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Join Sarah & Declan as we introduce a new series, covering the ANZCA final exam curriculum for obstetrics across four episodes. This first episode covers analgesia, neuraxials, and GA in pregnancy.
We hope this resource will be helpful for everyone, but especially those of our trainees preparing for the final exam. To get the most out of it, we suggest regularly pausing the podcast to answer each question yourself, before listing to our answers. Of course there is much more detail expected in the exam, but if you can answer all these questions confidently, we think you’ll have a great chance.
If you find this podcast helpful, or have suggestions for future episodes in this series, please send us an email (obsgynaecritcare@gmail.com) to let us know.
Here are links to some of the resources mentioned in this episode:
Question 1 (scoliosis, labour analgesia, inadequate block for labour, nerve injury)
· BJA Education, Oct 2024, Neuraxial anaesthesia in the parturient with pre-existing structural spinal pathology o https://www.bjaed.org/article/S2058-5349(24)00077-5/fulltext
· BJA Education Nov 2019, Non-regional analgesia for labour: remifentanil in obstetrics o https://www.bjaed.org/article/S2058-5349(19)30114-3/fulltext
· RANZCOG Guideline – Pain Relief in Labour and Childbirth o https://ranzcog.edu.au/wp-content/uploads/Pain-Relief-Labour-Childbirth.pdf
· BJA Education, Feb 2005, Analgesia in labour: non-regional techniques o https://www.bjaed.org/article/S1743-1816(17)30574-7/fulltext
· BJA Education, Apr 2013, Post-natal neurological problems o https://www.bjaed.org/article/S1743-1816(17)30057-4/fulltext
Question 2 (hypotension post-epidural, conversion of labour epidural to surgical epidural, PDPH)
· BJA Education, Jan 2020, Conversion of labour epidural analgesia to surgical anaesthesia for emergency intrapartum Caesarean section o https://www.bjaed.org/article/S2058-5349(19)30149-0/fulltext
· Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report o https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2808365
Question 3 (failed top-up conversion to GA, post-op analgesia)
· ObsgynaeCritCare Podcast Episode 147 Pain during caesarean a discussion with Matt o https://www.obsgynaecritcare.org/pain-during-caesarean/
Question 4 (obs patient for GA, prescribing in pregnancy)
· BJA Education, Feb 2021Anaesthesia and non-obstetric surgery in pregnancy o https://www.bjaed.org/article/S2058-5349(20)30143-8/fulltext
· Australian categorisation system for prescribing medicines in pregnancy o https://www.tga.gov.au/resources/health-professional-information-and-resources/australian-categorisation-system-prescribing-medicines-pregnancy
