GasGasGas - The FRCA Primary Exam Podcast

Employ a graphic designer interested in systems design, and once and for all standardise font, sizing, dose and date position. With packaging labelled clearly on all sides of boxes (there are blanked edges on the propofol boxes currently in use at my hosp)

Those Humphrey ADEs with Penlons looking mighty attractive now! Could just whip out a Hamilton vent and place it proudly at the foot of the operating table allowing it to mercilessly beep when anyone looks at it :D

Nitrous Oxide For The FRCA Primary Nitrous Oxide, once a corner stone of 'passing the gas' has been progressively displaced by better agents, think sevoflurane with less PONV, remifentanil for

Nitrous oxide might be yesterday's gas, but it's today's FRCA Primary exam question. Master B12 toxicity, diffusion hypoxia, air space expansion & the concentration effect. Complete pharmacology breakdown in our latest episode. #FOAMed

gasgasgas.uk/nitrous-oxide/

Ether, Enflurane And Explosions For The FRCA Ether (or perhaps Aether) was first distilled around 1540! by Valerius Cordus, with some jiggery pokery involving gourds, wine, sulphuric acid and some clever

Ether Enflurane and Explosions, a xmas special
Do avoid those explosions, as that's a pPEAK 30,000 cmH₂O :O
This episode covers fire physics, why you never grease a Bodok seal, and the Bristol teapot ether anesthesia incident of the 1790s.
🎧 gasgasgas.uk/ether_enflur... #FOAMed #ansky

Upcoming feature: live preview of bolus/infusion rate change in manual mode.

Sometimes, we need to change our inf rate or give an extra bolus, SimTIVA now plots the curve for the predicted changes dynamically as you enter your values. Video demo of "live preview" of reducing inf rate from 50 to 30

Where’s the 50%propofol gone! I jest….

My highly reductive thinking is:

rsi- to go from awake and defending your airway to cuffed tube in trachea in the safest and shortest possible time.

This time is a bit on a spectrum, as a person barfing up poo probably needs the shortest possible time.

How you get there is up to you

Thio, sux, cricoid etc. aren't magic. They were thought up by clever people, and new clever people get to think up the next version, and make it better. This is how things move on towards "optimal".

When we are so bound to the past we can't change, we perish, innit?

Ep.47 – Halothane For The 1963 Diploma In Anaesthesia ± Fellowship Of The Faculty Of Anaesthetists (FFA) GB With the advent of halothane, smoking, static and other sizzling was back in style! Gone were the explosive diethyl ether, acetylene, trichloroethylene and

New episode: Halothane for the 1963 FFA Exam!
The volatile that reduced operating theatre explosions but brought hepatotoxicity concerns. Essential exam knowledge on pharmacology, cardiovascular effects and the two types of halothane hepatitis.
gasgasgas.uk/halothane/
#FOAMed #FRCA #ansky

Check this out foamy sky friends! #ansky #foamed

A Chapter On Hypnotica For The FRCA Primary (Hypnotic Drugs) Herein Lies a unifying page gathering up all the Gasgasgas episodes on hypnotic drugs for the FRCA exam, these are commonly used in the UK. Including

When does ketamine drop blood pressure?

Induction agents for exams and practice.
7 episodes: propofol, ketamine, thiopentone, etomidate, midazolam, and alpha-2 agonists.

The pharmacology and clinical pearls that matter in vivas and at 2am.
Clear explanations.

Ep.46 – Sevoflurane For The FRCA Primary We've gotten to grips with everything there is know about sevoflurane for the FRCA primary, but what on earth about Lewis Acids? this is more for general

Sevoflurane for the FRCA! Essential knowledge inside!
We delve into compound A formation, Lewis acids, and why sevoflurane needs 300ppm water to avoid hydrofluoric acid formation (who knew! :o ).
Plus: Strong Ion Difference explained with fewer headaches!
#foamed #Anaesthetics #GasGasGas

Ep.45 – Isoflurane For The FRCA Primary Everything you need to know about Isoflurane for Exams and Life!

Your complete isoflurane revision in one episode. MAC 1.17, blood:gas coefficient: 1.4, only 0.2% metabolism, and more. FRCA Primary candidates - this one's for you.
gasgasgas.uk/isoflurane/ Give it a Repost!

Episode 45 is on its way, Isoflurane and a dabble with Daltons Law, coming Friday Morning!

Happy World Anaesthesia Day 🎉 Tēnā koe i āu mahi – thank you for your work
To celebrate, the NZSA sent departments across the motu a little box of treats to celebrate. We hope you and your team enjoy them!

Where Every Second Counts YouTube video by WFSA

Anaesthesiologists from around the world show what it’s like when every second counts. 💙
This World Anaesthesia Day, we honour the unseen strength in every emergency.
🎥: youtube.com/shorts/o8apZ...

#WAD2025

Dr. William T. G. Morton demonstrating the first use of ester anesthesia in 1846.

October 16 is World Anesthesia Day, marking the 1846 ether demonstration by Dr. William T. G. Morton that revolutionized medicine. Today we honor the science, skill & teamwork of anesthesiology & its vital role in safe, compassionate patient care. Happy World Anesthesia Day!

