TopMedTalk

Latest Episodes:

EBPOM 2019 | The INSPIRE trial; reducing post-op pulmonary complications Sep 18, 2019

Show notes

The effectiveness and cost-effectiveness of INSPIRatory musclE training (IMT) for reducing postoperative pulmonary complications (PPC): a sham-controlled randomised controlled trial (RCT) (INSPIRE). This piece is a concise guide to the method and thinking behind the trial.

Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton, Consultant in Perioperative Medicine, Southampton University Hospital NHS Foundation trust (UHS), President, Perioperative Exercise Testing and Training Society (POETTS) and biannual chair of the National Perioperative Cardiopulmonary Exercise Testing course, she's also part of the Fit 4 Surgery research group in Southampton, investigating exercise and nutritional optimisation before major surgery and is clinical CI for the multi-centre INSPIRE trial.

Delaying surgery to adequately prepare? | World Congress 2019 Sep 17, 2019

Show notes

A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to do surgery right; as opposed to being inclined to feeling it must be done "right now!". A data driven approach combined with a patient focused attitude are at the centre of the argument. How do these factors combine to produce a business case which all institutions, practitioners and patients can understand?

In terms of time spent, what do we mean when we say "delay"? How do we overcome a patient's attitudes towards healthcare professionals, if they feel there has already been a delay in 'getting treatment'? How can the pathways from diagnosis to recovery be shortened or made more flexible? Can a case manager help this process? Is eight weeks an acceptable waiting time, can we reasonably expect it to be less than that?

Presented by Gerrit Slooter, MD, PhD, Surgical Oncologist, Maxima Medical Centre, The Netherlands.

EBPOM 2019 | Alcohol Matters Sep 16, 2019

Show notes

The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that overall it is not helpful for our physiology and well being.

How often do you have alcohol? How many units do you drink? How often do you have a binge? What are the age groups where drinking problems are most apparent? Where is the latest research regarding a perioperative approach to alcohol consumption? How effective is intervention for risky drinkers, should it also be considered for dependent drinkers?

How have studies and evidence been arranged around this topic and where should it lead us? Is there a need for more research?

Presented by Chris Snowden, Consultant Anaesthetist, Freeman Hospital, Newcastle upon Tyne and Senior lecturer at the Institute of Cellular Medicine at Newcastle University, he has recently secured grant funding from the NIAA (RCOA /BJA) to develop prehabilitative training in the elderly surgical patient.

EBPOM Highlight | Academic Health Science Networks - opportunity knocks Sep 15, 2019

Show notes

Formed five years ago, the Academic Health Science Networks (AHSNs) in England are driving innovation and speeding up the process of implimenting and discovering improvement in institutions. This piece explains how that occured and what we can all learn from it.

Presented by Natasha Curran, pain medicine University College London Hospital (UCLH) and Medical Director at the Health Innovation Network.

Lynn Reede | TopMedTalks to... Sep 14, 2019

Show notes

How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?

Patient records and data ownership is discussed, as is Paul Upton's excellent interview on TopMedTalk regarding "My Preop". The original piece is here: https://www.topmedtalk.com/my-pre-op-empowering-patients-before-surgery/

How do we reach out to patients and inform them about the risks and choices which will be presented to them as part of their surgical pathway? Discussion here moves to the American Association of Retired Persons (AARP) and the incredible work they are doing. For more on the AARP from TopMedTalk go here: https://www.topmedtalk.com/dont-ask-patients-what-is-the-matter-ask-them-what-matters/

Presented by Desiree Chappell and Monty Mythen with their guest Lynn Reede, CRNA and chief clinical officer at the American Association of Nurse Anaesthetists (AANA).

TopMedTalk | How to get people to get things done; The Michigan Project Sep 12, 2019

Show notes

Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative ease of change?

Originally streamed live from the hugely successful EBPOM USA Dallas Master's course.

Presented by Michael Englesbe, Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, Michigan.

