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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:
    PERIPHERAL VASCULAR DISEASE & VASCULAR ANESTHESIA (PART 1) │ EP58 Oct 20, 2025
    Show notes

    In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand is joined by vascular anesthesia expert Rick Heuermann, DNP, MBA, CRNA, to unravel the complex pathophysiology of peripheral vascular disease (PVD) and its impact on anesthetic management. Together, they break down healthy versus diseased arterial function, highlight why patients with PVD present unique challenges in the OR, and provide practical, evidence-based strategies for optimizing hemodynamics and minimizing perioperative risks in vascular surgery. Whether a seasoned clinician or a student navigating CRNA school, listeners will gain clinical insight and case-based wisdom for safer, more effective care of patients with PVD.

    💜 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]


    WHY ARE MY EXTUBATIONS SO SLOW? │ EP57 Oct 16, 2025
    Show notes

    In this episode of the Atomic Anesthesia Podcast, nurse anesthesia residents are guided through the pivotal moments of emergence and extubation—recognized as one of the riskiest steps in the operating room. Listeners will gain practical strategies for timing and executing a safe, efficient wake-up following general anesthesia, including the choice between restoring spontaneous breathing early for extremity and head or neck surgeries, or precisely titrating off anesthetics and using nitrous oxide during abdominal and thoracic procedures. The episode breaks down emergence criteria, ventilatory and hemodynamic parameters, medication effects, and the consequences of mixing techniques, all illustrated with clear, experience-based teaching points drawn from years of practice. CRNAs at all levels are invited to reflect, share their own perspectives, and incorporate these actionable insights to optimize patient safety, comfort, and workflow in the perioperative environment.

    💜 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]


    PHARMACOGENETICS: WHY DRUG RESPONSES DIFFER IN A POPULATION OF PEOPLE │ EP56 Oct 13, 2025
    Show notes

    This is a joint episode recorded with Dr. Chloe Gomez of the My Favorite Learner podcast. This episode explores the foundational concepts of pharmacogenetics and its impact on drug responses during anesthesia, highlighting how genetic, genomic, and epigenetic variations shape individual reactions to commonly used medications in perioperative care. Designed for nurse anesthesia residents, the show walks through the scenarios of variable drug response, the roles of metabolizing enzymes, transport molecules, and molecular targets, as well as the influence of environmental factors and polymorphisms such as single-nucleotide variants and ethnic differences in metabolism. Key topics include disease-specific considerations like G6PD deficiency, acute intermittent porphyria, long QT syndrome, Brugada syndrome, atypical pseudocholinesterase, and malignant hyperthermia, with a focus on clinical implications for personalized medicine, precision dosing, and ethical issues surrounding genetic testing, privacy, and patient equity. Practical advice covers vigilant monitoring, individualized dosing, preoperative assessment for genetic risk, and strategies for documenting and communicating findings for safer anesthesia practice.

    💜 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]


    MULTIMODAL, PREEMPTIVE AND NEXT-GEN ANALGESIA WITH JR PHILLIPS | EP55 Oct 06, 2025
    Show notes

    This episode of the Atomic Anesthesia Podcast explores the emerging role of Suzetrigine, a novel non-opioid NaV1.8 channel inhibitor, in multimodal surgical pain management. Host Rhea and guest JR Phillips, a DNAP student, discuss the science, efficacy, and safety profile of Suzetrigine, its potential for opioid-sparing strategies, and its unique advantages over traditional opioids and sodium channel blockers. Listen in for an evidence-based look at how this new FDA-approved analgesic could reshape perioperative care, improve patient outcomes, and what its current limitations and future possibilities might be for anesthesia professionals and learners.

    To take a quiz about this topic, check out this link: [HERE]

    For references for this episode, click [HERE]

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 10): BURN PATIENTS | EP 54 Oct 02, 2025
    Show notes

    In the final installment of the Trauma and Burn Anesthesia Series, we explore the unique physiology and management of burn patients, a population that differs significantly from blunt or penetrating trauma. This episode covers the classification and severity of burns, the pathophysiology of burn shock, and essential principles like calculating burn extent using the rule of nines, applying the Parkland formula for fluid resuscitation, and monitoring for fluid creep. We also examine systemic complications affecting the cardiovascular, pulmonary, and metabolic systems, challenges of smoke inhalation injury and carbon monoxide poisoning, and the altered pharmacology that impacts anesthesia care. Finally, we discuss perioperative considerations such as blood loss, temperature control, and multimodal pain management, emphasizing why burn patients require such specialized care and preparation from anesthesia providers.

