TopMedTalk

Mike Grocott, Joff Lacey, Monty Mythen and Julie Thacker react to the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery. What is "optimal analgesia" and how rapidly should a patient "return to normal"? The links to the papers are here: Part 1: https://pe...

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predictors, and 30-day Outcomes TheVascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION)Writing Group, on behalf of The Vascular events In noncardiac Surgery patIentscOhort evaluatioN (VISION) Investigators. Anesthesiology 03 2014,Vol.12...

Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial) Randomised Controlled Multicentre trial; n=420; GDHT vs Control Conclusions: "Oesophageal Doppler monitor-guided GDHT reduced postoperative complications and hospital length of stay in low–moderate risk patients undergoing inte...

Dr Tim Miller, Anesthesiologist from Duke talks about opiods "we're definately opening our eyes in The States".   Also, Dr Julie Thacker, President of the American Society of Enhanced Recovery features with her thoughts on colorectal surgery.

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates. A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage of ASER 2017 for TopMedTalk featuring Dr Julie Thacker, President of American Society of Enhanced Recovery and Desiree Chappell a CRNA in Louisville, Kentucky and board member of EB...

Dr Steve Flanagan - Chair of Physical Medicine and Rehabilitation at NYU Langone. Taken from the Roundtable discussions hosted by Desiree Chappell live from the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care. -- The fuller version of this piece is here:  http://topmedtalk.libsyn.com/physical-medicine-in-rehabilitation-applying-a-team-approa...

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491 A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014. Hip fracture surgery patients at hospitals that use more than 20 to...

Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta. -- For more details on the upcoming Perioperative Practicum, Atlanta, April 13-15 2018 click here: https://www.ebpom.org/EBPOM-USA2-2018

2 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 Editorial by Professor John Myburgh. Cl...

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the recently e.published American Society of Enhanced Recovery (ASER)  and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program. --   Click on this link to access the full paper: https://journals.lww.co...

A short digest of the longer chat from Desiree Chappell's "Round Table Blog", hosted at the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care.  Here Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School and Professor Monty Mythen, London, UK discuss aspects of perioperative care with insightful additional comments from ...

A stunning moment from last year's conference, captured exclusively on TopMedTalk; Monty Mythen and Mike Grocott are joined by Dr Dan Sessler (Cleveland Clinic) and Dr Tim Miller (Duke University Medical Centre) exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. Don't forget: 15th - 17th March 2018 ASER/EBPOM 2018 Annual...

Julian Gore-Booth, Chief Executive Officer at The World Federation of Societies of Anaesthesiologists, in an exclusive interview for TopMedTalk at last year's ASA. Here he reveals why we are at 'a seminal moment in anaesthesiology'. For the fuller interview look for "Live from Boston ASA 2017 - Anaesthesia and Global Health - an expert view" direct link here: http://topmedtalk.libsyn.com/monty-bos...

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the first segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine)...

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.   This is the second segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medici...

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care.   Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, Cal...

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon...

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fifth segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicin...

The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the final segment of a fascinating 'round table discussion' between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity Universit...

The final part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care. Join Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Ins...

Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value based care. Find his podcast here: http://drzeevkain.health/podcast/

Monty Mythen and Desiree Chappell of The Roundtable blog speak with Jan Vest, C.E.O of Signature Medical Group and Josh Luke, America's leading health-care futurist and writer of "EX-Acute, a former hospital CEO tells all on what's wrong with American healthcare".

Desiree Chappell from The Round Table blog speaks with Dr. Jay Pond and Allan Beck Chief Executive Officer of the Baylor Orthopedic and Spine Hospital at Arlington.

Desiree Chappell catches up with John Boudreaux and Phillip Gallegos from the Baylor Orthopedic and Spine Hospital, Arlington. They discuss improving patient outcomes and their approach to value based care.

Desiree Chappelle of The Round Table perioperative care blog and our very own Monty Mythen are joined by Linda Russell. Linda is a national expert in the area of perioperative Management of Orthopedic Patients. Over the past 5 years she created a division responsible for the preoperative assessment and postoperative care of approximately 16,000 patients who have Orthopedic surgery and are admitted...