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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The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London
05/09/2021
The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London
"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 consistent definitions and terminology alongside a methodology which produces clear outcomes. Find out more about the Comet Initiative here: Find more about the 'Standardised Endpoints in Perioperative Medicine-Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC) Group' here: Presented by Malcolm West NIHR funded Clinical Lecturer in Surgery and Honorary colorectal surgical specialist registrar at the University of Southampton.
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Getting "fit for surgery" | EBPOM 2020 London
05/08/2021
Getting "fit for surgery" | EBPOM 2020 London
"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 Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton.
/episode/index/show/topmedtalk/id/17634212
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Functional Assesment | EBPOM London 2020
05/07/2021
Functional Assesment | EBPOM London 2020
"Perhaps assessing functional performance is something that we've overlooked in medicine" This piece is about the role of functional assessment and status in perioperative medicine. The Duke Activity Status Index (DASI) can be found here: The Mini Cog assessment is here: The video resources mentioned in the piece are here: Presented by Daniel Conway, Consultant in Anaesthesia and Critical Care, Group Lead for Perioperative Medicine, Manchester Royal Infirmary, UK and Chair of the Manchester Perioperative Medicine Society.
/episode/index/show/topmedtalk/id/17633558
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Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020
05/06/2021
Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 2. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we have to the process. This talk focuses on how and why this ties into a sensible attitude towards nutrition and nutritional assessment. This talk pulls no punches and yet is powerfully optimistic in its message. We implore TopMedTalk listeners to share it with colleagues. The entertaining audio clips used in this piece are available, with video and in full here: Our speaker kindly shares his email address for further correspondence and questions: Presented by Paul Wischmeyer, Professor of Anaesthesiology and Surgery at Duke Anesthesiology.
/episode/index/show/topmedtalk/id/17750279
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Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020
05/05/2021
Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery without having a nutrition assessment done" This piece is presented in two parts; this is part 1. Using perioperative nutrition to optimize our patients outcomes; data shows us that nutrition therapy or nutrition optimization is literally life saving. Anyone who uses evidence as their guide know it has to be part of their practice. Enhanced Recovery After surgery, sometimes called "fast track surgery" is about ensuring we apply the best information we have to the process. This talk focuses on how and why this ties into a sensible attitude towards nutrition and nutritional assessment. This talk pulls no punches and yet is powerfully optimistic in its message. We implore TopMedTalk listeners to share it with colleagues. The entertaining audio clips used in this piece are available, with video and in full here: Our speaker kindly shares his email address for further correspondence and questions: Presented by Paul Wischmeyer, Professor of Anaesthesiology and Surgery at Duke Anesthesiology.
/episode/index/show/topmedtalk/id/17750207
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Models of Prehabilitation in Greater Manchester | EBPOM 2020 London
05/04/2021
Models of Prehabilitation in Greater Manchester | EBPOM 2020 London
It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, "ERAS+"; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk, "Implementing a system-wide cancer prehabilitation programme: The journey of Greater Manchester's ‘Prehab4cancer’": Find out more about the work in Greater Manchester here: Also the Perioperative Quality Improvement Programme is here: Presented by Dr. John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery.
/episode/index/show/topmedtalk/id/17430407
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Perioperative team: a surgeon’s view | EBPOM London 2020
05/03/2021
Perioperative team: a surgeon’s view | EBPOM London 2020
This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk, facilitating better shared decision making and increased patient satisfaction, even among those who - as part of this process - decide not to go ahead with an operation. It also incorporates evidence regarding what we know about COVID-19; "The risks ... of the COVID-19 virus is that if people contract it during or after their surgery, they have a much worse result with perhaps 51% pulmonary complications or 24% mortality". The World Health Organisation report mentioned in this piece, "Smoking greatly increases risk of complications after surgery", is here: The Montgomery ruling is covered on a previous TopMedTalk in more detail in "Sunday Special | Being on the right side of the law" here: The Centre for Perioperative Care website is an excellent resource, here is the section specifically for your patients: The Royal College of Surgeons is here: Our presenter has a website dedicated to her work here: And she maintains a twitter feed - focused on medical issues - here: Presented by Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK.
