Beyond The Mask: Innovation & Opportunities For CRNAs

Topical Thunder: An Awake Intubation Technique That Works

Even though awake intubations are rare, this procedure is still relevant. In fact, this is an anesthesia airway management technique that continues to be recommended for known difficult airways in every single difficult airway algorithm.
In this episode, Jeremy and Sass talk about a specific technique for anesthetizing the airway they call “TOPICAL THUNDER” in preparation for an awake intubation. This is cutting edge, tip of the spear stuff that you won’t want to miss.
 
Here are some of the things you’ll learn on this show:
Reviewing the target nerves that innervate the airway. 3:55
Equipment you’ll need for this. 7:44
Reasons why we don’t like to use nebulized lidocaine. 9:39
Important patient prep to consider. 10:40
The different type of injection nerve blocks. 12:58
What forms of lidocaine will you need? 18:07
The potential for lidocaine toxicity. 25:07
 
Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken 
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
 

A Conversation with AANA Daniel D. Vigness FPD Award Winner Kris Rohde

Today we bring you another wonderful conversation from our trip to the mid-year assembly in Washington D.C. Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA were on hand when Kris Rohde, CRNA received the AANA’s Daniel D. Vigness Federal Political Director Award. Afterward, we invited her to join the show to hear her story, talk about the role the FPD plays in each state, and share why the sacrifice has been well worth it.
 
Here are some of the things you’ll learn on this show:
The role the Federal Political Director plays. 4:37
How she ended up in the role of FPD in Nebraska. 8:49
The role mentoring played in her career and helped her grow. 11:40
The importance of relationships with lobbyists. 17:25
Her legislative work with people in DC. 27:22
Has the sacrifices she’s had to make been worth it? 29:52
The message she’d share with other FPDs or rising FPDs who want to be successful. 35:27
 
Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken 
About our guest: https://www.aana.com/news/kris-rohde-receives-aanas-daniel-d-vigness-federal-political-director-award/
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

How Does the AANA Attract More Young Members? Let’s Ask Two Students

During our trip to the mid-year assembly recently, Sharon and Tracy Castleman, CRNA were having a conversation about declining student membership at the AANA when they met Haley Johnson and Kelby Stanko, who are both students at Saint Vincent College Excela Health School of Nurse Anesthesia.
We decided to spend time with both of these bright, young ladies to learn more about their experience attending this AANA event, being part of the mentorship program, and how they plan to help spread that positive message with other students.
 
Here are some of the things you’ll learn in this episode:
What they’ve learned at the assembly and what’s been their reaction to what they’ve experienced. 3:19
The students explain how they didn’t get the value of the AANA until attending the assembly. 8:57
How they’ll share what they’ve learned on the trip with their classmates? 12:54
The story behind the mentorship program and Haley’s experience with it so far. 17:11
The students leave us with a final message. 29:59
 
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

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