TopMedTalk
TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go
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EBPOM 2019 | EBPOM Prehab trials; WesFit
01/22/2020
EBPOM 2019 | EBPOM Prehab trials; WesFit
This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled trial, with patient informed development and process evaluation "You wouldn't run a marathon without preparing," why would you want an operation where you don't get ready for a physically stressful event such as surgery? Prehabilitation is an obvious advantage, gathering the data which proves that is essential to perioperative medicine because it means we can show the advantages clearly to both patients and practitioners as well as looking at ways of making the process more efficient. For more on this go here: http://wesfit.org.uk/ Presented by Professor Sandy Jack, PhD, Consultant Clinician Scientist in the Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Southampton and NIHR Southampton Respiratory Biomedical Research Unit and Integrated Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London.
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Desiree's Roundtable | Coordinating an Enhanced Recovery Program
01/21/2020
Desiree's Roundtable | Coordinating an Enhanced Recovery Program
How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme? Does an enhanced recovery programme which comes from the grassroots need support early on in the process? How do you find the right people to support you once the process has begun? Also, how do you explain that these changes will actually reduce workload? The conversation moves into managing pain, both the reality of pain and the expectations which can, if handled correctly, help to reduce it. Finally, what are the three key aptitudes that an enhanced recovery coordinator needs? Presented by Desiree Chappell with Korey Springman, Anesthesiologist and Perioperative Medicine Fellow at Duke University and Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates and Courtney Fossen, Manager of Surgical Services at US Anesthesia Partners (USAP).
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TopMedTalk | Substance Use Disorder - Peer Support: An Empathetic Information Resource
01/20/2020
TopMedTalk | Substance Use Disorder - Peer Support: An Empathetic Information Resource
"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me". This podcast helps tackle the difficult subject of Substance Use Disorder in healthcare practitioners. How do we, from a caring and helpful perspective, address this issue either within ourselves or others? This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ The Peer Assistance section of the AANA’s website is here: www.AANAPeerAssistance.com. Also see www.AANA.com/AboutPeerAssistance for additional facts and information. The phone number we share in the podcast is: (800) 654-5167 Furthermore there is an interesting article about Parkdale here: https://www.aana.com/docs/default-source/wellness-aana.com-web-documents-(all)/aana-parkdale-partnership-jan-2019.pdf?sfvrsn=bd8f51b1_2 Presented by Desiree Chappell and Monty Mythen with their guests, Linda Stone, DNP, CRNA Assistant Program Director at Raleigh School of Nurse Anesthesia and Rodrigo Garcia, CEO Parkdale; APN, MSN, CRNA, MBA.
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TopMedTalk | Fluid Physiology in detail
01/19/2020
TopMedTalk | Fluid Physiology in detail
This piece builds on last week's look at Fluid Physiology, with reference to the book linked to below. "We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book". The book Fluid Physiology is available now, check out the website here: http://fluidphysiology.org/ Tom's always entertaining twitter feed is here: https://twitter.com/thomaswoodcock Tom's slightly shorter piece on this book is here: https://www.topmedtalk.com/topmedtalk-tom-woodcock/ Presented by Monty Mythen and Desiree Chappell with their guests Sol Aronson a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Tom Woodcock author and independent consultant in patient safety, medical law and ethics. Like this, want more? Tom Woodcock appears frequently on TopMedTalk: https://www.topmedtalk.com/?s=tom+woodcock
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TopMedTalk | Listen to your brain
01/18/2020
TopMedTalk | Listen to your brain
This piece looks at The WAVi Headset which allows for a multi-faceted panoramic assessment of brain performance. Hear how this device is used to assess the health of one of our most vital organs. For more detail check out the website here: https://wavimed.com/ Presented by Desiree Chappell with her guest Rob Martin, Chief Operating Officer at WAVi.
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POET 6.08 | Thinking clearly on the brain
01/17/2020
POET 6.08 | Thinking clearly on the brain
What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center.