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Introduction to the Pathophysiology of COVID 19 | Dingle 2020
05/02/2021
Introduction to the Pathophysiology of COVID 19 | Dingle 2020
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a number of outstanding questions. This piece attempts to answer those questions; where does it come from, what do we know about it now, what would we like to know about it in the future? Why is the disease more pronounced in men, how come obesity seems to be a factor, what's the mechanism which leaves children less at risk than adults and senior citizens? This piece is a standout part of Evidence Based Perioperative Medicine's (EBPOM) Dingle 2020 conference. For more of the latest up to date information go now to Presented by Hugh Montgomery, Professor of Cardiovascular Genetics and Critical Care University College London.
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Depth of anaesthesia and long term outcomes | Dingle 2020
05/01/2021
Depth of anaesthesia and long term outcomes | Dingle 2020
"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, Australia, Specialist Anaesthetist, The Royal Melbourne Hospital & North Western Mental Health and Non-Executive Director, Australian Medical Council.
/episode/index/show/topmedtalk/id/18038309
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The Changes that Change Culture - panel discussion | EBPOM Chicago
04/30/2021
The Changes that Change Culture - panel discussion | EBPOM Chicago
This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? How important are checklists? What about "patient advocates"? Presented by Sol Aronson with Mike Ramsey, Chair of the department of Anesthesia and pain management at the Baylor University Medical Center in Dallas and Board Chair of the Patient Safety Movement Foundation, Lee Fleisher, CMO and director for the Center for Clinical Standards and Quality for the centers of Medicare and Medicaid, Sarah Lenz Lock, Senior Vice President for Policy Research and International Affairs for the AARP, Lili Brillstein, Director of Specialty Care Value Based Models for Horizon Blue Cross Blue Shield of New Jersey and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.
/episode/index/show/topmedtalk/id/16518191
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Video Laryngoscopy During Covid-19 | EBPOM London 2020
04/29/2021
Video Laryngoscopy During Covid-19 | EBPOM London 2020
How have we adapted in our views on the use of video laryngoscopy during the Covid-19 pandemic? Who is best suited to intubate? Are we seeing "a poorly managed first wave"? How are practitioners changing their approach in light of the possibility of infections? What lessons are being learned by practitioners in the midst of the COVID crisis? This piece was generously supported by Presented by Desiree Chappell with Monty Mythen and her guests, Patrick Schoettker, Professor of Anesthesia and Emergency Medicine at Lausanne University Hospital, Sol Aronson, tenured Professor, Duke University, Henry Howe, Junior Doctor, NHS England and TopMedTalk team member.
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Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020
04/28/2021
Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions submitted from the online audience the panel get into the detail. Essential listening for any student of perioperative medicine. It includes a mention for the Welsh Perioperative Medicine Society, their website is here: This is part two of a two part piece of the same name. Presented by David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL, Kim Caulfield, Perioperative Medicine Fellow, University College London Hospitals NHS Foundation Trust, Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton, Aislinn Sherwin, a Fellow in Perioperative Medicine and Onco-Anaesthesia at the Peter MacCallum Cancer Centre, Melbourne, Roisin Coary, final year SpR in Geriatric and General Internal Medicine, with a specialist interest in Peri-operative Medicine, Dublin Ireland and Isra Hassan, a post-CCT Perioperative Medicine Fellow at the University College of London Hospital she co-founded the Welsh Perioperative Medicine Society in 2018 which now has over 100 members, and to date has delivered two national conferences, Andrea Haren, perioperative medicine fellow at UCLH she worked with Guys and St Thomas' working with the POPS Clinic she is currently a locum consultant anaesthetist at St. Vincent's Hospital in Dublin and Pádraig Ó Scanaill, Locum Consultant Anaesthetist at the Mater Misericordiae University Hospital, Dublin.
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Cryoneurolysis and pain management | TopMedTalk
04/27/2021
Cryoneurolysis and pain management | TopMedTalk
"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology" This piece focuses upon two 'early adopter' orthopedic surgeons changing up the way we treat joint pain for surgical patients. We mention Iovera, a provider at the forefront of this technology: The Doc Social website is here: The Evidence Based Perioperative Medicine (EBPOM) website is here: This piece also features important news for TopMedTalk fans as, towards the end, we explain how your favorite perioperative podcast is asking listeners for feedback and thoughts. Email Presented by Desiree Chappell and Monty Mythen with their guests Vinod Dasa, Vice Chairman of Academic Affairs, Irv Cahen Chair of Orthopaedic Surgery and Research, Co-Director LSU Musculoskeletal Research Consortium and Josh Urban, board-certified orthopedic surgeon, OrthoNebraska, Omaha, Nebraska.
/episode/index/show/topmedtalk/id/18861935
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Perioperative Medicine - where we were, where we are now and where want to be P1 | Dingle 2020
04/26/2021
Perioperative Medicine - where we were, where we are now and where want to be P1 | Dingle 2020
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions submitted from the online audience the panel get into the detail. Essential listening for any student of perioperative medicine. When should we pre-assess patients? Should all anaesthetists be doing pre-operative sessions? What is it about the role of the anaesthestist that makes it uniquely suited to the discipline of perioperative medicine? This is part one of a two part piece of the same name. Presented by David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL, Kim Caulfield, Perioperative Medicine Fellow, University College London Hospitals NHS Foundation Trust, Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton, Aislinn Sherwin, a Fellow in Perioperative Medicine and Onco-Anaesthesia at the Peter MacCallum Cancer Centre, Melbourne, Roisin Coary, final year SpR in Geriatric and General Internal Medicine, with a specialist interest in Peri-operative Medicine, Dublin Ireland and Isra Hassan, a post-CCT Perioperative Medicine Fellow at the University College of London Hospital she co-founded the Welsh Perioperative Medicine Society in 2018 which now has over 100 members, and to date has delivered two national conferences, Andrea Haren, perioperative medicine fellow at UCLH she worked with Guys and St Thomas' working with the POPS Clinic she is currently a locum consultant anaesthetist at St. Vincent's Hospital in Dublin and Pádraig Ó Scanaill, Locum Consultant Anaesthetist at the Mater Misericordiae University Hospital, Dublin.
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Perioperative Medicine - Editor's top picks for last year | EBPOM Chicago
04/25/2021
Perioperative Medicine - Editor's top picks for last year | EBPOM Chicago
In this piece you can hear the co-editors of the Journal of Perioperative Medicine describing this year's "Editor's Picks"; the best manuscripts, literature and lessons learned in the last year in the space of perioperative medicine. "Functional performance and 30-day postoperative mortality after emergency laparotomy—a retrospective, multi-center, observational cohort study of 1084 patients" is here: There is more information about the Eastern Cooperative Oncology Group (ECOG) here: "A randomised trial of non-invasive cardiac output monitoring to guide haemodynamic optimisation in high risk patients undergoing urgent surgical repair of proximal femoral fractures (ClearNOF trial NCT02382185)" is here: "The effect of virtual reality technology on preoperative anxiety in children: a Solomon four-group randomized clinical trial" is here: Presented by Mike Grocott, Professor of Anaesthesia and Critical Care at the University of Southampton and a Consultant in Critical Care Medicine at University Hospital Southampton NHS Foundation Trust with his guests Clifford Ko, Professor of Surgery at UCLA, Director of the Division of Research and Optimal Patient Care at the American College of Surgeons and Lee Fleisher, Professor of Anesthesiology and Critical Care, University of Pennsylvania. Originally part of the hugely successful EBPOM 2020 Chicago this piece is introduced by Sol Aronson, tenured Professor at Duke University.
/episode/index/show/topmedtalk/id/16517990
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Models of perioperative care "the science of value" | Chicago 2020
04/24/2021
Models of perioperative care "the science of value" | Chicago 2020
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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Total ERAS is essential to clear the backlog | TopMedTalk
04/22/2021
Total ERAS is essential to clear the backlog | TopMedTalk
"Data is key and having champions is key" This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our needs in the wake of COVID 19; now more than ever true enhanced recovery after surgery (ERAS) is essential. Optimising value, reducing the need for return visits, decreased length of stay, there is almost no aspect of perioperative medicine and enhanced recovery that is not going to be crucial for our institutions in the near and present future. A data driven approach makes it clear, there is no other way forward. Also in this podcast a fascinating dive into one of our favorite topics, goal directed fluid management. How have the terms "restricted" and "liberal" evolved over the years? What should we make of the new evidence that ha come in over the last few years? Hear how these challenges are being met in this exclusive conversation, generously supported by Deltex Medical. Presented by Desiree Chappell and Monty Mythen with their guest Michael Scott, M.B., Ch.B. Professor of Anesthesiology at the University of Pennsylvania
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Perioperative Frailty with Jude Partridge | EBPOM 2020 London
04/22/2021
Perioperative Frailty with Jude Partridge | EBPOM 2020 London
"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that illness but if an older frail patient develops a similar uncomplicated urinary tract infection, that can be a very significant illness, that patient may well be unable to walk or transfer as they could" Frailty in the perioperative period - what is it, what is it not and how do we work with and manage it before, during and after an operation so as to increase the value of care to our patients? The opening article refered to in this piece is here: The British Geriatrics Society "Fit for Frailty" document is here: More information on Perioperative medicine for older people undergoing surgery (POPS), an award winning geriatrician led service and the first of its kind in the UK, go here: Presented by Jude Partridge, consultant geriatrician POPS, honorary senior lecturer, King's College London, Chairs the British Geriatrics Society POPS SIG.
