From the Head of the Bed Jon Lowrance

This is the final episode of From the Head of the Bed. But wait! There’s more! We’re transitioning to an all new & improved platform & podcast: Anesthesia Guidebook!







Anesthesia Guidebook is the go-to guide for anesthesia providers who want to master their craft. If you’re looking to level up, dig deep and go further, Anesthesia Guidebook is for you.







Since its very beginning in 2013, From the Head of the Bed has grown into one of the most popular, listened-to podcasts on anesthesia. Anesthesia Guidebook will be even better because it puts the listener in the center of the show, as the hero of the story.







Every anesthesia provider is on a journey. Some continue to grow towards greater and greater mastery & expertise. Others – and you know who I’m talking about – stagnate and keep practicing the same way they learned anesthesia in residency with very little variation. As world renowned psychologist and best-selling author on human performance and expertise, Anders Erikson, has said:







“Most professionals reach a stable, average level of performance within a relatively short time frame and maintain this mediocre status for the rest of their careers.” (Erickson, 2004)







Erickson’s words throw down the gauntlet for anesthesia providers. And the stakes couldn’t be higher. The most vulnerable times in our patients lives often begin when we say “hello.” We have an esteemed responsibility to meet the demand for clinical expertise & assure high functioning systems of care that our patients expect, deserve and entrust their lives to.







Anesthesia Guidebook will bring you an even better podcast & platform with compelling stories, e-books and other resources built around pathophysiology, pharmacology, airway management, human performance and team dynamics, all tailored to the high stakes environment you work in.







Don’t miss out! SUBSCRIBE to Anesthesia Guidebook today and continue the journey with us towards mastering your craft!







References







Ericsson, K. A. (2004). Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Academic medicine, 79(10), S70-S81.

Ben Levin, MD recently completed his residency in anesthesiology and is headed to Massachusetts General Hospital for a fellowship in critical care.







In this episode, I have the privilege of speaking with Ben Levin, MD on the perioperative management of patients with left ventricular assist devices (LVADs) for non-cardiac surgery. We discuss device function, cardiac physiology, and perioperative management and monitoring of patients with LVADs. This is your podcast if you’re looking for a refresher or quick overview of managing patients with LVADs as an anesthesia provider!







Dr Levin received his Master’s of Science in biomedicine and his medical degree from Tufts University Medical School. He just wrapped up his anesthesia residency at Maine Medical Center in Portland, Maine and is currently a fellow in critical care at Massachusetts General Hospital. His clinical areas of interest include cardiovascular surgery and critical care, echocardiography and mechanical circulatory support devices.  















Click the above image or PDF link below to download Ben Levin’s presentation on LVADs.







LVADs-with-Ben-Levin-PDF-1Download







References







Rogers, J. G., Butler, J., Lansman, S. L., Gass, A., Portner, P. M., Pasque, M. K., … & INTrEPID Investigators. (2007). Chronic mechanical circulatory support for inotrope-dependent heart failure patients who are not transplant candidates: results of the INTrEPID Trial. Journal of the American College of Cardiology, 50(8), 741-747.







Rose, E. A., Gelijns, A. C., Moskowitz, A. J., Heitjan, D. F., Stevenson, L. W., Dembitsky, W., … & Watson, J. T. (2001). Long-term use of a left ventricular assist device for end-stage heart failure. New England Journal of Medicine, 345(20), 1435-1443.

Josh Lea, DNP, MBA, CRNA and Kelly Gallant, PhD, MSN, CRNA join me to discuss workplace incivility in anesthesia training. We discuss the role of precepting SRNAs and anesthesia residents, root causes and implications of incivility and processes for improving healthy work environments.







Josh Lea, DNP, MBA, CRNA is a professor of anesthesia at Northeastern University’s Nurse Anesthesia Program and staff CRNA at Massachusetts General Hospital in Boston.  He serves on the board of the Anesthesia Patient Safety Foundation and focuses on burnout & creating healthy work environments as his area of research and publication. He has spoken extensively on the topics both nationally and internationally through his work with the Anesthesia Patient Safety Foundation and as a member of the American Association of Nurse Anesthetists (AANA) Health and Wellness Committee. 







Kelly Gallant, PhD, SRNA recently completed her anesthesia training at Northeastern University in Boston. She received her Bachelor’s degree from Northeastern in 2010 and spent 8 years working in the surgical intensive care unit as a Registered Nurse while researching pediatric pulmonary hypertension and caregiver reactions as part of her PhD, which she completed at Northeastern in 2017. Kelly then returned to school to study anesthesia completing her Master of Science at Northeastern in May 2020. Kelly was the fiscal year 2019 SRNA Representative to the AANA Health & Wellness Committee. and recently contributed to a podcast here on the show about SRNA Wellness.







Resources:







SUBSCRIBE to the Anesthesia Patient Safety Foundation Newsletter here!







Elmblad, R., Kodjebacheva, G., & Lebeck, L. (2014). Workplace Incivility Affecting CRNAs: A Study of Prevalence, Severity, and Consequences With Proposed Interventions. AANA Journal, 82(6), 437–445.







Katz, D., Blasius, K., Isaak, R., Lipps, J., Kushelev, M., Goldberg, A., Fastman, J., Marsh, B., & DeMaria, S. (2019). Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Quality & Safety, 28(9), 750–757.







Neft, M., Hartgkidek, A., & Lea, J. (2017). Wellness milestone: The road to wellness: Paving the way toward a healthy work environment. AANA NewsBulletin.







Mahoney, C. B., Lea, J., Schumann, P., & Jillson, I. (2020). Turnover, burnout, and job satisfaction of certified registered nurse anesthetists in the United States: Role of job characteristics and personality. AANA Journal, 88(1), 39-48.







