THE DEXMEDETOMIDINE PLAYBOOK: WHAT STRONG CRNAS NEED TO KNOW │ EP69
Atomic Anesthesia15 Des 2025

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(91)

THE EMOTIONAL ROLLERCOASTER OF CRNA SCHOOL NO ONE WARNS YOU ABOUT │ EP91

THE EMOTIONAL ROLLERCOASTER OF CRNA SCHOOL NO ONE WARNS YOU ABOUT │ EP91

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...

19 Mar 28min

HOW OPIOIDS ACTUALLY WORK IN THE BODY (CELLULAR MECHANISM EXPLAINED) │ EP90

HOW OPIOIDS ACTUALLY WORK IN THE BODY (CELLULAR MECHANISM EXPLAINED) │ EP90

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...

10 Mar 11min

BUILT UNDER PRESSURE: LESSONS WE CAN ALL LEARN FROM MILITARY CRNA TRAINING │ EP89

BUILT UNDER PRESSURE: LESSONS WE CAN ALL LEARN FROM MILITARY CRNA TRAINING │ EP89

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...

2 Mar 20min

1 SINGLE TRAIT YOU NEED TO SURVIVE CRNA SCHOOL │ EP88

1 SINGLE TRAIT YOU NEED TO SURVIVE CRNA SCHOOL │ EP88

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...

24 Feb 11min

3 WAYS TO BECOME INVOLVED AS A SRNA/NAR TO SUPERBOOST YOUR CV │ EP86

3 WAYS TO BECOME INVOLVED AS A SRNA/NAR TO SUPERBOOST YOUR CV │ EP86

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 Feb 13min

2 OF MY MOST CHALLENGING CASES AND WHAT THEY TAUGHT ME │ EP87

2 OF MY MOST CHALLENGING CASES AND WHAT THEY TAUGHT ME │ EP87

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 Feb 21min

4 SUBTLE MONITOR TRENDS YOU SHOULD NEVER IGNORE IN THE OR │ EP85

4 SUBTLE MONITOR TRENDS YOU SHOULD NEVER IGNORE IN THE OR │ EP85

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...

19 Feb 10min

5 RARE BUT FATAL ANESTHESIA EMERGENCIES │ EP84

5 RARE BUT FATAL ANESTHESIA EMERGENCIES │ EP84

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...

18 Feb 12min

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