Anaesthesia on Air is the Podcast from the Royal College of Anaesthetists. The Royal College of Anaesthetists is the professional body responsible for the speciality throughout the UK.
We are the third largest Medical Royal College in the UK by membership. With a combined membership of 23,000 fellows and members, we ensure the quality of patient care by safeguarding standards in the three specialities of anaesthesia, intensive care and pain medicine. We are always looking for new content, so if you have any ideas, or would like to get involved, please contact us at: podcast@rcoa.ac.uk (mailto:podcast@rcoa.ac.uk) .
In the first episode of this new ethics and law podcast series, Dr Paul McConnell is joined by healthcare law expert Dr Anna Nelson to explore one of the most fundamental principles in healthcare: consent.
Together, they discuss why consent is far more than a signed form, examining the legal, ethical, and practical issues that shape informed decision-making. From landmark cases such as Montgomery to the challenges of capacity, communication, coercion, and risk disclosure, this episode offers a thought-provoking introduction to patient-centred care and the evolving legal landscape of consent.
An essential listen for anyone interested in ethics, law, anaesthesia, intensive care, and modern clinical practice.
The next episode from our colleagues at TopMedTalk features Andy Cumpstey interviewing Louise Savic, consultant anaesthetist and NIHR doctoral researcher at Leeds Teaching Hospitals NHS Trust, UK, who specialises in drug allergy and peri-operative anaphylaxis, and Tom Abbott, clinical senior lecturer in anaesthesia and peri-operative medicine at Queen Mary University of London, UK, and a consultant anaesthetist whose research uses clinical epidemiology and trials to improve surgical outcomes and reduce peri-operative complications.
The discussion highlights the vast disparity between true drug allergies and mislabelling, emphasizing that around 90-95% of penicillin allergy labels are incorrect. Dr. Savic shares her journey in drug allergy research, focusing on the perioperative setting, while Dr. Abbott discusses the linkage between antimicrobial prescribing and resistance.
The talk covers results from the Sapphire Project, revealing the high incidence of mislabelled drug allergies and their associated increased postoperative risks. The episode also explores potential strategies for ‘de-labelling’ patients, the role of multidisciplinary collaboration, and the next steps in research and practice change.
This was recorded at the RCoA's Anaesthesia Research 2025 event and was first released on TopMedTalk in February 2026.
The next episode from our colleagues at TopMedTalk features Andy Cumpstey interviewing James Bowness, Consultant Anaesthetist, at University College London Hospitals NHS Foundation Trust and an Honorary Associate Professor of Anaesthesia at University College London.
James and Andy discuss the definition and scope of AI, how it can be applied to healthcare, why Apple's approach to technology product development doesn't work in healthcare, and how clinicians can meaningfully get involved. James advocates for better links between industry and academia or clinical practitioners, and sees the opportunities for a so-called 'second mover advantage', to learn from successes and failures elsewhere before adopting them in anaesthesia and perioperative care. James shares the exciting work he's done with a national demand-signalling project for AI in anaesthesia.
Andy spoke to James at the RCoA's Anaesthesia Research 2025 event in an episode first released in February 2026.
Useful Links:
Recorded November 2025, released on TopMedTalk February 2026.
We have a departure from normal programming with an episode from our friends at TopMedTalk. Andy Cumpstey spoke to Joe Alderman at the RCoA's Anaesthesia Research 2025 event about the challenges of AI in healthcare in an episode first released in February 2026.
Dr Alderman started his career in cell biology and immunometabolism and is an NIHR Clinical Lecturer in Anaesthetics and Postdoctoral Researcher in AI and Digital Health.
Joe gives a nuanced and thoughtful perspective on why and how AI can fail to benefit patients, and how to address this gap. This TopMedTalk interview is a fascinating insight into a fast-moving and very current topic.
Useful Links:
Recorded November 2025, released on TopMedTalk February 2026.
In this episode Dr Eoin Dore discusses wellbeing at work with Society of Occupational Medicine President Professor Neil Greenberg, and RCoA Wellbeing Lead Dr Ramai Santhirapala. They discuss the definition of wellbeing, how it relates to work, parallels between mental health in the military and civilian life, 'moral injury', and much more.
This interview follows the publication of the College's recent report on wellbeing, burnout and retention - an analysis from the 2025 census.
Useful links:
[Recorded April 2026]
Welcome to this series of podcasts devised by the RCoA Heritage and Archives Committee. In this episode, Pierre Foex and Helen Higham talk to Maria Rollin about their work together, the importance of good mentoring and Pierre's 50 year association with the College and 66 years association with anaesthesia.
They also talk about the success of the Cardiac Disease and Anaesthesia Symposium, which has now been running for over 20 years.
In this episode, Dr Eoin Dore speaks to Miss Rachel Hargest following her presentation at the Winter Symposium 2025, where she delivered the Webb Johnson Oration Award lecture: Challenges and Opportunities for Surgeons and Anaesthetists in Global Emergency, Critical and Operative Care.
Miss Hargest shares what it really takes to deliver safe, effective surgery in low‑resource settings. From inventive problem‑solving and ethical challenges to strengthening anaesthetic and surgical training worldwide, this episode uncovers the realities, opportunities and big global health questions shaping care today. A fascinating conversation for anyone interested in global surgery, anaesthesia, and building sustainable healthcare systems.
Recorded Friday 21 November 2025
Related information:
In this episode, Dr Andrew Vaughton, former Consultant Anaesthetist at University Hospitals Dorset NHS Foundation, shares his experience following his 2021 Motor Neurone Disease diagnosis and subsequent medical retirement. Andy now focuses on MND awareness, fundraising, and promoting health and community support.
He’s joined by his wife Dr Susanne Vaughton, a former GP who left medicine after Andy’s diagnosis to become a full‑time writer. Known to readers as Susie Tate, she now balances authorship with advocacy and family life.
Together, Andy and Susie discuss their projects, their commitment to supporting MND charities, and how they’re using their time and platform to create meaningful impact. This episode highlights purposeful action, the strength of partnership, and a shared commitment to making a meaningful difference.
Recorded Friday 21 November 2025
Related information:
In this podcast Dr Samantha Black, Dr Maya Sussmann and Chair of Patient voices at RCoA, Jenny Westaway discuss the use and growth of AI large language models and their role in the patient-clinician conversation, and the various risks and opportunities this presents.
They discuss the latest technology being used and how patients are currently using AI to inform themselves about healthcare.
Recorded 26 September 2025
Related information:
* Sycophancy in GPT-4o: what happened and what we’re doing about it: https://openai.com/index/sycophancy-in-gpt-4o/
* Update that made ChatGPT 'dangerously' sycophantic pulled https://www.bbc.co.uk/news/articles/cn4jnwdvg9qo
In this podcast, recorded at our Anaesthesia 2025 conference in Belfast consultant anaesthetists Dr Branislav (Brano) Mislovic and Dr Will Donaldson discuss developments in paediatric regional anaesthesia, following Brano's address to the conference.
Brano and Will address misconceptions around paediatric regional anaesthesia, the use of ultrasound and the various opportunities and challenges around this.
Recorded 20 May 2025
Related information:
* Association of Anaesthesia: New blocks on the kids: core basic nerve blocks in paediatric anaesthesia
In this podcast, recorded at our Anaesthesia 2025 conference, Professor and Consultant Anaesthetist Helen Higham talks to Dr Paul Southall about her work and career improving the the 'complex and adaptive system' of anaesthesia often given by its shorthand, 'human factors'.
For this work Helen was awarded the Hewitt Lectureship, given to established senior clinicians, academic experts or pioneers in their fields who have advanced the science or art of anaesthetic practice.
Paul and Helen discuss her research interests, which include human factors and simulation-based education in healthcare, and her current projects focused on systems-based approaches to safety in primary care, human factors in low to middle income healthcare settings and the use of virtual reality to train healthcare professionals.
Helen gives us an insight into her career and professional life, and bangs the drum for the importance of quality improvement, simulation and team-based learning and how central anaesthesia and its culture is to these practices in medicine.
Recorded 20 May 2025
Related information:
* OxSTAR - Helen Higham
* Lectureships | The Royal College of Anaesthetists
In this podcast Dr Jennifer Proc talks to Dr Tara Byott and Dr Sarah Muldoon about their experiences becoming consultant anaesthetists.
