Michael Wang PhD interviews Jamie Sleigh MD
Publications relevant to topics in this interview:
Sanders_Tononi_Laureys_Sleigh_2012
Sleigh MAA10 Interview Transcript 1 of 1
Topics | mins |
define an adequate general anesthetic? | 0:26:00 |
Is neurotoxicity a major problem ? | 2:01 |
immune activation of surgery | 2:51:15 |
burst suppression for brain protection vs. delerium | 3:23 |
dangers of deep anaesthesia | 3:30 |
amnesia as target of general anaesthesia | 3:51 |
the significance of movement | 4:27 |
movement with burst suppression | 4:40 |
can you tell the difference: spinal refelex vs. voluntary movement ? | 5:32 |
Do you talk to patients ? | 5:40 |
talking to patients: impact on surgeon? | 5:52 |
variation of culture in operating rooms between countries | 6:23 |
type of intervention for movement ? | 7:00 |
view of neuromuscular blocking agents in routine anesthetic practice? | 7:50 |
intubation | |
maintenance | |
Compare your practice, with NMBS/MRs vs. other anesthesiologists in… New Zealand? | 9:09 |
NMB/MR use in USA, UK vs N Zealand? | 9:27 |
do you always paralyze during clipping of a cerebral aneurysm? | 10:27 |
titrating to lack of movement in less sensitive surgical sitautions | 11:04 |
BIS says patient asleep but squeezes hand | 11:48 |
patients squeeze hand: mostly comfortable | 11:50 |
% time patients in pain | 12:26 |
unhappy patients: much less alpha delta patterns in the EEG | 12:39 |
routine use of EEG | 12:58 |
BIS & EEG as a monitor | 13:31 |
end |
Dr Michael Wang interviews Dr Jamie Sleigh. Topic awareness under anesthesia.
Jamie Sleigh
TOPIC: General anaesthesia as fragmentation of selfhood: EEG and FMRI evidence.
MBChB, FANZCA, Dip App Stat, MD. Professor of Anaesthesia
Department of Anaesthesia, Waikato Clinical Campus, University of Auckland, New Zealand
Jamie Sleigh is Professor of Anaesthesiology and Intensive Care at the Waikato Clinical School, of the University of Auckland, Hamilton, New Zealand. He grew up in Zimbabwe, and specialised in anaesthesia in the United Kingdom, before moving to New Zealand in 1988. He has practiced in both intensive care medicine and anaesthesia – with particular interests in anaesthesia for vascular surgery and neurosurgery. His current research interests include: the practical use of EEG in anaesthesia; EEG signal processing; the modelling of brain dynamics in anaesthesia, sleep, and seizures; pharmacokinetics of anaesthetic drugs; and the development of ketamine ester analogues.
Michael Wang
TOPIC: Awake paralysis – the heart of AAGA PTSD
BIOGRAPHY AND AREAS OF RESEARCH:
Michael Wang is Emeritus Professor of Clinical Psychology in the
College of Medicine, Biological Science and Psychology,
University of Leicester UK, and Honorary Consultant Clinical
Psychologist in Anaesthesia, Critical Care and Pain Management
at Leicester Royal Infirmary UK. He is a former Chair of the
Division of Clinical Psychology of the British Psychological
Society. He has worked as a clinical psychologist for more than
35 years, treating patients with PTSD, anxiety disorders, depression, obsessional compulsive disorder, and in particular, psychological problems arising from unplanned anaesthetic and surgical incidents.
Anthony Messina
Anthony Messina, MD, MSPH, MBA is a retired Adjunct Professor of Healthcare Management at the Jindal School of Management, University of Texas at Dallas and anesthesiologist.