POCAPALOOZA | Los Angeles-USA
Release Date: 07/02/2020
"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. We begin with the global audience in mind and break down what it is to be a Nurse Anesthetist. It's a role which is expanding in scope, our guest walks us through how and why that's the case. This wide ranging conversation then moves to the future of enhanced recovery and the AANA's future development. For more on the Drink Eat Mobilise topic go here: Check out the AANA here: Presented by...info_outline EBPOM 2019 | Delivering Personalised Care: aligning prehabilitation with healthcare policy
How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and care needs are met" where we recognise "people themselves can sometimes be the best integrators of health and care". In this context our role is to support them to "live as independently as they wish". With shared decision making and personal choice at the heart of this we allow patients to be "experts in their own lives, health and care". The increase in life expectancy means more long term conditions and comorbidities in patients, what...info_outline Sunday Special | Burn out?
This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your team? What is "burn out"? How does it express itself in people? What signs should we look for in our friends and colleagues? Presented by Desiree Chappell, Sol Aronson and Monty Mythen with their guest Sasha Shillcutt, Vice Chair of Strategy and Innovation, Department of Anesthesiology, UNMC Founder, Brave Enough LLC. Find Sasha's excellent website (and podcast) here:info_outline Periop Medicine SIG | Armed with data to improve perioperative outcomes
This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"? Further reading is available here: If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: Presented by Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI).info_outline EBPOM 2019 | Perioperative Blood Pressure, Q&A
As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent? This short piece follows on from Tim Miller's talk "Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?". Presented by Desiree Chappell and Monty Mythen with Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Centre.info_outline EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?
This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common postoperative complication associated with death and if so why is there a transatlantic divide as regards the evidence? Is there a place for troponin screening preoperatively for risk stratification? What should one do with an asymptomatic post operative patient with raised troponin? Does MINS cause hypotension? This is part 3 of 3 from The EBPOM 2019 TopMedTalk session which...info_outline EBPOM Highlight | Pain Management to Enhance Recovery after joint replacements
"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: Presented by Dr. Ryan Hanson, Anesthesiologist in Boston, Massachusetts, affiliated with Brigham and Women's Hospital, received his medical degree from Penn State College of Medicine.info_outline AANA | Protecting Your Healthcare Practice - Compliance and Enforcement
What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false claims act" impact on billing? If you find a mistake or an issue in your note keeping the advice here is clear; deal with it the moment it is discovered. Also, under recording is an obvious issue, can the same be said of 'excessive documentation'? The bottom line is that practitioners must remain educated, stay aware of what is going on and rely on the fact that patient care is...info_outline Dingle 2019 | Practical tips for preoperative risk assesment
"Some practical tips you can take away and implement in your hospital..." In the UK there is a legal imperative to minimalise and individualise risk now but it's widely understood to be helpful if you want to provide better value and patient outcomes. How can risks be identified and minimised? How can these risks then help to provide better quality shared decision making? How can plan a perioperative pathway tailored to these needs? Presented by Ramani Moonsinghe, Professor of Perioperative Medicine at University College London (UCL). IMPORTANT NOTE: We discuss "The Montgomery Case" in more...info_outline TopMedTalk | Education, perioperative medicine, anaesthesia and you.
Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways in which people can learn more about the specialty The wider conversation reaches out into the field of anaesthesia and the constant shortage of practitioners that there is in the UK and more widely around the world. Also, if you're intrigued, here's the link to the FREE 4 week course discussed in this podcast: Presented by Desiree Chappell and Monty Mythen with their guests David Walker, Professor in Anaesthesia and Critical Care Medicine,...info_outline
The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market.
"Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921
As anesthesiologists "we are part of teams" and "anesthesia and intensive care have developed a much higher profile after COVID and we should build on that". How can innovations like telemedicine help us to do better? Are we right to be optimistic about our specialty in this difficult time?
The international board for perioperative medicine is here: https://www.internationalboardpom.org/
The Hartford Foundation is here: https://www.hfpg.org/
"Perioperative medicine journal" is here: https://perioperativemedicinejournal.biomedcentral.com/
Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI).
Make sure you ride the POCAPALOOZA - to the good health of perioperative care - all the way round the world. Next stop? Hong Kong!
We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X
If you enjoyed this piece why not try out another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/
Or check out Carol Peden here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/