Beyond The Mask: Innovation & Opportunities For CRNAs

Awake Flexible Intubation: The Down & Dirty

In today’s episode Jeremy & Sass talk about the flexible intubation technique and some troubleshooting tips that may help you while placing an ETT in an awake patient using the flexible intubation scope. Previously known as “fiberoptic intubation”, this is an infrequent anesthesia technique that is still pertinent today!
Also, if you are attending the AANA annual congress in Seattle in August, you can sign up to practice the flexible intubation technique with Jeremy in the Airway Simulation Lab. Details are on the AANA Annual Congress sign-up page: https://www.aana.com/meetings/aana-annual-congress 
 
Here are some of the things you’ll learn on this show:
A little history related to fiber optic intubation. 3:55
Why it’s tougher to perform when a patient is under general anesthesia rather than awake. 6:26
Indications and contraindications of an awake intubation procedure. 7:45
Setup process and equipment needed. 10:21
Running through the patient preparation checklist. 14:38
The hand and wrist movements you need to use during the procedure.  18:35
Similarities and differences in oral intubation and nasal intubation. 21:52
Troubleshooting techniques to utilize if needed. 24:49
 
About our hosts: https://www.kpsan.org/school/people/
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Early Anesthesia: Dagmar Nelson and Nurse Anesthesia After the Trial (Part 2)

In part two, we'll go on an exploration to uncover the untold chapters of Dagmar’s post trial years and witness how her victory reshaped the landscape of nurse anesthesia, breaking down barriers and paving the way for countless nurse anesthetists who followed in her footsteps. Join us as we delve into part two of our conversation about Dagmar Nelson with show historians Nancy and Sandy.
 
Here are some of the things you’ll learn in this episode:
What happened to the profession right after the trial? 1:58
What happened to Dagmar Nelson after the trial? 9:22
Hunt’s murder in 1943 and her death 15 years later. 11:52
What her legacy and that trial means today for anesthesia. 17:35
How anesthesia has changed and what has stayed the same. 20:13
The battle over money and control in the industry. 29:08
Hope for the future of anesthetists. 33:35
 
Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken 
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Early Anesthesia: The Life and Trial of Dagmar Nelson (Part 1)

Most people know about Dagmar Nelson in terms of her being involved in the only court trial ever to test the legality of nurses administering anesthesia, but there’s much more to her than just that. We’ll lean on Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to learn more about how amazing she was as a woman and what happened at the trial.
 
Here are some of the things you’ll learn in this episode:
Details on her early life and education. 4:38
How she got her anesthesia training. 9:08
What the beginning of her career as an anesthetist was like. 14:02
California physicians were trying to get rid of nurse anesthetists when she moved out there. 23:54
Details of the trial as it got started in 1934. 30:52
The testimony that was given on behalf of the physicians. 41:17
Here’s what the defense argued. 43:52
What the judge said when he handed down the decision. 51:22
Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken 
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Managing Perioperative Crises With a Cognitive Template

In this episode, Jeremy and Sass review the high points of an article published in the April 2023 AANA Journal by Barry Swerdlow, MD and Lisa Osborne-Smith, PhD, CRNA titled “A Cognitive Template for Management of Perioperative Adverse Events”. This is an episode you won’t want to miss!
 
Here are some of the things you’ll learn on this show:
What is metacognition? 2:29
Six step cognitive checklist 7:31
Step 1: Verifying information is correct. 9:21
Step 2: Generic response 9:45
Step 3: Identification of precipitating event  10:36
Step 4: Formulation of broad differential diagnosis 13:13
Step 5: Formation of a narrowed differential diagnosis 15:14
Step 6: Selection of targeted response(s) 17:28
Let’s use this six-step process on a case study. 18:37
 
Additional Resources: 
Swerdlow B, Osborne-Smith L. A Cognitive Template for Management of Perioperative Adverse Events. AANA J. 2023 Apr;91(2):137-143. PMID: 36951843.
 
