loader from loading.io

Prehab Periop World Congress: Teodor Stefanov

TopMedTalk

Release Date: 07/04/2019

EBPOM 2020 London: Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help? show art EBPOM 2020 London: Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help?

TopMedTalk

This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring practices help? The postoperative period seems to be critical, the thirty day period immediately after anesthesia being a key area. 7.7% of postoperative deaths are in this period, according to The Lancet here; What is happening in the post operative period? How do we find out more? Are hospital general care wards the safe haven we expect them to be? What should we monitor and how do we avoid "alarm fatigue"? More on the "PRediction of Opioid-induced...

info_outline
AANA | Innovators in anesthesia: Anesthesia electronic medical records show art AANA | Innovators in anesthesia: Anesthesia electronic medical records

TopMedTalk

"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was developed specifically for Nurse Anesthetists. Its focus is on solo or small-practice nurse anesthetists operating in environments with limited or no network and computing resources other than an iPad. One patient, one nurse anesthetist, and one iPad. It can now be scaled to larger multi-provider practices outside of CRNAs. Hear how this innovation came about. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA)...

info_outline
EBPOM Chicago | Patient Safety: How do you make the Changes that Change Culture? show art EBPOM Chicago | Patient Safety: How do you make the Changes that Change Culture?

TopMedTalk

Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how do we change this and how do we make the changes we implement last? Can safety and avoidable harm be somehow hardwired into the culture of what we do in a way similar to that of the airline industry? This popular and refreshing talk is presented here after it was a big hit at the Chicago 2020 conference organised by Evidence Based Perioperative Medicine (EBPOM). For more check out Presented by Mike Ramsey, Chair of the Board of Directors of the...

info_outline
EBPOM Highlight | The Wesfit trial show art EBPOM Highlight | The Wesfit trial

TopMedTalk

Patients with physiological and psychological resilliance have a clear advantage in surgery. The Wessex Fit-4-Cancer Surgery Trial (WesFit) is attempting to determine the effects of multi-modal physical and psychological prehabilitation. This piece gives you the detail and ends with a short informative question and answer session. Presented by Samantha Leggett, Study Director, University Hospitals Southampton NHS Foundation Trust.

info_outline
POCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care show art POCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care

TopMedTalk

"At the moment perioperative care in the UK doesn't really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the agenda" If you enjoyed Monty's explanation regarding the UK's perioperative journey you may find this link interesting: Evidence submitted by the Improving Surgical Outcomes Group (ISOG) (NICE 75): "Now we're here at this Pocapalooza" - POC, standing for Perioperative Care and "apalooza" being an extravagant event. However, as one of our guests suggests, perhaps we should call this one a "CPOC-apalooza!" as a lot of our focus is on The CPOC...

info_outline
POCAPALOOZA | Sydney: Education, education, education. show art POCAPALOOZA | Sydney: Education, education, education.

TopMedTalk

"It also must start and end in primary care" This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine evolved over the years around the world? What's the status of Perioperative Care as a specialty? How does one specialise in this area, in terms of education? Discussing the development of the International Board:- "We decided perioperative education should not only be available for developed countries". We hear that TopMedTalk engaging...

info_outline
TopMedTalk | The Balanced Anesthesia Study show art TopMedTalk | The Balanced Anesthesia Study

TopMedTalk

This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a multi-centre trial? More on the study here: More on the Confusion Assesment Method here: The Hospital Elder Life Program (HELP) for Prevention of Delirium is here: We discuss the ENGAGES trial here: More on the Women in Anaesthesia Research, a BJA Symposium, here: Presented by Desiree Chappell and Monty Mythen with Lis Evered, neuroscientist and Head of Research in the...

info_outline
SCA | The Society of Cardiovascular Anesthesiologists show art SCA | The Society of Cardiovascular Anesthesiologists

TopMedTalk

After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics that are being discussed in the field; devices and extracorporeal membrane oxygenation (ECMO) machines, as well as trans-esophageal echocardiography and how the practice has evolved. The conversation ends with a discussion about pre-habilitation in a resource stretched environment. Presented by Desiree Chappell with Sol Aronson and Jamie Ramsey, Medical Director Cardiac ICU at UCF and Gerald Levy, MD at Duke University.

info_outline
Prato 2019 | The PREVENTT Trial show art Prato 2019 | The PREVENTT Trial

TopMedTalk

This piece focuses on the Preoperative Intravenous Iron To Treat Anaemia in major surgery (PREVENTT) trial; a randomized double-blind controlled phase III study to compare the efficacy and safety of intravenous ferric carboxymaltose with placebo in patients with anaemia undergoing major open abdominal surgery. The main question is if we properly mobilize our patients, feed them and correct their anemia, do they do better? How can we get a patient fitter for surgery? Can we correct anemia before surgery? "We took people prior to major open abdominal surgery [...] and our question was, in two...

info_outline
EBPOM 2019 | Multi-modal Prehabilitation show art EBPOM 2019 | Multi-modal Prehabilitation

TopMedTalk

This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What tools are there related to patient self management? What advice would you give a patient about cannabis smoking cessation? Should denial of surgical procedures be used as a motivator for lifestyle change? Can the questions used in interventions sometimes be open to misinterpretation by patients? How do we assess and treat sleep disorders? If not a psychologist, what team members might handle psychological behaviour change? Does immunonutrition work?...

info_outline
 
More Episodes

Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.

Presented by Monty Mythen, Desiree Chappell and Korey Sprigman with their guest Teodor Stefanov, Associate Physician, Anesthesiology Institute at Cleaveland Clinic, Abu Dhabi.