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 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 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 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 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 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 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 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 questions, comments or suggestions. We love hearing from you!

Thanks for listening, and happy studying.

Resources for today's episode:

The NAP6 - https://www.nationalauditprojects.org.uk/downloads/NAP6%20Report%202018.pdf

ANZCA perioperative anaphylaxis management guidelines - https://www.anzca.edu.au/resources/professional-documents/endorsed-guidelines/background-card.pdf

ANZAAG referral form - http://www.anzaag.com/Docs/PDF/Anaphylaxis%20Box/ANZAAG%20Referral%20Form%20Jul17.pdf 

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 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 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 anaesthetising patients with type 1 Diabetes Mellitus and glycemic control intra-operatively.

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 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 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 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 love hearing from you!

Thanks for listening, and happy studying. 

Resources for this episode:

Sugammadex: a revolutionary drug in neuromuscular pharmacology - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173552/

ANZCA PS18 Guideline on monitoring during anaesthesia - https://www.anzca.edu.au/safety-advocacy/standards-of-practice/policies,-statements,-and-guidelines 

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 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 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 email us at deepbreathspod@gmail.com with any questions, comments or suggestions for future episode topics and guest interviewees.

Thanks for listening and happy studying.

Resources for this episode:
Perioperative considerations in the management of obstructive sleep apnoea by R. Holt, G. Downey and M. Naughton:
https://www.mja.com.au/system/files/issues/211_07/mja250326.pdf

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 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'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 finally some suggestions for how to approach the anaesthetic care of these patients.

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 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 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 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 happy studying!

Resources for this episode include:

Association Between Epidural Analgesia During Labor and Risk of Autism Spectrum Disorders in Offspring - https://jamanetwork.com/journals/jamapediatrics/article-abstract/2771634

ANZCA and RANZCOG statement on epidurals for labour - https://www.anzca.edu.au/resources/professional-documents/statements/epidural-anaesthesia-joint-statement-anzca-and-ran.pdf 

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 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 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 impact our anaesthetic care.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Thanks for listening, and happy studying.

References for today's episode:

Challenges in anaesthesia and pain management for burn injuries by F. Stapelberg:
https://doi.org/10.1177/0310057X20914908 

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 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 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 from other major burns.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions for future episode topics and guest interviewees.

Thanks for listening and happy studying.

References for today's episode:

Challenges in anaesthesia and pain management for burn injuries by F. Stapelberg:
https://doi.org/10.1177/0310057X20914908 

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 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!

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 seeking help.

If you or someone you know is struggling with stress and anxiety management, please reach out to your department's supervisor of training for assistance.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Thanks for listening, and happy studying.

Wellbeing apps to assist in maintaining calm and managing anxiety:

Smiling Mind - a mindfulness meditation app for all ages, with a new specific category for health care workers; to assist people in dealing with pressure, stress, sleep and the challenges of daily life. 

Headspace - provides guided meditations on managing stress and anxiety, productivity, focus, exercise, physical health and sleep for adults and kids. 

Buddhify - provides guided meditations and mindfulness exercises to help overcome anxiety, stress, sleeplessness, pain and difficult emotions, in categories such as travelling, at work, waking up, eating and online; adults and kids content. 

Woebot - a cognitive behavioural therapy (CBT) chatbot who checks in each day with activities and helpful information. 

Happify - science based games to reduce stress, build resilience and overcome negative thoughts. 

Moodfit - provides tools and information for coping with anxiety, depression and stress. 

Sanvello - CBT tools: mindfulness skills, mood and health tracking tools to improve mental and physical health. 

MoodMission - By Monash Uni: emotion, physical, behavioural and thought based activities (missions). 

TEN (The Essential Network) - Black Dog Institute: for health professionals with COVID specific resources and evidence based tools for self-assessment, information and self-management options, to optimise mental health.

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 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 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 to restore the energy you expend when studying.

If you or someone you know is struggling with stress and anxiety management, please reach out to your department's supervisor of training for assistance.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Thanks for listening, and happy studying.

Wellbeing apps to assist in maintaining calm and managing anxiety:

Smiling Mind - a mindfulness meditation app for all ages, with a new specific category for health care workers; to assist people in dealing with pressure, stress, sleep and the challenges of daily life. 

