Today, we tackle the peri-operative management of cardiac implantable devices after the recent publication of the British Heart Rhythm Society's guidelines in the journal, Anaesthesia.

In part 2 of this 2 part series, we discuss the ten guidelines that illustrate how cardiac implantable electronic devices should be managed peri-operatively, followed by considerations that we as - anaesthetists - should have thought through prior to wheeling a patient with a CIED into theatre for induction and surgery.

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!

Resources for today's episode: 

Guidelines for the peri-operative management of people with cardiac implantable electronic devices - Guidelines from the British Heart Rhythm Society

The Revised NASPE/BPEG Generic Code forAntibradycardia, Adaptive-Rate, and Multisite Pacing (Auto-download of the pdf) by A.D. Bernstein et. al. 

NAPSE Policy Statement: The NAPSE/BPEG Defibrillator Code by A. D. Bernstein et. al. 

Deranged Physiology: Single and Dual Chamber Pacing Modes

Anaesthesia Tutorial of the Week #299 - Pacemakers and Implantable Cardioverter Defibrillators, part 1

Anaesthesia Tutorial of the Week #300 - Pacemakers and Implantable Cardioverter Defibrillators, part 2

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 tackle the peri-operative management of cardiac implantable devices after the recent publication of the British Heart Rhythm Society's guidelines in the journal, Anaesthesia.

In part 1 of this 2 part series, we start with a discussion about the different types of implantable cardiac devices that may be encountered in our practice. We explain how the NGB code illustrates the way that pacemakers are programmed, as well as what happens to some of these programs when a magnet is applied in the perioperative setting. We then go on to a similar discussion where we explain how the NBD code describes the function and lead placement for implantable cardioverter defibrillators. 

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!

Resources for today's episode: 

Guidelines for the peri-operative management of people with cardiac implantable electronic devices - Guidelines from the British Heart Rhythm Society

The Revised NASPE/BPEG Generic Code forAntibradycardia, Adaptive-Rate, and Multisite Pacing (Auto-download of the pdf) by A.D. Bernstein et. al. 

NAPSE Policy Statement: The NAPSE/BPEG Defibrillator Code by A. D. Bernstein et. al. 

Deranged Physiology: Single and Dual Chamber Pacing Modes

Anaesthesia Tutorial of the Week #299 - Pacemakers and Implantable Cardioverter Defibrillators, part 1

Anaesthesia Tutorial of the Week #300 - Pacemakers and Implantable Cardioverter Defibrillators, part 2

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!

This week, we continue our discussion about receiving a poor outcome after the ANZCA part 2 exam with two special guests - Dr Raymond Casey and Dr Aaron MacDonald.

In the second instalment of this topic, we talk to Aaron about his journey after sitting his exam for the first time. Both Raymond and Aaron then give some timely advice about how to manage the stress and emotions associated with dealing with adversity, and share some tips that ultimately helped them succeed.

Aaron has kindly offered to let trainees experiencing difficulty in coping with part 2 exam failure to contact him. If you're interested in reaching out, please email us at [email protected] and we'll connect you. 

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!

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!

This week, we have a really open and candid discussion about receiving a poor outcome after the ANZCA part 2 exam with two special guests - Dr Raymond Casey and Dr Aaron MacDonald.

In this the first of this 2-part topic, we start by talking about the work and life circumstances that both Raymond and Aaron found themselves in when preparing to sit their exam for the first time. We also talk to Raymond about everything that happened after the exam.

Aaron has kindly offered to let trainees experiencing difficulty in coping with part 2 exam failure to contact him. If you're interested in reaching out, please email us at [email protected] and we'll connect you. 

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! 

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 a topic recommended to us by Dr David Tragen of the Sunshine Coast University Hospital - the perioperative management of the direct oral anticoagulant medications or DOACs. 

We start with some basic revision of the mechanism of action of the DOACs and their indications before diving more closely into the recommendations for stopping and starting these medications around the time of surgery, and the implications for our anaesthetic. 

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!

Resources for today's episode:

2021 ANZCA Blue Book: Direct Acting Oral Anticoagulants - pharmacology and perioperative considerations by Dr Kate Drummond (p147)

TGA Website

RE-ALIGN Trial

GALILEO Trial

BMJ: Coagulation assessment with the new generation of oral anticoagulants by  Charles Pollack Jr

Journal of Thrombosis and Haemostasis: Laboratory testing in patients treated with direct oral anticoagulants: a practical guide for clinicians by J. Douxfils et al. 

PAUSE Trial

Regional Anesthesia and Acute Pain: Regional anaesthesia in the patient receiving antithrombotic or thrombolytic therapy (ASRA 2018 Guidelines)

RE-VERSE-AD Trial

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 a fantastic array of topics that we're sure will make exam prep easier, and will keep your practice up to date. We'll also be joined by more wonderful guests this season and we can't wait to share their expertise with you all.

Lahiru Amaratunge's Viva Boot Camp - Anaesthesia Collective link:
https://www.anaesthesiacollective.com/viva-boot-camp/

Lahiru Amaratunge's Viva Boot Camp Online Course:
https://anaesthesia.thinkific.com/courses/FinalExam 
Use code: deepbreaths50 at the checkout for 50% off the price of the course. There are only 100 of these discounts available so don't miss out!

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

And for consultants and provisional fellows, don't forget to claim CPD for any episodes you listen to. 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. 

Happy studying, thanks for listening, and we'll see you on Monday July 18th!

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 on Monday July 18th with our fortnightly release schedule that we hope you're all still enjoying. We hope you take the time over the June/July holiday break to recharge those batteries so that you're feeling good for the latter half of the year.

Season 5 will see us tackle more new topics that we hope will keep you up to date in your practice, and to help our exam candidates prepare for the ANZCA part 2 anaesthetic exam. We've got some wonderful new guests we're excited to introduce, as well as some voices that you've heard and enjoyed listening to previously.

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

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 join you live from the QEII Anaesthetic Conference, and this episode is a little different. We explore some of the evidence behind those little pearls that we've learned in anaesthesia and that we've shared with you all during previous episodes.

Topics that we discuss include fatigue and how if affects performance, the mandibular protrusion test, and the use of dexmedetomidine in nerve blocks to name just a few.

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. 

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 challenges in the diagnosis and management of oesophageal intubation and anaesthetic crises in general. Recognising an oesophageal intubation may seem simple, but by looking at coroner's cases both here in Australia and in the UK, as well as cases in the NAP4, it can be far more complex. 

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!

Resources for today's episode include:

NSW Coroner's Court website

Why does oesophageal intubation still go unrecognised? Lessons for prevention from the coroner’s court

National Audit Project 4

ANZCA Professional Documents

Red Man Syndrome 

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 perioperative neurocognitive disorders - their definitions, potential pathophysiologies, diagnosis, and possible prevention & treatment strategies. 

Resources for this episode include:

Acute peri-operative neurocognitive disorders: a narrative review 

Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery - 2018 

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!