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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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Welcome to the Deep Breaths: Updates from CHEST series, dedicated to championing the prevention, diagnosis, and treatment of lung and chest diseases. Check out CHEST leaders and advocates sharing the latest in chest medicine education, clinical research, and team-based care in the areas of pulmonary diseases, critical care, and sleep medicine. Learn more about the latest diagnostic and treatment advances in pulmonology and critical care below.
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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 …
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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 Neurosc…
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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 hy…
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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…
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Today we continue our discussion regarding preoperative functional capacity assessment. We'll cover the M-DASI, the 6-minute walk test, and put it all together to figure out how this applies to our practice as anaesthetists. Resources for today's episode include: BJAED: Subjective methods for preoperative assessment of functional capacity by Silvap…
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Today, in part one of our two part series, we're taking a close look at the methods for performing pre-operative functional capacity assessments and their utility in predicting patient outcomes. In part 1, we focus our discussion on METS, activities of daily living (ADLs) and the DASI score. In part two - which will be released in a fortnight - we'…
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Deep Breaths returns next Monday February 5th with all new episode topics that we're sure will help with exam prep, and will keep your practice up to date. We'll also be joined by more wonderful guests this season and we can't wait to share their expertise with you all, so be sure to tune in and experience the learning revolution! Links for Lahiru …
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Host: Tom Corbridge, MD, FCCP Guest: De De Gardner, DrPH, RRT, RRT-NPS, FAARC, FCCP Guest: Diego Maselli, MD Guest: Praveen Akuthota, MD As we continue to learn more about the underlying inflammatory pathways in asthma, we now have more novel tools and treatments to help us achieve control, remission, and better outcomes for our patients. But in or…
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Host: Demondes Haynes, MD Guest: Njira Lugogo, MD Guest: Neil Skolnik, MD Expert opinions from NAEPP and GINA recommend treating both symptoms and inflammation in asthma patients concomitantly. Joining Dr. Demondes Haynes to talk about these updates and therapies for asthma like short-acting beta agonists and inhaled corticosteroids are Drs. Njira …
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Host: Demondes Haynes, MD Guest: Njira Lugogo, MD Guest: Neil Skolnik, MD According to data from the CDC, over half of patients in the United States are not considered well controlled, and there hasn’t been much improvement in exacerbations as measured by ER visits or by deaths per year in the last 30 years or so. But fortunately, the use of single…
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Host: Demondes Haynes, MD Guest: Njira Lugogo, MD Guest: Neil Skolnik, MD When it comes to managing acute asthma symptoms and reducing risk for patients, our focus is now on relieving bronchoconstriction and inflammation. Given this fundamental change, it’s important to ensure that our patients understand this shift. Find out how taking a shared de…
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Part 2 of our two-part series looking at common problems encountered in the post-anaesthetic care unit. We hope you enjoy another of our favourite topics. 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…
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This two part series looks at some common problems we encounter in the post-anaesthetic care unit (PACU). It's another of our favourite topics and well worth the review. 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 a…
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The final episode on our two-part series on cases in paediatric anaesthesia with special guest, Dr Paul Lee-Archer. Another of our favourites, we hope you enjoy it as much as we did. Resources for today's episode: Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatmentby Nair, S. & Wolf, A. Paediatric massive tran…
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Our two-part series on paediatrics in which we discuss previous anaesthetic viva scenarios with special guest, Dr Paul Lee-Archer, is another favourite of ours. Resources for today's episode: Emergence delirium after paediatric anaesthesia: new strategies in avoidance and treatment by Nair, S. & Wolf, A. Paediatric massive transfusion by Blain, S. …
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Guest: Stephen Doyle, DO, MBA, FCCP Guest: Navitha Ramesh, MD, FCCP Host: Sandhya Khurana, MD, FCCP The goal of this activity is to use case-based learning to highlight the importance of targeting TSLP in the three types of severe asthma to raise awareness about optimal available treatments and best-practices for designing treatment plans to ultima…
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Our second and final episode in our two-part series looking at cases involving one-lung ventilation with special guest, Dr Ivan Rapchuk. This series is one of our favourites! Resources for today's episode: Pre-anaesthetic assessment for thoracic surgery by Peter Slinger and Gail Darling. Feel free to email us at deepbreathspod@gmail.com if you have…
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One lung ventilation can be tricky, but our two part series with special guest Dr Ivan Rapchuk, attempts to break it down and make it easier to both approach and understand. This series is another favourite! Resources for this episode: Pre-anaesthetic assessment for thoracic surgery by Peter Slinger and Gail Darling. Feel free to email us at deepbr…
