Nociception monitoring and pain management in 2021 | EBPOM Dingle/Chicago
Release Date: 11/08/2021
For part one of this series go here: This piece is a series of recommendations from the Acute Disease Quality Initiative (ADQI-24) and the Perioperative Quality Initiative (POQI-7). The article mentioned in this piece is here: Originally part of the Evidence Based Perioperative Medicine (EBPOM) World Congress this presentation is also available in video format via Presented by John Prowle, Senior Clinical Lecturer in Intensive Care Medicine within the Critical Care and Perioperative Medicine Research Group at Barts and the London School of Medicine and Dentistry, Queen Mary University of...info_outline Quality measures in Anesthesia | Novel Rescue PONV Therapy
"We have to decide; if it's safe, how do we do it, and how do we do it right?" This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? How do we mitigate cost, need and quality? Supported in part through an unrestricted educational grant from Acacia Pharma, Inc. To hear more from our guest go here: Presented by Desiree Chappell and...info_outline Key update on Interoperative Hypotension | EBPOM Chicago
This deep dive into interoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand what it is that we are doing well when it comes to prevention? Presented by Desiree Chappell and Monty Mythen with their guests Thomas Scheeran, Professor of Anaesthesiology, University Medical Centre, Groningen, Netherlands and Ashish Khan, Associate Professor, Department of Anesthsiology, Wake Forest School of Medicine.info_outline Part 1 Know AKI and say no to acute kidney injury for patients | Perioperative Renal Injury
This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, restrictive versus liberal fluid therapy and the trials we've seen in recent years which have revitalized debate and learning. The clips used come from the following podcasts: Michelle Chew's clip comes from here: EUROANAES2019 | Michelle Chew Andy Shaw's clip comes from here: SCA | Improving your practice John Kellum is here: Perioperative Nephrology Fluids and the Kidney Renal...info_outline The role of the sedationist | TopMedTalk
"Our top priority must be safety" A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the point of view of a patient focused practitioner. For more conversations along these lines make sure you listen to our coverage of the annual general meeting of the American Society of Anesthesiologists (ASA) on October the 9th. TopMedTalk will be live streaming from the event, checkout for more details. Presented by Monty Mythen and Desiree Chappell with their guest Rob Sneyd,...info_outline Why do we need a new rescue antiemetic | TopMedTalk
"There are so many, many studies on prophylaxis, but very few on treatment" Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? This piece focuses upon nausea and treatment in particular as part of an Enhanced Recovery practice. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting: Supported in part through an unrestricted educational grant from Acacia Pharma, Inc. Presented by Desiree Chappell and Monty Mythen with their guest Tricia Meyers, PharmD, adjunct Professor, Texas...info_outline Perioperative anemia clinics, panel discussion | EBPOM Chicago
What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative process? This piece follows on from a presentation regarding how to set up and run an anemia clinic, follow this link here to hear that presentation: For more on this topic listen to our popular podcast "Iron Man vs Anemia" which also features Toby Richards: Chaired by Feyce M. Peralta, obstetrical anesthesiologist, Program Director for the Obstetric Anesthesiology Fellowship...info_outline Pathophysiology of blood pressure auto regulation P2 | TopMedTalk
This piece continues the discussion regarding blood pressure regulation, moving from the brain to the kidney, heart and lungs via a number of distinguished experts in the field. How do we safely cut through the opinions on these areas and focus instead on relevant data? How do these organs interact in terms of auto regulation? How closely do our clinical tools allow us to infer accurately what a particular patient's needs are? This piece is part two of two, the first part is advised listening and can be found here: Presented by Dan Martin, with Monty Mythen, Sol Aronson and panelists Damian...info_outline Pathophysiology of blood pressure auto regulation P1 | TopMedTalk
The focus of this conversation is auto regulation in the brain, it leads into a longer conversation - part 2 - where the subject is discussed more broadly. What tools do we now have and how are they changing the way we see and understand this area? Are there hard and fast rules when it comes to blood pressure or is there still significant debate? Although this works as a stand alone listen it is in reference to the talk "Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago" - Presented by Monty Mythen with Dan Martin, OBE, Professor of Perioperative and...info_outline How to set up and run a Perioperative Anemia Clinic | EBPOM Chicago
"Choosing Wisely is an initiative of the American Board of Internal Medicine started about 10 years ago to advertise important aspects of medicine ... their number one recommendation was to not proceed with elective surgery in patients with properly diagnosed and correctable anemia, until the anemia has been appropriately treated." Taken from the hugely popular EBPOM Chicago meeting this piece explains how and why you need an anemia clinic as part of your perioperative practice. For more of this check out our piece here, which also features Bobbie Jean Sweitzer: "Promote your anemia clinics in...info_outline
"Precision anesthesia [...] where we can give patients the anesthetic and the doses that they require on a patient specific basis"
This piece looks at nociception, the neural processes of encoding and processing "noxious" stimuli. By monitoring this anesthetic practitioners can deploy a level of precision not previously possible.
Regular listeners may wish to refer back to previous podcasts on this subject:
EBPOM LIVE from London | Pain monitoring - with Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina:
TopMedTalks to … | Dan Longrois on nociception:
Presented by Desiree Chappell and Monty Mythen with their guest Anil Hormis, Professor, Consultant in anesthesia and Critical Care Medicine, Rotherham NHS Foundation Trust.