Headspace - provides guided meditations on managing stress and anxiety, productivity, focus, exercise, physical health and sleep for adults and kids. 

Buddhify - provides guided meditations and mindfulness exercises to help overcome anxiety, stress, sleeplessness, pain and difficult emotions, in categories such as travelling, at work, waking up, eating and online; adults and kids content. 

Woebot - a cognitive behavioural therapy (CBT) chatbot who checks in each day with activities and helpful information. 

Happify - science based games to reduce stress, build resilience and overcome negative thoughts. 

Moodfit - provides tools and information for coping with anxiety, depression and stress. 

Sanvello - CBT tools: mindfulness skills, mood and health tracking tools to improve mental and physical health. 

MoodMission - By Monash Uni: emotion, physical, behavioural and thought based activities (missions). 

TEN (The Essential Network) - Black Dog Institute: for health professionals with COVID specific resources and evidence based tools for self-assessment, information and self-management options, to optimise mental health.

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 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 classification

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 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 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/PIIS0140-6736(14)61998-X/fulltext

https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/SOMANZ-Hypertension-Pregnancy-Guideline-April-2014.pdf?ext=.pdf

https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/ISSHP-classification-of-hypertensive-disorders-of-pregnancy-2014.pdf?ext=.pdf

https://academic.oup.com/bjaed/article/16/1/33/2463142 

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 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 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 with any questions, comments or suggestions. 

Happy studying, and thanks for listening!

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 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!

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, comments or suggestions. 

So until next year, happy studying, happy holidays, and thanks for listening!

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 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 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 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 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 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 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 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 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 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 deepbreathspod@gmail.com with any questions, comments or suggestions.

Resources for today's episode:

Anaesthesia and Covid-19: infection control

https://bjanaesthesia.org/article/S0007-0912(20)30200-2/fulltext 

Aerosol boxes and barrier enclosures for airway management in COVID-19 patients: a scoping review and narrative synthesis

https://bjanaesthesia.org/article/S0007-0912(20)30699-1/fulltext 

ANZCA statement on PPE:

https://www.anzca.edu.au/getattachment/1c8b5c23-b735-4253-91ac-c29c621182a1/ANZCA-COVID-19-PPE-Statement.aspx

 ANZICS Covid-19 Guidelines

https://www.anzics.com.au/wp-content/uploads/2020/04/ANZI_3367_Guidelines_V2.pdf

Thanks for listening, and happy studying.

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 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 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.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Resources for today's episode:

Anaesthesia and Covid-19: infection control

https://bjanaesthesia.org/article/S0007-0912(20)30200-2/fulltext 

Aerosol boxes and barrier enclosures for airway management in COVID-19 patients: a scoping review and narrative synthesis

https://bjanaesthesia.org/article/S0007-0912(20)30699-1/fulltext 

ANZCA statement on PPE:

https://www.anzca.edu.au/getattachment/1c8b5c23-b735-4253-91ac-c29c621182a1/ANZCA-COVID-19-PPE-Statement.aspx

Thanks for listening, and happy studying.

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 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 discuss the diagnosis, implications and management of preoperative anaemia, as well as the newly published PREVENTT trial. 

Resources for today's episode are:

The PREVENTT Trial, published in The Lancet - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31539-7/fulltext 

Australian National Blood Authority Patient Blood Guidelines, Perioperative Module - https://www.blood.gov.au/pbm-module-2 

Australian National Blood Authority Iron Product Choice & Dose Calculation for Adults - https://www.blood.gov.au/system/files/documents/Iron%20product%20choice%20and%20dose%20calculation20052016.pdf
 

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 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 discuss anaesthetic inductions for five different types of critically unwell patients with special guest Dr Lahiru Amaratunge. Specifically, we talk about the cardiovascular goals for each of these patients, and the drugs that we would choose to ensure that these haemodynamic targets are maintained. 

If you have any comments, questions or suggestions, please be sure to email us at deelbreathspod@gmail.com. 

Thanks for listening, and happy studying.

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 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 have a very special guest interviewer, Dr Yasmin Whately. She will be joining us from time to time on Deep Breaths to have in-depth chats with consultant anaesthetists about how they approach various procedures in different settings. Today, she discusses all things clot retrieval for acute ischaemic stroke with her guest Dr Wendy Morris. 

