Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

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Topics included in this episode:

1. Cirrhosis pathophysiology and portal hypertension.
2. Compensated vs decompensated cirrhosis risk.
3. Systemic effects: ascites, encephalopathy, coagulopathy, cardiomyopathy.
4. Altered anesthetic drug metabolism and sensitivity.
5. Anesthetic goals: preserve liver perfusion, avoid hypotension/bleeding.

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[RN ICU DRUG CHART]

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Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

Topics included in this episode:

1. Why myocardial ischemia is the main cause of perioperative collapse in severe aortic stenosis
2. Core anesthetic goals: maintain preload, afterload, sinus rhythm, and controlled HR
3. How to choose anesthesia type and airway strategy in urgent noncardiac surgery with AS
4. Practical induction tactics to avoid hypotension and sympathetic surges
5. Intraop and postop management strategies to preserve coronary perfusion and oxygen delivery

To contact Alex Gorman, CRNA, you can email him at: gorman82@hotmail.com

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

Topics included in this episode:

1. Application of IV anesthetic pharmacology to real clinical case scenarios rather than just PK/PD theory
2. How to choose between propofol, ketamine, etomidate, and dexmedetomidine based on patient and surgical factors
3. Decision frameworks for managing high-risk situations like trauma, sepsis, cardiac disease, and difficult airways
4. Common pitfalls with induction agents and how to prevent hypotension, apnea, and airway obstruction
5. How anesthesia choices change across environments like OB, ICU, MRI, GI suite, and neurosurgery

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

Topics included in this episode:

1. What current research shows about long-term cognitive effects of general anesthesia, including key findings from the MAAS study
2. How perioperative neurocognitive disorders present, who is at risk, and how common they are
3. The pathophysiology behind postoperative cognitive decline, focusing on neuroinflammation and anesthetic-related brain stress
4. Practical, evidence-based strategies to protect brain health before, during, and after surgery
5. Why brain health must be a shared, institution-wide priority across perioperative care teams

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

Topics included in this episode:

1. Hemodynamic goals and risks during induction in severe aortic stenosis​
2. Limitations and hypotensive effects of propofol in aortic stenosis patients​
3. Pharmacology and potential advantages of cipepofol (ciprofol) as a propofol derivative​
4. Key findings of the JAMA Surgery randomized trial comparing cipepofol vs propofol in severe AS​
5. Practical induction strategies and future implications for managing severe AS patients under anesthesia

ARTICLE: Hemodynamic Impact of Cipepofol vs Propofol During Anesthesia Induction in Patients With Severe Aortic Stenosis

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

Topics included in this episode:

1. Why a full anesthesia machine check matters​
2. How to perform a systematic pre-use machine checkout​
3. Understanding and testing safety features and failure modes​
4. Checking ventilation, leak integrity, and waste gas handling​
5. Using structured tools to build a fast, reliable habit

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

Topics included in this episode:

1. Academic anchor habits for SRNAs and new CRNAs
2. Deliberate clinical practice, including “one skill per shift” and quick weekly case debriefs.​
3. Mindset strategies like a “wins log” to fight imposter syndrome.​
4. Professional growth through scary-but-safe opportunities, CRNA business basics, and exploring fellowship prerequisites.​
5. Personal boundaries around sleep, non‑anesthesia hobbies, and phone/social media use to prevent burnout.​
6. Early burnout recognition and proactive check-ins with mentors or a therapist.

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our launch newsletter ⬇️

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

Topics included in this episode:

1. Ketamine’s dissociative mechanism and clinical applications
2. Differences between S- and R-ketamine
3. Hemodynamic and airway benefits in trauma and bronchospastic patients
4. Mechanisms beyond NMDA antagonism
5. Dosing strategies for induction, sedation, and analgesic infusions
6. Managing emergence reactions, secretions, and ICP considerations

💜 LIVE WEBINAR: Save your seat on our monthly, free webinars. Replays are sent to your inbox and you get access to all of our previous webinars.

[WEBINAR SIGN UP]

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

[SEE/NCE STUDY PLAN]

[RN ICU DRUG CHART]

💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at hello@atomicanesthesia.com, follow us on social media, and sign up for our launch newsletter ⬇️

[NEWSLETTER SIGN-UP]

[INSTAGRAM] [TIKTOK] [YOUTUBE]