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EBPOM 2019 | Financial aspects of prehabilitation Sep 27, 2019

Show notes

This piece presents the prehabilitation 'business case'; why it's important to care about costs, how outcomes and value based care can help and why money has to be important in healthcare.

How do we convert health benefits and risk management into something which explains the financial bottom line?

Can we really argue that a process which appears, at the point of practice, to take more time, resources and involve a shorter length of stay for patients, is actually cheaper for institutions in the long run and better value for patients?

Is there in fact more than one 'business case' for a proper perioperative prehabilitation clinic at your practice?

The Fit 4 Surgery website (Netherlands) is here: http://fit4surgery.nl/

Presented by Stefan van Rooijen, surgical resident in Maxima Medical Center, The Netherlands, lecturer at the first Health Innovation School (Ministry of Health, Welfare and Sport and Reshape innovation), Surgical resident, Department of Surgery at Maxima Medical Center (ANIOS).

Periop SIG18 | Two sides to the coin: medical administrator; colorectal surgeon Sep 26, 2019

Show notes

This piece gives an insight into how the insights of an ex-colorectal surgeon can be blended with the understandings of a medical administrator; how can those two roles work together and understand each other more?

There's a useful Perioperative Coach segment which outlines "Stop Bang" here: https://www.topmedtalk.com/periop-coach-3-02-stop-bang-identifying-obstructive-sleep-apnea/

There's a link to the slides here: http://www.anzca.edu.au/documents/03-bruce-waxman_two-sides-to-the-coin.pdf

Presented by Bruce Waxman, Adjunct Associate Professor (Honorary) at Monash University Dept. of Surgery School of Clinical Sciences, Monash Health and Chief Medical Officer, Bass Coast Health, Wonthaggi Hospital, South Gippsland Coast, Victoria.

EBPOM Highlight | Insights from the UK Perioperative Quality Improvement Programme Sep 25, 2019

Show notes

What is 'knowledge mobilisation'? What's the difference between data used for quality assurance and data used for quality improvement? What's important to patients? Does compettition and publicly reporting data actually help anyone other than those who are already leading in their field? Can league tables lead to a 'culture of blame'? 'We need to spend less time measuring and more time improving'; how do we effectively support practitioners who want to get better?

Presented by Dr Ramani Moonesinghe, Professor of Perioperative Medicine at University College London (UCL).

Do we share an interest in Enhanced Recovery? | The RoundTable Sep 24, 2019

Show notes

What is the Enhanced Recovery After Surgery (ERAS) Shared Interest Group (SIG)? How does it relate to the advancement of perioperative medicine?

TopMedTalk was at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston, check the podcast timeline for more, or click here: https://www.topmedtalk.com/?s=AANA

Desiree Chappell speaks with her guests, Josh Newman Lead CRNA at Passavant Area Hospital, Springfield, Illinois Area and now Chair of the Enhanced Recovery After Surgery (ERAS) Shared Interest Group (SIG) and Randall Moore, DNP, MBA, CRNA and Chief Executive Officer of the AANA.

EBPOM 2019 | Malnutrition and functional capacity Sep 23, 2019

Show notes

This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal prehabilitation? What can the six minute walk test really show us? Does nutritional status predict preoperative change in a six minute walk test in colorectal cancer patients following a prehabilitation programme?

Presented by Lauren Richer, Director, Nutritional Services, Keyto, Registered Dietician, Greene Family Medicine Clinic and Montreal General Hospital, Montreal, Quebec.

Nasogastric feeding | Sunday Special Sep 22, 2019

Show notes

How is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can practitioners do to help avoid this? How do we integrate a dynamic stimulus and react to new research relating to nasogastric feeding?

In this piece you will hear about a randomised controlled pilot study investigating the effect of intermittent versus continuous nasogastric feeding on muscle mass and function in intensive care unit survivors.

Hugh Montgomery presents with his guest, Dr Angela McNelly, clinical researcher at the ISEH and the UCL Centre for Human Health and Performance.

Tim Cook | TopMedTalks to... Sep 21, 2019

Show notes

NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind this intriguing study, how long did it take, how does the data impact upon our day to day practice?

There follows a deep dive into the results and recomendations that NAP 6 has produced. Packed with useful information this podcast is one of the stand out pieces of our coverage of the Royal College of Anaesthetists' annual conference in London.

Joff Lacey sits down with his guest Professor Tim Cook, Consultant in Anaesthesia and ICM, Royal United Hospitals, Bath.

Email us: contact@topmedtalk.com

Houman Javedan | TopMedTalks to... Sep 21, 2019

Show notes

The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches are always necessary.

The British Geriatric Society's "Fit For Frailty" is here: https://www.bgs.org.uk/resources/resource-series/fit-for-frailty

Presented by Desiree Chappell and Monty Mythen with their guest Houman Javedan, MD. Geriatrician at Brigham and Women's Hospital, assistant program director of the HMS Multi-Campus Fellowship in Geriatric Medicine, and Clinical Director for the Division of Aging in the Department of Medicine.

EBPOM 2019 | Multimodal prehabilitation to prevent postoperative delerium and other complications in elderly patients after elective major abdominal surgery. Sep 20, 2019

Show notes

Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that challenge is being investigated at the moment. It was originally one of the EBPOM 2019 Free Papers.

A link to the paper is here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6564537/

Presented by Ties Lukas Janssen, General Surgery Resident at Amphia Ziekenhuis.

Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal Sep 19, 2019

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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