They discuss how Sarah and Tara became consultants, and Jennifer's own experience working towards that, and cover topics including: the first appraisal, preparing for managing anaesthetists in training, handling expectations with surgeons and patients alike, imposter syndrome, advocacy for theatre teams, and more.
Tara and Sarah provide lots of advice drawn from their personal experiences, much of it not exclusive to the consultant role, with reflections on authority, responsibility, and gender that may be applicable to anyone moving to a more senior position.
Recorded 9 September 2025
Related information:* Juggling the list – patient care and training opportunities | The Royal College of Anaesthetists * Making the most of stage 2 and 3 training
In this podcast Dr Hattie White talks to CPOC Director David Selwyn and CPOC Fellow Claire Frank about her prize winning presentation “Improving Clinical Incident Reporting in a District General Hospital Anaesthetic Department.” They discuss Hattie’s QI work, how she came up with the idea, the challenges and her contributions to perioperative care as a result. We hope this will be of interest to listeners who are thinking about embarking upon their own QI project.
Related information:
* Dr Hattie White's prize-winning poster
* Patient Safety in Perioperative Practice 2026 event
This is a special podcast mini-series focusing on the Portfolio Pathway (formerly CESR) programme, the process that enables doctors who don't hold a Certificate of Completion of Training (CCT) to join the GMC's specialist register and therefore be eligible to take up substantive consultant posts.
We have created this mini-series to support those already undertaking the programme or for those interested in following the programme. The series consists of 5 episodes as below:
Related information:
This is a special podcast mini-series focusing on the Portfolio Pathway (formerly CESR) programme, the process that enables doctors who don't hold a Certificate of Completion of Training (CCT) to join the GMC's specialist register and therefore be eligible to take up substantive consultant posts.
We have created this mini-series to support those already undertaking the programme or for those interested in following the programme. The series consists of 5 episodes as below:
Related information:
This is a special podcast mini-series focusing on the Portfolio Pathway (formerly CESR) programme, the process that enables doctors who don't hold a Certificate of Completion of Training (CCT) to join the GMC's specialist register and therefore be eligible to take up substantive consultant posts.
We have created this mini-series to support those already undertaking the programme or for those interested in following the programme. The series consists of 5 episodes as below:
Related information:
This is a special podcast mini-series focusing on the Portfolio Pathway (formerly CESR) programme, the process that enables doctors who don't hold a Certificate of Completion of Training (CCT) to join the GMC's specialist register and therefore be eligible to take up substantive consultant posts.
We have created this mini-series to support those already undertaking the programme or for those interested in following the programme. The series consists of 5 episodes as below:
Related information:
This is a special podcast mini-series focusing on the Portfolio Pathway (formerly CESR) programme, the process that enables doctors who don't hold a Certificate of Completion of Training (CCT) to join the GMC's specialist register and therefore be eligible to take up substantive consultant posts.
We have created this mini-series to support those already undertaking the programme or for those interested in following the programme. The series consists of 5 episodes as below:
Related information:
In this podcast, recorded at Anaesthesia 2025, host Dr Helgi Johannsson talks to retired anaesthetist Dr John Maginness.
On 15 August 1998 a bomb was detonated in Omagh town centre, in Northern Ireland. John, who lived locally, was a member of the medical team who responded. John joined the panel discussion on the Omagh bombing at our 2025 Belfast annual conference and in this podcast, recorded in Belfast, John shares his recollections of that day in 1998.
John discusses his and Helgi's shared personal experiences of terror attacks and major incidents, how responses have developed (and what has stayed the same), and John's appreciation for the professionalism and competence of the many allied health professionals who worked in the aftermath of the Omagh bomb.
Our Anaesthesia 2026 conference will take place in Brighton and online over three days in May 2026. If you want to hear from leaders in anaesthesia and get the latest insights and professional development book by 31 December to get 20% off. More details: Anaesthesia 2026 | The Royal College of Anaesthetists.
In this podcast, recorded at Anaesthesia 2025, host Dr Toni Brunning and guest speakers Dr Joe Lipton, Dr Joe Hogan, Dr Hannah Headon, Dr Chris James and Dr Soumen Sen talk about the GPC (Generic Professional Capabilities) Hub, where the idea came from, and what others can learn through their experiences.
Our Anaesthesia 2026 flagship conference will take place in Brighton and online over three days in May 2026. Book by 31 December to get 20% off! More details: Anaesthesia 2026 | The Royal College of Anaesthetists
In this podcast, recorded at Anaesthesia 2025, Professor Anil Hormis and Dr Rosie Hogg talk about Nociception Monitoring. They discuss what nociception is, what the NOL monitor is and how it works.
Our Anaesthesia 2026 flagship conference will take place in Brighton and online over three days in May 2026. Book by 31 December to get 20% off! More details: Anaesthesia 2026 | The Royal College of Anaesthetists
In this episode of Anaesthesia on Air, former Dinwoodie Simulation fellow Dr Steffan Glaze, Professor Cristina Diaz-Navarro and Dr Ed Mellanby (simulation leads in Wales and Scotland, respectively) discuss simulation-based education in anaesthesia and the context in medical simulation around recent guidance from the College.
They share how they've developed their own work in simulation, how listeners can use recommendations in the guidance to improve and influence their own practices, and what future simulation faculty can do to develop their skills, and even apply an understanding of anaesthetic simulation to their work in novel ways.
In this episode of Anaesthesia on Air, past president of the RCoA Dr Fiona Donald talks to Dr James Nickells about his career in anaesthesia and critical care, and his rich hinterland in medical illustration, portrait art, and more, and how James has combined his clinical and outside interests over his career.
Related information:
* www.globalportraitproject.com
* https://www.bbc.co.uk/news/articles/ckg7pz7xq87o
* http://www.instagram.com/globalportraitproject
* The Global Portrait Project - YouTube
In this episode of Anaesthesia on Air, we are re-publishing an archived episode by Dr Toni Brunning and Dr Lucinda Williams as they discuss clinician wellbeing with a focus on open-water and cold-water swimming, including the physical and emotional benefits. The podcast explores how cold-water swimming can enhance circulation, boost the immune system, and increase endorphin production, leading to improved physical health. It delves into the mental health advantages, such as reduced stress and anxiety, improved mood, and a sense of accomplishment associated with regular cold-water swimming. The discussion emphasizes the importance of self-care among healthcare professionals and how engaging in activities like cold water swimming can contribute to overall well-being.
Related information:
In this special podcast episode, produced jointly with the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine, Dr Danny Bryden, Dr Dale Gardiner and Dr Ian Thomas discuss when and how to diagnose death for the purposes of organ donation, and the implications of recent changes to guidance issued by the Academy of Medical Royal Colleges for anaesthetists and intensivists.
Related information:
In the second of a two-part podcast from the Centre for Perioperative Care and the Royal College of Anaesthetists former CPOC Fellow Dr Sam Moore and Dr Stuart Connal explore shared decision making - its definitions, usage, and many nuances in the interaction between clinicians and patients.
This podcast features guests Dr Sam Finnikin, Dr Gemma Hughes, and Leila Finikarides, and is split into two separate episodes. Sam, Gemma, and Leila share their personal and professional perspectives on shared decision-making - its importance in the patient-clinician relationship, language, and even when the idea of a shared decision may be counterproductive.
For ideas to benefit your own clinical practice, and for insights into the latest research and practices in this area, make sure you listen to both parts of this fascinating conversation.
In this first of a two-part podcast from the Centre for Perioperative Care and the Royal College of Anaesthetists former CPOC Fellow Dr Sam Moore and Dr Stuart Connal explore shared decision making - its definitions, usage, and many nuances in the interaction between clinicians and patients.
This podcast features guests Dr Sam Finnikin, Dr Gemma Hughes, and Leila Finikarides, and is split into two separate episodes. Sam, Gemma, and Leila share their personal and professional perspectives on shared decision-making - its importance in the patient-clinician relationship, language, and even when the idea of a shared decision may be counterproductive.
For ideas to benefit your own clinical practice, and for insights into the latest research and practices in this area, make sure you listen to both parts of this fascinating conversation. Listen out for the second episode which will be released the following week.
Following his presentation at our 2024 Winter Symposium, Professor Ketan Dhatariya discusses Obesity Metabolic Syndrome and diabetes in an engaging and wide-ranging conversation.
