
Anesthesia Wise Guys
Anesthesia Wise Guys is a podcast focused on anesthesia practice, offering discussions and commentary on topics relevant to anesthesia providers. It blends clinical subject matter with the humor that many in the field share. Episodes are meant to be engaging and conversational, aimed at CRNAs, anesthesiologists, and others involved in perioperative care.
Episodes

Hydrodissection Pain Relief, Tips for difficult senior colleagues, and Don't Do That
EXPLICIT EPISODE. Join Mawi and Shelly for a discussion on understanding consciousness, a mysterious embolus, and a poop covered epidural.

Consent Email, E-Bike Trauma, Vagal Response, and Ayahuasca Brain Experiments
Join Mawi, David, and Shelly for discussions on antagonistic patients, ridiculous DKA, E-Bike trauma in the ER, and Shelly's nerve pain after a skin biopsy. Listener mail includes discussion on preoxygenation with the circuit in clasutrophobic patients, compliance sedation, and a discussion on modifications of DNR in the OR.

Video Laryngoscopes, Mobile Bougies, Child Chemical Burn, and DNR Consents
Mawi and Shelly discuss listener mail on video laryngoscopes, mobile bougies, and Venezualian anesthesia mortalities. Other random topics include a chemical burn, rushed induction, and discussions on DNRs for general anesthetics.

Line Placement Tricks, Abnormal Pulmonary Anatomy, and Cardiac stories
Mawi, Paul, and Shelly discuss follow up on hypothermia, a listner email about neurogenic pulmonay edema, and an email about anesthesiologists as Respiratory Therapists during COVID. Join the Wise Guys for another medley of stories.

Extreme Hypothermia, 4 point restraints, ridiculous decubitus ulcers, and no radiology capabilities.
Mawi and Shelly discuss a remarkable hypothermic patient, an emergence delirium patient that reqired 4 point restraints, and an unidentified decubitus ulcer bigger than Shelly's head. Enjoy the Wise guys for another episode of stories.

Prone ETT loss, fighting in the ER. Orange Juice for NPO and other ridiculous stories we've heard about.
Shelly and Mawi discuss facial biting wounds in ER, a facial kick that resulted in amazing air in the face, and the loss of an endotracheal tube in the prone position in Mayfield Pins. Join the Wise Guys for stories that you can only hear here.

Listener mail for heart block, crazy blood pressures, and water allergy. Mawi and Shelly tell stories about big tongues, MH, dementia, and problematic circumcisions. Join the Wise Guys for their journey into the strange new year.
Listener mail for heart block, crazy blood pressures, and water allergy. Mawi and Shelly tell stories about big tongues, MH, dementia, and problematic circumcisions. Join the Wise Guys for their journey into the strange new year.

Assorted Groin Injuries, Hemorrhoid ECMO Update, Massive TIA with hemarthrosis risk, and Percretia to Iliac vessels
Join Mawi and Shelly for a discussion on how people are presenting with groin injuries, an update to the previously discussed case that progressed to ECMO, a rock and a hard place with a cerebral ischemic event in a patient with a recent shoulder surgery, and a patient with percretia to bilateral iliac vessels.

Insurance, Stylettes, PACU Placement, and Angioedema
Mawi, Sarah Stewart Holland from Pantsuit Politics, and Shelly discuss Insurance dysfunction, Angioedema adventures, and massive esophageal hemorrage to start with. Mawi and Shelly continue to discuss stylette dysfunction during intubation, putting PACU patients in backwards, and a pediatric internal decapitation.

Halloween 2025
Shelly, Mawi, and Paul discuss austere anesthesia, Mawi's Trauma, and Paul's salvation of a lobster. Enjoy the hosts and listen to Paul's Halloween EMT story.

Cath Lab, Echo Probe Recs, Septic Abdomens
Explicit. Mawi and Shelly discuss hemorrhoidectomies that go to ECMO, throat pressure that when released resuscitates patients, and septic guts gone wild. Join the hosts for their usual banter and story telling behind the scenes. Shelly loses it on a Mawi story and has to go Explicit.

