COVID 19 | Professor Monty Mythen has tested positive
Release Date: 03/27/2020
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...info_outline Periop SIG | Ward Based postoperative care; where should we focus?
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...info_outline SIG 2019 | Shared decision making and risk prediction in the emergency setting
"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...info_outline TopMedTalks to ... | Dan Longrois on nociception
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. --...info_outline EBPOM 2019 | Opioid-free anaesthesia
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:info_outline AANA| Innovators in Anesthesia
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...info_outline EBPOM 2019 | POETT Controversies Panel discussion
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
"It is interesting how well you can feel, compared to the night time [...] it gives you this real false sense of wellness for a period of time and then it hits you, man it hits you hard, when it hits you."
The UK Prime Minister has tested positive for COVID 19 as has The UK's Health Secretary, Matt Hancock, MP. Yesterday we revealed there were concerns our Editor in Chief Monty Mythen had some of the symptoms, only days before he was set to return to active duty in Critical Care. Acting responsibly precautions were already being taken and the assumption was that it was likely, given its profusion in London where he lives, that he had the new virus. The test results confirmed that last night.
Also on this podcast we get into further discussion regarding Continuous Positive Airway Pressure (CPAP), something which we have discussed a lot in this series, see links below.
There is also an assortment of questions from the audience, if you'd like to add your thoughts to one of next week's podcasts email us now: firstname.lastname@example.org
Presented by Desiree Chappell with Monty Mythen, Editor in Chief of TopMedTalk.
The European Society of Anaesthesiology (ESA) webinar was here: https://www.esahq.org/event/webinar-on-covid-19/
Thank you to our sponsor Edwards Lifesciences.
Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation