82 episodes

Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.

Obsgynaecritcare Roger Browning - Anaesthetist

    • Health & Fitness
    • 5.0 • 2 Ratings

Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.

    082 – Anti-NMDA receptor encephalitis with Graeme

    082 – Anti-NMDA receptor encephalitis with Graeme

    Hypothetical Case:







    A gynaecologist contacts you as the duty anesthetist to book an emergency laparoscopic oophorectomy. They tell you that the patient is a young woman who is currently intubated and ventilated on the intensive care unit after presenting 2 days earlier with a complex neurological syndrome, complicated by seizures requiring intubation. The surgeon tells you the ICU team have done some investigations, including an ultrasound demonstrating a complex ovarian mass, and CSF on a lumbar puncture positive for anti-NMDA receptor antibodies.







    What is Anti-NMDA receptor encephalitis? Why is it associated with gynaecology? When & how was it first discovered?







    Join Graeme and I as we discuss the ins/outs of this fascinating condition and share a few personal anecdotes of patient's we have encountered with this project.







    LINKS







    Pregnancy outcomes in anti-NMDA receptor encephalitis







    Acute psychiatric illness in a young woman: an unusual form of encephalitis MJA 2009







    Josep Dalmau: exploring the paraneoplastic syndromes







    An update on anti-NMDA receptor encephalitis for neurologists and psychiatrists: mechanisms and models

    • 21 min
    081 – Apps in anaesthesia a discussion with Sneha

    081 – Apps in anaesthesia a discussion with Sneha

    Hi everyone,







    A few weeks ago I sat down again with one of current trainees Sneha to discuss the interesting subject of the use smartphone applications in anaesthesia, and her latest offer to star in Survivor!







    LIST-OF-ANAESTHESIA-APPSDownload

    • 32 min
    080 WOMAN trial narrative of 483 maternal deaths; discussion with Graeme.

    080 WOMAN trial narrative of 483 maternal deaths; discussion with Graeme.

    Hi Everyone,







    After over 2 months off Graeme and I back for our first podcast of 2021. In this episode we discuss some news and then dissect the recently published study which analysed the narrative descriptions of the 483 maternal deaths which occurred in the WOMAN study.







    The WOMAN trial was a large randomised study of 20000 women suffering postpartum haemorrhage comparing tranexamic acid and placebo published in 2017. There were 483 maternal deaths in this study and each death was accompanied with a short narrative description of the circumstances surrounding the death. This study discusses some of the common themes which are encountered frequently in these narratives.







    LINKS







    The WOMAN Study 2017 - Lancet website







    The WOMAN trial: clinical and contextual factors surrounding the deaths of 483 women following post-partum haemorrhage in developing countries

    • 20 min
    079 – Exam viva technique with Graeme

    079 – Exam viva technique with Graeme

    Hi everyone,







    Graeme and I recorded this episode way back just before Christmas but because of technical issues here it is a little bit late! Disclaimer neither Graeme or I have any claim to being experts in exam technique but we hope that you find our opinions / advice of some use. Also my answers to these questions were easier for me than real life vivas because I knew in advance what the questions were going to be!







    Good luck to everyone sitting exams in 2021!

    • 30 min
    078 – Aortocaval compression syndrome – exploring some dogmas with Prof Mike Paech

    078 – Aortocaval compression syndrome – exploring some dogmas with Prof Mike Paech

    Hi Everyone,







    This week I am joined again by Mike and we discuss this fascinating syndrome of pregnancy, the management of which many of us have had drilled into us for many decades. Although this is a real syndrome which has been recognised for many years and has many serious potential consequences there are many controversies regarding it's physiology and treatment. In recent years advances in imaging technology and recent studies have questioned some of practices which were taught as if they were dogma......







    How far can we tilt the operating table in theatre and does it really help?







    Compression of the aorta - really?







    Thanks Mike







    LINKS







    The Aortocaval Compression Conundrum - Analgesia and Anesthesia 2017









    https://youtu.be/Y2T4MLiQTrM

    • 24 min
    077 – Environmental effects of anaesthetics with Dr Chris Mitchell

    077 – Environmental effects of anaesthetics with Dr Chris Mitchell

    Hi Everyone,







    This week I am joined on the show with a new guest, consultant anaesthetist Dr Chris Mitchell. Chris is a colleague who also used to work with us at our women's hospital and is already famous for his range of USS regional anaesthesia needles (now manufactured by pajunk). Today we discuss the issue of the adverse environmental effects of our profession. In particular we focus on anaesthetic gases and what we can do to make a difference.







    LINKS







    British Journal of Anaesthesia 2020 - Environmental sustainability in anaesthesia and critical care

    • 24 min

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