Vape Lungs, TEE Insertion Problems, Benzos for Seizures, Trach if necessary
Mawi and Shelly discuss problems with oxygenating Vape lungs, challenges with cardiologists putting in TEE probes, and use of the Clear Sight device from an anecdotal perspective. Join the hosts for a frank discussion on what's been going on in the medicine.

Spleen Rupture, Bleeding, Bowel Obstructions Oh My!!!!!
One of the funniest episodes we've had. Really irreverant side commentary. Good clinical discussions for learners. Discussed aggressive resuscitation, treating acidosis, and treating hyperkalemia. Come on a trip with the Wise Guys.

Department Conflict, Echos of Adventure, Good and Bad Decisions
Shelly, Mawi, and David discuss a listener mail on interdepartmental conflict, cautionary tales of addressing valvular disease and anesthesia, and language barriers complicating care.

Resuscitation, pH management, POCUS, and more....
Shelly, Mawi, Paul, and Stephen have a great discussion on volume resuscitation strategies, maximum blood products given, and what to give when pH is whack. The nephrologist has some knowledge to drop....

HUGS, DRUGS, IV's, and F'ing Menopause
Shelly and Mawi go through Listener Mail for droperidol response, and recommendations for block adjustments. Discussion on approaches to ultrasound IV's and ALines. Shelly tells a story about menopause that will make you laugh, unless you're a monster.... maybe.....

CBD, Context Sensitive Half Life, and Depodur stories
Mawi and Shelly Discuss things they've heard about. It's a medley of nerve blocks, Cannibinoid hyperemesis, and opiates.

Medley of Stories, Arterial Lines, and Hemophiliacs
Mawi and Shelly have a littany of technical difficulties with recording this episode. We tell some stories and joke as we are want to do. Enjoy.

February Stories
Shelly and Mawi tell stories about endoscopy, random codes, ruptured aneurysms, and snow shoveling heart attacks.

Continued 2025 Predictions and Pseudocholinesterase Story with others
Join Shelly, Mawi, and Paul for 2025 predictions from Paul. Hosts discuss Pseudocholinesterase deficiencies, failures in sedation, and Covid lung stories they've heard. Pretty explicit in this episode. Listener, you've been warned. :)

2024 Predictions Revisited and 2025 Prediction
Mawi and Shelly tell stories and go through 2024 predictions and give 2025 predictions. Join the hosts for a throwback and look to the future.

Halloween 2024
Shelly, Mawi, and Tim discuss Halloween monsters and their possible pathologies. Then as usual they tell stories about gastric ulcers, belly pain, and IV fluid shortages. Come one in to the fun!

Ethical Concerns, Opiate maximal dosing, Preprocedural Sedation and more!!!
Shelly, Mawi, Paul, and Yan discuss ethical concerns for device implants and transplant, most opiate given, and strategies to preprocedurally sedate patients. The episode takes the usual tangents and medical humor typical for the hosts. Come along for the ride with the hosts for another adventure into the real discussion of clinical medicine.

Listener Mail Responses, Alien Eruption, and Other Stories
***Explicit. Shelly, Mawi, and Tim go through multiple listener emails, and tell stories that are rather unbelievable. Follow the hosts through the journey of clinical medicine.

Business advice, bladder parasites, and necrotic tissue.
Join Mawi and Shelly for long interval discussion and humor on ER debridements, a bladder parasite that is a case report, and Mawi's divergence on how to invest smartly for your income tax shelter.

Administration, Credentialing, GI and Cirrhotic bleeding, and the One Ring to Rule Them All
Mawi and Shelly discuss stories involving bleeding, credentialing woes, and a beloved ring that was costly. Join the hosts for stories and lessons learned in medicine.

Car Crashes, Radiology AI and other stories
Shelly and Mawi tell stories about Car Crashes, AI in radiology, and other things they've heard about. Join the hosts for another adventure in medicine.

Don't put that in there
Horrifying stories from Mawi and Shelly about poor life decisions. Some questionable content. Listener discretion advised.

2024 Predictions
Mawi and Shelly tell some stories, reply to listener mail, and make predictions for medicine in 2024. Join the hosts for a "crystal ball" look into the future!

