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PODCAST

Anesthesia Patient Safety Podcast

Anesthesia Patient Safety Foundation

The official podcast of the Anesthesia Patient Safety Foundation (APSF) is hosted by Alli Bechtel, MD, featuring the latest information and news in perioperative and anesthesia patient safety. The APSF podcast is intended for anesthesiologists, anesthetists, clinicians and other professionals with an interest in anesthesiology, and patient safety advocates around the world.The Anesthesia Patient Safety Podcast delivers the best of the APSF Newsletter and website directly to you, so you can listen on

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All Episodes

21:33

#301 Pro-Social Operating Rooms

Anesthesia Patient Safety Podcast ·

2026/04/07

Work stress doesn’t come only from long days and hard cases in the operating room. It also comes from the invisible rules a team lives by: who gets heard, how conflicts get handled, what “efficiency” really means, and whether anyone feels safe enough to speak up. We take on operating room culture change through the lens of pro-social behavior and explain why small, voluntary actions like cooperation, gratitude, and direct support can translate into lower burnout, clearer communication, and stronger

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15:36

#300 Pro-Social Teams: Safer, Faster, Kinder

Anesthesia Patient Safety Podcast ·

2026/03/31

The fastest way to make an operating room feel unsafe isn’t a broken monitor, it’s a team that stops acting like a team. We dig into pro-social behavior: the small, voluntary actions that support other people and the group, including kindness, cooperation, and gratitude, and why these behaviors can lower cognitive load, strengthen communication, and improve anesthesia patient safety when the schedule gets tight and the stakes are high.We share highlights from the February 2026 APSF Newsletter

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16:28

#299 Cannabis And Anesthesia

Anesthesia Patient Safety Podcast ·

2026/03/24

Cannabis has gone mainstream, but perioperative risk has not improved. THC products are far more potent than they were decades ago, emergency room visits are climbing, and many patients still walk into surgery thinking that it’s safe. We want anesthesia professionals to have a clearer, evidence-informed way to think about cannabis and anesthesia before the next case. We open the latest APSF newsletter feature article, “Cannabis and Anesthesia,” and bring in author Trisha Meyer to frame why this

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17:38

#298 New APSF Brain Health Guidance For Older Adults

Anesthesia Patient Safety Podcast ·

2026/03/17

Postoperative delirium is one of the most common adverse events after surgery for older adults, and it can change a patient’s recovery, independence, and quality of life. We take a practical, evidence-focused look at what anesthesia teams can actually do to support perioperative brain health, using the latest recommendations from the APSF Brain Health Patient Safety Advisory Group.We walk through the four questions clinicians keep asking at the bedside. First, does intraoperative hypotension drive

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14:38

#297 From OR To ICU: How Checklists And Clean Hands...

Anesthesia Patient Safety Podcast ·

2026/03/10

Transfers don’t have to feel like controlled chaos. We break down how to move a critically ill patient from the OR to the ICU with confidence by pairing structured handoffs with disciplined infection prevention—so information moves seamlessly while pathogens hit a dead end.We start by revisiting the ICU’s influence on anesthesia practice through the story of ARDS and lung-protective ventilation. The shift to 6 ml/kg ideal body weight didn’t just save lungs in the unit; it reshaped intraoperative

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19:25

#296 How We Build Safer Anesthesia Teams, One Trainee...

Anesthesia Patient Safety Podcast ·

2026/03/03

A small air bubble, a missed monitor cue, a late call for help—tiny moments that can change everything. We sit down with Dr. Max Feinstein to unpack how real-world anesthesia education builds safer clinicians, why attention is our most precious resource, and how culture—not heroics—prevents harm. From clear talk about morbidity and mortality to practical tactics like just-in-time simulation and curated literature, we map out a grounded approach to training that sticks under pressure.For new

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21:14

#295 From OR To YouTube: What Happens When Patient...

Anesthesia Patient Safety Podcast ·

2026/02/24

Curiosity can change a career—and a field. We sit down with pediatric cardiac anesthesiologist and creator Dr. Max Feinstein to trace how a love of ethics, a pandemic schedule, and a phone camera evolved into a mission to make anesthesia safer through clear, accessible education. From the first CA1 walk throughs to high-stakes cardiac cases, Max explains how video demystifies monitors, medications, and moments that raise anxiety for patients and challenge new clinicians.We dig into the roots of

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19:26

#294 From Video Laryngoscopy To ECMO: What Keeps...

Anesthesia Patient Safety Podcast ·

2026/02/17

When air meets uncertainty, judgment matters most. We dig into the evolving landscape of airway management where video laryngoscopy, supraglottic devices, and even ECMO promise better outcomes, yet cognitive errors and non‑OR settings still account for many of the most devastating events. Drawing on recent studies, malpractice claims, and national audits, we map the pressure points that turn a difficult intubation into a crisis and show how to defuse them with clearer plans, tighter teamwork, and

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15:49

#293 Reimagining Anesthesia With AI, Wearables, And...

Anesthesia Patient Safety Podcast ·

2026/02/10

What if the anesthesia workstation could see trouble coming and stop it before it starts? We explore how anesthesia moves from reactive to predictive by blending AI, medical-grade wearables, and closed loop systems with a strong safety culture. The story of Alex—a 75-year-old who developed postoperative delirium and fell—anchors the stakes and shows how early signals, if recognized and acted on, can change a life.We break down practical uses of machine learning in the perioperative space:

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17:36

#292 Forty Years Of Obstetric Anesthesia Progress And...

