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Atomic Anesthesia

Atomic Anesthesia

By: Rhea Temmermand PhD CRNA & Sachi Lord MSN CRNA
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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.Copyright 2026 Rhea Temmermand, PhD, CRNA & Sachi Lord, MSN, CRNA Nature & Ecology Science
Episodes
  • YOUR COPD PATIENT IS ON THE TABLE - NOW WHAT?
    Jun 16 2026

    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.

    💜 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)

    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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    21 mins
  • SEVOFLURANE, ISOFLURANE, DESFLURANE: WHICH ONE AND WHEN?
    Jun 9 2026
    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.comIn 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-offsHow coronary steal actually works with isoflurane, and when it matters at the bedsideThe second gas effect explained at the alveolar level: concentrating effect + augmented inflowCompound A, carbon monoxide, methionine synthase inhibition — the metabolic pitfalls each agent brings to a caseTailoring 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 anesthesiaSEE/NCE Study Plan — a structured, week-by-week plan to pass your boardsNon-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 pageGPCR Cheat Sheet — G-protein coupled receptors decoded for anesthesiaWANT 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)
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    30 mins
  • STAYING COOL UNDER PRESSURE: LESSONS FROM A FLIGHT PARAMEDIC │ EP96
    Jun 5 2026

    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)

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    54 mins
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