Christmas Special: Bad Santa Medical Review
Shelly and Mawi tell stories they've heard about, then diverge into the medical concerns of the documentary Bad Santa. Join the hosts for discussions about cirrhosis, sarcoidosis, head trauma, and gunshot wounds. Merry Christmas to all and to all a good laugh!

Endotracheal Tube Malfunction, Terrible Bleeding, and Insulin Dosing
Join Mawi, Shelly, and Ben (new Ben) for stories of ETT malfunctions, Aortas that can't be fixed, and the most insulin given in a case that we've EVER heard of. You'll laugh, you'll cry, and maybe hurl. Hopefully not the hurling part.

Difficult Patients, Bleeding Airways, and Drugs are Bad
Shelly and Dr. Mawi have a ridiculous discussion about stories they've heard about. Patients making bad choices, having awful medical problems, and a shout out to nurses that don't get paid enough for the crud they deal with.

Psych Patients, Wild Abdominal CTs, and Gunshot Wound Bonding
Shelly and Dr. Mawi share random stories about psych patients, strange abdominal findings, another aspiration story, and bonding between gunshot patients. Enjoy the banter and story telling.

Head Bleeds, Aspiration, and Crazy Airways
Shelly and Dr. Mawi have a Wise Guy discussion on stories they've heard about head bleeds, aspirations, and crazy airways they've heard about.

Pneumothorax, diversion, and airway stories
Dr. Mawi and Shelly tell catch up stories from things they've heard about since the last podcast. Stories about chest tubes, good decisions, bad decisions, and saves from the Wise Guys.

Locums Offers and Behavioral Health Topics
Join Shelly and Mawi for discussion on Locums offers and a discussion on medicine behavioral health concerns. Wise guys go into some taboo topics on medicine.

Stories, Challenging Airways, and Anesthesia Machine Problems
Shelly and Dr. Mawi discuss things they've heard of and listener mail topics. Challenging airways and a brief discussion of troubleshooting anesthesia machine malfunctions included.

POCUS Discussion with Shelly and Dr. Mawi
The hosts open with some stories they've heard about, then segway into Point of Care Ultrasound. Join Shelly and Dr. Mawi as they talk about how they use Ultrasound to answer questions about patient care.

*Explicit* The Chief, Dr. Mawi, and Shelly Tell Some Stories
The three hosts have wildly different tangents to discuss. Some medical, some social, and one brief academic discussion about paralytics. Enjoy the nonsense.

2023 Stories
Hosts Shelly and Dr. Mawi launch the 2023 season with a reboot of stories from anesthesia and the Emergency Medicine world. Join our hosts discussing ER procedures and Anesthesia adventures that are sure to captivate the mind.

2022 First Episode with Shawn
New host Shawn joins the Wise Guy team for a medley of stories and catching up since we last saw each other. Welcome back to the Wise Guys in 2022.

Pediatric Cardiac Anesthesia
Join Neel, Shelly, and Bryan for an exploration of thoughts and musings about the current status of anesthesiology, and a look back on our guest's training in pediatric anesthesia.

Austere Anesthesia and Whole Blood Transfusion
Join Neel, Shelly, and Clarence for a great episode on Battlefield Forward Anesthesia. Clarence has great stories including use of Whole Blood resuscitation and walking blood banks in austere military environments. Join the Wise Guys for another epic episode.

Take2 Foreign Body Episode with J
Had a gaff with the original audio file upload. Sorry. Join Hosts Neel, Shelly, and J with an episode featuring everyone's favorite foreign body episode. We additionally delve into some of the humanistic side of anesthesia with discussion on how crazy the job can be.

Anestand Podcast with Trevor Gibbs MD
Join Neel, Shelly, and Trevor for a discussion about the new product Anestand. A tool for the OR that makes daily anesthetic administration SO much easier. Trevor walks us through the whole process from idea to product. Amazing story from Dr. Gibbs who is the Anesthesiologist behind the product.

2020 Holiday Episode
Join Neel and Shelly for a fantastic Resident/Attending oral board pimp session. Neel demonstrates board certified expertise managing a Mass Casualty at the Nakatomi Building in Los Angeles. Join the hosts for a ridiculous voyage.

