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Atomic Anesthesia

Rhea Temmermand, PhD, CRNA & Sachi Lord, MSN, CRNA

Welcome to Atomic Anesthesia, the essential podcast for nurse anesthesia residents seeking to master both basic and clinical science education (and RNs looking to become CRNAs, too!). Join us as we break down tough science concepts and demonstrating their practical clinical application in real-world scenarios.

Each episode of Atomic Anesthesia is crafted to provide comprehensive explanations of complex scientific principles, tailored specifically for the needs of nurse anesthesia residents or nurses preparing for graduate school. Whether you're grappling with pharmacology, physiology, or any other challenging subject, our expert hosts are here to guide you through every step of the learning process.

But we don't stop there. Atomic Anesthesia goes beyond the classroom, inviting esteemed guests from both the scientific and CRNA communities to share their insights and experiences. From discussions on graduate school training to invaluable tips for navigating the complexities of clinical practice, our diverse range of topics ensures that every episode is packed with valuable knowledge and practical advice.

Whether you're commuting to clinicals, hitting the gym, or simply relaxing at home, Atomic Anesthesia is the perfect companion for learning on the go. Tune in and empower yourself with the knowledge and skills you need to excel in your journey towards becoming a proficient and confident nurse anesthethesiologist.

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S1 · E111
Yesterday · 19 min
THE DIFFICULT AIRWAY ALGORITHM, STEP-BY-STEP │ EP111
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 three decisions that shape every airway plan: awake or asleep, noninvasive or invasive, and preserve or ablate spontaneous ventilation The most important fork in the algorithm, can you oxygenate or not, and how it sends you down the non-emergency pathway or the emergency pathway Managing 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 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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
S1 · E110
Tuesday · 26 min
10 HIGH-YIELD SEE/NCE BOARD QUESTIONS EXPLAINED │ EP110
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: 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 you High-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-BAR The clinical-reasoning questions that show up at the bedside, from autonomic hyperreflexia and infant bradycardia to coronary perfusion pressure and reading the capnograph waveform A 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 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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
S1 · E109
August 21 · 10 min
PREECLAMPSIA AND THE OB PATIENT: PATHOPHYSIOLOGY THAT SAVES LIVES │ EP109
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 cardiovascular, pulmonary, renal, and coagulation changes of normal pregnancy you need to know before you can recognize what's broken in preeclampsia Why preeclampsia is fundamentally a placenta problem that becomes a vascular endothelium problem — sFlt-1, soluble endoglin, VEGF neutralization, and the cascade that drives every symptom HELLP syndrome — microangiopathic hemolysis, hepatic involvement, and how it changes your anesthetic plan Magnesium sulfate pharmacology — NMDA antagonism, the dosing regimen, toxicity ladder, and why you must cut your non-depolarizing NMB dose by 30 to 50 percent Neuraxial 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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
S1 · E108
August 14 · 18 min
CRNA WORKFORCE CHANGES: DO THESE THINGS TO LAND YOUR PERFECT JOB │ EP108
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 the anesthesia staffing shortage has created one of the strongest job markets ever for new CRNAs What chief CRNAs are actually looking for during interviews and how to stand out as a candidate How to evaluate your first CRNA job based on pay, location, flexibility, autonomy, and most importantly, culture Why you have more leverage than you think when choosing a job, plus one simple interview strategy that can make you unforgettable To contact Braden Clark, CRNA you can email him at: bradenmclark6@gmail.com 💜 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 hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.
S1 · E107
August 13 · 14 min
REGIONAL ANESTHESIA 101: BLOCKS EVERY CRNA SHOULD KNOW │ EP107
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 axillary Why adductor canal block has replaced femoral nerve block for TKA, and the volume myths that trip up test-takers The LAST risk hierarchy by injection site, and the Exparel interaction rules boards loves to test FREE RESOURCES: SEE/NCE Study Plan — A structured, week-by-week plan to pass your boards GPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesia. Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference 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.
S1 · E106
August 7 · 13 min
THE 5 OPIOIDS YOU ACTUALLY USE IN THE OR │ EP106
