Episodes
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Content Warning: This episode contains discussions of neonatal resuscitation, which some listeners may find sensitive or distressing.
In Episode 13 and the season 2 finale, Eoin and Duncan welcome Dr. Esther Godfrey, co-founder of the SuPPORT project, to share her personal experience of neonatal resuscitation with her own daughter Juno, along with the project's origins.
Together, they explore the role of effective communication with patients during neonatal resuscitation and how to compassionately provide support in such critical moments.
References
European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birthUnderstanding psychological traumatic birth experiences: A literature reviewThe SuPPORT Project (Website) - Supporting Parents and Professionals through neOnatal Resuscitation in Theatre SuPPORT Project abstract - International journal of obstetric anaesthesiaQuick Reference Handbook for Obstetric Emergencies - Page 9 - DebriefRCOA Wellbeing HubBMA Wellbeing Support -
In this Episode of the Heritage Series, Dr Maria Rollin talks to Dr Debbie Nolan and Kevin Storey about the move from Russell Square to Churchill House and what that meant to the specialty
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Missing episodes?
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Eoin and Duncan are joined by former RCoA Vice President Dr Helgi Johannsson. Together they cover many topics in the realm of obstetric anaesthetics including the importance of communication, what makes a good obs anaesthetist and some tips and tricks for epidurals! Why should you involve the partner? How can you bring order to chaotic situations? What is on Helgi's obs playlist? Listen to find out!
References
The Royal College of Anaesthetists eventsThe Obstetric Anaesthetists' Association (OAA) events -
Eoin and Rosie are joined by Susanna Stanford, a patient advocate, to talk through how to the importance of the prevention and management of pain during C-section. We discuss how to avoid pitfalls when testing neuraxial anaesthesia and how to manage problems under regional anaesthesia, then go on to talk about the criticality of patient communication and human factors when facing problems with neuraxial blockade.
References
- Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach
- What is ‘genuine’ failure of neuraxial anaesthesia?
- You test because you cannot make assumptions -
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 -
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.
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