A podcast discussing critical care, anaesthesia and pain medicine in obstetrics and gynaecology
Obsgynaecritcare
Claim This Podcastby Roger Browning - Anaesthetist
4.9(7 reviews)
151 episodes
Updated Bi-weekly
Accepts GuestsHas SponsorsLocation 🇦🇺
51
Podcast Authority
BetaFairBased on show quality, social media presence, reviews, charts, and more
Quality67
Social0
YouTube0
Engagement89
Podcast Overview
A podcast discussing critical care, anaesthesia and pain medicine in obstetrics and gynaecology
Language
🇺🇲
Publishing Since
8/23/2017
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51
Podcast Authority
BetaFairBased on show quality, social media presence, reviews, charts, and more
Quality67
Social0
YouTube0
Engagement89
6
Excellent Areas
2
Good Performance
11
Growth Opportunities
excellent
Episode Length
43 minutes
Performing excellently!
good
Show Notes Quality
3.0/5
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needs improvement
Publishing Consistency
Every 20 days
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Recent Episodes
June 10, 2026
151 Obstetrics in the ANZCA final exam part 1
Declan and Sarah discuss strategies for obstetric questions in the ANZCA final exam.
March 16, 2026
150 Tilting the tables: a discussion of the evidence for routine table tilt during elective caesarean
<p>Join us as Declan and Roger discuss the evidence for routine table tilt during elective caesarean section.  </p> <p>Has this changed your practice? What is your opinion on this topic? We’d love to read your emails. </p> <p>As mentioned in the episode we would love to do a future episode on Q&A so if you have any questions on any topic you would like us to tackle please send them in!</p> <p>Send your comments / questions to: obsgynaecritcare@gmail.com</p> <h4 class="wp-block-heading">References</h4> <ul class="wp-block-list"> <li>Hughes EJ, Price AN, McCabe L, Hiscocks S, Waite L, Green E, Hutter J, Pegoretti K, Cordero‐Grande L, Edwards AD, Hajnal JV. The effect of maternal position on venous return for pregnant women during MRI. NMR in Biomedicine. 2021 Apr;34(4):e4475. </li> </ul> <ul class="wp-block-list"> <li>Couper S, Clark A, Thompson JM, Flouri D, Aughwane R, David AL, Melbourne A, Mirjalili A, Stone PR. The effects of maternal position, in late gestation pregnancy, on placental blood flow and oxygenation: an MRI study. The Journal of physiology. 2021 Mar;599(6):1901-15. </li> </ul> <ul class="wp-block-list"> <li>Higuchi H, Takagi S, Zhang K, Furui I, Ozaki M. Effect of lateral tilt angle on the volume of the abdominal aorta and inferior vena cava in pregnant and nonpregnant women determined by magnetic resonance imaging. Anesthesiology. 2015;122(2):286-293. </li> </ul> <ul class="wp-block-list"> <li>Fujita N, Higuchi H, Sakuma S, Takagi S, Latif MA, Ozaki M. Effect of right-lateral versus left-lateral tilt position on compression of the inferior vena cava in pregnant women determined by magnetic resonance imaging. Anesthesia & Analgesia. 2019 Jun 1;128(6):1217-22. </li> </ul> <ul class="wp-block-list"> <li>Aust H, Koehler S, Kuehnert M, Werdehausen R, Schleppers A, Reese PC, Reyher C. Guideline-recommended 15° left lateral table tilt during cesarean section in regional anesthesia—practical aspects: an observational study. Int J Obstet Anesth. 2016 Aug;27:47-53. </li> </ul> <ul class="wp-block-list"> <li>Crawford JS, Burton M, Davies P. Time and lateral tilt at Caesarean section. Br J Anaesth. 1972 May;44(5):477-84. </li> </ul> <ul class="wp-block-list"> <li>Lee AJ, Landau R, Mattingly JL, Meenan MM, Corradini B, Wang S, Goodman SR, Smiley RM. Left lateral table tilt for elective cesarean delivery under spinal anesthesia has no effect on neonatal acid–base status: a randomized controlled trial. Anesthesiology. 2017;127(2):241‑249. </li> </ul> <ul class="wp-block-list"> <li>Jackson KL, Smiley RM, Lee AJ. Neonatal acid-base status before and after discontinuing routine left uterine displacement for elective cesarean delivery: a retrospective cohort study (2014–2017). Int J Obstet Anesth. 2025;62:104350. </li> </ul> <div>You need to add a widget, row, or prebuilt layout before you’ll see anything here. 🙂</div>
