Originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum" this podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patients off opioids in advance of surgery and cutting their dependency afterwards. Also, the question of consent to opioids during and after surgery comes up - should we be educating ...
Apr 20, 2018•16 min
The importance of exercise, weight and perioperative nutrition. Which is worse, being fat or not being fit? Malnutrition, a silent epidemic? How useful are protein shakes? Are supervised exercise sessions cost effective? Finally the team discuss the importance of starting these conversations with children, optimising nutrition and exercise for them will enhance their lives forever. Hosted by Monty Mythen and Mike Grocott with their guests; Dr Denny Levett, consultant in Perioperative Medicine an...
Apr 18, 2018•23 min
Professor Monty Mythen's full presentation regarding 'the FEDORA trial'. This piece was originally presented during the Third Annual Quality Improvement Leadership Forum, 2018, at the Union League Club in Philidelphia. The trial looked at the 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: "Oesop...
Apr 15, 2018•13 min
Join Desiree and Monty as they reflect on the EBPOM USA weekend so far and look ahead to what remains. Also - a reminder that you still have chance to hear the conference presentations live from the www.topmedtalk.com website. Go there now to get details, it's free and has proven to be incredibly popular around the world!
Apr 15, 2018•5 min
A fascinating discussion and debate regarding the central dichotomy inherent in periperative medicine. No stone is left unturned as the team get their teeth into the subject tackling the always tricky subject of profit and patient optimisation. Recorded on the first day of the conference this piece is a real stand out moment for TopMedTalk, make sure you both listen in and provide us with your thoughts contact@topmedtalk.com Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of A...
Apr 14, 2018•38 min
Originally streamed live from the EBPOM USA conference. Desiree Chappell, Monty Mythen, Dr Tim Miller (anaestheseologist at Duke University) and Dr Angela Edwards (head of perioperative medicine at Wake Forest University School of Medicine) discuss some of the presentations and their personal highlights. Join in the conversation, email us at contact@topmedtalk.com
Apr 14, 2018•8 min
A fascinating conversation, streamed live from EBPOM-USA on the second day of the conference. Reflections on the conference alongside insightful discussions about how the contributors have each been attracted to perioperative medicine. Also, the perennial debate about patient care and profits, are the two factors in conflict? Featuring Desiree Chappell host of The Roundtable Blog, Dr Brian Woods anesthesiologist and Vice President at NorthStar Anesthesia, Irving Ye Regional Chief medical officer...
Apr 14, 2018•23 min
Find out what the big stories and talking points were on day one of the highly anticipated "EBPOM-USA Masters Course, A Perioperative Care Practicum". Recorded on the morning of day two; Monty Mythen, Desiree Chappell and Mike Grocott reflect on the first day of the conference. Remember, if you would like to hear the presentations live from EBPOM-USA you can "tune in" through our website to the live stream www.topmedtalk.com Featuring live podcasts alongside the audio from the full schedule of t...
Apr 14, 2018•17 min
ATLANTA conference alert! Mike Grocott and Sol Aronson do a special podcast to alert TopMedTalk listeners to an exciting offer; EBPOM-USA Perioperative Care Practicum "The How to Guide" for evaluation, management and implementation - is to be streamed live, for free, from this year's conference. Presentations will be available to you from our website as they happen, go there now and make sure you take advantage of this unique chance to be at one of the most important events in the global periope...
Apr 13, 2018•4 min
Stories include the call to reclassify cancers, dangerous cannabis substitute causes bleeding from the eyes and a chilli chomping champion gets more than he bargined for. For comment and story suggestions email us contact@topmedtalk.com
Apr 13, 2018•6 min
Journal club special's featured article is today from "Anesthesia & Analgesia" April 2018 - Volume 126 - Number 4 https://journals.lww.com/anesthesia-analgesia/pages/default.aspx The excerpt in this piece comes from an earlier TopMed talk here: https://www.topmedtalk.com/live-from-boston-asa-2017-anaesthesia-and-global-health-an-expert-view/ Remember you can join the TopMed talk team live at one of our conferences - we're in Atlanta later this week for the first Perioperative Care Practicum ...
