Atomic Anesthesia

Jaksot

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  VASODILATORS IN THE OR: WHEN THE PRESSURE NEEDS TO DROP NOW │ EP113 11.09.2026 11min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:The three mechanism buckets every OR vasodilator falls into — nitric oxide donors, calcium channel blockers, alpha antagonists — and why the bucket tells you the side effect profile before you ever look up the drugThe full NO → cGMP → PKG → smooth muscle relaxation cascade behind nitroglycerin and nitroprusside, and why one drops preload while the other balanced-dilatesCyanide toxicity and coronary steal with nitroprusside — when to use it, when to cap it, and when to pick something elseClevidipine vs nicardipine vs hydralazine — which drug fits which case, and why hydralazine is falling out of favor for tight OR controlControlled hypotension for neuro cases, afterload management in cardiac surgery, and hypertensive emergencies including aortic dissection and pheochromocytoma💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.GPCR Cheat Sheet — The G-protein coupled receptor mechanisms behind the alpha antagonists, beta blockers, and signaling pathways that show up in every OR vasodilator conversation.SEE/NCE Study Plan — A structured plan to help you prepare for the SEE and NCE without burning out — hypertension treatment is a high-yield topic.Non-Opioid Pharmacology Cheat Sheet — Propofol, ketamine, dexmedetomidine, and the rest of the non-opioid sedation toolkit on one page.💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.💜 PARTNERS: The Incomologists®https://theincomologists.com/You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])
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  DECODING DEXAMETHASONE'S ANTIEMETIC EFFECT (MECHANISM EXPLAINED) │ EP112 08.09.2026 22min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Exactly how PONV happens in the brain, no vague "vomiting center" hand wavingAll 5 real mechanisms behind how dexamethasone actually stops nausea and vomitingThe practical dosing, timing, and combination strategy that gets the best PONV preventionReferences:Chu CC, Hsing CH, Shieh JP, Chien CC, Ho CM, Wang JJ. The cellular mechanisms of the antiemetic action of dexamethasone and related glucocorticoids against vomiting. Eur J Pharmacol. 2014;722:48-54.Horn CC, Wallisch WJ, Homanics GE, Williams JP. Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting. Eur J Pharmacol. 2014;722:55-66.Ho CM, Wu HL, Ho ST, Wang JJ. Dexamethasone prevents postoperative nausea and vomiting: benefit versus risk. Acta Anaesthesiol Taiwan. 2011;49(3):100-104.💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  THE DIFFICULT AIRWAY ALGORITHM, STEP-BY-STEP │ EP111 04.09.2026 19min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:The three decisions that shape every airway plan: awake or asleep, noninvasive or invasive, and preserve or ablate spontaneous ventilationThe most important fork in the algorithm, can you oxygenate or not, and how it sends you down the non-emergency pathway or the emergency pathwayManaging the cannot intubate, cannot oxygenate crisis, including front-of-neck access and the scalpel-bougie-tube technique💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  10 HIGH-YIELD SEE/NCE BOARD QUESTIONS EXPLAINED │ EP110 01.09.2026 26min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Ten challenging SEE/NCE board questions, one from every corner of the NBCRNA blueprint, each read in full board style with a breakdown of why the right answer wins and why every distractor was built to fool youHigh-yield pharmacology and physiology traps, including Hofmann elimination for the organ-failure patient, shifting the oxyhemoglobin dissociation curve, and the MAC family from MAC-awake to MAC-BARThe clinical-reasoning questions that show up at the bedside, from autonomic hyperreflexia and infant bradycardia to coronary perfusion pressure and reading the capnograph waveformA local anesthetic maximum-dose calculation and a full walk-through of recognizing and treating local anesthetic systemic toxicity💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  PREECLAMPSIA AND THE OB PATIENT: PATHOPHYSIOLOGY THAT SAVES LIVES │ EP109 21.08.2026 10min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:The cardiovascular, pulmonary, renal, and coagulation changes of normal pregnancy you need to know before you can recognize what's broken in preeclampsiaWhy preeclampsia is fundamentally a placenta problem that becomes a vascular endothelium problem — sFlt-1, soluble endoglin, VEGF neutralization, and the cascade that drives every symptomHELLP syndrome — microangiopathic hemolysis, hepatic involvement, and how it changes your anesthetic planMagnesium sulfate pharmacology — NMDA antagonism, the dosing regimen, toxicity ladder, and why you must cut your non-depolarizing NMB dose by 30 to 50 percentNeuraxial vs general anesthesia in the severe preeclamptic — when neuraxial is safe, how to manage platelet thresholds, and how to blunt the catecholamine surge of laryngoscopy when general is unavoidable💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — OB pharm and physiology is high-yield on the exam — this plan tells you exactly where it fits in your prep timeline.Non-Opioid Pharmacology Cheat Sheet — Multimodal pain management options including the non-opioids that show up in OB anesthesia plans.GPCR Cheat Sheet — The receptor pharmacology behind the pressors and antihypertensives you'll be running on these patients.💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.💜 PARTNERS: The Incomologists®https://theincomologists.com/You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])
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  CRNA WORKFORCE CHANGES: DO THESE THINGS TO LAND YOUR PERFECT JOB │ EP108 14.08.2026 18min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why the anesthesia staffing shortage has created one of the strongest job markets ever for new CRNAsWhat chief CRNAs are actually looking for during interviews and how to stand out as a candidateHow to evaluate your first CRNA job based on pay, location, flexibility, autonomy, and most importantly, cultureWhy you have more leverage than you think when choosing a job, plus one simple interview strategy that can make you unforgettableTo contact Braden Clark, CRNA you can email him at: [email protected]💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.
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  REGIONAL ANESTHESIA 101: BLOCKS EVERY CRNA SHOULD KNOW │ EP107 13.08.2026 14min

