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TopMedTalk | Why is maternal mortality so high in the USA?

TopMedTalk

Release Date: 10/25/2020

Perioperative Profile, Lee Fleisher show art Perioperative Profile, Lee Fleisher

TopMedTalk

Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with...

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The Role of Social Media in Scientific Dissemination with Tom Abbott, BJA show art The Role of Social Media in Scientific Dissemination with Tom Abbott, BJA

TopMedTalk

Kate Leslie and Andy Cumpstey report from the British Journal of Anaesthesia meeting held in Dublin, Ireland. They are joined by guest Tom Abbott, a clinical senior lecturer in anaesthesia and social media editor for the BJA. We discuss the growing importance of social media in scientific communication, the impact of alternative metrics such as altmetrics, and the operational challenges of maintaining a presence across various social media platforms. The conversation also touches on platform trials in clinical research, where Abbott highlights his current research initiatives, including trials...

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Leadership and Value: Insights from NorthStar Anesthesia show art Leadership and Value: Insights from NorthStar Anesthesia

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Desiree Chapell hosts an insightful discussion featuring colleagues from NorthStar Anesthesia; Dr. Josh Lumley, Chief Quality Officer at NorthStar Anesthesia, Adam Spiegel, Chief Executive Officer of NorthStar Anesthesia and Romeo Kaddoum, Chief Medical Officer, NorthStar Anesthesia We delve into the impacts of workforce issues, hospital financials, the value of outsourced anesthesia services, and the importance of leadership and clinical engagement at NorthStar Anesthesia. The discussion also covers their commitment to providing clinicians with growth opportunities and ensuring a high level...

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Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025 show art Exploring Viscoelastic Testing and Patient Blood Management at ANESTHESIOLOGY® 2025

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Desiree Chappell and Mike Grocott are joined by Klaus Gorlinger, Medical Director at TEM Innovations GmbH in Munich, Germany at ANESTHESIOLOGY® 2025. This conversation focuses on patient blood management (PBM) and viscoelastic testing (VET) delving into the significance of VET in managing bleeding during surgeries, the evolution of testing techniques, and their impact on patient outcomes. Klaus explains the importance of whole blood testing over standard coagulation tests and discusses different protocols and global practices around this technology. The conversation also highlights the...

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Unraveling the Autonomic Nervous System's Role in Exercise and Surgical Outcomes show art Unraveling the Autonomic Nervous System's Role in Exercise and Surgical Outcomes

TopMedTalk

Recorded in Dublin, Ireland, and hosted by The British Journal of Anaesthesia at their annual meeting, this week’s TopMedTalk focuses on translational research. Presented by Andy Cumpstey and Kate Leslie with their guest Professor Gareth Ackland Clinical Professor of Perioperative Medicine at the William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (QMUL). The conversation delves into the autonomic nervous system's role in exercise capacity and its implications for postoperative outcomes. Why specifically does exercise...

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Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025 show art Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025

TopMedTalk

ANESTHESIOLOGY® 2025 in San Antonio, TopMedTalk’s Andy Cumpstey and Kate Leslie talks with Susan Goobie, Associate Professor of Anesthesiology at Harvard Medical School and a Senior Associate in the Department of Anesthesiology, Critical Care & Pain Medicine at Boston Children's Hospital in Boston, USA. They discuss the specialty of non-cardiac pediatric surgery and her focus on patient blood management. Dr Goobie highlights the importance of 'blood health,' describing its three pillars: preoperative, intraoperative, and postoperative phases. She emphasizes preoperative anemia...

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Perioperative Profile, Steven Shafer show art Perioperative Profile, Steven Shafer

TopMedTalk

Perioperative Profiles is a new series on TopMedTalk. We aim to continue to release a profile each month, spotlighting the professional — and personal — journeys of leading perioperative practitioners and researchers. Each month we talk to a prominent figure in perioperative medicine, exploring how they came into the field, what shaped their careers, key challenges and successes, and how their work has contributed to evidence-based perioperative practice. Steven Shafer is a world renowned Emeritus Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University Medical...

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Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025 show art Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025

TopMedTalk

Desiree Chappell is joined by Mike Grocott, Sol Aronson, and their guest Guy Ludbrook, Professor of Anaesthesia at the University of Adelaide, at ANESTHESIOLOGY® 2025 in San Antonio, Texas. The discussion covers exciting developments in perioperative medicine, focusing on the Perioperative Quality Initiative (POQI) and the newly coined term 'Enhanced Postoperative Care Units' (EPOCH), a new initiative aiming to bridge the gap between ward care and intensive care by providing specialized care for medium-risk postoperative patients. The guests share their experiences and insights, including...

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Insights into Paediatric Cardiac Anaesthesia: EBPOM Dingle show art Insights into Paediatric Cardiac Anaesthesia: EBPOM Dingle

TopMedTalk

From the Evidence-based Perioperative Medicine (EBPOM) Conference in Dingle, Ireland, Desiree Chappell and Sol Aronson are joined by Alex Mittnacht, President and Founding Director, International Academy of Cardiac Anaesthesiologists (IACA), and Vice Chair of Anesthesiology and Chief of Pediatric and Adult Cardiac Anesthesia at Westchester Medical Center, New York, USA. Dr Mittnacht shares his fascinating professional journey and delves into the intricacies of paediatric cardiac anaesthesia, including its evolving training pathways, workforce challenges, and the increasing demands for...

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Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025 show art Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025

TopMedTalk

Desiree Chappell and Sol Aronson discuss innovations in anesthesia at ANESTHESIOLOGY® 2025 with Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare and John W Beard, Chief Medical Officer at GE Healthcare - Patient Care Solutions. They unveil GE's new premium anesthesia platform designed for both current and future needs, emphasizing enhanced workflow, patient safety, and adaptable technology. The conversation highlights the platform's advanced features, including a dual compute architecture, innovative vaporization system, and digital solutions for improved...

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Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head on, could the problem be due to racism? The chances of a serious issue is "substantially higher if you come from a minority group, in particular if you are African-American".

We also cover the issue of postpartum hemorrhage, what are the key signs that a patient is at risk? Furthermore, how are quality care initiatives and standardization of care helping improve the field of obstetrics? Also, what is the latest thinking on home births, are they a financial decision for some?

The California Maternal Quality Care Collaborative is here: https://www.cmqcc.org/

For more info on the Society for Obstetric Anesthesia and Perinatology (SOAP) go to www.soap.org

Presented by Desiree Chappell and Monty Mythen with their guest Alexander J Butwick, Obstetric Anesthesiologist and Researcher in maternal hemorrhage, pain relief in labor, and obstetric epidemiology at Stanford University.

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Like this, want more?

On the subject of obstetrics find out more here:

EBPOM Highlight 1.27 | Obstetric anaesthesia - https://www.topmedtalk.com/ebpom-highlight-1-27-obstetric-anaesthesia/

ASA 2018 San Francisco | Smith’s Medical Symposium on Enhanced Recovery – Part 5 - https://www.topmedtalk.com/asa-2018-san-francisco-smiths-medical-symposium-on-enhanced-recovery-part-5/

Periop Coach 4.10 | Enhanced Recovery for obstetrics https://www.topmedtalk.com/periop-coach-4-10-enhanced-recovery-for-obstetrics/