In this podcast Ketan reflects on the possible false economy of limiting access to GLP-1 agonists, the need for a non-judgmental view of patients presenting with obesity, how an evolutionary viewpoint can usefully inform modern medicine, and just how tasty the woolly mammoths of Red Lion Square were.
Related information:
Perioperative Care of People with Diabetes Undergoing Surgery (The Centre for Perioperative Care)
* Definition and diagnostic criteria of clinical obesity, The Lancet
* Anaesthesia for the obese patient, BJA Education*
* For more on this topic, listen to Ketan's academic collaborator Kariem El-Boghdadly discussing GLP-1 agonists in our recent podcast interview with him.
In this podcast, Dr Gemma Phillips and Dr Yogita Chikermane discuss the impact of parenting on anaesthetic training.
They share their own experiences, talk about how things might have changed since then (or not), and what still needs to change to help anaesthetists navigate the often competing demands of anaesthetic training and parenting.
Related information:
* Returning to work in anaesthesia course (RCoA)
* Returning to work after a period of absence (RCoA/FPM)
* A guide to parenting during anaesthesia training (Association of Anaesthetists)
* Future Proof: the impact of parental and caring responsibilities on surgical careers (Nuffield Trust)
* Guide to Anaesthetics Training - The management of maternity, paternity, shared parental or parental leave and sickness absences (RCoA)
Content Warning: This episode contains discussions of neonatal resuscitation, which some listeners may find sensitive or distressing.
In Episode 13 and the season 2 finale, Eoin and Duncan welcome Dr. Esther Godfrey, co-founder of the SuPPORT project, to share her personal experience of neonatal resuscitation with her own daughter Juno, along with the project's origins.
Together, they explore the role of effective communication with patients during neonatal resuscitation and how to compassionately provide support in such critical moments.
References
* European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birth
* Understanding psychological traumatic birth experiences: A literature review
* The SuPPORT Project (Website) - Supporting Parents and Professionals through neOnatal Resuscitation in Theatre
* SuPPORT Project abstract - International journal of obstetric anaesthesia
* Quick Reference Handbook for Obstetric Emergencies - Page 9 - Debrief
* RCOA Wellbeing Hub
* BMA Wellbeing Support
In this Episode of the Heritage Series, Dr Maria Rollin talks to Dr Debbie Nolan and Kevin Storey about the move from Russell Square to Churchill House and what that meant to the specialty
Eoin and Duncan are joined by former RCoA Vice President Dr Helgi Johannsson. Together they cover many topics in the realm of obstetric anaesthetics including the importance of communication, what makes a good obs anaesthetist and some tips and tricks for epidurals! Why should you involve the partner? How can you bring order to chaotic situations? What is on Helgi's obs playlist? Listen to find out!
References
Eoin and Rosie are joined by Susanna Stanford, a patient advocate, to talk through how to the importance of the prevention and management of pain during C-section. We discuss how to avoid pitfalls when testing neuraxial anaesthesia and how to manage problems under regional anaesthesia, then go on to talk about the criticality of patient communication and human factors when facing problems with neuraxial blockade.
References
- Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach
- What is ‘genuine’ failure of neuraxial anaesthesia?
- You test because you cannot make assumptions
Episode 10 the Postpartum Visit! Eoin & Rosie dive into how to approach, structure the postpartum visit and why we as a speciality should do it! We will cover everything from postpartum headache to what red flags to look for with nerve injury.
Our good friend and anaesthetic registrar colleague Rahul returns to defend his undisputed title as 'NovPod champion'. This time Eoin and Rahul go head to head with their knowledge of anaesthetic drugs used on the labour ward, competing for the glory of winning the golden Tuohy needle.
References
* OAA obstetric quick reference handbook
* Oxford handbook - drugs in anaesthesia and intensive care
* Anaesthesia (e-LA) -> Core Training - Basic Sciences -> e-LA Module 07c - Pharmacology
* Guideline on anaesthesia and sedation in breastfeeding women
* MAPGIE Trial
* Women Trial
We are joined by the fantastic Dr Damien Hughes - an anaesthetic consultant and OAA council member - to discuss how we manage pain on the labour ward. We discuss the physiology of pain in labour and the management options we are able to deliver as anaesthetists, as well as how we can positively impact maternal health outcomes and our patients' birth experience.
References
* Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 04 Regional analgesia & anaesthesia
* Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 03 Labour analgesia
* BJA education - Epidural analgesia in labour
* BJA education - Non-regional analgesia for labour
* Epidural troubleshooting – East Anglia guide
* Prevention and management of intra-operative pain during caesarean section
* OAA labour pains
In Episode 7, Eoin and Rosie sit down with our fantastic guest Dr Kirsty Maclennan - an anaesthetic consultant and OAA board member - to talk through the anaesthetic emergencies that we encounter on the labour ward. With expert advice from the lead editor of the recently released obstetric anaesthetic quick reference handbook - this is not an episode to miss!
References -- OAA obstetric quick reference handbook
- Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia
- WOMAN trial
- TEG interpretation - Life in the fast lane
- Load n Bread for feedback
- DAS and OAA Airway Guidance
For Episode 6 - a 2 part special! - we are joined by our friend and obstetric registrar colleague, Miss Chiara Petrosellini, to talk through common obstetric emergencies and how Anaesthetists are involved in their management. Chiara gives us some great advice about working in high pressure situations and dealing with emergencies as part of the wider obstetric team.
ReferencesOAA obstetric quick reference handbook* Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia * WOMAN trial * TEG interpretation - Life in the fast lane
In this episode Rosie and Eoin are joined by Gail Roberts, a midwife coordinator, to talk through how the labour ward actually works. Gail gives us an insight into what makes a good anaesthetist on labour ward and how to work well within the labour ward MDT.
References -
- OAA obstetric quick reference handbook
- Association of Anaesthetists guideline - Neurological monitoring associated with obstetric neuraxial block
For Episode 6 - a 2 part special! - we are joined by our friend and obstetric registrar colleague, Miss Chiara Petrosellini, to talk through common obstetric emergencies and how Anaesthetists are involved in their management. Chiara gives us some great advice about working in high pressure situations and dealing with emergencies as part of the wider obstetric team.
ReferencesOAA obstetric quick reference handbook* Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia * WOMAN trial * TEG interpretation - Life in the fast lane
In this episode, Eoin, Rosie and Serina discuss some of the pathophysiological conditions that anaesthetists encounter on the labour ward including gestational diabetes, pre-eclampsia and abnormal placental implantation. Eoin and Rosie give advice on how to approach these and how they might impact our management of patients presenting with these conditions.
References -
In episode 3 we are joined by Dr Serina Sidhu, an anaesthetic CT1 about to start her obstetric novice period. Rosie and Eoin are here to answer her questions about the role of the anaesthetist on the labour ward and what we actually do on a day to day basis.
References -
- OAA Obstetric QRH - https://www.oaa-anaes.ac.uk/oaa-quick-reference-handbook/qrh
- Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 07 Serious problems in obstetric anaesthesia
Dr Ramai Santhirapala welcomes Dr Claire Shannon as new President of the Royal College of Anaesthetists with an interview featuring questions from the RCoA Member Engagement Panel and covering everything from training programmes, careers, Anaesthetic Associates, sexism in medicine, Claire's own professional journey, and the advice she'd give her younger self.
This audio interview accompanies a condensed print version in the October 2024 edition of the RCoA member Bulletin.
For episode 2, we are joined by NovPod series 1 alumnus Dr Layla Guscoth to discuss the changes that pregnancy has on maternal physiology and how this will affect our anaesthetic management.
References* Difficult airway society guideline - management of difficult and failed tracheal intubation in obstetrics * BJA physiology of pregnancy: clinical anaesthetic implications * BJA Anaesthesia and non-obstetric surgery in pregnancy * Prevention and management of intra‐operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach * DREAMY study - Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study * BJA education - Ultrasound facilitated neuraxial anaesthesia in obstetrics * Anaesthesia (e-LA) -> Core Training - Clinical -> e-LA Module 04a - Obstetrics -> 01 Pregnancy and labour -> Physiological Changes During Pregnancy
Welcome back! We are delighted to bring you a second series of the NovPod, this time about the exciting world of obstetric anaesthesia. For this series we have collaborated with both the Royal College of Anaesthetists and the Obstetric Anaesthetists’ Association to bring you the best content and guests possible. In this episode we reunite with our excellent guest from our “How to survive on-calls” episode - Dr Rosie Grimes - who will be joining us as a co-host throughout the series; and talk through what a typical day on labour ward is like for an obstetric anaesthetist.
