BJA: British Journal of Anaesthesia
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BJA: British Journal of Anaesthesia
The BJAs free podcasts will take listeners on a tour of the world of anaesthesia; interviews with authors and commentaries from key experts on featured articles, plus hot topics in anaesthesia research and practice will be published with each issue.
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Checklist 2.0 with Dr Ashley de bie Dekker
Checklists, checklists everywhere! Love them or hate them, since the introduction of the WHO surgical safety checklist there has been a tsunami of che...
Decisions, decisions, decisions... BJA Podcast with Paul Greig
Imagine you are sitting on the runway, waiting to take off to your holiday destination. As you begin to taxi the pilot announces that there is an engi...
Ketamine Kids
Children requiring urgent but simple surgery is a common place phenomenon that can sometimes wreak havoc on the best planned emergency list. Operating...
Perioperative Medicine: today, tomorrow and the future of teamworking
There has been an increasing realisation that the majority of complications from high risk surgeries are not due to technical failings in either the o...
DAS unanticipated difficult intubation guidelines 2015 overview with Dr Chris Frerk
Dr Chris Frerk, chair of the airway guideline group talk about the updated 2015 DAS guidelines. 11 years after the publication of the original, the ne...
DAS unanticipated difficult intubation guidelines 2015; Plan D with Dr Ravi Bhagrath
Probably one of the most talked about changes in the 2015 DAS guidelines will be Plan D. Whilst on a very basic level the recommendations have not alt...
Through the looking glass: awareness, BIS and an anaesthetist's perspective
Accidental awareness under general anaesthesia (AAGA) is the stuff of nightmares for patients and anaesthetists alike. Data from NAP5 has demonstrated...
Stem cell therapy - a new hope for traumatic brain injury?
Traumatic brain injury carries a devastating burden of disease for both the individual patient and the population as a whole. Many patients are young...
'Fit to fly': overcoming barriers to preoperative haemoglobin optimization in surgical patients
Patient blood management (PBM) is a multifaceted approach to reducing allogenic blood transfusion (ABT) in the surgical population. In this podcast Pr...
Fluid Thinking with Professor Monty Mythen
Assessment, calculation and composition of replacement fluid is a fundamental tenet of anaesthetic practice. Mounting evidence from the colorectal and...
They tried to make me go to prehab...
Whilst medical cancer therapies are increasing in their utility and efficacy, the physiological effects of intensive combined treatment regimes on pat...
Pregabalin use in the perioperative period: indications, dosage and the current evidence
As with many anticonvulsants, pregabalin is enjoying an ever increasing spectrum of use. Originally licensed for the treatment of epilepsy, diabetic n...
Repercussions: post-operative morbidity and the mortality hangover
Millions of operations take place in the UK each year; the majority occurring without undue patient morbidity. However, dependant on the nature of the...
Expiratory flow control: a novel mode of ventilation for the injured lung
Achieving adequate gas exchange whilst minimising ventilator induced lung inury is a major challenge in intensive care. The world of ICU ventilation i...
Pre-hospital Anaesthesia
Emergency airway management in trauma patients is a complex and somewhat contentious issue, with opinions varying on both the timing and delivery of i...
Needle Phobia - A Psychological Perspective
For anaesthetists, intravenous cannulation is the gateway procedure to an increasingly complex and risky array of manoeuvres, and as such becomes more...
Kidney donation after circulatory death: review and regional variation
Successful kidney transplants have been shown to improve quality of life for the recipients and dramatically reduce the cost of caring for patients wi...
Fluid responsiveness: an evolution in our understanding
Fluid therapy is a central tenet of both anaesthetic and intensive care practice, and has been a solid performer in the medical armamentarium for over...
Post-operative Cognitive Decline
Post-operative cognitive decline (POCD) has been detected in some studies in up to 50% patients undergoing major surgery. With an ageing population an...
Incident Reporting Systems
Widely regarded as champions of patient safety, it was anaesthetists who first pioneered incident reporting systems within hospital medicine. Signed i...
A new player in an old debate
Opinions remain divided on the best form of post-operative analgesia following lower abdominal surgery, with an even split between those favouring epi...
How effective is simulation training in anaesthesia?
As a speciality, anaesthesia has long been a champion of simulation training. But whilst ever increasing numbers of simulation based courses are avail...
An Introduction to Functional MRI
Functional MRI is an exciting but complex imaging modality that is being used with increasing frequency in anaesthesia and pain research. Understandin...
Three simple steps to instantly improve patient satisfaction
Whilst the vast majority of big number patient research focuses on physiological outcomes, few studies have attempted to investigate the factors that...
ARDS: The difficulty with a definition
Despite being defined as a syndrome over 4 decades ago, current studies estimate that over half of patients diagnosed with acute respiratory distress...
Uncertainty and the art of systematic over-simplification
With the exponential expansion of the evidence base and increasing frequency of meta-analysis, clinical guidelines have become increasingly ubiquitous...
Propofol use by non-anaesthetists in the Emergency Department
Opinions on the use of propofol by non-anaesthetists remain controversial and divided. In this podcast Dr Gavin Lloyd, an emergency physician from The...
Mortality from Anaphylaxis under Anaesthesia
Anaphylaxis under anaesthesia is a dramatic and feared phenomenon. Whilst recognition and treatment has improved largely through awareness and trainin...
Perioperative Neuraxial Block - Safety, Outcomes and Statistics
As the the debate over perioperative neuraxial blockade rages on, more fuel is added to the fire in the form of a controversial secondary analysis car...
Sound Asleep
NAP5 and the recent controversial guidance from NICE are putting commercial depth of anaesthesia monitors under intense scrutiny. How do they work? Do...
Challenges in experimental pain studies in human volunteers
This month the BJA features a volunteer study investigating the effects of low dose neuraxial clonidine from Stanford University. One of the authors o...
Neurotoxicity and Neuroplasticity
Anaesthetic neurotoxicity is currently one of the hottest research topics in anaesthesia. In June 2012 the BJA sponsored a seminar in Salzburg Austria...
Pain - recent advances, novel imaging and new challenges
Guest editor Dr Lesley Colvin introduces this special post-graduate issue of the BJA focusing on recent advances and new research in the field of pain...
Adam or Eve - who bears the burden of chronic pain?
Dr Sibtain Anwar interviews Professor Roger Fillingim on his work examining the differences in pain experienced between the sexes. Whilst a large body...
Vein visualisation with near-infrared technology
Definitely one for the tricky vein society; Dr Franklin Chiao talks us through his experience and research evaluating near-infrared devices for perpih...
The Irish are Coming
Dr Ellen O'Sullivan talks about the adoption of the BJA as the official journal of The College of Anaesthetists of Ireland. Together with Rik Thomas,...
Teleanaesthesia
Whether you relish the prospect of being on call from home or fear losing your job to a more consistently performing robot; automated anaesthesia deli...
Human factors and patient safety in anaesthesia
The majority of morbidity and mortality due to anaesthesia is unfortunately caused by human error. In this podcast, Professors Alan Merry and Jennifer...
Do team processes really have an effect on clinical performance? A systematic literature review
In this podcast, Dr Tanja Manser talks about the recent explosion of research into non-technical skills, crew resource management and team processes....
The National Audit Phenomenon
The RCoA national audit projects have enjoyed incredible success, both at home in the UK and internationally. Professor Tim Cook takes us through the...