EBPOM Highlight | Optimising healthcare delivery, panel discussion Sep 11, 2019

Show notes

This panel discussion tackles, amongst others, the following questions: How can knowledge and health innovation be moved from the theoretical world and turned into practice? How do we overcome ego in the profession? How do efficient systems improve the experience of staff as well as patients? How can perioperative practitioners truly embed ideas into devolved healthcare systems?

Featuring; Anna Batchellor, Anaesthesia and Intensive Care Medicine (ICM), Newcastle upon Tyne; past President of the Intensive Care Society, past Dean of the Faculty of ICM, past member of Council of the Royal College of Anaesthetists; Mark Hamilton, Consultant and Honorary Senior Lecturer in Anaesthesia & Critical Care Medicine, clinical lead for the Perioperative Assessment & Planning Unit, at St. George's Hospital and Medical School, member of the Surgical Outcomes Resource Centre at UCL, Co-Director of Evidence Based Perioperative Medicine (EBPOM), Editor in Chief of Perioperative Medicine and Natasha Curran, pain medicine University College London Hospital (UCLH) and Medical Director at the Health Innovation Network.

EBPOM 2019 | System wide change for prehabilitation Sep 10, 2019

Show notes

Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real medicine" how do we change the culture so GPs are comfortable prescribing physical activity to patients? How can we get people to exercise more when the political mood is turning against Government interference and the so-called "nanny state"? What is 'the business case' for prehabilitation?

Co-chaired by Mike Grocott and Stefan van Rooijen and featuring: Graciela Martinez-Palli, Consultant in the Department of Anaesthesia and Perioperative Care at Hospital Clinic, Barcelona; Anna Lowe, Programme manager, National Centre for Sport and Exercise Medicine, Lead Allied Health Physical Activity Clinical Champion at Public Health, England; John Moore, Clinical Head of the Division of Anaesthetics, Peri-operative medicine and Critical Care at Manchester University Hospital NHS Foundation Trust; Sarah Ruane, Sport England's national lead for health, she joined in January 2016 from local government where she oversaw public health, leisure and cultural services.

Enhanced Recovery for obstetrics | Perioperative Coach Sep 09, 2019

Show notes

What are the results if you apply Enhanced Recovery to obstetrics?

This podcast features Desiree Chappell interviewing Dr Attila Kett, anaesthesiologist and Chairman at St Peter's University Hospital at New Jersey.

Join in the debate: contact@topmedtalk.com

EBPOM Highlight | Getting it right first time Sep 08, 2019

Show notes

This piece explains how the "Getting It Right First Time" (GIRFT) project got off the ground. How does it help improve quality of care within the NHS reduce unwarranted variations, bring efficiencies and improve patient outcomes? This piece gives you the detail.

Led by frontline clinicians, who are experts in the areas they review, hear how the project helps to manage services on a daily basis; sharing best practice between trusts, GIRFT identifies changes that help improve and change an institution's procedures and cost savings.

The GIRFT website is here - https://gettingitrightfirsttime.co.uk/

Further listening regarding GIRFT can be found here: https://www.topmedtalk.com/rcoa-13-the-girft-getting-it-right-first-time-project/

Presented by Anna Batchellor, trained in anaesthesia and Intensive Care Medicine (ICM) she works in Newcastle upon Tyne; past President of the Intensive Care Society, past Dean of the Faculty of ICM, past member of Council of the Royal College of Anaesthetists. One of the first formal trainees in ICM in the UK she co-authored the curriculum for training in ICM for the Certificate of Completion of Training. She developed the Advanced Critical Care Practitioner Programme to help us fill the enormous hole appearing in critical care staffing. She tried to retire in June 2016 and managed to spend a year working part time before being hijacked by the Getting It Right First Time (GIRFT) programme.

Our TOPPODCAST Picks

Follow Us

Stay Connected

Related Podcasts

Links

Stay Connected