Mahoney, C. B., Lea, J., Jillson, I., & Meeusen, V. (2014). Turnover of nurse anesthetists: The similarities and differences between countries. BioMed Central Ltd. 14(2).







Do you want to learn from APSF about patient safety?...

Regional anesthesia is Shane Garner’s passion and in this episode he and I talk about regional from a 10,000-foot view. We cover the fellowship programs available to CRNAs and the NBCRNA’s board certification exam in Non-Surgical Pain Management. We talk about how to dial in your regional anesthesia skills whether you’re a SRNA looking to graduate with a solid foundation or a CRNA who wants to find ways to incorporate more regional anesthesia into your career and the value you bring as an anesthesia provider. It’s all here in this quick run down on the current state of regional anesthesia.







Shane Garner, MS, CRNA, NSPM-C is an anesthesia provider in Ripon, Michigan. Shane has a Bachelor of Science in Nursing from the University of Minnesota and graduated from Rosalind Franklin University with his Master of Science in Nurse Anesthesia in 2012. He went on to complete a fellowship in Advanced Pain Management at the University of South Florida before becoming board certified in Nonsurgical Pain Management through the NBCRNA (National Board of Certification and Recertification for Nurse Anesthetists). Shane is an adjunct faculty member at the University of Alabama at Birmingham’s nurse anesthesia program where he teaches on personal finance and regional anesthesia. Shane also enjoys teaching these topics at continuing education conferences for CRNAs, including Twin Oaks Anesthesia, Cornerstone Anesthesia Conferences and others.







Links:







University of South Florida Advanced Pain Management Fellowship







NBCRNA Non-Surgical Pain Management Board Certification Exam

Shane Garner, MS, CRNA, NSPM-C & I discuss what he considers to be five keys for achieving financial independence. The keys are: 1. Set goals to live below your means. 2. Pay yourself first. 3. Avoid debt. 4. Invest in low cost index funds. 5. Educate yourself.







Shane Garner, MS, CRNA, NSPM-C is an anesthesia provider in Ripon, Michigan. Shane has a Bachelor of Science in Nursing from the University of Minnesota and graduated from Rosalind Franklin University with his Master of Science in Nurse Anesthesia in 2012. He went on to complete a fellowship in Advanced Pain Management at the University of South Florida before becoming board certified in Nonsurgical Pain Management through the NBCRNA (National Board of Certification and Recertification for Nurse Anesthetists). Shane is an adjunct faculty member at the University of Alabama at Birmingham’s nurse anesthesia program where he teaches on personal finance and regional anesthesia. Shane also enjoys teaching these topics at continuing education conferences for CRNAs, including Twin Oaks Anesthesia, Cornerstone Anesthesia Conferences and others.







Resources:







The White Coat Investor







The Boglehead’s Guide to Investing







The Simple Path to Wealth

I’m joined on the show today by Kelly Gallant, PhD, SRNA and Adrienne Chavez, BSN, SRNA to talk about Student Registered Nurse Anesthetist (SRNA) wellness in light of the COVID19 pandemic. Kelly and Adrienne are the immediate past and current SRNA Representatives to the American Association of Nurse Anesthetists’ Health and Wellness Committee, with Kelly serving in 2019 and Adrienne in 2020. I caught up with them to discuss how SRNAs are facing the challenges and concerns of the COVID19 pandemic as well as advice for maintaining a positive mental attitude and resources that Kelly and Adrienne created, along with the rest of the Health & Wellness Committee, that are available on aana.com.







Kelly Gallant, PhD, SRNA is wrapping up her training this spring at Northeastern University in Boston. She received her Bachelor’s degree from Northeastern in 2010 and spent 8 years working in the surgical intensive care unit as a Registered Nurse while researching pediatric pulmonary hypertension and caregiver reactions as part of her PhD, which she completed at Northeastern in 2017. Kelly then returned to school to study anesthesia and will graduate from Northeastern’s Nurse Anesthesia program with her Master of Science in May 2020. Kelly was the fiscal year 2019 SRNA Representative to the AANA Health & Wellness Committee.







Adrienne Chavez, BSN, SRNA is currently training at the University of Maryland. Adrienne received two Bachelor’s of Science degrees from the University of Maryland, one in psychology and the other in nursing. She is currently enrolled in the University of Maryland’s Doctor of Nursing Practice program with an anticipated graduation date of May 2021. Most recently she worked at the National Institutes of Health as a critical care Registered Nurse. She is the fiscal year 2020 SRNA Representative to the AANA Health & Wellness Committee.















Resources from the AANA Health & Wellness Committee:







aana.com/covid19 – AANA developed this great resource which has answers to questions SRNAs and CRNAs are asking. The website is constantly updated to include the latest news & information relevant to the current pandemic, with topics including clinical practice, critical care management, COVID-19 employment issues, the SRNA experience and more.







AANA COVID19 Well-being. This site includes CRNA-produced content on wellness related to the current pandemic, including other From the Head of the Bed podcasts and Aly McLean, CRNA’s “Mindfulness while wearing an N95 mask” video, which is also linked here.







aana.com/thriveThe THRIVE initiative provides resources for the general public and AANA members in regards to career transitions related to the CRNA role. RNs looking to become nurse anesthesia students, new graduate CRNAs looking for their first job, transitioning in mid- to late-career, and retirement are all covered with a multitude of resources. 







AANA COVID19 Infographic: https://www.aana.com/docs/default-source/marketing-aana-com-web-documents-(all)/2020_ppr02...