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TopMedTalk | The psychology of change

TopMedTalk

Release Date: 03/26/2020

Desiree's Roundtable | We've saved twelve million dollars! show art Desiree's Roundtable | We've saved twelve million dollars!

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Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line expansion. Learn about both the advantages and the challenges of a perioperative practice here. Presented by Desiree Chappell and Monty Mythen with their guests Kim Duggan, Perioperative Surgical Home (PSH) - Enhanced Recovery After Surgery (ERAS) Manager, New Hanover Medical Centre and Robin Davis, Clinical Education Specialist II at New Hanover Regional Medical Center.

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Periop SIG 2019 | Updates in cardiac devices Part 2 show art Periop SIG 2019 | Updates in cardiac devices Part 2

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"Updates in cardiac devices, Part 2" 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 focused upon transcatheter aortic valve implantation (TAVI) devices. "A balloon valvular plasti in comparison to a TAVI is 90% of the risk, 10% of the gain" you're trading one problem with another, argues our speaker. Find out more about ANZCA here: Presented by Dr Karl Poon, TAVI specialist at St Andrews War Memorial Hospital,...

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Periop SIG 2019 | Updates in cardiac devices, Part 1 show art Periop SIG 2019 | Updates in cardiac devices, Part 1

TopMedTalk

"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...

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AANA | Tackling the pain of the opioid crisis show art AANA | Tackling the pain of the opioid crisis

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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...

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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...

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Periop SIG | Ward Based postoperative care; where should we focus? show art Periop SIG | Ward Based postoperative care; where should we focus?

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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...

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SIG 2019 | Shared decision making and risk prediction in the emergency setting show art SIG 2019 | Shared decision making and risk prediction in the emergency setting

TopMedTalk

"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...

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TopMedTalks to ... | Dan Longrois on nociception show art TopMedTalks to ... | Dan Longrois on nociception

TopMedTalk

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. --...

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EBPOM 2019 | Opioid-free anaesthesia show art EBPOM 2019 | Opioid-free anaesthesia

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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:

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AANA| Innovators in Anesthesia show art AANA| Innovators in Anesthesia

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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...

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"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: http://morpheusconsortium.org/

Check out the article here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511

Find out more about NorthStar here: https://northstaranesthesia.com/

The "Masters of Scale" podcast is here: https://mastersofscale.com/

This piece was originally released live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.

Presented by Monty Mythen and Desiree Chappell with their guest Bob Booth, Regional Chief Medical Officer, Vice President of Physician Operations at NorthStar Anesthesia, P.A.

Like this, want more?

Brian Woods from NorthStar features on TopMedTalk here: https://www.topmedtalk.com/topmedtalk-the-goal-is-more-important-than-the-role/