#anesthesiology #ansky

🌍 Today we celebrate #WorldAnaesthesiaDay!
From easing pain to supporting life during surgery, anaesthetists play a vital role in safe & compassionate care every day.
Here’s to all anaesthetists/anesthesiologists & providers of anaesthesia, keeping patients comfortable, safe, and cared for. 💉💤

Ep.44 –Introduction To Volatile Anaesthetic Agents For The FRCA Primary Volatile anaesthetic agents remain fundamental to modern anaesthetic practice, yet their behaviour is governed by complex physicochemical principles that can

New episode 🎧 Does desflurane need electricity? Why does lower blood-gas solubility = faster onset? Episode 44 breaks down volatile anaesthetics with the concepts that matter for the FRCA Primary.

Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky

Friendly reminder:

The decision to administer iv fluids is more complex than whether the patient is fluid-responsive or not. Fluid-intolerance and tissue perfusion entered the chat...

#foamed #foamcc #meded #Medsky #emimcc #cccsky #hemodynamics

Ep.42– Dexmedetomidine For The FRCA Primary Dexmedetomidine unlike traditional sedatives produces a distinctive sleep-like state that preserves patient arousability and respiratory drive. Unlike GABA

Ep.42: Dexmedetomidine pharmacology for FRCA Primary—
Alpha-2 Agonist creating sedation with preserved respiratory drive. Covers mechanism, biphasic CV response, clinical uses and drawing up/ preparing the drug and practical dosing.
gasgasgas.uk/dexmedetomidine
#FOAMed #Anaesthetics #FRCA #medsky

Ep.39 - Classifying Isomers For The FRCA Primary Understanding the concepts of stereochemistry and classifying isomers is fundamental to modern anaesthetic practice. The three-dimensional arrangement of

Making sure we never miss something examiners love, don’t miss the episode disentangling isomers! gasgasgas.uk/classifying-... #medsky #foamed

Ep.38–Peri-Neural Adjuncts To Local Anaesthetics - For The FRCA Primary Regional anaesthesia becomes ever more ingrained in clinical practice, blocks wear off. Does adding a peri-neural adjunct like Dexamethasone help?

The Latest Episode of GasGasGas has made it to the airwaves!
we look at adding drugs in to regional blockade for extra activity! It's a pity everything is off license!

Buprenorphine is an unexpectedly effective outlier!

What do you use on a day to day basis in your centre?
#foamed #medsky

At the start of covid, I was doing an ABG for a pt under resp. Knew the recently-appointed consultant and she was like "you use local?".

She was a bit surprised by "yes because of *your* specialty's guidelines".

Ep.36: Local Anaesthetic Systemic Toxicity (LAST) For The FRCA Primary Local Anaesthetic Systemic Toxicity (LAST) represents one of the most clinically significant complications in regional anaesthesia practice. This episode

Latest episode is out - local anaesthetic systemic toxicity! It covers the: recognition, treatment, pathophysiology, risk mitigation, and risk factors for this life-threatening complication of nerve blockade + several nods to Dr Weinbergs' work on the subject! #foamed #medsky

tinyurl.com/h5haw5wf

Ep.35 – Ropivacaine For The FRCA Primary Welcome to another essential episode of Gas Gas Gas, where we dive deep into the pharmacology that could make or break your FRCA primary exam. Today we're

Ropivacaine!!
A complete guide to the S-enantiomer LA that's less cardiotoxic than bupivacaine!
Facts:
Differential block (sens> motor)
3mg/kg max dose

Plus: The Woolley & Roe case of post spinal paraplegia
Perfect for revision on-the-go!
Listen: gasgasgas.uk/ropivacaine
#FRCA

Almost Everything You Need To Know About Opioids For The FRCA Primary Exam Welcome to the almost definitive collection of knowledge regarding opioids for the FRCA Primary Exam. This comprehensive series covers every major opioid

Why choose alfentanil for RSI, what makes Remi so spiffy? 🤔
Comprehensive opioid series breaks down pharmacology, context-sensitive half-times, and clinical decision-making for all 8 major agents.
From morphine basics to remifentanil TCI models.
gasgasgas.uk/opioids-for-...
#ansky #medsky

We are publishing a pediatric imaging textbook, one case every day, and currently have 2,000 cases covering 1,000 diseases and 125 differential diagnoses, 50 procedure descriptions and 4 review courses

#FOAMed #FOAMRad #MedEd #radiology #radiología #radiologist #pediatrics #paediatrics #pediatría

@drlaurencegardner.bsky.social cheers ! Hope you’re enjoying the show :) anything I could do better?

Episode 34 - Lidocaine Welcome to lidocaine - the ubiquitous local anaesthetic that's everywhere in clinical practice but comes with some important caveats. Whether you're preparing

Clinical gold: wondering about IV lidocaine for postop pain?
or how to sneak and NG tube into schnoze (nose) 'delightful' the co-phenylcaine trick for NGT 💊
Learn AAGBI IV dosing protocols and whether spinal cords like it!
gasgasgas.uk/lidocaine/
#Ansky #FRCA #MedEd #foamed