Best Anaesthesia podcasts we could find (Updated September 2018)
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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.
 
Weekly presentation recordings from the Department of Anaesthetics at Westmead Hospital, Sydney, Australia.
 
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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 nec ...…
 
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 r ...…
 
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
 
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 finan ...…
 
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 Hos ...…
 
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 princ ...…
 
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 ...…
 
Traumatic brain injury carries a devastating burden of disease for both the individual patient and the population as a whole. Many patients are young and those who survive are commonly left with a significant disability. Sadly, treatment options for traumatic brain injury remain limited with little improvement in outcomes for the past two decad ...…
 
Patient blood management (PBM) is a multifaceted approach to reducing allogenic blood transfusion (ABT) in the surgical population. In this podcast Professor Manuel Munoz, a haematologist from Malaga in Spain, talks to us about the way in which a PBM program functions to reduce ABT and in so doing, can have a dramatic impact on patient morbidit ...…
 
Dr Neil Warwick MBBS FANZCA 12 May 2015By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Assessment, calculation and composition of replacement fluid is a fundamental tenet of anaesthetic practice. Mounting evidence from the colorectal and enhanced recovery literature shows that attention to detail throughout the perioperative period results in both reduced patient morbidity and length of stay. In addition to our highly tuned clini ...…
 
Whilst medical cancer therapies are increasing in their utility and efficacy, the physiological effects of intensive combined treatment regimes on patients' reserves are becoming a greater concern. It is now routine practice to combine medical and surgical therapeutic options in the form of neoadjuvant chemoradiotherapy for conditions such as c ...…
 
As with many anticonvulsants, pregabalin is enjoying an ever increasing spectrum of use. Originally licensed for the treatment of epilepsy, diabetic neuropathic pain and post-herpetic neuralgia; pregabalin has become a staple of the chronic pain armamentarium. To date, well over 100 studies have explored pregabalin's use in the perioperative pe ...…
 
Millions of operations take place in the UK each year; the majority occurring without undue patient morbidity. However, dependant on the nature of the procedure, post-operative morbidity is not uncommon and we will all recall patients who have suffered an unexpected complication after surgery. Large epidemiological studies have suggested that p ...…
 
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 ...…
 
Achieving adequate gas exchange whilst minimising ventilator induced lung inury is a major challenge in intensive care. The world of ICU ventilation is rich with novel proprietary modes but so far, none have proven an outcome benefit in ARDS. Whilst the differences between various modes are often subtle, most focus on modifying the inspiratory ...…
 
Emergency airway management in trauma patients is a complex and somewhat contentious issue, with opinions varying on both the timing and delivery of interventions. London's Air Ambulance is a service specialising in the care of the severely injured trauma patient at the scene of an accident, and has produced one of the largest data sets focusin ...…
 
For anaesthetists, intravenous cannulation is the gateway procedure to an increasingly complex and risky array of manoeuvres, and as such becomes more a reflex arc than a planned motor act. For some patients however, that initial feeling of needle penetrating epidermis, dermis and then vessel wall is a dreaded event, and the cause of more anxie ...…
 
Successful kidney transplants have been shown to improve quality of life for the recipients and dramatically reduce the cost of caring for patients with end stage renal failure. However, there is still a significant shortfall in the number of donor organs available, particularly in the UK. This is in part being addressed by an increase in donat ...…
 
Fluid therapy is a central tenet of both anaesthetic and intensive care practice, and has been a solid performer in the medical armamentarium for over 150 years. However, mounting evidence from both surgical and medical populations is starting to demonstrate that we may be doing more harm than good by infusing solutions of varying tonicity and ...…
 
Post-operative cognitive decline (POCD) has been detected in some studies in up to 50% patients undergoing major surgery. With an ageing population and an increasing number of elective surgeries, POCD may represent a major public health problem. However POCD research is complex and difficult to perform, and the current literature may not tell t ...…
 
Widely regarded as champions of patient safety, it was anaesthetists who first pioneered incident reporting systems within hospital medicine. Signed in 2010, the Helsinki declaration for patient safety in anaesthesiology requires members to contribute to national reporting systems, and this podcast accompanies a paper surveying reporting system ...…
 
Opinions remain divided on the best form of post-operative analgesia following lower abdominal surgery, with an even split between those favouring epidural anaesthesia versus patient-controlled intravenous infusion. Many variations and combinations have attempted to refine and unify these two techniques without clear-cut success. In Sweden, one ...…
 
As a speciality, anaesthesia has long been a champion of simulation training. But whilst ever increasing numbers of simulation based courses are available, what evidence exists for the proposed advantages of this learning modality? For this podcast Dr Ryan Brydges, an educational academic from the University of Toronto, talks to us about his me ...…
 
Dr Mark Priestley MBBS FANZCA 03 Dec 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Functional MRI is an exciting but complex imaging modality that is being used with increasing frequency in anaesthesia and pain research. Understanding and interpreting studies requires some knowledge of the fundamentals of fMRI, together with the nuances of study design and statistical analysis. Dr Kyle Pattinson, Consultant Anaesthetist at th ...…
 
Whilst the vast majority of big number patient research focuses on physiological outcomes, few studies have attempted to investigate the factors that patients perceive to be indicative of quality anaesthesia. A group from Sir Charles Gairdner Hospital in Perth, Western Australia have developed and validated a simple patient survey that has demo ...…
 