References1. IACOA workbook 2. Historic timeline of obstetric anaesthesia
In this follow-up to the first NovPod series, Drs Eoin Dore and Duncan Kemp discuss their top ten takeaway tips for the Novice anaesthetist, adapted from a talk they gave at an RCoA event in late 2023. Duncan and Eoin talk about resources, evidence for the IAC, active learning, the importance of rest when doing late shifts, and more.
For anyone who wants a re-cap of the key messages from the Novice Pod series, or needs a quick TL:DR for their new novice period, listen on!
Resources and links:* Novice Guide * Wellbeing hub * The stage 1 document by the association of anaesthetists * Feedback link
This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about Challenging the Protocol
This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about Motivation and Innovation
This podcast is part of a mini series of 3, looking at how military medicine has transferred to civilian practice and vice-versa. Each part has been recorded as a stand alone episode so you can listen to them in any order you like. Join the outgoing Surgeon General, Major General Tim Hodgetts, Professor and Retired Colonel, Peter Mahoney and Retired Colonel 'Jag' Jagdish as they reflect on their experiences with Dr Anna Maria Rollin. In this episode they talk about The Process and the Process Zoo.
We value your feedback. If you do have any comments on this podcast please let us know by emailing us at archives@rcoa.ac.uk or via our twitter account
This recording accompanies an Anaesthesia on Air discussion about preparing for the FRCA examination. Save this guided session for whenever you need a moment to relax, reflect, and regroup, whether you're preparing for the FRCA examination or anything else.
Dr Jim Brunning, breathwork instructor and FRCA Final examiner, leads this guided relaxation. Music accompaniment provided by Somabreath.
Dr Emma Plunkett speaks to Dr Jim Brunning and Dr Joe Pick about wellbeing in the context of preparing for and sitting the FRCA examination. Drawing on their own experiences Jim, Joe and Emma discuss the importance of relaxation, sleep, time-management, and more. They explore methods exam candidates can apply in their own preparations, anxiety and imposter syndrome, and how to take a healthy perspective.
Many of the tools they discuss apply to general wellbeing and work/life pressures, not just for exam candidates.
This discussion is accompanied by a guided relaxation audio resource, also available in your Anaesthesia on Air podcast feed, or to download at the link below. The relaxation recording, led by Jim Brunning, can be saved and used in any relevant situation.
Download the guided relaxation
Related information: RCoA guidance: Support for the FRCA examinations * RCoA information: Workplace wellbeing * AAGBI information: Wellbeing and support * YouTube: Breathe With Sandy - YouTube * YouTube: Breathing Techniques to Reduce Stress and Anxiety * YouTube: Powers of Ten * Podcast: The Happiness Lab, with Laurie Santos * Blog post: Bonnie Ware, Regrets of the Dying * Book: Sleep, by Nick Littlehales * App: Oxygen advantage*
[Recorded July 2024]
In the last of our Anaesthesia 2024 annual conference podcasts, Dr Ramai Santhirapala talks to Dr Kariem El-Boghdadly following his talk on GLP-1 receptor agonists in May 2024 at Glasgow Caledonian University.
Kariem and Ramai discuss how GLP-1 receptor agonists affect gastric emptying and the subsequent risk of pulmonary aspiration, what anaesthetists can do about that, and what guidance we can look forward to around this area.
They also discuss the work and achievements that led to Kariem being awarded the Dudley Buxton prize for ‘meritorious work in anaesthesia or in a science contributing to the progress of anaesthesia,' including how he got involved in research, with his advice for budding future researchers.
Additional information:
* GLP-1 agonists
* Anaesthesia research (RCoA)
* RCoA awards
[Recorded May 2024]
In this fascinating conversation Dr Sam Black talks to Maricarmen Climent and Jayne Hidderley about risk and how it is communicated in clinical settings.
This podcast, the fourth of a series recorded at the RCoA's 2024 Annual Conference in Glasgow, follows a keynote talk given by Maricarmen and Leila Finikarides and expands on the themes they discussed, in the context of the Montgomery judgment and associated GMC guidance, amongst other things.
We hear how risk is as much a feeling as a statistical fact, and that to make discussions of risk useful we should try to use 'natural' or meaningful frequencies, describe the absolute risk of something happening and - above all - ask patients about their own attitudes to risk. What matters to them about their forthcoming procedure and how they can best understand the implications.
[Recorded May 2024] This recording was made at the time of the culmination of the UK infected blood enquiry.
Additional information* Winton Centre for Risk and Evidence Communication
* Sense About Science | Risk know how
* GMC | Montgomery judgment
* RCoA Patient information resources | Anaesthesia and risk
* RCoA Patient Voices
* Science Media Centre Spain | Communicating risk resources for journalists
In the third of a series of podcasts recorded at the RCoA's Anaesthesia 2024 conference in Glasgow Professor Malcolm Sim discusses his research into the science of metabolomics, and its role in the diagnosis and treatment of sepsis.
Metabolomics sits at the end of an 'omics' chain, after genomics, transcriptomics, and proteomics. It can help 'pierce the cloud' of uncertainty around sepsis, leading to better diagnosis, treatment, and outcomes.
Malcolm talks about the future of this research area and the opportunity to tailor therapies to a person's genetic or metabolic profile. He talks about how he was drawn towards anaesthesia, and what his other love - flying - has in common with the speciality.
Further reading:* EMBL-EBI | What is Metabolomics
In this second of our Anaesthesia 2024 conference podcasts, recorded in Glasgow in May 2024, Drs Helgi Johannsson, Lucy Brooks, and Paul Southall discuss the latest developments in sustainable anaesthesia.
They look at the NHS's decomissioning of desflurane, use of nitrous oxide, masks and gowns, and the importance of local leadership and advocacy in making positive, sustainable change.
Further information: * RCoA | Environment and sustainability * The nitrous oxide project
In this first of a series of podcasts recorded at the RCoA's Anaesthesia 2024 conference in Glasgow Ms Jenny Montgomery, Consultant ENT Head & Neck Surgeon, NHS Greater Glasgow & Clyde, discusses her work in transoral robotic surgery (TORS).
Jenny describes how TORS, only recently available to patients in Scotland, is a minimally-invasive surgery that allows access to areas of the throat that would previously have been hard to reach. This tool is especially useful in the west of Scotland, where rates of head and neck cancer are especially high, and can help limit the need for follow-up radio- or chemotherapy.
Jenny also discusses the future of robotic surgery, especially for ENT, and how her anaesthetic colleagues can think about working with robotic surgical devices for head and neck surgery.
To hear from innovative and inspirational speakers like Ms Montgomery at our 2025 annual conference in Belfast, book using the link below.
Further information:* First In Scotland – New Robotic Throat Surgery Gets Underway At The QEUH * Anaesthesia 2025 - book to attend our conference in Belfast
Dr Ramai Santhirapala, Consultant Anaesthetist at Guy’s and St Thomas’ NHS Trust and RCoA Council member is joined by Dr Laura Askins, Senior specialist Dietician, and Dr Roopa McCrossan, Consultant Anaesthetist at James Cook University Hospital.
In this episode, we discuss civility and incivility and their effects on workplace cultures and behaviour. Ramai, Laura and Roopa discuss what happens when we encounter incivility at work, and how we can make our working environments better, safer, and happier - just by being courteous and kind.
This podcast will touch on sensitive issues including bullying and suicide. If you need help, these pages list the support available to you:
Support for individuals | The Royal College of Anaesthetists
Wellbeing support | Association of Anaesthetists
In this episode of Anaesthesia on Air Dr Sekina Bakare hosts a roundtable discussion with Dr Desire Onwochei, Dr Sethina Watson and Dr Daniel Olaiya on the work being done to grow the numbers of Black Anaesthetists, experiences within practice and ongoing challenges.
They discuss promoting equity within anaesthetics, managing microaggressions, and anti-racist best practices following the 'To Grow and Thrive' session at February Updates 2024.
This podcast contains discussion of personal and wider experiences of racism.
