Cardiovascular risk evaluation for non-cardiac surgery, guidelines | EBPOM 24
Release Date: 09/02/2024
Insights from World Congress of Prehabilitation and Perioperative Medicine | TMT Down Under
TopMedTalk
This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference. Hear about the significance of multidisciplinary collaboration in prehabilitation and research; grants for virtual surgery schools; the impact of diet and microbiome on cancer pathways, and the future of digital prehabilitation. The conversation emphasizes the importance of optimizing patient care and reducing complications through innovative approaches in prehabilitation and perioperative medicine. Presented by Kate Leslie and Mike...
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World Congress of Prehabilitation and Perioperative Medicine plenary | TMT Down Under
TopMedTalk
This piece comes from Melbourne, Australia, at the World Congress of Prehabilitation and Perioperative Medicine, held alongside the Australian ERAS+ Conference. Recorded on the conference stage before an audience of guests and delegates, hear how the World Congress came to be where it is today. Presented by Mike Grocott, and Kate Leslie with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), and Gerrit Slooter, MD, PhD, Surgical Oncologist,...
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Education and training | TMT at EA24
TopMedTalk
Euroanaesthesia is recognised worldwide as one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). This year, TopMedTalk is there in Munich, Germany, bringing you exclusive coverage. This piece focuses upon bringing education to a wider selection of people and new ways of disseminating information. Presented by Desiree Chappell and Kate Leslie with their guests, Markus Klimek, Director, Residency Training Program, Vice-Chairman, Associate Professor, Erasmus MC, Department of...
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Bio statisticians in clinical trials | TMT in PRATO
TopMedTalk
This piece was recorded at the The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The discussion centers around the roles and contributions of bio statisticians in clinical trials. Presented by Kate Leslie and Andy Cumpstey with their guests, Jessica Kasza, Professor of Biostatistics, Data Analytics/Modelling and Health Economics at Monash University and Elizabeth Ryan, Research Fellow at Monash University.
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TopMedTalks to... Henrik Kehlet: The evolution and challenges of Enhanced Recovery After Surgery (ERAS) | #ANES24
TopMedTalk
This important piece shines a light on the evolution and challenges of Enhanced Recovery After Surgery (ERAS). If you’ve never listened to TopMedTalk, this is a great place to start. If you’ve listened before it’s possible you’ve heard us talking with excitement about today’s guest, we hope you find this session to be worth the wait. Hear how our guest's insights on the need for an understanding of the pathophysiological basis and integrated pre-, intra- and post-operative care for the best patient centered outcomes. We cover the concept of “DReaMing” (Drinking, Eating,...
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Pediatric Hemodynamics | #ANES24
TopMedTalk
TopMedTalk at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. We’re bringing you a series of podcasts from the conference. Make sure you check our podcast feed and are subscribed to TopMedTalk, as we are currently releasing episodes more often than usual to accommodate high demand. This piece provides much needed focus on the topic of pediatrics and hemodynamics. Is it true to say that children are completely different to adults? What information do we need and what should the considerations around this topic really be? Presented by Desiree...
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Redefining Workforce and Leadership in Anesthesiology | #ANES24
TopMedTalk
This piece addresses challenges in anesthesiology, workforce dynamics, leadership development, and operational efficiency. Flexible employment models, such as part-time roles and tailored schedules, are helping attract and retain talent while reducing burnout and reliance on locum tenens. Are we seeing a shift from crisis management to long-term strategic planning? How can organizations, focused on innovation, leadership training, and fostering professional satisfaction, create a more stable and collaborative environment for clinicians and patients alike? Presented by Desiree Chappell and her...
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TopMedTalks to Mandy Spitzer | AANA 2024
TopMedTalk
TopMedTalk recorded this piece at the annual meeting of the American Association of Nurse Anesthesiology (AANA) in San Diego. With over 64,000 members, including practicing CRNAs and nurse anesthesia residents, the AANA facilitates professional standards, advocacy, and social networking. This discussion highlights the importance of cultivating strong educational programs and strategic affiliations to ensure high-quality anesthesia care in the U.S. Presented by Desiree Chappell, TopMedTalk’s Co-Editor-in-Chief and Vice President of Clinical Quality at NorthStar Anesthesia, and co-host Randy...
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Recruitment and training at NorthStar anesthesia | #ANES24
TopMedTalk
TopMedTalk is on location at the American Society of Anesthesiologists (ASA) annual meeting, Anesthesiology 2024. In this episode, we feature a brief discussion on the conference highlights, trends in anesthesia recruitment, and insights into what it’s like to work for NorthStar Anesthesia. Presented by Desiree Chappell, CRNA, Co-Editor in Chief of TopMedTalk and Vice President of Clinical Quality for NorthStar Anesthesia, with special guests Adam Spiegel, CEO of NorthStar Anesthesia, and Jim Roberts, Chief Medical Officer of NorthStar Anesthesia
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Healthcare leadership with Professor Shelley Dolan | TMT Down Under
TopMedTalk
This episode captures a blend of practical insights, high-level strategy, and the enduring need for empathy in healthcare leadership. We explore the importance of preparing patients physically and mentally before surgery. We look at how the challenges of activity-based funding (as practiced in Australia and the UK) require balancing care quality with financial constraints and ask; is it time for bold systemic changes? We also look at the importance of a collaborative approach to working with politicians and policymakers to ensure better adoption of quality and safety practices in healthcare....
info_outlineGuideline evolution is driven by ongoing research; recent studies like PeriOperative ISchemic Evaluation-3 Trial (POISE-3) and trials such as OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial may influence recommendations on hemodynamic management and the use of tranexamic acid. Future guidelines are expected to integrate machine learning models for risk prediction, addressing complex patient phenotypes and interactions. Discontinuation vs. continuation of renin–angiotensin system inhibition before non-cardiac surgery: the SPACE trial has challenged existing practices regarding the discontinuation of ACE inhibitors or ARBs, highlighting the dynamic nature of medical guidelines and the continuous incorporation of new evidence to enhance patient care.
Presented by Andy Cumpstey and Joff Lacey with Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine, University Hospital Southampton Honorary Senior Clinical Lecturer, University of Southampton and John Whittle, Clinical Academic working in Perioperative Translational Medicine at UCL and Honorary Consultant in Perioperative Medicine, Anaesthesia and Critical Care at University College Hospitals London.
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More on POISE-3 here: https://clinicaltrials.gov/study/NCT03505723
More on OPTIMISE II here: https://optimiseii.org/
More on the SPACE trial here: https://doi.org/10.1093/eurheartj/ehad716