TopMedTalks to ... | Tim Miller
Release Date: 02/15/2020
What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior to surgery improved outcomes? What are "the five phases of care"? How has data collection and management helped us to continually improve a patient's surgical journey? This piece is a talk which was given during the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place between...info_outline AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery" Opioids are good for pain control but there's another issue, they also numb emotional pain. How do we responsibly deal with this? It's important to remember: "When you give patients high doses, you're putting them at risk". Long term listeners will recall TopMedTalk spent the best part of our launch year on this topic. If you're one of our many new listeners please use this huge resource of podcasts to help update your practice and cut down unnecessary risk: "We should be minimizing opioids every...info_outline EBPOM 2019 | Delaying surgery to adequately prepare?
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to do surgery right; as opposed to being inclined to feeling it must be done "right now!". A data driven approach combined with a patient focused attitude are at the centre of the argument. How do these factors combine to produce a business case which all institutions, practitioners and patients can understand? In terms of time spent, what do we mean when we say "delay"? How do we overcome a patient's attitudes towards healthcare professionals,...info_outline TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.
What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How did standardisation help when designing an award winning patient transfer bag? What's the best way to transfer a patient from ward to ward or from institution to institution? How do we handle data during this period? What do we think about remote supervision and monitoring? Could a dedicated transfer team be useful? Could a new anaesthesia drug be on the way for the NHS soon?...info_outline TopMedTalk | Matt Wiles and Marcus Peck.
Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the conversation and questions asked by our online audience. In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What about hyperoxia? How does what we do effect the environment? What are the latest thoughts about 'depth of anaesthesia'? The podcast mentioned in this piece is here: https://www.topmedtalk.com/anes19-timothy-short-and-kate-leslie/ This link takes you to the...info_outline DINGLE 2019 | The Power of Perception
How can we learn more by seeing more? This fascinating piece looks at how learning and the zone of proximal development (ZPD) of a student can be used to help the process. We are learning about learning, thanks partly to the use of algorithms that monitor our progress and performance. This talk asks challenging questions; "In terms of performance, just think technical procedures at the moment, is there such a thing as an 'expert performance' of any of the techniques we do daily"? How do we get training to produce clinically meaningful performances? The articles mentioned in this piece are...info_outline TopMedTalk | Computer gamer to life saver
What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission Impossible', use their skills to simulate high stress moments from the real world of anesthesia and surgery? Using "the neuro-science of game design" to help accelerate learning within the profession: "The motivation for starting Level Ex, what if we actually took the top game designers and developers in the industry? We're talking the executive producer of "Mortal Kombat", the creative director of "Call of Duty", the marketing director of "Words with...info_outline EBPOM Chicago | Go to EBPOM dot org now
EBPOM Chicago is now underway - go to now and discover all the latest conversation in the global perioperative sphere.info_outline TopMedTalk | Iron Man vs Anemia
"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'. "I mean, look, I've built my entire career on thinking this was the best thing since sliced bread, the silver bullet, the magic wand ..." A great scientist follows accurate data to wherever it may lead, what now? More trials, more time, more questions? How common is anemia? Are there any nuggets of hope buried within these data? What have we learned? Evidence Based Perioperative Medicine sticks to the facts and there's nothing more important than data; make sure you...info_outline TopMedTalk | World Suicide Prevention Day
"We take care of the world but we don't take care of ourselves" This piece is focused on suicide and emotional stress, the latter has been a theme on TopMedTalk for some time now. Here you'll find out how to tackle this significant health concern, how to identify it, what the warning signs are, how to develop emotional intelligence and information regarding drug free novel therapies including the arts and music. It features conversations from the following pieces: AANA 2020 | Suicide Prevention in Anesthesia: CRNAs and SRNAs This piece featuring Catherine Horvath DNP, CRNA, Assistant...info_outline
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.
Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine:
Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery
Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery
Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery
Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George’s Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH as well as being a regular presenter on TopMedTalk and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.