Arterial Lines
Neel, Shelly, and Mike host for this episode of education about Arterial Lines. Knowledge nuggets, Tips and Tricks, and general story telling abound from the Wise Guys about Art Lines (insert your own Pun here...)

Off Label Uses
Neel, Pat, and Shelly host for this episode on discussion of things we have heard of "off label" uses for medications, procedures, intubations, etc... Join the hosts for excellent story telling about promethazine, nicardipine, crazy eye socket intubations, and other things they've heard about.

Lost Episode recap: Neuroanesthesia and of course COVID with other stories
Neel, Shelly, Pat, and Mike host this episode of review of the episode that wasn't recorded. Discussion on Neuroanesthesia, COVID, random stories, and military medicine. Great discussion of multiple topics. Enjoy the episode.

Racism in Medicine
Neel and Shelly tackle the national media spotlight of racism. We share stories of racism and commentary around medicine and conflicts we all face.

Covid 19 Podcast
Join Neel and Shelly as they discuss the topic EVERYWHERE in the media. The hosts discuss virus pathology, social implications, stories they've heard about with COVID heroes and personal issues with the pandemic that is affecting the world in 2020.

Finance, Retirement, and Investing
Shelly and Justin Harvey certified financial planner discuss finance course planning from medical school to retirement. Join Justin and Shelly as the get into some details of how to manage money to plan for all the expenses of life.

First 2020 Podcast with Neel!
Shelly and Neel host for a discussion on military medicine, anesthesia adventures, and stories they've heard about.

2019 Garmisch Conference Whole Blood Transfusion and Others
Kevin, Shelly, and Mike discuss lessons learned from medical conference in Garmisch Germany. Whole Blood Transfusion, EMEDs setup, the business of anesthesia and more. Join hosts for lively discussion on multiple topics.

CCAT with Dr. Scott King MD
Join hosts Shelly and Scott for story telling from US Air Force CCAT missions. Good story telling from the front lines of caring for wounded warriors.

First Podcast from Germany
Kevin and Shelly do first podcast from Germany. We tell a couple of stories, do a great listener mail, and discuss some of the practice differences from University back to Military Hospitals. Join Hosts for the Wise Guys experience from Germany!

Malignant Hyperthermia
Kevin and Shelly discuss the core tenants of the anesthesia unique disease. Join the hosts for a dive into a potentially lethal problem for anesthesia providers.

2019 Senior Podcast
Join Kevin, Shelly and the 2019 Seniors for a trip down memory lane for stories we've heard about. One for the records...

JCAHO The Joint Commission Episode
Kevin and Shelly discuss issues with The Joint Commission and how sometimes the policies seem to lack evidence based recommendation. Join the hosts for an expansive discourse in general and specific ways in which our regulators do their job to identify facility issues and recommend corrective actions.

The Randy Episode!!!!
Join Shelly and Randy (Kevin is on Vacation as usual) as Randy tells GREAT stories he's heard from his long career as a CRNA. Join the hosts for a trip down memory lane as we tell fantastic stories including anesthesia, ghosts, and theatre!!!

2019 ASRA Edition
Kevin and Shelly go through great listener mail and review lessons learned from ASRA conference 2019. Great anatomy, technique, and lecture points from the real experts of regional anesthesia. Shelly reveals a bombshell at the end of the show!!!

March 2019 Potpourri
Kevin, Shelly, Lauren, and Johan tell CT, regional, and Navy Days stories on this installment. Good listener mails, and great stories. Cuddle up with your favorite anesthesia buddy and get ready for story time with Uncles Kevin and Shelly.

Out of OR Anesthesia (Safari)
Kevin and Shelly discuss anesthetics performed in sites out of the Operating Room. Superb Anesthesia For Any Reasonable Indication (SAFARI) cases range from MRI scanners to Radiation Implanted devices. Join the Wise Guys fro a discussion to unfamiliar territory.

Epidural Tips and Tricks
Kevin and Shelly go through basics and advanced troubleshooting tips and tricks they've learned doing and teaching epidural placement. Join the Wise Guys for a tour of what works and doesn't work with epidurals.

