In this episode featuring Jeremy Heiner (Editor of the Nurse Anesthesia textbook), we dive into rapid-fire differential diagnosis and crisis management, tackling some of the most intense and high-stakes scenarios nurse anesthesia providers can face. From airway fires and venous air embolisms to anaphylaxis, malignant hyperthermia, and local anesthetic systemic toxicity, we break down ten real-time clinical situations, analyzing clues, discussing pathophysiology, and outlining critical management strategies. Whether you're a student learning to recognize subtle cues or a provider refining your response to emergencies, this episode sharpens your diagnostic instincts and clinical confidence. We also share practical insights on using crisis checklists, decision-making under pressure, and leading in high-stress OR environments. Stick around to the end to hear our breakdown of a tricky intraoperative myocardial infarction scenario—a case that might just change how you handle hemodynamic instability during surgery. You’ll walk away better prepared for the unexpected.

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In this episode, we dive deep into the basics of anesthesia pharmacology—perfect for ICU nurses starting CRNA school or senior residents needing a solid refresher. We break down foundational topics like pharmacodynamics, pharmacokinetics, and pharmacogenomics, and explain why understanding physiology is key to mastering pharmacology. You’ll learn about drug targets like GABA and NMDA receptors, and the real mechanisms behind anesthetics, opioids, local anesthetics, and muscle relaxants. We also walk through “top drawer drugs” in the OR, including quick quizzes to reinforce your understanding of real-time drug decisions—like when to choose ephedrine over phenylephrine. This is a science-heavy episode, but one that sets the groundwork for more advanced content.

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In this episode, Rhea Temmermand and Jeremy Heiner (editor of the Nagelhout Nurse Anesthesia textbook) dive deep into the under-discussed but vital topic of cognitive aids and crisis checklists in anesthesia. You'll learn how tools like the Stanford Emergency Manual and the Nurse Anesthesia Crisis Checklists can sharpen clinical decision-making during high-stress scenarios like anaphylaxis or hypotension. The episode explores how our brains make decisions under pressure, the difference between intuitive and deliberate thinking (System 1 vs. System 2), and how to develop better clinical heuristics. Plus, they walk through a real-world case of intraoperative anaphylaxis, using a step-by-step cognitive framework to manage the crisis. Stay tuned to the end to discover a powerful breathing technique Navy SEALs use that can also help anesthesia providers stay calm and focused under pressure.

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In this episode of "Resident's Corner," we discuss the universal challenge of falling behind in didactics, particularly in demanding programs like CRNA school. Our anonymous resident shares her personal insights on recognizing the problem, managing overwhelm, and strategies for getting back on track. From creating concise calendars and prioritizing study time to adopting a mindset that treats quizzes like finals, we explore practical tools for recovery. We also discuss the emotional struggles of being behind, the importance of dedication and discipline, and how to prevent future setbacks by working ahead and embracing the learning journey. Tune in for a relatable and actionable conversation that will help you stay focused and motivated throughout your academic journey.

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PART 2/2: In this must-listen episode, Professor Temmermand shares strategies for thriving during clinical rotations. Transitioning from didactics to clinicals can be challenging, so in this live webinar replay, we outline what to expect when beginning this new phase of your training, provide tips for success, and explore how to navigate this challenging but exciting phase of your journey.

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PART 1/2: In this must-listen episode, Professor Temmermand shares strategies for thriving during clinical rotations. Transitioning from didactics to clinicals can be challenging, so in this live webinar replay, we outline what to expect when beginning this new phase of your training, provide tips for success, and explore how to navigate this challenging but exciting phase of your journey.

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This episode details a comprehensive study plan designed to help nurse anesthesia residents prepare for the Self-Evaluation Examination (SEE) and the National Certification Examination (NCE) for CRNAs. We discuss a detailed 24-week schedule, study tips, healthy habits, and exam prep strategies. The plan outlines specific topics from the NCE outline to cover each week, along with recommended resources and textbook chapters. It also emphasizes the importance of self-reflection, consistent study habits, and maintaining a healthy lifestyle to reduce test-taking anxiety and prevent burnout.

Download the plan below to follow along this episode!

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In this mini-episode, Dr. Becky Motykiewicz, a pediatric CRNA specializing in cardiac anesthesia, unpacks the fascinating anatomical and physiological differences between pediatric and adult patients that make pediatric anesthesia a unique specialty. From the neonate's HR-dependent cardiac output and immature baroreceptor reflex to the challenges of managing a smaller, more compliant airway, this episode highlights the critical nuances of caring for young patients. Dr. Motykiewicz also discusses the underdeveloped CNS, immature liver and kidney functions, and the heightened metabolic demands of pediatric patients—all of which require precise dosing and proactive management. Whether you're a student or a seasoned provider, this episode offers valuable insights into the art and science of pediatric anesthesia.

To contact Dr. Becky Motykiewicz for questions or to request new pediatric topics, email her at: [email protected]

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This episode explores starting and managing an anesthesia group, featuring James and Kendra Stockman, founders of Grasshopper Anesthesia Services. We not only explain the "how to" of creating your own group, but also we examine the benefits of joining a CRNA-owned group for those not yet ready to start their own, drawing from the Stockmans' extensive experience in rural and outpatient settings. James, a Texas Wesleyan University graduate with expertise in regional anesthesia and chronic pain management, and Kendra, a Newman University alumna specializing in outpatient and vascular anesthesia, share insights on various aspects of running an anesthesia business. Topics covered include securing contracts, choosing the right business structure, navigating billing and insurance enrollment, staffing considerations, malpractice insurance, quality assurance reporting, and strategies for business growth and development. This comprehensive discussion offers valuable guidance for CRNAs considering entrepreneurship in the field of anesthesia management.

Want to get in touch with James & Kendra? Check out their website: GRASSHOPPER ANESTHESIA SERVICES

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Facebook and instagram handles grasshopperanesthesia

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In this episode, we dive into the essential topic of time management for CRNA students, featuring a live recording from a recent webinar. Navigating the rigorous demands of advanced doctoral-level education can be overwhelming, but effective time management is the key to balancing academic, clinical, and personal responsibilities. We explore common challenges like procrastination, distractions, and multitasking, and discuss actionable strategies such as time blocking, prioritization techniques, and leveraging digital tools. You'll learn how to break down large tasks, set SMART goals, and establish healthy boundaries to prevent burnout. Whether you're struggling to stay organized or looking to optimize your routine, this episode offers practical tips and resources to help you thrive in CRNA school and beyond.

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