New Zealand Anaesthesia

Specialist Pain Medicine Physician (SPMP) Dr Yvonne Murray joins Dr Morgan Edwards on the podcast for a kōrero about pain management in the intra - and - post - operative setting.

Sharing insights from a recent webAIRS case study, Dr Clayton Lam joins the podcast for a kōrero on the impacts an increased use of glucagon-like peptide-1 (GLP-1) and off-label GLP-1 agonists is having on perioperative anaesthesia care, as reported to webAIRS. The case series of incidents reported to webAIRS relating to GLP-1 agonist use written by Dr Clayton Lam, Dr D-Yin Lin, and ANZTADC Director Dr Yasmin Endlich has recently been accepted for publication in Anaesthesia and Intensive Care. Want to know more about webAIRS (Anaesthetic Incident Reporting System) visit their website: www.anztadc.net Show notes: ANZCA – Clinical practice recommendation on periprocedural use of GLP-1/GIP receptor agonist:  https://www.anzca.edu.au/resources/professional-documents/endorsed-guidelines/periprocedural-glp-1-use-consensus-clinical-guide.pdf American Association of Anesthesiologists - Most patients can continue diabetes, weight loss GLP-1 drugs before surgery, those at highest risk for GI problems should follow liquid diet before procedure: https://www.asahq.org/about-asa/newsroom/news-releases/2024/10/new-multi-society-glp-1-guidance Australian Society of Anaesthetists – Perioperative management of patients on GLP-1 receptor agonists (GLP-1 Ras): https://asa.org.au/wp-content/uploads/2024/10/ASA-FS1-Perioperative-Management-of-Patients-on-GLP-1-Receptor-Agonists-GLP-1-RAs.pdf

This episode’s guest Dr Heather Johnston, a lactation consultant and breastfeeding medicine doctor, joins the show for a kōrero about ways anaesthetists and clinicians can help support a breastfeeding parent during the perioperative period. Resources mentioned in this episode e-lactancia: Is it compatible with breastfeeding? Check the compatibility of Breastfeeding with 38,699 terms ASA Publications: Anaesthesiology. Anesthesia & Breastfeeding: More Often Than Not, They Are Compatible American Society of Anaesthesiologists: Statement on Resuming Breastfeeding after Anesthesia ANZCA: PG07 Guideline on pre-anaesthesia consultation and patient preparation. Appendix 2 Effect of anaesthesia on breastfeeding (PDF) Anaesthesia & sedation for breastfeeding parents: For clinicians. Association of anaesthetists: Guideline on anaesthesia and sedation in breastfeeding women 2020 App: Infantrisk HCP by Texas Tech University Health Sciences Center. (Apple store) (Google store) Bfedmed: ABM Clinical Protocol #35: Supporting breastfeeding during maternal or child hospitalization (PDF)

Aotearoa NZ Anaesthesia ASM (NZ ASM) keynote speaker Professor BobbieJean Sweitzer, host Dr Morgan Edwards and NZ ASM Convenor Dr Karen Park kōrero about the role of anaesthesia in perioperative medicine, the role of AI in medical publishing, finding balance, and what they’re looking forward to at this year’s meeting. Dual trained and boarded in anaesthesiology and internal medicine Prof Sweitzer is Systems Director, Preoperative Medicine at Inova Health Virginia and Professor of Medical Education at the University of Virginia. She has held numerous governance, author and editing positions and her experience includes more than 100 peer-reviewed manuscripts and abstracts. Early Bird registration is open: www.nzanaesthesia.com Aoteatora NZ Anaesthesia ASM: 7-9 November, Tāmaki Makaurau Auckland at the Aotea Centre. Aotearoa NZ Perioperative Symposium: 5 November, Whenua Pupuke Education Centre, North Shore Hospital, Tāmaki Makaurau Auckland.

How do we define trauma and what signs should we be looking for when caring for a patient? Dr Bex Parkes is a Clinical Psychologist who specialises in working with complex trauma presentations. In this episode, Bex helps us to further understand what trauma informed care means and offers some strategies to assist clinicians in identifying and helping patients who may be affected by previous trauma.

Following his highly regarded talk at the Aotearoa NZ ASM, Anaesthetist Dr Trent Cutts joins host Dr Morgan Edwards for a kōrero about vaping. Its role as a smoking cessation tool, what we do know and should be watching for in research, and vaping in the perioperative period. Plus, NZSA CEO Kylie McQuellin and President and Podcast Host Dr Morgan Edwards discuss what’s on the horizon for the Society in 2024.

"We can only influence our own scope of practice. It's reasonable that as Anaesthetists we try and clean up anaesthesia." A kōrero with the NZSA's Environmental and Sustainability Network Chair, Dr Sallie Malpas. Navigating the myriad of information on environmentally sustainable healthcare and the latest work of the network.    

