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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.
Your patient with asthma starts wheezing a minute after intubation, and you have a whole cart of drugs within reach. In week 5 of our 12-week SEE/NCE series, we build every respiratory drug around one airway smooth muscle cell, so the mechanisms, side effects and the order of treatment finally fall into place.
In this episode:
- How cyclic AMP relaxes and calcium tightens airway smooth muscle, and where every bronchodilator fits
- Beta-2 agonists, why a LABA never travels alone in asthma, and the "shaky, speedy, low K" side effects
- Anticholinergics, methylxanthines, steroids, leukotriene modifiers and mast cell stabilizers, and when each one helps
- Why propofol, ketamine and sevoflurane are friends of the reactive airway, and why desflurane isn't
- The step-by-step treatment of bronchospasm under anesthesia, and the look-alikes to rule out first
- Drugs that can trigger bronchospasm, from nonselective beta blockers to histamine releasers
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- SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards
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