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1 CR085: Driving change in public services with data and AI with Craig Suckling, UK Government 1:02:15
Ketamine: Uses, Effects & Mechanism of Action w. Dr. Kelly Elmore, Mary Baldwin University
Manage episode 443163655 series 3315614
Join our Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community
FREE! CRNA School Interview Prep Guide: https://www.cspaedu.com/uc9a5ih4
Ketamine: A Unique Anesthetic with Diverse Applications
Dive deep into the world of ketamine, exploring its history, pharmacology, mechanism of action, clinical uses, and side effects. Dr. Kelly Elmore, Assistant Program Director at Mary Baldwin University's Nurse Anesthesiology Program, guides listeners through this fascinating drug, highlighting its potential for anesthesia, pain management, and even mental health treatment.
Targeting NMDA Receptors for Dissociative Anesthesia
Ketamine is classified as a dissociative anesthetic, distinct from depressant anesthetics like propofol. It primarily works by blocking NMDA receptors in the central nervous system, thereby reducing excitatory signals and producing profound analgesia and amnesia. This mechanism also contributes to the characteristic dissociative state, where patients may appear detached from their environment and experience hallucinations.
Beyond Anesthesia: Exploring Ketamine's Diverse Uses
Beyond its role in anesthesia, ketamine offers a range of benefits in various clinical settings:
- Pain Management: Ketamine's analgesic properties make it valuable for treating acute and chronic pain conditions, including neuropathic pain, complex regional pain syndrome, and post-surgical pain.
- Mental Health: Emerging research suggests ketamine's potential in treating treatment-resistant depression, PTSD, and suicidal ideation. Low-dose ketamine infusions combined with psychotherapy have shown promise in these areas in the form of ketamine-assisted therapy.
- Emergency Medicine: Due to its bronchodilatory effects and ability to maintain airway patency, ketamine is a valuable tool in emergency departments for managing patients with respiratory distress.
Important Considerations for Ketamine Use
While ketamine offers numerous advantages, it's crucial to be aware of its potential drawbacks:
- Side Effects: Nausea, vomiting, and hallucinations are common side effects, particularly at higher doses.
- Abuse Potential: Ketamine's popularity as a street drug necessitates caution, especially in outpatient mental health settings.
- Cardiac Effects: In critically ill patients with depleted catecholamines, ketamine can worsen cardiovascular depression.
- Mental Health Risks: Ketamine may exacerbate symptoms in some mental health disorders.
S-Ketamine: A Promising Option for Treatment-Resistant Depression
The FDA-approved S-ketamine nasal spray offers a new avenue for treating treatment-resistant depression. This medication is typically used alongside other oral antidepressants.
Conclusion: A Multifaceted Drug with Ongoing Research
Ketamine's unique properties make it a valuable tool for CRNAs across various healthcare settings. Ongoing research continues to explore its potential benefits and refine its use for optimal patient care.
Need Interview Prep Help In A Hurry?
Fast-Track Your CRNA School Interview Prep with our CRNA Interview Crash Course! https://www.cspaedu.com/4wotmlds
Get access to application & interview preparation resources plus ICU Educational Workshops that have helped 1,000s of nurses accelerate their CRNA success.
Become a member of CRNA School Prep Academy:
Get CRNA School insights sent straight to your inbox! Sign up for the CSPA email newsletter: https://www.cspaedu.com/podcast-email
Book a mock interview, resume or personal statement critique, transcript review and more: www.teachrn.com
Attend an upcoming Virtual Information Session with Mary Baldwin University Nurse Anethesiology Program: https://marybaldwin.edu/programs/nurse-anesthesiology-dnp/
Join our Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community
185 एपिसोडस
Manage episode 443163655 series 3315614
Join our Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community
FREE! CRNA School Interview Prep Guide: https://www.cspaedu.com/uc9a5ih4
Ketamine: A Unique Anesthetic with Diverse Applications
Dive deep into the world of ketamine, exploring its history, pharmacology, mechanism of action, clinical uses, and side effects. Dr. Kelly Elmore, Assistant Program Director at Mary Baldwin University's Nurse Anesthesiology Program, guides listeners through this fascinating drug, highlighting its potential for anesthesia, pain management, and even mental health treatment.
Targeting NMDA Receptors for Dissociative Anesthesia
Ketamine is classified as a dissociative anesthetic, distinct from depressant anesthetics like propofol. It primarily works by blocking NMDA receptors in the central nervous system, thereby reducing excitatory signals and producing profound analgesia and amnesia. This mechanism also contributes to the characteristic dissociative state, where patients may appear detached from their environment and experience hallucinations.
