Obsgynaecritcare

Roger Browning - Anaesthetist

Postoperative Care

Total Spinal Anesthesia

Caesarean Section

Placenta Accreta Spectrum

Obstetric Anesthetics

Epidural

Labor

Enhanced Recovery After Surgery

Pain Management

Magnesium

Anesthesia Safety

Anesthesia

Pregnancy

Uterine Inversion

Local Anesthetic

Patient Autonomy

Obstetric Anesthesia

Rheumatic Heart Disease

Peripartum Cardiomyopathy

Dexmedetomidine

A podcast discussing critical care, anaesthesia and pain medicine in obstetrics and gynaecology

56 ratings

Publishes	Monthly	Episodes	156	Founded	9 years ago
Number of Listeners		Categories	MedicineHealth & Fitness

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Guests Reviews Charts Talking Points

Latest Episodes

156 Communication during neonatal resuscitation The SuPPORT Project

This week Dr Esther Godfrey, an intensivist and anaesthetist from Wales, joins us on the podcast. Esther is visiting WA on a family holiday, and yet she kindly offered to come and speak with us this morning. In this episode Esther shares a very movin... more

21 Oct 2026 • 52 min

155 Use of opioids at induction for GA caesarean

You have attempted to top up an epidural for a category one caesar for fetal distress. The block seems adequate but once the surgeons enter the abdomen your patient complains of significant pain and you decide to convert to general anaesthesia. You p... more

1 Oct 2026 • 30 min

154 Obstetrics in the ANZCA final exam — Part 2

Join Sarah & Declan as we continue our series covering the ANZCA final exam curriculum for obstetrics across four episodes. This second episode covers complications in labour and delivery including management of postpartum haemorrhage. We hope this r... more

9 Sep 2026 • 1 hr 20 min • Most popular

153 Dexmedetomidine in O&G

Hi everyone Dexmedetomidine, is both a difficult word to pronounce correctly in casual conversation but also a useful pharmacological tool in many different situations. This week I am joined by one of our fellows Dr Han Lu to discuss dexmedetomidine,... more

18 Aug 2026 • 58 min

Key Facts

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Number of Listeners

Find out how many people listen to this podcast per episode and each month.

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Recent Guests

Jacob Woodward

Colleague/presenter who led the talk on opioid induction for obstetric GA

Department of Anesthesiology (colleague presenting the topic)

Episode: 155 Use of opioids at induction for GA caesarean

Han Lu

Guest, fellow on Innsoup's panel

Episode: 153 Dexmedetomidine in O&G

Faith Njue

Cardiologist specializing in heart failure and transplantation

Fiona Stanley Hospital

Episode: 142 Peripartum cardiomyopathy with Dr Faith Njue

David Owen

Consultant obstetrician with experience in managing Placenta Accreta

King Edward Memorial Hospital

Episode: 139 The Placenta Accreta Spectrum Team at KEMH Part one

Erin Shevis

Currently a fellow working in the department, originally from WA, trained at UWA, specializes in anesthetics.

Episode: 137 GLP1 agonists and anaesthesia a discussion with Erin

Reviews

4.9 out of 5 stars from 56 ratings

very informative
Great podcasts-keep the obstetrics coming, much appreciated in regional Vic
Apple Podcasts
5
RM SGS
Australia5 years ago
Amazing podcast
Definitely worth your time. Always full of useful tips and good humour. Very much appreciated!
Apple Podcasts
5
JMK 000
Australia5 years ago
Fix audio
Great content but your audio is often quiet and differential between speakers and sounds effects. Keep the content coming!
Apple Podcasts
4
iRunsALot
United States6 years ago
40/40
Great podcast, terribly good dad-jokes.
Great discussions on all things crit-care in O&G Anaesthesia from seasoned anaesthetists at KEMH.
Great to listen to as a junior or senior trainee, or just to refresh some Obs Anaesthesia.
Thanks Roger and Graeme!
Apple Podcasts
5
rfrmo
Australia6 years ago
Informative, evidence based and dad jokes
Being a GP Anaesthetist in Western Australia, this is the one podcast that I don’t miss. Memorable episodes would have to be maternal haemorrhage management, coagulation and bronchospasm. Thank you Roger and team!
Apple Podcasts
5
DrJRama
Australia6 years ago

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Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Audio quality is a recurring concern, but the topics stay highly relevant for trainees and practicing clinicians.