Anesthesia Patient Safety Podcast ·

2026/02/03

Maternal safety has never mattered more, and the stakes span far beyond the delivery room. We revisit four decades of progress in obstetric anesthesia—from safer neuraxial techniques and airway strategies to medication safeguards—and then get honest about what still puts patients at risk. With author insights and frontline examples, we connect the dots between evidence, teamwork, and the lived experience of childbirth to show where anesthesia can lead meaningful change.Rising patient complexity

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15:12

#291 Managing Anesthesia Risks for Patients with...

Anesthesia Patient Safety Podcast ·

2026/01/27

A cocaine-positive patient rolls into the OR and the monitors look fine—until twenty minutes after induction, when the blood pressure plummets. We unpack that swing from sympathetic surge to sudden crash through two real cases: an emergent trauma laparotomy complicated by asystole and a chronic intranasal user with profound hypotension that only responded to direct-acting vasopressors. From there, we connect the dots to the pharmacology that makes these events predictable and, with the right plan,

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17:02

#290 From Blind Needles To Ultrasound: The Safety...

Anesthesia Patient Safety Podcast ·

2026/01/20

A remarkable safety story runs through regional anesthesia, from the era of blind needle placement to a modern practice guided by real-time ultrasound, lipid rescue, and reliable team checklists. We walk through the key milestones that cut complications, accelerated block onset, and lowered conversion to general anesthesia, while keeping a clear eye on the hazards that remain. Along the way, we explain how a simple seven-point timeout helps prevent wrong-sided blocks and why ultrasound has reshaped

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20:07

#289 Forty Years Of Anesthesia Medication Safety:...

Anesthesia Patient Safety Podcast ·

2026/01/13

A single syringe swap should never decide a patient’s fate. We pull back the curtain on forty years of anesthesia medication safety to show what truly works—then tackle the hard part: getting proven safeguards into every OR, every time. From look-alike vial hazards to standardization that actually sticks, this conversation blends frontline realities with practical steps leaders can implement now.We dig into the high-stakes TXA wrong-drug, wrong-route crisis and explain why eliminating vials and

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19:19

#288 Forty Years Of Perioperative Medication Safety...

Anesthesia Patient Safety Podcast ·

2026/01/06

Seconds define outcomes in the OR, and medication safety lives in those seconds. We take you inside four decades of work by the Anesthesia Patient Safety Foundation to show how our field shifted from relying on vigilance to building systems that make the right action the easy action. Along the way, guest contributor, Dr. Elizabeth Rebello, shares why standardization, technology, and culture are not buzzwords but lifelines when a single clinician must select, prepare, and administer drugs under

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29:08

#287 A New Era For PONV: Safety, Guidelines, And...

Anesthesia Patient Safety Podcast ·

2025/12/30

Nausea shouldn’t be the most memorable part of surgery. We take a clear, evidence-based look at postoperative nausea and vomiting, from identifying who’s at risk to building smarter prophylaxis bundles and choosing the right rescue when prevention falls short. With guest insights from Dr. Connie Chung, we unpack the Fourth Consensus Guidelines, translate them into practical workflows, and explore how Amisulpride—an atypical D2 antagonist—changes the game with an FDA indication for rescue after

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21:02

#286 Pediatric Anesthesia Safety: Past Gains, Next...

Anesthesia Patient Safety Podcast ·

2025/12/23

Safety for children under anesthesia shouldn’t depend on luck or location. We walk through 100+ years of progress in pediatric anesthesia and focus on the next wave of innovations that can make first attempts safer, dosing smarter, and systems more reliable—especially for neonates and infants who face the highest risk.We start with the historical milestones that changed outcomes: pulse oximetry, capnography, standardized monitoring, and the rise of pediatric training and ICUs. Then we examine where

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62:20

#285 Safer Smiles

Anesthesia Patient Safety Podcast ·

2025/12/16

A routine dental visit should never turn into a medical emergency. We sit down with Dr. Rita Agarwal, pediatric anesthesiologist and patient safety advocate, to unpack why dental anesthesia operates on a separate track from hospital-based care—and how that gap can put patients at risk. From the heartbreaking story of six-year-old Caleb Sears to the hard truths about monitoring requirements, staffing models, and training, this conversation brings clarity to a topic most families and many clinicians

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62:44

#284 Safer C-Section Pain Control with Ruth Landau, MD

Anesthesia Patient Safety Podcast ·

2025/12/09

The fastest way to improve post-cesarean recovery is to start before the first incision—by setting expectations, testing the block, and validating what patients feel. We sit down with Dr. Ruth Landau, Virginia Apgar Professor and Chief of Obstetric Anesthesia at Columbia University, to map a safer path from the OR to the nursery: neuraxial-first analgesia, scheduled non-opioids, and small, truly PRN opioid prescriptions at discharge. She explains how intrapartum cesareans carry higher risk for

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28:38

#283 How To Plan, Induce, And Recover Patients With...

Anesthesia Patient Safety Podcast ·

2025/12/02

Anterior mediastinal masses make even seasoned anesthesiologists pause, and for good reason: a stable, upright patient can decompensate with a single change in position or a single dose of the wrong drug. We walk through a clear, stepwise approach that starts with anatomy and symptom red flags, then translates imaging, echocardiography, and pulmonary function testing into real-world decisions at the bedside. The focus stays practical: how to pick the safest setting, when to avoid general anesthesia,

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14:53

#282 Building Safer Anesthesia Teams In A...

Anesthesia Patient Safety Podcast ·

2025/11/25

Ever walked into a new OR and spent the first ten minutes hunting for an airway bougie or a computer log-in that actually works? We dig into the hidden safety risks of a transient anesthesia workforce and share practical, fast-moving fixes that keep patients safe while keeping rooms open. With staffing shortages reshaping coverage models across the United States and beyond, locum clinicians are essential—but inconsistent environments, unclear escalation paths, and fragmented communication can turn

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