You recline your seat back, adjust your neck pillow, eye mask and close your eyes. Finally you are about to have that well earned nap. It was exhausting having to get up at 3am to head to the airport for this unpleasantly scheduled early flight

128 Uterine rupture a discussion with Dr David Owen

Apr 9th, 2024 30m 40s

You are called to review a woman in labour ward. When you arrive you are told her epidural is no longer working. The epidural was placed by a colleague 5 hours ago and was working well. However in the last 20-30 minutes she has developed break

127 Maternal mortality reports with Dr Matt Rucklidge

Apr 4th, 2024 57m 11s

A maternal death is always a tragic event for the mother, the child, the family and society at large. Unfortunately in some parts of the globe this is still a much too common event. Luckily for those of us living in higher resource countries it

126 Anaesthetic management of the pregnant woman with Achondroplasia with Declan

Mar 25th, 2024 34m 15s

As the duty anaesthetist you are called down to the antenatal clinic by the obstetric team to see a pregnant woman with achondroplasia who is booked to deliver in your hospital.What are the anaesthetic issues which can arise in this conditi

125 PRES a discussion with Graeme

Mar 5th, 2024 29m 42s

You are called to a code blue on the postnatal ward. A 28 yr old female who is 1 day post a non elective caesarean section has just had a witnessed convulsion lasting 1-2 min. She has now regained consciousness but seems a little confused and i

124 Journal club with Declan

Dec 21st, 2023 45m 42s

Hi everyone,Join us this episode - Declan and I have scoured the literature for a few interesting articles of varying degrees of quality! We had fun discussing these articles and hopefully you will also enjoy our discussion.Hopefully we

123 Obstetric anaesthesia and the abnormal spine with Graeme

Dec 11th, 2023 34m 3s

You are called to labour ward to place an epidural in a nulliparous woman who is obviously extremely distressed in pain. After you sit her up to clean her back you notice she has a long scar running down the middle of her back. Between contract

122 Reflections on the THOR THUNDER conference with Graeme and Emelyn

Nov 21st, 2023 42m 36s

Hi Everyone,Whole blood, freeze dried plasma, refrigerated or frozen platelets....On Oct 31st - Nov 3 Graeme, Emelyn and I attended the THOR - THUNDER conference hosted here in Perth at the Rendezvous Hotel in Scarborough. Who is TH

121 PBM Case discussion with Anastazia and Nolan part 3 blood is not an option.

Oct 17th, 2023 42m 44s

Hi everyone,Welcome to part 3 of a 3 part series we have put together – 3 hypothetical cases involving anaemia / patient blood management scenarios. Thanks to the two great colleagues who made these discussions with me, Dr Anastazia Keegan

120 PBM case discussion with Anastazia and Nolan part 2 postpartum anaemia

Oct 9th, 2023 36m 26s

Hi everyone,Welcome to part 2 of a 3 part series we have put together – 3 hypothetical cases involving anaemia / patient blood management scenarios. Thanks to the two great colleagues who made these discussions with me, Dr Anastazia Keegan

119 PBM case discussion with Anastazia and Nolan part 1 preop anaemia

Oct 2nd, 2023 40m 25s

Hi everyone,Welcome to part 1 of a 3 part series we have put together - 3 hypothetical cases involving anaemia / patient blood management scenarios. Thanks to the two great colleagues who made these discussions with me, Dr Anastazia Keegan

118 Challenges of lactate interpretation with Tim and Declan

Sep 19th, 2023 43m 56s

You are phoned and asked to review the venous blood gas from a woman who has just given birth in labour ward. She had a long and difficult labour and eventually required an instrumental delivery. The RMO tells you also that she was very difficu

117 Toxicity of neuraxial tranexamic acid with Graeme

Aug 3rd, 2023 40m 3s

Hi Everyone,"Three minutes after the administration on the spinal anaesthetic they became restless and complained of severe pain in both lower limbs and back. Their heart rate and blood pressure increased to 130bpm and 160/100 mmHg. A rapid