If you have any questions, comments or suggestions for future episodes, be sure to write to us at deepbreathspod@gmail.com. 

Thanks for listening, and happy studying. 

References for this episode include: 

https://journals.lww.com/anesthesia-analgesia/Fulltext/2019/04000/Anesthetic_Management_of_Emergency_Endovascular.15.aspx 

https://journals.lww.com/anesthesia-analgesia/Fulltext/2019/04000/Anesthetic_Management_of_Emergency_Endovascular.16.aspx 

https://www.ahajournals.org/doi/10.1161/STROKEAHA.113.003412?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed& 

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 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 one of our two part series looking at perioperative hypotension and acute kidney injury (AKI), we take a close look at the diagnostic criteria for acute kidney injury. We then briefly revise aspects of renal physiology that make the kidney particularly susceptible to hypoxic injury, as well as looking at risk factors and other facets of anaesthesia that additionally predispose the kidney to perioperative injury.

In part two - which will be released in a fortnight - we will 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 classification

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 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 on Deep Breaths, we're taking a break for the long weekend (only in Queensland, sadly!). 

Please join us next Monday for a brand new episode, and every Monday until the end of the year. 

Stay focused, stay motivated, and we'll see you next week on Deep Breaths. 

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 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 discuss the very important topic of awareness - what it is, how it happens, and most importantly, how to prevent it.

Resources for this episode include:

National Audit Project 5 (NAP5) - https://www.nationalauditprojects.org.uk/NAP5home

B-Aware trial - https://www.sciencedirect.com/science/article/pii/S0140673604163009?via%3Dihub

B-Unaware trial - https://www.nejm.org/doi/full/10.1056/nejmoa0707361

BAG-RECALL trial - https://www.nejm.org/doi/full/10.1056/NEJMoa1100403

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 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 the second installment of our chat with Dr Anthony Hade, we continue discussing the ins & outs of regional anaesthesia for rib fractures. We talk about erector spine blocks, the pitfalls of providing chest trauma patients with regional anaesthesia, and Anthony shares with us some of the more memorable cases that he has seen.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Thanks for listening, and happy studying.

Some resources to help with studying this topic:

https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/thoracic-lumbar-paravertebral-block/

https://nysoralms.com/courses/erector-spinae-plane-block/

https://www.asra.com/asra-news/article/39/how-i-do-it-erector-spinae-block-for-rib

The 2019 ANZCA Blue Book articles:

Page 139 - 'An update on the management of patients with rib fractures' by Andrew Lumley, Sean Chan and Andrew Deacon

Page 157 - 'Ultrasound-guided erector spine plane block' by Alex Grosso, Gilberto Arenas, Kate Drummond and Sam Whitehouse

https://www.anzca.edu.au/getattachment/220cc6da-3eee-463b-9b66-4e8b33861d7e/Australasian-Anaesthesia-2019#page= 

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 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 joined by Dr Anthony Hade to discuss regional anaesthesia for blunt chest trauma. We talk about the approach to the blunt chest trauma patient, the goals of regional anaesthesia for rib fractures, indications and contraindications for various types of regional anaesthesia, as well as tips and tricks for paravertebral blocks.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions.

Thanks for listening, and happy studying.

Some resources to help with studying this topic:

https://www.nysora.com/regional-anesthesia-for-specific-surgical-procedures/abdomen/thoracic-lumbar-paravertebral-block/

https://nysoralms.com/courses/erector-spinae-plane-block/

https://www.asra.com/asra-news/article/39/how-i-do-it-erector-spinae-block-for-rib

The 2019 ANZCA Blue Book articles:

Page 139 - 'An update on the management of patients with rib fractures' by Andrew Lumley, Sean Chan and Andrew Deacon

Page 157 - 'Ultrasound-guided erector spine plane block' by Alex Grosso, Gilberto Arenas, Kate Drummond and Sam Whitehouse

https://www.anzca.edu.au/getattachment/220cc6da-3eee-463b-9b66-4e8b33861d7e/Australasian-Anaesthesia-2019#page= 

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 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!

Welcome to the Deep Breaths podcast! 

In the third and last instalment of our interview with Dr Mark Lai, he provides us with an insight into how to prepare for subspecialty terms, as well as some other pearls of wisdom and even a humorous anecdote about his own exam-sitting experience. 

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 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 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!

