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.com

In this episode:

• The critical distinction between high spinal and total spinal that everyone can define but few can actually tell apart
• Why a negative aspiration on a labor epidural doesn't guarantee the catheter isn't sitting in CSF
• The board favorite scenario where a spinal stacked on a failed epidural top off becomes one of the highest risk setups for total spinal
• Why 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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/

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.com

In this episode:

• Jake and Alex discuss The non-clinical conversations every preceptor should be having, including finances, the post-graduation credentialing gap, and disability insurance
• Why student wellbeing directly affects learning and the small ways preceptors can protect it
• The difference between the right way, the wrong way, and just your way
• Why 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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/

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.com

In 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 ready
• How to set the right tone from day one, give students an appropriate leash, and know when to step in
• Why letting students safely get into trouble is more powerful than telling them what not to do
• How 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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/

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.com

In this episode:

• Why your biggest limitation is often your mindset, not your intelligence, work ethic, or background
• How to build real confidence through action, overcome self-doubt, and break through limiting beliefs
• Why thinking bigger, embracing bold goals, and challenging your own ceiling creates new opportunities
• How 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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])

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.com

In this episode:

• The major ventilation modes used on anesthesia machines, including volume control, pressure control, PCV-VG, and pressure support ventilation
• How each mode works, what it guarantees, and the key advantages and limitations of each
• How to choose the right mode for common OR scenarios like obesity, laparoscopic surgery, Trendelenburg positioning, and LMA cases
• Practical ventilation pearls, including lung-protective tidal volumes, PEEP, airway pressures, and recognizing changes in pulmonary compliance
• A 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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/

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.com

In this episode:

• Why COPD is more than a lung problem — how alveolar destruction, V/Q mismatch, and cor pulmonale connect at the bedside
• How to ventilate a COPD patient intraoperatively: I:E ratios, PEEP strategy, and avoiding auto-PEEP
• The pharmacology of bronchodilators — LABAs, LAMAs, and inhaled corticosteroids — and which ones to continue on the day of surgery
• Anesthetic agent selection for reactive airways: why volatile agents help, why nitrous oxide doesn't, and when to consider TIVA
• Postoperative 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 boards
• Non-Opioid Pharmacology Cheat Sheet — every non-opioid analgesic you need to know, one page
• GPCR 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/

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.com

In 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-offs
• How coronary steal actually works with isoflurane, and when it matters at the bedside
• The second gas effect explained at the alveolar level: concentrating effect + augmented inflow
• Compound A, carbon monoxide, methionine synthase inhibition — the metabolic pitfalls each agent brings to a case
• Tailoring 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 anesthesia
• SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
• Non-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 page

GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia

WANT 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/

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.com

In this episode:

• Introduction to our new partners, Jake & John, from the Incomologists
• Lessons 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/

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.com

In this episode:

• Atomic Anesthesia platform 2.0 updates, including faster performance and new study features.
• Highlights from the World Congress of Nurse Anesthetists in Brisbane
• Overview of International Federation of Nurse Anesthetists and global nurse anesthesia standards at IFNA.org
• Reflections 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/

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 humans
• Recent cases, including 271 days of pig kidney support, show potential as a bridge to human transplant
• Key challenges include chronic rejection, coagulation mismatch, and evolving immunosuppression
• For 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/