# Kratom in the OR – The Hidden Herbal Challenge Page: https://stenobird.com/podcast/beyond-the-mask-innovation-opportunities-for-crnas-918982/kratom-in-the-or-the-hidden-herbal-challenge Text version: https://stenobird.com/podcast/beyond-the-mask-innovation-opportunities-for-crnas-918982/kratom-in-the-or-the-hidden-herbal-challenge.md Podcast: [Beyond The Mask: Innovation & Opportunities For CRNAs](https://stenobird.com/podcast/beyond-the-mask-innovation-opportunities-for-crnas-918982) Published: 2026-04-29T06:51:00+00:00 Episode link: https://beyondthemask.podbean.com/e/kratom-in-the-or-%e2%80%93-the-hidden-herbal-challenge/ Audio file: https://mcdn.podbean.com/mf/web/efmqzpfkkxkaeb6y/044_-_BEYOND_THE_MASK_AA_-_KRATOM6g4wy.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/beyond-the-mask-innovation-opportunities-for-crnas-918982/episodes/kratom-in-the-or-the-hidden-herbal-challenge Duration seconds: 1258 ## Resource The perioperative environment is increasingly shaped by factors that extend beyond traditional pharmacology, requiring anesthesia providers to stay alert to emerging and often underrecognized influences on patient care. One such factor is the growing use of kratom, a plant-derived substance that patients frequently perceive as harmless due to its “natural” origins. However, as highlighted in today’s show, this assumption can lead to critical gaps in disclosure, leaving clinicians unaware of a substance that may significantly alter anesthetic management and patient outcomes. Here’s some of what you’ll hear in this episode: 🌿 Kratom acts as both a stimulant and opioid-like substance ⚠️ “Natural” does not mean safe or predictable 🧪 Potency and composition vary widely between products 😴 Patients may present with opioid tolerance or sedation 😵 Withdrawal can mimic pain, agitation, or delirium Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Earn MAC Dev Credit: https://beyondthemaskpodcast.com/special-announcement-ce-credt/ Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1 ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/beyond-the-mask-innovation-opportunities-for-crnas-918982/episodes/kratom-in-the-or-the-hidden-herbal-challenge/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/beyond-the-mask-innovation-opportunities-for-crnas-918982/kratom-in-the-or-the-hidden-herbal-challenge.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.