Deep Breaths Deep Breaths
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- Gesundheit und Fitness
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Welcome to Deep Breaths, a podcast covering topics related to the ANZCA part 2 anaesthetic exam. Now take a deep breath, relax, and enjoy easy to digest content which will supercharge your exam prep, or help you keep up to date.
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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 this episode:
Oxford Handbook of Transplant Anaesthesia and Critical Care
BJAED: Anaesthesia for a patient with a cardiac transplant (2002) by Morgan-Hughes, N. & Hood, G.
Circulation (2004): Drug therapy in the heart transplant recipient by Lindenfeld, J. et al.
Indian Journal of Anaesthesia: Post cardiac transplant recipient: Implications for anaesthesia by M. Choudhury
RCEM India Learning - The ECG after cardiac transplantation
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! -
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) Appendix
https://www.anzca.edu.au/getattachment/897f5bf5-b665-4c99-a56f-e72678f19f7e/PG07(A)-Appendix-1-%E2%80%93-Fasting-guideline
ADS-ANZCA Perioperative and Hyperglycaemia Guidelines (Adults)
https://www.diabetessociety.com.au/wp-content/uploads/2023/03/ADS-ANZCA-Perioperative-Diabetes-and-Hyperglycaemia-Guidelines-Adults-November-2022-v2-Final.pdf
Up To Date: Glucagon-like peptide 1-based therapies for the treatment of type 2 diabetes mellitus by Dungan, K. & DeSantis, A.
https://www.uptodate.com/contents/glucagon-like-peptide-1-based-therapies-for-the-treatment-of-type-2-diabetes-mellitus#:~:text=Like%20native%20GLP%2D1%2C%20all,%27Glycemic%20efficacy%27%20below.)
American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists by Joshi, G. et al.
https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative
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! -
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 patient with a hypertrophic obstructive cardiomyopathy (or HOCM).
Resources for today's episode:
ANZCA Blue Book 2021
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! -
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 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! -
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 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! -
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 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!
Kundenrezensionen
Fantastic resource!
Wonderful hosts, great topics