Anaesthesia Coffee Break - podcast cover

Anaesthesia Coffee Break

Lahiru Amaratungewww.anaesthesiacollective.com
Tips, tricks and lots of great information for the Part 1 ANZCA anaesthesia exam!
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Episodes

Deep dive into blood pressure with Dr Stuart Watson - Prize winner and creator of Ketamine Nightmares

Thanks Stuart for your fantastic analysis of blood pressure. Check out the youtube video for the whole discussion with slide presentation: https://youtu.be/-XRAzaIUe9U Check his resources at https://ketaminenightmares.com/ Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. If you enjoyed this content please ...

Mar 20, 20221 hr 18 minEp. 49

Alternative medications and anaesthesia with Dr Mandy

Thank you for joining us for our chat with Dr Mandy, all round great educator, humanitarian and anaesthetist in Melbourne and one of my role models. She talks about the impact of alternative meds on anaesthesia and perioperative care including: Ginseng, Ginko Ginger Guarana Echinacea Vallerian Kava St John's Wort Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the w...

Feb 21, 202235 minEp. 48

Interview with the Ex-Chair of Examiners for the primary exam - Dr Emma Giles PART 2

Welcome to part 2 of our interview with Dr Emma Giles!. Thanks for generously giving up your time to share amazing advice for this exam. AND from an insider of our exam system! Dr Emma is a consultant anaesthetist heavily with a passion for education and has devoted over a decade to being a primary examiner for ANZCA. She contributes to a website Primary LO of the day https://primarydailylo.wordpress.com/ with lots of useful information for the exam. Here's a link to the 2012a paper with the dif...

Feb 06, 202226 minEp. 47

Interview with the Ex-Chair of Examiners for the primary exam - Dr Emma Giles PART 1

Thank you Dr Emma Giles for generously giving up your time to share amazing advice for this exam. AND from an insider of our exam system! Dr Emma is a consultant anaesthetist heavily with a passion for education and has devoted over a decade to being a primary examiner for ANZCA. She contributes to a website Primary LO of the day https://primarydailylo.wordpress.com/ with lots of useful information for the exam. Here's a link to the 2012a paper with the difference between a 2/5 and 3/5 SAQ. http...

Jan 30, 202236 minEp. 46

The 6 Non-respiratory Functions of the Lung

Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. The 6 functions are 1) Blood reservoir 2) Filtration 3) Heat regulation 4) Metabolic function and synthesis 5) Protective function 6) Drug elimination and delivery If you enjoyed this content please like and subscribe Please post any comments or questions be...

Jan 09, 202219 minEp. 45

How to approach toxicity of medications in anaesthesia

Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. Drug Choice ⁃Describe toxicities that are specific to: ⁃1) Drug Class ⁃2) Individual Drug Drug Exposure Across Time (Dt) ⁃Factors that increase (Dt) will increase the risk of toxicity. These will include: ⁃1) Increased or Additive Dosing from the same class ...

Dec 26, 202139 minEp. 44

Factors affecting mixed venous CO2 tension

Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. This podcast is all about NORMAL VALUES: PvCO2 45mmHg CO2 content 52ml CO2/100ml blood MEASUREMENT: sampled from a pulmonary artery catheter. 1. Alveolar ventilation 2. Increased CO2 production 3. Carbonic anhydrase inhibitors i.e. acetazolamide 4. Tissue bl...

Dec 20, 202135 minEp. 43

Oliguria, why it happens and how to remember all those pathways!

Thanks for listening! In this episode Stan deep dives into the physiology of oliguria, with some great structures and mnemonics to really help learn this interesting but challenging topic! Here are some of the mentioned resources The Covid 19 intubation video! https://youtu.be/uqKnuVfZoOg The fantastic course by the Center for Medical Simulation https://harvardmedsim.org Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaes...

Nov 07, 202125 minEp. 42

Does BIS / ENTROPY really prevent awareness under anaesthesia?

Join us for a deep dive into BIS monitoring to prevent awareness under anaesthesia. How does it work, how does it convert EEG and EMG into a signal that we can read? AND does it actually work? Check out these resources https://litfl.com/bispectral-index-bis-monitoring/ https://www.cochrane.org/CD003843/ANAESTH_bispectral-index-bis-improving-intraoperative-awareness-and-early-postoperative-recovery-adults https://www.medtronic.com/covidien/en-us/products/brain-monitoring.html Response of bispectr...

Oct 31, 202139 minEp. 41

Why is there a difference between you measured ETCO2 and PaCO2?

