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PODCAST

Atomic Anesthesia

Rhea Temmermand, PhD, CRNA & Sachi Lord, MSN, CRNA

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

education natural sciences

All Episodes

15:55

ETOMIDATE + ADRENAL SUPPRESSION: IS IT CLINICALLY...

Atomic Anesthesia ·

2025/11/12

This episode of the Atomic Anesthesia Podcast unpacks the real clinical risk of adrenal suppression after a single dose of etomidate, challenging common debates every anesthesia resident faces. Drawing on the latest studies, listeners will discover exactly which patient groups—cardiac, septic, trauma, pediatric, and elective—are actually vulnerable to etomidate’s effects, and when transient adrenal suppression matters for outcomes. The discussion highlights the drug’s unique origins, why its

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45:50

THE EDUCATOR'S TRACK: HOW CRNAs STEP INTO TEACHING W/...

Atomic Anesthesia ·

2025/11/03

In this episode of the Atomic Anesthesia Podcast, we talk with Dr. Hallie D. Evans, DNP, CRNA, APRN, CNE, a nationally recognized nurse anesthesia educator and clinician, about what it takes for CRNAs to step into the world of teaching. Dr. Evans discusses how her journey from clinical anesthesia to academic leadership began, the personal qualities that make an effective educator, and how to determine if you have the right temperament for academia. Listeners will learn the practical steps to

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19:16

BLOW, BOOZE & BENNIES: ACUTE INTOXICATION &...

Atomic Anesthesia ·

2025/10/30

In this episode of the Atomic Anesthesia Podcast, we tackle the complex reality of caring for patients under the influence of drugs or alcohol, a frequent challenge for nurse anesthesia residents and CRNAs. Covering the physiological effects and anesthetic implications of acute and chronic intoxication with alcohol, benzodiazepines, hallucinogens (such as LSD, PCP, and MDMA), cocaine, and cannabinoids, this episode offers fast, practical guidance for optimizing perioperative care and minimizing

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40:55

FROM NURSE PRACTITIONER TO CRNA W/ DR. DAVID WARREN │...

Atomic Anesthesia ·

2025/10/27

In this episode of the Atomic Anesthesia Podcast, we connected with Dr. David Warren, DNP, CRNA, NP to discuss the unique journey of transitioning from nurse practitioner to nurse anesthesiologist. Dr. Warren shares insights from his clinical practice, case mix, and favorite patient populations while reflecting on how his background as an NP shaped his approach to anesthesia. Listeners will learn how previous advanced practice experience can both prepare and challenge those entering CRNA training,

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23:23

PERIPHERAL VASCULAR DISEASE & VASCULAR ANESTHESIA...

Atomic Anesthesia ·

2025/10/20

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

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20:05

MULTIMODAL, PREEMPTIVE AND NEXT-GEN ANALGESIA WITH JR...

Atomic Anesthesia ·

2025/10/06

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

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16:06

TRAUMA ANESTHESIA SERIES (PART 9): MASS CASUALTY | EP 53

Atomic Anesthesia ·

2025/09/29

In part 9 of the Trauma Anesthesia Series, we dive into the critical topic ofmass 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

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24:11

TRAUMA ANESTHESIA SERIES (PART 7): SPINAL CORD INJURY...

Atomic Anesthesia ·

2025/09/22

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

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25:08

TRAUMA ANESTHESIA SERIES (PART 5): ANESTHETIC...

Atomic Anesthesia ·

2025/09/15

In this episode of theTrauma 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

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13:39

"SNEAK PEEK" COMPETITION - ATOMIC PLATFORM UPDATE | EP43

Atomic Anesthesia ·

2025/08/05

You spoke, we listened.CRNA school is extremely demanding--tight schedules, limited resources, and tough academic and clinical challenges. Not to mention, self-doubt and burnout are all too real.You shouldn't have to face CRNA school alone.After 2 years of researching, designing and building, we're excited to finally share our next-generation educational platform for CRNAs. Here's a sneak peek of what you'll find:A space-themed platform to make learning entertainingInteractive lessons with

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11:26

COULD THIS NEW NON-OPIOID COMPLETELY REPLACE...

Atomic Anesthesia ·

2025/07/15

Discover the future of pain management on this episode of Atomic Anesthesia as we explore a major breakthrough: the FDA approval of suzetrigine, a first-in-class, nonopioid pain medication. Guided by cutting-edge research and expert editorial insight from Anesthesiology, we dig into how suzetrigine works—targeting the NaV1.8 sodium channel in peripheral nerves—and what this means for patients and providers facing acute pain. You’ll hear about the pivotal NAVIGATE clinical trials, real-world patient

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13:44

PEDIATRIC EMERGENCIES WITH DR. MOTYKIEWICZ | EP38

Atomic Anesthesia ·

2025/05/29

In this episode, Pediatric CRNA Dr. Becky Motykiewicz dives into the most critical pediatric anesthesia complications you need to know—whether you're just starting out or already deep into practice. We break down airway issues like laryngospasm and bronchospasm, and explain how to manage these high-stakes situations effectively. We also touch on common postoperative concerns like stridor and emergence delirium, and why pediatric patients desaturate and destabilize faster than adults. You'll learn

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27:05

MAKING SMART FINANCIAL DECISIONS AFTER CRNA SCHOOL |...

