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Desiree's Roundtable | Fluids in the 2020's

TopMedTalk

Release Date: 08/27/2019

TopMedTalk | African Surgical Outcomes Study (ASOS-2) show art TopMedTalk | African Surgical Outcomes Study (ASOS-2)

TopMedTalk

This piece focuses upon the African Surgical Outcomes Study (ASOS-2). More than a thousand people across Africa have combined forces to make this research into perioperative medicine in a resource limited environment happen. We know patients in Africa are twice as likely to die following surgery when compared to the global average, why is this? How does "failure to rescue" play into this? The website mentioned in this piece for more details: Presented by Desiree Chappell with Monty Mythen and their guest Bruce Biccard, consultant anaesthetist at the University of Kwazulu-Natal, Director,...

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COVID 19 | An update on patient, Professor Monty Mythen show art COVID 19 | An update on patient, Professor Monty Mythen

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This piece is a reliable first hand account of COVID 19, directly from a patient, our Editor in Chief Monty Mythen. "This kind of reassurance that seemed to go with it, to seem to say to people: 'nah, nah, nah, it's ok; you've just got a bit of a sore throat and a bit of a dribbly nose, crack on!' Was not supported by the available evidence at all" How is Monty feeling? What are the actual symptoms of COVID 19? Why has misleading information been apparently knowingly released regarding this? What are the details on The Nightingale Hospital in London? Further discussion includes best practice...

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COVID 19 | Professor Tim Cook, Bath, UK show art COVID 19 | Professor Tim Cook, Bath, UK

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"We're not a big teaching hospital [...] and I think there is a slightly different perspective..." This piece focuses on the realities of preparing for and dealing with COVID 19 patients in the town of Bath in the UK. Innovation with staff training, cautionary tales regarding our advance warning of the current situation and fluctuating guidelines are the opening points of discussion before a fascinating deep dive into the potential merits of video laryngoscopy. Further discussion includes reflections on the anaesthetics and forms of treatment which might be used in such a case. Presented by...

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Periop Medicine SIG | It's a team sport - panel discussion show art Periop Medicine SIG | It's a team sport - panel discussion

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The team aspect of perioperative care is an essential element, this piece gets into the details as thought leaders and key opinion makers engage with the debate regarding how that actually works in practice. Moderated by Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'; the panel consists of, Charlie Corke, Associate Professor, Senior Intensive Care Specialist, Barwon Health, Kerin Fielding, Associate Professor, University of Notre Dame, Australia School of Medicine, Sydney and Don Campbell, Professor of Medicine at Monash...

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TopMedTalk | Wireless wearables on the ward, the new www revolution? show art TopMedTalk | Wireless wearables on the ward, the new www revolution?

TopMedTalk

This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting prospect for any modern practitioner and as personal health monitoring technology becomes mainstream for the public it's surely an inevitable part of the future of medicine. The website mentioned in the podcast is here: The Global burden of postoperative death - The Lancet is here: This paper in The Lancet is also mentioned: Presented by Desiree Chappell and Monty Mythen with their guest Frederic Michard of MiCo Consulting. Like this, want more?...

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COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA show art COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA

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This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of Critical care and Anesthesiology. Resource management is a clear front runner as the virus creates a public health emergency for medics to try to battle. Additional beds and treatment facilities are being prepared, what other innovations are being brought to the fore. Presented by Desiree Chappell with Monty Mythen and their guests Michael Scott, M.B., Ch.B. Professor of...

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TopMedTalk | Predicting and preventing intraoperative hypotension. show art TopMedTalk | Predicting and preventing intraoperative hypotension.

TopMedTalk

Extended periods of intraoperative hypotension are firmly associated with harm. This piece looks into the detail behind concerns regarding hypotension. Are we now in a position where we can eliminate it entirely? The paper mentioned in this piece, "Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients", is here: Presented by Desiree Chappell and Monty Mythen with their guest Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine (ESICM). Like this, want more? Our...

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COVID 19 | Ross Kerridge, University of Newcastle in Australia show art COVID 19 | Ross Kerridge, University of Newcastle in Australia

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In this piece we look at how Australia is dealing with the COVID 19 crisis. What restrictions are being placed upon people and how strict are they? How does "the father of perioperative medicine" see the world which is now being asked to face one of its most urgent medical emergencies? Has the time come to honour 'the whole team' in the institutions where we work? How can medics help to rebuild our societies after the already devastating consequences of a global pandemic? Presented by Desiree Chappell with her guest Ross Kerridge, Senior Staff Specialist Anaesthetist Clinician at the John...

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EBPOM 2019 | Preoperative risk stratification show art EBPOM 2019 | Preoperative risk stratification

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Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piece looks at the evidence behind both and some practical guidance for informing clinical care. Does the six minute walk test predict complications? What is the true value for cardiopulminary exercise testing (CPET)? For more on the METS study go here: Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist...

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COVID 19 | Roneet Lev, San Diego show art COVID 19 | Roneet Lev, San Diego

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This piece takes a look at the San Diego front line of the global fight against COVID 19. What unique pressures are there here; the large homeless population is a particular challenge, how do psychiatric patients further the conundrum. Also, what about the assumption that patients are likely to be carrying the virus so should all be treated as if that is the case, does that apply here? There is also a short update on our Editor in Chief, another front line medical provider, who tested positive for Corona Virus last week. Presented by Desiree Chappell with Roneet Lev, MD FACEP, Chief Medical...

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This piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intraoperative hypotension on post operative outcomes?

Further discussion encompases the modern uses of a pulmonary artery catheter.

If you enjoyed hearing Andy Shaw's take on these topics further listening can be found here; https://www.topmedtalk.com/hemodynamic-monitoring-and-the-pulmonary-artery-catheter/

Presented by Desiree Chappell with Monty Mythen, Joff Lacey and their guest Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK).