APEX Live Anesthesia

Episode Summary Ding, ding, ding…it's time for Round 4 Q&A! The gloves are on, and we are ready to jump back in the ring for more questions and answers. In this episode, we're going to mix it up a little by answering the other guys' questions…cold turkey…so this should be fun. 😁 This time we focus the questions specifically on cardiovascular and pulmonary physiology. This is one round you won't want to miss…Say what? You got it…Q&A! What You'll Learn ⦁ Evaluate the medications that inhibit hypoxic pulmonary vasoconstriction. ⦁ Examine the factors that affect myocardial oxygenation. ⦁ Discuss the physiologic effects that shift the oxyhemoglobin dissociation curve to the left. ⦁ Explain which inspiratory muscles are used during times of increased ventilatory effort. ⦁ Review the cardiac responses associated with bradycardia. Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com

Episode Summary In this episode we discuss pheochromocytoma. We highlight a clinical case of a patient with an undiagnosed pheochromocytoma, and then we dive into the differential diagnoses, signs and symptoms, preoperative preparation, and intraoperative management of this neuroendocrine tumor. This is one episode that will definitely get your sympathetic nervous system firing!   What You'll Learn Review the pathophysiology of a pheochromocytoma. Discuss the differential diagnosis associated with a pheochromocytoma. Assess the signs and symptoms of an undiagnosed pheochromocytoma. Apply preoperative and intraoperative techniques to adequately manage a patient with a diagnosed pheochromocytoma.   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary We went into the ring and knocked out the first Q & A in episode 25. Because of the overwhelmingly positive feedback, we are back for another round…Say What! In this episode, we'll go over several pharmacology questions that range from medications that affect hypoxic pulmonary vasoconstriction to platelet inhibitors. Along the way, we'll give you tips and suggestions to help dust out the cobwebs and bring that anesthesia knowledge back into the forefront of your mind. So exercise that mind, we are going back into the ring!   Say what? That's right, it's Q & A day!   What You'll Learn     Review the medications that inhibit hypoxic pulmonary vasoconstriction.     Examine the metabolism of cisatracurium.     Discuss the physiologic effects associated with phenylephrine.     Explain the medications contraindicated during malignant hyperthermia.     Review the most appropriate time to stop platelet inhibitors.   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our previous events were a blast! Check out the rest of our 2021 dates in the link below. Click here to learn more.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Anesthesia-induced hypotension is commonly treated with push dose vasopressors. Today we dive into what the newest evidence is showing us about the use of phenylephrine, ephedrine, and norepinephrine IV bolus doses. We talk about cerebral oxygen concentrations and cardiac output when administering these vasopressors and ultimately ask ourselves…should we be less pushy?   What You'll Learn Review usual practice standards for anesthesia-induced hypotension. Discuss the most commonly used push dose vasopressors. Examine the evidence comparing commonly administered vasopressors. Discuss the physiologic consequences of push dose vasopressor use.    Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Our episode today is with the one and only Dr. John Nagelhout PhD, CRNA, FAAN. He is a pharmacology master who has taught thousands of CRNAs over the years. He the creator and has been the primary author of the core nurse anesthesia textbook "NURSE ANESTHESIA" for the last 20 years. Jeremy and Sass have an engaging discussion about his experience as a nurse anesthetist since the 1970's, the story behind his creation of the first and subsequent editions of Nurse Anesthesia, how he came to teach pharmacology to so many CRNAs, his opinion on the greatest strength of a CRNA, and his thoughts on the future of nurse anesthesia. This episode is a treasure you won't want to miss! What You'll Learn An insight on nurse anesthesia through the eyes of a pharmacology grand master. How the core nurse anesthesia textbook "Nurse Anesthesia" was developed. Dr. Nagelhout's thoughts on the future of nurse anesthesia and what exactly is a CRNAs greatest strength. A history of nurse anesthesia since the 1970s. Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference.  Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com  

Episode Summary Over the past several months we've had many CRNAs request a podcast that evaluates answering test questions. Basically, something that helps to dust out the cobwebs and bring that anesthesia knowledge and that question answering expertise back into the forefront of your mind. APEX family…we hear you! In this episode Sass and Jeremy review several multiple choice questions related to anesthesia. The topics range from postoperative visual loss to signs you may see when giving sugammadex. Say what?  That's right, it's Q & A day!   What You'll Learn Determine the signs associated with Sugammadex administration. Examine the physiologic effects of naloxone. Discuss what medications may cause confusion and hyperthermia. Explain an accurate indicator for preoxygenation. Review the factors that contribute to cerebral oxygenation.   Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our previous events were a blast! Check out the rest of our 2021 dates in the link below. www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com

