Deep Breaths

In today's episode, we continue our discussion regarding anaesthesia for the obese patient, based on the latest evidence from the BJA. Today's episode covers the conduct of anaesthesia for obese patients, as well as how to assess the obese patient's suitability for day surgery.

Resources for today's episode include:

BJA Education - Anaesthesia for the obese patient

Ohio Sleep Medicine Institute STOP-BANG questionnaire

Australian Diabetes Society 2012 Perioperative Diabetes Management Guidelines

Perioperative Management of the Surgical Patient with Diabetes 2015 (AAGBI)

Joint British Diabetes Societies  - Management of adults with diabetes undergoing surgery and elective procedures March 2016

Pharmacokinetics of anaesthetic drugs at extremes of body weight

Youtube video: How to identify the cricothyroid membrane with ultrasound (3 min 50 sec) 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, we discuss anaesthesia for the obese patient, including the latest evidence from the BJA. Today's episode covers the categorisation of obesity, the potential co-morbidities associated with obesity that can affect anaesthesia, and the metabolic syndrome.

Resources for today's episode include: 

BJA Education - Anaesthesia for the obese patient

Ohio Sleep Medicine Institute STOP-BANG questionnaire

Australian Diabetes Society 2012 Perioperative Diabetes Management Guidelines

Perioperative Management of the Surgical Patient with Diabetes 2015 (AAGBI)

Joint British Diabetes Societies  - Management of adults with diabetes undergoing surgery and elective procedures March 2016

Pharmacokinetics of anaesthetic drugs at extremes of body weight

Youtube video: How to identify the cricothyroid membrane with ultrasound (3 min 50 sec) 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, we talk through the last two of four cases addressing common problems encountered in the post anaesthetic care unit.

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

References for today's episode:

Reversal of neuromuscular block by A. Srivastava and J. Hunter:
https://academic.oup.com/bja/article/103/1/115/458792#6888775

Delayed recovery of consciousness after general anaesthesia by E. Thomas, F. Martin and B. Pollard:
https://www.bjaed.org/article/S2058-5349(20)30020-2/fulltext

Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis by M. Yang et al:
https://bmjopen.bmj.com/content/9/4/e025091

Oxford Handbook of respiratory medicine 3rd ed:
https://oxfordmedicine.com/view/10.1093/med/9780198703860.001.0001/med-9780198703860-chapter-9 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, we talk through the first two of four cases addressing common problems encountered in the post anaesthetic care unit.

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

References for today's episode:

Reversal of neuromuscular block by A. Srivastava and J. Hunter:
https://academic.oup.com/bja/article/103/1/115/458792#6888775

Delayed recovery of consciousness after general anaesthesia by E. Thomas, F. Martin and B. Pollard:
https://www.bjaed.org/article/S2058-5349(20)30020-2/fulltext

Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis by M. Yang et al:
https://bmjopen.bmj.com/content/9/4/e025091

Oxford Handbook of respiratory medicine 3rd ed:
https://oxfordmedicine.com/view/10.1093/med/9780198703860.001.0001/med-9780198703860-chapter-9 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In this episode, we take a close look at chronic post surgical pain.

We start by revising the pathophysiology of chronic post surgical pain where we specifically discuss normal acute pain physiology as well as the changes that occur in the progression of acute to chronic pain. We go on to talk about risk factors for the development of chronic post surgical pain before then having a chat about what we can do as anaesthetists to prevent our patients from developing chronic pain after surgery.

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

Resources for today's episode:

The IASP classification of chronic pain for ICD-11: chronic postsurgical or posttraumatic pain by S. Schug et al:
https://journals.lww.com/pain/Abstract/2019/01000/The_IASP_classification_of_chronic_pain_for.6.aspx 

Central Sensitization: A Generator of Pain Hypersensitivity by Central Neural Plasticity by A. Latremoliere and C. Woolf:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2750819/

Transition from acute to chronic pain by A. Feizerfan and G. Sheh:
https://academic.oup.com/bjaed/article/15/2/98/248869 

Understanding LTP in pain pathways by J. Sandkuhler:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1852298/

Acute Pain Manual: Scientific Evidence 5th Ed:
www.anzca.edu.au  

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, we are joined again by guest interviewee Dr Lahiru Amaratunge, who discusses the vital concept of Crisis Resource Management, or CRM.

He begins by explaining the basics of CRM, and then we go on to apply the principles of CRM to cases you could encounter in in the exam, or indeed your everyday practice.

As soon as you finish this episode, you should consider enrolling in Lahiru's online viva bootcamp course, which is being held on September 18. You can enrol by following this link: 

https://www.eventbrite.com.au/e/viva-boot-camp-online-for-the-anzca-part-2-exam-2nd-sitting-2021-tickets-148117995913?ref=eios

For IMGs who are interested in Lahiru's IMG course, you can contact him here:

[email protected] 

We love receiving your questions, comments and suggestions at [email protected], so please keep writing in! 

Thanks for listening, and happy studying. 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, part 2 of our series about paediatric anaesthesia, we discuss the last two of three cases with special guest, Dr Paul Lee-Archer.

Spoiler alert! The cases we are discussing are the paediatric cases from the only anaesthetic viva sitting in 2020. If you want to avoid listening in order to try and receive these vivas as practice for your exam preparation, that's absolutely a great idea. Don't forget to listen after your practice vivas, though!

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

Resources for today's episodes:

Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatment by S. Nair and A. Wolf:
https://bjaed.org/article/S2058-5349(17)30179-8/fulltext 

Paediatric massive transfusion by S. Blain and N. Paterson:
https://academic.oup.com/bjaed/article/16/8/269/2364823

Dilemmas in the preoperative assessment of children by N. Bhatia and N. Barber:
https://academic.oup.com/bjaed/article/11/6/214/263810 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, the first of a 2 part series about paediatric anaesthesia, we discuss the first of three cases with special guest, Dr Paul Lee-Archer.

Spoiler alert! The cases we are discussing are the paediatric cases from the only anaesthetic viva sitting in 2020. If you want to avoid listening in order to try and receive these vivas as practice for your exam preparation, that's absolutely a great idea. Don't forget to listen after your practice vivas, though!

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

Resources for today's episodes:

Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatment by S. Nair and A. Wolf:
https://bjaed.org/article/S2058-5349(17)30179-8/fulltext 

Paediatric massive transfusion by S. Blain and N. Paterson:
https://academic.oup.com/bjaed/article/16/8/269/2364823

Dilemmas in the preoperative assessment of children by N. Bhatia and N. Barber:
https://academic.oup.com/bjaed/article/11/6/214/263810 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

In today's episode, we discuss everything you could possibly want to know about hyperthermic intraperitoneal chemotherapy, or HIPEC, with special guest, Dr Ed Pilling.

We start by talking about the preceding cryoreductive surgery as well as the principles of HIPEC, before then going on to cover the important aspects of the anaesthesia for this procedure.

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying!

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!

On this week's episode, we cover the management of glucocorticoids during the perioperative period for patients with all forms of adrenal insufficiency, based on the following guidelines published in Anaesthesia in May 2020:

 Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying. 

Resources for this episode:

Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency :
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1111/anae.14963 

Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! 

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.  

Thanks for listening, and happy studying!