Deep Breaths

Today, we share our third discussion in our four part series about statistics with Dr Shannon Morrison.  In this episode, we discuss the following topics: sensitivity and specificity positive predictive values (PPV) and negative predictive values (NPV) risk ratios odds ratios number needed to treat (NNT) and number needed to harm (NNH) And here are the calculations for Shannon's working examp...

Today, we share our second discussion in our four part series about statistics with Dr Shannon Morrison.  In this episode, we discuss the following topics: sample size, power and hypothesis testing type I and type II error (further discussion) levels of evidence and what this means the different types of clinical trials Resources for today's episode: Zedstatistics (youtube channel) - short vi...

Today, we're having our first discussion of our four part series about statistics with Dr Shannon Morrison.  In this episode, we discuss the following topics: types of data (quantitative vs qualitative) descriptive statistics (measures of central tendency and measures of variability) Central Limit Theorem hypothesis testing type I and type II error p-values  parametric and non-parametric test...

Deep Breaths returns next Monday February 6th with a wonderful selection of topics that we're sure will help with exam prep, and will keep your practice up to date. We'll also be joined by more wonderful guests this season and we can't wait to share their expertise with you all, so be sure to tune in and experience the learning revolution!  Lahiru Amaratunge's Viva Boot Camp (l...

Deep Breaths returns on Monday February 6th with our fortnightly release schedule that we hope you're all still enjoying. We hope you take the time over the holiday break to rest up and refill your energy stores before 2023 kicks off. Season 6 will see us tackle more new topics that we hope will keep you up to date in your practice, and to help our exam candidates prepare for the ANZCA part 2...

In today's episode, we discuss some recently published guidelines in the journal Anaesthesia regarding the provision of environmentally sustainable anaesthesia.  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 forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning...

Today, we continue our discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr. In part 2 of this series we discuss the supraclavicular and infraclavicular blocks, the axillary block and specific targeted nerve blocks within the forearm. We then go on to discuss the management of a suspected nerve injury.  Feel free to email us at deepbreathspod@gmail.com if you have a...

Today, we have a fantastic and insightful discussion about upper limb regional anaesthesia with special guest, Dr Michael Kerr. In part 1 of this 2 part series, we focus on the interscalene block.  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 forget to claim CPD for listening if you are a consultant o...

Today, we discuss several cases addressing one-lung ventilation with special guest, Dr Ivan Rapchuk. Case number 2 describes a 59 year old woman with non-small cell lung cancer of the left lung who is scheduled for a left pneumonectomy on your list later this afternoon. Her medical history includes hypertension, hyperlipidemia, type 2 diabetes and obesity with a BMI 32, weight of 85kg and a height...

Today, we discuss several cases addressing one-lung ventilation with special guest, Dr Ivan Rapchuk. Our first case is as follows:  a 68 year old man is scheduled for an open right upper lobectomy on your list tomorrow for a T1N0 non small cell lung carcinoma. He is an active smoker with a 30 pack year history but has cut down his consumption from 20 cigarettes daily to 5. He has moderate emphysem...

Today is the final episode of our airway series where we discuss lots of wonderful and complex airway scenarios with special guest, Dr Nadia Vargas.  Our first case - case number 6 - is one where you are called to the intensive care unit to the bedside of a 54 year old female patient who had a percutaneous tracheostomy placed earlier that day. She is now hypoxic with oxygen saturation of 82%. Case...

Today is our third of a four episode series where we discuss lots of wonderful and complex airway scenarios with special guest, Dr Nadia Vargas.  The first case in today's episode - case 4 - is as follows: you are called to assist a colleague who has had 3 failed attempts at intubating a 64 year old female patient for a laparoscopic hemicolectomy. Bag-mask ventilation was difficult, although...

Today is our second of four episodes that will be released over a four-week period where we discuss lots of wonderful and complex airway scenarios with special guest, Dr Nadia Vargas.  Our second case is that of a 23 year old man that presents for a sub-mandibular abscess on a background history of five days of toothache. His only other medical history is that he has a BMI of 35. On clinical exami...

Today is our first of four episodes that will be released over a four-week period where we discuss lots of wonderful and complex airway scenarios with special guest, Dr Nadia Vargas. Our first case is that of a 44 year old female patient scheduled to have a total thyroidectomy for a multi nodular goitre with moderate retrosternal extension. She has never had a general anaesthetic before and her on...

Today, we discuss the joint Difficult Airway Society, British Association of Endocrine and Thyroid Surgeons, and the British Association of Otorhinolaryngology Guidelines on managing neck haematomas after thyroid surgery. We start by revising the pathophysiology of post-thyroidectomy airway compromise before launching into a discussion about the 8 recommendations within the guidelines.  Feel free...

In today's episode, we discuss the latest updates on sepsis, courtesy of the recently released International Guidelines for the Management of Sepsis and Septic Shock 2021. This is a long guideline, but we pick out the most relevant pieces to our practise in anaesthesia.  Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from...

Today, we tackle the peri-operative management of cardiac implantable devices after the recent publication of the British Heart Rhythm Society's guidelines in the journal, Anaesthesia. In part 2 of this 2 part series, we discuss the ten guidelines that illustrate how cardiac implantable electronic devices should be managed peri-operatively, followed by considerations that we as - anaesthetist...

Today, we tackle the peri-operative management of cardiac implantable devices after the recent publication of the British Heart Rhythm Society's guidelines in the journal, Anaesthesia. In part 1 of this 2 part series, we start with a discussion about the different types of implantable cardiac devices that may be encountered in our practice. We explain how the NGB code illustrates the way that...

This week, we continue our discussion about receiving a poor outcome after the ANZCA part 2 exam with two special guests - Dr Raymond Casey and Dr Aaron MacDonald. In the second instalment of this topic, we talk to Aaron about his journey after sitting his exam for the first time. Both Raymond and Aaron then give some timely advice about how to manage the stress and emotions associated with dealin...

This week, we have a really open and candid discussion about receiving a poor outcome after the ANZCA part 2 exam with two special guests - Dr Raymond Casey and Dr Aaron MacDonald. In this the first of this 2-part topic, we start by talking about the work and life circumstances that both Raymond and Aaron found themselves in when preparing to sit their exam for the first time. We also talk to Raym...

Today, we discuss a topic 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...

Deep Breaths returns next Monday with a fantastic array of topics that we're sure will make exam prep easier, and will keep your practice up to date. We'll also be joined by more wonderful guests this season and we can't wait to share their expertise with you all. Lahiru Amaratunge's Viva Boot Camp - Anaesthesia Collective link: https://www.anaesthesiacollective.com/viva-boot-c...

Deep Breaths returns on Monday July 18th with our fortnightly release schedule that we hope you're all still enjoying. We hope you take the time over the June/July holiday break to recharge those batteries so that you're feeling good for the latter half of the year. Season 5 will see us tackle more new topics that we hope will keep you up to date in your practice, and to help our exam ca...

Today, we join you live from the QEII Anaesthetic Conference, and this episode is a little different. We explore some of the evidence behind those little pearls that we've learned in anaesthesia and that we've shared with you all during previous episodes. Topics that we discuss include fatigue and how if affects performance, the mandibular protrusion test, and the use of dexmedetomidine...

In today's episode, we discuss c hallenges 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 deepbreathspod@gmail.com if you have any qu...