BJA: British Journal of Anaesthesia

Rik Thomas, Podcast Editor
  • 3.5 (2)
  • SCIENCE

The BJAs free podcasts will take listeners on a tour of the world of anaesthesia; interviews with authors and commentaries from key experts on featured articles, plus hot topics in anaesthesia research and practice will be published with each issue.

  1. 08/23/2017 · VIDEO

    Fifth National Audit Project on Accidental Awareness during General Anaesthesia

    Accidental awareness during general anaesthesia (AAGA) is a rare but feared complication of anaesthesia. Studying such rare occurrences is technically challenging but following in the tradition of previous national audit projects, the results of the fifth national audit project have now been published receiving attention from both the academic and national press. In this BJA podcast Professor Jaideep Pandit (NAP5 Lead) summarises the results and main findings from another impressive and potentially practice changing national anaesthetic audit. Professor Pandit highlights areas of AAGA risk in anaesthetic practice, discusses some of the factors (both technical and human) that lead to accidental awareness, and describes the review panels findings and recommendations to minimise the chances of AAGA.

    37 min

  2. 08/21/2017 · VIDEO

    Checklist 2.0 with Dr Ashley de bie Dekker

    Checklists, checklists everywhere! Love them or hate them, since the introduction of the WHO surgical safety checklist there has been a tsunami of checklists affecting clinical areas of a hospital near you. Whilst there is good evidence that the WHO surgical safety checklist has been effective at improving patient safety, this same does not necessarily apply for the day surgery cannulation checklist-bundle branded QI by infection control. Much of the criticism raised cites poor construction and inclusion of irrelevant items, resulting in checklist fatigue and poor compliance. In this podcast we speak to Dr Ashley de bie Dekker, whose PhD work involves the construction of intelligent dynamic checklists, aimed at integrating patient data from multiple sources to produce context-sensitive and patient specific checklists.

    41 min

  3. 05/05/2017 · VIDEO

    Decisions, decisions, decisions... BJA Podcast with Paul Greig

    Imagine you are sitting on the runway, waiting to take off to your holiday destination. As you begin to taxi the pilot announces that there is an engine warning light flashing, but that in his experience this almost always amounts to nothing and both him and co-pilot have made a pragmatic decision to proceed, given that the flight was already running late. In anaesthesia, one of the most fundamental decisions we take is whether or not to anaesthetise someone, something that can be relatively simple or profoundly complex given the circumstances. However, there are situations you would think that as a body of responsible professionals we would all agree on. Research from Oxford suggests that this may not be the case and that there is in fact a good deal of difference of opinion, particularly when it comes to matters of patient safety. In this podcast we talk with lead author Paul Greig about his interesting and thought-provoking work looking at risk tolerance in anaesthetists.

    45 min

  4. 04/04/2016 · VIDEO

    Ketamine Kids

    Children requiring urgent but simple surgery is a common place phenomenon that can sometimes wreak havoc on the best planned emergency list. Operating on children in an urgent capacity can be logistically difficult outside tertiary centres and is not help

    22 min

  5. 02/15/2016 · VIDEO

    Perioperative Medicine: today, tomorrow and the future of teamworking

    There has been an increasing realisation that the majority of complications from high risk surgeries are not due to technical failings in either the operating theatre or anaesthetic room, but from medical complications occurring out on the wards. 'Failure to rescue' has become part of critical care lexicon and with it, an awareness of the financial burden associated with treating morbidity associated with high risk surgeries. Over the last three years there has been an explosion of interest in perioperative medicine both as a solution to this problem and as a means to improving the quality of surgical care experienced by all patients. Accompanying the article on the multi-disciplinary team approach to the high risk surgical patient published in this month's BJA, Dr David Walker, director of the Masters programme in perioperative medicine at UCL, addresses some of our hopes, fears and maps out a possible future for this exciting new speciality.

    25 min

  6. 11/23/2015 · VIDEO

    DAS unanticipated difficult intubation guidelines 2015 overview with Dr Chris Frerk

    Dr Chris Frerk, chair of the airway guideline group talk about the updated 2015 DAS guidelines. 11 years after the publication of the original, the new guidelines reflect technical advances in airway management over the last decade as well recognising the important role of human factors in crisis resource management. Dr Frerk explains the principles, rationale and evidence for this superbly constructed document that will become the fundamental basis of airway management for present and future generations of anaesthetists.

    42 min

  7. 11/23/2015 · VIDEO

    DAS unanticipated difficult intubation guidelines 2015; Plan D with Dr Ravi Bhagrath

    Probably one of the most talked about changes in the 2015 DAS guidelines will be Plan D. Whilst on a very basic level the recommendations have not altered, the emphasis on how to practically manage a 'can't intubate, can't oxygenate' scenario are quite a shift from many anaesthetist's current approach. Dr Ravi Bhagrath from The Royal London Hospital explains the rationale, research and most importantly, walks us through the new 'scalpel, bougie, tube' technique DAS now recommend.

    27 min

  8. 08/07/2015 · VIDEO

    Through the looking glass: awareness, BIS and an anaesthetist's perspective

    Accidental awareness under general anaesthesia (AAGA) is the stuff of nightmares for patients and anaesthetists alike. Data from NAP5 has demonstrated a relatively low incidence incidence of AAGA but recommendations from the project include the use of depth of anaesthesia monitors in at risk groups. This recommendation was preceded by esoteric guidance from NICE that BIS monitors were an 'option' for a broad and loosely defined group of patients. BIS is a proprietary technology and as such, we do not know exactly how it derives the value it displays. In 2003 a very small study (n=3) found that the BIS index could be made to drop to alarmingly low levels by administering suxamethonium alone without a hypnotic agent. This study has remained something of a curiosity and has never been replicated or further explored until now. In this special edition podcast, Peter Schuller talks to us about his impressive work and the truly astounding results it has produced. Whilst his study generates more questions than is answers with regard to BIS monitoring, a fascinating by-product is the insight into awareness which he has documented and shares with us in this podcast.

    29 min
See All (48)

Ratings & Reviews

3.5
out of 5
2 Ratings

About

The BJAs free podcasts will take listeners on a tour of the world of anaesthesia; interviews with authors and commentaries from key experts on featured articles, plus hot topics in anaesthesia research and practice will be published with each issue.

Information

  • Creator
    Rik Thomas, Podcast Editor
  • Years Active
    2013 - 2017
  • Episodes
    48
  • Rating
    Clean
  • Copyright
    © British Journal of Anaesthesia Ltd 719458
  • Show Website
    BJA: British Journal of Anaesthesia