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TopMedTalk | A Masters Programme in Perioperative Medicine

TopMedTalk

Release Date: 07/18/2019

EBPOM 2019 | EBPOM Prehab trials; WesFit show art EBPOM 2019 | EBPOM Prehab trials; WesFit

TopMedTalk

This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled trial, with patient informed development and process evaluation "You wouldn't run a marathon without preparing," why would you want an operation where you don't get ready for a physically stressful event such as surgery? Prehabilitation is an obvious advantage, gathering the data which proves that is essential to perioperative medicine because it means we can show the advantages clearly to both patients and practitioners as well as looking at ways of...

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Desiree's Roundtable | Coordinating an Enhanced Recovery Program show art Desiree's Roundtable | Coordinating an Enhanced Recovery Program

TopMedTalk

How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme? Does an enhanced recovery programme which comes from the grassroots need support early on in the process? How do you find the right people to support you once the process has begun? Also, how do you explain that these changes will actually reduce workload? The conversation moves into managing pain, both the reality of pain and the expectations which can, if handled correctly, help to reduce it. Finally, what are the three key aptitudes that an enhanced...

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TopMedTalk | Substance Use Disorder - Peer Support: An Empathetic Information Resource show art TopMedTalk | Substance Use Disorder - Peer Support: An Empathetic Information Resource

TopMedTalk

"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me". This podcast helps tackle the difficult subject of Substance Use Disorder in healthcare practitioners. How do we, from a caring and helpful perspective, address this issue either within ourselves or others? This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ The Peer Assistance section of the AANA’s website is here: www.AANAPeerAssistance.com. Also see...

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TopMedTalk | Fluid Physiology in detail show art TopMedTalk | Fluid Physiology in detail

TopMedTalk

This piece builds on last week's look at Fluid Physiology, with reference to the book linked to below. "We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book". The book Fluid Physiology is available now, check out the website here: http://fluidphysiology.org/ Tom's always entertaining twitter feed is here: https://twitter.com/thomaswoodcock Tom's slightly shorter piece on this book is here: https://www.topmedtalk.com/topmedtalk-tom-woodcock/ Presented by Monty Mythen and Desiree Chappell with their guests Sol Aronson a tenured professor at...

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TopMedTalk | Listen to your brain show art TopMedTalk | Listen to your brain

TopMedTalk

This piece looks at The WAVi Headset which allows for a multi-faceted panoramic assessment of brain performance. Hear how this device is used to assess the health of one of our most vital organs. For more detail check out the website here: https://wavimed.com/ Presented by Desiree Chappell with her guest Rob Martin, Chief Operating Officer at WAVi.

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POET 6.08 | Thinking clearly on the brain show art POET 6.08 | Thinking clearly on the brain

TopMedTalk

What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center.

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TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia show art TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia

TopMedTalk

Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. This piece gets into the detail of their hugely popular perioperative care supplement, a collaboration with BJS (formerly the British Journal of Surgery). Surgeons and Anaesthetists around the world are engaging in the debate as a result with thousands of tweets about the subject, after publication only days before the 2020 Winter Scientific Meeting. Further discussion covers prehabilitation, which aspects are backed up by evidence? What are the big...

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TopMedTalk | Henrik Kehlet and Nick Scott show art TopMedTalk | Henrik Kehlet and Nick Scott

TopMedTalk

"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are people getting it wrong? How reliable and well understood is the data behind it? Also, what are the current thoughts on perioperative steroids? How do we refocus and move back to enhanced recovery after surgery rather than "enhanced discharge" after surgery. Presented by Monty Mythen and Desiree Chappell with Sol Aronson, tenured Professor at Duke University, and their guests Henrik Kehlet, a gastrointestinal surgeon and former professor of surgery,...

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TopMedTalk | Simon Davies's 2020 Vision show art TopMedTalk | Simon Davies's 2020 Vision

TopMedTalk

In this piece we're joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, "the word of the year" for 2019 and now something we expect to see break into the mainstream? How is anesthesia going to develop and what's the future for artificial intelligence in surgery? PQIP link: https://pqip.org.uk Multimodal analgesia: https://www.topmedtalk.com/ebpom-usa-part-5-a-perioperative-practicum-with-tj-gan/ TopMedTalk has covered methadone on a couple of occasions recently: Methadone a forgotten friend: ...

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EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes? show art EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

TopMedTalk

This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common postoperative complication associated with death and if so why is there a transatlantic divide as regards the evidence? Is there a place for troponin screening preoperatively for risk stratification? What should one do with an asymptomatic post operative patient with raised troponin? Does MINS cause hypotension? This is part 3 of 3 from The EBPOM 2019 TopMedTalk session which...

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More Episodes

University College London (UCL) offer a fantastic Masters Course in Perioperative Medicine, hear how it works in this podcast.

Also, if you're intrigued, here's the link to the free 4 week course discussed in this podcast:

https://www.ucl.ac.uk/lifelearning/courses/perioperative-medicine

Presented by Desiree Chappell with Sam Bampoe, consultant in Anaesthesia and Perioperative Medicine at University College London NHS Foundation Trust.