Anesthesia Patient Safety Podcast Archive
The official podcast of the Anesthesia Patient Safety Foundation (APSF) is brought to you by host Alli Bechtel MD, featuring the latest information and news in perioperative and anesthesia patient safety.
Find all podcast episodes by year. Click on the play button to start the episode. Click on the episode title for show notes and transcript.
Sugammadex safety considerations span across patient populations with renal impairment, pediatric patients, and pregnant or breastfeeding individuals, requiring nuanced clinical decision-making based on current evidence and ongoing research.
• Sugammadex reversal of moderate blockade is safe and faster than using neostigmine/cisatracurium for patients with renal impairment
• Quantitative neuromuscular monitoring is essential to ensure adequate reversal (TOF >90%)
• FDA approval exists for children 2+ years with the same dosing parameters as adults
• Infants <2 years require special consideration due to immature neuromuscular systems and distinct physiology
• Recurarization cases exist but are rare, primarily in very young patients
• Pregnancy considerations include theoretical concerns about progesterone binding
• Breastfeeding compatibility varies based on lactation stage, with early postpartum period requiring more caution
• Continued research needed to establish definitive guidelines, especially for neonates, infants, and lactating patients
For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/250-sugammadex-in-special-populations-what-every-anesthesia-professional-needs-to-know/
© 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/