Beyond Anesthesia: Exploring Ketamine's Diverse Uses
Beyond its role in anesthesia, ketamine offers a range of benefits in various clinical settings:
- Pain Management: Ketamine's analgesic properties make it valuable for treating acute and chronic pain conditions, including neuropathic pain, complex regional pain syndrome, and post-surgical pain.
- Mental Health: Emerging research suggests ketamine's potential in treating treatment-resistant depression, PTSD, and suicidal ideation. Low-dose ketamine infusions combined with psychotherapy have shown promise in these areas in the form of ketamine-assisted therapy.
- Emergency Medicine: Due to its bronchodilatory effects and ability to maintain airway patency, ketamine is a valuable tool in emergency departments for managing patients with respiratory distress.
Important Considerations for Ketamine Use
While ketamine offers numerous advantages, it's crucial to be aware of its potential drawbacks:
- Side Effects: Nausea, vomiting, and hallucinations are common side effects, particularly at higher doses.
- Abuse Potential: Ketamine's popularity as a street drug necessitates caution, especially in outpatient mental health settings.
- Cardiac Effects: In critically ill patients with depleted catecholamines, ketamine can worsen cardiovascular depression.
- Mental Health Risks: Ketamine may exacerbate symptoms in some mental health disorders.
S-Ketamine: A Promising Option for Treatment-Resistant Depression
The FDA-approved S-ketamine nasal spray offers a new avenue for treating treatment-resistant depression. This medication is typically used alongside other oral antidepressants.
Conclusion: A Multifaceted Drug with Ongoing Research
Ketamine's unique properties make it a valuable tool for CRNAs across various healthcare settings. Ongoing research continues to explore its potential benefits and refine its use for optimal patient care.
Need Interview Prep Help In A Hurry?
Fast-Track Your CRNA School Interview Prep with our CRNA Interview Crash Course! https://www.cspaedu.com/4wotmlds
Get access to application & interview preparation resources plus ICU Educational Workshops that have helped 1,000s of nurses accelerate their CRNA success.
Become a member of CRNA School Prep Academy:
Get CRNA School insights sent straight to your inbox! Sign up for the CSPA email newsletter: https://www.cspaedu.com/podcast-email
Book a mock interview, resume or personal statement critique, transcript review and more: www.teachrn.com
Attend an upcoming Virtual Information Session with Mary Baldwin University Nurse Anethesiology Program: https://marybaldwin.edu/programs/nurse-anesthesiology-dnp/
Join our Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community
185 एपिसोडस
सभी एपिसोड
×1 Airway Management Adventures (CRNA Case Studies) w. Dr. Jeremy Heiner, The Nurse Anesthesia 33:07
1 New CRNA Programs Opening in 2024 & 2025: Should You Apply? 19:50
1 Pain Management In Anesthesia w. Dr. Derek Owens, Mary Baldwin University 28:59
1 Should You Take The GRE For CRNA School? Plus Get a FREE Magoosh Practice Test! 25:47
1 Professional Roles & Leadership for Nurse Anesthesia w. Dr. Melissa Eisenhauer, University of Evansville Nurse Anesthesia Program 32:44
1 Going to CRNA School w. Credit Card Debt- What You Need to Know 29:33
1 Ketamine: Uses, Effects & Mechanism of Action w. Dr. Kelly Elmore, Mary Baldwin University 25:45
1 What You Need To Know About Paying for CRNA School 53:10
1 What Is ARDS (Acute Respiratory Distress Syndrome) w. Dr. Jeremy Heiner, EdD, CRNA, FAANA 28:06
1 Perioperative Fluid Management With Dr. Carly Mitchell, Bellarmine University 28:58
1 Side Gigs For Nurses + Can You Work While In CRNA School? With Patrick From Nurse Wallet 27:17
1 Housing For Travel Nurses - Where To Stay On Travel Nurse Assignments 27:03
1 Ultrasound Physics With Dr. Jen McPherson, Mary Baldwin University 20:27
