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Desiree's Roundtable | The Royal College of Anaesthetists, world leading healthcare

TopMedTalk

Release Date: 02/11/2020

Women in Anaesthesia Part 5 | Jamie Harris and Carol Schmidt show art Women in Anaesthesia Part 5 | Jamie Harris and Carol Schmidt

TopMedTalk

"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of patients. How do you take your institution from where you're at now to where you need to be tomorrow? What are the essential ingredients? How do you work, through education, towards real patient engagement and empowerment? How do you manage a sensible quality improvement programme? Presented by Desiree Chappell with co-host Korey Sprigman and their guests, Jamie Harris, CRNA,...

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TopMedTalks to ... | Michael Pedro show art TopMedTalks to ... | Michael Pedro

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This piece focuses on the SuperNO2VA mask, which delivers positive airway pressure to stent open the upper airway, allowing for the preoperative delivery of positive pressure ventilation and oxygen for patients with a decreased level of consciousness. The website mentioned in the piece is here: Presented by Desiree Chappell with Monty Mythen and Michael Pedro, VP, Medical Director at Vyaire Medical.

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COVID 19 | Professor Monty Mythen has tested positive show art COVID 19 | Professor Monty Mythen has tested positive

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"It is interesting how well you can feel, compared to the night time [...] it gives you this real false sense of wellness for a period of time and then it hits you, man it hits you hard, when it hits you." The UK Prime Minister has tested positive for COVID 19 as has The UK's Health Secretary, Matt Hancock, MP. Yesterday we revealed there were concerns our Editor in Chief Monty Mythen had some of the symptoms, only days before he was set to return to active duty in Critical Care. Acting responsibly precautions were already being taken and the assumption was that it was likely, given its...

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COVID 19 | Critical Care Update; optimizing care for patient and provider. show art COVID 19 | Critical Care Update; optimizing care for patient and provider.

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"When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to associate with the prevention of viral infections..."; maintain a normal vitamin D level, probiotics, vitamin C. This piece is a fascinating conversation with a TopMedTalk favorite. How are preparations going at Duke University? How can we optimise ourselves for an oncoming viral attack? How can we make sure our patients get the best possible care and are as informed as they can be? What research is being carried out into COVID 19? Presented by...

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EBPOM 2019 | Psychology and behavioural change show art EBPOM 2019 | Psychology and behavioural change

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The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the field? Should psychosocial outcomes and behaviour change be factored into your practice? There's consistent evidence that anxiety around the time of diagnosis is predictive of post operative pain; depression increases the risk of chronic pain; psychological factors also impact on wound healing and functional recovery. Meanwhile low confidence and depression have been shown to effect outcomes. How can psychological behaviour change techniques be...

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COVID 19 | UK calls on medical students to join the fight show art COVID 19 | UK calls on medical students to join the fight

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The UK's fight back is now underway; the 'lockdown' is being largely adhered to and the efforts to support the National Health Service (NHS) from the public, medical students and retired professionals is inspiring to many. This piece takes a look at the realities of students being given the chance to graduate and practice their skills a little earlier than previously planned. Presented by Desiree Chappell with her guest, Henry Howe, a medical student at Bristol University, a frequent contributor and partner to TopMedTalk.

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TopMedTalk | The psychology of change show art TopMedTalk | The psychology of change

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"There seems to be a little extra buzz in the cardiac community". This conversation focuses upon the psychology of change, specifically regarding the leadership role presented within perioperative medicine to anaesthesiologists. How can perfectionism, as a barrier to change, be overcome? How do practitioners build the confidence to make a difference? Furthermore, how do we engage in 'internal marketing' where we promote success within our own institutions? More information on The Morpheus Consortium here: Check out the article here: Find out more about NorthStar here: The "Masters of Scale"...

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COVID 19 | Does one of our team have COVID 19? show art COVID 19 | Does one of our team have COVID 19?

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"I work in a houshold where my wife was working at a school and my student children have come home so, it's highly likely that I would get COVID 19"; the conversation begins with a discussion about the fact our Editor in Chief Monty Mythen has had some of the symptoms over the last few days. "For us as healthcare workers what we need to do is filter out the true head colds from the COVID 19s"; the symptoms could be caused by a number of factors but until a clear test result is available he is taking precautions. It underlines the need for practitioners to adhere to distancing guidelines as the...

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TopMedTalk | The Enhanced Recovery After Cardiac Surgery Society show art TopMedTalk | The Enhanced Recovery After Cardiac Surgery Society

TopMedTalk

This piece focuses in upon the important work being done by The Enhanced Recovery After Cardiac Surgery Society, specifically the new guidelines which were published in May 2019. Furthermore, how is the society going to move forward, will it continue to push for a sensible combination of both care providers and academics and what areas of focus are most impactful when it comes to improving care and helping implementation? The article discussed in this piece "Guidelines for Perioperative Care in Cardiac Surgery, Enhanced Recovery After Surgery Society Recommendations" is here: The Enhanced...

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COVID 19 | From the frontlines- Atilla Kett in New Jersey, USA show art COVID 19 | From the frontlines- Atilla Kett in New Jersey, USA

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"The guidelines, in fact, I found most useful were the Royal College's guidelines, all those info graphics and all those protocols" This piece is an emotional conversation with a TopMedTalk favourite; how are things going in New Jersey? Has elective surgery come to a halt yet? What innovations are being deployed by medics are they face a global pandemic? What are the unique pressures which medics are being called upon to deal with in this crisis? The collaborative resource from the UK The Royal College of Nursing’s webpage regarding Personal Protection Equipment (PPE) is here: Also, the...

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More Episodes

How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this leadership in perioperative medicine become a force for change and improvement worldwide and what are the common themes that emerge as we take a global perspective on the discipline?

The RCoA's global partnership programme is explained, how can perioperative medicine be part of helping less developed healthcare systems? The considerations are different but the principles remain the same.

The birth of the NHS gave parity of esteem to anaesthetists, the benefits of this are felt by us all in the Western world, could it be argued that this visionary decision might actually help other healthcare systems to evolve more rapidly?

Finally - where is the discipline these days? Leadership and the ability to see the bigger picture are part of it, as is communicating to that wider world with various innovations including this podcast which you, as a listener, are a part of.

Presented by Desiree Chappell and Monty Mythen with their guests Dr Liam Brennan, President of The Royal College of Anaesthetists (RCoA) and Professor Paul Myles, Director, Department of Anaesthesia and Perioperative Medicine, Alfred Hospital and Monash University, Melbourne, Australia.