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Deep Breaths

Deep Breaths

139 episodes

3 weeks ago

Today, we look back on one of our most-loved episodes by our listeners. We are joined by special guest Dr Shaun Roberts to discuss in-depth cases of patients with tricky cardiac conditions who require non-cardiac surgery. Resources for today's episode: ANZCA Blue Book 2021 ESC Guidelines on cardiovascular assessment and management of patients undergoing non cardiac surgery 2014 ACC/AHA guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Non-cardiac S...

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Health & Fitness

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Today, we look back on one of our most-loved episodes by our listeners. We are joined by special guest Dr Shaun Roberts to discuss in-depth cases of patients with tricky cardiac conditions who require non-cardiac surgery. Resources for today's episode: ANZCA Blue Book 2021 ESC Guidelines on cardiovascular assessment and management of patients undergoing non cardiac surgery 2014 ACC/AHA guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Non-cardiac S...

Show more...

Health & Fitness

Episodes (20/139)

Deep Breaths

S9 Ep. 8: Come Together (Live from the ANZCA ASM)

So get ready for something a little different... this week's episode was recorded live from the ANZCA Annual Scientific Meeting 2024, in our home city of Brisbane, Australia. We interviewed some fascinating guests, covering topics as diverse as the role of the college moving forward, how we can be more sustainable in anaesthesia, and the future of podcasting; and we had plenty of fun along the way. Enjoy this interactive and entertaining discussion with Dr Chris Cokis, Professor Dav...

5 months ago

1 hour 15 minutes

Deep Breaths

S9 Ep. 6: Bloodstream, part 2 (Anaesthesia for ruptured AAA repair)

Today's episode is the second of our two part series on ruptured AAA repairs. We discuss the case of a 72 year old man with a ruptured abdominal aortic aneurysm that is contained, and who is scheduled for an urgent endovascular repair within the interventional radiology suite with special guest, Dr Lahiru Amaratunge.Apologies for the audio quality in this episode - even though it sounds like we recorded on a submarine, we can assure you we were sitting in our study the entire time. Resources ...

5 months ago

33 minutes

Deep Breaths

S9 Ep. 5: Bloodstream, part 1 (Anaesthesia for ruptured AAA repair)

Today - in part 1 of our 2 part series - we talk through the case of an 82 year old man with a ruptured abdominal aortic aneurysm who is scheduled for urgent open repair with special guest, Dr Lahiru Amaratunge.Resources for today's episode:BJAED: Anaesthesia for endovascular repair of ruptured abdominal aortic aneurysms by K. Berry et al.LITFL: AAA by C. NicksonLancet: Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair t...

6 months ago

31 minutes

Deep Breaths

S9 Ep. 4: Hungry Like the Wolf - update (GLP-1 receptor agonist guidelines)

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...

6 months ago

22 minutes

Deep Breaths

S9 update - Better Late Than Never - delay to this week's ep

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 listen...

7 months ago

Deep Breaths

S9 Ep. 3: Gimme gimme shock treatment, part 3 (Inotropes and vasopressors)

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.LI...

7 months ago

17 minutes

Deep Breaths

S9 Ep. 2: Gimme gimme shock treatment, part 2 (Inotropes and vasopressors)

Today's episode - the second in our three episode series focusing on inotropic and vasopressor medications - sees us covering some more medications commonly (or uncommonly, depending on your scope of practice) encountered within anaesthesia. During this episode, we discuss vasopressin, dopamine and dobutamine. 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 vasoacti...

8 months ago

14 minutes

Deep Breaths

S9 Ep. 1: Gimme gimme shock treatment, part 1 (Inotropes and vasopressors)

Today's episode is the first in a series of three that focus on inotropic and vasopressor medications used within anaesthetic practice. During this episode, we discuss metaraminol, ephedrine, phenylephrine, noradrenaline and adrenaline. There's one section of our episode where we thought it important to clarify what we're saying, as to out ears it sounds a little confusing. During our discussion about adrenaline, we state that both noradrenaline and adrenaline have the same affinity for...

