Atomic Anesthesia

SPINE SURGERY WITHOUT LOSING YOUR NERVE │ EP131

November 9, 2026·28 min
Episode Description from the Publisher

🚀 Try the Atomic Anesthesia platform free for 3 days: Start your free trial 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. A six-level fusion, a patient prone on a frame all day, real blood loss, and a neuromonitoring team at the head of the bed. Where does your plan even start? In Week 6 of our SEE/NCE series, we break spine surgery into the pieces the boards love to test, so you can protect the eyes, the cord and the blood volume with confidence. In this episode:Turning prone safely, and what the prone position does to venous return, oxygenation and bleedingPostoperative visual loss, ischemic optic neuropathy vs central retinal artery occlusion, and the six ION risk factorsSpinal cord blood supply, the artery of Adamkiewicz, and why SSEPs can miss anterior spinal artery syndromeSSEPs vs MEPs, and how volatiles, TIVA and muscle relaxants change your signalsWhat to do when the signals drop, the wake-up test, blood conservation and venous air embolismExtubation decisions and multimodal pain control after spine surgery Want more content like this? Become a member of our learning platform 💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.SEE/NCE Study Plan — a structured, week-by-week plan to pass your boards 💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at hello@atomicanesthesia.com, follow us on social media, and sign up for our newsletter.Mentioned in this episode:💜 PARTNERS: The Incomologists®https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA (jake@theincomologists.com)

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