Episodes
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Today, we go back to take a close look at one of ANZCA's latest professional documents - PG67: Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures 2022.
Resources for this episode:
PG67: Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures 2022
PG67 BP: Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures Background Paper 2022Feel 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 look back at a fantastic and insightful discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr. If you liked this episode, you can find the second part of this episode in season 5, episode 12.
In this episode, part 1, we focus on the interscalene block.
Resources for today's episode:
Anatomy of the brachial plexus and its implications for daily clinical practice: regional anesthesia is applied anatomy by G.C. Feigl et. al.
Video: The Infraclavicular Block - Essentials of Ultrasound-Guided Regional Anesthesia by Ki-Jinn Chin
The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine: Executive Summary 2015 by J.M. Neal et. al.
Axillary block videos:
The in-depth video: Ultrasound Guided Axillary Block NYSORA Regional Anesthesia by NYSORA - Education
The short-and-sweet video: Ultrasound Guided Axillary Brachial Plexus Block NYSORA Regional Anesthesia by NYSORA - Education
The simple and fantastic video: US-guided Axillary Brachial Plexus Block - the Simple Guide by Ki-Jinn ChinFeel 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! -
Missing episodes?
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Today, we revisit a topic that was 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, 5th edition (ASRA 2025 Guidelines)
RE-VERSE-AD TrialFeel 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 will return this year with a slightly different twist. We're taking a little break, but that doesn't mean we've forgotten about our wonderful listeners!
We'll be recording the occasional new episode with guest interviewees that we're excited to be chatting with. We're also going to be re-releasing some of our best episodes.
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 revisit 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 SyndromeFeel 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! -
So get ready for something a little different... this week's episode was recorded live from the ANZCA Annual Scientific Meeting 2024, in our home city of Brisbane, Australia.
We interviewed some fascinating guests, covering topics as diverse as the role of the college moving forward, how we can be more sustainable in anaesthesia, and the future of podcasting; and we had plenty of fun along the way.
Enjoy this interactive and entertaining discussion with Dr Chris Cokis, Professor David Story, Professor Kate Leslie, Dr Andrew Cumpstey, Professor Eugenie Kayak, and Dr Lahiru Amaratunge.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's episode is the second of our two part series on ruptured AAA repairs. We discuss the case of a 72 year old man with a ruptured abdominal aortic aneurysm that is contained, and who is scheduled for an urgent endovascular repair within the interventional radiology suite with special guest, Dr Lahiru Amaratunge.
Apologies for the audio quality in this episode - even though it sounds like we recorded on a submarine, we can assure you we were sitting in our study the entire time.
Resources for today's episode:
BJAED: Anaesthesia for endovascular repair of ruptured abdominal aortic aneurysmsby K. Berry et al.
LITFL: AAA by C. Nickson
Lancet: Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial by Patel, R. et al.
Annals of Surgery: Endovascular Repair of Abdominal Aortic Aneurysm in Patients Physically Ineligible for Open Repair: Very Long-term Follow-up in the EVAR-2 Randomized Controlled Trial by Sweeting, M. et al.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 - in part 1 of our 2 part series - we talk through the case of an 82 year old man with a ruptured abdominal aortic aneurysm who is scheduled for urgent open repair with special guest, Dr Lahiru Amaratunge.
Resources for today's episode:
BJAED: Anaesthesia for endovascular repair of ruptured abdominal aortic aneurysms by K. Berry et al.
LITFL: AAA by C. Nickson
Lancet: Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial by Patel, R. et al.
Annals of Surgery: Endovascular Repair of Abdominal Aortic Aneurysm in Patients Physically Ineligible for Open Repair: Very Long-term Follow-up in the EVAR-2 Randomized Controlled Trial by Sweeting, M. et al.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 cover the recently released consensus clinical practice recommendation regarding the peri-procedural use of the GLP-1 and GIP receptor antagonists.
Enjoy this topical episode - this is sure to be an evolving area.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're under the pump with work and life, but we'll be with you soon and it's a cracker of an episode covering an extremely topical subject.