  Regional anesthesia is one of the highest-yield, most heavily tested areas on the boards, but most review content buries the clinically useful details under anatomy that never gets asked. This episode breaks down the brachial plexus approaches boards actually tests, the truncal and lower extremity blocks showing up in modern multimodal protocols, and the complication patterns examiners use as answer traps.In this episode:The four brachial plexus approaches and why phrenic nerve risk drops as you move from interscalene to axillaryWhy adductor canal block has replaced femoral nerve block for TKA, and the volume myths that trip up test-takersThe LAST risk hierarchy by injection site, and the Exparel interaction rules boards loves to testFREE RESOURCES:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boardsGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia.Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageMalignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page referenceWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.
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  THE 5 OPIOIDS YOU ACTUALLY USE IN THE OR │ EP106 07.08.2026 13min

  Understanding opioid selection in the OR is all about recognizing pharmacokinetics and how they align with surgical needs and patient factors, rather than focusing solely on receptor effects. This episode explores the five opioids you use most—morphine, fentanyl, sufentanil, remifentanil, and hydromorphone—and offers a framework for choosing optimally among them.Opioid receptor mechanisms and their clinical outcomesLipid solubility's role in opioid kineticsPharmacokinetics of morphine, fentanyl, sufentanil, remifentanil, and hydromorphoneManaging side effects like respiratory depression and opioid-induced hyperalgesiaGuidelines for opioid selection based on case specifics and patient renal functionResourcesAtomic Anesthesia Platform — In-depth lessons and quizzes on each opioid.FREE RESOURCE FOR THIS EPISODE:GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.MORE FREE STUDY RESOURCES:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageMalignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page referenceWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  COMPLEX I, SEVOFLURANE, AND THE VENEZUELAN MITOCHONDRIAL VARIANT │ EP105 31.07.2026 13min

  A recently identified genetic mutation, passed down on the maternal line, can cause otherwise healthy patients to develop severe and often permanent neurological injury after routine sevoflurane exposure. This episode breaks down the underlying mitochondrial mechanism, why TIVA with propofol is the safer anesthetic strategy, and the family history red flags every provider should be screening for.A newly identified genetic mutation that turns routine sevoflurane exposure into catastrophic, permanent neurological injuryThe mitochondrial mechanism behind it, and why some patients have zero reserve capacity to absorb the hitWhy TIVA with propofol becomes the clear anesthetic choice once you understand what spares Complex ISource: Sanz-Pons J, et al. "Effects of a Mitochondrial Genetic Variant on Sevoflurane Hypersensitivity." Anesthesiology 2026;144:1286–98.FREE RESOURCE FOR THIS EPISODE:GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.MORE FREE STUDY RESOURCES:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageMalignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page referenceWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  PROPOFOL: THE DRUG YOU THINK YOU KNOW │ EP104 28.07.2026 12min