Atomic Anesthesia ·

2025/05/23

In this episode, Professor T discusses something at the top of everyone's minds when going to CRNA school - how am I going to pay for this?! We break down the smart, intentional decisions that made this possible—from qualifying for Public Service Loan Forgiveness and maximizing a 401(k), to avoiding lifestyle inflation and strategically investing in a surgery center. We also touch on practical tips like using 0% interest loans for home repairs, maintaining excellent credit, and leveraging employer

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01:12:53

[WEBINAR REPLAY] TIPS FOR YOUR CARDIAC ANESTHESIA...

Atomic Anesthesia ·

2025/05/20

This episode is a replay of a live webinar by cardiac CRNA, Alex Gorman, who gives an excellent presentation on Cardiac Anesthesia. He explores the essentials for managing complex heart cases in the OR. We walk through the entire process—from pre-op evaluations and cath report interpretation to hemodynamic management and weaning off bypass. Whether you're a CRNA, resident, or ICU nurse, you'll gain valuable insight into real-world decision-making, including drug selection, TEE basics, and how to

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19:41

Sugammadex Pharmacology | EP35

Atomic Anesthesia ·

2025/05/02

In this episode, we dive into the game-changing drug sugammadex—a powerful agent that rapidly reverses neuromuscular blockade caused by rocuronium and vecuronium. We explore its unique mechanism of action, pharmacokinetics, and pharmacodynamics, along with how it differs from traditional reversal agents like neostigmine. You'll gain clarity on proper dosing strategies across populations, including pediatrics, obese patients, and those with renal impairment. We also break down important

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01:16:23

[WEBINAR REPLAY] INTRO TO ANESTHESIA PHARMACOLOGY | EP33

Atomic Anesthesia ·

2025/04/11

In this episode, we dive deep into the basics of anesthesia pharmacology—perfect for ICU nurses starting CRNA school or senior residents needing a solid refresher. We break down foundational topics like pharmacodynamics, pharmacokinetics, and pharmacogenomics, and explain why understanding physiology is key to mastering pharmacology. You’ll learn about drug targets like GABA and NMDA receptors, and the real mechanisms behind anesthetics, opioids, local anesthetics, and muscle relaxants. We also walk

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49:40

COGNITIVE AIDS + CRISIS CHECKLIST IN ANESTHESIA w/...

Atomic Anesthesia ·

2025/04/04

In this episode, Rhea Temmermand and Jeremy Heiner (editor of the Nagelhout Nurse Anesthesia textbook) dive deep into the under-discussed but vital topic of cognitive aids and crisis checklists in anesthesia. You'll learn how tools like the Stanford Emergency Manual and the Nurse Anesthesia Crisis Checklists can sharpen clinical decision-making during high-stress scenarios like anaphylaxis or hypotension. The episode explores how our brains make decisions under pressure, the difference between

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48:21

PART 1: TIPS FOR SURVIVING AND THRIVING IN CLINICALS...

Atomic Anesthesia ·

2025/03/13

PART 1/2: In this must-listen episode, Professor Temmermand shares strategies for thriving during clinical rotations. Transitioning from didactics to clinicals can be challenging, so in this live webinar replay, we outline what to expect when beginning this new phase of your training, provide tips for success, and explore how to navigate this challenging but exciting phase of your journey. 🎉 FREE RESOURCES: [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE

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34:25

PREPARING FOR THE SEE/NCE EXAM: OVERVIEW & STUDY...

Atomic Anesthesia ·

2025/03/03

This episode details a comprehensive study plan designed to help nurse anesthesia residents prepare for the Self-Evaluation Examination (SEE) and the National Certification Examination (NCE) for CRNAs. We discuss a detailed 24-week schedule, study tips, healthy habits, and exam prep strategies. The plan outlines specific topics from the NCE outline to cover each week, along with recommended resources and textbook chapters. It also emphasizes the importance of self-reflection, consistent study

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09:14

PEDIATRIC A&P - HINT: THEY'RE NOT TINY ADULTS! │ EP27

Atomic Anesthesia ·

2025/02/23

In this mini-episode, Dr. Becky Motykiewicz, a pediatric CRNA specializing in cardiac anesthesia, unpacks the fascinating anatomical and physiological differences between pediatric and adult patients that make pediatric anesthesia a unique specialty. From the neonate's HR-dependent cardiac output and immature baroreceptor reflex to the challenges of managing a smaller, more compliant airway, this episode highlights the critical nuances of caring for young patients. Dr. Motykiewicz also discusses the

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