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 9): MASS CASUALTY | EP 53 Sep 29, 2025
    Show notes

    In part 9 of the Trauma Anesthesia Series, we dive into the critical topic of mass casualty events—what defines them, how hospitals respond when resources are overwhelmed, and the principles of patient triage that determine who gets treated first. Using real-world examples, we explore common triage algorithms, the color-coded tagging system, and the difficult but necessary decisions providers must make to save the greatest number of lives. The episode also addresses the emotional toll of these crises, highlighting second victim syndrome and the importance of resilience, mental health support, and teamwork for healthcare providers navigating these high-stakes situations.

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 8): PREGNANT, PEDIATRIC & GERIATRIC POPULATIONS | EP52 Sep 25, 2025
    Show notes

    Welcome to part 8 of the Trauma & Burn Anesthesia Series. In this episode, we take a broad look at special populations in trauma anesthesia—pregnant, pediatric, and geriatric patients. Each of these groups presents unique physiologic challenges, risk factors, and perioperative considerations that require anesthesia providers to adapt their trauma management strategies. From managing airway swelling and aspiration risk in pregnant patients, to balancing fluid resuscitation and minimizing radiation exposure in children, to mitigating postoperative delirium and cognitive dysfunction in older adults, this episode offers a high-level overview of principles you can apply in clinical practice. Because each of these populations deserves a deeper dive, we’ve included links in the show notes to key articles and guidelines so you can explore further on your own. In future episodes, we’ll dedicate entire discussions to each special population for a more detailed breakdown. Join us as we highlight essential principles and considerations for trauma anesthesia providers caring for these vulnerable groups.

    ADDITIONAL RESOURCES:

    Pregnant Patients:

    1. Guidelines for the Management of Pregnant Trauma Patients (Jain, 2015)
    2. Trauma in the Obstetric Patient: A Bedside Tool (ACEP)

    Pediatrics:

    1. Initial assessment and management of pediatric trauma patients (McFadyen, 2012)

    Geriatrics:

    1. Perioperative Management of the Geriatric Trauma Patient (Muldowney, 2025)
    2. Trauma in the elderly patient (Atinga, 2018)

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 7): SPINAL CORD INJURY | EP51 Sep 22, 2025
    Show notes

    This episode of the Trauma and Burn Anesthesia Series explores the acute management of spinal cord injury, from mechanisms like motor vehicle accidents and falls to the growing impact on older adults. Key topics include early recognition, imaging strategies, spinal precautions, maintaining supranormal mean arterial pressure for cord perfusion, and the use of methylprednisolone to reduce inflammation. We break down injury types—including Brown-Séquard, anterior, posterior, and central cord syndromes—along with crucial anesthesia pearls for airway management and safe patient transfer. The episode also highlights complications like neurogenic shock and autonomic dysreflexia, detailing when succinylcholine can be used safely and practical steps for treating hypertensive crises in chronic cord injuries.

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 6): TRAUMATIC BRAIN INJURY | EP50 Sep 18, 2025
    Show notes

    In this episode of the Trauma and Burn Anesthesia Series, we examine traumatic brain injury, the leading cause of trauma-related death in the U.S., affecting over a million people annually and leaving millions with long-term disability. We discuss the importance of the Glasgow Coma Scale, the types of primary injuries such as subdural, epidural, and intraparenchymal hematomas as well as diffuse axonal injury, and how these lead to increased intracranial pressure, herniation, and neurological decline. We explore secondary brain injury from hypotension, hypoxemia, hypercapnia, and hyperthermia, emphasizing the need to maintain adequate perfusion and oxygenation while balancing damage control resuscitation. Key management strategies include hyperosmolar therapy, ICP monitoring, CSF drainage, hyperventilation, mannitol use, steroids, seizure and infection prophylaxis, and cautious fluid therapy. We also cover practical intraoperative considerations, avoiding excessive anesthetics, carefully managing CSF drains, and adjusting ventilation, while highlighting the added complexity when TBI patients also present with massive hemorrhage.

    💜 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]


    TRAUMA ANESTHESIA SERIES (PART 5): ANESTHETIC MANAGEMENT | EP49 Sep 15, 2025
    Show notes

    In this episode of the Trauma and Burn Anesthesia Series, we take a deep dive into one of the most critical moments in trauma care: the induction and maintenance of anesthesia in hemodynamically unstable patients. We break down the principles behind choosing the right agents, why dose reductions and careful titration are essential, and how rapid sequence induction sets the standard in trauma. You’ll hear about the role of etomidate and ketamine, why propofol is dangerous in unstable patients, and when vasopressors may actually be appropriate to support induction. We also cover strategies for managing volatile anesthetics, why nitrous oxide should be avoided, and how to prevent intraoperative recall in patients at extremely high risk. From heating strategies to avoid coagulopathy, to lung-protective ventilation in the face of pulmonary injury, and even emergency interventions like thoracotomy and REBOA, this episode takes you through the challenges and nuanced decision-making of trauma anesthesia. If you’ve ever wondered how to balance unconsciousness, perfusion, and safety in critically injured patients, this is the episode for you.

    💜 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]


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