E37: Regional Anesthesia-2 (Lower Extremity-Premium)

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

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.

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 info@coreanesthesia.com

In this episode, we are diving into the emotional journey through CRNA School. We're talking about what to expect during the application process, the emotions of interview day, handling rejection, pushing through school amidst anxiety, and everything in between.

We hope this episode will encourage you and be a reminder to you that there is light at the end of the tunnel. CRNA School is full of highs and lows, but we are here to tell you that it gets better, and we can honestly say it was worth every moment.

Here are some resources to help as you journey through CRNA School:

• AANA Resident Wellness Resources
• AANA Peer Assistance
• AANA Where to Get Help 
• AANA Helpline: 800-654-5167 24/7 Confidential Live Support

*For a crisis with potential immediate risk for harm to yourself or others, call 911 or 988 for the 988 Suicide & Crisis Lifeline.

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 info@coreanesthesia.com

In this Care Plan episode, Rhea and Sachi delve into the intricate details of craniotomies for brain tumors. This episode focuses on preoperative considerations, anesthetic types, specialized monitoring, positioning, and postoperative care. 

From neurological assessments to anesthesia choices—such as IV anesthesia and considerations for minimizing intracranial pressure—the episode covers it all. They also cover potential complications like seizures and venous air embolisms. 

The discussion extends to postoperative care in the ICU, emphasizing the importance of neuro checks, hemodynamic stability, and vigilance for neurological changes. 

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.

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 info@coreanesthesia.com

How do we manage a patient who is having an acute stroke? seizures? How does our anesthetic management change for a patient who has had a traumatic spinal cord injury? We dive into all of these questions and more on this episode. We also discuss congenital anomalies and how they might affect our choice of anesthetic technique. 

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 info@coreanesthesia.com