TopMedTalks to ... | Tim Miller
Release Date: 02/15/2020
"Updates in cardiac devices, Part 1" 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 looks set to become 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 cardioverter defibrillators are discussed as are implantable cardiac...info_outline AANA | Tackling the pain of the opioid crisis
The opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling pain a "fifth vital sign" and the absurd practice of waking patients up in the middle of the night to ask them if they are in any pain. As these factors combined fatalities started to spiral into the crisis we see today. Recent statistics make for grim reading, in 2017 it was estimated over 47,000 Americans died from an opioid overdose. However action is now being taken; learn how The American Association of Nurse Anesthetists (AANA) has pushed...info_outline COVID 19 | Civil Liberties and Public Health
This piece takes some time to reflect on where we're at in the UK - and wider Western World - with regard to civil liberties, human rights and the essentials of a functioning 'first world' country. How important is social justice and human rights in a world where a global pandemic puts all that we hold dear at risk? The Liberty website is here: For more information on the UK Government's plan to track and trace British subjects via a mobile phone app The Guardian covers the piece here: The UK Government website - at the time of publication - has this to offer: If you'd like to hear Martin's...info_outline Periop SIG | Ward Based postoperative care; where should we focus?
This wide ranging talk asks where and how we should focus on the needs of postoperative care patients. "Brain care has an impact way beyond the acute surgical episode"; how do we minimise the risks of a poor outcome when it comes to postoperative care? "Advanced recovery from anaesthesia and surgery" is 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. Presented by Professor Jacqueline Close, Principal Research Fellow, NeuRA...info_outline SIG 2019 | Shared decision making and risk prediction in the emergency setting
"Shared decision making and risk prediction in the emergency setting: Can we achieve it?" is 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 talk discusses survival after admission to intensive care. How do we incorporate concepts like shared decision making and value based care into this high stress, time limited environment? Presented by Dr John Carlisle, anaesthetist, Torbay and South Devon NHS Foundation Trust. He also...info_outline TopMedTalks to ... | Dan Longrois on nociception
This piece is a fascinating discussion regarding research and safety in anaesthesia management; "in the past five or six years there's been a shift from high risk patients to all types of patients". How are we improving methods, evaluation and monitoring? What are some of the more essential elements of the process? Where is the latest research? What is a sensible policy when it comes to opioids? Presented by Desiree Chappell and Monty Mythen with their guest Dan Longrois, Professor of Anaesthesia and Intensive Care Medicine, Department of Anaesthesia and Intensive care, Bichat Hospital. --...info_outline EBPOM 2019 | Opioid-free anaesthesia
This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on by perioperative medicine? Is it realistic to expect to reach a point where opioids are removed from the equation entirely? Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of research for the Perioperative Medicine Fellowship at Duke. -- EBPOM 2020 - Live from London - is on! For those who have listened to Desiree's special announcement go now to:info_outline AANA| Innovators in Anesthesia
This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The second is the Error Recovery and Mitigation Aide (ERMA), a reworking of the traditional needle box whereby a clear reservoir is inserted between the re-entry proof top and opaque terminal disposal portion, allowing practitioners to have visualization of all the syringes and vials used during the course of a procedure. At the end of a single procedure, a trap door in the bottom...info_outline EBPOM 2019 | POETT Controversies Panel discussion
Doesn't the decision to delay surgery depend upon the type of cancer? Can you measure complications as an outcome? What's the cause of non cardiac complications that are related to lack of exercise? Can we change the mindset of prehabilitation by explaining that prehabilitation is the start of treatment? How do we convince patients and decision makers that delaying surgery is a good idea? How involved are oncologists in perioperative decisions? Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the...info_outline EUROANAES2019 | Testing the Hypotension Prediction Index in practice
"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of technology in relation to hypotensive episodes? Furthermore how else is it to be tested and when will these tests be carried out? Presented by Desiree Chappell and Monty Mythen with their guest Marit Habicher, Specialist, Department of Anesthesia and Critical Care at UKGM Giessen.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.