Breaking Through the Block: Perioperative Strategies for Patients on Naltrexone
By Monique Findlay, Zheng Cheng Zhu Article Reference: Whately, Y. and Stead, M. (2023) ‘Perioperative [...]
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Understanding perioperative hypothermia
Understanding perioperative hypothermia By Dr Jessica Spurio Key reference: Riley, C. and J. Andrzejowski (2018). [...]
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Heparin and Cardiopulmonary Bypass Surgery
By Dr Hojat Bahadori, Zheng Cheng Zhu Key Reference Iglesias, I. Kaplan’s Cardiac Anesthesia: Perioperative [...]
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Navigating Trauma Airway Management: Teamwork, Tools and Techniques
By Ramis Hassan, Zheng Cheng Zhu Key reference: Athanassoglou V, Rogers A, Hofmeyr R. In-hospital [...]
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The Physiologically Difficult Airway: considerations beyond anatomy
By Zheng Cheng Zhu Key reference: Karamchandani et al. (2024). Tracheal intubation in critically ill [...]
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Step by Step: An Introduction to Lower Limb Anatomy
By Dr. Anei Ochan-Thou, Dr. Zheng Cheng Zhu, Dr. Nicola Wevling, Dr. Lahiru Amaratunge. [...]
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Sugar Rush: Managing SGLT2 Inhibitors and DKA Risks
By Florencia Moraga Masson, Zheng Cheng Zhu Key reference: Hamblin, P. S., Wong, R., Ekinci, [...]
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Paging Dr AI – the New Future Face of Medicine
By Fawaz Prem Navaz, Dr. Zheng Cheng Zhu, produced with AI assistance (NotebookLM) Quick Summary [...]
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A single case of a successful sphenopalatine block in a patient with a post dural puncture headache
Case Report Corresponding Author: S. Muthu S. Muthu,1 L. Amaratunge,2 1. Intensive Care Registrar, Western [...]
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Gastric Ultrasound – A peek into safer anaesthesia
By Monique Findlay, Zheng Cheng Zhu Key reference: Sidhu, N. S., & Pozaroszczyk, A. J. [...]
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Erecting the Pillars of Anaesthesia – Bringing Pain Free Surgery Into Reality
Erecting the Pillars of Anaesthesia- Bringing Pain Free Surgery Into Reality By Fawaz Prem Navaz, [...]
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Rationalising the current intraoperative analgesia climate – how can we minimise opioid use?
By Nicola Wevling, Zheng Cheng Zhu Key reference: Verret, P et al (2024). Intraoperative pharmacological [...]
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Really tired? Drink coffee: The Brachial Plexus in View
By Anei Ochan-Thou, Zheng Cheng Zhu, Lahiru Amaratunge The brachial plexus. The harbinger of nightmares [...]
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New consensus statement on Postdural Puncture Headache: renewed thoughts on your headache after a backstab
By Zheng Cheng Zhu Key reference: Uppal V, Russell R, Sondekoppam R, et al. Consensus [...]
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Opioid Induced Hyperalgesia: when less is more in pain management
By Luke Chan Key reference: Velayudhan, Bellingham & Morley-Forster. (2014). Opioid-induced hyperalgesia. Continuing Education in [...]
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Coagulopathies in Anaesthesia Part 2: An Overview of Acquired Disorders of Haemostasis
Dr Wendell Zhang Disclaimer This is an educational piece and is not intended to provide [...]
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Coagulopathies in Anaesthesia Part 1: Implications of Inherited Disorders of Coagulation on Anaesthetics
Dr Wendell Zhang Disclaimer This is an educational piece and is not intended to provide [...]
Read Article >Allergy and Anaesthesia: Managing the Risk
By Victor Li Key reference: Savic, L., Stannard, N. and Farooque, S. (2020). Allergy and [...]
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The ABC’s of Physiology during Laparoscopic Surgeries
By Dr Wendell Zhang Key Takeaways Laparoscopic surgeries improve patient outcomes Anaesthetists should be aware [...]
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Is tranexamic acid safe and effective in reducing bleeding in non-cardiac surgery? The POISE-3 trial
By Zheng Cheng Zhu Key reference: Devereaux et al. (2022). Tranexamic Acid in Patients Undergoing [...]
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Your 75-year-old hip fracture case is at risk of post-op delirium, but what about dementia?
Dementia risk following general or regional anaesthesia by Dr. Matthew Vella @mjv.igee #Anaesthesia #anaesthetics #anesthesiology [...]
