Perioperative Medicine Podcast Series

Professor Robert Sanders, Nuffield Professor of Anaesthesia at Sydney University joins Dr Ron Glick and Dr Alan Peirce to discuss the NEUROVISION study (Lancet, 2019) and its relevance to anaesthetic practice, and current and future directions of research in perioperative cognitive dysfunction.

Professor Myles is the co-author of an editorial accompanying a paper published in this week's the Lancet, looking at mortality and pulmonary complications in COVID-19 positive patients undergoing surgery. He discusses the implications of this trial on elective surgery and planning for future pandemics.

Dr Mark Shulman talks to Dr Justin Burke about assessing the perioperative function of obese patients undergoing non-bariatric surgery.

Dr Lakmini De Silva is discussing with Dr Harry Gibbs and Ms Joanne Gibbs regarding Wellbeing during COVID-19 outbreak

Professor Ramani Moonesinghe discusses the preoperative assessment of high-risk patients scheduled for major noncardiac surgery preoperatively.

An insider's view of how the major medical journals function, what types of articles they're looking for, and why an anaesthesia study could be of interest to a broader medical audience.

With the start of the first national perioperative audit - The Australian and New Zealand National Emergency Laparotomy Audit (ANZELA), Dr Jonathan Nicholson discusses the project with Dr Tom Poulton, an anaesthesiologist and research fellow with the National Institute of Academic Anaesthesia (NIAA) and Health Services Research Centre (HSRC) in the UK who was involved in the UK NELA project. He di...

Heart failure with preserved ejection fraction (HFpEF) is an increasingly recognised but commonly misunderstood condition. Cardiologist Dr Angeline Leet and POM5102 coordinator Dr Marissa Ferguson discuss the diagnosis, optimisation and perioperative management of patients with HFpEF.

How can human factors engineering improve the perioperative experience of our patients? Resident expert Dr Stuart Marshall discusses the role of human factors in designing better perioperative care pathways and processes.

Health economics is the branch of economics concerned with the costs, effectiveness and consumption of healthcare. Professor Danny Liew discusses why clinicians should give greater consideration to health economics, and the importance of using Real World Evidence in analysing the cost and value of perioperative interventions.

Professor David Scott discusses perioperative cognitive outcomes and why new nomenclature was needed.

Dr Brian Chen discusses common Postoperative Pulmonary Complications and their impact on patients and the health care system. He explores risk predictors and key perioperative prevention measures. An important topic for all perioperative clinicians.

Dr Jonathan Nicholson asks Dr Justin Burke how to safely navigate patients taking SGLT2 inhibitors through the perioperative period. Clinical dilemmas are discussed and practical guidance provided with discussion involving recent publications on detection, prevention and management of euglycaemic ketoacidosis.

The use of slow release opioids in the perioperative period has been associated with respiratory depression, increased chronic post-surgical pain and other serious adverse events. Pain specialist Dr Kerry McLaughlin discusses ways to minimise these risks including the role of \'safer opioids\' and perioperative opioid sparing techniques.

It is important to audit surgical outcomes if we are going to provide high quality health care. Professor Paul Myles discusses a novel outcome measure, days at home 30 days after surgery, and why a recent paper utilising this measure may be one of the most important he has written to date.

Pregabalin is an analgesic agent which has attracted some adverse publicity recently. Prof David Scott discusses the appropriate use of this non-opioid analgesic agent.

Dr Mark Shulman is a member of the METS study investigation team whose work was published in the Lancet in 2018. Additionally he is the primary author of a recently published substudy addressing pre operative functional and biomarker assessment as it pertains to patient centred outcomes. In this podcast Mark outlines the findings of both studies to help the modern day perioperative physician negot...

Pulmonary aspiration of gastric contents is a rare but serious complication of anaesthesia. Fasting prior to surgery to minimise the risk of aspiration has been an accepted necessity of preoperative care for decades. In this podcast, Dr Jonathan Nicholson discusses some of the evidence surrounding modern fasting practices. He will explore some of the newer approaches to preoperative fasting that h...

Dr Jonathan Nicholson interviews principal investigator Professor Paul Myles on the results of the RELIEF trial - a large randomised controlled trial looking at liberal vs. restrictive fluid therapy during and after major abdominal surgery.

In an ageing population, the percentage of patients undergoing surgery aged over 65 years is increasing. Dr Margot Lodge, Geriatrician, discusses the importance of understanding the changes in cognition that can occur across the perioperative period.

Dr Brendan Flanagan is a specialist anaesthetist with a special interest in crisis management and human factors. Brendan played a pioneering role in the introduction of healthcare simulation in Australia, initially through the introduction of crisis management courses in anaesthesia at the Southern Health Simulation Centre. More recently he has been involved in adapting an Emergency Manual for use...

Dr Kerry McLaughlin is a pain specialist at The Alfred Hospital and has been closely following the global opioid epidemic. She discusses the local situation and whether the prescribing of opioids by perioperative physicians is part of the problem.

Dr Jonathan Nicholson is a the coordinator of the Short Course in Perioperative Medicine, Monash University. Using the experience of the perioperative ward round at the Alfred Hospital he discusses the question Can Perioperative teams impact on post operative complications?

Toby Richards, Professor of Surgery at University College London discusses anaemia and iron deficiency in the perioperative period. He explains how a good understanding of this subject can enhance patient blood management and improve patient outcomes.

Advance Care Planning is a voluntary process that safeguards the patients right to express future preferences and wishes about their healthcare for a time when they are no longer able to independently express.