BJA Education Podcasts

In this month's podcast Anthony speaks with Dr Jonathan Aron about the use of echocardiography in the management of patients with COVID-19 in the intensive care unit. They discuss the typical cardiovascular journey of these patients, and how echocardiography can help support individualised care to improve outcomes.

In this podcast, Riaz Aziz talks to Dr Vikki Mitchell from University College London Hospital (UCLH) about extubation practices. Dr Mitchell co-authored the DAS guidelines on extubation and has extensive experience as an airway anaesthetist. In this podcast, we run through the DAS guidelines and explore various extubation techniques.

In the November 2021 podcast, Pooja Shah speaks to Dr Simon Howell about this month’s BJAEducation Editor’s choice article: Preoperative hypertension: perioperative implications and management. We discuss the latest guidelines and evidence and how to tackle the perennial question of whether or not to cancel surgery for a patient whose preoperative blood pressure is > 180/110 mmHg.

In October's podcast Anthony Wynn-Hebden talks with Dr Simon Denning about anaesthesia for cleft lip and palate surgery, common associated conditions, and postoperative airway management.

In this month's podcast Riaz Aziz talks to Dr James Shilston and Mr Anthony Simons about their September 2021 article on neck trauma. We get an anaesthetist and ENT surgeons' perspective on management of such injuries and useful practical advice on how to manage such injuries outside specialised trauma centres.

This month, Pooja Shah talks to Dr Dale Gardiner about fundamental ethical and legal rules for deceased organ donation, based on the article published in the August 2021 edition of the BJAEducation. Hear Dr Gardiner explain what the two rules; in short, the ‘dead donor rule’ and the 'consenting donor rule' mean and what the reasoning for these rules are.

In this month's podcast Anthony speaks with Professor Brendan McGrath and Sarah Wallace OBE about their article on tracheal complications. Hear about the risk factors, common presenting features, and optimal multidisciplinary management of these problems, which often present in patients who are admitted to intensive care.

In this month’s podcast Riaz Aziz talks to Dr Michael Charlesworth about advances in Transcatheter Aortic Valve Implantation (TAVI). They talk about the changing landscape in the patient selection for TAVI and the evidence driving this. They also explore the investigations modalities available in the diagnosis and risk stratification of these patient and the role of the anaesthetist during the procedure.

In this month's podcast Anthony talks with Dr Cindy Kim about accidental awareness under anaesthesia. They discuss risk factors, presentation after surgery with stress disorders, and management from the time of surgery through to outpatient care.

In the March 2021 BJA Education podcast, Pooja Shah speaks to Dr Carroll and Dr Young about intraoperative cell salvage. We talk about what intraoperative cell salvage is and who it can benefit, including populations previously thought to be ineligible for it. Importantly, we also discuss the logistics around cell salvage including how the anaesthetist can direct creation of a service. Blood products' supply in the country is at an all-time low; it is time we started re-thinking and re-defining our perioperative blood management strategies.

In this month’s Podcast Riaz Aziz talks to Professor Badminton, Dr Schulenburg-Brand and Dr Wilson-Baig about Acute Hepatic Porphyria (AHP). They talk about the epidemiology of AHP and the peri-operative management of such patients. We learn about the excellent National Acute Porphyria Service (NAPS) which is available 24 hours a day, 7 days a week for expert advice.

Imaging in Anthony Wynn-Hebden talks with Dr Batuwitage and Prof. Charters about the role of imaging in head and neck cancers, how to interpret different types of scans, and the role of imaging in emergency airway management.and neck cancers.

Riaz Aziz talks to Dr McCombe and Bogod about the legal aspect of paediatric consent. We explore important legal cases that have shaped the landscape in paediatric consent. We also touch on the key issues with Gillick competence and how this impacts on our practice as anaesthetist.

Riaz Aziz talks to Drs Okonkwo and Fernandez and Ms Cochrane from Great Ormond street Hospital for children about the management of a tracheotomy in a child. We talk about the pre anaesthetic assessment for patients with a current tracheostomy or those that may have had one in the past. We explore what to do in an emergency and discuss the EXIST procedure.

Riaz Aziz talks to Professor Gareth Auckland from Queen Marys university about his November 2020 article ‘Angiotensin converting enzyme inhibitors and angiotensin receptor blockers’ We talk about their use in the perioperative setting, the current evidence and cardiac dysfunction post operatively.

In this month's podcast, Anthony Wynn-Hebden speaks with Dr Richard Lin about the use of dexmedetomidine in paediatric anaesthesia. This drug is successfully used in various institutions for sedation, and as a part of TIVA, and can avoid the need for airway manipulation or instrumentation in selected cases.