2019 Predictions
Kevin, Shelly, and the Wisest of Guys do a brief review of 2018 predictions and launch into brand new 2019 predictions. Join the Wise Guys into a foray of story telling, predictions, and the ridiculousness they are hopeful for in 2019.

Medical Comorbidities of Santa Claus
EXPLICIT. Kevin, Shelly, Bjorn, Pat, Shira, and John Ross dive DEEP into the medical concerns of Santa Claus including difficult airway, diabetes, endocrine, and COPD issues around the jolly old elf. Join the Wise Guys for an irreverant dive into Santa's most concerning medical issues.

Listener Mail Episode
Kevin and Shelly answer listener email questions about medical mission trips and dural puncture headaches/Epidural Blood Patches. Join the hosts for great stories and management tips/tricks they've heard about.

Honduras Medical Mission
Join Shelly and a whole new crew of Wise Guys as they tell stories from a medical mission in Honduras!!!

Halloween 2018
Shelly, Bjorn, Shira, JR, Judd, Tim, Amiris, Justin, Lauren, and Joe join the 2018 Halloween Podcast for a Who Done It? Murder Mystery. Join the crew as they investigate who killed Governor Body in the Operating Rooms right under their noses!!!

Program Application Recommendations
Shelly, Harry, Lloyd, and Ann host a discussion on recommendations for applying to CRNA and Anesthesia Residency programs. Do's and don't abound in the host's banter. Also discussion on variations on programs training and how to interview a program.

San Diego Conference 2018- Lots of Regional Anesthesia
*EXPLICIT Language this episode. Kevin (not real Kevin), Shelly, The Dude, and Rosy come together in a late nite episode to discuss educational topics at the AOCA (American Osteopathic College of Anesthesiologists) conference in San Diego CA. Pretty Regional Heavy with the topics. Enjoy.

More Pediatric Anesthesia!!!
Shelly and Victoria host this episode with stories they've heard about our smaller patients. It's true that they're not just small adults. From airways to IVs and Hearts to Ortho, join the hosts as they tell stories they've heard about from the smaller side of anesthesia.

Fellow Stories
Kevin, Shelly, Fellow 1, and Fellow 2 tell stories from things they've heard about. Great discussions on Pain Management, Neuro Anesthesia and random things that the Wise Guys have heard about. Join for another journey into all things Anesthesia.

Local Anesthetics Take 2 With Audio
Sorry for original posting not having audible sound. Kevin and Shelly dive into a typical Dumb/Smart Kevin teaching episode where they discuss the textbook and clinical aspects of local anesthetics, properties, benefits, and risks. Join the Wise Guys as they dive into what's in the books, and what's NOT.

Home Birth Stories
Kevin, Shelly, and guest host Sarah Stewart Holland from the Podcast Pantsuit Politics discuss Sarah's home birth experience. Many different ways for babies to come into the world. Here's some of those stories with the Wise Guys!

Anesthesiology News and Other Stories
Kevin and Shelly go through a plethora of topics including Lethal Injection Medications, OR distractions, Economists and Anesthesia just to name a few. Join the hosts for a typical Wise Guy journey into things we've heard about.

Pain Nurses
Kevin, Shelly, Barb, and Tiny Tim tell all about Pain Nursing. Our facility has a unique service we utilize- nurses that handle all the calls and protocolized management under physician direction of IV PCAs, epidurals, and nerve catheters. Join hosts to discuss these unsung heroes that abolish the pain monster that affects our patients.

2018 Senior Stories
Kevin, Shelly, and a whole host of our freshly minted anesthesiologists tell stories they've heard about. Join the crew as they recall all the fantastic things they've heard about over the last four years.

Mac Vs. Miler Blades
Kevin, Shelly, International Man of Mystery, Judd, and JR join forces to discuss the superiority of the Macintosh Vs. the Miller blades. As usual the Wise Guys bring it in their own fashion. Join the crew for a lively discussion.

ASRA 2018 Drop Some Knowledge
Kevin, Shelly, The Wisest of Guys, K2, and the Southern Yankee host a discussion on Regional Anesthesia, ASRA 2018, and Big City Anesthesia stories they've heard about.
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