a CRNA working in an operating environment
Advanced Practice Locums Updated March 30, 2026

By Editorial Team

Common Career Paths for CRNAs

The demand for Certified Registered Nurse Anesthetists (CRNAs) has never been stronger. According to the American Association of Nurse Anesthesiology (AANA), CRNA career growth is expected to increase by 38% by 2032 and it's easy to see why. With competitive salaries, professional autonomy, and a wide range of practice settings, CRNA jobs offer a level of flexibility that few healthcare roles can match.

Whether you're a practicing CRNA looking for a change or an advanced practice nurse exploring your options, here's a look at the career paths worth considering.

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Different CRNA Practice Settings

Where you work shapes your day-to-day experience as much as what you do. CRNAs have the unique advantage of fitting into several different healthcare environments, each with its own pace, patient population, and professional culture.

Hospital Surgical Suites

This is the most traditional setting for CRNAs. Hospital surgical suites serve a broad mix of patients—children, adults, older adults, and those giving birth—across inpatient and outpatient procedures. Some hospitals run all-CRNA anesthesia practices, while others integrate CRNAs into larger anesthesiology teams.

Ambulatory Surgery Centers (ASCs)

ASCs are growing fast. The market is projected to expand from $34.73 billion in 2020 to $58.85 billion by 2028, according to Fortune Business Insights. For CRNAs, this translates to a dynamic outpatient setting with strong earning potential—the U.S. Bureau of Labor Statistics (BLS) reports a mean annual wage of $263,960 for CRNAs in outpatient centers.

Ketamine Clinics

An emerging niche, ketamine clinics employ CRNAs to administer ketamine for sedation or to treat chronic pain and psychiatric conditions. The role involves patient monitoring, post-infusion assessments, and close collaboration with multidisciplinary care teams.

Medical, Dental, and Specialty Practices

CRNAs are valuable partners for podiatrists, ophthalmologists, plastic surgeons, and pain management specialists. These settings typically offer a steadier pace and strong work-life balance, with a mean annual wage of $194,240 according to BLS data.

Military and Public Health Service

For those drawn to service, the military and Veterans Affairs facilities offer a compelling CRNA career path. Assignments can range from naval ships and aircraft evacuation teams to front-line postings, combining clinical expertise with a sense of mission.

See Also
The Future of Anesthesia: A CRNA's Guide to New Developments


CRNA Career Opportunities and Specializations

Beyond practice settings, CRNAs can shape their careers through specialization, locum tenens work, or moving into leadership.

Locum Tenens CRNA Jobs

Locum tenens work allows CRNAs to take on temporary assignments across the country, exploring different facilities and patient populations on their own terms. The pay reflects that flexibility—locum tenens CRNAs can earn between $146 and $158 per hour, compared to the BLS mean hourly wage of $97.34.

Staffing agencies like AMN Healthcare support locum tenens CRNAs with paid housing, travel stipends, licensure and credentialing assistance, and malpractice insurance, making the logistics far easier to manage.

Clinical Specializations

Specializing can increase both earning potential and job satisfaction. Common CRNA specializations include:

  • Pediatrics: Providing anesthesia to young patients in children's hospitals or specialized clinics, often requiring pediatric advanced life support (PALS) certification
  • Cardiology: Administering anesthesia during heart surgeries and cardiac procedures, with additional training in cardiac life support (CLS)
  • Obstetrics: Supporting labor, delivery, and cesarean sections, with certifications in advanced obstetric life support (AOLS) often beneficial
  • Plastic Surgery: Working alongside plastic surgeons across cosmetic and reconstructive procedures
  • Dental Anesthesia: Collaborating with dentists and oral surgeons, often requiring dental anesthesia certification
  • Neurosurgical Anesthesia: Providing anesthesia for brain and spine surgeries, typically requiring additional Neuroanesthesia training

Leadership Roles

Experienced CRNAs can take their expertise beyond the operating room. Within facilities, opportunities exist to serve as chief nurse anesthetist managing teams, coordinating care, and taking on administrative responsibilities. At the state and national levels, CRNAs can pursue leadership roles within organizations like the AANA, influencing healthcare policy and the future of the profession.

Take the Next Step in Your CRNA Career

The CRNA profession offers a rare combination of clinical impact, financial reward, and professional choice. With over 50 million patients in the U.S. receiving anesthesia from a CRNA each year, the role carries real weight and real opportunity.

Ready to explore what's next? Browse available CRNA jobs and find a placement that matches your skills, lifestyle, and goals.

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