8 months ago

15 minutes

Deep Breaths

S8 Ep. 10: True trans soul rebel (Anaesthesia for transgender and gender diverse adults)

Today, we discuss a 2023 BJA Education article titled 'Perioperative care for transgender and gender diverse adults'. We start with a discussion of words and terms that are useful to understand, before diving in to discussions about a trauma-informed care approach to minimise and hopefully eradicate negative preoperative experiences, physical, chemical and surgical options for gender affirmation, and lastly how this can inform the provision of safe anaesthesia for transgender patients.R...

10 months ago

24 minutes

Deep Breaths

S8 Ep. 9: The long and winding road, part 2 (Anaesthesia for post-heart-transplant patients)

Today, in part 2 of our 2 part series on anaesthesia for previous heart transplant recipients, we discuss the care of these patients for non-cardiac surgery with special guest, Dr Ivan Rapchuk.We begin by covering the electrophysiology of a transplanted heart and what you may see on the ECG, and then proceed to the management of our theoretical patient for general anaesthesia for non-cardiac surgery. Resources for this episode:Oxford Handbook of Transplant Anaesthesia and Critical CareBJAED: ...

10 months ago

23 minutes

Deep Breaths

S8 Ep. 8: The long and winding road, part 1 (Anaesthesia for post-heart-transplant patients)

Today, in part 1 of our 2 part series on anaesthesia for previous heart transplant recipients, we discuss the care of these patients for non-cardiac surgery with special guest, Dr Ivan Rapchuk. We start our discussion with a review of how to assess whether these patients are suitable for elective surgery, and follow this with a deep-dive on the typical immunosuppressant medications that these patients may be taking, as well as their mechanism of action and side effects.Resources for thi...

11 months ago

20 minutes

Deep Breaths

S8 Ep. 7: Hungry like the wolf (Perioperative fasting and GLP-1 receptor agonists)

Today, we discuss the rise of GLP-1 receptor agonists - what they are, how they work, and how they affect fasting during the perioperative period. Resources for today's episode: StatPearls: Physiology, Gastrointestinal Hormonal Control by Parikh, A. & Thevenin, C. https://www.ncbi.nlm.nih.gov/books/NBK537284/StatPearls: Glucagon-like Peptide-1 Receptor Agonists by Collins, L. & Costello, R. https://www.ncbi.nlm.nih.gov/books/NBK551568/ ANZCA PG07(A) Appendixhttps://www.anzc...

11 months ago

24 minutes

Deep Breaths

S8 Ep. 6: Heart of glass, part 2 (Uncommon cardiac conditions for non-cardiac surgery)

It's taken almost a year, but we're finally giving you part 2 of our series on complex and uncommon cardiac conditions for non-cardiac surgery with special guest, Dr Shaun Roberts. Hold on to your earphones - this episode is a long one! If you haven't listened to part one, you can find it within season 6 - be sure to check it out before you listen to part 2.Today, we discuss anaesthesia for patient's with ventricular assist devices (or VADs), and we talk about providing anaesthetic care for a...

11 months ago

1 hour 8 minutes

Deep Breaths

S8 Ep. 5: Always on my mind (Neuroanaesthetic emergencies)

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 neuro...

1 year ago

32 minutes

Deep Breaths

S8 Ep. 4: Have another drink, part 2 (Perioperative hypotension and AKI)

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 Inju...

1 year ago

17 minutes

Deep Breaths

S8 Ep. 3: Have another drink, part 1 (Perioperative hypotension and AKI)

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 ...

1 year ago

15 minutes

Deep Breaths

S8 Ep. 2: These boots are made for walkin', part 2 (Preoperative functional capacity assessment)

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 & DarvallBJA: A simplified (modified) Duke Activity Status Index (M-DASI) to characterise functional capacity: a secondary analysis of the...

1 year ago

13 minutes

Deep Breaths

S8 Ep. 1: These boots are made for walkin', part 1 (Preoperative functional capacity assessment)

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 capaci...

1 year ago

13 minutes

Deep Breaths

S8 preview: Season 8 starts on Monday 5th February - Together again

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...

1 year ago

5 minutes

Deep Breaths

S7 Ep. 11: It's not over ('till it's over) part 2, re-release

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 t...

1 year ago

28 minutes