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SNAP-2 EPICCS; summary results | EBPOM London 2020
04/21/2021
SNAP-2 EPICCS; summary results | EBPOM London 2020
"It's useful to reflect on what SNAP-2 EPICCS might offer us in the brave new world that we find ourselves in with Coronavirus" The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the UK. More than 2,200 investigators at more than 250 sites across the UK were signed up to take part. The observational study collected data on all patients undergoing inpatient surgery during a one-week period (21 March to 27 March) in UK NHS hospitals. What is the scale of the problem; when it comes to cancellation of inpatient surgery surgery, with a specific lens on critical care capacity? What about the value of higher levels of post operative care for high risk surgical patients? What are the essential ingredients for higher intensity post operative care? Also, learn about some of the organically developed solutions that have come around to capacity issues for high risk surgical patients in the NHS and overseas. As well as this hear how we might select patients to be admitted to higher levels of care; the methods that we might use for risk stratification of inpatient surgical patients and what we think the potential benefits of post operative high levels of care could be. Do we have any data to support the notion that critical care confers benefits on post surgical patients? The website is here: More on SNAP-2 is here: Presented by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at University College London (UCL), Hon Consultant in Anaesthesia, UCLH.
/episode/index/show/topmedtalk/id/17445827
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Patient Safety: How do you make the Changes that Change Culture? | EBPOM Chicago
04/20/2021
Patient Safety: How do you make the Changes that Change Culture? | EBPOM Chicago
Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how do we change this and how do we make the changes we implement last? Can safety and avoidable harm be somehow hardwired into the culture of what we do in a way similar to that of the airline industry? This popular and refreshing talk is presented here after it was a big hit at the Chicago 2020 conference organised by Evidence Based Perioperative Medicine (EBPOM). For more check out Presented by Mike Ramsey, Chair of the Board of Directors of the Patient Safety Movement Foundation (PSMF), Chair of the Department of Anesthesiology at Baylor University Medical Center in Dallas, Texas.
/episode/index/show/topmedtalk/id/16480292
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Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas
04/19/2021
Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas
This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value proposition in perioperative medicine | EBPOM 2021 Las Vegas", if you'd like to hear that go here: How do we as practitioners deliver value? How does 'population health' fit into the picture? How long before and after surgery are we invested in managing? What's the key point to start a perioperative medicine program in a low income country with no incentives at all; how do you approach the hospital financial department? Presented by Desiree Chappell, introducing her panelists Linda Groah, CEO, Executive Director of the Association of periOperative Registered Nurses (AORN) and Amy Stout, Operating Partner at Cranemere and Interim President of Clinical Services at NorthStar; alongside contributions from additional contributors from the previous session, Jim Grant, Senior Vice President and Chief Medical Officer at Blue Cross Blue Shield of Michigan and Mike Englesbe, Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, Michigan.
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The value proposition in perioperative medicine | EBPOM 2021 Las Vegas
04/18/2021
The value proposition in perioperative medicine | EBPOM 2021 Las Vegas
"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 from "The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021" Las Vegas, if you'd like to hear that go here: Presented by Desiree Chappell, introducing her panellists Linda Groah, CEO, Executive Director of the Association of periOperative Registered Nurses (AORN) and Amy Stout, Operating Partner at Cranemere and Interim President Clinical Services at NorthStar; alongside contributions from additional contributors from the previous session, Jim Grant, Senior Vice President and Chief Medical Officer at Blue Cross Blue Shield of Michigan and Mike Englesbe Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, Michigan.
