Today we're exploring a topic that goes deeper into the realms of medicine and neuroscience, and it's something that affects us all: cognitive health post-surgery. Adam Flowe, Chief CRNA at Duke University Hospital, brings his 20 years of experience and a personal connection to the table, discussing the intricate relationship between anesthesia, surgical stress, and the brain. With the aging population and the rise in surgeries, the question of how these procedures affect our cognitive function is more pressing than ever.

Here’s some of what we discuss in this episode:

• Post-op cognitive dysfunction is underreported and has greater incidence than expected.
• CRNAs are critical to prevention and optimization as direct care has major impacts (more so than they probably realize).
• Post-op cognitive decline might be caused by the surgery and not the anesthesia.
• The science behind post-op cognitive decline is expanding rapidly. Inflammation is a key factor and the blood-brain barrier is also key.
• Anesthesia has been awesome in improving safety through equipment and work on HARD OUTCOMES; the future of quality for us is in SOFT OUTCOMES.

About our guest: https://anesthesiology.duke.edu/personnel/adam-flowe-crna

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In this heartfelt episode of Beyond The Mask, a story of unique dynamics when working alongside family in the world of anesthesia comes to life. Jeremy and Sharon sit down with a remarkable mother-daughter duo, Melody Secrest and Emily King, both CRNAs, who share their experiences working in the same hospital department. We uncover the challenges and triumphs that come with balancing professional boundaries and personal relationships in the operating room.

Discover how Melody and Emily navigate their careers while supporting each other, and how they've managed to maintain their individual identities as healthcare professionals. Their story is a testament to the strength and resilience of family bonds in the face of demanding careers.

This episode is not just a conversation; it’s a celebration of the ties that bind in the world of anesthesia. Join us for an episode that goes beyond the professional mask to reveal the personal connections that enrich the CRNA community.

Here’s some of what we discuss in this episode:

• The journey of transitioning from individual careers to working as a family unit.
• Strategies for maintaining professionalism while working with relatives.
• The impact of family dynamics on patient care and team interactions.
• The importance of forging one's own path and identity within the same profession as a parent.

Emily King: https://www.linkedin.com/in/emily-king-a730a320/

Melody Secrest: https://www.linkedin.com/in/melody-secrest-81947b36/

Johnston Health : https://www.johnstonhealth.org/

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

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In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care.

Focusing on lung protective ventilation strategies, Terry and Garry delve into the intricacies of reducing postoperative pulmonary complications, drawing upon historical practices and cutting-edge research to provide valuable insights for anesthesia providers.

With a blend of anecdotal reminiscences and evidence-based discussions, they aim to empower listeners with knowledge to enhance patient outcomes and navigate the complexities of modern anesthesia.

Join Terry and Garry as they embark on a captivating exploration of the past, present, and future of anesthesia.

Here’s some of what we discuss in this episode:

• The transformation of anesthesia technology over the years.
• Understanding atelectasis and its impact on pulmonary physiology.
• The role of PEEP, tidal volumes, and recruitment maneuvers in lung protection.
• The significance of limiting driving pressure during mechanical ventilation.
• The concept of mechanical power and how it relates to potential lung injury.
• Strategies for optimizing patient outcomes and mitigating postoperative complications.

Anesthesia Machine Commercial mentioned in the show:

https://www.youtube.com/watch?v=w13QxH9vS1E

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

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