TopMedTalk

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POET 2.04 | Shared decision making Mar 15, 2019

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Shared decision making is a meeting between experts, on the one hand we have a clinician who understands a diagnosis and a likely prognosis, on the other we have a patient who exclusively understands their values and personal tolerance for risk. Ideally these two perspectives are encouraged to combine into high quality decisions tailored to individual patients. What are the essential elements of this process? Presented by Angela Coulter, a UK based health policy analyst and researcher. Originally streamed live on www.topmedtalk.com the fuller version of this talk "EBPOM 2018| Shared decision making in perioperative care" is here: https://www.topmedtalk.com/ebpom-highlight-1-07-shared-decision-making-in-perioperative-care/

EBPOM Highlight 1.15 | Perioperative nutrition Mar 14, 2019

Show notes

"Perioperative nutrition" - 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 Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.

EBPOM Highlight 1.14 | Does choice of opioid influence health outcomes? Mar 13, 2019

Show notes

"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.

Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

Find out more here: https://www.ebpom.org/EBPOM-USA-2019

As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

Do we share an interest in Enhanced Recovery? | The RoundTable Mar 12, 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.

Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

Find out more here: https://www.ebpom.org/EBPOM-USA-2019

As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

Tackling post operative delirium | Perioperative Coach Mar 11, 2019

Show notes

How do we address the issue of post operative delirium?

Here you will find fascinating further discussion about cognitive function after surgery. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation?

Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania.

For more on this topic why not listen to our piece with Henrik Kehlett here: https://www.topmedtalk.com/asa-2018-san-francisco-henrik-kehlet-recovery-is-all-about-inflammation/

Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

Find out more here: https://www.ebpom.org/EBPOM-USA-2019

As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

The POPS clinic at Guy's & St Thomas's | Sunday Special Mar 10, 2019

Show notes

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How does the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process?

Furthermore, should a programme like this be rolled out across the UK and could anything similar be considered in the US?

How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this?

Also - what are the drugs that anaesthetists commonly prescribe to patients which people who work on this side of the service aren't so keen on? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system?

How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world? The Guy's and St Thomas's POPS team offer a fellowship, the final part of this Sunday Special covers both that and the wider issue of getting students and younger practitioners into this growing area of health care.

Desiree Chappell presents, with additional questions thrown in by Monty Mythen, as they speak with their guests; Magda Sbai, specialist registrar at Guy's and St Thomas's, Jason Cross, advanced nurse practitioner and Nursing lead for the POPS team, Claire Gallagher, Deputy clinical nurse specialist, Dr Judith Partridge, consultant geriatricians at Guy's and St Thomas's Hospital in London and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.

Dan Cole | TopMedTalks to... Mar 09, 2019

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 with regard to delirium? Can you build up mental resilience in the run up to an operation? Do puzzles and mental activity - such as sudoku or a good crossword - help and is there any evidence of that?

Should preoperative sedation be, generally speaking, withheld from people over 60? How do we explain the risks of this procedure to those who need it? Also - are we seeing a rise in post operative delirium and if so why?

Finally - what should we make of the "triple low" story where patients with low blood pressure, a low bispectral index, and a low minimum alveolar concentration of volatile anesthesia are said to face an increased risk of adverse outcomes?

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).

Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

Find out more here: https://www.ebpom.org/EBPOM-USA-2019

As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

POET 2.03 | Refusing surgery Mar 08, 2019

Show notes

Is it unreasonable to give a patient six months to lose weight before, for example, knee surgery? Going even further should we be considering meditation, mindfullness and yoga as part of a pre-habilitation clinic? Hosted by Desiree Chappell and Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care, with their guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California).

JAMA: The ENGAGES Randomized Clinical Trial | Journal Club Mar 07, 2019

Show notes

The full title of the paper being looked at here is: "Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium Among Older Adults Undergoing Major Surgery: The ENGAGES Randomized Clinical Trial". The link to the paper is here: https://www.ncbi.nlm.nih.gov/pubmed/30721296 The editorial referenced in the piece is here: https://jamanetwork.com/journals/jama/article-abstract/2724007 Presented by Monty Mythen and Desiree Chappell. -- Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

Find out more here: https://www.ebpom.org/EBPOM-USA-2019

As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

EBPOM Highlight 1.13 | PQIP Pain: from individual case to systems management Mar 06, 2019

Show notes

"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com If you're looking for the talk mentioned here featuring Paul Wishmeyer it is here: https://www.topmedtalk.com/topmedtalks-to-dr-paul-wischmeyer/ 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 Dr Natasha Curran, consultant in anaesthesia and pain management University College London Hospital (UCLH) and Medical Director at the Health Innovations Network, South London.

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