December 23, 2025
149 Rheumatic heart disease in pregnancy part 2
<figure class="wp-block-image aligncenter size-full"><img fetchpriority="high" decoding="async" width="546" height="501" src="https://www.obsgynaecritcare.org/wp-content/uploads/2025/12/mitral-stenosis.gif" alt="" class="wp-image-2858"/></figure> <p>Hypothetical Case:</p> <p>You are called to MFAU to see a woman who has just arrived via RFDS (royal flying doctor service)</p> <p>She is a 23 y.o indigenous woman from the Kimberley in the far north of WA. She is 33/40 G1P0 complex social history and possible substance use disorders</p> <p>She has PPROM (pre term premature rupture of membranes) and suspected early chorioamniotis and has been given antibiotics / nifedipine and a few litres of crystalloid fluid during the flight.</p> <p>The obstetric team have evaluated her – she has small for gestational age baby, and is complaining of dyspnoea.</p> <p>Her observations are: HR 110, NIBP 124/60, SpO2 91% on room air, T38.1</p> <p>Her bloods are relatively normal except for an unexpected high BNP.</p> <p>You do a focussed bedside transthoracic ECHO and unexpectedly see on the PLAX (parasternal long axis view) a classical hockey stick / domed appearance of severe mitral stenosis. She also has Pulmonary B-lines (indicating pulmonary oedema) and a flattened interventricular septum, very large atrium & doppler through the tricuspid valve confirms severe pulmonary hypertension. </p> <p>The team decides she would be better cared for in a hospital with cardiothoracic services – however she suddenly becomes more breathless – SpO2 86% on oxygen, NIBP 80/40 HR 125, and there is a prolonged foetal bradycardia…………………</p> <p>Hi Everyone,</p> <p>This week I am joined by Dr Clinton Ellis, a cardiothoracic anaesthetist based in Sir Charles Gairdner Hospital, and Graeme. We discuss the management of rheumatic heart disease in pregnancy – a challenging condition which unfortunately is still relatively prevalent amongst indigenous women here in Australia.</p> <p>This was a wide ranging discussion so I have decided to split this into two 40min episodes. Even though we talk for over 80min I feel like we just scratched the surface on this! If you have any questions or comments send them through – I will try and get Clinton to answer them.</p> <p>Finally a huge shout out and thank you to the Darwin based authors of the ANZCA 2023 Blue Book article on this condition: Namrata Jhummon-Mahadnac, Matthew Mathieson, and Akshay Hungenahally! See the link to their well written narrative review on this topic below:</p> <h3 class="wp-block-heading">References</h3> <p><a href="https://www.anzca.edu.au/getContentAsset/f1a580a9-36db-4c77-aa46-37d9f7e88f0b/80feb437-d24d-46b8-a858-4a2a28b9b970/Blue_Book_COMBINED_DIGITAL_v2.pdf?language=en">Australasian Anaesthesia 2023 (aka the Blue Book) – see page 39 “Obstetric anaesthesia in rheumatic heart disease – a unique perspective from the Top End”</a></p> <p><a href="https://www.heartfoundation.org.nz/about-us/news/stories/oral-vaccine-could-prevent-rheumatic-heart-disease-in-nz">Oral vaccine could prevent rheumatic heart disease in NZ</a></p> <p><a href="video: Researchers close to a vaccine for strep-A and rheumatic heart disease">VIDEO: Researchers close to a vaccine for strep-A and rheumatic heart disease</a></p>
151 total episodes available
Recent guests on Obsgynaecritcare
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Dr Faith Njue
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Dr Matt Epee-Bekima
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Dr David Owen
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Frequently asked questions
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- What is Obsgynaecritcare?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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This podcast is available on 9 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Yes, this podcast regularly features guests.
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