Periop SIG18 | Perioperative Evaluation of the Cancer Patient
Release Date: 10/17/2019
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....info_outline TopMedTalk | Blood Pressure
This piece highlights four papers published in the May 2019 edition of the (British Journal of Anaesthesia) BJA. Find them on Furthermore, there's an interesting piece about the Perioperative Quality Initiative (POQI) here: Presented by Desiree Chappell with Monty Mythen and Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.info_outline COVID 19 | Angela Bader, The need for 'end of life' conversations
"The peak keeps getting pushed..." What's the difference between a strategy of rationing as compared with one where the aim is concordence? As the crisis rumbles on, how do we decide who should have surgery, as well as the pressing question of how and where? The principles of perioperative medicine kick in here, pre-optimisation and enhanced recovery are uniquely suited within the profession to assist in the worldwide battle against this pandemic. What about the need for end of life conversations? How does the process of informed decision making apply here, how also does it apply to providers?...info_outline EBPOM Highlight | Enhanced Recovery After surgery - plus!
This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the physiological reserve of patients? Is there a way to do enhanced recovery with an extra edge? Specifically, how do we reduce pulmonary complications? What is 'surgery school'? How does 'icough' fit into this? How can practitioners and admin staff help to reduce anxiety as surgery comes closer? Visit the I COUGH UK website here: Make sure you check out the surgery school on the ERAS+ website here: Presented by Dr Daniel Conway, consultant in anaesthesia and...info_outline AANA | Tackling the pain of the opioid crisis
The opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling pain a "fifth vital sign" and the absurd practice of waking patients up in the middle of the night to ask them if they are in any pain. As these factors combined fatalities started to spiral into the crisis we see today. Recent statistics make for grim reading, in 2017 it was estimated over 47,000 Americans died from an opioid overdose. However action is now being taken; learn how The American Association of Nurse Anesthetists (AANA) has pushed...info_outline EBPOM London 2020 | Perioperative care: A new paradigm for the next decade
"Patients undergo surgery for important reasons, we need to improve surgical outcomes to the point where anyone can have surgery - and I believe that is do-able; we need to implement what we know, we need to avoid missed opportunities and we need to conduct more research. We should learn from the history of anesthesiology and how intraoperative care so dramatically improved outcomes" This powerful data based talk sets a bold standard for the year, a highlight from the momentous (Evidence Based Perioperative Medicine) EBPOM 2020 - Live From London, it featured as this year's Ernest Henry...info_outline Dingle 2020 | Talks to ... Bob Thiele
This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: The Perioperative Quality Initiative (POQI) is here: This piece covers cerebral oximetry with near-infrared spectroscopy (NIRS), often used during the perioperative period of cardiovascular operations. Article here: "American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on the Role of Neuromonitoring in Perioperative Outcomes" We're celebrating Evidence Based Perioperative Medicine's (EBPOM) Dingle conference...info_outline TopMedTalk | Hemodynamics - State of the Science
This piece explores the current thinking on hemodynamics, get ready for a deep dive into the conversation and controversies. Originally streamed live from www.topmedtalk.com as part of our coverage of The EBPOM USA Dallas Master's Course 2019. This panel discussion is chaired by Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER. It features Monty Mythen, TopMedTalk Editor In Chief, Smiths Medical Professor of Anaesthesia and Critical Care at University College London, Tim Miller, from Duke University Medical Centre and Dr Simon Davies, Consultant Anaesthetist at York...info_outline TopMedTalks to ... | Paul Grant
This piece ploughs into some of the academic papers that have provoked discussion in the perioperative community. We discuss the following papers: Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses. Increased Postoperative Glucose Variability Is Associated with Adverse Outcomes Following Total Joint Arthroplasty. Effect of A1C and Glucose on Postoperative Mortality in Noncardiac and Cardiac Surgeries. Frailty as a Predictor of Death or New Disability After Surgery: A Prospective Cohort Study. Presented by Desiree Chappell and...info_outline COVID 19 | Roneet Lev, San Diego
This piece took a look at the San Diego front line of the global fight against COVID 19 on March the 30th at the start of the crisis. What unique pressures were there; 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? Presented by Desiree Chappell with Roneet Lev, MD FACEP, Chief Medical Officer, White House Office of National Drug Control Policy Director of Operations, Scripps Mercy...info_outline
Cancer continues to present a seirous challenge to health care practitioners, particularly with elderly patients. Operations on cancer patients can occur for a variety of reasons, how do we ensure we make decisions that are right for them? Often cancer surgery is both urgent and emergent; the question of 'how long do we have to prepare' is paramount. How do we get patients to a surgical option that may be curative? How do we deal wirth "deconditioned" patients who have been subjected to difficult treatments as part of their cancer care? What are immune checkpoint inhibitors? What is 'targeted chemotherapy'? What are the pulmonary side effects of chemotherapy? Furthermore who do we deal with anemia in cancer Patients?
Finally the talk focuses upon post operative care.
The fuller version of this talk is supported by slides which you can see here: http://www.anzca.edu.au/documents/01-sunil-sahai_periop-evaluation-of-cancer-patient.pdf
Presented by Sunil K. Sahai, MD, FAAP, FACP, Co-Director, The PeriOperative Evaluation & Management Center Section Chief & Professor of Medicine, Section of Consultative Medicine, Department of General Internal Medicine, MD Anderson Cancer Centre.
Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine.
The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups.
For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine