AANA| Innovators in Anesthesia
Release Date: 05/28/2020
"Surgery and anaesthesia; you very much recognise right away that that is considered a luxury in many place of the world" Do you work in a low-resource setting or support partners and organizations that do? The Lifebox pulse oximeter is specifically designed for high-use, low-resource environments. Hear about how Lifebox came into existence and discover how you can help. The World Health Organisation's Surgical Safety Checklist is here: Recorded live at Anesthesiology 2019, Orange County Convention Center, Orlando and presented by Desiree Chappell, with Sol Aronson, and their guests Alexander...info_outline AANA | Caring for the transgender patient
This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of perioperative care. Our guest's excellent article, “Anesthesia Inclusive Practices Amidst Adversity: Caring for the Transgender Patient”, is here: The NHS's guidelines are here: Presented by Desiree Chappell and Monty Mythen with Jose Castillo, PhD, CRNA Faculty, Texas Wesleyan University, AANA Diversity and Inclusion Committee.info_outline EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?
When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid hypotension where possible? How has technology caught up with this challenge? Could automated closed loop systems be helpful here? The bottom line is simple; "If we measure blood pressure properly, we can predict it". Presented by Dr Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.info_outline EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?
This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What have been the major developments in this area? Also, should we be looking at increasing monitoring of patients, particularly regarding their blood pressure, in hospital? The Perioperative Quality Initiative (POQI) is discussed here: The POQI website is here: The INPRESS Trial is discussed here: We speak with Dan Sessler here: Presented by Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre. Check out for more...info_outline EBPOM 2019 | Troponitis, does it matter?
This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening. It's part 2 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.info_outline DINGLE 2019 | Critical care for the very elderly patient
"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a hundred and sixty" How do we refine our diagnostic tools? How can teaching in this area help to save lives? Should you consider a 'geriatric intensive care unit'? Is this an area where true perioperative practice and surgery is a guarantee we can immediately see improvement in an institution? Presented by Brian Marsh, Anaesthesia, Critical Care Medicine, Extracorporeal Life...info_outline DINGLE 2019 | The opportunity in variability
"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and perioperative physicians" The future of perioperative medicine embraces the full scope of medical advancement and is therefore difficult to predict, as a result truly informed shared decision making is both crucial and more complex. Variability of practice is a key factor; usually caused by the overuse or underuse of a facility and its resources. The former being a particular problem in America with the financial incentives associated with some...info_outline EBPOM 2019 | Troponin Screening - essential?
This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has provoked unhelpful pushback from practitioners? It's part 1 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. 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 at St Michael’s Hospital.info_outline EBPOM Highlight | Intraoperative hypotension doesn’t happen to me
This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in Dallas. In this piece we hear about the ongoing need for institutions and healthcare professionals to recognise the damaging consequences of intraoperative hypotension. Evidence has been mounting here on TopMedTalk over the last couple of years; there's no doubt hypotension is an area of concern for many of our experts and contributors. Listen to more on this here via our large selection of podcasts on the topic: For those who are already across the...info_outline POCAPALOOZA | Cape Town Final Comments
"Monty - we've done it!" This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful practice changing information and inspiration alongside entertainment from artists and supporters. We hope you have enjoyed this year's conference, look forward to hearing some of the talks in full and entirely for free over the next few months here on TopMedTalk. If you are one of the thousands of our listeners who signed up early for EBPOM Live From London please accept our thanks for helping to show the world how passionate we in the medical...info_outline
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 of the reservoir is released to allow those sequestered vials and syringes to drop into the bottom of the needle box for terminal disposal. This allows providers to recognise, check and confirm possible errors in a timely fashion.
Also during this piece there is a wide ranging and fascinating discussion about patents and patenting. How does the process work, how can you patent your ideas and how does the advent of block chain technology potentially change this forever?
Google Patents is here: https://patents.google.com/
Check out the PeDIA website here: https://www.pediallc.com/
For more information about ERMA go here: https://ii4change.com/how-we-innovate/products/error-recovery-and-mitigation-aide/
The Facebook Group "CRNA Inventors and Innovators" mentioned in this piece is here: https://www.facebook.com/groups/2150893568464906/
This piece was part of our coverage of The American Association 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 Diane Miller, Pediatric Devices for Induction of Anesthesia | Product Development | PeDIA, LLC and Jean Snyder, CRNA Inc. Co-owner Goodwin and Snyder Anesthesia Associates, PLLC.