In this article, Pooja Shah speaks to Dr Amol Deshpande about cannabinoids in pain medicine. Cannabinoids in pain medicine is a controversial topic; this article examines the pharmacology of the endocannabinoid system, the research and evidence behind using cannabinoids in disease management particularly chronic pain management and a brief overview into the controversy around the use of cannabis.

In this months podcast Riaz Aziz talks to Professor Jennifer Hunter MBE about her August 2020 article "Reversal of neuromuscular block" . Professor Hunter provides an excellent insight into the ideal way of using these agents and the dynamic research underway in this field.

In July's BJA Education Podcast, Anthony Wynn-Hebden talks with Dr Daria Moaveni about her essential notes piece, 'Management of intrathecal catheters in the obstetric patient'. Dr Moaveni describes the insertion of intrathecal catheters, discusses the safety aspects of their use, and gives step by step guidance on how to use them to provide both analgesia and anaesthesia

In the June 2020 BJA Education podcast, Pooja Shah speaks to Dr Carlos Delgado, Dr Laurence Ring and Dr Mary Mushambi about General Anaesthesia in Obstetrics. In this issue, we discuss the OAA/DAS guidelines, how to approach general anaesthesia in the obstetric patient as well as how to mitigate the difficult airway of the obstetric patient. We also discuss features of anaesthesia for major fetal surgeries and EXIT procedures, with special reference to anaesthesia in the Covid-19 patient.

Riaz Aziz talks to Cliff Shelton and Stuart White about their May 2020 article "Anaesthesia for hip fracture repair ". In this 2-part podcast epidemiology, key research items and the impact of the COVID -19 pandemic on the service will be discussed.

Riaz Aziz talks to Cliff Shelton and Stuart White about their May 2020 article "Anaesthesia for hip fracture repair ". In this 2-part podcast epidemiology, key research items and the impact of the COVID -19 pandemic on the service will be discussed.

In this episode of the BJA Education ‘Hot Topics’ series, Pooja Shah talks to Dr Giampaolo Martinelli; a proponent of Lung Ultrasound (LUS), about the utilisation, diagnostic capabilities and prognostication of the patient with Covid-19 using this modality of imaging. Dr Martinelli outlines the method of performing LUS and the identifiable hallmarks of this disease.

In this BJA Education podcast, Pooja Shah discusses the worldwide trends in substance use among anaesthetists with authors Dr Garrett Burnett and Dr Ethan Bryson. We discuss the likely reasons for anaesthetists developing substance use disorders, the signs and symptoms of these disorders as well as an understanding of what a treatment programme entails.

In this podcast Riaz Aziz speak to Dr Jim Buckley about the COVID 19 pandemic. Jim Buckley is an Intensive care consultant working at Royal Free hospital in London. They explore the virology, clinical management and psychological well being of the frontline staff.

In our first BJA Education 'Hot topics' Podcast, Anthony Wynn-Hebden talks with Professor Tim Cook about the COVID-19 pandemic, the strain it will put upon hospitals around the world, and important steps that we need to take in order to deal with with this problem.

Second in the series of BJA Education's 'Hot topics' Podcasts, Anthony Wynn-Hebden talks with Professor Tim Cook about the rapidly produced airway management guidance for patients suspected to have COVID-19, and the key principles that minimise the risk to both staff and patients when undertaking any aerosol generating procedures.

In the March 2020 BJA Education Podcast, Anthony Wynn-Hebden talks with Dr Joel Swindin and Dr Caz Sampson about the paper, 'Airway pressure release ventilation'. Dr Swindin and Dr Sampson discuss the use of this mode of ventilation from initiation to weaning, and its place in the treatment of the patient with severe acute respiratory failure.

In the February 2020 BJA Education Podcast, Riaz Aziz talks with Dr Elmar Delhaas from Rotterdam Medical Centre about his article "Diagnosis and management of complications associated with intrathecal drug delivery systems". Dr Delhaas talks about the different devices on the market , key complications and how to troubleshoot a problematic device.

In the December 2019 BJA Education Podcast, Anthony Wynn-Hebden talks with Professor William Fawcett from Royal Surrey County Hospital about his paper for Essential Notes, 'Suxamethonium or rocuronium for rapid sequence induction of anaesthesia'. Professor Fawcett talks us through the changes in practice that he has seen throughout his career when anaesthetists perform rapid sequence induction of anaesthesia, including the latest thoughts on best management strategies.

