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 (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Monty speaks, from a transatlantic...
Feb 20, 2018•7 min
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 Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Jennifer sp...
Feb 20, 2018•4 min
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 University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, Calif...
Feb 20, 2018•6 min
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 Institute in Irvine, California) as they discuss perioperative care and the multi-disciplinary approach...
Feb 20, 2018•5 min
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/
Feb 12, 2018•11 min
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".
Feb 11, 2018•23 min
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.
Feb 11, 2018•7 min
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.
Feb 11, 2018•7 min
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 to the famed HSS.
Feb 11, 2018•11 min
Steve Flanagan, Brian Stewart and Colleen Walsh join Desiree Chappelle and Monty Mythen on TopMedTalk in association with The Round Table Perioperative Care Blog. The team discuss physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'.
Feb 10, 2018•22 min
Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most? They are joined by two of the guest speakers from the American College of Perioperative Medicine's 2018 conference; Eric J Schneidewind and Kevin Bozic.
Feb 10, 2018•21 min
Should you have to lose weight before you get a new knee. A short sampler from Desiree's round table discussion with TopMedTalk.
Feb 10, 2018•10 min
Professor Monty Mythen and the TopMedTalk team have just arrived in Southern California to join Desiree Chappell for the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care (visit here: https://www.transcend.health ). TopMedTalk partners with The Round Table (visit here: http://www.enhancedrecoveryblog.org ) to deliver quality guest interviews and discussions between researchers and practicioners of perioperative medicine with a focus on Enhan...
Feb 09, 2018•1 min
Jan 08, 2018•1 min
Bowel prep has moved on and become “less harmful”, patient satisfaction is now part of the process, it wasn’t always previously. How is surgical site infection balanced with patient comfort? Sponsored by EBPOM and EDWARDS life sciences. This is a piece from the first ever pilot episode of TopMedTalk; Monty couldn’t make it to ASER that year so worked with some friends to pick up on the big stories, Dr Joff Lacey here speaks with their guest Dr Julie Thacker, the then president elect at ASER abou...
Jan 08, 2018•1 min
Jan 08, 2018•1 min
Joff Lacey joins Dr Liam Brennan (President, Royal College of Anaesthestists) and Dr Andy Bailey (Addenbrooke's Hospital, Cambridge) on a trip to the birthplace of anaesthesia - the Ether Dome.
Nov 05, 2017•7 min
The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed. How much IV fluid should be used? Will a more restrictive approach be useful? The trial design is discussed, pre-trial surveying, how they went about setting it up and what protocols they followed. Will this trial put to bed the questions about liberal restricted fluid therapy? Can a trial ever be truly definitive? Presented by Monty Mythen, Mike Grocott and Joff Lacey, joined by their gu...
Oct 23, 2017•16 min
A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions, we assume it will inevitably cause damage but this is not always the case. How do people who have inherited a tolerance for low levels of oxygen manage? Monty Mythen, Mike Grocott and Joff Lacey are joined by special guest Dr Dan Martin OBE Consultant in Intensive Care and Everest summiteer.
Oct 23, 2017•22 min
Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the World Federation of Societies of Anaesthesiologists, WFSA), Julian Gore-Booth (CEO of WFSA) and Dr Paul Clyburn (President of the Association of Anaesthetists of Great Britain and Ireland) to discuss the unmet global need for safe and accessible anaesthesia.
Oct 23, 2017•17 min
A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period. Monty Mythen and Mike Grocott are joined by their guests Dr Liam Brennan, President of the Royal College of Anaesthetists, and Dr Fay Gilder, Addenbrooke’s, Cambridge. Join the debate: contact@topmedtalk.com
Oct 22, 2017•18 min
Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the impact of GDFT on postoperative acute kidney injury in the colorectal patient.
Oct 22, 2017•25 min
Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the need to rethink our approach.
Oct 22, 2017•21 min
Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.
Oct 22, 2017•16 min
A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. Monty Mythen and Mike Grocott are joined by their guests Dr Dan Sessler, Cleveland Clinic, and Dr Tim Miller, Duke University Medical Centre.
Oct 22, 2017•21 min
This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the Perioperative Quality Initiative guidelines, assessment of risk and how this relates specifically to laparoscopic surgery. Updates on relevant trials and the importance of risk stratifying patients to ensure goal directed fluid therapy is used on those that stand to really benefit. Presented by Monty Mythen, Mike Grocott and Joff Lacey, who are joined by Dr Tim...
Oct 22, 2017•21 min
This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal changes. Practitioners face a dilemma; how do you best impact value based care, as a specialist, when multidisciplinary approaches are becoming essential? In the UK, The Royal College of Anaesthetists, are working on this very issue; find out how they are becoming part of conversations regarding public health and modifiable risk factors, as relate to a ...
Oct 21, 2017•18 min
Anaesthesiology has reached a moment of great change, the discipline is evolving rapidly. With change comes opportunity, this conversation explores the transitional situation experts, practitioners and students find themselves in, how can you best fit into the new world? Renumeration is one changing factor but so is the idea that prevention is a clear goal for people who would like to avoid being seen as patients. The transatlantic side of this debate is useful as a paradigm to think about where...
Oct 21, 2017•18 min
Discussion about the challenge of delivering patient-centred, value-driven healthcare. Value based care is discussed, value for the patient is emphasised and discussion is had about how much people trust hospitals and doctors. The difference between the perception of healthcare institutions and practitioners in UK and the US is debated. Perioperative medicine, perioperative surgical home, enhanced recovery after surgery (ERAS); the terms differ but are they all really the same thing? Does value ...
Oct 21, 2017•20 min
The challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adopt new techniques? Goal directed fluid therapy, as an example, seems to work but involves a cultural change and huge trials before it can be adopted. The Optimisation of Peri-operative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE II) trial is discussed in detail, as is the FLO-ELA (FLuid Optimisation in Emergency LAparotomy) tr...
Oct 21, 2017•17 min
