PeriopMed Podcast Series

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  1. Episode 27: Looking after your Wellbeing during COVID-19
    - Dr Harry Gibbs, Ms Joanne Gibbs
    - Dr Lakmini De Silva

    - Description: Dr Lakmini De Silva is discussing with Dr Harry Gibbs and Ms Joanne Gibbs regarding Wellbeing during COVID-19 outbreak
  2. Episode 26: High-risk PreOperative Clinics
    - Prof. Ramani Moonesinghe
    - Host: Dr Marissa Ferguson

    - Description: Professor Ramani Moonesinghe discusses the preoperative assessment of high-risk patients scheduled for major noncardiac surgery preoperatively.
  3. Episode 25: Publishing your paper in a top Medical Journal
    - Presenter: Prof. Jocalyn Clark
    - Host: Prof. Paul Myles

    - Description: An insider’s view of how the major medical journals function, what types of articles they’re looking for, and why an anaesthesia study could be of interest to a broader medical audience.
  4. Episode 24: Improving care for patients needing an Emergency Laparatomy
    - Presenter: Dr Tom Poulton
    - Host: Dr Jonathan Nicholson

    - Description: With the start of the first national perioperative audit - The Australian and New Zealand National Emergency Laparotomy Audit (ANZELA), Dr Jonathan Nicholson discusses the project with Dr Tom Poulton, an anaesthesiologist and research fellow with the National Institute of Academic Anaesthesia (NIAA) and Health Services Research Centre (HSRC) in the UK who was involved in the UK NELA project. He discusses the experience learnt from this quality assurance project and the results of the nationwide quality improvement research project (EPOCH) that was published in the Lancet earlier this year that trialled the introduction of a pathway for patients requiring an Emergency Laparotomy.
  5. Episode 23: Perioperative Management of HFpEF
    - Presenter: Dr Angeline Leet
    - Host: Dr Marissa Ferguson

    - Description: Heart failure with preserved ejection fraction (HFpEF) is an increasingly recognised but commonly misunderstood condition. Cardiologist Dr Angeline Leet and POM5102 coordinator Dr Marissa Ferguson discuss the diagnosis, optimisation and perioperative management of patients with HFpEF.
  6. Episode 22: Human Factors and Improved Perioperative Care
    - Presenter: Dr Stuart Marshall
    - Host: Dr Jamie Smart

    - Description: How can human factors engineering improve the perioperative experience of our patients? Resident expert Dr Stuart Marshall discusses the role of human factors in designing better perioperative care pathways and processes.
  7. Episode 21: Health Economics and Improved Perioperative Care
    - Presenter: Prof. Danny Liew
    - Host: Dr Jamie Smart

    - Description: Health economics is the branch of economics concerned with the costs, effectiveness and consumption of healthcare. Professor Danny Liew discusses why clinicians should give greater consideration to health economics, and the importance of using Real-World Evidence in analysing the cost and value of perioperative interventions.
  8. Episode 20: Perioperative Cognitive Outcomes
    - Presenter: Prof. David Scott
    - Host: Dr Christine Ball

    - Description: Professor David Scott discusses perioperative cognitive outcomes and why new nomenclature was needed.
  9. Episode 19: Perioperative Prevention of Postoperative Pulmonary Complications
    - Dr Brian Chen

    - Description: Dr Brian Chen discusses common Postoperative Pulmonary Complications and their impact on patients and the health care system. He explores risk predictors and key perioperative prevention measures. An important topic for all perioperative clinicians.
  10. Episode 18: SGLT2 inhibitors in the Perioperative period
    - Presenter: Dr Justin Burke
    - Host: Dr Jonathan Nicholson

    - Description: Dr Jonathan Nicholson asks Dr Justin Burke how to safely navigate patients taking SGLT2 inhibitors through the perioperative period. Clinical dilemmas are discussed and practical guidance provided with discussion involving recent publications on detection, prevention and management of euglycaemic ketoacidosis.
  11. Episode 17: Managing Opioids in the Perioperative Period
    - Presenter: Dr Kerry McLaughlin
    - Host: Dr Jamie Smart

    - Description: The use of slow release opioids in the perioperative period has been associated with respiratory depression, increased chronic post-surgical pain and other serious adverse events. Pain specialist Dr Kerry McLaughlin discusses ways to minimise these risks including the role of \'safer opioids\' and perioperative opioid sparing techniques.
  12. Episode 16: Measuring Surgical Outcomes
    - Presenter: Prof Paul Myles
    - Host: Dr Christine Ball

    - Description: It is important to audit surgical outcomes if we are going to provide high quality health care. Professor Paul Myles discusses a novel outcome measure, days at home 30 days after surgery, and why a recent paper utilising this measure may be one of the most important he has written to date.
  13. Episode 15: Pregabalin in perspective
    - Presenter: Prof. David Scott
    - Host: Dr Christine Ball

    - Description: Pregabalin is an analgesic agent which has attracted some adverse publicity recently. Prof David Scott discusses the appropriate use of this non-opioid analgesic agent.
  14. Episode 14: Measurement of Exercise Tolerance for Surgery study and patient centred outcomes
    - Presenter: Dr Mark Shulman
    - Host: Dr Stuart Hastings

    - Description: Dr. Mark Shulman is a member of the METS study investigation team whose work was published in The Lancet in 2018. Additionally, he is the primary author of a recently published substudy addressing pre operative functional and biomarker assessment as it pertains to patient-centred outcomes. In this podcast, Mark outlines the findings of both studies to help the modern-day perioperative physician negotiate the management of patients with a significant cardiac risk factor burden in this challenging phase of care.
  15. Episode 13: Postoperative Oxygen and Surgical Site Infection
    - Presenter: Prof Paul Myles
    - Host: Dr Christine Ball