  Propofol, a cornerstone in anesthesia practice, functions as a positive allosteric modulator at the GABA-A receptor. This episode explores its receptor pharmacology, the mechanisms behind its dose-dependent clinical effects, and addresses common questions like propofol infusion syndrome and pain on injection.Receptor pharmacology and allosteric modulationPharmacokinetics and context-sensitive half-timeCardiac and respiratory effectsRisk and management of propofol infusion syndromeHandling egg allergy concernsStrategies to reduce pain on injectionFREE RESOURCE FOR THIS EPISODE:GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Head to atomicanesthesia.com/freebies/gpcr-cheat-sheet to grab it free.MORE FREE STUDY RESOURCES:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageMalignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page referenceWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  HIGH & TOTAL SPINAL: THE EARLIEST SYMPTOMS YOU'LL NEED TO KNOW FOR BOARDS │ EP103 23.07.2026 14min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:The critical distinction between high spinal and total spinal that everyone can define but few can actually tell apartWhy a negative aspiration on a labor epidural doesn't guarantee the catheter isn't sitting in CSFThe board favorite scenario where a spinal stacked on a failed epidural top off becomes one of the highest risk setups for total spinalWhy blood pressure stays normal in over half of total spinal cases and what the earliest reliable warning sign really is💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  THE STUDENT-PRECEPTOR RELATIONSHIP: WHAT TO EXPECT, HOW TO THRIVE, AND WHAT ACTUALLY MATTERS (PART 2) │ EP102 20.07.2026 29min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Jake and Alex discuss The non-clinical conversations every preceptor should be having, including finances, the post-graduation credentialing gap, and disability insuranceWhy student wellbeing directly affects learning and the small ways preceptors can protect itThe difference between the right way, the wrong way, and just your wayWhy precepting is the highest-leverage thing you do as a CRNA and how one tip can ripple through generations of providers💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  THE STUDENT-PRECEPTOR RELATIONSHIP: WHAT TO EXPECT, HOW TO THRIVE, AND WHAT ACTUALLY MATTERS (PART 1) │ EP101 16.07.2026 41min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Jake and Alex discuss the most important relationship in CRNA school and why the transition to preceptor happens before most new grads feel readyHow to set the right tone from day one, give students an appropriate leash, and know when to step inWhy letting students safely get into trouble is more powerful than telling them what not to doHow to deliver honest, constructive feedback, including praise in public, correction in private, and debriefs that students lead themselves💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  THE BIGGEST THING HOLDING YOU BACK (PSST...ITS NOT YOUR TALENT) │ EP100 14.07.2026 25min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why your biggest limitation is often your mindset, not your intelligence, work ethic, or backgroundHow to build real confidence through action, overcome self-doubt, and break through limiting beliefsWhy thinking bigger, embracing bold goals, and challenging your own ceiling creates new opportunitiesHow true success is measured by the impact you have on others and using your achievements to elevate your community💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.💜 PARTNERS: The Incomologists®https://theincomologists.com/You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])
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  MECHANICAL VENTILATION MODE BASICS EVERY SRNA/NAR SHOULD KNOW │ EP99 07.07.2026 26min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:The major ventilation modes used on anesthesia machines, including volume control, pressure control, PCV-VG, and pressure support ventilationHow each mode works, what it guarantees, and the key advantages and limitations of eachHow to choose the right mode for common OR scenarios like obesity, laparoscopic surgery, Trendelenburg positioning, and LMA casesPractical ventilation pearls, including lung-protective tidal volumes, PEEP, airway pressures, and recognizing changes in pulmonary complianceA simple framework for understanding any ventilator mode without memorizing manufacturer-specific names or buttons💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  YOUR COPD PATIENT IS ON THE TABLE - NOW WHAT? │ EP98 16.06.2026 21min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why COPD is more than a lung problem — how alveolar destruction, V/Q mismatch, and cor pulmonale connect at the bedsideHow