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 deepbreathspod@gmail.com 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 a...
Sep 26, 2021•28 min•Season 3Ep. 12
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 deepbreathspod@gmail.com 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 ...
Sep 26, 2021•25 min•Season 3Ep. 11
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...
Sep 19, 2021•25 min•Season 3Ep. 10
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...
Sep 12, 2021•36 min
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 deepbreat...
Sep 12, 2021•40 min•Season 3Ep. 9
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 deep...
Sep 12, 2021•36 min•Season 3Ep. 8
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 deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! Thanks for list...
Sep 05, 2021•25 min•Season 3Ep. 7
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 deepbreathspod@gmail.com 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 pe...
Aug 29, 2021•24 min•Season 3Ep. 6
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 deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love he...
Aug 22, 2021•26 min•Season 3Ep. 5
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 deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! Thanks for listening, and happy studying. Resources for today'...
Aug 15, 2021•28 min•Season 3Ep. 4
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 postoperat...
Aug 08, 2021•34 min•Season 3Ep. 3
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...
Aug 01, 2021•20 min•Season 3Ep. 2
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 deepbreathspod@gmail.com 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....
Aug 01, 2021•17 min•Season 3Ep. 1
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 deepbreathspod@gmail.com with any questions,...
Jul 25, 2021•3 min
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 deepbreathspod@gmail.com with any questions, comments or suggestions. So until next season, happy studying and thanks for listening! Feel free to ...
May 23, 2021•2 min
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 ...
May 09, 2021•14 min•Season 2Ep. 14
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://associationofanaesthetis...
May 02, 2021•37 min•Season 2Ep. 13
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 deepbreathspod@gmail.com 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 deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! And don't...
Apr 25, 2021•31 min•Season 2Ep. 12
Today, we discuss anaphylaxis. We look at the findings from the most recent NAP 6 regarding the incidences of anaphylaxis for specific triggers, presenting symptoms, and factors potentially predicting poorer patient outcomes. We also discuss anaphylaxis management and the anaphylaxis cards jointly developed by ANZCA and ANZAAG. Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! Thanks for listening, and happy studying. ...
Apr 18, 2021•20 min•Season 2Ep. 11
This week, we discuss everything you could possibly want to know about Type 1 Diabetes Mellitus with special guest, Dr Amy Lawrence. We talk about how it's diagnosed, different insulin regimens for its management and important points to discuss with patients presenting to the pre-anaesthetic clinic when preparing for elective surgery. We also look at the anaesthetic considerations when anaesthetising patients with type 1 Diabetes Mellitus and glycemic control intra-operatively. Feel free to emai...
Apr 11, 2021•24 min•Season 2Ep. 10
This week we discuss neuromuscular blockade, revise some relevant basic physiology and pharmacology, and talk about neuromuscular monitoring. After all, it never hurts to revise a little part 1 exam knowledge, particularly when it's relevant to how you answer questions for the part 2 exam! Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! Thanks for listening, and happy studying. Resources for this episode: Sugammadex:...
Apr 04, 2021•18 min•Season 2Ep. 9
In today's episode, we talk Obstructive Sleep Apnoea, or OSA, with special guest, Dr Hamish Pollock. We start with a definition of OSA, how it is diagnosed, complications and treatment options. From here we have a more in-depth discussion about important components of the pre-anaesthetic assessment, screening for OSA and finally how to plan a safe anaesthetic for these patients. Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions for future episode topic...
Mar 28, 2021•27 min•Season 2Ep. 8
Today, we'll take the time to discuss medical cannabis, and the implications for patients on prescription cannabis therapy when they present for an anaesthetic. We start with a brief chat about the differences between medical cannabis and recreational cannabis, the mechanism of action of the two main cannabinoids - THC (tetrahydrocannabinol) and CBD (cannabidiol), their pharmacokinetics and finally some suggestions for how to approach the anaesthetic care of these patients. Feel free to email us...
Mar 21, 2021•22 min•Season 2Ep. 7
In today's episode, we take a look at a recently published trial in JAMA Paediatrics which examines a possible association between labour epidurals and autism. A huge thank you to Dr Catherine Stirzaker for providing us with much of the source material for this episode! Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. Thanks for listening, and happy studying! Resources for this episode include: Association Between Epidural Analgesia During Labor and ...
Mar 14, 2021•16 min•Season 2Ep. 6
Today we are joined by special guest interviewee Dr Kar-Soon Lim, for a discussion regarding burns anaesthesia that spans two episodes. In this, the second part of our discussion about burns anaesthesia, we talk about in-theatre management of burns in the context of a clinical case. We address the anaesthetic considerations for major burns cases, and the different surgical techniques and how they impact our anaesthetic care. Feel free to email us at deepbreathspod@gmail.com with any questions, c...
Mar 08, 2021•24 min•Season 2Ep. 5
Today we are joined by special guest interviewee Dr Kar-Soon Lim, for a discussion regarding burns anaesthesia that spans two episodes. Part one of our discussion addresses how burns are assessed, factors to consider when determining whether intubating a burns patient is appropriate, and IV fluid management in the first 24 hours. We also specifically discuss electrical burns and how they differ from other major burns. Feel free to email us at deepbreathspod@gmail.com with any questions, comments...
Mar 07, 2021•18 min•Season 2Ep. 4
We continue our discussion with special guest Dr Julia Slykerman about anxiety and stress management when juggling study, work and everything life throws at you. In this episode we further explore knowing yourself and how this relates to optimising your study. We discuss warning signs to look for in both yourself and others that may signify trouble in managing stress and anxiety, and options for seeking help. If you or someone you know is struggling with stress and anxiety management, please rea...
Mar 01, 2021•17 min•Season 2Ep. 3
This week, we are joined by special guest Dr Julia Slykerman to discuss stress and anxiety management when studying for the part 2 exam. Specifically, we discuss how to generate realistic expectations both for yourself whilst studying and for those around you, how to commit to upholding your own self care, and the importance of knowing yourself - how you operate best, study best, and how you plan to restore the energy you expend when studying. If you or someone you know is struggling with stress...
Feb 28, 2021•18 min•Season 2Ep. 2
Today on Deep Breaths we discuss everything pre-eclampsia - what it is, how it’s diagnosed, managed, and how to manage obstetric anaesthetic patients presenting with it. Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. Thanks for listening, and happy studying! Resources for today’s episode are: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61998-X/fulltext https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health...
Feb 21, 2021•17 min•Season 2Ep. 1
Deep Breaths returns next Monday with more topics that we hope will super-charge your exam prep. And we get to talk to some brilliant guest interviewees from all over Australia so be sure to tune in. EventBrite link for Viva Boot Camp course - https://www.eventbrite.com.au/e/viva-boot-camp-online-for-the-anzca-part-2-exam-tickets-138032367527 Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. Happy studying, and thanks for listening! Feel free to email...
Feb 14, 2021•1 min