In Episode 5 of the Heritage & Archives Series Sarah Ramsay talks to Simon Chadwick about how our perception of observation has changed over several generations of anaesthetists and how a trip to an art gallery can enhance our skills. The episode is chaired by Dr Maria Rollin, Chair of the Heritage and Archives Committee and has been recorded to complement an article Dr Chadwick has written for the Spring 2024 Bulletin.
In this Episode of Anaesthesia on Air, Dr Steffan Glaze, Dinwoodie Simulation Fellow at the Royal College of Anaesthetists, hosts a discussion about the new Standards for Simulation-based Practice from the Association of Simulated Practice in Healthcare (ASPiH) with two of the authors, Professor Cristina Diaz-Navarro and Professor Makani Purva, alongside Professor Mary Mushambi, University Lead for Simulation at the University of Leicester.
They share the creation process and aims of the new standards, changes from the previous iteration and potential applications within both practice and teaching.
In this episode of Anaesthesia on Air Dr Anton Krige, RCoA Clinical Lead for ME/CFS, talks with Dr Charles Shepherd from the ME Association and Helen Baxter, a patient advocate for ME patients, about the College's latest patient information project ME/CFS and anaesthesia. They explore this poorly understood medical condition and the strategies that anaesthetists will find useful in managing these patients in the perioperative period.
RCoA Councilmember Dr Ramai Santhirapala meets Drs Kate Stannard and Helen Burdett to discuss the Women in Medicine International Network (WIMIN).
WIMIN was founded to address, as they put it, the 'huge gap in the needs of women in medicine' with a conference programme and network. Helen and Kate talk about the issues they are trying to tackle, the conference programme they've created, speakers at their upcoming September 2024 event, and how they try to inspire inclusion through this work.
This podcast is released on International Women's Day 2024, the theme of which is #InspireInclusion.
Links:* 2024 International Women's Day: 'Inspire inclusion' * WIMIN September 2024 conference
[Recorded 1 March 2024]
In this episode of Anaesthesia on Air Jenny Westaway, Chair of Patient Voices at RCoA, hosts a fascinating discussion with Dr Jane Boissiere, Dr Samantha Black, and Dr Paul Slater about Hypnotherapy in Anaesthesia. They discuss misunderstanding and misinformation around Clinical Hypnosis and the benefits of its use to help patient anxiety.
In Part 2 of the podcast Peter and Jag talk about the emerging threats from Iraq and Afghanistan which demanded a completely different approach and considerable clinical agility and innovation. Peter was the first UK Defence Professor of Anaesthesia and Critical Care (2008-16) and the conversation turns to the support he received from the RCoA, the Association of Anaesthetists and the Deaneries.Because of the nature of warfare the experience of the anaesthetists involved recorded here may sometimes be disturbing.The episode is chaired by Dr Anna Maria Rollin, Chair of the RCoA Heritage & Archives Committee
In this episode retired Colonel Soundararajan ‘Jag’ Jagdish talks to Professor Peter Mahoney about the early development of military anaesthesia, their lived experiences as deployed military personnel and what went on behind the scenes.The episode is chaired by Dr Anna Maria Rollin, Chair of the RCoA Heritage and Archives Committee
In this final part of our Global Anaesthesia podcast miniseries, Jan and Fi have the privilege to speak with Dr Michelle White who is a long-term volunteer for Mercy Ships.
Michelle talks about her experience working in capacity Building on the ship and the delivery of surgical services in surgical care.
In this bitesized stocking-filler episode to end the year we interview Dr Allan Cyna, UK-trained and Australia-based specialist in paediatric anaesthesia and hypnocommunication.
This interview was hosted by Duncan McMillan, RCoA Head of Content, at the May 2023 Anaesthesia annual conference in Birmingham, UK, and is a companion episode to our forthcoming roundtable discussion on hypnotherapy and the nocebo effect, which will be released in January. We hope our conversation with Allan whets your appetite for a deep dive into hypno communication in early 2024.
In the meantime, have a restful holiday and a very happy new year from everyone at Anaesthesia on Air.
In this episode of Anaesthesia on Air, Dr Mike Grocott hosts a fascinating discussion with Prof Thomas Smith, recently awarded the RCoA Macintosh Professorship, given 'in recognition of outstanding contributions to the wider field of anaesthesia in a senior academic or clinician' for his work in aerospace medicine.
In this episode of Anaesthesia on Air, Dr Deidre Conway hosts a fascinating and wide-ranging conversation with Drs Nancy Redfern and Eoin Dore about wellbeing in the anaesthetic workplace and the particular dynamic between trainees and trainers. Amongst many other things Nancy, Eoin, and Deirdre discuss generational differences in work values, communication and honesty, self-care, and building a great environment for learning, drawing on their own experiences and the latest research and practices.
In this third part of out Global Anaesthesia podcast miniseries, Jan and Fi talk to Dr Emma Coley and Dr Anna Janowicz about their experiences in Zambia and Ethiopia on the Global Anaesthesia Development Programme (GADP), and its Zambian offshoot, ZADP.
From applying low resource-setting solutions back in the UK and appreciating the dedication of local clinical teams to the world's largest fruit bat migration, Emma and Anna bring some rich insights from their experiences in global anaesthesia to the conversation.
In this episode of Anaesthesia on Air, Dr Ashwini Keshkamat talks with Dr Sarah Thornton and Dr Roger Sharpe to discuss SAS doctors in Educational roles. They speak through common themes, quality improvement, and advice and highlights for SAS members.
SAS doctors are an integral part of the College. We benefit from the representation of SAS doctors on Council – our elected SAS members are Dr Sunil Kumar and Dr Ashwini Keshkamat. We also have a dedicated SAS Committee that works across the College and with Council to promote all matters relating to doctors working in SAS roles, including education, training, professional development and wellbeing.
SAS Week is a week-long celebration of Staff Grade, Associate Specialist and Specialty (SAS) doctors which runs from 9-13 October. More than 1 in 5 of the non-trainee anaesthetic workforce are SAS doctors who play an essential role in the provision of anaesthetic services to patients.
Links and resources:
In this episode of Anaesthesia on Air, Dr Jan Man Wong and Dr Fiona Linton talk to Dr Sanjay Deshpande and Dr Anna Wilkinson about their experiences at the BKL Walawalker Hospital in Dervan, India. They cover everything from handling scorpion bites and improving sharps disposal practices, to some of the bittersweet professional connections they made with hospital staff. Sanjay and Anna describe how the BKL Walawalker partnership began, and give advice for trainees coming to Dervan and similar locations.
Global Anaesthesia, Surgery, and Obstetric Collaboration (GASOC) was established in 2015 to signpost trainees to information and resources to further their knowledge, engagement, and experience in this field.
The global anaesthesia podcast miniseries features past and current trainees working or volunteering in resource-poor environments including India, Zambia, Uganda, and Ethiopia, plus their in-country and remote educational supervisors (RES), each bringing their own perspectives. For trainees, an international placement can form the SIA (Special Interest Area) part of their training.
Contact details:
Links:
On this episode of Anaesthesia on Air, Dr Joyce Yeung talks with three experts in the field, Dr Michael Gillies, Dr Rhona Sinclair, and Dr Alixe Kilgour on the Blood transfusion during hip fracture – insights from research (RESULT-Hip Trial), investigating the impact of REStrictive versUs LIberaL Transfusion strategy on cardiac injury and death in patients undergoing surgery.
They discuss the improvements they have seen, challenges encountered doing this kind of research, and what the findings so far could mean for clinical practice.
In this episode of Anaesthesia on Air, Dr Jan Man Wong and Dr Fiona Linton talk with Dr Tamryn Miller and Dr Katherine Horner about their experiences as part of the Mercy Ships Programme. Tamryn and Katherine talk through their top tips, patient stories they encountered, and how it changed their practice.
Global Anaesthesia, Surgery, and Obstetric Collaboration (GASOC) was established in 2015 to signpost trainees to information and resources to further their knowledge, engagement, and experience in this field. You can contact the Global Partnerships team at the college on: global@rcoa.ac.uk
The global anaesthesia podcast miniseries features past and current trainees working or volunteering in resource-poor environments including India, Zambia, Uganda, and Ethiopia, plus their in-country and remote educational supervisors (RES), each bringing their own perspectives. For trainees, an international placement can form the SIA (Special Interest Area) part of their training.