Episode Summary Today we dive into a discussion about Parkinson's disease. We talk about what causes this disease, how it is medically and pharmacologically managed, and most important for CRNAs…what is the best evidence for taking care of patients who have Parkinson's disease. There's no doubt that at some point you will provide anesthesia for these patients and we want to help you, so sharpen those pencils and get ready to take some notes! What You'll Learn Determine the difference between Parkinson's disease and Parkinsonism. Examine how Parkinson's disease is pharmacologically managed. Discuss how Parkinson's disease is non-pharmacologically and surgically managed. Determine evidence-based practices for the perianesthetic management of Parkinson's disease. Review the potential drug interactions and critical events that could occur during the anesthetic management of a patient with Parkinson's disease. Want to Attend an APEX Live Event? We know that you miss going to live events right now - and we do too! That's why we decided to pull out all the stops on our APEX Live Virtual CPC Review Course. By attending virtually, there are no long flights, no rental cars, and no forgetting things at home. You can even show up in your PJs if you'd like! If you want an engaging review for the NBCRNA CPC Exam, with the flexibility to attend virtually, then you came to the right place. Our first event was a blast! Check out our 2021 dates in the link below. www.apexlive.com How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts. Legal Disclaimer APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Podcast music by Eino Toivanen, kongano.com

Episode Summary This is our first interview and we wanted it to be with CRNAs on the front lines of the COVID-19 pandemic who are getting it done! We focus our discussion on the expanding roles of CRNAs within the hospital and within our communities. We talk to retired Navy Commander and veteran clinical coordinator Valerie Sedor CRNA, about her roles in the ICU and ED, and what it's like during this COVID surge. We also talk with author and clinical expert Mark Gabot CRNA, about his experience working as a primary member on the Rapid Airway Response Team. Buckle up, this is a great discussion!       What You'll Learn Discover the expanded role CRNAs are currently taking on in the ICU and ED. Learn about working as a primary provider in Rapid Airway Response Teams. Examine the emotional side of working in these roles and taking on these responsibilities.   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference. We have 6 events scheduled for 2021. We hope to see you there! Learn more at www.apexlive.com   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com  

Episode Summary In this episode of the APEX Live Anesthesia Podcast, we address more of the questions we've received from our listeners. And yes, we do our best to answer these intelligent questions with even more marvelously mediocre answers. It's a fun conversation about random topics that will leave you on the edge of your seat wanting more!   What You'll Learn What are the recommended vasopressors for stenotic and regurgitant valves? Is alpha or beta blockade preferred in a patient with a pheochromocytoma? Which herbal medications influence anticoagulation? Why does bradycardia occur after a spinal anesthetic? What are the complications of a cricothyrotomy and transtracheal jet ventilation?   Want to Attend an APEX Live Event? Get the clarity you need to pass the CPC Exam with ease. Earn 20 Class A credits by attending an APEX Live Virtual Conference. We have 6 events scheduled for 2021. We hope to see you there! Learn more at www.apexlive.com   Episode Sponsor The University of Kansas Health System is committed to creating a culture in which the employees thrive.  We are all living through challenging times and learning how to succeed in our new normal. Rapid growth has given us the opportunity to expand our team. Over the last 5 years our CRNA group has grown from 35 to 100+ and shows no signs of slowing down. We are looking for individuals who align with our style and culture. We are seeking self-starters, critical thinkers and team players. Based in Kansas City, Kansas, with locations throughout the state, the health system has become a staple of the community. A household name in the Kansas City metro area, we value many local partnerships, including with the Kansas City Royals, the Kansas City Chiefs, T-Mobile Center and Kansas Speedway. Please contact [email protected] or [email protected] for more information.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com  

Episode Summary When was the last time you used a cognitive aid in the OR? You probably have some in your OR, albeit they're likely buried in a drawer somewhere. In today's episode, we'll discuss all things related to anesthesia checklists and how they can help you improve patient care.   What You'll Learn Where did anesthesia crisis checklists originate? Do crisis checklists improve performance? Why don't we use crisis checklists more often? What does the current evidence say about anesthesia crisis checklists? Which anesthesia crisis checklists are currently available?   Want to Attend an APEX Live Event? Our first (and only event of 2020) was a blast! We'll announce our 2021 dates soon, so check out www.apexlive.com for details.   Episode Sponsor The University of Kansas Health System is committed to creating a culture in which the employees thrive.  We are all living through challenging times and learning how to succeed in our new normal. Rapid growth has given us the opportunity to expand our team. Over the last 5 years our CRNA group has grown from 35 to 100+ and shows no signs of slowing down. We are looking for individuals who align with our style and culture. We are seeking self-starters, critical thinkers and team players. Based in Kansas City, Kansas, with locations throughout the state, the health system has become a staple of the community. A household name in the Kansas City metro area, we value many local partnerships, including with the Kansas City Royals, the Kansas City Chiefs, T-Mobile Center and Kansas Speedway. Please contact [email protected] or [email protected] for more information.   How Are We Doing? We're here to help you improve your practice, and we want to make sure our content is relevant for you. Click here to share your thoughts.   Legal Disclaimer APEX Anesthesia Review, LLC expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Eino Toivanen, kongano.com