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Delayed gastric emptying: an unwanted effect of glucagon like peptide 1 agonists in the perioperative setting
By Zheng Cheng Zhu Key reference: Olesnicky, B. (2023). GLP-1 agonists and gastric emptying. Bulletin. [...]
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Anaesthesia for electroconvulsive therapy
Stripp TK, Jorgensen MB, Olsen NV. Anaesthesia for electroconvulsive therapy – new tricks for old [...]
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Perioperative considerations for transgender and gender diverse adults
By Victor Li Key Reference: Harding D, Marsh S, Lennie Y. Perioperative considerations for transgender [...]
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Presenting a case to a consultant
Presenting a case to a consultant pre-op as a medical student or junior doctor can [...]
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Is our every-day “milk of amnesia” really safe? Review of recent meta-analysis on propofol and associated mortality
By Zheng Cheng Zhu Quick Summary Propofol (2,6-diisopropylphenol) is one of the most widely-used hypnotic [...]
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Performing Spinal Anaesthesia for Caesarean Sections
What should I know? Basic Anatomy In the adult, the spinal cord ends at the [...]
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Compensation in acid-base disturbances
By Dr Garzarella Metabolic acidosis Expected pCO2 = 1.5 × [HCO3] +8 ±2 Metabolic alkalosis [...]
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Non-technical skills in cardiac arrests: a brief practical summary
Cardiac arrests are associated with significant mortality and are often unexpected and extremely stressful for [...]
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Are anaesthesiologists more likely to commit suicide?
By Dr Tommaso Gasparello A 45-year-old anaesthetist was found dead in the doctor’s room of [...]
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Arterial Tourniquet Use During Anaesthesia
Definition of Tourniquet: a constricting or compressing device used to control venous and arterial circulation [...]
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Bradycardias During Anaesthesia
Bradycardia is defined as a heart rate below 60bpm and occurs commonly under anaesthesia. Although [...]
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Haemodynamic Effects of Propofol
An 80kg 50yo male enters theatre directly from the emergency department for an urgent laparotomy. [...]
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Would you give dexamethasone to your total knee replacement case with a history of type 2 diabetes and severe PONV?
The PADDI trial by Dr. Matthew Vella @mjv.igee PADDI (The Perioperative ADministration of Dexamethasone and [...]
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Does IV Iron Infusion for Pre-operative Iron Deficiency Anaemia (IDA) Improve Outcomes? Implications of the PREVENTT trial
By Zheng Cheng Zhu Key reference: Richards, T., Baikady, R. R., Clevenger, B., Butcher, A., [...]
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ABG interpretation
By Dr Jessica It is important to interpret arterial blood gases in a systematic manner, [...]
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Chronic Kidney Disease and Anaesthesia
A summary of this fantastic BJA education article: https://www.clinicalkey.com.au/#!/content/playContent/1-s2.0-S2058534922000506 [...]
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Anaesthesia Without An Anaesthetist?!
By Dr Angus Hayes About the author Dr Angus Hayes is an Australian ICU registrar [...]
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Bag-mask Ventilation Practice Essentials
By Dr. Nam Gupta Contents Overview The Grip Optimising Bag-mask ventilation (BMV) Overview Methods of [...]
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Optimal Patient Positioning for intubation and airway management
By Dr. Harrison Whiting Have you ever had difficulty trying to ventilate a patient [...]
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Hypernatremia – where salt goes water follows
by Adam George Definition Hypernatremia refers to a high blood sodium concentration. Hypernatremia can be [...]
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Post-operative Nausea and Vomiting (PONV)
By Zheng Cheng Zhu Key reference: Gan, T. J., Belani, K. G., Bergese, S., Chung, [...]
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Your next case is a 66-year-old with coronary artery disease booked for a bowel resection: will you still use nitrous oxide?
The ENIGMA-II trial by Dr. Matthew Vella @mjv.igee #Anaesthesia #anaesthetics #anesthesiology #anesthesia #anesthetic #abcsofanaesthesia #medicine [...]
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Sustainable healthcare in anaesthesia
A review of the environmental impacts of desflurane and nitrous oxide By Yannick De Silva [...]
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What is hyperkalaemia and why is it important?
Definition Hyperkalaemia refers to a state of high serum potassium (K+), typically > 5.5 mmol/L. [...]
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Would you choose general or regional anaesthesia for your paediatric case? What you need to know about the GAS trial
by Dr. Matthew Vella Title: Neurodevelopmental outcome at 5 years of age after general anaesthesia [...]