For the season finale of the NovPod, we are honoured to have Dr Fiona Donald, President of the RCoA, as our special guest. We discuss what life is like after the novice period and throughout the career of an anaesthetic trainee, as well as some of the challenges facing anaesthetists at the moment.
References/links:
* Training link - RCoA stage 1 training link
* Resources-publications/Guidebooks/Trainee-Handbook 2021 - AA trainee handbook
Wellbeing is an extremely important aspect of a career in anaesthesia, and we are lucky to have as our special guest Dr Ramai Santhirapala - RCoA Council Member and wellbeing lead - to talk through the challenging aspects of the novice period, anaesthetics as a career and ways to help maintain your wellbeing throughout this time.
References/links:
* Novice-Guide/ Wellbeing-support - RCoA novice guide
* Membership/Resources/Wellbeing-hub - RCoA wellbeing hub
* Home/Wellbeing-support - AA
* Youtube Video -Dr Michael Farquhar YouTube video
* Dr Michael Farquhar - Fifteen-minute Consultation- Dr Michael Farquhar - Fifteen-minute consultation: managing the effects of shift work on your health
* Well-being paper by Dr Sinkey, Dr Margolis and Dr Vinson- The Wicked problem of physician well-being paper by Dr Sinskey, Dr Margolis and Dr Vinson
* Fatigue Paper- Fatigue paper
The initial assessment of competencies (IAC) is an important milestone for all anaesthetists, and in this episode, we are joined by special guest Dr Joe Lipton who explains what the IAC actually is and what the curriculum means for you as a novice trainee.
References/links:
Novice Guide/ Lifelong learning platform - RCoA novice guide
Association of anaesthetists - History of the bougie
It's all to play for in the second part of our special anaesthetic drugs game show with Eoin and special guest Dr Rahul Bandopadhyay going head-to-head again. Who will take home the coveted (possibly fictitious?) Golden ETT? Is there actually an interesting fact about ondansetron? Let's find out.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
Eoin and Duncan talk through anaesthetic emergencies and how they differ from other medical emergencies. We discuss some excellent resources for anaesthetists to help prepare for and use during emergency situations.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
We are joined by special guest Dr Rosie Grimes to talk about the ups and downs of being the anaesthetist on-call. Reflections aplenty, as well as some great advice about what to expect when holding the anaesthetic bleep and how to look after yourself when you're on-call.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
Episode 9 of the NovPod is all about recovering the patient from anaesthesia. We discuss what makes the recovery area so important, common problems you may come across and some top tips for managing a patient recovering from anaesthesia.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
In episode 8, Eoin and Duncan discuss maintenance of anaesthesia and emergence from anaesthesia. We talk about the challenges and potential pitfalls of both, reflecting on lessons learned from our own novice periods along the way.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
NovPod returns with A&E trainee and stand-up comedian Dr Kwame Asante discussing airways and induction of anaesthesia. We also reflect with Kwame about his anaesthetic novice period from his perspective as a non-anaesthetic trainee.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
It's all to play for as Eoin challenges our guest Dr Rahul Bandopadhyay to a "just a minute"-style quiz on anaesthetic drugs that we use every day. Tune in to episode 12 to find out who will be crowned NovPod "champion" and winner of the much-coveted golden ETT.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 02 Basic Science for Novice Trainees > 04 Pharmacology
RCoA drug crib sheet
Oxford handbook: Drugs in anaesthesia and intensive care
Episode 5 is all about how to formulate your anaesthetic plan for patients requiring different forms of surgery. Eoin and Duncan discuss their experiences with planning anaesthesia as a novice and run through some case studies as examples of how and why we have different approaches to different cases.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:RCoA novice guide
E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 05 Induction of Anaesthesia and Intraoperative Management > 11 General principles of anaesthesia
E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 05 Induction of Anaesthesia and Intraoperative Management > 14 General anaesthesia: basic techniques for novice trainees
DAS/RCoA novice teaching material for the novice anaesthetist
History of the evolution of airway devices
Dr Chandy Verghese obituary
This episode is all about how to prepare for your patient arriving in the anaesthetic room, with our special guest ODP colleagues Pam, and Munya Makuwaza. The first part of the episode is “NovPod on the road” with Eoin and Pam talking through things in an anaesthetic room, with the second part of the episode back in the studio with Eoin, Duncan and Munya. We discuss why we need to prepare the anaesthetic room, equipment, and drugs, as well as getting some excellent advice about how to work effectively as part of the anaesthetic team.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:AA machine check guideline and summary
YouTube video from University of Staffordshire (NB this is on a machine that performs automated checks)
Youtube video - non-automated machine check (video is lower quality but good content!)
E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 03 Anaesthetic Equipment for Novice Trainees > 08 Preoperative equipment check + 06 The anaesthetic machine
We talk to Dr Layla Guscoth, an anaesthetist who has recently completed her novice period (as well as being an England netball star!), about pre-assessing patients and the pre-op visit. We discuss some of the challenges involved as well as key things not to miss and why we do pre-op visits in the first place.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:
Novice guide, pre-assessment
Association of anaesthetists
BJA education
Youtube video - an example of how to assess an airway
RCoA risk resource
E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 04 Preoperative Assessment and Management > 09 Preoperative assessment
In this episode of the NovPod, Eoin and Duncan talk you through what a typical day as a novice anaesthetist will be like, throwing in some reflections from our own first days as novices and sharing some survival tips to help you hit the ground running.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. We are two anaesthetic registrars on a mission to help our new anaesthetic colleagues get to know some of the new concepts you will come across in your novice period, hopefully helping to take away any anxiety around starting your time in anaesthetics.
The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthesia.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:RCoA novice guide
RCoA novice guide - typical day as a novice
E-learning for healthcare: e-LA module 1: Introduction to clinical anaesthesia > 01 The Operating Theatre Environment > 01 Principles of safe practice and the role of the anaesthetist > General theatre conduct
Welcome to the NovPod: a beginner's guide to anaesthetics! In this episode we introduce what we are setting out to do in the coming series and some of the topics we are going to cover. This episode features some interesting reflections and top tips from a few of our excellent consultant colleagues. References and links are listed below.
The Novpod: a beginner's guide to anaesthetics is created, edited, and co-hosted by Dr Eoin Dore and Dr Duncan Kemp. The NovPod is presented by Anaesthesia on Air, in association with the Royal College of Anaesthetists.
Please note that all opinions expressed in the podcast are those of the individuals appearing on the podcast and do not necessarily reflect the views of the RCoA.
References/links:RCoA novice guide: https://www.rcoa.ac.uk/training-careers/training-hub/novice-guide
Anna Maria Rollin talks to David Wilkinson and Karan Verma, who bring perspectives from different ends of the age spectrum, in this podcast recorded for the 75th anniversary of the creation of the National Health Service. Anna Maria, David and Karan discuss how the creation of the NHS changed anaesthesia, how the practice has developed in the decades since, and where the health service might be on its 80th, 90th and 100th anniversaries.
This is the third episode in a series of podcasts devised by the RCoA Heritage Committee to look at the history of the College and the history of anaesthesia. The series is chaired by Dr Anna Maria Rollin.
In the second part of this episode of Anaesthesia on Air, David Bogod and Eleanor Shaw continue their conversation about the journals. This part will look at the evolution of peer review, fraud and the continuing influence of the journals - amongst other things.
This episode forms part of a series of podcasts devised by the RCoA Heritage Committee to look at the history of the College and the the history of anaesthesia.
The series is chaired by Dr Anna Maria Rollin, current Chair of the Heritage Committee
Join David Bogod and Eleanor Shaw in conversation about the early years of the academic journals. The episode is in two parts and Part 1 will look at the history of journals from the inception of the BJA in 1923 to the end of the second world war.
RCoA International Affiliates
The RCoA warmly welcomes members from across the Globe.
If you are based outside the UK we invite you to look at the benefits of membership as an RCoA International Affiliate
For more information please click here or enter RCoA International Affiliate into your preferred search engine.
In this episode of Anaesthesia on Air Dr. Sarah Muldoon, Consultant Neuroanaesthetist at King's College London and former RCoA Council Member, speaks to Dr. Mary Doherty, Consultant Anaesthetist at Our Lady’s Hospital in Ireland, about her experience as a neurodivergent anaesthetist.
