing brain. We look at “What Now” from the October 2020 article by Luke Janik, MD “The Effect of General Anesthesia on the Developing Brain: Is It Time to Temper the Concern?” Join us exciting updates on this important topic and more exclusive content from the author!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/28-anesthesia-and-the-developing-brain-part-2/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are exploring the world of pediatric anesthesia today and talking about the effect of anesthesia agents on the developing brain. This is Part One where we look at “What Then” from the 2016 article by Luke Janik, MD “The Effect of General Anesthesia on the Developing Brain: Appreciating Parent Concerns While Allaying Their Fears.” Join us for an introduction to this important topic and literature review along with exclusive content from the author.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/27-anesthesia-and-the-developing-brain-part-1/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We return to the Rapid Response to questions from our readers section to review the case of the retained guidewire during lumbar drain placement. Has this ever happened to you? Tune in to find out what happened and learn more about this potential complication. The Rapid Response column represents an important collaboration between anesthesia professionals and industry and we review the top 25 most visited pages in the Rapid Response Column to close out the show.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/26-lumbar-drain-placement-the-case-of-the-stuck-guidewire/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

For the last show of 2020, we return to the updated APSF Novel Coronavirus Anesthesia Resource Center to talk about the recently released joint statement by the ASA and APSF regarding elective surgery for patients who have recovered from COVID-19. Join us to learn more about isolation precautions, timing for elective surgery, and re-testing.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/25-keeping-patients-safe-after-covid-19-infection/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

We are heading back into the APSF Novel Coronavirus Anesthesia Resource Center. Today on the show we review the use of Powered Air-Purifying Respirators in the operating room. We also dive into the frequently asked questions related to wellness during the Covid-19 pandemic. Take a big deep breath and tune in for some tips to help with stress relief as well as additional resources.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/24-wellness-during-the-covid-19-pandemic/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Are you ready to hit the road and talk about Enhanced Recovery After Surgery (ERAS) and anesthesia patient safety? Join us as we review the article from the June 2019 APSF Newsletter, “ERAS: Roadmap For A Safe Perioperative Journey” by Rebecca Blumenthal, MD. Spoiler alert: Some of the benefits of ERAS include decreased opioid usage and complications and improved patient satisfaction and patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/23-enhanced-recovery-and-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

This is a special two-part podcast where we look at the rising maternal mortality rates in the United States and what steps are being taken to reverse this concerning trend. Please join us to learn about Maternal Safety Bundles and the role of anesthesia professionals as peripartum physicians and advocates for improved maternal patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/22-part-2-maternal-safety-bundles/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

This is a special two-part podcast where we look at the rising maternal mortality rates in the United States and what steps are being taken to reverse this concerning trend. Please join us to learn about Maternal Safety Bundles and the role of anesthesia professionals as peripartum physicians and advocates for improved maternal patient safety.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/21-part-1-maternal-safety-bundles/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show we are reviewing one of the featured articles from the June 2020 APSF Newsletter, “Postoperative Recurarization After Sugammadex Administration Due to the Lack of Appropriate Neuromuscular Monitoring: The Japanese Experience.” Tune in to learn more about how to keep your patients safe and strong following perioperative neuromuscular blockade.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/20-postoperative-recurarization-and-sugammadex-staying-safe-and-strong/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in to learn about what anesthesia professionals can do to help protect against cybersecurity threats. We also discuss tranexamic acid and local anesthetic administration errors including how this can occur and what steps are helpful to prevent this devastating complication. Next up is an important Rapid Response to questions from our readers. This is the case of a clogged filter on an Ambu bag during transport of an intubated patient. We wrap up with a review of several options for safely transporting patients who require manual ventilation.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/19-keeping-patients-safe-txa-update-and-transportation-ventilation/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Join us as we return to the APSF Novel Coronavirus Resource Center to talk about OR ventilation for patients with COVID-19. There are a lot of questions and we have some of the answers and a lot of resources for you.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/18-coronavirus-resources-or-ventilation/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are going to dive back into the APSF 35th Anniversary Newsletter, the Jade edition with a focus on postoperative residual neuromuscular blockade. Spoiler alert: this is still a threat to patient safety today! Help is on the way with Sugammadex and new quantitative monitors of neuromuscular function. Tune in to learn more!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/17-strong-work-on-residual-neuromuscular-blockade/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are going to dive back into the APSF 35th Anniversary Newsletter, the Jade edition with a focus on postoperative visual loss or POVL and specifically ischemic optic neuropathy or ION following spinal fusion surgery. Tune in to hear the tale of recognizing an increasing complication, working to learn so much more about it, and disseminating this knowledge along with new practice advisories to help improve patient safety and decrease the incidence of ischemic optic neuropathy following spinal fusion surgery. You do not want to miss it!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/16-postoperative-vision-loss/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are going to dive back into the 35th Anniversary APSF Newsletter, the Jade edition. We review the original article on OR fires from 1991. The conversation heats up as we look at the article, “Surgical Fire Prevention: A Review,” that you can find in the 35th Anniversary APSF Newsletter. Tune in to learn more about the fire triangle and how to prevent this devastating event.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/15-only-you-can-help-prevent-or-fires/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are going dive into the 35th Anniversary Edition of the APSF Newsletter, the Jade edition. We reveal behind the scenes information about the creation and production of the newsletter. In addition, we provide a 2020 update for the perioperative management for patients with cardiac implantable electronic devices. Stay tuned! It’s electrifying!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/14-announcing-the-35th-anniversary-apsf-newsletter/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today, we are going to review a featured article from the June 2019 Newsletter, “Alarm fatigue and patient safety” by Keith Ruskin and James Bliss. We hope that you tune in as we review the scope of the problem and offer some potential solutions.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/13-alarm-fatigue-and-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast will be an exciting journey towards improved anesthesia patient safety.