116 Epidural local anaesthetics and another TXA article with Siv

Jul 31st, 2023 41m 59s

Hi Everyone,Join Siv and I as we sit down to discuss a couple of interesting obstetric related topics. The first is the pharmacology around the choice and strength of local anaesthetics used in epidural analgesia - thanks Siv. The second pa

115 Congenital bleeding disorders in pregnancy with Dr Anastazia Keegan

Jul 17th, 2023 54m 54s

Hi Everyone,This week we are joined by Dr Anastazia Keegan an obstetric haematologist and the head of Haematology at our Women's hospital here in Western Australia. Join us as Anastazia educates us about congenital bleeding disorders in pre

114 Highlights from the OA SIG Meeting Sydney part 2

May 23rd, 2023 41m 52s

Hi Everyone,This is part 2 of a discussion (see the previous episode for part 1).We have just returned from the Obstetric Anaesthesia Special Interest Group Satellite meeting held on May 3-4. I sat down two days after the meeting with D

113 Highlights from the OA SIG Meeting Sydney part 1

May 18th, 2023 32m

Hi Everyone,We have just returned from the Obstetric Anaesthesia Special Interest Group Satellite meeting held on May 3-4. I sat down two days after the meeting with Dr Matt Rucklidge (the convenor of this meeting and a colleague here at KE

112 Peripartum hyponatraemia with Jess & Siv

Apr 18th, 2023 43m 48s

You are called to a code blue medical on labour ward - a previously well nulliparous woman has just had a seizure, and now seems confused. Her observations are normal, she is not hypertensive and the CTG appears fine. She is presumed to have ha

111 – Remifentanil PCA in labour – the Belfast experience with Mike Jamison

Apr 13th, 2023 47m 44s

Hi Everyone,In our tertiary women's hospital here in Perth we use remifentanil PCA in labour approximately 15 times a year - and we are told that in Australian terms this is considered a "heavy user" of this labour analgesic technqiue.T

110 Rare diseases and OrphanAnesthesia with Siv and Sarah.

Apr 5th, 2023 23m 41s

You are referred a patient who needs urgent surgery and the obstetrician tells you she has some obscure medical condition which you have never heard of before. Does her condition have any implications for the safe conduct of anaesthesia? How ca

109 Radial arterial line strategies to prevent failure with Graeme & Siv

Mar 1st, 2023 35m 7s

Arterial lines - let's face it who doesn't love them? When you have a truly sick patient these humble and often underrated devices bring so much to the table, precise control of the haemodynamics, assessment of gas exchange, blood sampling to a

108 Postoperative pulmonary complications and protective lung ventilation strategies with Lloyd Green

Feb 9th, 2023 52m 53s

(Hypothetical case) You are called to the PACU to review a patient, who despite face mask oxygen has saturations of only 88%. She is a woman in her 50s who has just undergone a 3 hour laparoscopic hysterectomy for endometrial cancer. She ha

107 TIVA for GA caesarean with Parita & Sneha

Jan 11th, 2023 39m 8s

Hi everyone,This week three of us sit down to discuss a great review article (and topic) - the use of TIVA (total intravenous anaesthesia) for GA caesarean surgery. For many the classic technique for a GA caesarean has been thio / sux t

106 NRFIT and wrong route errors – a discussion with Graeme.

Dec 15th, 2022 27m 49s

Hi Everyone,You receive a phone call at 2am from a junior colleague who tells you that they are managing a code blue caesarean section and in the confusion of urgently administering a number of different medications they have just accidenta

105 Nitrous oxide for labour analgesia with Graeme

Nov 22nd, 2022 37m 40s

Hi everyone,This week Graeme and I sit down for the first time in nearly a year and do a bit of a deep dive on the use of nitrous oxide as an analgesic in labour. We drop a few dad jokes, discuss the history of inhaled analgesics, nitrous o