Keep an eye out for our next episode dropping something in the next couple of weeks. As an apology, we'll have a bonus ep coming sometime towards the end of the season!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's episode is the final in our series on inotropic and vasopressor medications. Today, we're going to tackle some of the more obscure inotropes and vasopressors - these medications typically aren't encountered terribly often within anaesthesia. During this episode, we discuss milrinone, levosimendan, methylene blue and hydroxocobalamin (Vitamin B12).
Resources for today's episode:
StatPearls:
Inotropes and vasopressors by D. VanValkinburgh et al.
Adrenergic Drugs by K. Farzam et al.
LITFL:
Inotropes, vasopressors and other vasoactive agents by C. Nickson
Milrinone by C. Nickson
Levosimendan by C. Nickson
Methylene blue by C. Nickson
Hydroxocobalamin by N. Long
Deranged Physiology:
Classification of inotropes and vasopressors
Milrinone
Levosimendan
DRUGBANK Online:
Milrinone
LevosimendanFeel 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's episode - the second in our three episode series focusing on inotropic and vasopressor medications - sees us covering some more medications commonly (or uncommonly, depending on your scope of practice) encountered within anaesthesia. During this episode, we discuss vasopressin, dopamine and dobutamine.
Resources for today's episode:
StatPearls:
Inotropes and vasopressors by D. VanValkinburgh et al.
Adrenergic Drugs by K. Farzam et al.
LITFL:
Inotropes, vasopressors and other vasoactive agents by C. Nickson
Vasopressin by C. Nickson
Dopamine by C. Nickson
Dobutamine by C. Nickson
Deranged Physiology:
Classification of inotropes and vasopressors
Vasopressin
Dobutamine
DRUGBANK Online:
Vasopressin
Dopamine
Dobutamine
BJAED:
Vasopressin and its role in critical care by A. Sharman & J. Low.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's episode is the first in a series of three that focus on inotropic and vasopressor medications used within anaesthetic practice. During this episode, we discuss metaraminol, ephedrine, phenylephrine, noradrenaline and adrenaline.
There's one section of our episode where we thought it important to clarify what we're saying, as to out ears it sounds a little confusing. During our discussion about adrenaline, we state that both noradrenaline and adrenaline have the same affinity for beta-1 adrenoceptors. We then advise that the reason for the inotropic and chronotropic effects of adrenaline - not seen with noradrenaline - are because adrenaline has much greater affinity for beta-2 adrenaceptors than noradrenaline.
Resources for today's episode:
StatPearls:
Inotropes and vasopressors by D. VanValkinburgh et al.
Adrenergic Drugs by K. Farzam et al.
LITFL:
Inotropes, vasopressors and other vasoactive agents by C. Nickson
Metaraminol by R. Buttner
Phenylephrine by C. Nickson
Noradrenaline by C. Nickson
Adrenaline by C. Nickson
Deranged Physiology:
Classification of inotropes and vasopressors
Metaraminol
Noradrenaline
Adrenaline
DRUGBANK Online:
Metaraminol
Ephedrine
Phenylephrine
Noradrenaline
AdrenalineFeel 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 2023 BJA Education article titled 'Perioperative care for transgender and gender diverse adults'. We start with a discussion of words and terms that are useful to understand, before diving in to discussions about a trauma-informed care approach to minimise and hopefully eradicate negative preoperative experiences, physical, chemical and surgical options for gender affirmation, and lastly how this can inform the provision of safe anaesthesia for transgender patients.
Resources for this episode:
BJA Education: Perioperative considerations for transgender and gender diverse adults by Harding, D. et al.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, in part 2 of our 2 part series on anaesthesia for previous heart transplant recipients, we discuss the care of these patients for non-cardiac surgery with special guest, Dr Ivan Rapchuk.
We begin by covering the electrophysiology of a transplanted heart and what you may see on the ECG, and then proceed to the management of our theoretical patient for general anaesthesia for non-cardiac surgery.
Resources for this episode:
Oxford Handbook of Transplant Anaesthesia and Critical Care
BJAED: Anaesthesia for a patient with a cardiac transplant (2002) by Morgan-Hughes, N. & Hood, G.
Circulation (2004): Drug therapy in the heart transplant recipient by Lindenfeld, J. et al.