Today on the show, I discuss the APSF Grant Recipient for 2020, Scott Segal, MD, for his winning project “Development of Machine Learning Algorithms to Predict Difficult Airway Management.” This is an APSF/Medtronic Research Award. Segal’s project seeks to develop a facial recognition machine learning program to replace bedside tests and physical exam findings for difficult airway prediction. Tune in to learn about this project and another exciting study about a difficult airway early warning system.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/12-difficult-airways-and-the-apsf-research-program/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

This is an APSF Newsletter archives show. Today on the show, we discuss the role of the Preoperative Assessment Clinic in terms of improving patient safety as well as operating room efficiency and surgeon and patient satisfaction. In addition, we explore the importance of preoperative anesthesia education to improve patient safety. We hope that you will tune in!!

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/11-preoperative-optimization-and-patient-safety/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show, we return to the APSF’s Novel Coronavirus Resource Center and review 11 Frequently Asked Questions related to clinical care. These questions and answers are so important as we strive to keep patients, anesthesia professionals and healthcare providers safe while providing anesthesia care during the Covid-19 pandemic.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/10-covid-19-and-anesthesia-clinical-care-faq/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show, we review perioperative considerations for patients with cardiovascular implantable electronic devices (CIEDs) include the following: pacemakers indicated for bradyarrhythmia treatment, implantable cardioverter defibrillators or ICDs for tachyarrhythmia management, and cardiac resynchronization therapy or CRT for patients with decreased systolic function combined with conduction delays. Tune in to learn more. Communication is the key for safe anesthesia care for patients with these devices.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/9-perioperative-considerations-for-patients-with-cardiovascular-implantable-electronic-devices/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show, we explore the Rapid Response to questions from our readers section. We take a closer look at the question of non-invasive blood pressure monitoring gaps during anesthesia patient care. What is the ideal monitor to alert the clinician to a monitoring gap without adding to nuisance alarms and alarm fatigue in the operating room? Tune in to learn about monitoring configuration, alert options, and future solutions.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/8-introducing-rapid-response-to-questions-from-our-readers/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by me, Alli Bechtel. This podcast is an exciting journey towards improved anesthesia patient safety.

Today on the show, I discuss the APSF Research Program and the 2020 APSF Investigator Initiated Grant Recipient, Sheila Riazi, MD, for her project titled “A Minimally Invasive Diagnostic Test for Malignant Hyperthermia.” I round out the show with a review of the APSF article, “Malignant Hyperthermia Preparedness: Stocking, Drilling, and Offsite Considerations.” Tune in to learn about how you can be prepared for an MH crisis and work to improve patient safety at your institution.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/7-mh-preparedness-and-the-apsf-research-program/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by me, Alli Bechtel. This podcast will be an exciting journey towards improved anesthesia patient safety. Today on the show, I discuss the article, “Healthy Relationships Between Anesthesia Professionals and Surgeons are Vital to Patient Safety” by Jeffrey B. Cooper, PhD. Tune in learn about why this dyad is so important for patient safety and how to help strengthen this relationship.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/6-healthy-relationships-between-surgeons-and-anesthesiologists/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast will be an exciting journey towards improved anesthesia patient safety.