In the October 2019 BJA Education Podcast, Cliff Shelton discusses the October 2019 edition of BJA Education with BJA Education's new podcast / social media editors, Riaz Aziz, Pooja Shah and Anthony Wynn Hebden. Topics for discussion include preoperative anaphylaxis, spinal anaesthesia for ambulatory surgery, PONV in children, national clinical audits and regional anaesthesia in children.

In the July 2019 edition of the BJA Education Podcast, Cliff Shelton talks to Jason Walker from Betsi Cadwaladr Health Board about his paper 'Hypothesis tests'. In this podcast, Dr Walker explains how types of data relate to statistical tests, describes the meaning of p-values, and discusses the increasing importance of Bayesian statistics in evidence based medicine.

In the May 2019 edition of the BJA Education Podcast, Cliff Shelton talks to David Chambers from Salford Royal NHS Foundation Trust and Nick Wisely from Manchester University NHS Foundation Trust about their paper 'Cardiopulmonary exercise testing - a beginner's guide to the nine panel plot'. The discussion follows a systematic approach to CPEX interpretation, and addresses both the underlying physiology and the practical aspects of CPEX testing.

In this edition of the BJA Education Podcast, Cliff Shelton talks to Nottingham intensivists Dan Harvey and Dale Gardiner about their paper on 'MORAL Balance' decision making in critical care. This approach, a practical adaptation of Beauchamp and Childress' four principles of medical ethics, provides clinicians with a tool with which to make ethical decisions. The discussion focuses on the development of the 'MORAL Balance' approach, and how it can be used in practice to justify and explain clinical decision-making.

In the February 2019 podcast, BJA Education editor-in-chief Jonathan Thompson discusses recent developments in the journal, including our mission statement, the introduction of defined learning objectives for our CPD reviews, and the development of the new 'Essential Notes' format. Jonathan describes the first of the Essential Notes papers which is published in the February 2019 issue, 'why do patients need extra oxygen during a general anaesthetic?' by Andrew Lumb, and reflects on what makes a good Essential Notes article.

In the October 2018 edition of the BJA Education podcast, Cliff Shelton talks to Dr Amit Pawa about his paper 'Abdominal wall blocks for intra-abdominal surgery.' This podcast focuses on the latest developments in the transversus abdominis plane (TAP) and quadratus lumborum blocks, and includes a review of the relevant anatomy, a description of the different versions of these blocks, and tips and tricks to maximise block success.

Dr Wayne Morriss, Consultant Anaesthestist in Christchurch, New Zealand, Director of Programs for the WFSA and co-founder of the ‘Essential Pain Management Course’, discusses his article ‘Pain Management in Low- and Middle-Income Countries’, published in the September 2018 edition of BJA Education. Dr Morriss helps us navigate this broad subject through introductions to the types of pain problems commonly encountered in low- and middle-income countries, the barriers that exist at both grass-roots and policy-making levels and offers some possible solutions in this interesting podcast.

In the August 2018 edition of the BJA Education podcast, Benj Marriage interviews Senior Trainee and fellow of the International Journal of Obstetric Anaesthesia Dr. Yavor Metodiev from Leicester Royal Infirmary about his paper 'Amniotic Fluid Embolism’. The discussion focuses on recent updates in this area, the presentation and clinical management of AFE and a glimpse into possible future biomarkers.

In the February 2018 edition of the BJA Education podcast, Cliff Shelton interviews BJA Education Editor and Consultant Anaesthetist Alan MacFarlane from Glasgow Royal Infirmary about his paper 'Regional Anaesthesia and Outcomes'. The discussion focuses on the theoretical benefits of regional anaesthetic techniques, how these translate into clinical practice, and the challenges of reflecting differences in outcome in clinical research.

In the January 2018 edition of the BJA Education podcast, Cliff Shelton interviews Senior Specialty Trainee in Anaesthesia Luke Bishop from Leeds General Infirmary about his paper 'Adult Congenital Heart Disease and Pregnancy'. The discussion includes the indications for cesarean section, the strategy for establishing appropriate about analgesia, and the approach to obstetric patients with congenital heart disease in the DGH setting.

In the December 2017 edition of the BJA Education podcast, Dr Anjum Ahmed-Nusrath, consultant anaesthetist at Royal Derby Hospital, discusses her paper on anaesthesia for head and neck cancer surgery. In this podcast topics of discussion include pre-operative assessment and optimisation, management of difficult airways, and the considerations involved in managing a shared airway.

