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Periop Coach 4.10 | Enhanced Recovery for obstetrics

TopMedTalk

Release Date: 09/09/2019

Am I safe? Q&A with Lee Fleisher | EBPOM 2020 show art Am I safe? Q&A with Lee Fleisher | EBPOM 2020

TopMedTalk

This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: The discussion follows themes outlined in the presentation as our online audience asked a series of questions. Some of the questions included in the discussion are "How should leaders deal with anxiety both in themselves and their team? What is the evidence on perceived command gradient in residents and the fear of looking inadequate in front of peers and superiors? Bad for patients, versus bad for me? The people at the top end, the older people...

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Daniel Engelman Q&A | EBPOM Chicago show art Daniel Engelman Q&A | EBPOM Chicago

TopMedTalk

"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: Presented by Desiree Chappell and Monty Mythen with Daniel Engelman,...

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Postoperative critical care: How do we help? | EBPOM 2020 show art Postoperative critical care: How do we help? | EBPOM 2020

TopMedTalk

This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? Why is it good for our patients? As regards admissions to your campus care area; what criteria do you use? Do we need rapid critical care expansion in countries with very few beds? Could the enhanced care wards, in their approach, be compared with the post anaesthetic care unit? Would you cancel or postpone a cancer patient's operation, if not enhanced care or post operative...

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Perioperative team: a physician’s view | EBPOM 2020 London show art Perioperative team: a physician’s view | EBPOM 2020 London

TopMedTalk

This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. Developing these skills requires new approaches; to education and training at undergraduate and postgraduate level; to challenge the old ways of delivering perioperative care. This requires new ways of working, the breaking down of silos, a rethink of the financial support that is required and that we share good practice rather than 'reinventing the wheel'. It also means ensuring that we continue to gain evidence from the real world of clinical...

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Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago show art Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago

TopMedTalk

This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our speaker outlines his thoughts in a short talk. Now questions from the audience are considered and the conversation develops. What have we learned after the recent huge changes we've seen in our profession? Presented by Desiree Chappell and Monty Mythen with Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of...

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Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago show art Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago

TopMedTalk

"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. If you believe you can." This piece contains a powerful, inspirational and prescient talk about leadership. Part 1 contains some conversation and the talk, to be followed by questions from the audience in Part 2. Where do leaders come from, what makes them stand out and how do they learn the skills necessary to take what they do to the next level? Presented by Desiree Chappell...

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EBPOM 2020 London | EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell

TopMedTalk

This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the UK. At University College London (UCL) cardiopulmonary exercise testing (CPET) was set up as a research tool "but then clinicians came, became interested in the results of the tests and started to ask for tests to be done on their patients for clinical evaluation". An external contractor model, using a charitable organisation, enabled them to charge the NHS for these tests; as the service expanded they were able to expand to other clinical sites...

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EBPOM 2020 London | Extending roles: what is the future? show art EBPOM 2020 London | Extending roles: what is the future?

TopMedTalk

"Just having more staff doesn't always equate to better care, especially when the staff do not have the skills required." Perioperative medicine has the opportunity to lead the way in advanced practice; the extended role of the practitioner within the perioperative pathway can be done with nurses, allied health professionals or physician associates. As we evolve these roles, we must be mindful and recognise not all services will be the same. How can you tailor your service to your specific needs? How do you construct a business case which provides a better quality of value based care within...

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Opioid-induced Respiratory Depression | EBPOM Las Vegas 2021 show art Opioid-induced Respiratory Depression | EBPOM Las Vegas 2021

TopMedTalk

"46% pretty much means every other patient who was getting IV opioids was having some sort of a respiratory depression event" After a quick round up of COVID news in the contributor's respective areas this piece gets involved in a much needed discussion about the “PRediction of Opioid-induced Respiratory Depression In Patients Monitored by capnoGraphY (PRODIGY)” trial. PRODIGY trial is here: Presented by Desiree Chappell and Monty Mythen with Mike Grocott, and their guests Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care...

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Non-invasive evaluation of autonomic nervous system- A nociception monitor | EBPOM Las Vegas show art Non-invasive evaluation of autonomic nervous system- A nociception monitor | EBPOM Las Vegas

TopMedTalk

Armed with a background in biomedical engineering, doubled with an EMBA in Finance, our guest has spent the past 20 years within the medical device industry. In 2010 he was instrumental in setting up MDoloris Medical Systems, with the mission to provide technologies that allow clinicians a reliable, continuous and non-invasive evaluation of autonomic nervous system (ANS) activity. Based on 23 years of academic research, performed by a French research lab, the technology allows anaesthetists and intensivists to effectively tailor analgesia; more so for patients who are unable to communicate....

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More Episodes

What are the results if you apply Enhanced Recovery to obstetrics?

This podcast features Desiree Chappell interviewing Dr Attila Kett, anaesthesiologist and Chairman at St Peter’s University Hospital at New Jersey.

Join in the debate: [email protected]