TopMedTalks to ... | Tim Miller
Release Date: 02/15/2020
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.info_outline COVID 19 | Professor Monty Mythen has tested positive
"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...info_outline COVID 19 | Critical Care Update; optimizing care for patient and provider.
"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...info_outline EBPOM 2019 | Psychology and behavioural change
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...info_outline COVID 19 | UK calls on medical students to join the fight
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.info_outline TopMedTalk | The psychology of change
"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"...info_outline COVID 19 | Does one of our team have COVID 19?
"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...info_outline TopMedTalk | The Enhanced Recovery After Cardiac Surgery Society
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...info_outline COVID 19 | From the frontlines- Atilla Kett in New Jersey, USA
"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...info_outline COVID 19 | Epidemiology revisited - a case for virtual meetings
“The first case of COVID in China was the 8th of December…” this piece looks at the outbreak of the disease from the perspective of healthcare workers in Italy. Focusing on the community health approach to controlling this pandemic, our guest emphasizes the importance of understanding the epidemiology of COVID- 19. Mirco Nacoti, Department of Anesthesia and Intensive Care, Pediatric Intensive Care Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy, was subsequently featured in the New England Journal of Medicine where he along with Andrea Ciocca and Maurizio Cereda wrote this excellent...info_outline
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.
Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine:
Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery
Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery
Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery
Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George’s Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH as well as being a regular presenter on TopMedTalk and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.