2025-11-04 – Weekly CRNA News : Low-flow anesthesia sparks interest

Last week in the CRNA community, discussions revolved around strategies to reduce turnover rates and the benefits of flexible schedules in top hospitals. Conversations also highlighted the latest continuing education opportunities in neonatal anesthesia, emphasizing their impact on professional growth. Additionally, members shared insights on low-flow anesthesia techniques, sparking interest in sustainable practices within the OR.


This Week’s Hot Topics

2025-10-31 – Weekly CRNA Jobs: Explore dynamic hospital roles now
Members are discussing new job openings in hospitals nationwide, focusing on dynamic roles that promise career advancement and skill development.
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Which plan trims turnover fastest
There’s a lively debate on the most effective strategies to reduce CRNA turnover, with various plans being compared for their efficiency and impact.
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2025-10-16 – Weekly CRNA Jobs: Flexible schedules at top hospitals
Flexible scheduling in prestigious hospitals is a hot topic, with members weighing the pros and cons of different work-life balance models.
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Best neonatal anesthesia CE this year
This thread highlights the top continuing education options for neonatal anesthesia, crucial for those looking to specialize in this area.
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Low‑flow sevo at ≤0.5 L/min
A technical discussion on using low-flow sevoflurane, aiming to enhance anesthesia practices with a focus on environmental sustainability.
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FAQ/Guidelines
A foundational thread for new members that outlines community guidelines and frequently asked questions to help navigate the forum.
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Admin Guide: Getting Started
This guide assists new administrators in setting up and managing their forum accounts efficiently.
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Must-Have Skills for New CRNAs
An essential read for recent graduates, detailing the skills necessary to thrive in the field of anesthesia.
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Historical Firsts in Anesthesia
A fascinating look at the milestones in anesthesia that have shaped current practices, providing historical context and inspiration.
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Lighthearted Moments in the OR
Members share amusing anecdotes from the operating room, offering a light-hearted break from the more serious discussions.
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Looking forward to another engaging week of discussions. Keep sharing your experiences and knowledge!

1 Like

I’ve had good luck with low-flow by doing a 2–3 min wash-in at 4 L/min, then cruising at 0.7–1.0 L/min — ‘fast to fill, slow to spill’ — and setting FiO2 low alarm about 35% plus a tight leak check. With Amsorb, sevo’s fine, but I keep >=1 L/min for neonates or when there’s a big leak, @MayaK. Kinda like driving a hybrid: quick merge, then sip on the freeway.

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On our Perseus, I do a 90–120 s wash-in at 3–4 L/min, then let EtAA guide and cruise at 0.6–0.8 L/min with the FiO2 low alarm at 35% — gas cruise control. If the pre-op leak test isn’t <[redacted]/min or I’m with neonates, I stay ≥1 L/min for steadier O2. Good point, @cgriffin22; also watch the first 10 minutes for a small FiO2 sag and bump O2 toward about 40% if it drifts.

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