TopMedTalk

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TopMedTalks to... Dave O'Conner | Euroanaesthesia 2019 Jun 22, 2019

Show notes

How do you communicate and spread a passion for fluid management and optimisation to your fellow practitioners? How should you use protocols here? Are there specific tricks we can use to get buy in from our post-anesthesia care unit (PACU)?

Presented by Desiree Chappell with David O'Connor, DNAP, CRN, at Memorial Sloan Kettering (MSK) Cancer Center.

POET 3.08 | Thinking clearly on the brain Jun 21, 2019

Show notes

What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area?

Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center.

Periop SIG18 | Minimising Risk; anaemia Jun 20, 2019

Show notes

How should you manage anaemia as part of the perioperative process? Preoperative anaemia has a variable effect on outcomes, how should it be managed? Given the data, should we adopt different tactics for women and men?

This piece gets into the substance of the debate with clear evidence based suggestions which you can incorporate into your practice.

Here is a link to the slides for this presentation:

http://www.anzca.edu.au/documents/01-toby-richards_anaemia-and-risk-modification.pdf

Presented by Toby Richards, Academic Professor of Surgery, Vascular Surgeon, University Western Australia.

Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine.

The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups.

For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine

EBPOM Highlight 1.29 | US perspective on perioperative medicine Jun 19, 2019

Show notes

America is often seen as coming a little late to perioperative practice. However, that's a picture which is now changing for the better, thanks partly to many of the people you have heard here on TopMedTalk.

This piece asks where they are now and where they need to be in the future. Is it true to say that the US system is in the midst of a rapid change? Can consumers of healthcare make reasonable choices regarding value based care? Is the 'fee for service' aspect of America something which a perioperative practice can expect to easily work with?

Presented by Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. --

This piece was originally part of a wider discussion regarding global perspectives on perioperative medicine; it works here as a stand alone talk. Keep an eye on TopMedTalk for the Australian, UK and global perspectives.

Changing the culture around surgical recovery | The RoundTable Jun 18, 2019

Show notes

What can be learned when it comes to working with a quality improvement program? Do you often run into challenges with the pharmacy? If you want to implement a multi-modal pain management enhanced recovery practice, how can you appeal to the pharmacists and gain buy-in for narcotic alternatives? Additionally m, how far has the message of enhanced recovery reached? Finally, what is the role of the perioperative clinical specialist for an enhanced recovery program?

Presented by Desiree Chappell with her guests Liz Pratt, Director, Enhanced Surgical Recovery & Epic Site Liaison at Barnes-Jewish Hospital and Rachel Wolfe, Clinical Pharmacy Specialist, Perioperative Services & Surgical Critical Care and April Smith, Associate Professor, School of Pharmacy and Health Professions. Both Rachel and April are part of American College of Clinical Pharmacy.

Putting care into intensive care | Perioperative Coach Jun 17, 2019

Show notes

How is it that a profession which attracts people who care about patients sometimes produces people who seem not to care? This piece discusses "burn out" and the need for all practitioners to keep their focus on the fact that caring for patients is their primary role?

Is the curse of electronic health records, email and digital communication taking up too much time and turning people into "box tickers"?

Presented by Monty Mythen with Paul Wishmeyer, Professor of the Department of Anesthesiology, Duke University.

Blood Pressure | Sunday Special Jun 16, 2019

Show notes

This piece highlights four papers recently published in the May edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org

Furthermore, there's an interesting piece about the Perioperative Quality Initiative (POQI) here: https://www.topmedtalk.com/anesthesia-and-analgesia-go-big-on-poqi/

Presented by Desiree Chappell with Monty Mythen and Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

Charles Brown | Euroanaesthesia 2019 Jun 15, 2019

Show notes

"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perioperative optimisation, with a focus on delirium, in post operative patients. Are we getting to where we need to be or is there more work to be done?

Presented by Desiree Chappell with Sol Aronson and their guest Charles Brown, associate professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine.

POET 3.07 | Perioperative antibiotic stewardship Jun 14, 2019

Show notes

This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the protocols and pathways of your practice be adjusted to seriously contend with the global issue regarding the stewardship of one of medicine's most vital resources?

Presented by Alison Holmes, Professor of Infectious Diseases at Imperial College, Fellow of the Academy of Medical Sciences and an Senior Investigator at the National Institute of Health Research (NIHR).

To hear the fuller version of this talk go here: https://www.topmedtalk.com/ebpom-highlight-1-10-antibiotic-stewardship-in-perioperative-care/

Periop Medicine SIG18 | A Care Chain is only as strong as its weakest link Jun 13, 2019

Show notes

What is the perioperative chain? What are the opportunities we have to strengthen the links in the chain? Using an evidence based approach this talk gives you a summary of key areas where you can strengthen your practice and bring better patient outcomes alongside reduced cancellations.

Presented by Kerin Fielding, Associate Professor, University of Notre Dame, Australia School of Medicine, Sydney.

For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine

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