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 outcomes Lipid solubility's role in opioid kinetics Pharmacokinetics of morphine, fentanyl, sufentanil, remifentanil, and hydromorphone Managing side effects like respiratory depression and opioid-induced hyperalgesia Guidelines for opioid selection based on case specifics and patient renal function Resources Atomic 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 boards Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference 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/ 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 (jake@theincomologists.com)
S1 · E105
July 31 · 13 min
COMPLEX I, SEVOFLURANE, AND THE VENEZUELAN MITOCHONDRIAL VARIANT │ EP105
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 injury The mitochondrial mechanism behind it, and why some patients have zero reserve capacity to absorb the hit Why TIVA with propofol becomes the clear anesthetic choice once you understand what spares Complex I Source: 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 boards Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference 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/ 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 (jake@theincomologists.com)
S1 · E104
July 28 · 12 min
PROPOFOL: THE DRUG YOU THINK YOU KNOW │ EP104
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 modulation Pharmacokinetics and context-sensitive half-time Cardiac and respiratory effects Risk and management of propofol infusion syndrome Handling egg allergy concerns Strategies to reduce pain on injection 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 boards Non-Opioid Pharmacology Cheat Sheet — Every non-opioid analgesic you need to know, on one page Malignant Hyperthermia Reference Guide — Recognize MH fast. Treat it faster — one-page reference 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/ 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 (jake@theincomologists.com)
#103
July 23 · 14 min
HIGH & TOTAL SPINAL: THE EARLIEST SYMPTOMS YOU'LL NEED TO KNOW FOR BOARDS │ EP103
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#102
July 20 · 29 min
THE STUDENT-PRECEPTOR RELATIONSHIP: WHAT TO EXPECT, HOW TO THRIVE, AND WHAT ACTUALLY MATTERS (PART 2) │ EP102
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#101
July 16 · 41 min
THE STUDENT-PRECEPTOR RELATIONSHIP: WHAT TO EXPECT, HOW TO THRIVE, AND WHAT ACTUALLY MATTERS (PART 1) │ EP101
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#100
July 14 · 25 min
THE BIGGEST THING HOLDING YOU BACK (PSST...ITS NOT YOUR TALENT) │ EP100
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 hello@atomicanesthesia.com, 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 (info@theincomologists.com)
#99
July 7 · 26 min
MECHANICAL VENTILATION MODE BASICS EVERY SRNA/NAR SHOULD KNOW │ EP99
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#98
June 16 · 21 min
YOUR COPD PATIENT IS ON THE TABLE - NOW WHAT? │ EP98
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#97
June 9 · 30 min
SEVOFLURANE, ISOFLURANE, DESFLURANE: WHICH ONE AND WHEN? │ EP97
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com) 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/ 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 (jake@theincomologists.com)
#96
June 5 · 53 min
STAYING COOL UNDER PRESSURE: LESSONS FROM A FLIGHT PARAMEDIC │ EP96
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#95
May 20 · 23 min
WORLD CONGRESS OF NURSE ANESTHETISTS: WHAT I LEARNED IN THE DOWN UNDER │ EP95
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#94
April 20 · 11 min
XENOTRANSPLANTATION: THE END OF ORGAN SHORTAGE? │ EP94
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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#93
April 3 · 19 min
STOP OVERTHINKING YOUR MISTAKES IN CRNA SCHOOL AND ACTUALLY MOVE ON │ EP93
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: Why overthinking mistakes in CRNA school keeps you stuck instead of actually improving The difference between self-deprecation, reflection, and real growth (and why most students get this wrong) How small moments in sim and clinical turn into mental spirals and how to stop that cycle Three practical mindset shifts to stop replaying mistakes and actually move on Real clinical and classroom examples of mistakes and how to handle them without losing confidence 💜 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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)
#92
March 31 · 34 min
MASTERING AIRWAY ANATOMY & NERVE INJURY FOR BOARDS AND EVERYDAY PRACTICE │ EP92
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. ⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP] In this episode: How the larynx functions as a dynamic valve balancing ventilation, airway protection, and phonation Functional airway anatomy of the supraglottic, glottic, and subglottic regions and why it matters during laryngoscopy and intubation How laryngeal cartilages and joints (especially the cricoid and arytenoids) drive vocal cord movement and airway patency Clinical patterns of nerve injury (SLN vs RLN) and how they present as hoarseness, aspiration risk, or airway obstruction Mechanisms, triggers, and stepwise management of laryngospasm in the perioperative setting 💜 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 hello@atomicanesthesia.com, 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 (jake@theincomologists.com)

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