TopMedTalk

Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina. Check out the article here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Find out more about NorthStar here: https://northstaranesthesia.com/ The "Masters of Scale" podcast is here: https://mastersofscale.com/ Presented by Monty Mythen and Desiree...

To the patient: "You're about to run a marathon, you wouldn't do that without training". The outstanding article referenced in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 The Society of Thoracic Surgeons' website is here: https://www.sts.org/ More about "DRink EAt Mobilise" here: https://www.topmedtalk.com/standardised-outcomes-from-surgery-drink-eat-mobili...

'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how people in that profession are uniquely placed to deal with the inevitable pressures related to healthcare. Presented by Desiree Chappell and Monty Mythen with their guest Dr Clare Gerada , Medical Director, Physician Health, Practitioner Health Servic...

How do you manage frailty? This talk is an honest appraisal of the latest thinking, from a perioperative perspective. Presented by Bobbie Jean Sweitzer , Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois. -- Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand So...

"Results of the RELIEF Trial" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on  www.topmedtalk.com   Hear this excellent talk, for free, on this podcast.   If you'd like to attend an event like this ensure your next click is here:  https://www.ebpom.org/meetings   If you have any comments or questions you'd like to send to the team em...

How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme? Does an enhanced recovery programme which comes from the grassroots need support early on in the process? How do you find the right people to support you once the process has begun? Also, how do you explain that these changes will actually reduce workload?...

How widespread are misconceptions about delirium within your surgical team? Do you and your colleagues know how to recognise it? If so, how does your definition compare with the actual definition you can find in the Diagnostic and Statistical Manual of Mental Disorders (DSM–5)? This piece suggests more work needs to be done to accurately diagnose and understand this condition in a clinical environ...

What are the hot topics in the cardiac world at the moment? Alongside reflections on this year's annual meeting of 'The Society of Cardiovascular Anesthesiologists' (SCA) this piece tackles; the need for gender balance when composing panels and building a successful event; the need to do what we know and do it well; how quality improvement benefits from simplicity; the need to keep younger practit...

How do you communicate and spread a passion for fluid management and optimisation to your fellow practitioners? How should you use protocols here? Are there specific tricks we can use to get buy in from our post-anesthesia care unit (PACU)? Presented by Desiree Chappell with David O'Connor , DNAP, CRN, at Memorial Sloan Kettering (MSK) Cancer Center.

What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, Univer...

How should you manage anaemia as part of the perioperative process? Preoperative anaemia has a variable effect on outcomes, how should it be managed? Given the data, should we adopt different tactics for women and men? This piece gets into the substance of the debate with clear evidence based suggestions which you can incorporate into your practice. Here is a link to the slides for this presentati...

America is often seen as coming a little late to perioperative practice. However, that's a picture which is now changing for the better, thanks partly to many of the people you have heard here on TopMedTalk. This piece asks where they are now and where they need to be in the future. Is it true to say that the US system is in the midst of a rapid change? Can consumers of healthcare make reasonable...

What can be learned when it comes to working with a quality improvement program? Do you often run into challenges with the pharmacy? If you want to implement a multi-modal pain management enhanced recovery practice, how can you appeal to the pharmacists and gain buy-in for narcotic alternatives? Additionally m, how far has the message of enhanced recovery reached? Finally, what is the role of the...

How is it that a profession which attracts people who care about patients sometimes produces people who seem not to care? This piece discusses "burn out" and the need for all practitioners to keep their focus on the fact that caring for patients is their primary role? Is the curse of electronic health records, email and digital communication taking up too much time and turning people into "box tic...

This piece highlights four papers recently published in the May edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org Furthermore, there's an interesting piece about the Perioperative Quality Initiative (POQI) here: https://www.topmedtalk.com/anesthesia-and-analgesia-go-big-on-poqi/ Presented by Desiree Chappell with Monty Mythen and  Sol Aronson , tenured professor at Duk...

"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perioperative optimisation, with a focus on delirium, in post operative patients. Are we getting to where we need to be or is there more work to be done? Presented by Desiree Chappell with Sol Aronson and their guest Charles Brown , associate professor of...

This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the protocols and pathways of your practice be adjusted to seriously contend with the global issue regarding the stewardship of one of medicine's most vital resources? Presented by Alison Holmes , Professor of Infectious Diseases at Imperial College, Fello...

What is the perioperative chain? What are the opportunities we have to strengthen the links in the chain? Using an evidence based approach this talk gives you a summary of key areas where you can strengthen your practice and bring better patient outcomes alongside reduced cancellations. Presented by Kerin Fielding , Associate Professor, University of Notre Dame, Australia School of Medicine, Sydne...

The UK could be said to have led the way with perioperative medicine, is that still the case? The theme of change and adaption is key here; this piece asks where is the UK now and where is it going to in the future? How were practitioners in the UK inspired by others around the world to push this movement forward? Presented by Mike Grocott , Professor of Anaesthesia and critical care at the Univer...

This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the results practitioners report. The discussion starts with the observation that just implementing the ERAS intraoperative protocols drove outstanding outcomes in practice. The wider discussion focuses on the importance of putting into practice a bigger pl...

This piece looks at the various pain strategies open to a perioperative practitioner. What drugs are best to use, in line with the latest research and a wider understanding of the long term needs of a patient? The fuller talk is available here: https://www.topmedtalk.com/ebpom-highlight-1-25-pain-management-to-enhance-recovery-after-joint-replacements/ Presented by Dr. Ryan Hanson , Anesthesiologi...

This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your team? What is "burn out"? How does it express itself in people? What signs should we look for in our friends and colleagues? Presented by Desiree Chappell , Sol Aronson and Monty Mythen with their guest Sasha Shillcutt , Vice Chair of Strategy and In...

On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped change her practice and the edge she has dealing with healthcare.   The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' h...

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's your chance to get virtual a place at one of the most influential gatherings of its kind in the world. Please go to the website mentioned in this piece for more details: https://www.asos.org.za Presented by Desiree Chappell with Monty Mythen and their...

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's your chance to get virtual a place at one of the most influential gatherings of its kind in the world. This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor us...