    - Description: In 2016, the WHO made a strong recommendation that certain patients should have 80% oxygen administered in the immediate postoperative period for 2-6 hours to decrease the risk of surgical site infection. Prof Paul Myles discusses the reasons this recommendation disturbed him and his subsequent actions.
  16. Episode 12: Acute Severe Burns
    - Presenter: Dr Heather Cleland
    - Host: Dr Simon Hendel

    - Description: Burns can be a confronting and challenging clinical problem which present significant issues for the perioperative practitioner. In this episode, Dr Simon Hendel speaks with Dr Heather Cleland, consultant plastic surgeon and director of the Victorian Adult Burns Service at The Alfred Hospital, to gain insights into the diagnosis, management and prognosis of acute severe burns.
  17. Episode 11: Leading Cultural Change
    - Presenter: Air Vice-Marshal Tracy Smart
    - Host: Dr Simon Hendel

    - Description: Air Vice-Marshal Tracy Smart is the Commander of Joint Health Command and the Surgeon General of the Australian Defence Force. She is the highest ranking uniformed medical officer in the Australian Defence Force and only the third woman to reach 2-Star-rank in the history of the Royal Australian Air Force. She recently delivered the Kester Brown Address at the Australian Society of Anaesthetist’s National Scientific Congress in Adelaide. In this episode, AVM Smart speaks with Dr Simon Hendel about leading cultural change. Dr Simon Hendel is an anaesthetist and trauma consultant at the Alfred and a lecturer in the Department of Anaesthesia and Perioperative Medicine at Monash University. Note: the number of women in Defence is currently 17.9%, not 20% as quoted.
  18. Episode 10: Doctors Wellbeing
    - Presenter: Dr Kym Jenkins
    - Host: Dr Lucky De Silva

    - Description: Interview with Dr Kym Jenkins, president of the Royal Australian and New Zealand College of Psychiatrists. Discussion about the mental health of the medical professional. Recent medial coverage, what we know, common themes of unhappy doctors and future directions.
  19. Episode 9: Massive Transfusions
    - Presenter: Dr Simon Hendel
    - Host: Dr Christine Ball

    - Description: Massive transfusions are not confined to major teaching hospitals or to trauma centres – they can occur in many other settings. In this podcast, Dr Simon Hendel discusses the use of massive transfusions and massive transfusion protocols. In particular, he explores the issue of pre-hospital resuscitation and how a massive transfusion protocol may be helpful even in a remote country hospital with limited resources.
  20. Episode 8: Perioperative Fasting
    - Presenter: Dr Jonathan Nicholson
    - Host: Dr Simon Hendel

    - Description: Pulmonary aspiration of gastric contents is a rare but serious complication of anaesthesia. Fasting prior to surgery to minimise the risk of aspiration has been an accepted necessity of preoperative care for decades. In this podcast, Dr Jonathan Nicholson discusses some of the evidence surrounding modern fasting practices. He will explore some of the newer approaches to preoperative fasting that have been prompted by a focus on Enhanced Recovery After Surgery protocols and how to ensure patients who are fasting aren’t necessarily starving.
  21. Episode 7: The RELIEF
    - Presenter: Prof Paul Myles
    - Host: Dr Jonathan Nicholson

    - Description: Dr Jonathan Nicholson interviews principal investigator Professor Paul Myles on the results of the RELIEF trial - a large randomised controlled trial looking at liberal vs. restrictive fluid therapy during and after major abdominal surgery.
  22. Episode 6: Perioperative Changes In Cognitive Function
    - Presenter: Dr Margot Lodge
    - Host: Dr Jamie Smart

    - Description: In an ageing population, the percentage of patients undergoing surgery aged over 65 years is increasing. Dr Margot Lodge, Geriatrician, discusses the importance of understanding the changes in cognition that can occur across the perioperative period.
  23. Episode 5: The Emergency Manual
    - Presenter: Dr Brendan Flanagan
    - Host: Dr Christine Ball

    - Description: Dr Brendan Flanagan is a specialist anaesthetist with a special interest in crisis management and human factors. Brendan played a pioneering role in the introduction of healthcare simulation in Australia, initially through the introduction of crisis management courses in anaesthesia at the Southern Health Simulation Centre. More recently he has been involved in adapting an Emergency Manual for use in the Operating Suite at The Alfred Hospital.
  24. Episode 4: The Opioid Epidemic
    - Presenter: Dr Kerry McLaughlin
    - Host: Dr Jamie Smart

    - Description: Dr Kerry McLaughlin is a pain specialist at The Alfred Hospital and has been closely following the global opioid epidemic. She discusses the local situation and whether the prescribing of opioids by perioperative physicians is part of the problem.
  25. Episode 3: Can Perioperative teams impact on Post-Operative complications?
    - Presenter: Dr Jonathan Nicholson
    - Host: Dr Jamie Smart

    - Description: Dr Jonathan Nicholson is the coordinator of the Short Course in Perioperative Medicine, Monash University. Using the experience of the perioperative ward round at the Alfred Hospital he discusses the question Can Perioperative teams impact on postoperative complications?
  26. Episode 2: Anaemia
    - Presenter: Prof Toby Richards
    - Host: Dr Christine Ball

    - Description: Toby Richards, Professor of Surgery at University College London discusses anaemia and iron deficiency in the perioperative period. He explains how a good understanding of this subject can enhance patient blood management and improve patient outcomes.
  27. Episode 1: Advance Care Planning
    - Presenter: Dr Debra Leung
    - Host: Dr Jamie Smart

    - Description: Advance Care Planning is a voluntary process that safeguards the patients right to express future preferences and wishes about their healthcare for a time when they are no longer able to independently express.