Mary talks about the sometimes surprising ways neurodiversity can benefit and inform clinical practice, and how anaesthetists can work better with their neurodivergent colleagues.
[This episode was recorded in May 2022]
In this first of three heritage-themed episodes of Anaesthesia on Air, Dr Anna-Maria Rollin chairs a conversation between Dr Karan Verma and Caroline Hamson, of the Association of Anaesthetists' Heritage Centre.
In this episode Caroline and Karan discuss the Association's Heritage Centre and the theme of their latest exhibition Going viral - contagion, pestilence and pandemics.
The Association of Anaesthesia's Heritage Centre, in London, is free to visit. Find out more about the Heritage Centre here.
In this episode of Anaesthesia on Air, Doctor Ramai Santhirapala talks to RCoA President, Fiona Donald and council member & SAS doctor, Ashwini Keshkamat about their careers and experiencing as female doctors.
In this second part of our two-part episode of Anaesthesia on Air, Sarah Thornton talks to Ian Roberts about his role within the Federation Internationale d'Automobile, (the FIA); as the Vice President of the Medical Commission and as Medical Rescue Coordinator for Formula 1 Motor Racing.
In Part 2, Ian expands on his career in F1, and describes his role in Romain Grosjean's crash and fireball at the Bahrain GP in 2021.
This episode is sponsored by Concentric, the market-leading digital consent application, used at more than 20 NHS Trusts.
In this two-part episode of Anaesthesia on Air, Sarah Thornton talks to Ian Roberts about his role within the Federation Internationale d'Automobile, (the FIA); as the Vice President of the Medical Commission and as Medical Rescue Coordinator for Formula 1 Motor Racing. In this episode, hear how Ian was drawn to motorsport and how he ended up in the medical car on the Formula 1 grid
The title and topic for this podcast have come from a recent winning presentation at the Centre for Perioperative Care (CPOC) Patient Safety in Perioperative Practice Seminar
The Centre for Perioperative Care (CPOC) has published new safety standards (NatSSIPs2) to enable all hospitals in the UK to improve patient safety by applying a consistent and proportionate set of safety checks for all invasive procedures.
To tie in with its launch, RCoA President Dr Fiona Donald talks to the Chair of Patients Voices, Pauline Elliott, about Patients Voices at the RCoA PatientsVoices@RCoA
As 2022 comes to a close the Board of Trustees, Council and Staff of the College wanted to wish you seasons greetings and a Happy New Year for 2023.
In this episode of Anaesthesia on Air Dr Daphne Varveris, Chair of the RCoA Board for Scotland, speaks with Colonel Lucy Giles about leadership in Anaesthesia and the lessons that can be learnt from Military practice.
Recorded 17 October 2022
In this episode, Dr Joyce Yeung and Dr Shaman Jhanji, co-Chief investigators of VITAL trial speak about the background to their study. They discuss why answering this research question will improve patient outcomes, how they worked with patients and public on designing the study and the support received from the clinical community.
Recorded 22 June 2022
In this podcast Dr Joanna McLaughlin explains in discussion with Professor Scarlett McNally, her new research showing dramatic reductions in people getting knee replacement surgery in regions with strict targets around obesity; the socioeconomic impact, cost and effectiveness of different health optimisation interventions are highlighted.
Recorded 7 October 2022
In this episode, Russell Ampofo speaks with Dr Desire Onwochei, Dr Daniel Olaiya and Dr Sekina Bakare about what Black History Month means to them. They discuss the different approaches taken by NHS Trusts to celebrate the month, disparities in healthcare outcomes, and how to encourage more Black medical students and foundation doctors to join the specialty.
In the second episode, Dr Ashwini Keshkamat talks to Dr Rob Fleming and Dr Gauri Sankhe about the role of an SAS advocate and how the SAS doctors can be supported by them.
In the first episode, Dr Ashwini Keshkamat talks to Dr Lucy Williams and Dr Sara Hare, both Clinical leaders in anaesthesia, about their perspective of SAS doctors.
This third FPM podcast discusses Surgery and Opioids, a topical subject! Guidelines have been produced by the Faculty of Pain Medicine which are referred to throughout the discussion and are free to download from the FPM website. There is much interest in better managing opioids in the peri-operative setting and this podcast will give you some practical hints and tips.
Recorded 24 May 2022
In this episode, Elisa Bertoja speaks with Isa Khan and Veena Soni, RCoA Patients' voices, about how to improve the experience of anaethesia and perioperative care for Black, Asian and minority ethnic patients.
Recorded on 24th February 2022
In this episode, Dr Benjamin Blaise and Dr Sonia Akrimi speak with Professor Andrew Davidson about the effects of general anaesthesia on the developing brain.
Recorded 11 March 2022
In this podcast, Dr Ramai Santhirapala and Dr Roopa McCrossan speak with Professor Michael West about compassion, leadership and wellbeing in Healthcare.
In this episode, Dr Toni Brunning speaks with Dr Lucinda Williams and they are discussing clinician wellbeing with a focus on open-water and cold water swimming.
Recorded 1st December 2021
In this episode Dr Ashwini Keshkamat talks to Dr David Bogod about No Trace = Wrong Place, including discussing some useful education resources.
Recorded 2nd March 2022
In this podcast, Dr Stephanie Pauling speaks with the clinical leads for the upcoming SNAP 3 study (Professor Iain Moppett, Dr Jude Partridge and Dr Claire Swarbrick, which launches on the 21st March.
Recorded 2 August 2021
In this episode, Dr Marie Nixon talks to Dr Sandeep Lakhani and Dr Tanya Hall about the new GPAS chapter - The Good Department
Recorded on 10th December 2021.
In this episode Dr Cathy Lawson interviews Dr Richard Hixson about his reflections on COP26 and sustainability.
The College is sharing a special podcast interview with Dr Fiona Donald, the new President of the RCoA, Dr Fiona Donald: The RCoA Presidency & Me, gives us an insight into what drives her, her ambitions for the College, what its new strategy will mean for us all. Fiona also shares advice she'd give her younger self as a way of encouraging those entering the specialty today.
In this podcast Dr Ashish Gulve and Dr Rana Hafiz-Ur-Rehman interview Dr Prakash Chaudhary about their experience of being on the MTI programme.
Recorded 4 October 2021
Recorded 12th May 2021
In this podcast, Professor Ellen O' Sullivan interviews Professor Kathryn Maitland about her experiences working in global health.
Recorded on 18 June 2021
In this podcast, Dr David Selwyn, CPOC Director, interviews Dr Megan Griffiths and Captain Alex Jolly about the winning presentation at the RCoA/CPOC Patient Safety in Perioperative Practice Event 2021 - identifying and mitigating latent safety threats using in-situ simulation with human factors feedback delivered by airline pilots.
Recorded on 4 Nov 2021.
In this podcast, Dr Emma Hosking, Vice-Chair of the ACSA Committee talks to Dr Tony Shambrook- ACSA Lead at Ysbyty Gwynedd, Bangor and Dr Euan McGregor- ACSA Lead at Royal Infirmary of Edinburgh about their department’s experience of pursuing accreditation through the ACSA Scheme.
In this episode, following on from their topical debate at the Anaesthesia 2021 event in May 2021, Dr Claire Mallinson interviews Dr Michael Devlin and Dr Craig Purshouse (since the time of recording, Dr Purshouse is now a Senior Lecturer in Law at Liverpool University) about their views on doctors tackling COVID-19 being immune from negligence liability claims looking at arguments for and against. This conversation looks at both sides of the debate and from different perspectives, including the consideration of other factors.
Recorded on the 20 May 2021.
In this podcast Dr Krish Ramachandran speaks with Dr Sarah Muldoon about the challenges in retention in anaesthesia.
Dr Sue Walwyn interviews Professor Dame Clare Gerada and Professor Sir Simon Wessely about wellbeing and how we can support anaesthetists, particularly in light of the pressures of the COVID-19 pandemic
In this podcast Professor Ellen O' Sullivan interviews Dr Sonia Akrimi, Dr Emma Coley, Dr Sompwe Mwansa - Chanda and Dr Arthur Polela to discuss the experiences of anaesthetists in Zambia in tackling the ongoing COVID-19 pandemic and drawing on experiences in the UK as well.