Indian Journal of Anaesthesia: Post cardiac transplant recipient: Implications for anaesthesia by M. Choudhury
RCEM India Learning - The ECG after cardiac transplantationFeel 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, in part 1 of our 2 part series on anaesthesia for previous heart transplant recipients, we discuss the care of these patients for non-cardiac surgery with special guest, Dr Ivan Rapchuk.
We start our discussion with a review of how to assess whether these patients are suitable for elective surgery, and follow this with a deep-dive on the typical immunosuppressant medications that these patients may be taking, as well as their mechanism of action and side effects.
Resources for this episode:
Oxford Handbook of Transplant Anaesthesia and Critical Care
BJAED: Anaesthesia for a patient with a cardiac transplant (2002) by Morgan-Hughes, N. & Hood, G.
Circulation (2004): Drug therapy in the heart transplant recipient by Lindenfeld, J. et al.
Indian Journal of Anaesthesia: Post cardiac transplant recipient: Implications for anaesthesia by M. Choudhury
RCEM India Learning - The ECG after cardiac transplantationFeel 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 rise of GLP-1 receptor agonists - what they are, how they work, and how they affect fasting during the perioperative period.
Resources for today's episode:
StatPearls: Physiology, Gastrointestinal Hormonal Control by Parikh, A. & Thevenin, C.
https://www.ncbi.nlm.nih.gov/books/NBK537284/StatPearls: Glucagon-like Peptide-1 Receptor Agonists by Collins, L. & Costello, R.
https://www.ncbi.nlm.nih.gov/books/NBK551568/ANZCA PG07(A) Appendix
https://www.anzca.edu.au/getattachment/897f5bf5-b665-4c99-a56f-e72678f19f7e/PG07(A)-Appendix-1-%E2%80%93-Fasting-guideline
ADS-ANZCA Perioperative and Hyperglycaemia Guidelines (Adults)
https://www.diabetessociety.com.au/wp-content/uploads/2023/03/ADS-ANZCA-Perioperative-Diabetes-and-Hyperglycaemia-Guidelines-Adults-November-2022-v2-Final.pdfUp To Date: Glucagon-like peptide 1-based therapies for the treatment of type 2 diabetes mellitus by Dungan, K. & DeSantis, A.
https://www.uptodate.com/contents/glucagon-like-peptide-1-based-therapies-for-the-treatment-of-type-2-diabetes-mellitus#:~:text=Like%20native%20GLP%2D1%2C%20all,%27Glycemic%20efficacy%27%20below.)American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists by Joshi, G. et al.
https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperativeFeel 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! -
It's taken almost a year, but we're finally giving you part 2 of our series on complex and uncommon cardiac conditions for non-cardiac surgery with special guest, Dr Shaun Roberts. Hold on to your earphones - this episode is a long one! If you haven't listened to part one, you can find it within season 6 - be sure to check it out before you listen to part 2.
Today, we discuss anaesthesia for patient's with ventricular assist devices (or VADs), and we talk about providing anaesthetic care for a patient with a hypertrophic obstructive cardiomyopathy (or HOCM).
Resources for today's episode:
ANZCA Blue Book 2021Feel 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 SNACC guidelines for the diagnosis and treatment of neuroanaesthetic emergencies, and take a little time to discuss each of these emergencies in turn.
Resources for the episode:
Cognitive aids for the diagnosis and treatment of neuroanaesthetic emergencies: Consensus guidelines on behalf of the Society for Neuroscience in Anaesthesiology and Critical Care (SNACC) education committee by Hoefnagel, A.L. et al. (full journal article)
SNACC cognitive aids for neurosurgical emergencies (cognitive aids only)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, in part two of our two part series looking at perioperative hypotension and acute kidney injury (AKI), we take a closer look at the methods we can adopt - as anaesthetists - to try to prevent perioperative AKI and the evidence of their effectiveness in preventing this complication.
Resources for today's episode:
BJA: Role of perioperative hypotension in postoperative acute kidney injury: a narrative review (sciencedirectassets.com) by Lankadeva, Y. et al.
KDIGO 2012 Acute Kidney Injury Guidelines
LITFL: RIFLE criteria and AKIN classificationFeel 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! - Show more
