TopMedTalk

Fit 4 Surgery School and can exercise help fight cancer. Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation re-habilitation' on day one of the ASER 2017 meeting in Washington DC. Prof Grocott also gives more detail on on-going research that is exploring the impact of exercise on cancer therapy. For more CME read "Re-designing the pathway to surgery: better care...

Colorectal surgery and Enhanced Surgical Recovery. Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and president elect at ASER. This conversation is taken from a longer piece found here:  http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/ Join the debate: contact@topmedtalk.com

( http://www.ebpom.org/EBPOM-USA ) about getting back to normal after major colorectal surgery. Attend our next meeting: http://www.ebpom.org/EBPOM-USA Monty Mythen speaks with his guest Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and president elect at ASER. This taken from a longer conversation here:  http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/  ...

Measuring Outcomes Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways. Dr Moonesinghe also talks in some detal about the UK perioperative quality improvement program ( https://pqip.org.uk/content/home ). "A multidisciplinary initiative supporting local qual...

Discussion of the ASER and POQI papers of 2017. Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of the American Society of Enhanced Recovery. Recorded on day one of ASER 2017 meeting in Washington DC this interview is taken from a longer conversation which you can find here:  http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/...

Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and The Perioperative Quality Initiative (POQI http://www.poqi.org ). For more come to our meetings: http://www.ebpom.org/EBPOM-USA This highlight clip is taken from a longer conversation to be found here:  http://www.topmedtalk.com/aser-ebpom-2017-pod-tw...

Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down. Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada. "AmericanSociety for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management w...

The horrors of 'the opioid crisis'. The fuller version of this piece is to be found here:  http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/ Featuring Joff Lacey and Monty Mythen with their guest Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER on Narcotics in Enhanced Surgical Recovery. Check out EBPOM's meetings here: http://www.ebpom.org/EBPOM-U...

Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA. Multidisciplinary teams and managing change - 'it's all about the patient'.

The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it possible to work out specific odds for a specific patient. Handling modifiable risk factors; how do we get patients ready for surgery, particularly if they are suffering from comorbiditie...

This discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The  Intraoperative hypotension is discussed. New information regarding cognitive function for patients raises big questions. Should shared decision making be re-evaluated? The team then discuss the Perioperative Quality Initiative (POQI) and new information regarding intraoperative...

Discussion includes a recap of the last few podcasts. Desiree Chappell joins us to update the team on 'the opioid crisis'; 50 overdoses in a twenty hour period reported in Kentucky? Can a perioperative multimodal approach to pain management help tackle it? How important is managing patient expectations as regards pain? Dr Ramani Moonesinghe, Director of the Health Services Research Centre at the R...

In this piece you will hear more discussion regarding the POQI papers, a growing concensus on goal directed fluid therapy and the move away from opioids. One of the big stories, The American College of Surgeons's announcement that ERAS is to be rolled out to more than 750 hospitals, is also discussed. The POQI (Perioperative Quality Initiative) papers on outcomes and fluid management are discussed...

ASER 2017 a "truly multidisciplinary conference" and "one of the best ones yet"; looking to continue to increase membership and push further education; taking on the challenge of applying new ideas on site; the challenge of reaching both surgeons and anaesthetists; tips for people trying to engage multidisciplinary teams and also overcoming concerns related to perioperative surgery by 'keeping it...