Pain Management Archives - obsgynaecritcare: Recent Episodes
Roger Browning - Anaesthetist
Hi Everyone, Join Siv and I as we sit down to discuss a couple of interesting obstetric related topics. The first is the pharmacology around the choice and strength of […]
The post 116 Epidural local anaesthetics and another TXA article with Siv appeared first on obsgynaecritcare.
Hi Everyone,
In our tertiary women’s hospital here in Perth we use remifentanil PCA in labour approximately 15 times a year – and we are told that in Australian terms this is considered a “heavy user” of this labour analgesic technqiue.
This week I sit down with Mike Jamison an anaesthetic fellow from Belfast spending a year with us here in Perth. When he arrived in WA we quickly learned from him that remifentanil PCA is commonly used for labour analgesia in Northern Ireland with one unit he worked in having prescribed this technique for more than 11,000 women. We sit down to have a deep dive into the use of remifentanil PCA in labour in Northern Ireland. What aspects of their approach have led it to become such a commonly utilised technique? What is their recipe? How do they prescribe it, how do they monitor the women and how is this technique now viewed amongst the obstetric, midwifery and wider Northern Irish community!
If you are attending the upcoming Obstetric Anaesthesia satellite meeting in Sydney in a few weeks – come along to hear Mike talk on this in person!
ReferencesIntravenous remifentanil patient-controlled analgesia versus intramuscular pethidine for pain relief in labour (RESPITE): an open-label, multicentre, randomised controlled trial. The Lancet volume 392, p662-672, AUGUST 25, 2018
Remifentanil patient-controlled intravenous analgesia during labour: a retrospective observational study of 10 years’ experience. H Murray, P Hodgkinson, D Hughes. Int J Obstet Anesth 2019 Aug;39:29-39
The post 111 – Remifentanil PCA in labour – the Belfast experience with Mike Jamison appeared first on obsgynaecritcare.
Hi everyone, This week Graeme and I sit down for the first time in nearly a year and do a bit of a deep dive on the use of nitrous […]
The post 105 Nitrous oxide for labour analgesia with Graeme appeared first on obsgynaecritcare.
Hi everyone, This week Sneha leads a discussion with both Matt and myself where we take a deep dive into how to actually perform an epidural blood patch. Even though […]
The post 103 How to perform an epidural blood patch. appeared first on obsgynaecritcare.
Welcome to this podcast, the four in our series of obstetric anaesthesia basics. Join us for this conversation where we discuss the approach to a woman with a suspected or […]
The post 093 Post dural puncture headaches appeared first on obsgynaecritcare.
Welcome to this podcast, the third in our series of obstetric anaesthesia basics. Join us for this conversation where we discuss the incidence, significance and management of accidental dural punctures […]
The post 092 – Accidental dural puncture and intrathecal catheters appeared first on obsgynaecritcare.
In Part 2 of epidural analgesia in labour we discuss common problems, difficulties and how to troubleshoot issues in our epidurals on labour ward. Thanks again Matt & Shilpa! BASICS […]
The post 091 – Epidural analgesia in labour part 2 pitfalls and troubleshooting appeared first on obsgynaecritcare.
We discuss the basics involved in epidural analgesia for labour. Join us in the next podcast where we will discuss common problems, pitfalls and how to trouble-shoot issues. Thanks Matt […]
The post 090 – Epidural analgesia in labour part 1 appeared first on obsgynaecritcare.
Hypothetical patient: You get called by an anaesthetic registrar to come and help them with a woman in labour ward. They tell you that they have been struggling for a […]
The post 073 Why am I still in pain? with Fionn O’Laiore appeared first on obsgynaecritcare.
(* Hypothetical Case) You are asked to see a pleasant 31 yr old woman in the antenatal clinic who is pregnant for the first time because as an adolescent she […]
The post 063 – Remifentanil PCA for labour analgesia – Mike, Matt & Roger appeared first on obsgynaecritcare.
Hi Everyone, This week is part two of a series where Dr Mark Johnson and I discuss the emerging field of onco-anaesthesia. An increasingly enormous number of people every […]
The post 057 – Part Two Ten Commandments of Oncoanaesthesia with Dr Mark Johnson appeared first on obsgynaecritcare.
Hi Everyone, This week I am joined by Dr Mark Johnson for part 1 of a two part series where we discuss the emerging field of onco-anaesthesia. An increasingly enormous […]
The post 056 – Part One – Ten Commandments of Oncoanaesthesia with Dr Mark Johnson appeared first on obsgynaecritcare.