Despite being defined as a syndrome over 4 decades ago, current studies estimate that over half of patients diagnosed with acute respiratory distress syndrome do not in fact have the disease. In this podcast, Dr Stephen Frohlich explains the difficulties with defining this clinical syndrome and takes us through the new Berlin criteria, set to t ...…
 
With the exponential expansion of the evidence base and increasing frequency of meta-analysis, clinical guidelines have become increasingly ubiquitous in all fields of medicine. Dr Georgina Imberger joins Dr Thomas to talk through the process of guideline generation from a developer's perspective, and question the way in which practising clinic ...…
 
Opinions on the use of propofol by non-anaesthetists remain controversial and divided. In this podcast Dr Gavin Lloyd, an emergency physician from The Royal Devon and Exeter NHS Foundation Trust, gives his point of view and describes his experience developing a training program and governance framework for propofol use in the resus room. Dr Llo ...…
 
Anaphylaxis under anaesthesia is a dramatic and feared phenomenon. Whilst recognition and treatment has improved largely through awareness and training, the widely quoted mortality still lies between 3 and 9%. An unusual combination of legal obligation and comprehensive referral puts Western Australia in a unique position to audit these figures ...…
 
As the the debate over perioperative neuraxial blockade rages on, more fuel is added to the fire in the form of a controversial secondary analysis carved from the original POISE data set. The authors have used propensity score matching to manipulate the POISE study group into those who received a perioperative neuraxial block and those who did ...…
 
NAP5 and the recent controversial guidance from NICE are putting commercial depth of anaesthesia monitors under intense scrutiny. How do they work? Does their use correlate with a reduced incidence of awareness? What is the neurobiological basis for the relationship between EEG activity and depth of anaesthesia? A group from Glasgow have develo ...…
 
This month the BJA features a volunteer study investigating the effects of low dose neuraxial clonidine from Stanford University. One of the authors of this paper, Dr Yehuda Ginosar, talks about the challenges surrounding the design and interpretation of volunteer studies in experimental pain. Dr Ginosar and Dr Thomas review the results and inf ...…
 
Anaesthetic neurotoxicity is currently one of the hottest research topics in anaesthesia. In June 2012 the BJA sponsored a seminar in Salzburg Austria which saw experts from all over the world come together to discuss the current state of the evidence and future research directions in this important area. To accompany this special edition of th ...…
 
Dr Sibtain Anwar interviews Professor Roger Fillingim on his work examining the differences in pain experienced between the sexes. Whilst a large body of quite disparate work has demonstrated a significant increase in pain reported by women, the scientific basis for this has yet to be elucidated. Prof Fillingim takes us through some of the prop ...…
 
Guest editor Dr Lesley Colvin introduces this special post-graduate issue of the BJA focusing on recent advances and new research in the field of pain medicine. Dr Colvin talks about the the importance and relevance of basic science in this rapidly advanc
 
Dr Shirin Jamshidi MBBS 04 Jun 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Dr Ellen O'Sullivan talks about the adoption of the BJA as the official journal of The College of Anaesthetists of Ireland. Together with Rik Thomas, Dr O'Sullivan celebrates some of Ireland's notable academic anaesthetists past, present and future, and discusses the nation's current research output. We hear about some of the College's current ...…
 
Definitely one for the tricky vein society; Dr Franklin Chiao talks us through his experience and research evaluating near-infrared devices for perpiheral venous cannulation. Dr Chiao explains the physics behind this new technology plus its potential uses and limitations. We run through the main findings from the scientific paper including the ...…
 
Whether you relish the prospect of being on call from home or fear losing your job to a more consistently performing robot; automated anaesthesia delivery systems are increasing in their use and sophistication. In this podcast, Rik Thomas talks to Professor Thomas Hemmerling from the McGill University in Montreal and head of the Intelligent Tec ...…
 
The majority of morbidity and mortality due to anaesthesia is unfortunately caused by human error. In this podcast, Professors Alan Merry and Jennifer Weller gives us an introduction to human factors in anaesthesia, the types of errors that occur and strategies to prevent them. We explore communication failure within the operating theatre envir ...…
 
Drs Caren Zhang MBBS and Tara Lee MBBS 02 Apr 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
The RCoA national audit projects have enjoyed incredible success, both at home in the UK and internationally. Professor Tim Cook takes us through the national audit project process; from inception, through to execution and recommendation. Professor Cook and Dr Thomas discuss the strengths and weaknesses of the NAP system, how the program has ev ...…
 
In this podcast, Dr Tanja Manser talks about the recent explosion of research into non-technical skills, crew resource management and team processes. Dr Manser describes some of the core principles behind CRM, explains the complexities of performing psychological research in this area, and the difficulties in interpreting the disparate data set ...…
 
Dr Florian Paturi MBBS 11 Mar 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Dr Natalie Kruit MBBS 04 Mar 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Dr Margot Heaney MBBS 25 Feb 2013By jeremy.field@gmail.com (Westmead Hospital Department of Anaesthetics).
 
Professor Jaideep Pandit, head of the Royal College's National Audit Project on accidental awareness under general anaesthesia, give us his views on the recent NICE guidelines on depth of anaesthesia monitoring. In the interview we explore the rationale and evidence behind the directive, as well as some of the more controversial issues with reg ...…
 
Dr Rupert Pearce talks about the ideas and concepts behind the rapidly evolving speciality of peri-operative medicine. Dr Pearce and Dr Thomas discuss why a speciality service is required and what it may look like, how it will benefit patients and most importantly for anaesthetists, who will be running it.…
 
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