/episode/index/show/topmedtalk/id/18347423
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The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas
04/17/2021
The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas
"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 Cross Blue Shield of Michigan and Mike Englesbe, Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, Michigan. If you enjoyed this piece you'll love TopMedTalk's exclusive and ground breaking series POET: Perioperative Enhancement Team "Perioperative medicine is population health":
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Am I safe? Q&A with Lee Fleisher | EBPOM 2020
04/16/2021
Am I safe? Q&A with Lee Fleisher | EBPOM 2020
This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: The discussion follows themes outlined in the presentation as our online audience asked a series of questions. Some of the questions included in the discussion are "How should leaders deal with anxiety both in themselves and their team? What is the evidence on perceived command gradient in residents and the fear of looking inadequate in front of peers and superiors? Bad for patients, versus bad for me? The people at the top end, the older people within an organization, are often the most resistant to culture change, yet they have the most influence over culture, any advice? What defines the people who are ready for change?" Conversational in tone this piece was first heard on the "TopMedTalk stage" at Evidence Based Perioperative Medicine (EBPOM) for more details go now to Presented by Monty Mythen and Desiree Chappell with Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania.
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Daniel Engelman Q&A | EBPOM Chicago
04/15/2021
Daniel Engelman Q&A | EBPOM Chicago
"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, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine. He president and co-founder of the ERAS® Cardiac Society.
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Postoperative critical care: How do we help? | EBPOM 2020
04/14/2021
Postoperative critical care: How do we help? | EBPOM 2020
This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? Why is it good for our patients? As regards admissions to your campus care area; what criteria do you use? Do we need rapid critical care expansion in countries with very few beds? Could the enhanced care wards, in their approach, be compared with the post anaesthetic care unit? Would you cancel or postpone a cancer patient's operation, if not enhanced care or post operative critical care bed available? If you feel it is essential, if you feel the operation essential? Presented by Mike Grocott, Professor of Anaesthesia and Critical Care at the University of Southampton and Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania with Ramani Moonsinghe, Professor of Perioperative Medicine at University College London (UCL), Hon Consultant in Anaesthesia, UCLH, Mike Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme and Anna Batchellor, trained in anaesthesia and Intensive Care Medicine (ICM) she works in Newcastle upon Tyne; past President of the Intensive Care Society, past Dean of the Faculty of ICM, past member of Council of the Royal College of Anaesthetists. She tried to retire in June 2016 and managed to spend a year working part time before being hijacked by the Getting It Right First Time (GIRFT) programme.
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Perioperative team: a physician’s view | EBPOM 2020 London
04/13/2021
Perioperative team: a physician’s view | EBPOM 2020 London
This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. Developing these skills requires new approaches; to education and training at undergraduate and postgraduate level; to challenge the old ways of delivering perioperative care. This requires new ways of working, the breaking down of silos, a rethink of the financial support that is required and that we share good practice rather than 'reinventing the wheel'. It also means ensuring that we continue to gain evidence from the real world of clinical medicine, whether that's through original research or through employing quality improvement and implementation science. More on Proactive care for Older People undergoing Surgery (POPS) here: If you enjoy this piece you'll love our series here: "POPS Part 1| TopMed talk at Guy’s and St Thomas’s Hospital in Central London" - Presented by Jugdeep Dhesi, Clinical Lead for "Proactive care for Older People undergoing Surgery" (POPS) and Consultant Geriatrician, Guys and St Thomas' NHS Trust.
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Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago
04/12/2021
Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago
This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our speaker outlines his thoughts in a short talk. Now questions from the audience are considered and the conversation develops. What have we learned after the recent huge changes we've seen in our profession? Presented by Desiree Chappell and Monty Mythen with Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois.
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Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago
04/11/2021
Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago
"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. If you believe you can." This piece contains a powerful, inspirational and prescient talk about leadership. Part 1 contains some conversation and the talk, to be followed by questions from the audience in Part 2. Where do leaders come from, what makes them stand out and how do they learn the skills necessary to take what they do to the next level? Presented by Desiree Chappell and Monty Mythen with Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois.
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EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell
04/10/2021
EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell
This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the UK. At University College London (UCL) cardiopulmonary exercise testing (CPET) was set up as a research tool "but then clinicians came, became interested in the results of the tests and started to ask for tests to be done on their patients for clinical evaluation". An external contractor model, using a charitable organisation, enabled them to charge the NHS for these tests; as the service expanded they were able to expand to other clinical sites connected with UCL, published early data on outcomes and obtained grant funding to look at a robust evaluation model. Hear how this model was refined and the idea has evolved during its growth within the UK's National Health Service (NHS). Also, consider what other models could apply this thought process; learn how new perioperative care pathways offer interesting opportunities in these areas. This piece is further enhanced by the discussion we released recently on the same topic: Presented by Kay Mitchell, Senior Research Manager for Critical Care Research, NIHR Biomedical Research Center, University Hospital, Southampton, UK.
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