COVID 19 | From the frontlines- Atilla Kett in New Jersey, USA
Release Date: 03/24/2020
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 EBPOM 2019 | The Opioid Crisis (Peri-Operative Quality Initiative: POQI 4) - can we kick the habit?
Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is "better opioid stewardship" and a "move away from the traditional fundamental principle of opioids first". Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of Research for the Perioperative Medicine Fellowship at Duke.info_outline SCA | The Society of Cardiovascular Anesthesiologists
After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics that are being discussed in the field; devices and extracorporeal membrane oxygenation (ECMO) machines, as well as trans-esophageal echocardiography and how the practice has evolved. The conversation ends with a discussion about pre-habilitation in a resource stretched environment. Presented by Desiree Chappell with Sol Aronson with Jamie Ramsey Medical Director Cardiac ICU at UCF and Gerald Levy, MD at Duke University.info_outline Anaesthesia 2019 | UK Centre for Perioperative Care
The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. Led by the Royal College of Anaesthetists to facilitate cross-organisational working on perioperative care for the benefit of patients. A partnership between patients and the public, other professional stakeholders including Medical Royal Colleges, NHS England and the equivalent bodies responsible for healthcare in the other UK devolved nations. The aim is to improve quality of care, support patients and professionals as well as influence policy,...info_outline Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)
This piece focuses on The Centre for Perioperative Care (CPOC). How does it work, what are its goals and who is involved? Also, what digital innovations will CPOC be looking towards? For more information check out the website here: Originally recorded live at Anaesthesia 2019; where world-renowned experts presented the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC).info_outline Anaesthesia 2019 | Tim Cook and Paul Wischmeyer
The Royal College of Anaesthetist's National Audit Projects (NAP) are frequently fascinating and always important, here we get a look at NAP7, which will examine Perioperative Cardiac Arrest. The conversation also explores the Sprint National Anaesthesia Projects (SNAP) organised by the National Institute of Academic Anaesthesia. There's also discussion regarding muscle quality, malnourishment and ultrasound. The conversation progresses to Quality Improvement and the latest evidence there. This includes discussion of The National Emergency Laparotomy Audit (NELA). Their website is here: Find...info_outline Anaesthesia 2019 | Developmental neurotoxicity
Developmental neurotoxicity; can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously unaware of? There's a lack of evidence at the moment but outcomes for young animals have raised concern. Given the complexities of human neurodevelopment how can such issues be reliably detected? Presented by Joff Lacey with his guest Hugh Hemmings Senior Associate Dean for Research, Professor and Chair of Anesthesiology at Weill Cornell Medicine.info_outline Anaesthesia 2019 | The Future of Anaesthesia
This excellent conversation explores how Anaesthesia as a profession will the profession evolve as the years pass; change is inevitable and the direction of it is becoming clearer but what it's pace will be is still uncertain. How will we adapt to the new roles and requirements we can see coming towards us in the near future? Will "the computers take over" or do we see a future where roles will be made simpler and more automated? Should Anaesthetists expect to tackle more of a leadership role in the future? Also, what is the "technological singularity"? Should we be concerned about it?...info_outline Anaesthesia 2019 | Paul Wischmeyer
"Keeping the care in healthcare", is the agenda for this powerful and wide ranging conversation with one of our most popular contributors. How do we keep the priority of what we do at the forefront of our minds? Does the information we've learned recently on TopMedTalk about "burn out" impact on our understanding of poor levels of care in healthcare? Is it possible to rate providers on how much care they display? Also; "what is a microbiome"? The second half of this conversation is a deep dive into "the bugs that make us whole". How can this remarkable area of research help to improve our...info_outline
"The guidelines, in fact, I found most useful were the Royal College's guidelines, all those info graphics and all those protocols"
This piece is an emotional conversation with a TopMedTalk favourite; how are things going in New Jersey? Has elective surgery come to a halt yet? What innovations are being deployed by medics are they face a global pandemic? What are the unique pressures which medics are being called upon to deal with in this crisis?
The collaborative resource from the UK
The Royal College of Nursing’s webpage regarding Personal Protection Equipment (PPE) is here: https://rcni.com/hosted-content/rcn/first-steps/personal-protective-equipment
Also, the recently released useful conversation about Oxygen shortages Dr Kett mentions - which featured Mike Grocott - can be found here: https://www.topmedtalk.com/covid-19-uk-southampton-and-london-mike-grocott-and-monty/
Presented by Desiree Chappell with Attilla Kett, Chair of Anesthesia at St Peter's University Hospital, New Brunswick, New Jersey.
Thank you to our sponsor Edwards Lifesciences.
Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation