Core Anesthesia

Today, we are discussing how our anesthetic care will be altered for patients with acute renal failure or chronic renal failure. We will begin with a review of the anatomy and physiology of a normal kidney. By understanding its normal function, we can adequately assess the alterations and electrolyte abnormalities that occur in renal failure cases. Join us as we navigate the anesthetic management for these individuals, ensuring their safety and well-being throughout their medical procedures.

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To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In today’s episode, we are exploring a multitude of respiratory diseases, including Obstructive Lung Disease, Restrictive Lung Disease, Upper Respiratory Infections, Acute Respiratory Distress Syndrome, Pulmonary Embolisms, Mediastinal masses, Bronchospasm, & Tension Hemothorax and how they affect our anesthetic care. We’re examining the difference between obstructive and restrictive lung disease and how we should manage our patients accordingly. We’ll talk about some of the various reasons that procedures should be rescheduled and the optimal timeframe for such rescheduling. 

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

We’re back with Part 2 of our Cardiac Complications episode. If you haven't tuned in to Part 1 yet, we highly recommend starting there for full context. In this episode, we'll explore critical topics such as congestive heart failure, cardiovascular collapse, cardiac tamponade, and hypertension.

It's important to note that these subjects are incredibly vast, and while we've condensed our discussion for brevity, there's still a wealth of information to explore. We hope this episode will serve as a valuable resource, aiding in your understanding of patient care amidst these complex disease processes.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In today's episode, we delve into the intricate world of cardiovascular health. We will explore a myriad of complications spanning from within the heart itself to the peripheral vasculature. Our discussion will encompass various vascular diseases, such as carotid artery stenosis and abdominal aortic aneurysms. Throughout the episode, we will dissect the pathophysiology of these conditions, delve into surgical procedures, and examine how our anesthetic approach will be tailored accordingly.

Given the complexity and breadth of these topics, we have divided this episode into two parts. Join us next week as we continue our conversation on congestive heart failure, collapse, cardiac tamponade, and hypertension.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this Care Plan episode, the focus is on total or hemicolectomy procedures and considerations surrounding these surgeries. The discussion goes into the differences between total colectomy and hemicolectomy and their respective indications, whether for conditions like ulcerative colitis, Crohn's disease, or colon cancer.

Anesthesia choices, encompassing laparoscopic or open procedures, are explored, emphasizing the significance of pain management, ERAS protocols, and avoiding complications like anastomotic leaks or ileus. Preoperative considerations are detailed, spanning from bowel rupture scenarios to bowel obstructions, electrolyte imbalances, and the importance of thorough patient assessment.

The episode also touches on anesthetic considerations, emphasizing the avoidance of nitrous oxide, fluid management strategies, and opioid-sparing techniques for pain control.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this Care Plan episode, the focus is on thoracotomies, both open and video-assisted, commonly performed for thoracic or cardiovascular issues. The discussion goes into preoperative considerations, emphasizing optimizing patients' respiratory health and utilizing double-lumen tubes for one-lung ventilation (OLV).

Detailed insights into the challenges posed by patient positioning, the effects of OLV on pulmonary blood flow, and the significance of hypoxic pulmonary vasoconstriction are covered. Anesthetic considerations, including anesthetic choice and ventilation strategies during OLV, are outlined, along with meticulous postoperative care strategies focusing on pain management and chest tube management.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this Care Plan episode, the focus turns to robotic hysterectomies, covering the intricacies and considerations involved in this procedure. The discussion covers the various types of hysterectomies performed, indications, and the advantages of using robotic assistance.

The episode highlights the challenges posed by patient positioning, physiological changes during surgery, and the meticulous care required in maneuvering the robotic equipment. From vigilance for vagal responses to postoperative concerns like bleeding and pain management, the podcast offers a comprehensive guide to navigating the complexities of robotic hysterectomies.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this episode, we're tackling the topic of hypotension and exploring intervention and management strategies. Additionally, we're diving deep into the various types of shock, discussing how treatment approaches differ based on the underlying cause. There's no universal solution; each case requires careful assessment to identify the type of shock and tailor the treatment plan accordingly. Join us as we navigate through the complexities of these conditions and share insights on effective management strategies.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this Care Plan episode, the focus is on total hip replacements, exploring the various considerations involved in this common orthopedic surgery. Preoperative considerations are detailed, emphasizing patient age, activity level, pain management, and the impact of comorbidities like cardiovascular issues.

The episode also dives into anesthesia choices, such as single-shot spinal or general anesthesia, based on patient suitability for regional anesthesia. Special monitoring, blood loss, positioning, and anesthetic considerations, including potential complications like thromboembolism and bone cement implantation syndrome, are thoroughly discussed.

The podcast wraps up with postoperative concerns like nerve injury, bleeding, infection, and urinary retention, shedding light on comprehensive postoperative care for patients undergoing total hip replacements.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected] 

In this Care Plan episode, the focus shifts to radical cystectomies, a procedure typically performed for bladder tumors. Delving into the complexities of an open approach, the discussion navigates through preoperative considerations, anesthetic types, and specific considerations for intraoperative care.

From assessing patients' health post-chemotherapy to monitoring blood loss and postoperative complications like ileus, the episode emphasizes minimizing opioids and utilizing multimodal anesthesia for optimal patient outcomes.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

Support the show

To access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play.

Want to connect? Check out our instagram or email us at [email protected]