Today on the show I return to the Novel Coronavirus Resource Center and talk about, “An Update on the Perioperative Considerations for COVID-19 Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2)” by Zucco and colleagues. I cover viral transmission of SARS-CoV-2 and safety considerations for healthcare providers in the operating room and during airway manipulation as well as preoperative testing options depending on local or regional disease presence.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/5-perioperative-considerations-for-covid-19/

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During the show today, I talk about the 2020 President’s Report by Mark Warner, MD, president of the APSF. This was published in the February 2020 APSF Newsletter. I also review the role of effective leadership on creating and improving a culture of safety for patients and healthcare professionals as well as provide information about creating a successful intraoperative handoff communication tool.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/4-the-2020-apsf-presidents-report/

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During this episode, I introduce the famous APSF Newsletter. I also dive into the June 2020 Newsletter and review the 3 featured articles. Finally, I discuss the Letter to the Editor and the case of the misfilled vaporizer.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/3-highlights-from-the-june-2020-apsf-newsletter/

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Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast will be an exciting journey towards improved anesthesia patient safety.

On today’s episode, I talk about the APSF Novel Coronavirus (Covid-19) resource center. Here is the link and be sure to check it out.

https://www.apsf.org/novel-coronavirus-covid-19-resource-center/

Here is the disclaimer about the material presented on the APSF Novel Coronavirus (Covid-19) Resource Center:

Disclaimer: Viewers of this material should review the information contained within it with appropriate medical and legal counsel and make their own determinations as to relevance to their particular practice setting and compliance with state and federal laws and regulations. The APSF has used its best efforts to provide accurate information. However, this material is provided only for informational purposes and does not constitute medical or legal advice. This response also should not be construed as representing APSF endorsement or policy (unless otherwise stated), making clinical recommendations, or substituting for the judgment of a physician and consultation with independent legal counsel.

I review the registry for intubateCovid which you can submit information to here https://intubatecovid.knack.com/registry#project-details/if you have intubated a Covid-19 positive patient or a presumed positive patient. Based on information from the registry, a recent study was performed to evaluate risk for healthcare workers who intubated patients with confirmed or suspected Covid-19 that was supported by the APSF. Check out the article here: https://onlinelibrary.wiley.com/doi/10.1111/anae.15170.

Be sure to look at your drug vials carefully when drawing up medications to administer to patients receiving anesthesia since there is a temporary shortage of the safety caps for neuromuscular blocking drugs. Here is the link to the ISMP June 4th, 2020 Newsletter: https://www.ismp.org/acute-care/medication-safety-alert-june-4-2020.

The FDA also released an announcement of the lack of safety warning caps on neuromuscular blocking drugs vial caps that you can check out here: https://www.fda.gov/drugs/drug-safety-and-availability/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two-neuromuscular.

Check out the Perioperative Covid Testing: Examples from around the U.S. https://www.apsf.org/novel-coronavirus-covid-19-resource-center/preoperative-covid-testing-examples-from-around-the-u-s/

Please consider donating to the APSF by clicking here https://www.apsf.org/product/crowdfunding-donation/ so that we can continue to provide the most updated Covid-19 information and resources to help keep our patients and healthcare professionals safe during this evolving pandemic and going forward.

Be sure to check out the APSF website at https://www.apsf.org/
Make sure that you subscribe to our newsletter at https://www.apsf.org/subscribe/
Follow us on Twitter @APSForg
Questions or Comments? Email me at podcast@apsf.org.

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Welcome to the first episode of the new Anesthesia Patient Safety podcast hosted by Alli Bechtel. This podcast will be an exciting journey towards improved anesthesia patient safety.

On today’s episode, I introduce the new podcast and review the mission statement and vision statement of the APSF.

https://www.apsf.org/about-apsf/mission-and-vision-statements/

I also review the 12 Patient Safety Priorities of the APSF.

https://www.apsf.org/patient-safety-initiatives/

Before we jump into all of the exciting things that the APSF is currently doing for patient safety, I travel back in time and review the history of the APSF.

https://www.apsf.org/about-apsf/foundation-history/

Finally, I introduce some of the APSF Board Members and Committee Chairs.

https://www.apsf.org/about-apsf/board-committees/

Be sure to check out the APSF website at https://www.apsf.org/
Make sure that you subscribe to our newsletter at https://www.apsf.org/subscribe/
Follow us on Twitter @APSForg
Questions or Comments? Email me at podcast@apsf.org.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/1-welcome-to-the-apsf-podcast/

Anesthesia Patient Safety Podcast: Recent Episodes

Anesthesia Patient Safety Foundation