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Episode 10 the Postpartum Visit! Eoin & Rosie dive into how to approach, structure the postpartum visit and why we as a speciality should do it! We will cover everything from postpartum headache to what red flags to look for with nerve injury.
BJA education - postpartum headache: diagnosis and treatmentAoA guideline - Neurological monitoring associated with obstetric neuraxial blockAoA guideline - Anaesthesia and sedation in breastfeeding women -
Our good friend and anaesthetic registrar colleague Rahul returns to defend his undisputed title as 'NovPod champion'. This time Eoin and Rahul go head to head with their knowledge of anaesthetic drugs used on the labour ward, competing for the glory of winning the golden Tuohy needle.
References
OAA obstetric quick reference handbookOxford handbook - drugs in anaesthesia and intensive careAnaesthesia (e-LA) -> Core Training - Basic Sciences -> e-LA Module 07c - PharmacologyGuideline on anaesthesia and sedation in breastfeeding women MAPGIE TrialWomen Trial -
Fehlende Folgen?
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We are joined by the fantastic Dr Damien Hughes - an anaesthetic consultant and OAA council member - to discuss how we manage pain on the labour ward. We discuss the physiology of pain in labour and the management options we are able to deliver as anaesthetists, as well as how we can positively impact maternal health outcomes and our patients' birth experience.
References
Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 04 Regional analgesia & anaesthesiaAnaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 03 Labour analgesiaBJA education - Epidural analgesia in labourBJA education - Non-regional analgesia for labourEpidural troubleshooting – East Anglia guidePrevention and management of intra-operative pain during caesarean sectionOAA labour pains -
In Episode 7, Eoin and Rosie sit down with our fantastic guest Dr Kirsty Maclennan - an anaesthetic consultant and OAA board member - to talk through the anaesthetic emergencies that we encounter on the labour ward. With expert advice from the lead editor of the recently released obstetric anaesthetic quick reference handbook - this is not an episode to miss!
References -
- OAA obstetric quick reference handbook
- Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia
- WOMAN trial
- TEG interpretation - Life in the fast lane
- Load n Bread for feedback
- DAS and OAA Airway Guidance -
For Episode 6 - a 2 part special! - we are joined by our friend and obstetric registrar colleague, Miss Chiara Petrosellini, to talk through common obstetric emergencies and how Anaesthetists are involved in their management. Chiara gives us some great advice about working in high pressure situations and dealing with emergencies as part of the wider obstetric team.
References
OAA obstetric quick reference handbookAnaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesiaWOMAN trialTEG interpretation - Life in the fast lane -
For Episode 6 - a 2 part special! - we are joined by our friend and obstetric registrar colleague, Miss Chiara Petrosellini, to talk through common obstetric emergencies and how Anaesthetists are involved in their management. Chiara gives us some great advice about working in high pressure situations and dealing with emergencies as part of the wider obstetric team.
References
OAA obstetric quick reference handbookAnaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesiaWOMAN trialTEG interpretation - Life in the fast lane -
In this episode Rosie and Eoin are joined by Gail Roberts, a midwife coordinator, to talk through how the labour ward actually works. Gail gives us an insight into what makes a good anaesthetist on labour ward and how to work well within the labour ward MDT.
References -
- OAA obstetric quick reference handbook
- Association of Anaesthetists guideline - Neurological monitoring associated with obstetric neuraxial block -
In this episode, Eoin, Rosie and Serina discuss some of the pathophysiological conditions that anaesthetists encounter on the labour ward including gestational diabetes, pre-eclampsia and abnormal placental implantation. Eoin and Rosie give advice on how to approach these and how they might impact our management of patients presenting with these conditions.
References -
- OAA Obstetric QRH - https://www.oaa-anaes.ac.uk/oaa-quick-reference-handbook/qrh
- MAGPIE trial - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(02)08778-0/abstract
- BJA - Management of cardiac disease in pregnancy https://academic.oup.com/bjaed/article/9/2/44/299573
- Society of Bariatric Anaesthesia - consent guidelines
- AoA guideline - Regional anaesthesia and patients with abnormalities of coagulation
- Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia -
In episode 3 we are joined by Dr Serina Sidhu, an anaesthetic CT1 about to start her obstetric novice period. Rosie and Eoin are here to answer her questions about the role of the anaesthetist on the labour ward and what we actually do on a day to day basis.
References -
- OAA Obstetric QRH - https://www.oaa-anaes.ac.uk/oaa-quick-reference-handbook/qrh
- Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia -
Dr Ramai Santhirapala welcomes Dr Claire Shannon as new President of the Royal College of Anaesthetists with an interview featuring questions from the RCoA Member Engagement Panel and covering everything from training programmes, careers, Anaesthetic Associates, sexism in medicine, Claire's own professional journey, and the advice she'd give her younger self.
This audio interview accompanies a condensed print version in the October 2024 edition of the RCoA member Bulletin. -
For episode 2, we are joined by NovPod series 1 alumnus Dr Layla Guscoth to discuss the changes that pregnancy has on maternal physiology and how this will affect our anaesthetic management.