1 Pathophysiology Of Hypertrophic Cardiomyopathy With Dr. Shannon Pecka, Bryan College Of Health Sciences 30:58
1 How To Become An ICU Nurse | What Is It Like To Be An ICU Nurse? 35:10
1 AANA Infection Control Policy Updates And What You Need To Know With Dr. Cherie Burke Program Director At Loyola University New Orleans 28:09
1 The 2024 US News Nurse Anesthesiology Program Rankings Report – What You NEED To Know 20:39
1 Pulmonary Artery Catheters: Hemodynamics And Case Management With Nicole Kupchik 54:29
1 Our BEST Interview Prep- ACE Your CRNA School Interview With CSPA! 35:56
1 Our BEST Application Tips- How To Stand Out As A CRNA School Applicant! 33:46
1 How Much Debt Will You Be In After CRNA School? 19:28
1 What You Need To Know About Becoming A CRNA with Nurse Mo from Straight A Nursing 44:58
1 The Coagulation Cascade: An Easy Way To Memorize By Dr. Stephanie Woodruff, Program Director At Ursuline College Nurse Anesthesia Program 13:44
1 Phenylephrine (Neo-Synephrine): What Is It And How Does It Work? Free Study Guide Included! 15:48
1 Epinephrine (Adrenalin): What Is It And How Does It Work? Free Study Guide Included! 9:49
1 Norepinephrine (Levophed) : What Is It And How Does It Work? Free Study Guide Included! 19:07
1 Impostor Syndrome With Dr. Jeff Darna, CRNA, DNP And Co-Program Director At Keck School Of Medicine Of USC 27:00
1 What You Need To Know To Become A CRNA In 2024 And Beyond. The Playing Field Has Shifted! 31:13
1 How Competitive Is CRNA School In 2024? 35:50
1 How To Use Your ICU Experience To Prepare For CRNA School With Guest Host Rick Heuermann, Nurse Anesthesia Resident 22:36
1 The Hardest Topics In CRNA School With Guest Hosts Cordero & Monica, Nurse Anesthesia Residents 18:31
1 Tips For SRNAs Starting Clinicals With Guest Hosts Cordero And Monica, NARs 21:54
1 Patients That Are Hard To Sedate And Why With Guest Host Paulene, Nurse Anesthesia Resident 20:23
1 Critical Thinking For CRNA Part 2 With Dr. Heiner, Head Of Admissions For Kaiser Permanente School Of Anesthesia 15:52
1 Critical Thinking For CRNA Part 1 With Dr. Heiner, Head Of Admissions For Kaiser Permanente School Of Anesthesia 17:46
1 Emergence And Extubation: Waking Someone Up From Anesthesia Part 3 Post-Extubation Emergencies 23:46
1 Emergence And Extubation: Waking Someone Up From Anesthesia Part 2 Awake Extubation 42:12
1 Emergence And Extubation: Waking Someone Up From Anesthesia Part 1 Deep Extubation 38:33
1 Emotional Intelligence – Do I Have It? Part 2 With Dr. AuBuchon, Program Faculty At South College 16:02
1 Emotional Intelligence - Do I Have It? Part 1 With Dr. AuBuchon, Program Faculty At South College 17:57
1 Can You Manage CRNA School As A Single Parent With Single Mom And SRNA Ariel 36:38
1 What Type Of ICU Experience Is Best For Aspiring CRNAs? With Dr. Canale, USF Program Director 17:04
1 Preparing Care Plans In CRNA School With Guest Host David Warren, NAR 35:03
1 How To Study In CRNA School With Guest Host David Warren, NAR 24:36
1 Tips For Clinical Success Before And During CRNA School With Guest Host David Warren 24:50
1 Nurse Anesthesia Educators Unplugged Sneak Peek w. Dr. Fitch, DNP, CRNA and Program Director Of University Of Evansville 18:12
1 Balancing Mental Wellness In CRNA School With Guest Hosts Cordero And Monica 25:20
1 What I Wish I Had Known - Clinical By Guest Host David Warren 27:09
1 What I Wish I Had Known - Didactic By Guest Host David Warren 27:25
1 Preparing For CRNA School With Guest Hosts Cordero And Monica 21:14
1 CRNA School Requirements That You May Not Know About 47:08
1 A Day In The Life Of A Nurse Anesthesia Resident With Guest David Warren 34:10
1 How To Manage Time In CRNA School With Guest Hosts Cordero & Monica, SRNAs 39:45
1 G Protein Pathway Part #2 With PKA: ICU Drugs & Mechanism Of Action 21:03
1 Part 1 Signal Transduction With G Proteins With RRNA David Bearden 30:07