In the November 2017 edition of the BJA Educationpodcast, Cliff Shelton interviews Papari Deka, locum consultant anaesthetist at Alder Hey Children's Hospital. She discusses her paper on paediatric anaesthesia in low resource settings, describes a case from her own practice, and provides an overview of the implications of being a visitinganaesthetistworking in a low-resource setting.

Dr Adrian Wong and Dr Olusegun Olusanya discuss their article on Burnout and Resilience in Anaesthesia and Intensive Care Medicine. Illustrated by personal stories from the authors, this discussion focuses on the identification of occupational burnout, preventative strategies, and sources of help for those at risk of developing burnout associated with working in acute specialties.

Dr Mark Thomas from Great Ormand Street Hospital in London discusses his paper on pre-operative fasting in children. The discussion explores the evidence base for fluid fasting in paediatrics, and strategies to minimise the duration of fluid fasting whilst maintaining patient safety.

In the September 2017 BJA Education podcast, Dr Olivia Davies from University College Hospital discusses the pre- intra- and post-operative strategies to minimise postoperative pulmonary complications following non-cardiothoracic surgery.

Senior trainee Dr Karen Pearson and consultant anaesthetist Dr Barry McGuire from Ninewells hospital in Dundee discuss their article 'Anaesthesia for Laryngo-Tracheal Surgery, Including Tubeless Field',published in the July 2017 edition of BJA Education. Topics include how to safely manage this patient group and further discussion around useful techniques such as airway topicalisation,apnoea oxygenation and jetventilation.

Senior Trainee Dr Victoria McCormack and consultant intensivist Dr Serena Tolhurst-Cleaver from Salford Royal NHS Foundation Trust join us to discuss their article 'Acute Respiratory Distress Syndrome', published in the May 2017 edition of BJA Education. Topics for discussion include the importance of diagnosing ARDS with the revised definition, pathophysiology, ventilation strategies, and the indications for ECMO referral.

In the April 2017 BJA Education podcast Dr David Chambers discusses his article 'Parkinson's Disease'. Topics covered include the pathogenesis, clinical features, and peri-operative management of Parkinson's Disease. Recent pharmacological developments for the bridging of oral therapy during peri-operative fasting are reviewed.

In the March 2017 edition of the BJA Education podcast, Dr Jeremy Campbell from Queen Charlotte's Hospital in London discusses his article 'The future of general anaesthesia in obstetrics'. Topics include the prevention of accidental awareness under general anaesthesia, the debate around induction agents and muscle relaxants in obstetric practice, and the safety implications of general anaesthetic technique.

Dr Tom Woodcock, webmaster of the fluidphysiology.org website and retired consultant anaesthetist, discusses his paper entitled 'Plasma volume, tissue oedema, and the steady-state Starling principle'. In this podcast, Tom describes the implications of the steady-state Starling principle on the physiology and practical conduct of fluid management.

Dr Ben Gibbison, Consultant in Cardiac Anaesthesia and Intensive Care in Bristol, discusses his article 'Mitral Valve and Mitral Valve Disease', published in the January 2017 edition of BJA Education. Dr Gibbison gives an overview of the consequences of both the stenotic and regurgitant mitral valve lesions, helps us understand the haemodynamic goals of anaesthetising patients with these lesions safely and some of the currently available treatment options.

Dr Will Tosh, ST6 in Anaesthesia at Warwick School of Anaesthesia joins us to discuss his article with Dr Matthew Patteril 'Cerebral Oximetry' in the December 2016 edition of BJA Education.

Dr Paul Diprose, Consultant Cardiac Anaesthetist in Southampton joins us to discuss his article 'Perioperative Management of patients with cardiac implantable electronic devices' in the November 2016 edition of BJA Education. Topics include device types and common problems, clarity to the magnet controversy, a pragmatic approach to the emergency patient, and some special circumstances that you may not have considered previously.

Dr Joe Cosgrove, Consultant in Anaesthesia and Intensive Care at Freeman Hospital in Newcastle upon Tyne discusses his two articles "Prehospital organisation and management of a mass casualty incident" and "Hospital response to a major incident: initial considerations and longer term effects", published in the October 2016 edition of BJA Education. Topics include understanding the prehospital phase, the wider response to major incidents within NHS organisations, and how individual practitioners fit within this highly organised structure.

Dr Alastair Glossop, Consultant in Intensive Care and Anaesthesia at Sheffield Teaching Hospitals and the NICE Scholar in 2010-2011 for the 'Evaluation of the Health Economic Benefits of Non-Invasive Ventilation', discusses his article 'Non-Invasive Ventilation in the perioperative period', published in the September 2016 edition of BJA Education. Topics discussed include using NIV to prevent post-operative pulmonary complications, patient selection and including NIV in a wider perioperative strategy.