Welcome to the Deep Breaths podcast! 

This week, we continue our discussion with Dr Mark Lai in this our second instalment of 'Interview with an examiner'. Join us to hear about some mistakes to avoid, qualities of successful candidates, and clues about some of the key topics to tackle in your exam preparation. 

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 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 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!

Welcome to the Deep Breaths podcast!

Today we discuss all things relating to SGLT2 receptor antagonists. Specifically, we'll touch on their mechanism of action, the pathophysiology of how they predispose to DKA in the peri-operative setting, how to diagnose euglycaemic or hyperglycaemic DKA, and finally, how these drugs should be managed in patients undergoing elective surgery.

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:

https://diabetessociety.com.au/documents/ADS_DKA_SGLT2i_Alert_update_2020.pdf

https://www.anzca.edu.au/getattachment/220cc6da-3eee-463b-9b66-4e8b33861d7e/Australasian-Anaesthesia-2019#page=

https://diabetessociety.com.au/documents/August2019_ALERT-ADS_SGLT2i_PerioperativeKetoacidosisfinal.pdf

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 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!

Welcome to the Deep Breaths Podcast!

Dr Mark Lai joins us this week on Deep Breaths to share his knowledge, expertise and insight as a recently retired fellowship examiner. Join us to hear what the key differences are between preparing for the primary and the final exam, and how to approach your study.

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 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 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!

Welcome to the Deep Breaths podcast!

Today we discuss some important points to help you decide when to sit the ANZCA part 2 exam, and things to consider when organising yourself before opening that first textbook.

We want you to think about what worked well for you when you studied for and passed the part 1 exam. We also want you to contemplate the time and financial commitments that go hand-in-hand with this exam so that you’re well prepared for every aspect of the exam.

Lastly, we want you to think about how you’ll find colleagues that are planning to sit the exam at the same time as you. Though you may not have needed study buddies for the part 1 exam, we strongly suggest forming a study group to help keep you motivated, and to assist you in covering the breadth and depth of knowledge required of this exam.

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 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 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!

Welcome to the Deep Breaths podcast! We are a couple of anaesthetists from Brisbane, Australia, who want to help you study for and pass the anaesthetic part 2 exam.

Each episode will focus on one of either exam content, exam technique or advice on how to look after yourself while studying. We aim to discuss content that is high yield and highly topical, and are keen for feedback and advice regarding topics that you as a anaesthetic trainee may find useful.

Feel free to email us at deepbreathspod@gmail.com with any questions, comments or suggestions. 

We look forward to sharing our podcast with you. Happy studying!

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 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 continue our discussion regarding preoperative functional capacity assessment. We'll cover the M-DASI, the 6-minute walk test, and put it all together to figure out how this applies to our practice as anaesthetists.

Resources for today's episode include:

BJAED: Subjective methods for preoperative assessment of functional capacity by Silvapulle & Darvall

BJA: A simplified (modified) Duke Activity Status Index (M-DASI) to characterise functional capacity: a secondary analysis of the Measurement of Exercise Tolerance before Surgery (METS) study by Riedel, B. et al.

BJAED: Preoperative cardiopulmonary exercise testing by Agnew. N.

BJA: Using the six-minute walk test to predict disability free survival after major surgery by Shulman, M. et al.

STAT Pearls: 6 minute walk test by Matos Casano, M. & Anjum, F.

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 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 one of our two part series, we're taking a close look at the methods for performing pre-operative functional capacity assessments and their utility in predicting patient outcomes. In part 1, we focus our discussion on METS, activities of daily living (ADLs) and the DASI score.

In part two - which will be released in a fortnight - we'll cover the M-DASI, the 6-minute walk test.

Resources for today's episode:

BJAED: Subjective methods for preoperative assessment of functional capacity by Silvapulle & Darvall

BJA: A simplified (modified) Duke Activity Status Index (M-DASI) to characterise functional capacity: a secondary analysis of the Measurement of Exercise Tolerance before Surgery (METS) study by Riedel, B. et al.

BJAED: Preoperative cardiopulmonary exercise testing by Agnew. N.

BJA: Using the six-minute walk test to predict disability free survival after major surgery by Shulman, M. et al.

STAT Pearls: 6 minute walk test by Matos Casano, M. & Anjum, F.

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 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 returns next Monday February 5th with all new episode 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!