Aotearoa Anaesthesia ASM 2023 Convenor Dr Priya Shanmuganathan and Scientific Convenor Dr Matt Sumner share details from behind the scenes of our upcoming conference, what to look forward to, and tips to make the most of your trip to Ōtepoti Dunedin. Then for the second half of this ASM feature episode host, Dr Morgan Edwards, talks research and perioperative issues in anaesthesia with ASM international invited speaker, Prof Frances Chung. Sadly technical issues have left some noise interference over the interview with Prof Frances Chung. It was important to us to still be able to share this with you and recommend waiting until you’re somewhere quieter for best listening.

Matt and his team in Te Tai Tokerau have evolved with the change recognising the different models needed to support the new periop degree students. They are establishing initiatives that will support students during their study, motivate more interest in clinical placements in the area and entice future graduates to their region. In this episode, Matt shares the details and how you too can support the future of the Anaesthetic Technician workforce.

National Clinical Nurse Consultant, Siân Mitchell, a registered nurse, and anaesthetic technician, was integral in the development and implementation of Southern Cross Healthcare’s Assistant to the Anaesthetist (RN-AA) training programme.  What is involved in the RN-AA training programme and how does this role work alongside our anaesthesia assistance workforce? Siân addresses these questions for us in this episode and offers insight into how our anaesthesia community can successfully support one another to offer the best for our patients.

An approachable conversation about finance and investing for Anaesthetists and trainees (or any busy Kiwi doc). For the first time, the NZSA podcast reaches outside of Anaesthesia with special guest, finance expert and The Curve co-founder, Victoria Harris. Victoria shares with host Dr Morgan Edwards helpful information for anyone, no matter your familiarity or experience on the topic. Covering: finance and investing for those starting out in their career, using an expert or going DIY, introducing investing to your children, platforms and tools and planning for your retirement.  You can visit The Curve or listen to their podcast too Useful links mentioned in this episode: https://sorted.org.nz/ https://bettersaver.co.nz/ https://indexes.morningstar.com/ generatewealth.co.nz/survey_calculator nerdwallet.com/calculator/compound-interest-calculator This episode was created for informational and educational purposes only, it does not constitute financial or investment advice. The resources mentioned are not endorsed by the NZSA.

For the second half of our volunteering abroad episodes; we travel to Afghanistan with Tauranga Anaesthetist Dr Lynette McGaughran. Lynette spent eight weeks in the Khost Maternity Hospital with Médecins Sans Frontières/ Doctors Without Borders (MSF) in 2022. In this episode, she discusses the process of getting there and her experience as the sole medical anaesthetist.

Travel to Dakar, Senegal with Waitemata Anaesthetist Dr Rebecca Brinkler following her recent experience on board Mercy Ships in Africa. From life onboard, theatre, procedures and colleagues to her challenges and highlights. Plus for those interested -just how you too could take on an adventure like this.

Special guest Dr Vanessa Beavis talks leadership, juggling a busy workload and holding the ANZCA Presidency during the pandemic with NZSA President and Podcast host Dr Morgan Edwards. Dr Vanessa is the immediate past president of ANZCA and is a specialist Anaesthetist in Tāmaki Makaurau. Her clinical interests include perioperative medicine and liver transplant anaesthesia. Prior to her role as ANZCA President she was the Director of Perioperative Services at Auckland City Hospital.

The Combined Scientific Congress (CSC) approaches this October in Wellington; the theme for this fourth episode, where we delve a little into this long-anticipated event with NZSA Podcast host Dr Morgan Edwards. We hear from Scientific Convenor, Dr Dan Frei who takes us behind the scenes of the longest planning period yet and shares some insight into what we can all look forward to and we get to know invited speakers Anaesthesia Journal Editor-in-chief, Prof Andrew Klein and WFSA President Prof Wayne Morriss. View the programme and register for CSC 2022 at www.csc2022.co.nz

Dr Wayne Morris is the President of the World Federation of Societies of Anaesthesiologists (WFSA), the first New Zealander in the position. He is a practicing anaesthetist in Christchurch, with extensive experience in medical education, neuroanaesthesia, and obstetric anaesthesia. Dr Wayne discusses his background, time working in global aid, and plans for the future with WFSA.

In this inaugural episode we hear from Dr Sheila Hart - New Zealand Society of Anaesthetists President on what's going on in the NZSA and the NZ Anaesthesia community.  We also get an update from Mike Smith on the AUT Perioperative Practice degree for Anaesthetic Technicians.  And finally Dr Rob Burrell talks to host Dr Morgan Edwards about the environment, sustainability and anaesthesia.