A conversation about ASER fluid management; NPO; preop drinks and keeping the i.v down. Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada. Click here for the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery: https://perioper...
Jul 22, 2019•10 min•Season 4Ep. 3
Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" conference. Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/ Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Dr Jim ...
Jul 21, 2019•21 min
Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carol Peden, Professor of Anesthesio...
Jul 20, 2019•21 min
Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health needs of the patient? How do we encourage patients to alter pathological aspects of their lives in order to minimise the chances of a negative outcome? Professor Monty Mythen presents with Dr Joff Lacey and guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and...
Jul 19, 2019•9 min
University College London (UCL) offer a fantastic Masters Course in Perioperative Medicine, hear how it works in this podcast. Also, if you're intrigued, here's the link to the free 4 week course discussed in this podcast: https://www.ucl.ac.uk/lifelearning/courses/perioperative-medicine Presented by Desiree Chappell with Sam Bampoe, consultant in Anaesthesia and Perioperative Medicine at University College London NHS Foundation Trust.
Jul 18, 2019•11 min
This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.
Jul 17, 2019•13 min
A powerful discussion about outcomes, patient care and what matters the most. Presented by Desiree Chappell and Monty Mythen with their guests; Eric J Schneidewind president of the AARP and Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School.
Jul 16, 2019•21 min•Season 2Ep. 25
A conversation about enhanced recovery implementation. Dr Joff Lacey catches up with Mike Scott, Virginia Commonwealth University and Ross Kerridge, John Hunter Hospital, Newcastle, Australia.
Jul 15, 2019•8 min•Season 4Ep. 2
A transatlantic perspective. 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 ...
Jul 14, 2019•17 min
The Elephant In The Room - intraoperative hypotension. A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. This conversation reflects the start of many debates and concern regarding hypotension, a frequent topic here on TopMedTalk. Monty Mythen and Mike Grocott are with Tim Miller, Duke University Medical Centre, speaking with their guest Dr Dan Sessler, Cleveland Clinic.
Jul 13, 2019•20 min
POET - The Perioperative Enhancement Team How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge of all surgery and medicine so that you understand what is going on within the different surgical specialities Presented by Monty Mythen, ...
Jul 12, 2019•11 min
How do we manage the process of early out-of-hospital management sensibly? What does a home-based post operative care system look like? What are the essential elements of transforming your health care system to fit with the latest insights in perioperative practice? Follow this link to the presentation slides: http://www.anzca.edu.au/documents/01-don-campbell_perioperative-models-of-care.pdf Presented by Don Campbell, Professor of Medicine at Monash University and Head of General Medicine at Sou...
Jul 11, 2019•22 min
Australia has an interesting history both generally and with perioperative medicine specifically, here the story is told and their current progress is revealed. How do comparisons between various countries help us to understand where improvements can be made? How do the differences between the way in which healthcare is funded impact on patients and providers? Presented by Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'. -- ...
Jul 10, 2019•28 min
This piece covers; physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'. Desiree Chappell presents with Monty Mythen and their guests; Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone Brian Stewart, Partner/Clinic Director California Rehabilitation and Sports Therapy and Colleen Walsh, Assistant Professor, Nursing University of Southern Indiana, President, National Association of Orthopaedic Nurses.
Jul 09, 2019•21 min•Season 2Ep. 24
"An operation is like a marathon, nobody prepares for that by starving themselves" Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the 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.com/anesthesia-analgesia/Abstract/...
Jul 08, 2019•18 min•Season 4Ep. 1
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org...
Jul 07, 2019•32 min
"Value based care - it’s an interdisciplinary team sport" 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/ If you'd like to find out more about the conference follow this link: https://acpm.health/ovbc2019/
Jul 06, 2019•11 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences. Presented by Desiree Chappell with Monty Mythen, Joff Lacey and their guest Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesth...
Jul 05, 2019•13 min
Why do you need a "poet"? The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes. Monty Mythen speaks with Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. This piece is taken from a longer conversation to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/ Join the debate: contact@topmedtalk.com...
Jul 05, 2019•7 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences. Presented by Joff Lacey with Desiree Chappell with their guest Daniel Conway, Consultant in Anaesthesia and Critical Care, Perioperative Medicine lead, Manchester Biomedical Research Centre.
Jul 04, 2019•17 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences. Presented by Monty Mythen with Desiree Chappell and Feras Hatib Phd, Director, Research and Development, Algorithms and Signal Processing at Edwards Lifesciences and Dr Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust.
Jul 04, 2019•29 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George’s Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH as well as being a regular presenter on TopMedTalk and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.
Jul 04, 2019•16 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
Jul 04, 2019•26 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust and Ken Van Someren, Director KvS Performance Ltd.
Jul 04, 2019•13 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Presented by Desiree Chappell and Monty Mythen with their guests David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL and Dr Rob Stephens, Consultant in Anaesthesia, UCLH, Hon Senior Lecturer in Anaesthesia, UCL.
Jul 04, 2019•23 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Presented by Monty Mythen, Desiree Chappell and Korey Sprigman with their guest Teodor Stefanov, Associate Physician, Anesthesiology Institute at Cleaveland Clinic, Abu Dhabi.
Jul 04, 2019•17 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Here we welcome the Editor-in-Chief of 'Anesthesiology', who is also the international visiting lecturer at this year's event. Presented by Desiree Chappell and Monty Mythen with Korey Sprigman and their guest Evan Kharasch, Professor of Anesthesiology, Vice Chair for Innovation, Director, Academic Entrepreneurship, Duke University School of Medicine.
Jul 04, 2019•37 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. If you're interested in hearing shows as they are streamed go to https://www.topmedtalk.com/live-stream/ The piece mentioned in the podcast can be found here: https://journals.lww.com/annalsofsurgery/Abstract/2018/10000/Impact_of_a_Novel_Preoperative_Patient_centered.13.aspx Presented by Desiree Chappell and Monty Mythen with their guest William Wooden, Director of Operative Services at...
Jul 03, 2019•19 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. The survey mentioned on this podcast is here: http://www.periop.co.uk/oxygen/ If you're interested in hearing shows as they are streamed go to https://www.topmedtalk.com/live-stream/ Presented by Monty Mythen with Desiree Chappell and their guests Dan Martin, OBE anaesthetist and intensivist at the Royal Free Hospital and Reader at University College London (UCL) and Sandy (Alexander) J...
Jul 03, 2019•15 min
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This piece, a break out session held at 'Montague on The Gardens', focuses upon artificial intelligence and was sponsored by Edwards Life Sciences. Presented by Desiree Chappell and Monty Mythen with their guest, Feras Hatib, Phd, Director, Research and Development, Algorithms and Signal Processing at Edwards Lifesciences.
Jul 03, 2019•42 min