Links for Lahiru Amaratunge's ANZCA Part 2 exam programs:

Viva Boot Camp Courses (via Anaesthesia Collective)

Online Part 2 Preparation Courses and ABCs of Anaesthesia Foundation Course (via Thinkific) - don't forget to use the code DB20 for 20% off when you purchase any of the two Anaesthetic part 2 exam preparation courses or the Anaesthesia Foundation course.

If you'd like more information about any of these programs, you can email Lahiru at vivabootcamp@gmail.com. 

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 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!

Part 2 of our two-part series looking at common problems encountered in the post-anaesthetic care unit. We hope you enjoy another of our favourite topics. 

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 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 two part series looks at some common problems we encounter in the post-anaesthetic care unit (PACU). It's another of our favourite topics and well worth the review. 

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 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!

The final episode on our two-part series on cases in paediatric anaesthesia with special guest, Dr Paul Lee-Archer. Another of our favourites, we hope you enjoy it as much as we did.

Resources for today's episode:

Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatmentby Nair, S. & Wolf, A.

Paediatric massive transfusion by Blain, S. & Paterson, N.

Dilemmas in the preoperative assessment of children by Bhatia, N. & Barber, N. 

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 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!

Our two-part series on paediatrics in which we discuss previous anaesthetic viva scenarios with special guest, Dr Paul Lee-Archer, is another favourite of ours. 

Resources for today's episode:

Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatment by Nair, S. & Wolf, A.

Paediatric massive transfusion by Blain, S. & Paterson, N.

Dilemmas in the preoperative assessment of children by Bhatia, N. & Barber, N. 

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 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
Levosimendan

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 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!

Our second and final episode in our two-part series looking at cases involving one-lung ventilation with special guest, Dr Ivan Rapchuk. This series is one of our favourites!

Resources for today's episode:

Pre-anaesthetic assessment for thoracic surgery by Peter Slinger and Gail Darling.

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 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!

One lung ventilation can be tricky, but our two part series with special guest Dr Ivan Rapchuk, attempts to break it down and make it easier to both approach and understand. This series is another favourite!

Resources for this episode:

Pre-anaesthetic assessment for thoracic surgery by Peter Slinger and Gail Darling.

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 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!

Obstructive sleep apnoea is an ongoing challenge for anaesthetists. In this episode - another favourite - we discuss sleep apnoea in the context of anaesthesia with special guest, Dr Hamish Pollock. 

Reference for this episode:

Perioperative considerations in the management of obstructive sleep apnoea by Holt, N. et al.  

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 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 one of our earliest and most topics - awareness. What it is, how it happens, and most importantly, how to prevent it.

Resources for this episode include:

National Audit Project 5 (NAP5) - https://www.nationalauditprojects.org.uk/NAP5home

B-Aware trial - https://www.sciencedirect.com/science/article/pii/S0140673604163009?via%3Dihub

B-Unaware trial - https://www.nejm.org/doi/full/10.1056/nejmoa0707361

BAG-RECALL trial - https://www.nejm.org/doi/full/10.1056/NEJMoa1100403

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 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 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 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!

Bad Blood is a two-episode miniseries that takes a closer look at ROTEM. It's a favourite episode of ours and we hope you enjoy listening again too. 

References for part 2:

Deranged Physiology - Interpretation of abnormal ROTEM data.

ROTEM product information and interpretation instructions with case examples.

NHS University Hospitals Sussex ROTEM interpretation flow diagram.

ROTEM e-learning modules. Note: this website defaults to the German language. Google offers a translation service if you do not speak German.

ANZCA 2017 Blue Book. There are several good articles about ROTEM in this issue of the Blue Book. 

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 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!

Bad Blood is a two-episode miniseries that takes a closer look at ROTEM. It's a favourite episode of ours and we hope you enjoy listening again too. 

References for part 1:
ROTEM e-learning modules. Note: this website defaults to German language, but can be changed. Alternatively, Google offers a translation service for the website.

ROTEM product information and interpretation instructions with case examples. 

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 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!

Sweet Leaf looks at the ways in which medical marijuana impact the provision of safe and effective anaesthesia. This episode is one of our favourites, and is increasingly relevant to our clinical practice as we see more patients presenting for surgery in whom medical marijuana therapy is prescribed. 

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 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!