About our hosts: https://www.kpsan.org/school/people/
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf
 

Meet Lokum: A New Tech Company Designed to Connect CRNAs to Employers

The nursing industry is filled with so many bright and talented people and today’s guest is just another example of that. Ayoade (Joy) Ademuyewo, DNP, CRNA is the founder and CEO of Lokum, which helps match vendors directly with anesthesiology providers without having to go through recruiting agencies. Find out why this could be the future of work as an independent contractor and learn more about the person behind it all.
 
Here are some of the things you’ll learn on this show:
What is Lokum and how does the Lokum app help CRNAs? 4:36
Where did her entrepreneurship drive come from? 9:05
This is the future of work as an independent contractor. 10:35
How a trip to Europe was the beginning of this idea and how it all came together. 16:37
How being a CRNA and her DNP benefited her develop this company. 24:34
The best way for CRNAs to learn more and why it benefits the profession to get on board. 27:04
Who is her inspiration? 29:16
 
About our guest: https://lokumapp.com/
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Overcoming Physical Limitations: Brett Fadgen’s Road to Anesthesia

Jeremy and Sharon were up in Hershey for the PANA Spring Symposium and hosted a live taping of the podcast with Brett Fadgen, MSN, CFRN, CRNA. If you haven’t heard Brett’s story, it’s a remarkable one about perseverance and never giving up in the face of life’s challenges. Join us to hear all about his journey and how he became the only one-armed nurse anesthetist.  
 
Here are some of the things you’ll learn on this show:
Brett’s childhood and growing up with a congenital defect. 3:21
The journey from being a paramedic to RN to anesthesia school.  9:05
The challenges he faced in anesthesia school. 13:47
The contact he has with other people with limitations that are interested in anesthesia. 23:55
What questions do patients ask? 26:15
The final message Brett has for people. 32:00
 
About our guest: https://www.panaforqualitycare.com/single-post/2019/01/23/crna-inspires-by-defying-stereotypes-exceeding-expectations
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Strengthening Advocacy Efforts with the AANA’s New Deputy Chief Advocacy Officer Ingrida Lusis

We had a chance to spend some time with the new AANA Deputy Chief Advocacy Officer Ingrida Lusis during our time at the mid-year assembly to learn more about her background in government affairs and how she plans to strengthen advocacy by bringing state and federal affairs all under one umbrella. Join Sharon and guest host Tracy Castleman, CRNA, as we go on the offensive with our newest advocacy leader.
 
Here are some of the things you’ll learn on this show:
Ingrida’s background in government affairs and her goals for the new position. 3:03
Why she feels CRNAs need to go on the offensive. 7:46
Her thoughts and views on full practice authority. 9:52
What other ways we can look at to give CRNAs more power besides just running for office? 18:15
Why supporting the ASAPAC is very important. 22:36
The perception of the AANA vs the reality when she arrived. 29:01
What would she say to get people involved that hate politics? 33:24
 
About our guest: https://www.prnewswire.com/news-releases/aana-appoints-ingrida-lusis-as-deputy-chief-advocacy-officer-301703396.html 
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf
 

Ep 249: Anesthesia Considerations for Cannabis

Cannabis has several medicinal uses and is legal in several states. More and more patients are using cannabis as a medication for anxiety, pain management, and for recreational use.
In this episode, Jeremy and Sass discuss the pharmacodynamics of cannabis and focus on the systemic effects of this medication. You won’t want to miss their discussion highlighting the anesthetic considerations of patients who takes cannabis.
 
Here are some of the things you’ll learn on this show:
Adapting to cannabis becoming more acceptable recreationally and for care with patients. 2:29
The pharmacokinetics related to cannabis. 4:32
Reviewing an AANA Journal article on cannabis. 7:54
The respiratory effects you might find from cannabis.  9:25
The anesthetic implications for a cannabis user. 11:58
Does cannabis help with pain management? 15:01
 
Resources:
Teitel A, Bozimowski G. A Review of the Pharmacology and Anesthetic Implications of Cannabis. AANA J. 2020 Jun;88(3):237-244. PMID: 32442102.
 
About our hosts: https://www.kpsan.org/school/people/
Visit us online: http://beyondthemaskpodcast.com 
Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf