TopMedTalk

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TopMedTalk Part 1 | TRIPOM May 02, 2019

Show notes

TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England.

This conversation is driven by questions from listeners online and attendees in the audience. Two pain management experts alongside the TRIPOM representatives and Desiree and Monty respond in detail to some of the key controversies in Perioperative medicine.

Is there an opioid crisis and is it unique to the USA? Is there a problem with opioids and cancer outcomes? How do we educate junior doctors on this topic? What about patients who demand opioids to handle their pain? Should we be looking more closely at where and why Oxycodone specifically is prescribed?

Part two will follow next week.

TopMedTalk live was presented by Monty Mythen and Desiree Chappell in front of a live audience with panellists; John Whittle, assistant Professor at Duke University Medical Centre and one of the founders of TRIPOM, Katie Samuel, TRIPOM co-chair and perioperative medicine fellow at UCL Hospitals, Dr Padma Gulur, Duke University Medical Centre, Dr Natasha Curran, UCL Hospitals.

Join in the debate: contact@topmedtalk.com

EBPOM Highlight 1.22 | Pre-operative Inspiratory Muscle Training May 01, 2019

Show notes

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - 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 Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton.

Carol Peden - EPOCH Q&A | TopMedTalk Apr 30, 2019

Show notes

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand alone piece follows on from "EBPOM Conference Highlight | Lessons on EPOCH in the UK".

To hear that click here: https://www.topmedtalk.com/ebpom-conference-highlight-1-21-lessons-on-epoch-in-the-uk/

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 Monty Mythen with Desiree Chappell and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Additional contributions from Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology as well as TopMedTalk listeners and conference delegates.

Pre-operative anemia, detection and management | Perioperative Coach Apr 29, 2019

Show notes

Where does anemia fit in the perioperative process? How do we optimise patients who have this condition in such a way as to get them best prepared for surgery? How do we know these procedures are improving outcomes? Presented by Desiree Chappell and Monty Mythen with Mike Grocott and their guest Michael Scott, Professor and Division Director, Critical Care Anaesthesiology - Virginia Commonwealth University.

Preoperative Optimization: Framing up the value proposition | Sunday Special Apr 28, 2019

Show notes

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different pitfalls presented by the various core stakeholders?

Smoking cessation, nutrition, exercise; all are proven to help produce better outcomes for a patient. How do we express this in such a way that we get buy-in from everyone concerned?

When it comes to a deeper dive into preoperative optimisation, what's in it for the hospital, the practitioner and the fee payer?

This piece is moderated by Sol Aronson, tenured Professor at Duke University, it features a talk from Michael Englesbe, Professor of Surgery, Michigan followed by a panel discussion which also features Dan Engleman, President of the enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate and Tim Miller, Duke University; further discussion is provided with questions from online listeners and conference delegates posed by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates.

William Wooden | TopMedTalks to... Apr 27, 2019

Show notes

Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore an area which will only keep growing. Should evidence based arguments be the way we make the case for true investment in this area? Presented by Korey Springman with her guest William Wooden, Director of Operative Services at Indiana University of Health.

Eric J. Zimmerman | ASER 2019 Apr 26, 2019

Show notes

Our coverage of ASER's annual meeting continues with a piece which focuses on prehabilitation and clinical nutrition, specifically as relates to surgery.

Can the sarcopenic elderly patient build muscle in a reasonable timeframe with the right nutritional support? Are there particular 'magic protiens' we should use? Where does exercise fit into the picture?

The interview regarding nasogastric feeding mentioned in this piece is here: https://www.topmedtalk.com/intensive-care-society-nasogastric-feeding/

Presented by Desiree Chappell and Monty Mythen with their guest Eric J. Zimmerman co-founder and CEO of Enhanced Medical Nutrition.

Tom Poulton | ASER 2019 Apr 26, 2019

Show notes

Welcome to the first of our exclusive podcasts covering this year's American Society for Enhanced Recovery (ASER) Annual Congress of Enhanced Recovery and Perioperative Medicine. ASER's web presence is here: https://aserhq.org/

This conversation focuses on the big talking points of the meeting so far. The discussion evolves into questions regarding data use and collection before moving into whether or not cancer outcomes are improved by enhanced recovery pathways.

Presented by Desiree Chappell with Monty Mythen and their guest Tom Poulton, Post-CCT Fellow in Onco-anaesthesia at the Peter MacCallum Cancer Centre.

Also, if you're intrigued by our experiments in video our Youtube channel is here: https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

POET 2.10 | Smoking cessation clinics Apr 26, 2019

Show notes

Could a smoking cessation clinic be the next step in perioperative enhancement at your practice? This piece gives you an introduction to the idea and tackles some of the key elements. Originally streamed live on TopMedTalk further listening is available here: https://www.topmedtalk.com/?s=smoking Presented by James Davis, MD, Director Duke Smoking Cessation Program.

TRIPOM 1.5 | 'Understanding of delirium amongst the surgical team' Apr 25, 2019

Show notes

This piece focuses on the winning EBPOM USA poster presenter whose team were responsible for the excellent 'Understanding of delirium amongst the surgical team; a multidisciplinary survey'. Go see the poster on the EBPOM website here: https://www.ebpom.org/EBPOM-USA-2019 Presented by Robin Schiller and Bridger Bach with their guest Zhaosheng Jin, Queen's hospital, Barking Havering Redbridge NHS trust, Central London School of Anaesthesia.

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