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POET 4.08 | If patients come to us anaemic - they just do worse

TopMedTalk

Release Date: 08/23/2019

Periop Medicine SIG | Armed with data to improve perioperative outcomes show art Periop Medicine SIG | Armed with data to improve perioperative outcomes

TopMedTalk

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"? Further reading is available here: If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: Presented by Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI).

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EBPOM 2019 | Perioperative Blood Pressure, Q&A show art EBPOM 2019 | Perioperative Blood Pressure, Q&A

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As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent? This short piece follows on from Tim Miller's talk "Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?". Presented by Desiree Chappell and Monty Mythen with Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre.

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EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes? show art EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

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This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common postoperative complication associated with death and if so why is there a transatlantic divide as regards the evidence? Is there a place for troponin screening preoperatively for risk stratification? What should one do with an asymptomatic post operative patient with raised troponin? Does MINS cause hypotension? This is part 3 of 3 from The EBPOM 2019 TopMedTalk session which...

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EBPOM Highlight | Pain Management to Enhance Recovery after joint replacements show art EBPOM Highlight | Pain Management to Enhance Recovery after joint replacements

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"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: Presented by Dr. Ryan Hanson, Anesthesiologist in Boston, Massachusetts, affiliated with Brigham and Women's Hospital, received his medical degree from Penn State College of Medicine.

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AANA | Protecting Your Healthcare Practice - Compliance and Enforcement show art AANA | Protecting Your Healthcare Practice - Compliance and Enforcement

TopMedTalk

What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false claims act" impact on billing? If you find a mistake or an issue in your note keeping the advice here is clear; deal with it the moment it is discovered. Also, under recording is an obvious issue, can the same be said of 'excessive documentation'? The bottom line is that practitioners must remain educated, stay aware of what is going on and rely on the fact that patient care is...

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Dingle 2019 | Practical tips for preoperative risk assesment show art Dingle 2019 | Practical tips for preoperative risk assesment

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"Some practical tips you can take away and implement in your hospital..." In the UK there is a legal imperative to minimalise and individualise risk now but it's widely understood to be helpful if you want to provide better value and patient outcomes. How can risks be identified and minimised? How can these risks then help to provide better quality shared decision making? How can plan a perioperative pathway tailored to these needs? Presented by Ramani Moonsinghe, Professor of Perioperative Medicine at University College London (UCL). IMPORTANT NOTE: We discuss "The Montgomery Case" in more...

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TopMedTalk | Education, perioperative medicine, anaesthesia and you. show art TopMedTalk | Education, perioperative medicine, anaesthesia and you.

TopMedTalk

Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways in which people can learn more about the specialty The wider conversation reaches out into the field of anaesthesia and the constant shortage of practitioners that there is in the UK and more widely around the world. Also, if you're intrigued, here's the link to the FREE 4 week course discussed in this podcast: Presented by Desiree Chappell and Monty Mythen with their guests David Walker, Professor in Anaesthesia and Critical Care Medicine,...

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Periop SIG | Part 2, Delirium: The brain and the older surgical patient show art Periop SIG | Part 2, Delirium: The brain and the older surgical patient

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"Delirium: The brain and the older surgical patient Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place between November 7th-9th 2019. This piece is a look at some of the new technology which is becoming more widely used. A leadless pacemaker is a small implantable "bullet like" device that sends electrical pulses to the heart whenever it senses that the heartbeat is too slow. Also new implantable cardioversion defibrillators are discussed as are...

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TopMedTalks to ... | Houman Javedan show art TopMedTalks to ... | Houman Javedan

TopMedTalk

The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches are always necessary. The British Geriatric Society's "Fit For Frailty" is here: Presented by Desiree Chappell and Monty Mythen with their guest Houman Javedan, MD. Geriatrician at Brigham and Women’s Hospital, assistant program director of the HMS Multi-Campus Fellowship in Geriatric Medicine, and Clinical Director for the Division of Aging in the Department of Medicine.

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ASA 2019 | 'We advocate good public health, within the crucible of surgery' show art ASA 2019 | 'We advocate good public health, within the crucible of surgery'

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Originally broadcast live from Anesthesiology 2019, this piece focuses on the mission to advocate and apply prehabilitation, pre-optimisation and enhanced recovery. Defined here as "good public health [...] with the crucible of surgery". How do we do that in a way that both patients and front line providers understand the value of it? Can this message help to allow for delays in surgery? Also, how do we take our message to social media, specifically Twitter? Listen in for some excellent tips before you make a point of following our guest's twitter account here: Presented by Desiree Chappell...

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More Episodes

How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda?

We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not checked enough. Monty Mythen mentions UK University students appear to suffer from the condition more these days and Lori Heller points out that treating the condition, as part of patient optimisation, is something of a revelation for some, even occasionally removing the need for surgery altogether.

Discussion continues regarding haemoglobin levels and the differentiation between men and women. The importance of discovering the condition early on in the pre-habilitation process is also emphasised. Towards the end of the piece Monty makes some time to speak about the "Iron Woman - Iron Therapy for Female athletes" study instigated by Professor Toby Richards.

This piece features Professors Monty Mythen and Mike Grocott with guests Lori Heller, Cardiac Anaestheisologist from US Anaesthesia Partners at the Swedish Medical Center in Seattle, and Mike Scott, Professor in the department of Anesthesiology Virginia Commonwealth University Health System in Richmond USA.