Obsgynaecritcare

Feb 10 2025 141 ep. 30 mins 212

Obsgynaecritcare Podcast artwork

Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.

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141 Uterine inversion with Dr David Owen

Feb 10 2025 31 mins

Hi everyone, This week I am joined again by Dr David Owen an obstetrician here at KEMH. We sit down to discuss uterine inversion - an acute obstetric emergency. Luckily this condition is relatively rare - however because of this there can be challenges in recognising and treating this condition even amongst experienced individuals. Should you be unlucky enough to encounter th

140 The Placenta Accreta Spectrum Team at KEMH Part two.

Dec 22 2024 53 mins

Hi Everyone, Welcome to Part Two of our discussion with two of the founding members of the Placenta Accreta Spectrum Team here at KEMH Dr Matt Epee-Bekima and Dr David Owen. This team was conceived in 2017 and began operating in 2018 - and has now cared for over 75 women with PAS - including 24 alone this year (2024). In this episode we continue our initial discussion with a mor

139 The Placenta Accreta Spectrum Team at KEMH Part one

Dec 17 2024 40 mins

Hi Everyone, This week I had the privilege of sitting down and recording two fascinating episodes with two of the founding members of the Placenta Accreta Spectrum Team from here at KEMH, Dr Matt Epee-Bekima and Dr David Owen. In this first episode we discuss the following: Definitions and pathology of placenta accreta spectrum What is the story behind the formation of th

138 Journal club with Graeme IJOA Nov 2024

Dec 08 2024 32 mins

Hi Everyone, Join Graeme and I as we discuss two articles chosen from last months edition of IJOA (International Journal of Obstetric Anesthesia). In the first we discuss an article exploring whether the use of intermittent calf compression can reduce hypotension and vasopressor use in women undergoing caesarean section under spinal anaesthesia. The second article looks at the u

137 GLP1 agonists and anaesthesia a discussion with Erin

Oct 21 2024 44 mins

The next patient on your elective list arrives in theatre. She is a 35 year old woman booked for hysteroscopy to investigate her menorrhagia. She has no co-morbidities so wasn't seen preoperatively in a clinic. She tells you that she has no medical problems but did start on Wegovy for weight loss about 4months ago and has now lost about 12kg. She hasn't eaten anything since 9pm las

136 Total spinal anaesthesia with Graeme

Oct 14 2024 52 mins

Your patient arrives in the anaesthetic room next to theatre, she's booked for a non elective caesarean for failure to progress. She has an epidural in situ and you decide try to top it up - however after 25ml of lignocaine 2% with adrenaline and around 20min of waiting the block is stuck at the umbilicus and she can still move her legs relatively freely. This is obviously not goin

135 The EXIT procedure with Lloyd Green

Sep 15 2024 38 mins

What is the EXIT procedure? Who is it used for and how do we do it? In our institution this procedure only occurs on average every 3-4 years. It is an event where a large diverse group of individuals, who often have never met each other, come together for a brief period of time to work as a highly complex team to achieve a great result for both the mother and baby. Join Lloyd

134 Journal Club – a discussion of the 2023 Gerard Ostheimer lecture with Matt Rucklidge

Hi Everyone, This week Matt and I agreed to get together to do another journal club episode (or more accurately I printed out an article, put it in Matt's pigeon hole and told him to make himself available or else!). We went to one of our favourite journals IJOA (International Journal of Obstetric Anesthesia), where we chose an article from the latest edition published in May

133 NAP7 a discussion and review with Jacob

Jul 24 2024 44 mins

Hi everyone, This week I sit down with Jacob one of the provisional fellows in our department and we discuss the findings from the latest UK National Audit Project - NAP7 - which this time investigated Perioperative cardiac arrest. REFERENCES NAP7 - Royal College of Anaesthetists

132 The soiled airway with Nathan Blakely

Jul 14 2024 46 mins

A woman collapses with abdominal pain in a restaurant & then the initial evaluation in the ED she is diagnosed with suspected ruptured ectopic pregnancy. She is brought straight into your theatre and you perform a rapid sequence induction. You place your video laryngoscope into her mouth and all you see is vomitus and fluid, your yankauer sucker is blocked with food and doing nothi