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TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia
01/16/2020
TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia
Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. This piece gets into the detail of their hugely popular perioperative care supplement, a collaboration with BJS (formerly the British Journal of Surgery). Surgeons and Anaesthetists around the world are engaging in the debate as a result with thousands of tweets about the subject, after publication only days before the 2020 Winter Scientific Meeting. Further discussion covers prehabilitation, which aspects are backed up by evidence? What are the big trials we should be looking towards? The PREVENTT website is here: https://preventt.lshtm.ac.uk/ More detail on Surgery School is covered here: https://www.topmedtalk.com/?s=surgery+school Anaesthesia's website is here: https://anaesthetists.org An excellent blog is provided here: https://theanaesthesia.blog/ Anaesthesia tweet here: https://twitter.com/Anaes_Journal Presented, from the Association of Anaesthetist's Winter Scientific Meeting 2020, by Monty Mythen with Desiree Chappell, Sol Aronson and their guest Andrew Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital in Cambridge and Editor in Chief of Anaesthesia. Like this, want more? Andrew Klien's excellent and popular talk on Cardiac Anaesthesia and Anaemia is here: https://www.topmedtalk.com/ebpom-highlight-1-04-cardiac-anaesthesia-and-anaemia/
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TopMedTalk | Henrik Kehlet and Nick Scott
01/15/2020
TopMedTalk | Henrik Kehlet and Nick Scott
"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are people getting it wrong? How reliable and well understood is the data behind it? Also, what are the current thoughts on perioperative steroids? How do we refocus and move back to enhanced recovery after surgery rather than "enhanced discharge" after surgery. Presented by Monty Mythen and Desiree Chappell with Sol Aronson, tenured Professor at Duke University, and their guests Henrik Kehlet, a gastrointestinal surgeon and former professor of surgery, Copenhagen University, and now professor of perioperative therapy and Head of Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University and Nick Scott, an early proponent of Enhanced Recovery in the UK who has spent the last six years as the Vice Chairman of Anesthesia and Perioperative Medicine at Hamad Medical Corporation in Qatar.
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TopMedTalk | Simon Davies's 2020 Vision
01/14/2020
TopMedTalk | Simon Davies's 2020 Vision
In this piece we're joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, "the word of the year" for 2019 and now something we expect to see break into the mainstream? How is anesthesia going to develop and what's the future for artificial intelligence in surgery? PQIP link: https://pqip.org.uk Multimodal analgesia: https://www.topmedtalk.com/ebpom-usa-part-5-a-perioperative-practicum-with-tj-gan/ TopMedTalk has covered methadone on a couple of occasions recently: Methadone a forgotten friend: https://www.topmedtalk.com/topmedtalk-methadone-a-forgotten-friend/ Methadone the overlooked opiate: https://www.topmedtalk.com/ebpom-2019-methadone-the-overlooked-opiate/ Artificial intelligence is looked at in more detail here: https://www.topmedtalk.com/topmedtalk-the-ai-doctor-will-see-you-now/ The 13 Minutes To The Moon podcast is here: https://www.bbc.co.uk/programmes/w3csz4dn Presented by Monty Mythen and Desiree Chappell with their guest Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust. Like this, want more? Simon also appears on this piece here: https://www.topmedtalk.com/prehab-periop-world-congress-feras-hatib-simon-davies/
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EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?
01/13/2020
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 debated the issue. Chaired by Monty Mythen, TopMedTalk's Editor in Chief, with, Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor, Denny Levett, Professor in Perioperative Medicine and Critical Care, Consultant in Perioperative Medicine, Southampton University Hospital NHS Foundation trust (UHS), President of the Perioperative Exercise Testing and Training Society (POETTS) and Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto and a Staff Anesthesiologist at St Michael’s Hospital.
