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Periop Coach 3.06 | Is pain the fifth vital sign"?

TopMedTalk

Release Date: 06/03/2019

Novel Therapies for Perioperative Care | EBPOM Dingle show art Novel Therapies for Perioperative Care | EBPOM Dingle

TopMedTalk

Hear the complete live session with questions from the online audience at one of the stand out presentations of Evidence Based Perioperative Medicine (EBPOM)'s Dingle Conference. Don't forget if you want full access to our video presentations on demand and are interested in attending the next EBPOM conference ensure you check out Here are the two articles referenced in this piece: Current status of perioperative hypnotics, role of benzodiazepines, and the case for remimazolam: a narrative review Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review ...

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Neal Sandy and Karla Asikainen from GE Healthcare at the ESAIC | TopMedTalk show art Neal Sandy and Karla Asikainen from GE Healthcare at the ESAIC | TopMedTalk

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"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Neal Sandy, General Manager, Monitoring Solutions at GE Healthcare and Karla Asikainen, Senior Global Product Manager, Mobile Digital Health at GE Healthcare. -- Get all the headlines and information about...

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Tom Westrick and Brandon Henak from GE Healthcare | TopMedTalk show art Tom Westrick and Brandon Henak from GE Healthcare | TopMedTalk

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"We listen a lot to our customers and their patients" This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC). Presented by Desiree Chappell and Sol Aronson with their guests Tom Westrick, President & Chief Executive Officer of Life Care Solutions at GE Healthcare and Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare. -- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners...

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Pain management in the perioperative space | EBPOM Ireland show art Pain management in the perioperative space | EBPOM Ireland

TopMedTalk

Personalized versus protocolised perioperative pain prediction and management; what are the considerations for a modern practitioner. Where does the data take us? What are the ethics for a responsible value based care approach that seeks to reduce or perhaps even eliminate opioid use? What insights can we glean from a truly transatlantic conversation on these topics? How do we both manage and set expectations for the patient? This discussion - in its original form - also featured a presentation which you can find here: A full panel discussion chaired by Desiree Chappell, Vice President of...

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Improving outcomes of orthopaedic patients | EBPOM Ireland show art Improving outcomes of orthopaedic patients | EBPOM Ireland

TopMedTalk

This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice? Some of the questions from the online audience include: Is Enhanced Recovery After Surgery (ERAS) in orthopaedics a step too far?  How do patients who have significant arthropathys engage with a prehab program that makes them fitter? Those that successfully complete the program, are they not the ones who probably don't need joint replacement today and rehab might actually...

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Perioperative Pain Control - A Spine Surgeon's Perspective: We have to do Better | EBPOM Chicago show art Perioperative Pain Control - A Spine Surgeon's Perspective: We have to do Better | EBPOM Chicago

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"Decide to be part of the solution" This inspirational talk focuses upon how and why we need to focus on and improve attitudes toward pain control.  Working as a team, being proactive and engaging with our wider culture are emphasized along with the need for education, standardisation and the ability to learn from other specialties. Presented by Jeffrey L. Gum, MD, Adult and Pediatric Spine Surgeon, Norton Leatherman Spine Center, Associate Professor University of Louisville Department of Orthopedics.

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Bernd Saugel at Euroanesthesia 2022 | TopMedTalk show art Bernd Saugel at Euroanesthesia 2022 | TopMedTalk

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This wide ranging conversation starts with a focus upon blood pressure and moves through some of the bigger trails on what an appropriate target is for a perioperative practitioner. What is the most sensible way to manage blood pressure and where are the data driving us to? Further conversation evolves around the post-op period and transition of care. Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center...

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Cognitive Prehabilitation | EBPOM Chicago show art Cognitive Prehabilitation | EBPOM Chicago

TopMedTalk

This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from an aerobics trial. What are the next steps for future research? This piece was followed by a panel discussion which will be released soon here on TopMedTalk. For more information about Evidence Based Perioperative Medicine (EBPOM) go here Presented by Michelle Humeidan, Associate Professor, Neuroanesthesiology, Associate Faculty, Institute for Behavioural Medicine Research, Medical Director, Enhanced Surgical Recovery.

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Late Breaking Blood Pressure POISE-3 study - Euroanesthesia 2022 Conference Highlight | TopMedTalk show art Late Breaking Blood Pressure POISE-3 study - Euroanesthesia 2022 Conference Highlight | TopMedTalk

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This piece is highlighted because of its significance. Please check out the rest of TopMedTalk's coverage of the conference on our website - Regular listeners will appreciate the importance of the PeriOperative ISchemic Evaluation-3 Trial (POISE-3). Here we highlight a conversation containing late breaking news on the subject. The New England Journal of Medicine is here: Presented by Desiree Chappell and Monty Mythen with their guests Frederic Michard, MD of MiCo Consulting and Daniel Sessler, Michael Cudahy Professor and Chair at Cleveland Clinic, Director of The Outcomes Research...

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Frederic Michard and Dan Sessler at Euroanesthesia 2022 | TopMedTalk show art Frederic Michard and Dan Sessler at Euroanesthesia 2022 | TopMedTalk

TopMedTalk

A welcome return to TopMedTalk for two big names both of whom made a huge impact with their previous appearances, links to which are here: Dan Sessler is here: Frederic Michard is here: Presented by Desiree Chappell and Monty Mythen with their guests Frederic Michard, MD of MiCo Consulting and Daniel Sessler, Michael Cudahy Professor and Chair at Cleveland Clinic, Director of The Outcomes Research Consortium.

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More Episodes
What's the current thinking on pain management and the 'opioid crisis'? On reflection were people wrong to emphasise the message that 'pain is the fifth vital sign'? How did 'pain management' instead become 'opioid management'?
 
The UK has had a slightly different ride to the US in this respect, although not without its problems, could that be due to this 'fifth vital sign' message being less popular on the other side of the atlantic? Is it important to manage expectations and emphasise patient comfort rather than a total absence of any pain whatsoever?
 
Presented by Monty Mythen with his guests Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and a member of The Morpheus Consortium; Dr. Padma Gulur, anesthesiologist and a Pain Medicine Specialist who sees patients at Davis Ambulatory Surgical Center, Duke Pain Medicine and Duke Perioperative Pain Care; Annemarie Thompson, MD, Director, Residency Program, Professor of Anesthesiology at Duke University School of Medicine.