1 Retaking Undergraduate Courses For CRNA Social Q&A 34:35
1 ICU Travel Nursing, Everything You Need To Know With Justin Allison From Lead Health 38:42
1 Questions To Prep For Your CRNA Interview With Current RRNA Erika 11:54
1 What Is The One Thing You Can Do To Ensure Your CRNA Journey Is A Success? 28:02
1 ICU Cardiac Medications With Nicole Kupchik 40:15
1 PACU Anesthesia Handoff With Cathy Zuniga From PACU Nursing Minutes 53:53
1 How To Recover Mental Wellness After Burnout In CRNA School With NAR Cori Stone 38:08
1 How A Mentor Can Accelerate Your CRNA Journey 41:26
1 Starting A Med Spa As A CRNA With Megan Hagley 19:19
1 Becoming An Expert Witness As A CRNA With Kristen Hull 28:44
1 Do You Need To Know A CRNA To Become One? 38:49
1 Does A Waitlist Mean You Are At High Risk To Struggle In CRNA School? 18:43
1 What Is The Difference Between A Bronchospasm & Laryngospasm? 27:36
1 Steps Before Nursing School For CRNA With Colby 58:05
1 Assessing Paralysis Under Anesthesia 24:00
1 Will Your Marriage Survive CRNA School? 24:08
1 Life After CRNA School With CRNA Marissa 1:03:02
1 Getting Dismissed From CRNA School... Now What? 29:23
1 You Have 3 Chances To Interview For CRNA Then You Can No Longer Apply Rule With RRNA Ivan 43:41
1 CRNA School Advice Directly From CRNA Program Faculty 26:15
1 What Are Common Myths About Becoming A CRNA? 58:06
1 Going Back For CRNA As A Second Career Nurse With RRNA Guest Kelly 52:12
1 Getting Into CRNA School Without Current ICU Experience With CRNA Guest Monica 37:16
1 Getting The CCRN For CRNA School With Nicole Kupchik 32:55
1 Episode 94: Why Advocacy Is Important As A CRNA With AANA President Dr. Angela Mund DNP, CRNA 42:40
1 Applying To CRNA School Fact Versus Fiction 46:57
1 Episode 92: How To Get Accepted Into CRNA School On Your First Attempt 30:18
1 What Is Opioid-Free Anesthesia? With Dr. Thomas Baribeault, DNP, CRNA 42:14
1 Planning Your CRNA School And Living Expenses With Natalie A. Kratzer, ChFC®, CLF®, CLTC®, FIC 55:30
1 Episode 89: Can You Survive CRNA School With Kids? With Jon Holmer 44:50
1 Episode 88: What Are Some Things To Consider When Looking For Your First Job As A CRNA 48:22
1 Episode 87: Did I Always Know I Wanted To Become A CRNA? 37:25
1 Episode 86: What Are My Favorite Types Of Anesthetics & Cases As A CRNA 36:16
1 Episode 85: What Did I Struggle With The Most In CRNA School? 34:24
1 Episode 84: Do You Need a Mock Interview for CRNA? 20:55
1 Episode 83: CRNA Work-Life Balance Compared To RN 31:32
1 Episode 81: Breaking Down Your CRNA Application 58:02
1 Episode 80: Is CRNA School Expensive? 38:40
1 Episode 79: Resume Hacks For CRNA School 27:01
1 Episode 78: CRNA Vs. RN What Is The Difference? 48:58
1 Episode 77: The Fastest Way To Become A CRNA 35:40
1 Episode 76: Leadership Roles For CRNA School 19:25
1 Episode 74: How To Manage Your Time As An ICU Nurse with ICU RN Shakira 37:45
1 Episode 73: How To Pick Your CRNA Program With Richard Wilson, MNA, CRNA 1:07:42
1 Episode 72: What Does A CRNA Do? What Does It Mean To Be An Opt-Out State? What Is The Difference Between AA, CRNA & MD? 37:36
1 Episode 71: How To Manage Your Time In CRNA School 25:58
1 Episode 70: How To Handle Anxiety Around Starting CRNA School 31:26
1 Episode 69: CRNA School Is Expensive! So How Much Money Do CRNAs Make? 27:29
1 Episode 68: How to Prepare Mentally for CRNA School With Guest Jon Lowrance CRNA 38:22
1 Episode 67: Getting into CRNA School with a Pass | Fail Nursing Degree with SRNA Sabrina 42:26
1 Episode 66: Questions to Ask During Your Shadow Experience 31:48
1 Episode 65: How To Hit The Ground Running As An ICU Nurse With ICU Nurse AJ 51:40
1 Episode 64: Questions to Ask the Interview Panel 17:50
1 Episode 63: Is CRNA School Really as Hard as They Say It Is? 38:53
1 Episode 62: Thriving in Your CRNA Didactics with Jon Lowrance CRNA 45:58
1 Episode 61: Why You Do Not Need To Be A Straight A Student to be Successful in CRNA School 28:05