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TopMedTalk | Tom Woodcock
01/12/2020
TopMedTalk | Tom Woodcock
To celebrate the launch of his book Fluid Physiology, A Handbook for Anaesthesia and Critical Care Practice: https://books.google.co.uk/books?id=F-m4DwAAQBAJ&printsec=copyright&redir_esc=y#v=onepage&q&f=false What are Tom's big areas to watch in 2020? Also how are surgical teams similar to the team behind the moon landing and what should we be thinking about the use of steroids in surgery? Check out Fluid Physiology: www.fluidphysiology.org The 13 Minutes To The Moon podcast is here: https://www.bbc.co.uk/programmes/w3csz4dn Presented by Monty Mythen with Desiree Chappell and their guest Tom Woodcock, author and independent consultant in patient safety, medical law and ethics.
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TopMedTalks to... | Charles Brown
01/11/2020
TopMedTalks to... | Charles Brown
"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perioperative optimisation, with a focus on delirium, in post operative patients. Are we getting to where we need to be or is there more work to be done? Presented by Desiree Chappell with Sol Aronson and their guest Charles Brown, associate professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine.
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POET 6.07 | Perioperative antibiotic stewardship
01/10/2020
POET 6.07 | Perioperative antibiotic stewardship
This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the protocols and pathways of your practice be adjusted to seriously contend with the global issue regarding the stewardship of one of medicine's most vital resources? Presented by Alison Holmes, Professor of Infectious Diseases at Imperial College, Fellow of the Academy of Medical Sciences and an Senior Investigator at the National Institute of Health Research (NIHR). To hear the fuller version of this talk go here: https://www.topmedtalk.com/ebpom-highlight-1-10-antibiotic-stewardship-in-perioperative-care/
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TopMedTalk | Gezz Van Zwanenberg, Live from London Part 2
01/10/2020
TopMedTalk | Gezz Van Zwanenberg, Live from London Part 2
How serious an issue is 'burn out'? What's the best way to transfer a patient from ward to ward or from institution to institution? What do we think about remote supervision and monitoring? What problems will Artificial Intelligence help us solve? Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020, from The Queen Elizabeth II Centre, London, UK. This piece follows on from part one, which you can find here: https://www.topmedtalk.com/topmedtalk-matt-wiles-and-marcus-peck-live-from-london/ Presented by Monty Mythen featuring guests, Gezz Van Zwanenberg Nurse and Project Lead North West London Critical Care Network, Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society’s (FICE) Committee.
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TopMedTalk | Matt Wiles and Marcus Peck, Live from London.
01/09/2020
TopMedTalk | Matt Wiles and Marcus Peck, Live from London.
In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What are the latest thoughts about 'depth of anaesthesia'? Can we use ultrasound technologies to enhance patient care? Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Presented by Monty Mythen with his guests Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society’s (FICE) Committee.
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Periop Medicine SIG 18 | Emergency surgery - panel discussion
01/09/2020
Periop Medicine SIG 18 | Emergency surgery - panel discussion
This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. Featuring, 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), Ben Griffiths, consultant anesthetist at Auckland City Hospital, anaesthetic lead for ANZELA-QI and Michael Cox, Professor of Surgery, Nepean Hospital.
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EBPOM Highlight 2.26 | ERAS in Obstetric Surgery
01/08/2020
EBPOM Highlight 2.26 | ERAS in Obstetric Surgery
"ERAS in Obstetric Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com 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: www.ebpom.org/meetings This piece is presented by Attila Kett, anaesthesiologist and Chairman at St Peter's University Hospital at New Jersey, he is introduced by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, University of South Carolina.
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Desiree's Roundtable | Can Enhanced Recovery work for the critical care patient?
01/07/2020
Desiree's Roundtable | Can Enhanced Recovery work for the critical care patient?
How do the insights from experience in Enhanced Recovery apply to critical care patients and postoperative care pathways? We also discuss utilization of advanced monitoring technology for the critically ill patient postoperatively. Presented by Desiree Chappell with her guests Philip Corvo, Chairman of Surgery Stanley J Dudrick Dept of Surgery at Saint Mary's Hospital and Vicki Morton, DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina.
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EBPOM 2019 | Troponitis, does it matter?
01/06/2020
EBPOM 2019 | Troponitis, does it matter?
This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening. It's part 2 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.