Dr Naveen Eipe, assistant professor of anaesthesia at the University of Ottawa Hospital joins us to discuss his article 'Intravenous lidocaine for acute pain: an evidence based clinical update' which will be published in the September 2016 edition of BJA Education. Topics discussed include the extensive benefits of using lidocaine, practical considerations and the newly named, 'Ottawa Pain Ladder'.

Dr David Mulvey, consultant anaesthetist from Royal Derby Hospital, discusses his article 'Principles of total intravenous anaesthesia: practical aspects of using total intravenous anaesthesia', published in the August edition of BJA Education. Topics discussed include the assessment of depth of anaesthesia, recent advances in TIVA, and the ideal TIVA technique.

Dr Joe Sebastian, consultant neuroanaesthetist from Salford Royal Hospital NHS Foundation Trust and Dr Victoria Scott-Warren, specialty trainee from the North Western Deanery, discusses their article 'Dexmedetomidine: its use in intensive care medicine and anaesthesia', published in the July 2016 edition of BJA Education. Topics discussed include recent evidence on dexmedetomidine, its pharmacological mechanism, and clinical tips for its use.

Dr Matthew Atkinson, consultant in anaesthesia and critical care from East Lancashire Hospitals NHS Trust, discusses his article 'Statistical Analysis: Sample Size and Power Estimations', published in the May edition of BJA Education. Topics discussed include error types, the Bonferroni correction and post-hoc power analysis.

Dr Neil Morton, Reader in Paediatric Anaesthesia and Pain Management from Glasgow discusses his article 'Anaesthesia and the developing nervous system: advice for clinicians and families', which is published in the June print edition of BJA Education. Topics discussed include the existing preclinical and epidemiological evidence, ongoing prospective clinical studies and practical advice on clinical practice in this subject area.

Nicola Beaumont, clinical lead physiotherapist in critical care discusses her article 'Respiratory physiotherapy in the critical care unit' from the February print edition of CEACCP. Topics discussed include the physiological consequences of critical illness and mechanical ventilation, respiratory physiotherapy interventions and their evidence base, and rehabilitation both during and following critical care admissions.

Dr Madan Narayanan, consultant in anaesthesia and intensive care medicine discusses his article 'Anaesthetic considerations in patients with inherited disorders of coagulation' from the February print edition of CEACCP. The podcast focuses on the diagnosis, management and principles of perioperative care for patients with the bleeding disorders haemophilia and von Willebrand's disease.

Dr Richard Griffiths, consultant in anaesthesia, discusses his article 'Frailty in anaesthesia: what we need to know' from the December print edition of CEACCP. Subjects discussed include frailty assessment tools, the 2010 NCEPOD report 'An Age Old Problem' and The National Hip Fracture Database Anaesthesia Sprint Audit of Practice (ASAP).

Dr Vishal Patil, consultant in anaesthesia, discusses his article 'Never events: an anaesthetic perspective' from the October print edition of CEACCP. Subjects discussed include the Department of Health never events policy, practical approaches to minimising risk in the healthcare environment and understanding human factors.

Dr Andrew Bodenham, consultant in anaesthesia and intensive care medicine, discusses his article 'Pulmonary atelectasis in anaesthesia and critical care' from the October print edition of CEACCP. Subjects discussed include recent evidence on optimum mechanical ventilation strategies and use of perioperative interventions to minimise and manage atelectasis.

Dr Sandeep Kapur, consultant in anaesthesia and pain management, discusses his article "Whiplash injury" from the August print edition CEACCP, covering diagnosis, management and prognosis of whiplash-associated disorders.

Professor Donal Buggy discusses his papers "Pharmacology of anaesthetics I: intravenous anaesthetic agents" and "Pharmacology of anaesthetics II: inhalational anaesthetic agents" from June's print edition of CEACCP. The discussion focuses on new developments in the field and preliminary results from the ENIGMA II trial.

Dr Joyce Yeung, clinical and academic anaesthetist discusses the April print edition of CEACCP, with a particular focus on the articles "Intensive care management of morbidly obese patients" and "Anaesthesia-related anaphylaxis: investigation and follow-up".

Dr Gary Minto, consultant anaesthetist and perioperative medicine researcher discusses his article 'Assessment of the high-risk perioperative patient' and the wider subject of surgical risk prediction and patient optimisation.

Dr Jeremy Langton, Editor-in-Chief of CEACCP and Eleanor Carter, trainee editor discuss the scope and aims of the journal, journals developments and the launch of the CEACCP podcast.