TopMedTalk

This is the fourth presentation - originally streamed live on  www.topmedtalk.com  - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Desiree Chappell, Certified Registered Nurse Anesthetist (CRNA) and board member of The American Society of Enhanced Recovery (ASER). If you like the sound of this and think you and your pr...

Presented by,  Mike Grocott , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

Presented by, Richard Moon , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.   This series also includes:   TOMORROW: Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World.  Mike Grocott

Presented by,  David McLeod , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- This series also includes:   OUT LATER TODAY: Therapeutic Hyperoxia: Medicine Under Pressure.  Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World.  Mike Grocott

Presented by,  Kay Mitchell , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.   This series also includes: OUT LATER TODAY: SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016,  David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure.  Richard Moon SUNDAY Morpheus Consortium Distinguished Lecture: Xtr...

Presented by,  Chris Imray , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.   This series also includes: OUT LATER TODAY:     The Epigenetics of Hypoxia.  Kay Mitchell   SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016,  David MacLeod Therapeutic Hyperoxia: Medicine Under Pressure.  Richard Moon   SUND...

Presented by, Monty Mythen. , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.   Oxygen Therapy: The Yin and Yang of Our Favorite Drug.   Monty Mythen.   FRIDAY: Oxygen and the Brain.   Chris Imray The Epigenetics of Hypoxia.  Kay Mitchell   SATURDAY: A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016,  David MacLeo...

Presented by,  Andrew Murray , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. This series also includes: OUT LATER TODAY: Oxygen Therapy: The Yin and Yang of Our Favorite Drug.   Monty Mythen.   FRIDAY: Oxygen and the Brain.   Chris Imray The Epigenetics of Hypoxia.  Kay Mitchell   SATURDAY: A Slightly Different Path to Everest:...

Presented by,  Daniel Martin , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.   This series also includes: THURSDAY: Metabolic Adaptation to Hypoxia.   Andrew Murray Oxygen Therapy: The Yin and Yang of Our Favorite Drug.   Monty Mythen. FRIDAY: Oxygen and the Brain.   Chris Imray The Epigenetics of Hypoxia.  Kay Mitchell SATURDA...

Presented by,  Denny Levett , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- What Happens to Healthy Humans in Hypoxia? Denny Levett . This series also includes:   WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin   THURSDAY: Metabolic Adaptation to Hypoxia. Andrew Murray Oxygen Therapy: The Yin and Yang of Our F...

Presented by,  Professor Mike Grocott , recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA. -- Human Tolerance of Hypoxia: Going to Extremes to Understand Critical Illness. This series also includes: TUESDAY: What Happens to Healthy Humans in Hypoxia? Denny Levett   WEDNESDAY: Cardiovascular Adaptation to Hypoxia. Daniel Martin   THU...

The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world? Monty My...

The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's Hospital. Could something like this work outside of the context of the UK's National Health Service? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system? Monty Mythen and Desiree...

In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this? Finally - what are the drugs that anaesthetists commonly prescribe to...

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and opti...

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still wanted to get a very important contribution from him. What are the big takeaways from some of the larger trials such as Saline versus Albumin Fluid Evaluation ( SAFE )? What about the long term implications of Crystalloid versus Hydroxyethyl Starch Trial (CHEST)? What new...

The Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. In the immediate wake of EBPOM 2018, this conversation explores some of the deeper issues and big take home moments from the trial. How will it change practice? Will it alter the use of the Duke Activity Status Index (DASI) for example? Cardiopulmonary Exercise Testing (CPET) cle...

What are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes outcomes? Furthermore, what is the National Emergency Laparotomy Audit (NELA) and what are its benefits? Presented by Joff Lacey and Desiree Chappell with their guests; Carolyn Johnston , consultant Anaesthetist in St Georges hospital in London and Improv...

Key messages and big takeaways from a hugely successful meeting, The Second Annual Prehabilitation World Congress, held in Eindhoven, The Netherlands. What was the 'dare to dream' section? How is the business case for prehabilitation being made? Also - listen out for details of the third World Congress and discover how you can get involved. Mike Grocott presents with his guests; Sandy Jack , MD, P...

What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? How are randomised trials showing outcome data in a positive way? Furthermore, according to some of the keynote speakers, what were the highlights and big headlines at this important gathering? Mike Grocott presents with his guests Olle Ljungqvist, Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospi...

What is pre-habilitation and how important is early mobilisation to perioperative post-operative rehabilitation? Desiree Chappell presents with her guests Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone and Colleen Walsh, Assistant Professor, Nursing University of Southern Indiana, President, National Association of Orthopaedic Nurses. This piece taken from a longer...

What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. How do they measure value? What do they want and why? This piece features Desiree Chappell with two of the guest speakers from the American College of Perioperative Medicine's 2018 c...

Cold water adaptation for theraputic purposes. How can you gain the benefits of this unusual but increasingly popular activity? Open water swimming is discussed, how long you need to do it and what the benefits are. It's suggested that it might work because it is an anti-inflammatory. There's even the suggestion it can help with issues such as chrohn's disease. This piece is taken from a longer co...

TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. What do you do when it comes to 'screening for frailty? Should it be physical frailty or mental frailty? What do we then do wit...

TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. Two pain management experts alongside the TRIPOM representatives and Desiree and Monty respond in detail to some of the key con...