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Sunday Special | "70 Years on: Our NHS" a panel discussion
01/05/2020
Sunday Special | "70 Years on: Our NHS" a panel discussion
This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS. Various questions from the audience are considered; where should we be in ten years from now, what are the disruptive forces headed our way? The panel features; Sir Bruce Keogh, Professor Monty Mythen, University College London, Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, NIHR Senior Investigator and Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre. The full lecture from Sir Bruce Keogh 'Ernest Henry Starling Plenary Lecture 2018 “70 Years on: our NHS”' is available in full here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/
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TopMedTalks to ... | Elena Koepke
01/04/2020
TopMedTalks to ... | Elena Koepke
On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped change her practice and the edge she has dealing with healthcare. The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there? Also - does North America really lack the resources, expertise and money to adpot Cardiopulmonary Exercise Testing (CPET)? Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist. You can find POETTS here: https://www.poetts.co.uk
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POET 6.06 | Ward monitoring 3.0
01/03/2020
POET 6.06 | Ward monitoring 3.0
How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are now available, or in the pipeline, to improve outcomes. How do we best use this information and these innovations? The website mentioned in the podcast is here: https://www.michardconsulting.com/ Presented by Desiree Chappell with Monty Mythen and their guest Frederic Michard of MiCo Consulting.
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Periop Medicine SIG18 | Perioperative frailty - panel discussion
01/02/2020
Periop Medicine SIG18 | Perioperative frailty - panel discussion
This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine evolves, how do we know enhanced recovery after surgery (ERAS) works? Are there any large randomised controlled trials that prove it? This piece is moderated by Dr Ming Loh, Staff Specialist Geriatrician and Clinical Lecturer at Westmead Hospital and the University of Sydney, Clinical Lead for the Orthogeriatric Service, Subacute Rehabilitation Ward and Falls Clinic, and features; Ruth E. Hubbard, Professor in Geriatric Medicine at the University of Queensland, Consultant Geriatrician at the Princess Alexandra Hospital and Head of School for PA-Southside Clinical Unit, with Bobbie Jean Sweitzer, Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois, and David Storey, Head of Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, University of Melbourne; Director, Melbourne Clinical and Translational Sciences (MCATS) research platform.
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EBPOM 2019 | POETT Controversies Panel discussion
01/01/2020
EBPOM 2019 | POETT Controversies Panel discussion
Doesn't the decision to delay surgery depend upon the type of cancer? Can you measure complications as an outcome? What's the cause of non cardiac complications that are related to lack of exercise? Can we change the mindset of prehabilitation by explaining that prehabilitation is the start of treatment? How do we convince patients and decision makers that delaying surgery is a good idea? How involved are oncologists in perioperative decisions? Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist at St Michael’s Hospital and Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.
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EBPOM 2019 | The Opioid Crisis - Q&A
12/31/2019
EBPOM 2019 | The Opioid Crisis - Q&A
This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an understanding where the entire continuum of care is on the same page as regards pain relief? What's the level of adoption for opioid free anaesthesia? Can re-languaging pain or "re-writing the narrative" help, for example is it better to speak of 'comfort levels' as opposed to pain? What's the latest thinking as regards caffeine as an aid to comfort? Should we be worried about post operative delerium as regards ketamine use? What about gabapentinoids in the elderly? What about Midazolam? What should we send patients home with afterwards? Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of research for the Perioperative Medicine Fellowship at Duke.
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EBPOM 2019 | Troponin Screening - essential?
12/30/2019
EBPOM 2019 | Troponin Screening - essential?
This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has provoked unhelpful pushback from practitioners? It's part 1 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue. Presented by Duminda Wijeysundera, Professor in the Department of Anaesthesia and the Institute of Health Policy Management and Evaluation at the University of Toronto, and a Staff Anesthesiologist at St Michael’s Hospital.