In this podcast Dr Oli Pratt chats with Dr Jo Budd and Dr Gethin Pugh about the changes to assessments in the new curriculum and the developments made to help support training progression. This is episode 3 in a series of 3 podcasts on the 2021 Anaesthetics Curriculum and has been split into 2 parts.
Dr Jamie Strachan, Consultant in Anaesthesia and Intensive Care at Milton Keynes University Hospital and RCoA Council rep for Anaesthetists in Training discusses how Artificial Intelligence (AI) will be used and will change clinical practice in the years to come with Professor Niels Peek, Professor of Health Informatics, University of Manchester. Jamie and Niels lift the lid on how datasets will be gathered and how AI will interact with the data and the governance that will keep patients and clinicians safe.
This podcast episode is an interview with Dr Samantha Moore about TRIPOM including further information about what they do and how to get involved.
In this podcast Dr Oli Pratt discusses the philosophy that underpins the new curriculum, how this is reflected in the curriculum, and what the benefits of this shift in thinking are. This is episode 2 in a series of 3 podcasts on the 2021 Anaesthetics Curriculum
This podcast is about lessons learnt during Covid-19. The RCoA has launched a report that identifies 10 lessons that the UK healthcare system can learn from the pandemic which will be discussed in the podcast.
In this podcast Dr Oli Pratt puts the difficult questions about the curriculum to Dr Chris Carey and Dr Andy Whallett. Why do we have to have a new curriculum? Why did we change the structure of the training programme? Will there be enough CT3 posts? How is transition to be managed for LTFT anaesthetists in training?
This is episode 1 in a series of 3 podcasts on the 2021 Anaesthetics Curriculum
Dr Claire Shannon, RCoA Council Member speaks with Dr Richard Martin, Paediatric Anaesthetist from Great Ormond Street Hospital, about the management of procedure induced anxiety in Children.
Interested in a career in anaesthesia? In this podcast, Dr Sarah Crabtree and Dr Ellie de Sausmarez discuss the training programme, a typical day in the life of an anaesthetist and offer some tips and advice for anyone thinking of applying to the specialty.
This podcast was recorded on the 24th June 2020.
In this podcast, Ewelina Kolaczek interviews Professor Higham about the benefits of volunteering with the College.
16 October marks World Anaesthesia Day. In celebration of the great developments and achievements within the specialty of anaesthesia and the role of anaesthetists, this podcast series provides insight into three key areas – obstetric anaesthesia, neuroanaesthesia and managing COVID-19 – showcasing what anaesthesia is all about.
In this episode podcast host Dr Sarah Muldoon and Dr David Bogod shine a light on the constant presence anaesthetists are on labour wards. Find out how anaesthetists support women giving birth from pre-consultation to postpartum recovery making sure the experience of childbirth is as pleasant as possible for everyone involved.
Speakers: * Dr David Bogod, Consultant Anaesthetist (recently retired) * Dr Sarah Muldoon, Consultant Anaesthetist at King’s College Hospital
Resources mentioned in this episode: * Joint patient information leaflet on epidural pain relief * LabourPains.com
Please listen to our other two episodes in celebration of World Anaesthesia Day covering managing COVID-19 and neuroanaesthesia.
Recorded on 24 September 2020 by the Royal College of Anaesthetists.
16 October marks World Anaesthesia Day. In celebration of the great developments and achievements within the specialty of anaesthesia and the role of anaesthetists, this podcast series provides insight into three key areas –, neuroanaesthesia, obstetric anaesthesia and managing COVID-19 – showcasing what anaesthesia is all about.
In this episode podcast host Dr Sarah Muldoon and Dr Chris Carey discuss how anaesthetists are an essential part of collaborative teamwork during high risk procedures ensuring patients are well informed and cared for before, during and after major operations. Learn more about the different types of anaesthesia you can receive and in which ways anaesthetists monitor patients to guarantee they are properly anaesthetised.
Speakers: * Dr Chris Carey, Consultant Neuroanaesthetist at Brighton and Sussex University Hospital * Dr Sarah Muldoon, Consultant Neuroanaesthetist at King’s College Hospital
Please listen to our other two episodes in celebration of World Anaesthesia Day covering managing COVID-19 and obstetric anaesthesia.
Recorded on 24 September 2020 by the Royal College of Anaesthetists.
16 October marks World Anaesthesia Day. In celebration of the great developments and achievements within the specialty of anaesthesia and the role of anaesthetists, this podcast series provides insight into three key areas – managing COVID-19, obstetric anaesthesia and neuroanaesthesia – showcasing what anaesthesia is all about.
In this episode podcast host Dr Sarah Muldoon talks to Dr Helgi Johannsson about what an anaesthetist brings to the table in a crisis situation. Highly skilled and flexible in their medical background, anaesthetists are key to major trauma incidents – may that be terrorist attacks or a global pandemic.
Speakers: * Dr Helgi Johannsson, Consultant Anaesthetist at Imperial College Healthcare NHS Trust * Dr Sarah Muldoon, Consultant Anaesthetist at King’s College Hospital
Please listen to our other two episodes in celebration of World Anaesthesia Day covering obstetric anaesthesia and neuroanaesthesia.
Recorded on 24 September 2020 by the Royal College of Anaesthetists.
RCoA Council member, Claire Shannon, interviews GMC CEO, Charlie Massey for an exclusive interview and discussion on the future of regulation for Anaesthesia Associates, the benefits of regulation and what members can expect to see over the next 12 months as regulation is implemented for Anaesthesia Associates.
Professor William Harrop-Griffiths interviews Dr David Bogod, Dr Nuala Lucas and Dr Felicity Plaat.
Gillie Lyons interviews Dr Sian Jaggar on mentoring.
At the RCoA we have made our programme of events and courses virtual. Check out the full programme of online courses you can register for today. www.rcoa.ac.uk/events
Dr Soumen Sen, RCoA Education Fellow interviews Dr Chris Carey, member of the RCoA Council and Chair of the Training Committee
In this podcast, Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London asks Dr Mark Stacey – Consultant Anaesthetist, Cardiff and Vale University Health Board, about managing stress during the COVID-19 pandemic. Mark covers what is stress management, how to identify stressors and some management techniques you can use on a daily basis.
In this podcast, Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London asks Professor William Harrop-Griffiths – Consultant Anaesthetist at Imperial College Healthcare NHS Trust, London about resource management during the COVID-19 pandemic. This includes discussion around PPE guidelines, asymptomatic patients as well as other resource hot topics.
Information may have evolved since the recording on the 12 April, for more up to date information visit the COVID-19 guidance hub
In this podcast, Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London asks Dr Kariem El-Boghdadly - Consultant in Anaesthesia at Guy’s and St Thomas' NHS Foundation Trust, London about the IntubateCOVID project. The project aims to ascertain the incidence of airway managers and assistants who develop COVID-19
in the weeks following an airway management episode, examine the use of personal protective equipment (PPE) during airway management of COVID-19 patients and allow local, national and international reporting of airway management activity to provide information to support policymakers
Speakers: * Dr Kariem El-Boghdadly - Consultant in Anaesthesia at Guy’s and St Thomas' NHS Foundation Trust, London * Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London
In this podcast, Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London asks Professor Tim Cook - Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospitals, Bath the questions we all have about COVID – 19. Tim and Ravi discuss the disease from the epidemiology to how to safely manage patients with the disease. Speakers: * Professor Tim Cook - Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospitals, Bath * Dr Ravi Bhagrath – Consultant Anaesthetist at Bart’s Health, London
For more information visit the COVID - 19 guidance hub
Fiona Anderson, Education Administrator, interviews Afsana Choudhury, Workforce planning and Recruitment Coordinator.
Fiona Anderson, Education Administrator at the Royal College of Anaesthetists interviews Dr Matthew Tuck about the Junior Doctors Contract. The conversation mainly centres on the contract in England.
Graham Blair, Associate Director of Education and Events at the Royal College of Anaesthetists interviews Professor Bryn Baxendale about the RCoA Simulation Strategy. We cover what is the simulation strategy, what it covers and how will it shape simulation at the College as well as across the specialty over the next few years.
Graham Blair, Associate Director of Education and Events at the Royal College of Anaesthetists interview Dr Michael Moneypenny about mastery learning. We cover what is mastery learning, how it can benefit doctors as well as top tips on how to make it work for you and your department