DINGLE 2019 | The opportunity in variability
Release Date: 07/05/2020
This piece looks at innovations in our field, through the lens of the Hypotension Prediction Index (HPI). Innovations in medicine are always exciting, "neuro-monitoring" is discussed "if you told me two years ago that I was going to be able to understand an EG waveform I would have laughed at you". "Data is what drives any change", how can new insights regarding hypotension potentially revolutionize your practice? Adoption of any new technology is complicated, how do you handle resistance to such innovations? When it comes to change management, if the new change takes more than "300 seconds"...info_outline EBPOM Highlight | Perioperative nutrition should be a key part of Enhanced Recovery
"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 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: If you have any comments or questions you'd like to send to the team email: Presented by Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.info_outline AANA | Enhanced Recovery with Lynn Reede
"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
"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and perioperative physicians"
The future of perioperative medicine embraces the full scope of medical advancement and is therefore difficult to predict, as a result truly informed shared decision making is both crucial and more complex. Variability of practice is a key factor; usually caused by the overuse or underuse of a facility and its resources. The former being a particular problem in America with the financial incentives associated with some forms of treatment and care.
Learn how a pilot study regarding orthopedics lead ultimately to variability becoming a widely recognised crucial area of improvement in medicine. More on this can be found on The British Orthopaedic Association's website here: https://www.boa.ac.uk/standards-guidance/getting-it-right-first-time.html
This talk empowers you with the detail regarding an area that now looks set to become a huge opportunity for perioperative practitioners world wide. Sharing processes, standardising care and allowing our focus to go where the evidence leads. How can we help as implementation teams are assembled both in the UK and elsewhere?
When it comes to patients; "we play a very small part in their life ... but that part can be massive if we get it wrong - so we have to get it right!"
The Getting It Right First Time website (GIRFT) is here: https://gettingitrightfirsttime.co.uk/
Presented by Chris Snowden, Consultant Anaesthetist, Freeman Hospital, Newcastle upon Tyne and Senior lecturer at the Institute of Cellular Medicine at Newcastle University.
If you love this, you'll also enjoy this fantastic piece "EBPOM Highlight | Getting it right first time": https://www.topmedtalk.com/ebpom-highlight-getting-it-right-first-time/
Exclusive limited time only "EBPOM Chicago" ticket offer on now, go to: www.ebpom.org