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Sunday Special | Enhanced Recovery After Surgery (ERAS) leadership
12/29/2019
Sunday Special | Enhanced Recovery After Surgery (ERAS) leadership
A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. How can cold water adaption help people deal with medical issues? There's evidence to suggest that cold water adaption reduces inflamation, can open water swimming help with issues such as chrohn's disease? On the other hand how important is it to ensure patients do not become cold while in our care? Hypothermia is never good, how important is it to keep patients warm? Keeping patients and their environments warm is discussed, as is pre-warming, going beyond the standard blankets and patient insulation to include active warming and even patients exercising as a method of warming up. Further to this conversation, how do you measure a patient's temperature? How do we drive change in our institutions towards enhanced recovery after surgery? The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is also mentioned. The piece also includes patient communication and the question of 'how much is too much?', when administering a dose of morphine. Also, is there a hierarchy on the pathway of enhanced recovery after surgery? The conversation features Professor Monty Mythen and his two guests; Dr Simeon West, consultant anaethetist at (University College London Hospitals) UCLH who sits on the board at Regional Anaesthesia UK (RAUK) and Mark Harper Consultant Anaesthetist at Brighton and Sussex University Hospitals, with a research interest in the prevention of perioperative hypothermia and the use of cold water adaptation for theraputic purposes. There are also attributed questions from the audience.
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TopMedTalks to ... | Frances Chung
12/28/2019
TopMedTalks to ... | Frances Chung
Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about objective neuromuscular monitoring? Should you revese every single patient? If so, how do you do it? What about the risk of pulmonary complications? Presented by Desiree Chappell with her guest Frances Chung, Professor, Department of Anesthesiology and Pain Medicine, University of Toronto.
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POET 6.05 | Pain control for the perioperative patient
12/27/2019
POET 6.05 | Pain control for the perioperative patient
Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a perioperative patient? Hear also about the 'subacute period' and how you can incorporate it into your practice. Also, how do we keep patients 'opioid free' once they leave our care? Finally, how does individualised pain management and pain education fit into this picture? Presented by Desiree Chappell and Vicki Morton, with their guests; Professor Padma Gulur, Anaesthesia and Executive Vice-Chair at Duke University and Dr Natasha Curran, pain medicine University College London Hospital (UCLH) and Medical Director at the Health Innovation Network. The fuller version of this conversation is available here: https://www.topmedtalk.com/ebpom-2018-14-the-realities-of-pain-management/
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TopMedTalk | Holiday Special 2019 Annual Review P3
12/26/2019
TopMedTalk | Holiday Special 2019 Annual Review P3
Our Holiday Special, part 3 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear the outstanding content that has made TopMedTalk the success it is after 2 amazing years. And for our regular listeners, a check in to make sure they've not missed some of the crucial pieces of the last year. 🙏🙏 All of us at TopMedTalk want to send a BIG thank you to ALL of our amazing fans and listeners. The support these past 2 years is inspiring and much appreciated. We want to thank our guests and lecturers from this past year as well. Your contribution to the show is what makes TopMedTalk so special. And a final THANK YOU to our Sponsors. Your generous support keeps TopMedTalk free open access to the world! Happy Holidays and Cheers to the New Year!! 🥂🥂🎉 More about caring for the transgender patient is here: https://www.topmedtalk.com/aana-2019-caring-for-the-transgender-patient/ Emotional intelligence is explored further here: https://www.topmedtalk.com/aana-2019-emotional-intelligence-and-occupational-stress/ Paul Myles is here: https://www.topmedtalk.com/live-from-asa-2017-paul-myles-3000-patients-in-study-of-fluid-restriction/ Joan Mythen may feature in the future on TopMedTalk. The Grenfell fire episode is here: https://www.topmedtalk.com/topmedtalk-the-grenfell-inquiry-2/ The Dingle conference for 2020 is here: https://www.ebpom.org/Dingle2020 Carol Peden is here: https://www.topmedtalk.com/anes19-carol-peden-robin-cresner-shane-dickinson-snow-shoo-son/ Mike Scott is here: https://www.topmedtalk.com/anes19-michael-scott/ The interview with Andrew Shaw is here: https://www.topmedtalk.com/anes19-andrew-shaw/ Presented by Desiree Chappell with Monty Mythen alongside a selection of clips from the last year.
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