Clinical Resources
Evidence-based articles, pharmacology breakdowns, and career insights — written by a CRNA for anesthesia professionals at every stage.
Editor's Picks
GLP-1 receptor agonists (semaglutide, tirzepatide, liraglutide) delay gastric emptying and raise aspiration risk — even after standard fasting. This narrative review examines the perioperative evidence and offers practical guidance on fasting protocols, gastric ultrasound, and airway planning for patients on these medications.
The Difficult Airway Society's updated 2025 guidelines provide a stepwise framework for unanticipated difficult tracheal intubation in adults — covering laryngoscopy optimization, video laryngoscopy, supraglottic rescue, and emergency front-of-neck airway (eFONA). Essential reading for every anesthesia provider.
Cardiac patients present unique hemodynamic challenges from induction through emergence. Understanding the physiology behind the numbers — preload dependence, afterload sensitivity, heart rate targets, and rhythm management — is what separates reactive management from proactive anesthesia care.
GLP-1 receptor agonists (semaglutide, tirzepatide, liraglutide) delay gastric emptying and raise aspiration risk — even after standard fasting. This narrative review examines the perioperative evidence and offers practical guidance on fasting protocols, gastric ultrasound, and airway planning for patients on these medications.
The Difficult Airway Society's updated 2025 guidelines provide a stepwise framework for unanticipated difficult tracheal intubation in adults — covering laryngoscopy optimization, video laryngoscopy, supraglottic rescue, and emergency front-of-neck airway (eFONA). Essential reading for every anesthesia provider.
Cardiac patients present unique hemodynamic challenges from induction through emergence. Understanding the physiology behind the numbers — preload dependence, afterload sensitivity, heart rate targets, and rhythm management — is what separates reactive management from proactive anesthesia care.
Choosing the right volatile agent isn't just about habit — it's about matching pharmacokinetics to the clinical situation. Blood-gas partition coefficients, MAC values, organ effects, environmental impact, and cost all factor into the decision.
Getting accepted into CRNA school is an incredible accomplishment — but the transition from ICU nurse to SRNA is a different challenge entirely. Imposter syndrome, clinical humility, personal sacrifice, and the emotional weight of learning anesthesia from scratch: an honest look at what to expect and how to navigate it.
Ultrasound-guided nerve blocks have fundamentally changed perioperative pain management. From interscalene to adductor canal, knowing when and how to integrate regional techniques into a multimodal analgesia plan is an increasingly essential skill for today's anesthesia provider.
Opioid-free anesthesia (OFA) has gained significant traction in ERAS protocols and high-risk populations, but the evidence is more nuanced than the headlines suggest. A balanced look at the adjuncts that make it work, the patient populations that benefit most, and the cases where opioids still belong.
Your first CRNA contract sets the financial and professional foundation for your career. Compensation is only one piece — call requirements, non-competes, tail coverage, supervision ratios, and partnership tracks all deserve careful scrutiny before you sign.
Video laryngoscopy has become a first-line airway tool in many practices — and for good reason. But over-reliance on VL without maintaining direct laryngoscopy proficiency creates a dangerous skills gap.
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