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Recorded at the close of the recent IARS (International Anesthesia Research Society) annual meeting held in Honolulu, Hawaii. Our co-editor in Chief Professor Mike Grocott’s arrival at the IARS from the UK was delayed by a fire at Heathrow airport. This piece turns his late arrival into your good fortune, as both Professor Kate Leslie and Professor Monty Mythen, TopMedTalk’s founder, fill him in on the conference. If you missed the IARS this year or were there but could do with a high level summary of the highlights, this podcast is a great place to start. The discussions cover Monty’s...
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The Cipher HPI study focuses on continuous, iterative, perioperative, holistic risk evaluation using advanced hemodynamic monitoring data. The study, integrates preoperative and intraoperative data to predict the need for vasopressors or fluid after surgery. We discuss the study's methodology, results, and the potential implications for clinical practice, including the use of machine learning techniques for better risk prediction and resource optimization in critical care settings. The episode emphasizes the importance of utilizing rich patient data throughout the surgical journey to enhance...
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The PREPARE trial is a randomized control trial aimed at improving surgical outcomes for older patients with frailty through prehabilitation. This discussion covers the inspiration behind the trial, the structure of the prehabilitation program, and the trial's results. Despite not finding significant improvements in the primary outcomes across all patients, the trial revealed that those who adhered to the program showed clinically meaningful improvements. The conversation delves into the challenges of patient adherence, the role of technology, and the importance of personalized interventions...
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In this piece we discuss a ground breaking study on gender differences in surgical efficiency and outcomes with Anika Bald, a medical student from Germany, and Dr. Matthias Eikermann, a clinician scientist and department chair at Montefiore Einstein in New York. The study reveals that women surgeons have shorter delays to starting surgical add-on cases and better postoperative outcomes compared to men. The episode delves into the implications of these findings and discusses the value of diversity and inclusion in medical research and practice. Presented by Mike Grocott and Kate Leslie on...
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Join us at the International Anesthesia Research Society (IARS) and Society of Critical Care meeting in Honolulu, Hawaii. Here we look at the Anesthesia Patient Safety Foundation (APSF) and speak about the latest advancements and key discussions from the conference. Major topics include the risks and management of intraoperative hypotension, gaps in patient communication, and new research findings. The conversation highlights the importance of continuous monitoring, the Delphi method used in their research, and future directions for APSF, including public campaigns and emerging technologies. ...
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The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization dedicated to promoting excellence and consistency in the practice of critical care. This piece is presented from their annual conference this year. Presented by Desiree Chappell and Monty Mythen with their guest Manu Malbrain, CMO of Medaman, an initiative that seeks to optimize the use of data in hospitals, combined with a position as professor of Critical Care Research at the First Department of Anesthesiology and Intensive Therapy of the Medical University of Lublin in Poland. He is a co-founder and...
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This piece discusses significant advancements and ongoing challenges in anesthesia and perioperative medicine. Our guest shares his journey from his training days at the University of Basel to his influential work in patient safety across Europe; including pioneering efforts with incident reporting and simulation training inspired by collaborations with NASA. The conversation delves into the evolution of safety practices, the emphasis on human factors over technological advancements, and the complexities of teamwork and communication in the operating room. They explore the importance of...
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This piece is part four of a four part series on “Implementation, what works and what doesn’t?”. Part one is here: Part two is here: And part three is here: The recording is taken from the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more about EBPOM and the incredible work they do go here: The Q&A session, Chaired by John Whittle, features; Imogen Fecher-Jones, Lead Nurse Perioperative Services, University Hospital Southampton, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick, Tim Miller, Professor of...
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Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the third of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the third talk in the series, the first is here: The second is here: Next week we will release the panel discussion. In this talk we get an NHS leader’s perspective on the challenges and obstacles in implementing new innovations within the NHS. Drawing from his extensive experience, David Probert highlights the impact of funding reductions, increasing waiting...
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Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the second of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the second talk in the series, the first is here: There is one more presentation to come and then we will release a fascinating panel discussion to conclude. In this presentation we cover the historical development and implementation of Enhanced Recovery After Surgery (ERAS); key milestones from Henrik Kellett's pioneering work in the late 1990s, to the formation of...
info_outlineThe TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thought leaders and professionals, it's the largest gathering of Anesthesiologists and Anesthesia providers in the world.
Check out the www.topmedtalk.com website now to hear live audio, while you are there remember to subscribe for updates so you can always be one step ahead of the crowd. Also, if you fancy watching the show as it happens go to our Twitter feed www.twitter.com/topmedtalk to see the team in action.
This piece focuses upon patient safety and the work of our guest. How does perioperative medicine fit into the picture, are anesthetists right to take the lead in this field?
You can find the Anesthesia Patient Safety Foundation here: https://www.apsf.org/
Presented by Desiree Chappell with Monty Mythen and Henry Howe alongside their guest Mark Warner, Annenberg Professor of Anesthesiology at the Mayo Clinic in Rochester, 2019 American Society of Anesthesiologists (ASA) recipient of 'The Distinguished Service Award' and President of the Anesthesia Patient Safety Foundation (APSF).
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Like this, want more?
Our guest mentions this excellent piece here: https://www.topmedtalk.com/anes19-alexander-hannenberg-kris-torgeson/
Further listening, regarding patient safety, globally, can be found here: https://www.topmedtalk.com/ebpom-highlight-1-19-the-patient-safety-movement-foundation/