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Obstructive sleep apnoea is an ongoing challenge for anaesthetists. In this episode - another favourite - we discuss sleep apnoea in the context of anaesthesia with special guest, Dr Hamish Pollock. Reference for this episode: Perioperative considerations in the management of obstructive sleep apnoea by Holt, N. et al. Feel free to email us at deep…
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In today’s episode, we revisit one of our earliest and most topics - awareness. What it is, how it happens, and most importantly, how to prevent it. Resources for this episode include: National Audit Project 5 (NAP5) - https://www.nationalauditprojects.org.uk/NAP5home B-Aware trial - https://www.sciencedirect.com/science/article/pii/S01406736041630…
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Bad Blood is a two-episode miniseries that takes a closer look at ROTEM. It's a favourite episode of ours and we hope you enjoy listening again too. References for part 2: Deranged Physiology - Interpretation of abnormal ROTEM data. ROTEM product information and interpretation instructions with case examples. NHS University Hospitals Sussex ROTEM i…
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Bad Blood is a two-episode miniseries that takes a closer look at ROTEM. It's a favourite episode of ours and we hope you enjoy listening again too. References for part 1: ROTEM e-learning modules. Note: this website defaults to German language, but can be changed. Alternatively, Google offers a translation service for the website. ROTEM product in…
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Sweet Leaf looks at the ways in which medical marijuana impact the provision of safe and effective anaesthesia. This episode is one of our favourites, and is increasingly relevant to our clinical practice as we see more patients presenting for surgery in whom medical marijuana therapy is prescribed. Feel free to email us at deepbreathspod@gmail.com…
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Deep Breaths returns next Monday August 14th with a selection of wonderful topics to help boost your exam prep, and to help keep you up to date. This season will be a little different though. We're taking a well-earned break (our first since Deep Breaths started in August 2020) and for season 7 we will be re-releasing seven of our favourite topics …
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Host: Ryan Maves, MD Guest: Megan Conroy, MD, MA(Ed) Respiratory syncytial virus (RSV) is most commonly recognized for the significant disease it causes in infants and young children. However, over time its prevalence in adults has increased. Tune in to learn more with Dr. Ryan Maves as he speaks with Dr. Megan Conroy, Assistant Professor of Medici…
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Host: Ryan Maves, MD Guest: Kelly Pennington, MD It’s estimated that respiratory syncytial virus (RSV) is responsible for up to 30 percent of viral respiratory infections in the stem cell transplant population. So how can we help RSV patients achieve their best outcomes? Learn more with Dr. Ryan Maves as he speaks with Dr. Kelly Pennington, Assista…
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Today, we take a deep dive into the pros and cons of having the families of patients present in operating rooms beyond what is already in practice for paediatric anaesthesia and caesarean sections. Resources for today's episode: Could, Should Families Watch Their Loved One's Surgeries and, If So, When? By Quinonez, Z.A. et al. Note: ANZCA members c…
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Today, we are joined by special guest Dr Shaun Roberts to discuss in-depth cases of patients with tricky cardiac conditions who require non-cardiac surgery. Resources for today's episode: ANZCA Blue Book 2021 ESC Guidelines on cardiovascular assessment and management of patients undergoing non cardiac surgery 2014 ACC/AHA guideline on Perioperative…
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Today's episode is the second and final of our obstetric cardiac disease series where we take a close look at a few case scenarios with special guest, Dr Michael Toon. Our third case takes a closer look at pulmonary hypertension in pregnancy and how this impacts the delivery and our anaesthetic options. We then end with a case in which a patient wi…
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Today's episode is the first of two where we take a close look at a few obstetric case scenarios that deal with major cardiac disease with special guest, Dr Michael Toon. Our first case explores a pregnancy and delivery in a patient with moderate to severe mitral stenoses. We then chase this with a case scenario revolving around a patient with a pe…
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Host: Ashwin Basavaraj, MD Guest: Christopher Lippincott, MD, MPH Bronchiectasis is a complex syndrome that can lead to an interconnected cascade of airway dysfunction and inflammation. How has our understanding of this syndrome evolved with Cole’s vicious cycle hypothesis? Dr. Ashwin Basavaraj and Dr. Christopher Lippincott take a closer look at t…
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Guest: Ashwin Basavaraj, MD Host: Christopher Lippincott, MD, MPH From airway clearance techniques and mucoactive therapy—what can clinicians do to manage bronchiectasis exacerbations? To answer this question, Dr. Christopher Lippincott and Dr. Ashwin Basavaraj explore the mechanisms that lead to bronchiectasis and share strategies to manage exacer…
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Today, we finish our discussion about post obstetric nerve injury with an in-depth discussion about the different intrinsic obstetric nerve palsies that can occur as a result of the mechanisms of labour and delivery. We follow this with a chat about our approach to assessing patients with altered neurology post delivery and in whom a neuraxial anae…