Many episodes are described as educational and entertaining for both junior and senior clinicians.

Regional practitioners value the local context and MDT planning insights shared on the show.

Listeners appreciate the practical, evidence-based obstetric anesthesia content and real-world tips.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Apple Podcasts	#155	Australia/Health & Fitness/Medicine
Apple Podcasts	#175	Sweden/Health & Fitness/Medicine
Apple Podcasts	#239	Ireland/Health & Fitness/Medicine

Talking Points

Recent interactions between the hosts and their guests.

155 Use of opioids at induction for GA caesarean

Q: Tell us all about that.

The guest explains that while there is a growing body of evidence supporting the use of short-acting opioids like alfentanil and remifentanil at induction to improve maternal hemodynamics, the evidence quality is low to moderate and there are many confounders. Neonatal outcomes generally appear unaffected in the studies, but dosing strategies vary, and practice differs depending on patient cohorts (e.g., hypertensive disorders or cardiac disease). Propofol may reduce accidental awareness and laryngoscopy-related hypertension compared with thiopentone, though evidence is largely observational and limited by study size.

154 Obstetrics in the ANZCA final exam — Part 2

Q: What are the ROTEM-based steps to manage an obstetric patient with ongoing hemorrhage and abnormal coagulation parameters on the rotor?”,

Begin by assessing fibrinolysis on XTEM and FibTEM; treat hyperfibrinolysis with tranexamic acid if indicated, then address hypofibrinogenemia with fibrinogen concentrate or cryoprecipitate, reassess, check platelets, and finally correct clotting factors with FFP or PCC as needed, guided by ROTEM parameters and replying with repeated ROTEM checks to guide ongoing therapy.

148 Rheumatic heart disease in pregnancy part 1

Q: What are the practical obstetric decisions for delivery and analgesia in these patients?

Most women are encouraged to have vaginal deliveries due to lower postpartum hemorrhage and infection risks, with careful planning for anesthesia and enhanced intrapartum monitoring; location and resource allocation are critical for safe delivery, and MDT discussions help tailor the timing and mode of delivery.

148 Rheumatic heart disease in pregnancy part 1

Q: So how do we risk stratify patients in pregnancy with rheumatic heart disease?

Risk stratification relies on functional and structural assessment, with imaging-guided evaluation to determine the severity of valvular disease and anticipated maternal-fetal risk; those with mild disease may be managed closer to home, while severe lesions require multidisciplinary planning and delivery at a tertiary center.

150 Tilting the tables: a discussion of the evidence for routine table tilt during elective caesarean

Q: Is there good evidence that tilting the patient improves fetal outcomes during elective caesarean sections?

The episode explains that while early literature suggested potential benefits, recent randomized and observational studies increasingly show no significant improvement in neonatal outcomes from tilting, and 15 degrees is generally insufficient; 30 degrees might help some but is not routinely tolerated or practical.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
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Frequently Asked Questions About Obsgynaecritcare

What is Obsgynaecritcare about and what kind of topics does it cover?

This show centers on obstetric anesthesia, critical care, and perioperative pain management, with a strong emphasis on real-world clinical decision-making in high-stakes obstetric scenarios. Across episodes, listeners encounter practical guidance on hemorrhage management, blood product strategies, hemodynamic optimization in rheumatic heart disease during pregnancy, and the evolving role of new monitoring technologies and medications (e.g., dexmedetomidine, non-invasive BP monitoring). The hosts blend case-driven discussions, guideline references, and crisis communication tips, often featuring clinicians from Australian centers and subspecialists in cardiology and obstetric anesthesia. A notable strength is translating complex research into... more

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Which podcasts are similar to Obsgynaecritcare?

These podcasts share a similar audience with Obsgynaecritcare:

1. ABCs of Anaesthesia
2. Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
3. Deep Breaths
4. ANZCA
5. Dev Raga Personal Finance

How many episodes of Obsgynaecritcare are there?

Obsgynaecritcare launched 9 years ago and published 156 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Obsgynaecritcare?

Recent guests on Obsgynaecritcare include:

1. Jacob Woodward
2. Han Lu
3. Faith Njue
4. David Owen
5. Erin Shevis

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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