to ventilate a COPD patient intraoperatively: I:E ratios, PEEP strategy, and avoiding auto-PEEPThe pharmacology of bronchodilators — LABAs, LAMAs, and inhaled corticosteroids — and which ones to continue on the day of surgeryAnesthetic agent selection for reactive airways: why volatile agents help, why nitrous oxide doesn't, and when to consider TIVAPostoperative priorities: extubation to NIV, oxygen titration in CO2 retainers, and preventing reintubation💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  SEVOFLURANE, ISOFLURANE, DESFLURANE: WHICH ONE AND WHEN? │ EP97 09.06.2026 30min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why desflurane needs its own specialized Tec 6 vaporizer (and what its 22.8°C boiling point means for safe delivery)The four inhalational agents you need to know cold — sevoflurane, isoflurane, desflurane, nitrous oxide — with MAC values, blood:gas coefficients, and clinical trade-offsHow coronary steal actually works with isoflurane, and when it matters at the bedsideThe second gas effect explained at the alveolar level: concentrating effect + augmented inflowCompound A, carbon monoxide, methionine synthase inhibition — the metabolic pitfalls each agent brings to a caseTailoring agent choice for pediatric, geriatric, pregnant, neuro, and cardiac patients💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesiaSEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page💜 CONNECT: 📥 Email questions, comments or topic suggestions to Dr. Temmermand at [email protected], follow us on social media, and sign up for our newsletter.💜 PARTNERS: The Incomologists®https://theincomologists.com/You work hard caring for others—let us take care of you. Whether you're a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That's where we step in.Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we're a partner you can rely on, today and in the future.We evaluate all available options and resources in the market to protect our clients, so contact us, and we'll get started! — Jake Bevilacqua, CRNA ([email protected])FREE RESOURCE FOR THIS EPISODE:SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards. Head to atomicanesthesia.com/freebies/see-nce-study-plan to grab it free.MORE FREE STUDY RESOURCES:Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesiaWANT THE FULL PLATFORM?Atomic Anesthesia is the all-in-one study platform built specifically for SRNAs — lessons, quizzes, flashcards, and more. Start your free trial at atomicanesthesia.com.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  STAYING COOL UNDER PRESSURE: LESSONS FROM A FLIGHT PARAMEDIC │ EP96 05.06.2026 53min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA educators Rhea Temmermand and Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Introduction to our new partners, Jake & John, from the IncomologistsLessons from John's experience as a flight paramedic that we can all apply to crisis management for anesthesia practice💜 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 Sachi & Rhea at [email protected], follow us on social media, and sign up for our newsletter.[NEWSLETTER SIGN-UP] [INSTAGRAM] [TIKTOK] [YOUTUBE]Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  WORLD CONGRESS OF NURSE ANESTHETISTS: WHAT I LEARNED IN THE DOWN UNDER │ EP95 20.05.2026 23min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Atomic Anesthesia platform 2.0 updates, including faster performance and new study features.Highlights from the World Congress of Nurse Anesthetists in BrisbaneOverview of International Federation of Nurse Anesthetists and global nurse anesthesia standards at IFNA.orgReflections on global anesthesia practice, patient safety, and international collaboration.💜 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 [email protected], follow us on social media, and sign up for our newsletter.[NEWSLETTER SIGN-UP] [INSTAGRAM] [TIKTOK] [YOUTUBE]Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])
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  XENOTRANSPLANTATION: THE END OF ORGAN SHORTAGE? │ EP94 20.04.2026 11min

  Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Xenotransplantation is becoming clinically real, using genetic engineering to allow pig organs to function in humansRecent cases, including 271 days of pig kidney support, show potential as a bridge to human transplantKey challenges include chronic rejection, coagulation mismatch, and evolving immunosuppressionFor anesthesia, these patients bring unstable physiology, unpredictable hemodynamics, and increasing clinical relevance💜 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 [email protected], follow us on social media, and sign up for our newsletter.[NEWSLETTER SIGN-UP][INSTAGRAM] [TIKTOK] [YOUTUBE]Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])