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EBPOM Highlight 2.17 | Colloid vs Crystalloid - Goal Directed Therapy

TopMedTalk

Release Date: 11/06/2019

Functional Assesment | EBPOM London 2020 show art Functional Assesment | EBPOM London 2020

TopMedTalk

"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. The Duke Activity Status Index (DASI) can be found here: The Mini Cog assessment is here: The video resources mentioned in the piece are here: Presented by Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society.

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Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020 show art Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020

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"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 2. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we...

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Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020 show art Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020

TopMedTalk

"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 1. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we...

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Models of Prehabilitation in Greater Manchester | EBPOM 2020 London show art Models of Prehabilitation in Greater Manchester | EBPOM 2020 London

TopMedTalk

It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, "ERAS+"; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk,...

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

TopMedTalk

This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk, facilitating better shared decision making and increased patient satisfaction, even among those who - as part of this process - decide not to go ahead with an operation. It also incorporates evidence regarding what we know about COVID-19; "The risks ... of the COVID-19 virus is that if people contract it during or after their surgery, they have a much worse result with perhaps 51% pulmonary complications or 24% mortality". The World Health...

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Introduction to the Pathophysiology of COVID 19 | Dingle 2020 show art Introduction to the Pathophysiology of COVID 19 | Dingle 2020

TopMedTalk

This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a number of outstanding questions. This piece attempts to answer those questions; where does it come from, what do we know about it now, what would we like to know about it in the future? Why is the disease more pronounced in men, how come obesity seems to be a factor, what's the mechanism which leaves children less at risk than adults and senior citizens? This piece is a standout part of Evidence Based Perioperative Medicine's (EBPOM) Dingle 2020...

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Depth of anaesthesia and long term outcomes | Dingle 2020 show art Depth of anaesthesia and long term outcomes | Dingle 2020

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"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse events. There's very few proven primary or secondary prevention measures, and the resources for monitoring and trading complications are inadequate. So - more action is required". This piece looks at the evidence as regards perioperative outcomes for the elderly, depth of anesthesia and mortality. Also, what's the latest on depth of anesthesia and delirium? Presented by Kate Leslie, Honorary Professor, Monash University, Melbourne, VIC,...

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The Changes that Change Culture - panel discussion | EBPOM Chicago show art The Changes that Change Culture - panel discussion | EBPOM Chicago

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This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? How important are checklists? What about "patient advocates"? Presented by Sol Aronson with Mike Ramsey, Chair of the department of Anesthesia and pain management at the Baylor University Medical Center in Dallas and Board Chair of the Patient Safety Movement Foundation, Lee Fleisher, CMO and director for the Center for Clinical Standards and Quality for the centers of Medicare...

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Video Laryngoscopy During Covid-19 | EBPOM London 2020 show art Video Laryngoscopy During Covid-19 | EBPOM London 2020

TopMedTalk

  How have we adapted in our views on the use of video laryngoscopy during the Covid-19 pandemic? Who is best suited to intubate? Are we seeing "a poorly managed first wave"? How are practitioners changing their approach in light of the possibility of infections? What lessons are being learned by practitioners in the midst of the COVID crisis? This piece was generously supported by Presented by Desiree Chappell with Monty Mythen and her guests, Patrick Schoettker, Professor of Anesthesia and Emergency Medicine at Lausanne University Hospital, Sol Aronson, tenured Professor, Duke...

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Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020 show art Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020

TopMedTalk

This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions submitted from the online audience the panel get into the detail. Essential listening for any student of perioperative medicine. It includes a mention for the Welsh Perioperative Medicine Society, their website is here: This is part two of a two part piece of the same name. Presented by David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London...

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"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent talk, for free, on this podcast.

If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings

If you have any comments or questions you'd like to send to the team email: [email protected]

Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.