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Today, we discuss post-delivery nerve injury in obstetric patients. In this first of two episodes, our discussion begins with revision of the classification of nerve injury severity, followed by a chat about the different clinical syndromes observed as a result of nerve injury during neuraxial anaesthesia. Resources for today's episode: Anaesthesia…
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Today's episode is the second part in our discussion about anaesthesia for eye surgery with special guest, Dr Lahiru Amaratunge. We discuss two emergency eye surgeries and our options for managing these potentially challenging situations. Resources for today's episode: ABCs of anaesthesia ophthalmic anaesthesia youtube playlist (as mentioned by Dr …
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Today's episode is the first of a 2-part series covering anaesthesia for eye surgery with special guest Dr Lahiru Amaratunge. Over the course of these two episodes, we'll hear Dr Amaratunge discussing a few different case scenarios in both elective and emergency surgery for eyes. Resources for today's episode: ABCs of anaesthesia ophthalmic anaesth…
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Today, we take a close look at the Complex Regional Pain Syndrome (CRPS). We discuss the diagnostic criteria, pathophysiology and treatment of this condition, as well as taking a closer look at the role of opioids in the management of pain relating to CRPS. Resources for today's episode: Complex Regional Pain Syndrome: Practical Diagnostic and Trea…
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Today, we're taking a close look at one of ANZCA's latest professional documents - PG67: Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures 2022. Resources for this episode: PG67: Guideline for the care of patients at the end-of-life who are considered for surgery or interventional proc…
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Today, we're tackling the absolutely mammoth topic of hyponatremia after JAMA recently published a fantastic article about its diagnosis and management. Part 2's episode focuses on determining the cause of a patient's hypotonic hyponatremia. From here we also go on to discuss the pathophysiology of both the Syndrome of Inappropriate ADH secretion (…
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Today, we're tackling the absolutely mammoth topic of hyponatremia after JAMA recently published a fantastic article about its diagnosis and management. We start with a review of some relevant physiology before talking about the ways in which hyponatremia can present, and the approach to determining the underlying cause of the hyponatremia. In this…
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Today, we share our fourth and final discussion in our four part series about statistics with Dr Shannon Morrison. In this episode, we discuss the following topics: the research methodology for designing a clinical trial pilot trials bias and confounding ethics committees and the process of ethics approval Forest plots Resources for today's episode…
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Today, we share our third discussion in our four part series about statistics with Dr Shannon Morrison. In this episode, we discuss the following topics: sensitivity and specificity positive predictive values (PPV) and negative predictive values (NPV) risk ratios odds ratios number needed to treat (NNT) and number needed to harm (NNH) And here are …
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Today, we share our second discussion in our four part series about statistics with Dr Shannon Morrison. In this episode, we discuss the following topics: sample size, power and hypothesis testing type I and type II error (further discussion) levels of evidence and what this means the different types of clinical trials Resources for today's episode…
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Today, we're having our first discussion of our four part series about statistics with Dr Shannon Morrison. In this episode, we discuss the following topics: types of data (quantitative vs qualitative) descriptive statistics (measures of central tendency and measures of variability) Central Limit Theorem hypothesis testing type I and type II error …
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Deep Breaths returns next Monday February 6th with a wonderful selection of topics that we're sure will help with exam prep, and will keep your practice up to date. We'll also be joined by more wonderful guests this season and we can't wait to share their expertise with you all, so be sure to tune in and experience the learning revolution! Lahiru A…
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Host: Stephanie Christenson, MD Guest: Ron Balkissoon, MD, MSc, DIH, FRCPC What do we need to know about the pathophysiology and burden of COPD exacerbations? To better understand this—and the factors that may put our patients at risk—Dr. Stephanie Christenson from the University of California San Francisco and Dr. Ron Balkissoon from National Jewi…
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Host: Stephanie Christenson, MD Guest: Ron Balkissoon, MD, MSc, DIH, FRCPC What is a COPD exacerbation, and what puts our patients at risk of them? Drs. Stephanie Christenson and Ron Balkissoon discuss these risks and the burden of COPD exacerbations on our patients. This is a non-promotional, non-CME disease state educational program brought to yo…
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Host: Randy Young, MD Guest: Daniel Jay Feinstein, MD, FACP, MS, ACRP-PI Diagnosing pneumonia can be challenging, but the CAP guidelines offer recommendations to improve the detection of this infection. To find out more about the recommendations, Dr. Randy Young and Dr. Daniel Feinstein, a Physician Executive at Novant Health, dive into testing for…
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Host: Randy Young, MD Guest: Tufik Assad, MD, MSCI What are the factors that make diagnosing pneumonia challenging, and how might emerging testing modalities improve that? To answer this question, Dr. Randy Young and Dr. Tufik Assad from the Williamson Medical Center in Franklin, Tennessee dive into the etiology, diagnostic challenges, and current …
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