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TopMedTalk | Automation and artifical intelligence Mar 17, 2020

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This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring actually allow practitioners to live more "in the moment" while in the operating theater? How do we use algorithms to avoid information overload?

The book "Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again", your "anxiety antidote" to the AI discussion, is here: https://www.amazon.co.uk/Deep-Medicine-Artificial-Intelligence-Healthcare/dp/1541644638

This piece was originally streamed from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019.

Presented by Desiree Chappell and Monty Mythen with Sol Aronson, Tenured Professor, Duke University and Executive Vice Chairman in the Department of Anesthesiology, and their guest Tjorvi Perry, Assistant Professor, Department of Anesthesiology, University Minnesota.

COVID 19 | Hugh Montgomery - North London UK Mar 16, 2020

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"There hasn't been any griping, there hasn't been any ill temper and people are coming in to help out in any way..." this piece gives us an idea of how things are going in the UK, in this instance in Whittington, North London. A sense of preparation is in the air. Looking at other countries and the epidemiology "we're about to reach the inflection point when a little trickle of cases [become] a flood".

How can lessons from other nations help our preparation process? Should 'social isolation' be adopted by more potential service users? Why is this crisis so important for the UK to handle correctly? Is it currently more of a 'population health' issue than anything else?

Also, what about healthcare professionals, how should the care both for themselves and their patients? Will lessons learned regarding 'burn out' and self-care be learned and applied at this crucial time?

Presented by Monty Mythen with his guest Hugh Montgomery, Intensive Care Society Board Member and, Professor of Cardiovascular Genetics and Critical Care University College London.

There's a useful information hub referenced in this interview here: https://icmanaesthesiacovid-19.org/

Information Hub for the Intensive Care Society regarding COVID19: https://www.ics.ac.uk/COVID19.aspx?hkey=d176e2cf-d3ba-4bc7-8435-49bc618c345a&WebsiteKey=10967510-ae0c-4d85-8143-a62bf0ca5f3c

If you would like to contribute to TopMedTalk's ongoing coverage of the global crisis presented by COVID-19 please email: contact@topmedtalk.com

Thank you to our sponsor Edwards Lifesciences.

Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation

"You must learn the epidemiology" | COVID 19 Mar 16, 2020

Show notes

"The first case of COVID in China was the 8th of December..." this piece looks at the outbreak of the disease from the perspective of healthcare workers in both Hong Kong and Italy. It starts with a summary of a conversation with Professor Mike Irwin, University of Hong Kong. We then move to a conversation with Mirco Nacoti, specialist intensivist at Bergamo, Italy.

Presented by Monty Mythen and Desiree Chappell.

This piece is part of a longer conversation, which will be available in full soon.

Thank you to our sponsor Edwards Lifesciences.

Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation

COVID19 | Desiree and Monty Mar 16, 2020

Show notes

This piece is the first in a new series of programs we are making in response to COVID-19, now described by The World Health Organisation as a global pandemic.

How can we, the TopMedTalk community, rise to this challenge and help each other as we share information and experiences? Where can people look for the sort of information they would ordinarily have gained from the conference circuit this year? How can listeners to TopMedTalk get involved directly with us?

Presented by Desiree Chappell and Monty Mythen.

Thank you to our sponsor Edwards Lifesciences.

Edwards clinical education (ECE): https://www.edwards.com/clinicaleducation

Angela Bader | Women in Anaesthesia Mar 15, 2020

Show notes

Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of the perioperative process? How do we manage specialist care for the elderly and ensure high quality shared decision making? What lies behind the mindset change needed for some to accept surgery is not always the answer? Should we expect medical students to be taught the principles of perioperative medicine? What are some of the unique tensions in the US system that can frustrate the adoption of a truly perioperative practice? Presented by Desiree Chappell and Monty Mythen with their guest Angela Bader, Vice Chair of Perioperative Medicine at Brigham and Women's Hospital. The British Journal of Anaesthesia article, which inspired this series, is here: https://bjanaesthesia.org/article/S0007-0912(20)30003-9/fulltext

Joe Kiani | TopMedTalks to... Mar 14, 2020

Show notes

The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the 'planning for zero' initiative and how we can realistically reach perfection in this area.

The Patient Safety Movement Foundation is an organization dedicated to a goal of ZERO in-hospital preventable deaths by 2020. They request that you and your organization get involved and commit to this goal. Find out more at www.patientsafetymovement.org

Presented by Desiree Chappell and Monty Mythen with their guest Joe Kiani, Founder, Chairman & CEO of Masimo, Cercacor & Patient Safety Movement Foundation.

EBPOM Highlight | ERAS Colorectal surgery Mar 13, 2020

Show notes

"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com

If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings

If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com

Presented by Anthony Senagore, Professor and Vice Chair Western Michigan University-Homer Stryker MD School of Medicine Borgess Medical Center Kalamazoo, MI.

TopMedTalk | Simulation in Education Mar 12, 2020

Show notes

Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. Interviewing a patient, reading an X-ray, or administering an injection, in a convincing virutal environment. The St. Elizabeth Healthcare Simulation Center features seven simulation rooms including an operating room and intensive care unit.

What are the future applications we can look forward to? Furthermore how is the AANA developing the way in which simulation is used to train anesthesia providers?

Checkout the Simulation Centre here: https://nku.edu/ihi/health-innovation-center-2/simulation-center.html

Our guest kindly shares their email: Kendonb1@nku.edu

This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

Presented by Desiree Chappell with Monty Mythen and their guest Brett Kendon, DNP, CRNA, CHSE, Assistant Clinical Professor, Assistant Program Director, Nurse Anesthesia Program, Northern Kentucky University.

The evolution of cardiac surgery | SCA 2019 Mar 11, 2020

Show notes

How do cardiac surgeons adapt to the changing environment and information that we now have at our fingertips? Minimally invasive robotic surgery provides additional options to the perioperative patient, what unconventional therapies might compliment this? This piece gets into specifics regarding pain management and the multimodal approach. How do you prepare patients with an understanding regarding how and what you're doing? How important is collaboration with surgical colleagues?

This piece is presented by Desiree Chappell and Sol Aronson with their guest Himani Bhatt, Director of Cardiovascualar Anaesthesia at Mount Siani, Ichan School of Medicine, Assistant Professor of Cardiac Anesthesiology, at The Mount Sinai Hospital.

The malnourished surgery patient | The RoundTable Mar 10, 2020

Show notes

This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here: https://journals.lww.com/co-anesthesiology/Abstract/2019/06000/The_malnourished_surgery_patient__a_silent.23.aspx

The Perioperative Quality Initiative is here: www.poqi.org

Presented by Desiree Chappell with Monty Mythen and their guests Jeroen Molinger, Clinical Medical Exercise Physiologist at Duke University Medical Center, Department of Anesthesiology & ICU and John Whittle, assistant Professor at Duke University Medical Centre.

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