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Perioperative oxygenation | EBPOM London 2020

TopMedTalk

Release Date: 04/05/2021

Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago show art Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago

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"If you want to take population based data, and define hypotension, you'll be right for the majority of our average patients, but not for all patients and it appears that the amount of time we spend below the lower limit of autoregulation has meaning for patient outcomes" Starting from the origins of blood pressure monitoring, via the father of neurosurgery endocrinology, Harvey Cushing, through to the current debate as to what exactly constitutes hypotension this piece is an important part of a longstanding discussion here on TopMedTalk. How and why does hypotension occur and what is the...

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The Business Case for Prehabilitation | EBPOM London show art The Business Case for Prehabilitation | EBPOM London

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"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible...

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Screening assessment of nutritional fitness | EBPOM 2020 London show art Screening assessment of nutritional fitness | EBPOM 2020 London

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What do we mean by "nutritionally fit" and why does it matter? How do we identify those most at risk in terms of screening and assessment and what's the difference between these two processes? How can we use screening and assessment to triage patients into care? Also, in the time of COVID19, are there ways we can perform some tasks related to these processes remotely? Presented by Steve Wooton, Senior Lecturer in Human Nutrition within Medicine at the University of Southampton.

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EBPOM Chicago | Anemia Management show art EBPOM Chicago | Anemia Management

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"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 to find out how you can attend our online conferences. Make sure you also check out the article mentioned in this piece here: If you enjoyed this piece we suggest...

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Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020 show art Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020

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This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one of the highlights of the year in our recent holiday specials and previously only available to attendees to the incredibly successful EBPOM Chicago 2020; go to www.ebpom.org now for more details on forthcoming events and special offers now. This piece is part two of two. This piece gets a mention "End of life decision planning in the perioperative setting: the elephant in the room?" The Global Council on Brain Health is here on the American...

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Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | Chicago 2020 show art Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | Chicago 2020

TopMedTalk

This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one of the highlights of the year in our recent holiday specials and previously only available to attendees to the incredibly successful EBPOM Chicago 2020; go to now for more details on forthcoming events and special offers. This piece gets a mention "End of life decision planning in the perioperative setting: the elephant in the room?" The Global Council on Brain Health is here on the American Association of Retired People's website: This is part...

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Frailty, Brain Health and Perioperative Cognitive Dysfunction | EBPOM Chicago show art Frailty, Brain Health and Perioperative Cognitive Dysfunction | EBPOM Chicago

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"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, regular exercise and mental stimulation, we should certainly think about providing the same support to our geriatric patients." What does the latest research say about this vital issue? How is frailty defined? What's the clinical impact of preoperative cognitive dysfunction? Presented by Angela Bader, MD, MPH Professor of Anesthesia at Harvard Medical School and Vice Chair for Perioperative Medicine in the Department of Anesthesiology, Perioperative...

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Methadone use in Perioperative Medicine | EBPOM Chicago show art Methadone use in Perioperative Medicine | EBPOM Chicago

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This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of intraoperative methadone on post operative outcomes and discusses some unanswered questions related to the administration of this long acting opioid in the perioperative period. Presented by Glenn Murphy, Jeffery S. Vender Chair of Anesthesiology Research and Education and Director of Cardiac Anesthesia and Clinical Research at NorthShore University HealthSystem, a hospital affiliated with the University of Chicago Pritzker School of Medicine. For more on...

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The Future of Prehabilitation The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London

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"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and well conducted randomized control trials determine effectiveness to an unbiased comparison of outcomes, events, or endpoints between intervention groups". If data is destiny it is to this that we must look if we want to understand what the future may hold for prehabilitation. This piece takes a pragmatic approach toward the task of ensuring information and datasets are widely applicable, as free from bias as possible and ultimately standardised by...

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Getting Getting "fit for surgery" | EBPOM 2020 London

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"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine." Fitness, frailty and function are overlapping concepts. In the UK, about quarter of patients will be over the age of 65 by 2034. As patients age they may develop comorbidities. These factors combine to present a unique opportunity for the perioperative physician; fitness increases the chances of a positive outcome, time to ensure every patient is "fit for surgery". The Making Every Contact Count (MECC) campaign is here: Presented by Denny Levett, Professor in Perioperative...

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More Episodes

"Oxygen is the commonest drug that we give to our patients today during surgery and the general anaesthetic" but what do we really know and understand about it from a perioperative perspective?

This talk illustrates why, even with some of the evidence and background physiology that we have at our fingertips today, the following questions are still perplexing: How much is too little oxygen? How much is too much oxygen? And how much is just the right amount of oxygen?

Presented by Daniel Martin, OBE, Professor of Perioperative and Intensive Care Medicine, University of Plymouth and the Royal Free Hospital, London.