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AANA 2019 | The Respiratory Compromise Institute and ERAS

TopMedTalk

Release Date: 08/12/2019

TopMedTalk | The SQUEEZE Study show art TopMedTalk | The SQUEEZE Study

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This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor use. The website mentioned in this piece is here: Our conversation with Konstantin Balonov is here: Presented by Desiree Chappell with Monty Mythen and their guest Ben Creagh-Brown, Clinical Academic Intensivist, Director of Research and Development, Royal Surrey County Hospital NHS Foundation Trust and Co-Chief Investigator of the "Squeeze Study".

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Periop Coach 5.03 | Assessing the risk of delirium show art Periop Coach 5.03 | Assessing the risk of delirium

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What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients fit for surgery, particularly as regards delirium? Can you build up mental resilience in the run up to an operation, do suggestions that puzzles and mental activity such as sudoku and a good crossword help have any evidence behind them? This piece features Monty Mythen and Desiree Chappell in conversation with Dan Cole, professor of clinical anesthesiology at the David Geffen School of Medicine, University of California, Los Angeles and former...

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EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion show art EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion

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This panel discussion reacts to various questions from the online audience and those in attendance. Questions include; Is there any good evidence for the use of wearable tech in prehabilitation? How come, if the evidence is almost there, prehabilitation is not yet included in every pathway? In this respect, is change just around the corner? How do we have patients are partners rather than passive participants? What are the benefits of prehabilitation which can be seen in two weeks? How does one go about setting up a streamlined preoperative service? What would be the most important outcome for...

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EBPOM 2019 | EBPOM Prehab trials; PREPARE-ABC show art EBPOM 2019 | EBPOM Prehab trials; PREPARE-ABC

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This piece focuses on the "SupPoRtive Exercise Programmes for Accelerating REcovery after major ABdominal Cancer surgery" (PREPARE-ABC) trial. How do we establish the effectiveness of pre and post exercise plans? Do they really form a sensible part of a "value based care" package? This concise presentation gives you a clear idea of the aims and structure of the trial. Prepare ABC tweet here: Their website is here: Presented by James Hernon, Consultant Colorectal Surgeon, Norfolk and Norwich University Hospital NHS Foundation Trust, Chair of the Anglia Cancer Colorectal Network, CO-CI for...

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TopMedTalks to... | Dru Riddle show art TopMedTalks to... | Dru Riddle

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"Evidence ... is only as useful as the end user is willing to put it into practice". This piece begins with a discussion about translational research, the way in which individual studies are looked at and combined into more accessible guidelines. How do you become an 'informed consumer' of information and evidence? Also, what is the latest thinking as regards "pharmacogenomics"? Is it true to say that "within the next ten years we're not going to see healthcare delivered ... without genetic information underpinning it"? How do genetics and research in that area come into play as regards...

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Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal show art Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal

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This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and thrombotic risk? Anti-coagulants are increasing in number, what are the principles behind them which we should learn? An understanding of patient, procedure and type of drug being used is essential, are there other factors that can come into play? Here is a link to the slides used in this talk: Presented by Kate Burbury, Associate Professor, Deputy Chief Medical Officer, Peter MacCallum Cancer Centre

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 EBPOM Highlight | Perioperative nutrition show art EBPOM Highlight | Perioperative nutrition

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"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 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: If you have any comments or questions you'd like to send to the team email: Presented by Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.

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TopMedTalk | Avoiding the hypotension hazard show art TopMedTalk | Avoiding the hypotension hazard

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The Hypotension Prediction Index (HPI) Monitor takes 2.6 million features from a single waveform which it then applies to 150 million different wave forms looking for factors which can predict hypotension. It's the first fully approved foray into predictive analyitics for the world of anaesthesia. This conversation looks at how it works and how it is being adopted in detail. Presented by Desiree Chappell with Monty Mythen and Feras Hatib Phd, Director, Research and Development, Algorithms and Signal Processing at Edwards Lifesciences and Dr Simon Davies, Consultant Anaesthetist at York...

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 Periop Coach 5.02 | ERAS what's the 'secret sauce'? show art Periop Coach 5.02 | ERAS what's the 'secret sauce'?

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This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows tackles some of the essential elements of perioperative care. This conversation is taken from a longer piece to be found here: For further expert discussion regarding the Drink, Eat, Mobilise, Sleep (DrEaMS) concept there is another short piece you can find here: 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...

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Sunday Special | Greater National Advocates show art Sunday Special | Greater National Advocates

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Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like the one on this podcast are fuel in the engine of those who advocate true perioperative care. If you want to help go to the Greater National Advocates website here: The Patient Safety Movement is here: Presented by Desiree Chappell and Monty Mythen with their guests L. Bradley Schwartz, president of Founder and President of Greater National Advocates he has served on the Board of Directors of both the National Association of Healthcare...

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More Episodes

Enhanced Recovery continues to be a hot topic in institutions around America, this piece gives us an update regarding its ongoing applicaiton at Vanderbilt University. Prehabilitation contitnues to gather pace in the wake of the Prehabilitation conference held earlier this year.

We also discuss The Respiratory Compromise Institute, which you can read more about here: http://www.respiratorycompromise.org/

This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

Presented by Desiree Chappell and Monty Mythen with their guests, Brent Denworth, Assistant Professor, Director of Advanced Practice & Chief CRNA, Vanderbilt University Medical Center.