Anaesthesia for Transgender Surgery Final Exam Viva

Thanks for all the fantastic information and lessons in cardiac bypass Dr Grant!

Check out our podcast ABCs of Anaesthesia on all platforms

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Find us at
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#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
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Please support me at my patreon
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Any questions please email abcsofanaesthesia@gmail.com
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Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr James for sharing your insights and all your extremely considered thoughts and professional approach to anaesthetic practice!

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Find us at
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Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
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Check out all of our online courses and zoom teaching sessions here!
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#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
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Please support me at my patreon
https://www.patreon.com/ABCsofA
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Any questions please email abcsofanaesthesia@gmail.com
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Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Megan for a great exam performance!

For the full video, check out the Final Exam Course
https://anaesthesia.thinkific.com/courses/finalexam

Exam Stem
You are asked to review a 76-year-old man for planned abdominal aortic aneurysm (AAA) repair on your list in seven days time. His aneurysm extends above the renal arteries. 

He has a background of hypertension, type 2 diabetes mellitus and a transient ischaemic attack (TIA). 

He has a body mass index of 32 kg/m2 and has a 24 pack-year history of smoking. 

He is a Jehovah’s Witness.

His medications include 
clopidogrel 75mg daily 
rosuvastatin 10mg daily 
perindopril 4mg mane 
metoprolol 25mg bd 
metformin 1000mg bd 

What is his risk of renal impairment perioperatively?

What criteria can be used to define acute kidney injury? 


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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
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Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
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Check out all of our online courses and zoom teaching sessions here!
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#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
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Please support me at my patreon
https://www.patreon.com/ABCsofA
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Any questions please email abcsofanaesthesia@gmail.com
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Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Michelle for a candid and honest discussion on how to pass this exam after a major set back

Check out our online course for trainees needing extra help
https://anaesthesia.thinkific.com/courses/I-EXCEL
https://anaesthesia.thinkific.com/courses/FinalExam

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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
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Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
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#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Amazing to chat to a specialist with the lived experience of how anaesthesia has changed over the last 4 decades!

Please check out her book The Chloroformist
https://www.mup.com.au/authors/christine-ball

Dr Christine is an anaesthesiologist at the Alfred Hospital in Melbourne and co-convenor of the Master of Perioperative Medicine at Monash University, where she is an Adjunct Associate Professor. Chris has been involved in the study of the history of the specialty for over 30 years and has many publications on the subject, including the book The Chloroformist, published by Melbourne University Press in 2021 She has been an Honorary Curator of the Geoffrey Kaye Museum of Anaesthetic History since 1989, a position she still holds. She is a Fellow of the Royal Historical Society and the current Wood-Library Museum Laureate of the History of Anesthesiology. 

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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
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Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Really interesting chat about rapid sequence inductions and the history, method, myths, facts and how we use the RSI in the modern day

Check out these great resources!

References:
·  https://litfl.com/rapid-sequence-intubation-rsi/
·  Oxford Handbook for Anaesthesia, 5th Edn
·  ACE Course Notes final 2023
·  https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00883-5
·  https://onlinelibrary.wiley.com/doi/10.1111/acem.13274
·  https://journal.chestnet.org/article/S0012-3692(17)30881-4/fulltext

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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
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Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
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#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
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Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Rebecca! great performance and congratulations on passing the ANZCA Final Exam! welcome to the other side ;)

Here are some useful resources

VIVA STEM
You are asked to review your next patient. A 25yo 130kg transgender female (She/her/hers) for augmentation mammoplasty (implants and lipofilling).

Past history
Asthma 
Anxiety
Depression
Obesity 130kg. 170cm tall. BMI 45

Medications
Symbicort
Salbutamol
Venlafaxine
Spironolactone
Oral oestrogen

Allergies
Kiwi fruit - diarrhea
Avocado -diarrhea
Penicillin – whole body rash

She is very concerned about the impact of her hormone treatment and anaesthesia. What do you advise her?

A fantastic article without valuable information for the anaesthetist/anesthesiologist
https://www.bjaed.org/article/S2058-5349(23)00005-7/fulltext

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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Megan for a great exam performance!

For the full video, check out the Final Exam Course
https://anaesthesia.thinkific.com/courses/finalexam

Exam Stem
You are on the night shift at your tertiary hospital. You are called to resus bay in ED as a 55yo male presents to emergency with severe respiratory distress. 

You arrive to see a patient with hiflow nasal oxygen, looking unwell, with laboured irregular breathing. Sats 92%. Unable to speak due to respiratory distress. 

What do you do when you arrive as the doctor leading the resus?

Here's a great reference article from the legendary BJA education journal
https://www.bjaed.org/article/S2058-5349(21)00082-2/fulltext

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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Ralph for a great exam performance!

For the FULL video check out https://anaesthesia.thinkific.com/courses/FinalExam

The Stem
13yo male presents to emergency department in a small rural hospital (2 theatres, 1 ward, no HDU/ICU) with right iliac fossa abdominal pain. 

Past history
Duchenne’s muscular dystrophy
Wheelchair bound
Severe scoliosis
50kg recent weight

Vitals
HR 110 SR
BP 100/70
Sats 95% or 2L NP oxygen
Resp rate 40
Temp 37.4 

Bloods
FBE 120
WCC 13 x 109/L
Plt 400 x 109/L

The surgeon is concerned about a ruptured appendix and would like to urgently go to theatre for a laparoscopic appendicectomy.
 
His father is very concerned about the anaesthetic. 

What is Duchenne’s muscular Dystrophy and what are the concerning aspects of this disease for the anaesthetic?


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Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.

Thanks Dr Catherine for sharing your insights!

Here are some useful links:

https://sash.asn.au/training/

https://www.amazon.com.au/Handbook-Communication-Anaesthesia-Critical-Care/dp/0199577285

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2044.2009.05887.x


---------
Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded 
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email abcsofanaesthesia@gmail.com
---------
Disclaimer: 

The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.

Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 
The medical information is provided “as is” without any representations or warranties, express or implied. 
The presenter makes no representations or warranties in relation to the medical information on this video. 
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant. 
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’ 

Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

The information presented here does not represent the views of any hospital or ANZCA.

These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements. 




This disclaimer was created based on a Contractology template available at http://www.contractology.com.