36 episodes

Perioperative Medicine Short Course is conducted by Monash University (Central Clinical School - Alfred Hospital), in conjunction with the Alfred Hospital and Department of Anaesthesiology and Perioperative Medicine. As part of our drive to improve and promote perioperative medicine education we are launching our PeriopMed podcast series.

Perioperative Medicine Podcast Series Monash University - Department of Anaesthesiology and Perioperative Medicine.

    • Education
    • 4.5 • 28 Ratings

Perioperative Medicine Short Course is conducted by Monash University (Central Clinical School - Alfred Hospital), in conjunction with the Alfred Hospital and Department of Anaesthesiology and Perioperative Medicine. As part of our drive to improve and promote perioperative medicine education we are launching our PeriopMed podcast series.

    Impact of healthcare on climate change

    Impact of healthcare on climate change

    The Australian health care sector makes up approximately 7% of Australia’s national carbon footprint. In this episode Jamie Smart talks to Dr Eugenie Kayak, the national convenor of Doctors for the Environment Australia’s Sustainable Healthcare Special Interest Group. They discuss the impact of healthcare on climate change, and the steps necessary for a more environmentally sustainable future.

    • 26 min
    Neurocritical Care

    Neurocritical Care

    In this episode Joff Lacey talks to Hilary Madder, consultant anaesthetist at The Alfred and former Clinical Director of Neurosciences Intensive Care at the John Radcliffe, in Oxford. They explore the growing sub-speciality of neurocritical care, including the rationale for the development of specialised neuro intensive care units, the evidence of impact on patient outcome and what may be the key determinants of improved clinical care.

    • 28 min
    Hippocrasy

    Hippocrasy

    In this episode, Prof Rachelle Buchbinder and Prof Ian Harris join us for a discussion on their new thought-provoking book, Hippocrasy. Through the lens of the modern version of the Hippocratic Oath, the book explores medical overdiagnosis, over-investigation and over-treatment­—and why doctors sometimes cause more harm than healing.

    • 39 min
    Anaesthetic depth and delirium after major surgery.

    Anaesthetic depth and delirium after major surgery.

    Postoperative delirium is a serious complication of surgery associated with prolonged hospitalisation, long-term cognitive decline, and mortality. Associate Professor Lisbeth Evered joined us from New York to discuss her recent paper, published in the British Journal of Anaesthesia, with Associate Professor Christine Ball. This important paper resulted from a sub-study of the BALANCED trial to determine whether targeting bispectral index (BIS) readings of 50 (light anaesthesia) was associated with a lower incidence of POD than targeting BIS readings of 35 (deep anaesthesia).

    • 26 min
    PADDI Trial

    PADDI Trial

    Dexamethasone is widely used by anaesthetists in the perioperative period, principally as an effective antiemetic to prevent postoperative nausea and vomiting (PONV). The molecular mechanisms underlying dexamethasone’s antiemetic action are not fully understood. However, because it is a potent glucocorticosteroid, it is has immunosuppressive and hyperglycaemia effects. It is hypothesised that these actions may increase the risk of perioperative infections, particularly in patients with diabetes mellitus, who are already at increased risk of complications. Whether the use of dexamethasone in the perioperative period increases the risk of surgical site and other infections, has not been definitively established. This is an important health priority as in Australia alone up to one million patients will receive dexamethasone as part of their anaesthesia care annually.
    This study aims to definitively address the impact of dexamethasone on surgical site infection and will be stratified according to diabetes status.

    • 24 min
    PREVENTT Trial

    PREVENTT Trial

    Professor Toby Richards, (the Lawrence-Brown Professor of Vascular Surgery at the University of Western Australia) joins Dr Jonathan Nicholson, Dr Ron Glick and Dr Alan Peirce to discus the PREVENTT trial. Published in the LANCET (Sept, 2020), PREVENTT was a landmark RCT investigating preoperative iron transfusion prior to major abdominal surgery and its impact on postoperative mortality and overall transfusion rates.

    • 21 min

Customer Reviews

4.5 out of 5
28 Ratings

28 Ratings

Looney m ,

Thanks

I really enjoy these shows for local perspectives. Looking forward to more. Keep up the great work

Theguru99999 ,

Great start

Excellent first episode about an important and topical issue. I look forward to ongoing updates in Perioperative Medicine. Thanks

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