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Periop Coach 5.01 | Getting it right first time (GIRFT)

TopMedTalk

Release Date: 02/10/2020

TopMedTalk | Wireless wearables on the ward, the new www revolution? show art TopMedTalk | Wireless wearables on the ward, the new www revolution?

TopMedTalk

This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting prospect for any modern practitioner and as personal health monitoring technology becomes mainstream for the public it's surely an inevitable part of the future of medicine. The website mentioned in the podcast is here: The Global burden of postoperative death - The Lancet is here: This paper in The Lancet is also mentioned: Presented by Desiree Chappell and Monty Mythen with their guest Frederic Michard of MiCo Consulting. Like this, want more?...

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COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA show art COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA

TopMedTalk

This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of Critical care and Anesthesiology. Resource management is a clear front runner as the virus creates a public health emergency for medics to try to battle. Additional beds and treatment facilities are being prepared, what other innovations are being brought to the fore. Presented by Desiree Chappell with Monty Mythen and their guests Michael Scott, M.B., Ch.B. Professor of...

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TopMedTalk | Predicting and preventing intraoperative hypotension. show art TopMedTalk | Predicting and preventing intraoperative hypotension.

TopMedTalk

Extended periods of intraoperative hypotension are firmly associated with harm. This piece looks into the detail behind concerns regarding hypotension. Are we now in a position where we can eliminate it entirely? The paper mentioned in this piece, "Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients", is here: Presented by Desiree Chappell and Monty Mythen with their guest Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine (ESICM). Like this, want more? Our...

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COVID 19 | Ross Kerridge, University of Newcastle in Australia show art COVID 19 | Ross Kerridge, University of Newcastle in Australia

TopMedTalk

In this piece we look at how Australia is dealing with the COVID 19 crisis. What restrictions are being placed upon people and how strict are they? How does "the father of perioperative medicine" see the world which is now being asked to face one of its most urgent medical emergencies? Has the time come to honour 'the whole team' in the institutions where we work? How can medics help to rebuild our societies after the already devastating consequences of a global pandemic? Presented by Desiree Chappell with her guest Ross Kerridge, Senior Staff Specialist Anaesthetist Clinician at the John...

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EBPOM 2019 | Preoperative risk stratification show art EBPOM 2019 | Preoperative risk stratification

TopMedTalk

Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piece looks at the evidence behind both and some practical guidance for informing clinical care. Does the six minute walk test predict complications? What is the true value for cardiopulminary exercise testing (CPET)? For more on the METS study go here: Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist...

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COVID 19 | Roneet Lev, San Diego show art COVID 19 | Roneet Lev, San Diego

TopMedTalk

This piece takes a look at the San Diego front line of the global fight against COVID 19. What unique pressures are there here; the large homeless population is a particular challenge, how do psychiatric patients further the conundrum. Also, what about the assumption that patients are likely to be carrying the virus so should all be treated as if that is the case, does that apply here? There is also a short update on our Editor in Chief, another front line medical provider, who tested positive for Corona Virus last week. Presented by Desiree Chappell with Roneet Lev, MD FACEP, Chief Medical...

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COVID 19 | Monty and Desiree weekend update show art COVID 19 | Monty and Desiree weekend update

TopMedTalk

"We keep being told we're one to two weeks away from the peak..." This piece takes a look at how Monty is getting on with his diagnosis, COVID 19 symptoms infamously vary in severity throughout the infection. Now he has been diagnosed how, if at all, will his behaviour change? What is the UK's policy on practitioners who are COVID 19 positive? Further discussion includes the news that 'rapid tests' are being introduced in the battle against the global pandemic as well as 'drive through' testing. How reliable are they, how might they work? Presented by Desiree Chappell and Monty Mythen. Thank...

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TopMedTalk | Global Perspectives on Perioperative Medicine show art TopMedTalk | Global Perspectives on Perioperative Medicine

TopMedTalk

Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress is revealed. How do comparisons between various countries help us to understand where improvements can be made? How do the differences between the way in which healthcare is funded impact patients and providers? Moderated by Dr Mark Edwards, University College London Hospital, with his guests Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine', Sol Aronson, tenured professor at...

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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

TopMedTalk

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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More Episodes

We begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?'

The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is also mentioned.

This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum.

The conversation features questioner Paul Hutchings, Consultant Anaesthetist at Norfolk and Norwich University Hospital, alongside Professor Monty Mythen and his two guests; Dr Simeon West, consultant anaethetist at (University College London Hospitals) UCLH who sits on the board at Regional Anaesthesia UK (RAUK) and Mark Harper, Consultant Anaesthetist at Brighton and Sussex University Hospitals, with a research interest in the prevention of perioperative hypothermia and the use of cold water adaptation for thearaputic purposes.