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An 80-year-old patient with a fractured neck of femur (NOF) on warfarin is on your trauma list: would you proceed or postpone? Updates to hip fracture management
by Dr. Matthew Vella @mjv.igee #Anaesthesia #anaesthetics #anesthesiology #anesthesia #anesthetic #abcsofanaesthesia #medicine #anesthesiologist #anaesthetist #anesthetist [...]
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You never regret an arterial line
Imagine you arrive at your morning urology list with 7 cystoscopy cases. Your 1st patient [...]
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Learning from your anaesthesia assistant/nurse
I remember one stressful case of a patient who was septic, and suffering a post [...]
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Unresponsive Hypotension
You induce a 60yo male for an aorto-bifemoral bypass with severe leg claudication. He has [...]
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What is Hypokalaemia and why is it important?
Definition Hypokalaemia simply means low blood potassium (K+). Mild hypokalaemia refers to a serum potassium [...]
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Anaesthesia Medical Elective Rotation
Anaesthesia Medical Elective Rotation Welcome to anaesthesia! Your anaesthesia rotation will be one of the [...]
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How To Succeed
How to succeed on your anaesthesia rotation I remember the nervous excitement of my first [...]
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ABCs guide to crisis management
Imagine it’s your first month in anaesthesia. 30mins into an elective laparoscopic cholecystectomy your consultant [...]
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What’s the Point of Anaesthesia
Why do we do what we do and why that makes us a big deal [...]
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What do I need to know from the surgeon?
The other side of the blood brain barrier When I first began anaesthesia training, I [...]
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The Pre-anaesthesia Checklist for any Induction
When you first arrive in theatre it is reasonably rare that everything isn’t ready for [...]
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ABCs Guide to Anaesthesia Medications
What’s so special about anaesthesia meds? Anaesthesia medications are some of the most effective and [...]
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A basic guide to preoperative assessment
What is the preoperative assessment and what is its purpose? A consultation performed by an [...]
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Anaesthesia Logbook
I highly recommend keeping an Anaesthesia logbook! Why? You are able to keep track of [...]
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ABCs of Ventilation in Anaesthesia
Click here to download this as a PDF file. Aim To give you a step [...]
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Valve lesions
Aim: To give you a grasp of the important valve lesions, identify severity and how [...]
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The Critical Inductions in Anaesthesia
After you have performed your first 1000 or so inductions in anaesthesia you’ll probably realise [...]
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What is the ANZCA final exam?
This exam is the final exam which anaesthesia trainees must pass prior to gaining specialist [...]
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How do you pass this exam?
This exam is an incredibly challenging exam that requires a large amount of time, effort, [...]
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The Dreaded Cover Letter
Love them or loathe them, the cover letter is an essential component of your application [...]
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Perfecting your Resume
Every year selection committees for critical care jobs receive hundreds of Resumes/curriculum vitae’s (CVs) from [...]
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Seeking out strong references
References are arguably the most important element of your job application. While the CV and [...]
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Optimising Your Memory
Tips and tricks to maximise your potential for this exam There’s few times in your [...]
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How to Learn Tables of Information
Click to download this as a PDF Document Primary Exam This gruelling exam is a [...]
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The Power of Mentors
Navigating a new career path can be daunting. This is especially true for junior doctors [...]
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Tips for getting started with research and audit
The idea of contributing to medical research typically evokes a strong range of reactions from [...]
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Benefits of Continuing Medical Education
Critical care disciplines, especially anaesthesia, are becoming increasingly popular. It is now commonplace for Australian [...]
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Pain Workbook
Click to download this as a PDF Document Objectives Define pain Explore how it is [...]
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Management of the Deteriorating Patient
Click to download this as a PDF Document Objectives By the end of this module [...]
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How to Solve Common Problems
Click to download this as a PDF Document Objectives To develop a thorough system for [...]
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Advanced Life Support
Click to download this as a PDF Document Objectives By the end of this module [...]
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The ANZCA First Part Exam Study Plan!
This exam is one of the most gruelling exams of all the medical specialties. Check [...]
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The subtle sounds of the operating theatre!
A brief introduction to the critical signals beyond what you can see Most anaesthetists probably [...]
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How to get started with regional anaesthesia
How to increase your learning curve when there are limited learning opportunities It seems that [...]
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How risky is surgery?
Surgery is such a complex field with immense variability in every patient. The ACS NSQIP [...]
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Trust the process…
Whether you are a medical student just starting on your anaesthesia journey or an experienced [...]
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