THE DEXMEDETOMIDINE PLAYBOOK: WHAT STRONG CRNAS NEED TO KNOW │ EP69
Atomic Anesthesia15 Dec 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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Avsnitt(78)

WHY YOUR "STABLE" CIRRHOSIS PATIENT CAN CRASH ON INDUCTION │ EP78

WHY YOUR "STABLE" CIRRHOSIS PATIENT CAN CRASH ON INDUCTION │ EP78

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...

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19 Jan 27min

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CRASH, CODE OR CRUISE: IV ANESTHETIC CHOICES THAT CHANGE OUTCOMES [LIVE WEBINAR REPLAY] │ EP76

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...

15 Jan 1h 22min

DOES ANESTHESIA HARM THE BRAIN? A HARD LOOK AT THE DATA │ EP75

DOES ANESTHESIA HARM THE BRAIN? A HARD LOOK AT THE DATA │ EP75

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...

13 Jan 21min

PROPOFOL REPLACEMENT? CIPEPOFOL AND THE FUTURE OF HIGH-RISK CARDIAC INDUCTION │ EP74

PROPOFOL REPLACEMENT? CIPEPOFOL AND THE FUTURE OF HIGH-RISK CARDIAC INDUCTION │ EP74

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...

9 Jan 14min

ANESTHESIA MACHINE CHECK: A STEP-BY-STEP WALKTHROUGH OF YOUR WORKSTATION │ EP73

ANESTHESIA MACHINE CHECK: A STEP-BY-STEP WALKTHROUGH OF YOUR WORKSTATION │ EP73

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...

5 Jan 17min

NEW YEAR, NEW PROVIDER: ANESTHESIA RESOLUTIONS FOR 2026 │ EP72

NEW YEAR, NEW PROVIDER: ANESTHESIA RESOLUTIONS FOR 2026 │ EP72

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 Jan 24min

KETAMINE UNLOCKED: MECHANISMS, DOSING & CLINICAL PEARLS │ EP71

KETAMINE UNLOCKED: MECHANISMS, DOSING & CLINICAL PEARLS │ EP71

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...

22 Dec 202523min

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