1 Episode 60: CRNA Independent Practice with Joe Rodriguez DNAP, CRNA 49:04
1 Episode 59: Going To CRNA School With Less Than 1 Year Of ICU Experience 25:34
1 Episode 58: Asking For Letters Of Reference For CRNA School 29:02
1 Episode 57: Mock Interview Coaching with Assistant Director and CSPA Expert Contributor Richard Wilson MNA, CRNA 42:56
1 Episode 56: Writing A Good Personal Statement For CRNA School 30:27
1 Episode 55: Tips on How To Stay Successful in CRNA School 34:07
1 Episode 54: All Time Favorite Episodes of 2021! 44:37
1 Episode 53: Why Being A Good Nurse Does Not Necessarily Equal Being A Good SRNA 38:35
1 Episode 52: Finding Financial Freedom As A CRNA with Crystal Grant CRNA & Business Owner 44:28
1 Episode 51: How Does Your ICU Experience Prepare You for CRNA? 21:45
1 Episode 34: Maintenance of Anesthesia 49:43
1 Episode 32: Guest Dr. Dawn Bent Program Director of Upenn Nurse Anesthesia Program 52:33
1 Episode 31: What Does A CRNA Do? Pro’s and Con’s Of This Career Choice 37:03
1 Episode 30: Am I Too Old To Pursue CRNA? 22:39
1 Episode 29: Stress Management with Matthew Zinder, MS, CH, CRNA 49:49
1 Episode 28: Pre-operative Assessment 40:03
1 Episode 27: How & When To Reach Out To Your Future CRNA Program With Expert Guest Richard Wilson MNA, CRNA 56:52
1 Episode 26: Guest SRNA Sara Conner: What is it like to be a parent in CRNA School? 38:30
1 Episode 25: Why 10 Rejections and Being 58 Didn't Stop Eslyn 32:17
1 Episode 24: CCRN and Other Certifications 19:21
1 Episode 23: Why CRNA School Prep Academy 20:59
1 Episode 22: Facing 12 Rejections with SRNA Mike 42:20
1 Episode 50: Actions You Can Take Now As A Nursing Student To Achieve Your CRNA Dream 35:02
1 Episode 49: How To Handle Criticism In CRNA School 32:05
1 Episode 48: NEW SRNA Survival Guide With Current SRNA's Ashley, Ruben & Evelyn 1:05:38
1 Episode 47: Do You Need To Start In Med Surg Prior To ICU? 25:26
1 Episode 46: Real CRNA Interview Questions, Know What To Expect 33:10
1 Episode 45: Passing CRNA Board Exam with Morgan Potts CRNA 1:03:56
1 Episode 44: Front Loaded Versus Integrated With Current SRNA Marissa 47:11
1 Episode 42: Guest Jake Bevilacqua on CRNA Practice W2 versus 1099 45:05
1 Episode 41: Growth Mindset & Why This Single Thing Can Allow Your CRNA Journey To Be Easier 34:48
1 Episode 40: Regional Anesthesia with Scott Urigel Founder of Block Buddy Pro 58:01
1 Episode 39: How to Study Effectively 30:45
1 Episode 36: Advocacy as a SRNA & Involvement in the AANA With Guest Jeff Molter 51:03
1 Episode 20: CRNA Interview Styles, What to Expect? 26:33
1 Episode 19: Pediatric Anesthesia | Physiology Overview 58:59
1 Episode 18: Imposter Syndrome with Nurse Mo 55:17
1 Episode 16: Is ICU Nursing Similar to Being a CRNA? 36:39
1 Episode 15: Surviving and Thriving In a Relationship During CRNA School 26:09
1 Episode 14: How To Pay For CRNA School with Guest Natalie Kratzer, Financial Consultant 44:40
1 Episode 13: Day In The Life Of A CRNA 45:15
1 Episode 12: Landing Your First Job After CRNA School 36:24
1 Episode 11: Breaking Down GPA For CRNA School 30:41
1 Episode 10: Open Heart Rotation Pharmacology Review 51:52
1 Episode 9: Tackling The CRNA Interview With Guest Richard Wilson MNA, CRNA 1:03:04
1 Episode 8: Clinical Tips For Success as a Nurse Anesthesia Resident 38:20
1 Episode 7: Dealing With Burnout as a Nurse Anesthesia Resident 21:23
1 Episode 6: Which ICU Experience Is Best for CRNA School 31:39
1 Episode 5: Most Common Reasons For Dismissal From CRNA School with guest Dr. Jason Bolt DNP, CRNA 42:39
1 Episode 4: The Most Common Reason Candidates Face Rejection From CRNA School 28:45
1 Episode 2: How To Study, My Best Study Tips 28:58
1 Episode 1: The Big Picture, Why Now, Why Me? 21:18
1 Official Trailer: CRNA School Prep Academy Podcast 2:45
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