Anesthesia Patient Safety Podcast Archive

Eye pain in the PACU can trigger a reflex page to ophthalmology, but that reflex is not always the safest or most efficient choice. We provide considerations for perioperative corneal abrasions including why most are superficial epithelial injuries that heal quickly and how an anesthesia-led protocol can deliver fast relief without missing the rare dangerous presentation. If you’ve been unsure when a consult is truly necessary, this conversation gives you a practical, defensible path forward.

We revisit a step-by-step PACU workflow: recognize symptoms early, perform a focused eye exam, assess for visual acuity changes, and use fluorescein staining with cobalt blue light to confirm a defect. We also share the ophthalmologist perspective on “uncomplicated” corneal abrasion management, including lubrication, antibiotic ointment options, and why routine consults can delay discharge, raise costs, and strain resources. The most important piece is the safety net: clear escalation triggers such as significantly reduced visual acuity, worsening or persistent pain, failure to heal, corneal infiltrate or ulceration, fixed pupil, hyphema or hypopyon, suspected foreign body or penetrating injury, stromal involvement, or dendritic staining. 

Then we pivot to medication safety and smart infusion pumps, spotlighting a real-world rollout of Baxter Novum syringe pumps in high-turnover procedural areas. We discuss how usability issues can suppress smart pump compliance, why human factors engineering matters, and how a team used AI to summarize narrative survey feedback into actionable themes. If you care about high-value perioperative care, patient safety protocols, and devices that actually work under pressure, this one is for you. Subscribe, share with your team, and leave a review with the one change you want to bring to your PACU or OR.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/326-corneal-abrasions-after-surgery/

© 2026, The Anesthesia Patient Safety Foundation

Nausea shouldn’t be the most memorable part of surgery. We take a clear, evidence-based look at postoperative nausea and vomiting, from identifying who’s at risk to building smarter prophylaxis bundles and choosing the right rescue when prevention falls short. With guest insights from Dr. Connie Chung, we unpack the Fourth Consensus Guidelines, translate them into practical workflows, and explore how Amisulpride—an atypical D2 antagonist—changes the game with an FDA indication for rescue after failed prophylaxis.

We start by shrinking baseline risk: consider regional anesthesia when feasible, leverage TIVA with propofol, avoid nitrous and volatiles in longer cases, hydrate well, and spare opioids with multimodal analgesia. Then we scale prophylaxis to risk: dexamethasone at induction, 5-HT3 antagonists at the end, transdermal scopolamine for select patients, and low-dose Droperidol where appropriate. When prophylaxis fails, we explain why repeating ondansetron rarely helps and how switching classes boosts rescue success. Along the way, we map the safety terrain for D2 antagonists—QT prolongation, extrapyramidal risks, anticholinergic effects—so you can individualize care for elderly patients, those on antipsychotics, or anyone with potential drug interactions.

We also dig into what’s new: contemporary analyses of Droperidol at antiemetic doses, and growing evidence that Amisulpride pairs well with Ondansetron or Dexamethasone to improve outcomes. Pediatric pearls include TIVA, fluids, and a two-drug prophylaxis backbone for longer or higher-risk cases. The result is a practical, stepwise approach you can apply tomorrow—reduce risk, layer mechanisms, and rescue smartly—to cut PACU delays, avoid unplanned admissions, and deliver a recovery that feels as good as the surgical fix.

If this deep dive helps your practice, follow, share with your team, and leave a quick review to help others find the show. Tell us your go-to PONV bundle and whether your site stocks Amisulpride.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/287-a-new-era-for-ponv-safety-guidelines-and-smarter-rescue/

© 2025, The Anesthesia Patient Safety Foundation

Join us on a fascinating exploration with Alli Bechtel, a dedicated anesthesiologist and the Anesthesia Patient Safety podcast host, who reveals the surprising journey from the United States to New Zealand in pursuit of a better work-life balance. Bechtel shares her unique insights into the supportive healthcare environment she found across the globe and the role of teamwork in ensuring patient safety in anesthesia. Her story provides a meaningful look at the personal and professional transitions involved in moving to a new country and how a close-knit hospital community can enhance medical practice.

Discover the evolution of anesthesia patient safety initiatives and the pivotal contributions of the Anesthesia Patient Safety Foundation (APSF). Having joined the APSF during the pandemic, Alli recounts her path to becoming the host of their podcast, highlighting the foundation's dynamic shift from newsletters to engaging audio content. We discuss the APSF's commitment to collaboration and their comprehensive resources aimed at reducing errors and improving safety practices, sharing examples from recent publications that underscore the need for systemic solutions in anesthesia care.

This episode is a compelling blend of personal narrative, professional insight, and pioneering education strategies aimed at shaping the future of anesthesia practice.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/235-fresh-flow-podcast-takeover-advancing-patient-safety-from-a-to-n-to-zed/

© 2025, The Anesthesia Patient Safety Foundation

Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.

Tune in for a Rapid Response two-part series. First up, we discuss electronic interference between the radiofrequency detection wand, the Medtronic Situate Detection System X, and the Twitchview train of four monitorinng device from Blink Device Company. We also discuss the development of the pre-anesthesia machine checkout procedure before we review several cases of anesthesia machine malfunction next week.

Additional sound effects from: Zapsplat.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/182-rapid-response-electronic-interference-and-anesthesia-machine-malfunction-part-1/

© 2023, The Anesthesia Patient Safety Foundation

Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.

We are diving back into the APSF Archives to discuss complications following epidural steroid injections. It is critical to understand the risks and benefits for these procedures. Tune in today as we review strategies to help keep patients safe during epidural steroid injections.

Additional sound effects from: Zapsplat.

© 2022, The Anesthesia Patient Safety Foundation

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/130-keeping-patients-safe-during-epidural-steroid-injections/

Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.

Do you provide nitrous oxide for labor analgesia on your labor and delivery units? Tune in today as we review the efficacy of this medication as well as the maternal, fetal, and occupational safety considerations. Plus, we have APSF Grant Recipient, Vesela Kovacheva, on the show today to discuss her exciting project and passion for maternal patient safety.

© 2021, The Anesthesia Patient Safety Foundation

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/78-nitrous-oxide-for-labor-analgesia/

Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.

For the last show of 2020, we return to the updated APSF Novel Coronavirus Anesthesia Resource Center to talk about the recently released joint statement by the ASA and APSF regarding elective surgery for patients who have recovered from COVID-19. Join us to learn more about isolation precautions, timing for elective surgery, and re-testing.

© 2020, The Anesthesia Patient Safety Foundation

 For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/25-keeping-patients-safe-after-covid-19-infection/