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EBPOM Chicago | Anemia Management

TopMedTalk

Release Date: 05/14/2021

Depth of anaesthesia and long term outcomes | Dingle 2020 show art Depth of anaesthesia and long term outcomes | Dingle 2020

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  "More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse events. There's very few proven primary or secondary prevention measures, and the resources for monitoring and trading complications are inadequate. So - more action is required". This piece looks at the evidence as regards perioperative outcomes for the elderly, depth of anesthesia and mortality. Also, what's the latest on depth of anesthesia and delirium? Presented by Kate Leslie, Honorary Professor, Monash University, Melbourne, VIC,...

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"The song remains the same" The story picks up toward the end of the 1970's; "interesting stuff was going on ... Professor William Shoemaker, a surgeon and intensive care doctor one of the founding members of the American critical care society ... fiddling around with pulmonary artery catheters in his high risk surgical patients in South Los Angeles, and identified that those patients that were surviving tended to have higher cardiac indexes higher option deliveries than the non survivors". This piece was Dingle 2020's Inaugural Siobhan Mythen Visiting Lecturer. For more content from that...

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"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with accelerated surgery. The logistics and resources required for accelerated surgery need to be balanced with the demonstrated benefits and patient's desires for accelerated surgery" This exciting piece from EBPOM 2020 provides a data download that further illucidates the perennial debate surrounding hip fractures and their management and treatment. What is the correct perioperative approach to this nasty injury? For more on the Hip Attack Trial go here: ...

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This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience: What is your opinion about spinals and hip fractures for patients on clopidogrel? Do you use any near patient tests to confirm residual anticoagulation? Where are the best guidelines to be found? We suggest you listen to this piece alongside part 1. Presented by Sol Aronson, tenured Professor at Duke University, with his guests; Angela Bader, Harvard Medical School and Vice Chair of Perioperative Medicine at Mass General Brigham, BobbieJean...

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Perioperative anticoagulation and anti platelet management; a user friendly approach | EBPOM Chicago show art Perioperative anticoagulation and anti platelet management; a user friendly approach | EBPOM Chicago

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The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap stories from their time in practice. The conversation moves to protocols, guidelines and also, when where and how to begin bridging. This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience. Presented by Sol Aronson, tenured Professor at Duke University, with his guests; Angela Bader, Harvard Medical School and Vice Chair of Perioperative Medicine at...

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Daniel Engelman updates in cardiac | EBPOM Chicago show art Daniel Engelman updates in cardiac | EBPOM Chicago

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How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The Society for Enhanced Recovery After Cardiac Surgery (ERASĀ® Cardiac), more information can be found on their website: Since this address was given at Evidence Based Perioperative Medicine (EBPOM) Chicago's 2020 meeting TopMedTalk has been proud to bring you coverage of ERASĀ® Cardiac's online meeting. For more on that start here: Presented by Daniel Engleman, the Medical Director...

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The value proposition in perioperative medicine | EBPOM 2021 Las Vegas show art The value proposition in perioperative medicine | EBPOM 2021 Las Vegas

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"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, there can be some opportunities for cost savings; even if it 'breaks even' if the patients are happier, isn't that worth moving into the concept and proving that it does make a difference?" The value proposition is an essential element of advocating perioperative care; we know it provides safer, better quality outcomes but how do we translate that into a language that both patients, fee payers and providers can all understand? This piece follows on...

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The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas show art The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas

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"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within Michigan is really an unmatched place to kind of realize that vision." This piece asks the question; "why do we need perioperative medicine"? The answer is illustrated with a real success story where practitioners realise the value proposition it unlocks for their patients every day. Hear how it is achieved and why it is so important. Presented by Desiree Chappell with her guests Jim Grant, Senior Vice President and Chief Medical Officer at Blue...

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Models of perioperative care Models of perioperative care "the science of value" | Chicago 2020

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This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for payment system creaks against concerns about rising costs and the need for population health management. Can we move forward with "the science of value" which true perioperative medicine offers us? It's a talk which is designed to spark debate and that follows in part two of this piece. Presented by Sol Aronson, tenured Professor, Duke University, Durham, North Carolina.

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Daniel Engelman Q&A | EBPOM Chicago show art Daniel Engelman Q&A | EBPOM Chicago

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"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: Presented by Desiree Chappell and Monty Mythen with Daniel Engelman,...

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More Episodes

"Studies suggest that even three fourths of patients may be anemic when they present for surgery and many of these patients are previously undiagnosed"

This common problem is known to cause issues both within the perioperative period and beyond. How can we manage this condition and where does the latest data lead us?

Following a presentation there is a panel discussion featuring questions from the EBPOM Chicago audience. Check out www.ebpom.org to find out how you can attend our online conferences.

Make sure you also check out the article mentioned in this piece here: https://pubs.asahq.org/anesthesiology/article/133/1/109/109133/An-Effective-and-Efficient-Testing-Protocol-for

If you enjoyed this piece we suggest you go here next:

TopMedTalk | Iron Man vs Anemia
https://www.topmedtalk.com/topmedtalk-iron-man-vs-anemia/

Presented by Monty Mythen with Bobbie Jean Sweitzer, Professor of Anesthesiology and Associate Chair for Perioperative Clinical Practice at Northwestern University and Jeanna Blitz, Associate Professor of Anesthesiology, Director of the Preoperative Anesthesia and Surgery Screening Clinic, Director of Perioperative Medicine Fellowship at Duke University School of Medicine, Durham, North Carolina.