In this episode we talk about this very common phenomenon in anaesthesia, the difference between ETCO2 and PaCO2. Essentially this all comes down to patient and equipment factors. BUT the essential element that makes the largest difference is DEAD SPACE. we discuss the factors effecting it, and the Bohr equation that measures dead space. Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries w...

Oct 24, 202124 minEp. 40

Statistics with Stan - the basics of sensitivity, specificity, NPV and PPV and the LMA in obesity

Thanks for covering the dreaded statistics objectives for the exam! The diagrams and info are from these articles. Aust Prescr 2003;26:111–3 Moving beyond sensitivity and speci!city: using likelihood ratios to help interpret diagnostic test and Critical Care 2004 8:508-512 Statistics review 13: Receiver operating characteristic curves Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whil...

Oct 17, 202158 minEp. 39

Gravitational effects on the lung, Wests Zones and a performance tip for the viva exam!

In this episode we delve into gravitational effects on the lung including ventilation aspects, pO2, pCO2, VQ matching and its effects and Wests Zones. The diagrams are from Respiratory Physiology by John B West. Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. If you enjoyed this content please like and su...

Oct 10, 202131 minEp. 38

Ultrasound theory, technique and useful tips and tricks!

Now Stan and Lahiru love ultrasound guided anaesthesia techniques, whether it's regional anaesthesia, venous or arterial access or transthoracic echo. Becoming competent at these techniques is such a valuable skill to add to your quiver and will save you and and your patient time and time again. This podcasts focusses on the theory of ultrasound and some practical tips for its use. For more information go to https://www.anaesthesiacollective.com/how-to-get-started-with-regional-anaesthesia/ http...

Oct 03, 202144 minEp. 37

Venous Admixture - Can oxygen fix it?

This episode is all about venous admixture for the part 1 exam. Check out more info at this great site. https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20081/concepts-venous-admixture-and-shunt Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. If you enjoyed...

Sep 26, 202128 minEp. 36

Viva Practice with Mason - Fasting, Local Anaesthetics, Shunt and MAC

Thanks Mason for a fantastic viva session! Please support us on our Patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow to help train anaesthetists in developing countries whilst acknowledging the work it takes to keep creating this educational resource. If you enjoyed this content please like and subscribe Please post any comments or questions below. Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook group for other content. Any...

Sep 19, 202138 minEp. 35

BONUS EPISODE: Professor David Story chats to us about Acid Base Physiology

We are so privileged to interview Professor David Story. Professor David Story is foundation chair of Anaesthesia and Deputy Director of the Centre for Integrated Critical Care at the University of Melbourne. He is a part-time staff anaesthetist at the Austin Hospital in Melbourne where his clinical work is predominantly perioperative care for sicker adults including for liver transplantation. His research includes perioperative outcomes and models of care; applied physiology including acid-base...

Sep 15, 20211 hr 35 minEp. 34

BONUS EPISODE: Interview with Dr Bob Smith, retired anaesthetist, athlete, artist and all round great guy

Thank you Bob for giving up your time for us! It was great to find out more about the history of anaesthesia and all your work with cardiopulmonary exercise testing. Please support us on our patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow, to help train anaesthetists in developing countries. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers an...

Sep 13, 20211 hr 1 minEp. 33

Viva practice with Katherine! - Ketamine, neurophysiology and ICP, anaphylaxis, normal saline

Well done Katherine on a great viva session with us. You present very well with great technique for answering questions, getting to the point, and thinking on your feet. All the best with your exam! Please support us on our patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow, to help train anaesthetists in developing countries. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and...

Sep 03, 202143 minEp. 32

Pulse oximetry measurement and how it can fail.

In this episode Dr Stan takes us through the ins and outs of oxygen saturation measurement with pulse oximetry and how it can fail. If you feel inclined., please support us on our patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow, to help train anaesthetists in developing countries. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers and sign up t...

Sep 02, 202137 minEp. 31

Diffusion and perfusion limited gases and diffusing capacity

Thanks for listening to this episode on Diffusion and perfusion limitation of gases. And if you feel inclined, please support us on our patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow, to help train anaesthetists in developing countries. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers and sign up to the ABCs of Anaesthesia facebook group htt...

Sep 02, 202134 minEp. 30

Viva practice with Luke - Suxamethonium, oxygen delivery to tissues, sodium nitroprusside, functions of the liver

Thanks again Luke for coming on the show! Fantastic work getting out solid answers with great exam technique. All the best with your exam! Please support us on our patreon https://www.patreon.com/anaesthesia All proceeds will go to Fund a Fellow, to help train anaesthetists in developing countries. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers and sign up to the ABCs of An...

