TopMedTalk

Dr George Nassif explains to Desiree Chappell of The Roundtable blog how Enhanced Recovery After Surgery has grown into a movement which has had far reaching and occasionally unexpected consequences. The domino effect which starts with enhanced recovery, moves to better patient outcomes and then tackling one of the biggest narcotics epidemics the US has ever seen. -- The fuller version of this pie...

Vicki Morton and Bethany Sarosiek get into a conversation about the importance of regular meetings following the process of ERAS adoption and then its essential maintenance. How have you managed the adoption process at your institution? Email us contact@topmedtalk.co.uk The fuller version of this conversation is here:  https://www.topmedtalk.com/using-a-team-approach-to-care/

Has enhanced recovery reached the mass adoption point or are there still medical institutions which do not know about it? Is it now at a point where the process is just going to run organically? In this podcast the team assess where we are at as the dissemination process appears to be working. Do you agree that we might in fact be at the tipping point right now? Email us with your thoughts contact...

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts regarding "the opioid epidemic". Patrick Shanahan and Mike Grocott discuss the crisis with Monty Mythen. It's a battle which ASER / ERAS and EBPOM are all helping to fight. The fuller versi...

This edition of journal club looks at two articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home Accompanied by a very balanced...

On this episode Dr Paul Upton explains My Preop.   For more information go to: www.ultramed.co   Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a sports psychology master.  

Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation?

An intense and fascinating conversation which acts as a swift update for those interested in where perioperative medicine is currently at and what its ambitions for the future should be. Where are we in the process? Put yourself at the forefront of the debate by listening to this piece. Featuring Carol Peden, Lee Fleisher and Andrea Kurz, live at the Third Annual Quality Improvement Leadership For...

Ruchir Gupta and Joni Brady sit at the Roundtable with Desiree Chappell to discuss implimenting better practices and "ERAS 2.0". The ground up approach via a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional hierarchical power structure?

Joff Lacey, Monty Mythen, Mike Grocott and Desiree Chappell look back at a successful and, at points very passionate, ASER 2018. What are we now looking forward to? How did the discussions around leadership pan out? What about the blood pressure sessions? Was this, as the team suggest, a "maturing" of the movement? What are your reflections on ASER 2018? Get it touch email contact@topmedtalk.com

Arman Dagal and Desiree Chappell discuss bringing about change, managing and sustaining it over time and helping relate it to patient outcomes. What is after ERAS, do we have an 'ERAS of ERAS' - so to speak?

Kara Douglas and Joni Brady speak about the advantages of enhanced recovery and what practicioners can do to promote it. Educating both the wider community and the patients themselves are an important part of the discussion.

Joff Lacey catches up with Matt McEvoy after a lively debate about monitoring patients in the post operative period. One of the big moments of ASER 2018 - make sure you hear this.

Desiree Chappell, Philip Corvo and Vicki Morton discuss critical care patients and enhanced recovery pathways. How do the insights of ERAS apply to these situations?

Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit hall of ASER 2018 for a quick chat on enhanced recovery implementation.

Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other complex operations.

Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery. They discuss how just imprementing the ERAS intraoperative protocols drove outstanding outcomes in their practice. They then get into a wider discussion about the importance of putting into practice the bigger plan.

An entertaining and informative discussion about the implementation process, how do you bring everyone to the table? Desiree Chappell speaks with Robin Anderson, Bethany Sarosiek and Vicki Morton, ASER nursing committee members.    

Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis. Joff Lacey reports he heard one clinician say "over 25% of total knee replacements are still on opiodes 6 months after their operation". Patrick Shanahan pleads with the public "don't connect discomfort with a need for a narcotic to...

Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation then moves to narcotics and the opiode epidemic.

The Roundtable Blog on TopMedTalk, live from ASER 2018. Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.

Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018. Joff Lacey will be out and about with his roving mic getting on the spot interviews with attendees, gathering late breaking news as it happens. Mike Grocott will be doing Journal Club, a deep dive into some of thre big papers of the last 12 months or so. And finally, Desiree Ch...

Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington. The team discuss the association between low blood pressure and outcomes and the first interventional trial related to that. They are then joined by Dr Patrick Shanahan who discusses, amongst other things, the issues related to opiode and narcotic use which can be r...

Techno Talk Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a sports psychology master. On this episode Dr Paul Upton explains My Preop. For more information go to: www.ultramed.co

Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar discuss some of the big issues at ASER 2018. The team discuss whether or not we're at the point of mass adoption for enhanced surgical recovery? Where next with post operative opitate prescriptions? And finally what to expect this year from ASER 2018.