TopMedTalk

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on www.topmedtalk.com from Atlanta. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking; all of this is contained within this three part series. Presented by Dr Lori Heller , Ca...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking Presented by James Davis , MD, Director Duke Smoking Cessation Program This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earl...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis , MD, Director Duke Smoking Ces...

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by James Davis , MD, Director Duke Smoking Ces...

Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Du...

Standing up an Obstructive Sleep Apnea (OSA) Clinic. The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking. This is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum" which took place in Atlanta earlier this year. Presented by Andrew Spector Assistant Professor of Neurology at Du...

This talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference which took place in Dingle, Ireland in October 2018. Fiona Walker , Cardiologist, trained in grown-up congenital heart disease (GUCH) and maternal cardiology in Toronto and at UCLH. She is the Service lead for GUCH (2005 – present) and head of the mate...

What is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do you get started with point of care ultrasound? The websites mentioned in this piece are: https://www.foresightultrasound.com/ and www. POCUSEducation.com Monty Mythen and Desiree Chappell with Mike Grocott and their guest Davinder Ramsingh , M.D. Assoc...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...

Where are we with the journey from Enhanced Recovery (ER) to Perioperative Medicine? Is it fair to characterise the latter as "Enhanced Recovery v2.0"? Mike Grocott explains how the Royal College of Anaesthetists (RCoA) have set up a plan for "perioperative care" going forward. Does this terminology, "perioperative care" help? Also - news about the "international board of perioperative medicine",...

How important is 'expectation management' in pediatrics? What could the usefulness of cannabis be as a way of reducing reliance on opioids? Is research in this area growing? Desiree Chappell and Mike Grocott interview their guest Myron Yaster, Children's Hospital Colorado.

Recognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus upon Enhanced Recovery (ER), what are the pathways for the pediatric patient? Should we be looking more at opioid reduction rather than opioid avoidance? How large a part of the problem is the dispensation of opioids and the "bystander risk" - where...

The conversation from part 1 continues with questions such as; what specific anaesthesia protocols do you use? Is there room in this context to consider a drug diversion programme? Is phenylephrine a good choice for these procedures? There is also a special mention for The Society for Obstetric Anesthesia and Perinatology (SOAP) - you can find their website here: https://soap.org/ Desiree Chappell...

The conversation begins with some thoughts on Enhanced Recovery (ER) for the obstetric patient. Further discussion covers the "transatlantic" differences between the US, UK and the wider EU. Where does pain management fit into the ceasarian section (c-section) debate? What are the advantages of a drug diversion programme in that respect? The issue of fluid management in the operating room is discu...

This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of Pittsburgh Medical Center (UPMC). Presented by Desiree Chappell with her guests Dr Jennifer Holder-Murray , Vice Chair of Quality Integration, Assistant Professor of Surgery, Divisi...

This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on. The link to the first episode is here: https://www.topmedtalk.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest/ This series is intended for a broad audience, the more in depth piece...

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside t...

Recorded before a live audience and streamed on www.topmedtalk.com The conversation from part 5 continues. More on Caesarian Section plus: should we implement Enhanced Recovery After Surgery (ERAS) training into undergraduate and post-graduate training? Is ERAS similar to perioperative surgical home (PSH)? As new data emerges about ERAS how often will pathways and protocols be changed? What is the...

Recorded before a live audience and streamed on www.topmedtalk.com The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions include: How can ERAS co-habitate with the "baby friendly initiative"? The USA is 16th in the world with OB outcomes can ERAS help with that? As we are trying to impliment ERAS for c-se...

Recorded before a live audience and streamed on www.topmedtalk.com   The subject is, Enhanced Recovery After Surgery for obstetrics and Caesarean sections (c-section). Questions include: What's the standard length of stay for an elective Caesarean section (C-section) being done with Enhanced Recovery After Surgery (ERAS) protocols? Do Mums want to go home in a day? Don't C-section practitioners al...

Recorded before a live audience this piece continues the question and answer session from parts one and two. Epidurals versus plane blocks, what do you choose and why? Is there a potential for decrease in fasting times for clear fluids to further enhance recovery? Where can Enhanced Recovery (ER) protocol templates be found on line? How do we know which parts of Enhanced Recovery work and which pa...

What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid free"? When it comes to regional anaesthesia, what kind of benefits should we expect beyond pain control and opioid sparing?   Desiree Chappell  interviews her guest  Vincent W. S. C...

Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a specially hosted dinner where both those in attendance and the online audience could submit questions.   This discussion is about Enhanced Recovery (ER) and lowering tolerance of poor outcomes after surgery. How do we know practitioners are actually using the...

Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient through major surgery, how do these factors allow us to differentiate between those who are likely to have a poor outcome? How common is cardiopulmonary exercise testing (CPET) in the US...