THE DEXMEDETOMIDINE PLAYBOOK: WHAT STRONG CRNAS NEED TO KNOW │ EP69

THE DEXMEDETOMIDINE PLAYBOOK: WHAT STRONG CRNAS NEED TO KNOW │ EP69

This episode of the Atomic Anesthesia Podcast focuses on dexmedetomidine (Precedex), a highly selective α2-adrenergic agonist that provides cooperative, arousable sedation, analgesia, anxiolysis, and sympatholysis with minimal respiratory depression for perioperative and ICU care. Aimed at nurse anesthesia residents, it reviews dexmedetomidine’s α2-selective pharmacology, rapid distribution and hepatic metabolism, and its ability to mimic non-REM sleep via locus coeruleus inhibition while significantly reducing MAC and opioid requirements. Listeners learn practical dosing strategies for OR, ICU, and procedural sedation, common indications such as awake fiberoptic intubation, MAC cases, withdrawal management, and pediatric emergence delirium, and key safety considerations including bradycardia, hypotension, transient hypertension with rapid loading, and the ongoing need for vigilant airway and hemodynamic monitoring when incorporating dexmedetomidine into multimodal anesthetic plans.

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Episoder(114)

THE TWITCHING HOUR: TRAIN-OF-FOUR EXPLAINED │ EP114

THE TWITCHING HOUR: TRAIN-OF-FOUR EXPLAINED │ EP114

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 ane...

23 Sep 29min

VASODILATORS IN THE OR: WHEN THE PRESSURE NEEDS TO DROP NOW │ EP113

VASODILATORS IN THE OR: WHEN THE PRESSURE NEEDS TO DROP NOW │ EP113

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 ane...

11 Sep 11min

DECODING DEXAMETHASONE'S ANTIEMETIC EFFECT (MECHANISM EXPLAINED) │ EP112

DECODING DEXAMETHASONE'S ANTIEMETIC EFFECT (MECHANISM EXPLAINED) │ EP112

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 ane...

8 Sep 22min

THE DIFFICULT AIRWAY ALGORITHM, STEP-BY-STEP │ EP111

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 ane...

4 Sep 19min

10 HIGH-YIELD SEE/NCE BOARD QUESTIONS EXPLAINED │ EP110

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 ane...

1 Sep 26min

PREECLAMPSIA AND THE OB PATIENT: PATHOPHYSIOLOGY THAT SAVES LIVES │ EP109

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 ane...

21 Aug 10min

CRNA WORKFORCE CHANGES: DO THESE THINGS TO LAND YOUR PERFECT JOB  │ EP108

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 ane...

14 Aug 18min

REGIONAL ANESTHESIA 101: BLOCKS EVERY CRNA SHOULD KNOW │ EP107

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...

13 Aug 14min

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