APEX Live Anesthesia

By APEX Live

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Description

Practical anesthesia knowledge and wisdom for CRNAs by CRNAs.

Episode Date
4. Aspiration, RSI, and Cricoid Pressure Controversies
57:53

In this episode of the APEX Live Anesthesia Podcast we talk about the effort that goes into identifying and preventing aspiration and the controversies that surround RSI and cricoid pressure. We take a look at past research and opinions that have shaped the way we manage the prevention of aspiration, and what current research and opinion tells us now.

 

What You’ll Learn

  1. What is the history of aspiration prophylaxis?
  2. What are risk factors for aspiration?
  3. What does current evidence and opinion say about the administration of prophylactic medication for aspiration?
  4. Should ventilation be performed during rapid sequence induction?
  5. Is cricoid pressure really effective?

 

Resources/information discussed in podcast

Risk factors for Aspiration from Nagelhout – Nurse Anesthesia

·       Emergency surgery

·       Full stomach

·       Obstetrics

·       Gastrointestinal obstruction

·       Ascites

·       Diabetic gastroparesis

·       Gastroesophageal reflux disease (GERD)

·       Hiatal hernia

·       Peptic ulcer disease

·       Difficult airway management

·       High gastric pressures/lower esophageal sphincter tone

·       Impaired airway reflexes

·       Head injury

·       Depressed level of consciousness

·       Seizures

·       Obesity

·       Scleroderma

·       Trauma or stress

·       Nausea or vomiting

·       Opioids

·       Cricoid pressure

·       Cardiac arrest

·       Severe hypotension

·       Inadequate anesthesia

 Recommended Resources

 

About Our Hosts 

Sass Elisha EdD, CRNA, FAAN

Sass been an academic and clinical educator at Kaiser Permanente School of Anesthesia since 2000. Dr. Elisha believes in the concept of a learning community where knowledge and ideas are shared to augment everyone’s understanding. As a result, he has made it a priority to disseminate information by contributing to multiple publications including Nurse Anesthesia, Case Management in Nurse Anesthesia and Crises Management in Nurse Anesthesia. His participation in additional scholarly activities help to further serve nurse anesthetists; publications including original research, a past COA director, a speaker at local, state and national conferences, and a volunteer for high school children who are interested in a career in healthcare.

“I seek a method where teachers teach less and learners learn more.” Johann Comenius

 

Jeremy Heiner EdD, CRNA

Jeremy is a clinician and an educator. He incorporates his favorite quote by Teddy Roosevelt into his clinical and educational practice: “Nobody cares how much you know, until they know how much you care.

Since 2004, Dr. Heiner has been working as a certified registered nurse anesthetist. In 2008 he joined Kaiser Permanente School of Anesthesia as an academic and clinical educator.  His contribution to CRNA learning includes producing clinically based anesthesia and critical care films, authoring textbooks and journal articles, presenting various anesthesia concepts at local, state, & national meetings, and chairing a NBCRNA test committee. He has over 10 years in independent practice and 15 years in an ACT model.

 

About APEX Live

APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way.

 

Attend an APEX Live Conference

Learn more about APEX Live events at www.apexlive.com.

 

Comments or Suggestions?

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 comments and suggestions.

 

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

Oct 01, 2019
3. Hypotension with a Side of Vasoplegic Syndrome
34:30

Episode Summary

In this episode of the APEX Live Anesthesia Podcast, we will discuss hypotension and the treatments you can consider when you experience refractory hypotension. We talk about different causes of refractory hypotension with a focus on vasoplegic syndrome, what causes vasoplegic syndrome, and specific treatments for vasoplegic syndrome.

 

What You’ll Learn

  1. What is the difference between vasoplegic syndrome and refractory hypotension?
  2. What are causes of refractory hypotension?
  3. How do you treat refractory hypotension?
  4. How would you manage vasoplegic syndrome?

 

 

 

Attend an APEX Live Conference

Learn more about APEX Live events at www.apexlive.com

 

About APEX Live

APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way.

 

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

Sep 01, 2019
2. A Crisis Of Adrenal Proportions (Steroids & Anesthesia Practice)
19:36

In this episode of the APEX Live Anesthesia Podcast, we will briefly review the function of the hypothalamic-pituitary-adrenal axis, talk about both glucocorticoids and mineralocorticoids, and discuss to supplement and why. We’ll discuss the serious crisis that can occur when insufficient amounts of these hormones are available. We’ll finish by discussing what the evidences says about important topics related to steroids such as the best dose for PONV prophylaxis, should they be given for pain management, and if steroid administration perioperatively affects site infections or cancer recurrence.

 

What You’ll Learn

  1. Can you review that blasted HPA axis?
  2. What is the difference between glucocorticoids and mineralocorticoids, and which should I administer?
  3. What does it mean to have acute adrenal insufficiency?
  4. What is the best dose for PONV prophylaxis?
  5. Does a single dose of steroid perioperatively affect site infection or cancer recurrence?

 

Attend an APEX Live Conference

Learn more about APEX Live events at www.apexlive.com

 

About APEX Live

APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way.

 

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

Aug 01, 2019
1. Pulse Ox Awesomeness
23:05

In this episode of the APEX Live Anesthesia Podcast, we'll review the principles of pulse oximetry. Then, we'll consider a selection of clinically relevant topics related to using the pulse oximeter in the preoperative period. Finally, we'll tie it all together with a case study.

 

What You'll Learn

  • How does the pulse oximeter work?
  • What are the advantages and clinical applications of pulse oximetry?
  • What are the limitations of pulse oximetry?
  • Is the pulse oximeter a good monitor of ventilation?
  • What conditions can cause the pulse oximeter to be unreliable?

 

Attend an APEX Live Conference

Learn more about APEX Live events at www.apexlive.com

 

About APEX Live

APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way.

 

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

Jul 01, 2019
0. Welcome to the APEX Anesthesia Podcast
08:28

Attend an APEX Live Conference

Learn more about APEX Live events at www.apexlive.com

 

About APEX Live

APEX Anesthesia teamed up with Sass Elisha EdD, CRNA, FAAN and Jeremy Heiner Ed.D., CRNA to bring you APEX Live – An engaging conference experience for CRNAs by CRNAs. We’ll help you prepare for the CPC Assessment in a fun and clinically relevant way.

 

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

Jun 28, 2019