TopMedTalk

This piece is 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 podcast "Beyond The Mask: Innovation & Opportunities For CRNAs" is here: https://beyondthemask.podbean.com/ Presented by Monty Mythen and Desiree Chappell with their guests, Sharon Pearce MSN, CRNA and Jeremy Stanl...

This piece is 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 Pdf our guest mentions "The PAIN MANAGEMENT BEST PRACTICES INTER-AGENCY TASK FORCE REPORT" is here: https://www.hhs.gov/sites/default/files/pain-mgmt-best-practices-draft-final-report-05062019.pdf The Perioperative...

This piece is 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 Open-Source Anesthesia Electronic Medical Record (OSAEMR) website is here: https://www.osaemr.com/ Presented by Monty Mythen and Desiree Chappell with John T. "Jack" Hitchens , CRNA, BA, ARNP, partner in a CRNA own...

Enhanced Recovery After Surgery, (ERAS) is a familiar concept to the typical TopMedTalk listener but what is ERAS+? How can you target high risk surgery patients with a comprehensive plan for them to help themselves get a better outcome? From managing expectations, to breathing exercises all the way up to significant lifestyle changes such as exercise and smoking cessation. The ERAS+ website is he...

This piece is 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/ Presented by Desiree Chappell and Monty Mythen with their guests Jaclyn Migliarese , BSN, RN, Second-year student, Duke University Nurse Anesthesia Program and Stephan Bodnar , BSN, RN is a second-year student in the D...

This piece is 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 Diversity CRNA website is here: https://diversitycrna.org/ Presented by Desiree Chappell and Monty Mythen with their guests Debra Diaz , DNP, CRNA, APRN, CDR, AANA Board of Directors, Lena Gould , CRNA, Founder, Di...

This piece is 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/ Presented by Desiree Chappell with Monty Mythen and their guest Brett Kendon , DNP, CRNA, CHSE, Assistant Clinical Professor, Assistant Program Director, Nurse Anesthesia Program, Northern Kentucky University.

This piece is 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. Presented by Desiree Chappell and Monty Mythen w...

This piece is 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/ Our guest kindly allowed us to share her email with you: andrea.bittinger@beaumont.org Presented by Desiree Chappell and Monty Mythen with their guest, Andrea Bittinger , CRNA at William Beaumont Hospital.

Enhanced Recovery continues to be a hot topic in institutions around America, this piece gives us an update regarding its ongoing applicaiton at Vanderbilt University. Prehabilitation contitnues to gather pace in the wake of the Prehabilitation conference held earlier this year. We also discuss The Respiratory Compromise Institute, which you can read more about here: http://www.respiratorycompromi...

Professor John Kellum gives a thumbnail sketch summary of the fluid debate.   Presented by Professor  Monty Mythen  and Dr  Joff Lacey  with guest  John A. Kellum , Tenured Professor, Critical Care Medicine from The University of Pittsburgh.   Join in the debate:  contact@topmedtalk.com   This conversation taken from a longer piece here:  http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-lond...

This piece is 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/ This link leads you to the paper in question: https://www.ncbi.nlm.nih.gov/pubmed/31247096 Presented by Desiree Chappell and Monty Mythen with their guests Robert Fabich , Doctor of Nursing Practice, CRNA, Veteran and...

This piece is 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 Facebook Group "CRNA Inventors and Innovators" mentioned in this piece is here: https://www.facebook.com/groups/2150893568464906/ Presented by Desiree Chappell and Monty Mythen with their guests Diane Miller , Pedi...

This piece is 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/ If you would like to contact our guest he has allowed us to post his email here: msilberman@beneschlaw.com Presented by Desiree Chappell and Monty Mythen with Sol Aronson , a tenured professor at Duke University and Ex...

This piece is 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 NHS's guidelines are here: https://www.nhs.uk/conditions/gender-dysphoria/guidelines/ Presented by Desiree Chappell and Monty Mythen with Jose Castillo , PhD, CRNA Faculty, Texas Wesleyan University, AANA Diversity...

What do we now know about perioperative asprin? More specifically, what is the latest thinking on the results of the PeriOperative ISchemic Evaluation-2 Trial (POISE-2)? How do we educate patients about exercise? How do we support and help patients who have adverse outcomes to surgery? What's the best screening tool for malnutrition? Moderated by Dr Catherine Gibb , Consultant physician in periope...

"Our hospital now has twice the capacity it had" cost of care and efficiency are up. Hear how enhanced recovery after surgery (ERAS) and the power of prehabilitation has dramatically shifted institutions towards better outcomes and a higher value of care. Also in this piece; what is immunonutrition? How does stress alter our immune responses? The piece mentioned in the podcast can be found here: h...

Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then a wider discussion follows which includes thoughts regarding further research and application of the perioperative method as well as where it impacts medicine and care. The importance of a multidisciplinary team based approach is strongly emphasised....

How can you make a difference in the preoperative assessment clinic? How do we remain working as a team while respecting everyone's skillset in a multidisciplinary environment? The value of a good comprehensive preoperative evaluation is clear; how do we ensure that, when this can happen, it does? How do we best use the 'teachable moment' that prehabilitation for surgery is? Looking at the data is...

How can goal directed therapy be used to prevent acute kidney injury (AKI)? What do we know about AKI? Which members of the surgical team should be involved in AKI detection? Where do we stand on ACE inhibitors (angiotensin converting enzyme inhibitors) and ARBs (angiotensin-receptor blockers)? Where should a perioperative practitioner stand on the choice between restrictive versus liberal fluid t...

Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Ag...

A discussion about fluid management in an enhanced surgical recovery pathway in relation to the guidelines from ASER and the work of The Perioperative Quality Initiative (POQI http://www.poqi.org ). Presented by Monty Mythen with his guest Dr Tim Miller , anaesthesiologist at Duke Medical Centre and Vice President of ASER. For more come to our meetings: http://www.ebpom.org/EBPOM-USA This highligh...

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 Institu...

Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient. A fascinating conversation streamed live from Atlanta Georgia during the second day of TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperati...

What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it comes to haemoglobin levels? What advice should we give to clinicians who are managing change at a hospital? What should our approach to iron be and can interventions make a real difference? Featuring; Bruce Waxman , Adjunct Associate Professor (Honorar...