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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

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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01:02:02

HOW TO START YOUR OWN ANESTHESIA GROUP WITH...

Atomic Anesthesia ·

2025/02/16

This episode explores starting and managing an anesthesia group, featuring James and Kendra Stockman, founders of Grasshopper Anesthesia Services. We not only explain the "how to" of creating your own group, but also we examine the benefits of joining a CRNA-owned group for those not yet ready to start their own, drawing from the Stockmans' extensive experience in rural and outpatient settings. James, a Texas Wesleyan University graduate with expertise in regional anesthesia and chronic pain

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59:33

CRNA JOB MARKET FOR NEW GRADS WITH JOY ADEMUYEWO OF...

Atomic Anesthesia ·

2025/02/02

Do you understand the current CRNA job market? If you're a senior NAR or a recent graduate, you don't want to miss this recording from our recent Instagram LIVE with Joy Ademuyewo - Founder of the Lokum App. She's an expert on the economics of the CRNA job market and has designed this app that specializes in job matchmaking. Her goal is to match you with your perfect job directly without the middle-man (AKA the recruiter!). To build this app, Joy definitely had to take a DEEP DIVE into the CRNA

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32:53

DEVELOPING PERSONALITY TRAITS + EFFECTIVE...

Atomic Anesthesia ·

2025/01/12

In this episode, Professor Temmermand discusses the importance of effective communication and how it can make our break people's perception of you in the clinical setting. She also discusses characteristics to foster, how to develop a growth mindset, and tips on accepting feedback in a positive way. She also give some examples of questions to ask your preceptors that every student can be asking. This episode is an excellent listen not only for current anesthesia students but also for RNs getting

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11:46

DURAL PUNCTURE EPIDURAL - SHOULD YOU DO IT? WITH...

Atomic Anesthesia ·

2024/12/15

In this episode of the Atomic Podcast, practicing CRNA Alex Gorman discusses the dural puncture epidural (DPE), particularly in the obstetrical setting. By incorporating a spinal needle to confirm midline placement and epidural space entry, the DPE provides immediate objective feedback, reducing the likelihood of failed epidurals and improving patient outcomes. Alex highlights the technique’s benefits, including faster analgesia onset and fewer complications like one-sided pain relief or hot spots,

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47:54

BEING A PARENT IN CRNA SCHOOL - WHAT'S IT REALLY LIKE?

Atomic Anesthesia ·

2024/10/17

In this episode, Rhea and Sam discuss what it was like being a parent in CRNA school. Sam gives shares her experiences, gives some excellent advice and encouragement. A must-listen for anyone planning or considering parenthood and CRNA school! Contact Sam at ssimmo20@jhmi.eduCHECK OUT OUR PHARM COURSE HERE[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HERE

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01:03:45

Hot finance tips with CRNA Jake Bevilacqua

Atomic Anesthesia ·

2024/09/09

In this episode, Jake Bevilacqua, President of The Incomologists, a group of healthcare insurance providers, breaks down some excellent financial tips for those embarking on the journey of CRNA school. Whether you're applying and wondering how to prepare and save, or are in school trying to manage a budge, this episode is for you! The Incomologist Website Here CHECK OUT OUR PHARM COURSE HERE[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR

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42:03

RESIDENT'S CORNER: OVERCOMING THE PRESSURE OF...

Atomic Anesthesia ·

2024/08/18

In this new podcast segment called "Resident's Corner" we welcome Residents onto the show to openly (and anonymously if preferred) discuss roadblocks, concerns, or even talk through clinical scenarios or topics. The goal of these episodes are to help foster community amongst residents + CRNAs, share insight, and hopefully spread some encouragement in knowing you're not alone. In this particular episode, we discuss the mental stress of perfectionism, how to overcome self-doubt, and how to avoid the

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35:21

INTRODUCTION TO PEDIATRIC ANESTHESIA WITH CRNA DR....

Atomic Anesthesia ·

2024/07/21

In this episode, expert pediatric cardiac CRNA Dr. Becky Motykiewicz shares her insights and experiences caring for pediatrics and neonates. She gives tips and advice on how to best show up for your pediatric rotation, and how to best care for this unique (but resilient) population. [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HEREFollow us on Instagram at: @Atomic_AnesthesiaCheck out our other free resources at

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52:21

OPIOID FREE ANESTHESIA PART II: ANESTHETIC TECHNIQUE...

Atomic Anesthesia ·

2024/07/14

In this episode, Professor Temmermand and Dr. Thomas Baribeault discuss opioid free anesthetic technique, it's importance, and keys for successful implementation in the surgical patient. Dr. Baribeault founded the Society for Opioid-Free Anesthesia (SOFA) which is a non-profit organization dedicated to education and research on opioid-free anesthesia and post-operative pain management.[SPECIAL DOWNLOAD]: Non-Opioid Analgesics Cheat Sheet[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN

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25:25

OPIOID FREE ANESTHESIA PART I: NON-OPIOID ANALGESICS

Atomic Anesthesia ·

2024/07/07

In this episode, Professor Temmermand discusses key non-opioid analgesics that are key players in delivering multimodal, opioid anesthesia. In this two part series, we lay the foundation to discuss opioid free anesthesia in next week's episode. [SPECIAL DOWNLOAD]: Non-Opioid Analgesics Cheat Sheet[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HEREFollow us on Instagram at: @Atomic_AnesthesiaCheck out our other free

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22:21

UNDERSTANDING VASOPRESSORS: Epinephrine,...

Atomic Anesthesia ·

2024/06/30

In this episode, Rhea and Sachi discuss the most common vasopressors used in the OR, their indications, dose and mechanism of action. [FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HEREFollow us on Instagram at: @Atomic_AnesthesiaCheck out our other free resources at AtomicAnesthesia.com

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