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    Education

    Atomic Anesthesia

    Welcome to Atomic Anesthesia, the essential podcast for nurse anesthesia residents seeking to master both basic and clinical science education (and RNs looking to become CRNAs, too!). Join us as we break down tough science concepts and demonstrating their practical clinical application in real-world scenarios.

    Each episode of Atomic Anesthesia is crafted to provide comprehensive explanations of complex scientific principles, tailored specifically for the needs of nurse anesthesia residents or nurses preparing for graduate school. Whether you’re grappling with pharmacology, physiology, or any other challenging subject, our expert hosts are here to guide you through every step of the learning process.

    But we don’t stop there. Atomic Anesthesia goes beyond the classroom, inviting esteemed guests from both the scientific and CRNA communities to share their insights and experiences. From discussions on graduate school training to invaluable tips for navigating the complexities of clinical practice, our diverse range of topics ensures that every episode is packed with valuable knowledge and practical advice.

    Whether you’re commuting to clinicals, hitting the gym, or simply relaxing at home, Atomic Anesthesia is the perfect companion for learning on the go. Tune in and empower yourself with the knowledge and skills you need to excel in your journey towards becoming a proficient and confident nurse anesthethesiologist.

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    Latest Episodes:
    WHY YOUR "STABLE" CIRRHOSIS PATIENT CAN CRASH ON INDUCTION โ”‚ EP78 Jan 22, 2026
    Show notes

    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.

    โš ๏ธ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

    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.

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    HOW TO [NOT] KILL YOUR AORTIC STENOSIS PATIENT โ”‚ EP77 Jan 19, 2026
    Show notes

    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.

    โš ๏ธ 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

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    CRASH, CODE OR CRUISE: IV ANESTHETIC CHOICES THAT CHANGE OUTCOMES [LIVE WEBINAR REPLAY] โ”‚ EP76 Jan 15, 2026
    Show notes

    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.

    โš ๏ธ 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

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    DOES ANESTHESIA HARM THE BRAIN? A HARD LOOK AT THE DATA โ”‚ EP75 Jan 13, 2026
    Show notes

    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.

    โš ๏ธ 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

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    PROPOFOL REPLACEMENT? CIPEPOFOL AND THE FUTURE OF HIGH-RISK CARDIAC INDUCTION โ”‚ EP74 Jan 09, 2026
    Show notes

    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.

    โš ๏ธ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

    Topics included in this episode:

    1. Hemodynamic goals and risks during induction in severe aortic stenosisโ€‹
    2. Limitations and hypotensive effects of propofol in aortic stenosis patientsโ€‹
    3. Pharmacology and potential advantages of cipepofol (ciprofol) as a propofol derivativeโ€‹
    4. Key findings of the JAMA Surgery randomized trial comparing cipepofol vs propofol in severe ASโ€‹
    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

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    ANESTHESIA MACHINE CHECK: A STEP-BY-STEP WALKTHROUGH OF YOUR WORKSTATION โ”‚ EP73 Jan 05, 2026
    Show notes

    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.

    โš ๏ธ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]

    Topics included in this episode:

    1. Why a full anesthesia machine check mattersโ€‹
    2. How to perform a systematic pre-use machine checkoutโ€‹
    3. Understanding and testing safety features and failure modesโ€‹
    4. Checking ventilation, leak integrity, and waste gas handlingโ€‹
    5. Using structured tools to build a fast, reliable habit

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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]


    NEW YEAR, NEW PROVIDER: ANESTHESIA RESOLUTIONS FOR 2026 โ”‚ EP72 Jan 02, 2026
    Show notes

    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 โ€œone skill per shiftโ€ and quick weekly case debriefs.โ€‹
    3. Mindset strategies like a โ€œwins logโ€ to fight imposter syndrome.โ€‹
    4. Professional growth through scary-but-safe opportunities, CRNA business basics, and exploring fellowship prerequisites.โ€‹
    5. Personal boundaries around sleep, nonโ€‘anesthesia hobbies, and phone/social media use to prevent burnout.โ€‹
    6. Early burnout recognition and proactive check-ins with mentors or a therapist.

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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 โฌ‡๏ธ

    [NEWSLETTER SIGN-UP]

    [INSTAGRAM] [TIKTOK] [YOUTUBE]


    KETAMINE UNLOCKED: MECHANISMS, DOSING & CLINICAL PEARLS โ”‚ EP71 Dec 22, 2025
    Show notes

    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. Ketamineโ€™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

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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 โฌ‡๏ธ

    [NEWSLETTER SIGN-UP]

    [INSTAGRAM] [TIKTOK] [YOUTUBE]


    IF I WENT BACK TO CRNA SCHOOL, I'D STUDY LIKE THIS INSTEAD โ”‚ EP70 Dec 18, 2025
    Show notes

    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. Perspective shifts with experience: how growth reshapes your learning and mindset
    2. Effective study strategies: learning smarter with lasting retention
    3. Physiology over perfectionism: grounding complex topics in core principles
    4. Memory maps for retention: turning scattered notes into visual frameworks
    5. Building networks early: connecting with mentors to boost confidence
    6. Depth and curiosity: pursuing real understanding over grades

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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 โฌ‡๏ธ

    [NEWSLETTER SIGN-UP]

    [INSTAGRAM] [TIKTOK] [YOUTUBE]


    THE DEXMEDETOMIDINE PLAYBOOK: WHAT STRONG CRNAS NEED TO KNOW โ”‚ EP69 Dec 15, 2025
    Show notes

    This episode of the Atomic Anesthesia Podcast focuses on dexmedetomidine (Precedex), a highly selective ฮฑ2-adrenergic agonist that provides cooperative, arousable sedation, analgesia, anxiolysis, and sympatholysis with minimal respiratory depression for perioperative and ICU care. Aimed at nurse anesthesia residents, it reviews dexmedetomidineโ€™s ฮฑ2-selective pharmacology, rapid distribution and hepatic metabolism, and its ability to mimic non-REM sleep via locus coeruleus inhibition while significantly reducing MAC and opioid requirements. Listeners learn practical dosing strategies for OR, ICU, and procedural sedation, common indications such as awake fiberoptic intubation, MAC cases, withdrawal management, and pediatric emergence delirium, and key safety considerations including bradycardia, hypotension, transient hypertension with rapid loading, and the ongoing need for vigilant airway and hemodynamic monitoring when incorporating dexmedetomidine into multimodal anesthetic plans.

    ๐Ÿ’œ 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]

    ๐Ÿ’œ FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.

    [SEE/NCE STUDY PLAN]

    [RN ICU DRUG CHART]

    ๐Ÿ’œ CONNECT: ๐Ÿ“ฅ 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 โฌ‡๏ธ

    [NEWSLETTER SIGN-UP]

    [INSTAGRAM] [TIKTOK] [YOUTUBE]


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