ReferencesDifficult airway society guideline - management of difficult and failed tracheal intubation in obstetrics BJA physiology of pregnancy: clinical anaesthetic implications BJA Anaesthesia and non-obstetric surgery in pregnancy Prevention and management of intra‐operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach DREAMY study - Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort studyBJA education - Ultrasound facilitated neuraxial anaesthesia in obstetricsAnaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 01 Pregnancy and labour -> Physiological Changes During Pregnancy -
Welcome back! We are delighted to bring you a second series of the NovPod, this time about the exciting world of obstetric anaesthesia. For this series we have collaborated with both the Royal College of Anaesthetists and the Obstetric Anaesthetists’ Association to bring you the best content and guests possible. In this episode we reunite with our excellent guest from our “How to survive on-calls” episode - Dr Rosie Grimes - who will be joining us as a co-host throughout the series; and talk through what a typical day on labour ward is like for an obstetric anaesthetist.
ReferencesIACOA workbook Historic timeline of obstetric anaesthesia -
In this follow-up to the first NovPod series, Drs Eoin Dore and Duncan Kemp discuss their top ten takeaway tips for the Novice anaesthetist, adapted from a talk they gave at an RCoA event in late 2023. Duncan and Eoin talk about resources, evidence for the IAC, active learning, the importance of rest when doing late shifts, and more.
For anyone who wants a re-cap of the key messages from the Novice Pod series, or needs a quick TL:DR for their new novice period, listen on!
Resources and links:Novice GuideWellbeing hub The stage 1 document by the association of anaesthetists Feedback link -
This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about Motivation and Innovation
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This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about Challenging the Protocol
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This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about The Process and the Process Zoo.
We value your feedback. If you do have any comments on this podcast please let us know by emailing us at [email protected] or via our twitter account -
This recording accompanies an Anaesthesia on Air discussion about preparing for the FRCA examination. Download and save this guided session for whenever you need a moment to relax, reflect, and regroup, whether you're preparing for an exam, or anything else.
Dr Jim Brunning, breathwork instructor and FRCA Final examiner, leads this guided relaxation. Music accompaniment provided by Somabreath. -
Dr Emma Plunkett speaks to Dr Jim Brunning and Dr Joe Pick about wellbeing in the context of preparing for and sitting the FRCA examination. Drawing on their own experiences Jim, Joe and Emma discuss the importance of relaxation, sleep, time-management, and more. They explore methods exam candidates can apply in their own preparations, anxiety and imposter syndrome, and how to take a healthy perspective.
Many of the tools they discuss apply to general wellbeing and work/life pressures, not just for exam candidates.
This discussion is accompanied by a guided relaxation audio resource, also available in your Anaesthesia on Air podcast feed, or to download at the link below. The relaxation recording, led by Jim Brunning, can be saved and used in any relevant situation.
Download the guided relaxation
Related information:RCoA guidance: Support for the FRCA examinationsRCoA information: Workplace wellbeingAAGBI information: Wellbeing and supportYouTube: Breathe With Sandy - YouTubeYouTube: Breathing Techniques to Reduce Stress and AnxietyYouTube: Powers of TenPodcast: The Happiness Lab, with Laurie SantosBlog post: Bonnie Ware, Regrets of the DyingBook: Sleep, by Nick LittlehalesApp: SOMA BreathApp: Oxygen advantage[Recorded July 2024] -
In the last of our Anaesthesia 2024 annual conference podcasts, Dr Ramai Santhirapala talks to Dr Kariem El-Boghdadly following his talk on GLP-1 receptor agonists in May 2024 at Glasgow Caledonian University.
Kariem and Ramai discuss how GLP-1 receptor agonists affect gastric emptying and the subsequent risk of pulmonary aspiration, what anaesthetists can do about that, and what guidance we can look forward to around this area.
They also discuss the work and achievements that led to Kariem being awarded the Dudley Buxton prize for ‘meritorious work in anaesthesia or in a science contributing to the progress of anaesthesia,' including how he got involved in research, with his advice for budding future researchers.
Additional information:
GLP-1 agonistsAnaesthesia research (RCoA)RCoA awards[Recorded May 2024] -
In this fascinating conversation Dr Sam Black talks to Maricarmen Climent and Jayne Hidderley about risk and how it is communicated in clinical settings.
This podcast, the fourth of a series recorded at the RCoA's 2024 Annual Conference in Glasgow, follows a keynote talk given by Maricarmen and Leila Finikarides and expands on the themes they discussed, in the context of the Montgomery judgment and associated GMC guidance, amongst other things.
We hear how risk is as much a feeling as a statistical fact, and that to make discussions of risk useful we should try to use 'natural' or meaningful frequencies, describe the absolute risk of something happening and - above all - ask patients about their own attitudes to risk. What matters to them about their forthcoming procedure and how they can best understand the implications.
[Recorded May 2024] This recording was made at the time of the culmination of the UK infected blood enquiry.
Additional informationWinton Centre for Risk and Evidence CommunicationSense About Science | Risk know howGMC | Montgomery judgmentRCoA Patient information resources | Anaesthesia and riskRCoA Patient VoicesScience Media Centre Spain | Communicating risk resources for journalists - Mehr anzeigen
