TopMedTalks to... Henrik Kehlet: The evolution and challenges of Enhanced Recovery After Surgery (ERAS) | #ANES24
Release Date: 12/02/2024
Implementation – what works and what doesn’t? NHS leader perspective – incentives and penalties? | EBPOM World Congress
TopMedTalk
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the third of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the third talk in the series, the first is here: The second is here: Next week we will release the panel discussion. In this talk we get an NHS leader’s perspective on the challenges and obstacles in implementing new innovations within the NHS. Drawing from his extensive experience, David Probert highlights the impact of funding reductions, increasing waiting...
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Professional organisations: the ebb and flow of ERAS | EBPOM World Congress
TopMedTalk
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is the second of a series of four sessions under the heading: “Implementation – what works and what doesn’t?”. This piece is the second talk in the series, the first is here: There is one more presentation to come and then we will release a fascinating panel discussion to conclude. In this presentation we cover the historical development and implementation of Enhanced Recovery After Surgery (ERAS); key milestones from Henrik Kellett's pioneering work in the late 1990s, to the formation of...
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Joyce Yeung – Why don’t we implement trial results? | EBPOM World Congress
TopMedTalk
Recorded at Evidence Based Perioperative Medicine (EBPOM) in London last year this presentation is part of a series of talks given under the session heading: “Implementation – what works and what doesn’t?”. This piece is part one of four, with two more presentations to come and then a fascinating panel discussion to conclude. This first session focuses on the implementation of clinical trials, covering research methodologies, clinical implementations, and their challenges, and looking at the lengthy process of translating medical discoveries into clinical practice, emphasizing the...
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Annual digest - Part 2 | TopMedTalk
TopMedTalk
This is part two of a two part program covering some of the most listened to pieces we've done in the last 12 months. We'd love you to check out part 1, which is here: In this piece we cover and reflect upon the following podcasts: "The evolution of the Impella device in anesthesia, critical care, and perioperative medicine” Is Trauma Informed Care part of your perioperative process? ROCKet Trial and PANDOS | Euroanaesthesia 2024 "Patient Safety and Quality: New Standards in Anesthesia | #ANES24" And “Perioperative medicine in focus | EBPOM 24”
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Annual digest - Part 1 | TopMedTalk
TopMedTalk
This is the first of a two part program which covers some of the most listened to pieces we've done in the last 12 months. If you want to follow up on these conversations and get the full detail, for free, follow these links here: "Cardiovascular risk evaluation for non-cardiac surgery, guidelines" - ”Should we delay surgery for prehabilitation?” - ”The importance of intraoperative hypotension” - “Behavioural change vs Psychological interventions: which is key in prehabilitation?” - "Perioperative patient safety and post-operative ward monitoring" -
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The dignity of end of life care | #PeriSIG24
TopMedTalk
In this piece we cover frailty in perioperative and end-of-life care, the assessment of frailty, the challenges of clinical momentum, multidisciplinary team meetings, and the importance of palliative approaches. The conversation also delves into the trajectories at the end of life and the impact of electronic medical records in automating frailty measurement. The episode concludes with reflections on living a healthy life and the dignity of end-of-life care. This piece comes from our coverage of the Perioperative Medicine Special Interest Group Meeting in Melbourne, Australia. Presented by...
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Compassion, Empathy and Kindness | #PeriSIG24
TopMedTalk
Recorded live from the 13th Australasian Symposium of the Perioperative Medicine Special Interest Group, in collaboration with Summit III and the PeriOperative Quality Initiative (POQI). The theme of the meeting is ‘Improve the quality, enhance the value, protect the future’. This piece provides insights into our guest’s career, the intersection of medicine and writing and the importance of compassion in healthcare. She discusses her background, including her education, her writing for The Guardian, and the content of her recent plenary session about shared decision-making and medical...
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Patient Safety and Quality: New Standards in Anesthesia | #ANES24
TopMedTalk
In this piece, recorded at Anesthesiology 2024 in Philadelphia, TopMedTalk explores the evolving landscape of patient safety and quality standards in anesthesia. What have been the significant shifts in patient safety culture? What is the importance of a proactive approach to risk management in anesthesia? We mention this excellent article: Desiree Chappell, Mike Grocott and Monty Mythen speak with their guest, Jonathan Cohen, anesthesiologist, Vice Chair of Quality & Safety in the Department of Anesthesiology at Moffitt Cancer Center in Tampa, Florida, Associate Professor at the...
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TopMedTalks to... Wael Saasouh | #ANES24
TopMedTalk
The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. As usual we are there; building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates. Here we discuss advancements in anesthesia research and quality improvement, focusing on intraoperative hypotension (IOH) and its impact on patient outcomes. What collaborative efforts are being made to standardize hemodynamic management practices and improve clinician awareness of factors affecting IOH in non-academic settings? The...
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Evolving Guidelines in Anesthesia: Fasting, Hydration and Medication Management | #ANES24
TopMedTalk
TopMedTalk is at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Here we discuss key anesthesia updates, emphasizing patient safety and comfort. Does the evidence support allowing clear liquids up to surgery to reduce thirst without raising risks? Do new challenges around GLP-1 drugs, which delay stomach emptying, call for tailored pre-op guidance? Also, should we be rethinking gabapentinoids, which recent studies show may not effectively reduce opioid use as once believed? Presented by Desiree Chappell, Monty Mythen and Mike Grocott with their...
info_outlineThis important piece shines a light on the evolution and challenges of Enhanced Recovery After Surgery (ERAS).
If you’ve never listened to TopMedTalk, this is a great place to start. If you’ve listened before it’s possible you’ve heard us talking with excitement about today’s guest, we hope you find this session to be worth the wait.
Hear how our guest's insights on the need for an understanding of the pathophysiological basis and integrated pre-, intra- and post-operative care for the best patient centered outcomes.
We cover the concept of “DReaMing” (Drinking, Eating, Mobilizing) as both a goal and measure of recovery; it simplifies complex pathways, encouraging a focus on practical, patient-centered outcomes while reminding us to investigate barriers when these aren’t achieved. Also, listen to our timely discussion regarding the misinterpretation of fluid management—shifting from avoiding overload to outright restriction—reiterating the importance of precision and nuance in applying guidelines. Can these approaches then be turned into individualized risk assessments, which bridge the gap between protocolization and personalization?
Finally there's a powerful call for increased post-discharge research, to monitor and mitigate challenges like fatigue and pain. Recovery does not stop at hospital discharge.
Presented by Desiree Chappell, Mike Grocott and Monty Mythen with their guest, Henrik Kehlet, Professor of Surgery at Copenhagen University and Professor of Perioperative Therapy at Rigshospitalet, Copenhagen University, Denmark. He is also an Honorary Fellow of the Royal College of Anaesthetists, UK, the American College of Surgeons, the American Surgical Association, the German Surgical Society, the German Anaesthesiological Society and American Society of Anesthesiology.
Professor Kehlet has published more than 1,250 scientific articles and has given more than 300 invited lectures at international scientific meetings, several honorary lectures including the ASA Excellence in Research Award 2014. He was the first recipient of the BJS Society Award 2023.
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https://topmedtalk.libsyn.com/topmedtalk-henrik-kehlet-and-nick-scott-0
https://topmedtalk.libsyn.com/asa-2018-san-francisco-exclusive-professor-henrik-kehlet