TopMedTalk

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Padma Gulur | TopMedTalks to... Feb 29, 2020

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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 patients more and is it time to look more deeply at the issue of consent?

Hosted by Desiree Chappell and Vicki Morton featuring Dr. Padma Gulur, anesthesiologist and a Pain Medicine Specialist who sees patients at Davis Ambulatory Surgical Center, Duke Pain Medicine and Duke Perioperative Pain Care.

Join us on www.topmedtalk.com sign up for our email updates and never miss a live streamed conference again.

EBPOM Highlight | Does choice of opioid influence health outcomes? Feb 28, 2020

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"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent talk, for free, on this podcast.

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 Padma Gulur, Professor of Anaesthesia and Executive Vice-Chair at Duke University.

TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck. Feb 27, 2020

Show notes

What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How did standardisation help when designing an award winning patient transfer bag? What's the best way to transfer a patient from ward to ward or from institution to institution? How do we handle data during this period? What do we think about remote supervision and monitoring? Could a dedicated transfer team be useful? Could a new anaesthesia drug be on the way for the NHS soon? How can training in ultrasound be improved? And lastly, will improvements in artificial intelligence ultimately cost us our jobs?

Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020, from The Queen Elizabeth II Centre, London, UK.

This piece follows on from part one, which you can find here: https://www.topmedtalk.com/topmedtalk-matt-wiles-and-marcus-peck-live-from-london/

Presented by Monty Mythen featuring guests, Gezz Van Zwanenberg, Nurse and Project Lead North West London Critical Care Network, Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society's (FICE) Committee.

Matt Wiles and Marcus Peck | TopMedTalks to... Feb 26, 2020

Show notes

Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the conversation and questions asked by our online audience.

In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What about hyperoxia? How does what we do effect the environment? What are the latest thoughts about 'depth of anaesthesia'?

The podcast mentioned in this piece is here: https://www.topmedtalk.com/anes19-timothy-short-and-kate-leslie/

This link takes you to the trial: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32315-3/fulltext

Is there a future for volatile anaesthesia? What's the future for pediatric intensive care units? How can we use ultrasound technologies to enhance patient care? Will the iconic stethoscope end up with dust on it? What's the future for ultrasound in the intensive care unit?

Presented by Monty Mythen with his guests Matt Wiles, Consultant Anaesthetist & Senior Clinical Lecturer at Sheffield Teaching Hospitals NHS Trust and University of Sheffield and Marcus Peck, NHS Consultant in Anaesthesia and Intensive Care Medicine at Frimley Park Hospital and Chair of Focused Intensive Care Society's (FICE) Committee.

TopMedTalk | The SQUEEZE Study Feb 25, 2020

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This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor use.

The website mentioned in this piece is here: https://www.esahq.org/research/clinical-trial-network/planned-trials/squeeze/

Our conversation with Konstantin Balonov is here: https://www.topmedtalk.com/euroanaes2019-konstantin-balonov/

Presented by Desiree Chappell with Monty Mythen and their guest Ben Creagh-Brown, Clinical Academic Intensivist, Director of Research and Development, Royal Surrey County Hospital NHS Foundation Trust and Co-Chief Investigator of the "Squeeze Study".

Assessing the risk of delirium | Perioperative Coach Feb 24, 2020

Show notes

What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients fit for surgery, particularly as regards delirium? Can you build up mental resilience in the run up to an operation, do suggestions that puzzles and mental activity such as sudoku and a good crossword help have any evidence behind them? This piece features Monty Mythen and Desiree Chappell in conversation with Dan Cole, professor of clinical anesthesiology at the David Geffen School of Medicine, University of California, Los Angeles and former president of the American Society of Anesthesiologists (ASA).

EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion Feb 23, 2020

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This panel discussion reacts to various questions from the online audience and those in attendance.

Questions include; Is there any good evidence for the use of wearable tech in prehabilitation? How come, if the evidence is almost there, prehabilitation is not yet included in every pathway? In this respect, is change just around the corner? How do we have patients are partners rather than passive participants? What are the benefits of prehabilitation which can be seen in two weeks? How does one go about setting up a streamlined preoperative service? What would be the most important outcome for any prehabilitation trial? In a usually sedintary patient, how do we engage them in exercise training and prehabilitation?

Featuring; Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, Franco Carli Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Staff anesthesiologist at the McGill University Health Centre and June Davis; June has 22 years of experience working in the NHS as a Dietitian, service and professional lead, general manager for a number of service areas within the acute setting and senior project lead for several large scale change projects across London; 10 years experience working as Head of Therapies for large acute Trusts. She is also a Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission.

EBPOM 2019 | EBPOM Prehab trials; PREPARE-ABC Feb 22, 2020

Show notes

This piece focuses on the "SupPoRtive Exercise Programmes for Accelerating REcovery after major ABdominal Cancer surgery" (PREPARE-ABC) trial. How do we establish the effectiveness of pre and post exercise plans? Do they really form a sensible part of a "value based care" package? This concise presentation gives you a clear idea of the aims and structure of the trial.

Prepare ABC tweet here: https://twitter.com/prepareabc

Their website is here: https://www.uea.ac.uk/prepare-abc

Presented by James Hernon, Consultant Colorectal Surgeon, Norfolk and Norwich University Hospital NHS Foundation Trust, Chair of the Anglia Cancer Colorectal Network, CO-CI for PREPARE ABC a NIHR HTA funded randomised clinical study.

Dru Riddle | TopMedTalks to... Feb 21, 2020

Show notes

"Evidence ... is only as useful as the end user is willing to put it into practice".

This piece begins with a discussion about translational research, the way in which individual studies are looked at and combined into more accessible guidelines.

How do you become an 'informed consumer' of information and evidence?

Also, what is the latest thinking as regards "pharmacogenomics"? Is it true to say that "within the next ten years we're not going to see healthcare delivered ... without genetic information underpinning it"? How do genetics and research in that area come into play as regards anesthesia practice?

Finally how do practitioners take the initiative and become leaders in their field? This piece was recorded at the 2019 Annual Conference of The Oregan Association of Nurse Anesthetists.

The Joanna Briggs Institute is here: https://joannabriggs.org/

The Cochrane Central Register of Controlled Trials (CENTRAL) is here: https://www.cochranelibrary.com/

Their UK website is here: https://uk.cochrane.org/

Presented by Desiree Chappell with her guest Dru Riddle, Associate Professor of Professional Practice in the School of Nurse Anesthesia at Texas Christian University, Associate Professor of Medical Education, TCU School of Medicine, and Director of the Center for Translational Research: A JBI Center of Excellence and Cochrane US TCU Center.

Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal Feb 20, 2020

Show notes

This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and thrombotic risk? Anti-coagulants are increasing in number, what are the principles behind them which we should learn? An understanding of patient, procedure and type of drug being used is essential, are there other factors that can come into play?

Here is a link to the slides used in this talk: http://www.anzca.edu.au/documents/02-kate-burbury_fast-track-warfarin-reversal.pdf

Presented by Kate Burbury, Associate Professor, Deputy Chief Medical Officer, Peter MacCallum Cancer Centre

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