Apr 11, 2018•16 min
Editor in Chief of TopMed Talk, Monty Mythen and Desiree Chappell, host of the Roundtable blog, talk about the upcoming "EBPOM-USA Masters Course - A Perioperative Care Practicum". More details about the event here: https://www.ebpom.org/EBPOM-USA2-2018 Also - for details of how you can sign up to our live stream for free go to www.topmedtalk.com And, if you are attending the course and would like to meet the TopMed talk team, email us contact@topmedtalk.com...
Apr 11, 2018•3 min
Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles. Br J Anaesth. 2018 Apr;120(4):679-692. See full article here: https://doi.org/10.1016/j.bja.2017.11.104
Apr 10, 2018•2 min
Dr Carol Peden and Dr Lee A. Fleisher join Desiree Chappell in a discussion, taken from The Roundtable blog, which here concerns consent and anaesthetics. The original longer piece you can find here: https://www.topmedtalk.com/2-9-the-brain-health-initiative/
Apr 09, 2018•6 min
The opioid crisis is a big concern for the Western World. Should we be aiming for opioid-lite, or trying to get rid of them entirely? Monty Mythen speaks with Carol Peden, Lee Fleisher and Andrea Kurz, live at the Third Annual Quality Improvement Leadership Forum, 2018. This clip is a shorter version of a longer conversation to be found here: https://www.topmedtalk.com/how-is-perioperative-medicine-taking-control-in-2018-and-beyond/...
Apr 06, 2018•4 min
Dr Joff Lacey grabs a quick chat with Matt McEvoy from Vanderbilt University, speaking about patient monitoring, after a presentation at ASER 2018. This, from a larger piece, found here: https://www.topmedtalk.com/monitoring-patients-in-the-post-operative-period/
Apr 06, 2018•5 min
Stories include the UK obesity crisis, nightmare bacteria in the US and The Duke Of Edinburgh has an operation on his hip. For comment and story suggestions email us contact@topmedtalk.com
Apr 05, 2018•5 min
What drives enhanced recovery for you and how does it change outcomes? Desiree Chappell presents 'The Roundtable blog'; in this clip she’s in conversation with Dr Neil Seeley Chief of anesthesia for Cancer Treatment Centres of America and Dr Michael Scott Professor of Anesthesiology at Virginia Commonwealth University and Professor at The University of Pennsylvania. This clip is part of a longer conversation which you can find here: https://www.topmedtalk.com/2-6-enhanced-recovery-for-liver-rese...
Apr 04, 2018•3 min
Julie Thacker discusses where we're at with enhanced recovery and POQI. This clip, presented by Desiree Chappell at ASER 2018, is part of a longer piece which can be found here: http://www.topmedtalk.com/what-is-asers-vision-for-2018/
Apr 03, 2018•2 min
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 piece is here: http://www.topmedtalk.com/how-has-enhanced-recovery-changed-your-practice/...
Mar 30, 2018•3 min
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/...
Mar 29, 2018•3 min
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@topmedtalk.com -- Join Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar, recorded live...
Mar 29, 2018•3 min
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 version of this discussion is here: https://www.topmedtalk.com/the-opiate-crisis-topmedtalk-live-from-ase...
Mar 28, 2018•7 min
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 Editorial by Professor John Myburgh. Click here: http://www.nejm.org/doi/full/10.1056/NEJMe1800449?...
Mar 27, 2018•15 min
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.
Mar 26, 2018•14 min
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?
Mar 26, 2018•17 min
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 Forum, 2018.
Mar 24, 2018•19 min
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?
Mar 19, 2018•16 min
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
Mar 18, 2018•6 min
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?
Mar 18, 2018•7 min
