TopMedTalk

This episode of The Perioperative Coach reflects on the pain management discussions being had by the American Society of Enhanced Recovery (ASER) and its members. For further reading see the articles in Perioperative Medicine Journal: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5 This conversation taken from a longer piece to be found here: http://www.to...

How do we accurately calculate the risks to our patients? What are the best tools for the right circumstances? Where can we find data to improve these methods? Originally titled "50 shades of grey, how (in)accurate are risk prediction scores" the slides from this talk are here: http://www.anzca.edu.au/documents/02-doug-campbell_fifty-shades-of-grey.pdf The risk calculator is here: https://nzrisk.c...

The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure. Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine https://bjanaesthesia.org/article/S0007-0912(19)30047-9/fulltext Perioperative Quality Initiative consensus statement on...

This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic. Presented by Desiree Chappell , Dr Vijaya Gottumukkala , cardiac anaesthesiologist from MD Anderson and member of the board of directors for the American Society of Enhanced Recovery (ASER) and Dr George Nassif , colorectal surgeon at the Center for Colon & Rectal Surgery i...

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"? Further reading is available here: https://bjanaesthesia.org/article/S0007-0912(17)33828-X/fulltext If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: https://ww...

This piece features discussion regarding three randomised trials. How can the insights provided by these trials save us money and increase value of care while also improving outcomes? Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial DOI: https://doi.org/10.1136/bmj.j5916 REst...

"Thank you for taking this meeting beyond these walls" - this piece is the final 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 guest Lynn Reede , Associate Clinical Professor, Northeastern University Nurse Anesthesia Pro...

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/ Middle Tennessee School of Anesthesia's website is here: https://mtsa.edu/ Our guest kindly shares their email with us: bill.johnson@mtsa.edu Presented by Desiree Chappell and Monty Mythen with their guest, Bill Johnso...

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...