Deep Breaths

Today, we look at different strategies to stay calm in the lead-up to the final exam with special guest, Dr Julia Slykerman.

We start by talking about those important things we should (and shouldn't) be doing in the weeks leading up to the exam. We then look at how to plan ahead for the day of the exam, and follow this with strategies and exercises to help keep you calm in the moment.

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!

Today, we take a close look at the latest guidelines from the Association of Anaesthetists of Great Britain and Ireland that address the provision of anaesthesia and sedation in breastfeeding patients.

We discuss the author's recommendations for each of the 10 guidelines put forth in this latest publication.

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:

Guideline on anaesthesia and sedation in breastfeeding women 2020:
https://doi.org/10.1111/anae.15179 

LactMed:
https://www.ncbi.nlm.nih.gov/books/NBK501922/ 

Red Nose Co-sleeping Guidelines:
https://rednose.org.au/article/Co-sleeping_with_your_baby  

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!

Today we discuss the most up to date recommendations and evidence for the prevention and management of post operative nausea and vomiting.

We start by taking a close look at the joint American Society of Enhanced Recovery and the American Society for Ambulatory Anaesthesia Fourth Consensus Guidelines For The Management of Postoperative Nausea and Vomiting. We then talk about the results of the latest Cochrane Database of Systematic Reviews meta-analysis looking at drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia.

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:

Management of Postoperative Nausea and Vomiting: The 4th Consensus Guidelines (infographic):
https://journals.lww.com/anesthesia-analgesia/Fulltext/2020/08000/Management_of_Postoperative_Nausea_and_Vomiting_.15.aspx 

Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting:
https://journals.lww.com/anesthesia-analgesia/Abstract/2020/08000/Fourth_Consensus_Guidelines_for_the_Management_of.16.aspx 

Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis by S. Weibel et al:
https://doi.org/10.1002/14651858.CD012859.pub2  

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 almost everything you could want to know about intra-aortic balloon pumps with special guest, Dr Ivan Rapchuk.

In part 2 of this series, we talk about which patients benefit most from balloon pumps, optimal and suboptimal balloon timing, and those things to be mindful of when anaesthetising a patient with a balloon pump in situ. Lastly, we have a brief chat about the similarities and differences between intra-aortic balloon pumps and the newer Impella devices. 

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:

Principles of intra-aortic balloon pump counterpulsation by M. Krishna and K. Zacharowski.
https://academic.oup.com/bjaed/article/9/1/24/466259

The normal IABP waveform:
https://derangedphysiology.com/main/required-reading/cardiothoracic-intensive-care/Chapter%206.3.4/normal-iabp-waveform

The abnormal IABP waveform:
https://derangedphysiology.com/main/required-reading/cardiothoracic-intensive-care/Chapter%206.3.4.2/pathophysiology-abnormal-iabp-arterial-waveforms

The Impella Device: historical background, clinical applications and future directions by J. Glazier and A. Kaki.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679960/

Youtube video illustrating how an Impella works:
https://www.youtube.com/watch?v=GhWB7T5QxMI 

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 almost everything you could want to know about intra-aortic balloon pumps with special guest, Dr Ivan Rapchuk.

In this episode, we focus on the physiology of how the pumps work to improve cardiac function.

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:

Principles of intra-aortic balloon pump counterpulsation by M. Krishna and K. Zacharowski.
https://academic.oup.com/bjaed/article/9/1/24/466259

The normal IABP waveform:
https://derangedphysiology.com/main/required-reading/cardiothoracic-intensive-care/Chapter%206.3.4/normal-iabp-waveform

The abnormal IABP waveform:
https://derangedphysiology.com/main/required-reading/cardiothoracic-intensive-care/Chapter%206.3.4.2/pathophysiology-abnormal-iabp-arterial-waveforms

The Impella Device: historical background, clinical applications and future directions by J. Glazier and A. Kaki.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679960/

Youtube video illustrating how an Impella works:
https://www.youtube.com/watch?v=GhWB7T5QxMI 

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!

Deep Breaths returns next Monday with more topics that we hope will super-charge your exam prep and keep you up to date. And we get to talk to some brilliant guest interviewees so be sure to tune in. 

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

Anaesthesia Collective link:
https://anaesthesiacollective.com/courses/

Feel free to email us at [email protected] with any questions, comments or suggestions. 

Happy studying, and thanks for listening!

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!

Best wishes to all of our trainees and IMGs sitting the part 2 anaesthetic vivas this week!

Deep breaths returns on Monday August 2nd with more topics that we hope will super-charge your exam prep. And season 3 will introduce some new guest interviewees as well as others whose voices are already familiar so be sure to tune in.

Feel free to email us at [email protected] with any questions, comments or suggestions.

So until next season, happy studying and thanks for listening!

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!

Today we're following last week's episode on anaesthesia for NOF surgery with an episode focusing on post-operative delirium. These two topics go hand-in-hand but were way to big for us to tackle in just one episode.

We start by defining delirium and revising the DSM-V diagnostic criteria, and take a brief look at the different pathophysiological theories behind delirium, factors predisposing to delirium development, and the management of established delirium. We specifically address what we as anaesthetists can do pre-, intra- and post-operatively to try to reduce the risk of our patients developing post-operative delirium.

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:

Cognitive decline after anaesthesia and critical care by D. Gwilym Lloyd et al.
https://doi.org/10.1093/bjaceaccp/mks004 

Postoperative delirium: treatment and prevention by T. During et al.
https://doi.org/10.1097/ACO.0000000000000939

Improving perioperative brain health: an expert consensus review of key actions for the perioperative care team by C. Peden et al.
https://doi.org/10.1016/j.bja.2020.10.037

Postoperative delirium: perioperative assessment, risk reduction, and management by Z. Jin et al.
https://doi.org/10.1016/j.bja.2020.06.063

Australian Commission in Health and Quality in Healthcare: Delirium Clinical Care Standard
https://www.safetyandquality.gov.au/our-work/clinical-care-standards/delirium-clinical-care-standard 

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!

Today we are examining the latest guidelines regarding best practice anaesthesia for patients with fractured necks of femur.

Resources for today's episode are:

Guideline for the Management of Hip Fractures 2020 - https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15291

ASAP-1 audit - https://www.nhfd.co.uk/20/hipfractureR.nsf/4e9601565a8ebbaa802579ea0035b25d/f085c664881d370c80257cac00266845/$FILE/onlineASAP.pdf

ASAP-2 audit - https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.13415

Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture 2015 - https://doi.org/10.1111/anae.13036

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!

In today's episode, we are joined by guest interviewee Dr Sandra Concha-Blamey, who takes us through everything you need to know about anaesthesia for DBS, or deep brain stimulator, insertion.

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!