Aug 29, 202133 minEp. 29

Exercise physiology and improving performance with the aggregation of marginal gains

In this episode we thought we would go through a bit of exercise physiology in celebration of the Olympics 2020 in 2021! Thanks Stan for sharing some of your notes on this really practical topic! If you would like to support us please do via our Patreon account. https://www.patreon.com/anaesthesia And best thing is that all proceeds will go to a reputable charity! Please rate, post a review and subscribe! Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook gro...

Aug 15, 202132 minEp. 28

Renal Physiology Categorisation Drills for the exam

Here are renal categorisation drills! If you would like to support us please do via our Patreon account. https://www.patreon.com/anaesthesia And best thing is that all proceeds will go to a reputable charity! Functions of the kidney How does the kidney establish a concentration gradient? Handling of acid Factors that govern GFR Flow = Kf [(PGC – PBS) - s (PGC - PBS)] Please rate, post a review and subscribe! Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook ...

Aug 07, 202123 minEp. 27

Cardiovascular Physiology Categorisation Drills for the exam PART 2

Here is cardiovascular (CVS) physiology part 2 classified If you would like to support us please do via our Patreon account. https://www.patreon.com/anaesthesia And best thing is that all proceeds will go to a reputable charity! Effect of standing due to hydrostatic pressure Compensation is Global - Baroreceptor o A reduction in mean arterial pressure is sensed by the baroreceptors. They decrease their rate of firing which results in an increase in SNS discharge and decreased PNS discharge causi...

Aug 02, 202124 minEp. 26

Cardiovascular Physiology Categorisation Drills for the exam PART 1

If you would like to support us please do via our Patreon account. https://www.patreon.com/anaesthesia And best thing is that all proceeds will go to a reputable charity! In this episode we cover categorisation of core cardiovascular topics Here is a brief summary: Hypotension Preload Rate Rhythm Contractility Afterload Or Shock Hypovolaemia Cardiogenic Distributive Obstructive O2 supply demand Supply = o2 flux or delivery to heart CBF x o2 content (Hb, sats, PO2) CVR and CPP CVResistance = meta...

Jul 23, 202134 minEp. 25

Neuroanaesthesia categorisation drills for the exam

If you would like to support us please do via our Patreon account. https://www.patreon.com/anaesthesia And best thing is that all proceeds will go to a reputable charity! Here's a brief summary of the Neuro categories. Factors that determine ICP Munroe kellie doctrine: Brain CSF Blood · Metabolic - pH, BSL · Co2 · O2 · nervous · Venous outflow · Sneezing cough In Practice I convert the above into these catergories Blood Physical – loosen ETT ties, collar, head up, minimise PEEP and paralyse pati...

Jul 17, 202130 minEp. 24

So the exam is over... now what?

Welcome back to Anaesthesia Coffee Break! We are now back with more first part content! In this episode we thought we would have a chat about What to do after the exam What if you passed What its you failed and how you can contribute to education Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers and sign up to the ABCs of Anaesthesia facebook group https://www.facebook.com/gro...

Jun 27, 202133 minEp. 23

Real practice exam demo with Susanna - Viva 2

Welcome again to Susanna for round 2 of Anaesthesia Coffee Break's practice exam session! Really generous of you to be in the spotlight and be able to help others to learn for this tricky exam! The viva stems are in the transcript. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers and sign up to the ABCs of Anaesthesia facebook group https://www.facebook.com/groups/20828071319...

Apr 21, 202128 minEp. 22

Real practice exam demo with Susanna - Viva 1

Thanks Susanna for volunteering to be examined for the ANZCA part 1 exam! Really generous of you to be in the spotlight and be able to help others to learn for this tricky exam! The 21st century learning skills are often called the 4 C's : critical thinking, creative thinking, communicating, and collaborating https://newsroom.unl.edu/announce/csmce/5344/29195 The viva stems are in the transcript. Please rate, post a review and subscribe! Check out https://anaesthesiacollective.com/education/firs...

Apr 16, 202132 minEp. 21

Live viva exam demo for the ANZCA part 1 exam - Pat v2

Time for round 2 with Pat are very generous trainee who's offered to be quizzed on our podcast. Here are the questions from this round: Stem 5 1. How does heparin work? 2. How about low molecular weight heparin? 3. Why do we monitor unfractionated heparin but not low molecular weight heparin? Due to lower binding to plasma proteins and to cell surfaces, the plasma anti Xa activity generated by a given dose of LMWH is more predictable than for UH. 4. How do we monitor unfractionated heparin’s eff...

Mar 31, 202133 minEp. 20
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