Deep Breaths

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...

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 lat...

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 abou...

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 happ...

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://ana...

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, c...

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 predisp...

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/4e9601565a8ebbaa802579ea0035b...

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 deepbre...

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 ques...

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 anaest...

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...

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...

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...

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 ha...

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...

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 fr...

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 s...

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...

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...

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 wi...

Best wishes to all of our trainees and IMGs sitting the part 2 anaesthetic vivas this week!  Deep Breaths returns next year on Monday February 22nd with more topics that we hope will super-charge your exam prep. And season 2 will see us talk to some brilliant guest interviewees from all over Australia so be sure to tune in.  Feel free to email us at deepbreathspod@gmail.com with any questions, com...

Today, we discuss cardiopulmonary bypass with special guest, Dr Ivan Rapchuk. We expand upon the information from part 1 with a few case scenarios.  In these, we talk about the sequence of events that occurs when transitioning a patient onto cardiopulmonary bypass, 'crashing' onto bypass, variations to typical cardiac bypass and how to remove a patient from cardiopulmonary bypass. Feel f...

Today, we discuss cardiopulmonary bypass with special guest, Dr Ivan Rapchuk. Specifically, we talk about the components of the bypass circuit and their function in maintaining safe cardiopulmonary bypass for cardiac surgery. Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.  Thanks for listening, and happy studying!  Feel free to email us at deepbreath...

Today we continue our discussion about the recommendations from a couple of review articles published by the British Medical Journal regarding infection control and its implications in managing the Covid-19 patient's airway. We specifically talk about non-invasive ventilation, some subspecialty anaesthesia and considerations for working in critical care. Feel free to email us at deepbreathspo...