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Perioperative Medicine Summit 2019 1.09 | Post op respiratory problems Feb 16, 2019

Show notes

Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about objective neuromuscular monitoring? Should you revese every single patient? If so, how do you do it? What about the risk of pulmonary complications? Presented by Desiree Chappell with her guest Frances Chung, Professor, Department of Anesthesiology and Pain Medicine, University of Toronto. --

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.

Lynn Reede | TopMedTalks to... Feb 16, 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).

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.

Perioperative Medicine Summit 2019 1.08 | Paul Grant Feb 16, 2019

Show notes

This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.

We discuss the following papers:

Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses.

https://www.ncbi.nlm.nih.gov/pubmed/30552274

Increased Postoperative Glucose Variability Is Associated with Adverse Outcomes Following Total Joint Arthroplasty.

https://www.ncbi.nlm.nih.gov/pubmed/29975266

Effect of A1C and Glucose on Postoperative Mortality in Noncardiac and Cardiac Surgeries.

https://www.ncbi.nlm.nih.gov/pubmed/29440113

Frailty as a Predictor of Death or New Disability After Surgery: A Prospective Cohort Study.

https://www.ncbi.nlm.nih.gov/pubmed/30048320

Presented by Desiree Chappell and Monty Mythen with their guest Paul Grant, Hospitalist and Director of Perioperative and Consultant Medicine at the University of Michigan. --

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.

Perioperative Medicine Summit 2019 1.07 | Elena Koepke Feb 15, 2019

Show notes

On the last occasion where we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn how her experiences have helped change her practice and the edge she now has in dealing with healthcare. The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there? Also - does North America really lack the resources, expertise and money to adpot Cardiopulmonary Exercise Testing (CPET)? Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist. You can find POETTS here: https://www.poetts.co.uk --

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.

Perioperative Medicine Summit 2019 1.06 | Avital O'Glasser Feb 15, 2019

Show notes

Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?

This piece is a thought provoking discussion about new media and the consequences of our online world for medicine. 'The democratisation of education' is a phrase we've heard here on TopMedTalk in the past. How does direct access to information and experts in our field alter the state of play in the perioperative field?

Desiree Chappell and Monty Mythen are presenting with their guest Avital O'Glasser, Assistant Professor of Medicine at OHSU, Oregon Health & Science University and member of the communications committee for SPAQI. --

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.

Perioperative Medicine Summit 2019 1.05 | Frances Chung and Kurt Pfeifer Feb 15, 2019

Show notes

Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative scene before tucking into some of the big stories that are emerging from the conference. Learn more about STOP BANG; Snoring, Tiredness, Observed Apnea, PBP (>140/90) R X or no. How do opioid sensitivity and obstructive sleep apnea effect each other? The opioid crisis, pain as the fifth vital sign and multimodal pain management produce some fascinating discussion, followed by comparisons between healthcare in various territories, Canada, the UK and the US. Finally, what is "the beard test" and "the upper lip bite test"? Check out the official STOP BANG website here: http://www.stopbang.ca Presented by Desiree Chappell and Monty Mythen with their guests, Frances Chung, Professor, Department of Anesthesiology and Pain Medicine, University of Toronto and Kurt J. Pfeifer, Professor of Medicine, General Internal Medicine, Medical Director, Preoperative Evaluation Clinic, Froedtert and Medical College Eye Institute, Medical College of Wisconsin, Milwaukee, WI. -- 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.

Perioperative Medicine Summit 2019 1.04 | The big messages so far Feb 15, 2019

Show notes

What are some of the big take home messages from this conference so far? Lots of material on preoperative assesment, discussion of some of the big trials and papers that have occured in the field and reflections on research into myocardial injury after noncardiac surgery (MINS). This podcast is recorded 'as live' and the team mention interviews which have now been recorded and are available online.

The Steven Cohen and Barbara Slawski conversation is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-01/

The Angela Bader piece is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-03-angela-bader/

And Amir Jaffer is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-02-amir-jaffer/

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

Perioperative Medicine Summit 2019 1.03 | Angela Bader Feb 15, 2019

Show notes

Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of the perioperative process? How do we manage specialist care for the elderly and ensure high quality shared decision making? What lies behind the mindset change needed for some to accept surgery is not always the answer? Should we expect medical students to be taught the principles of perioperative medicine? What are some of the unique tensions in the US system that can frustrate the adoption of a truly perioperative practice? Presented by Desiree Chappell and Monty Mythen with their guest Angela Bader, Vice Chair of Perioperative Medicine at Brigham and Women's Hospital.

Perioperative Medicine Summit 2019 1.02 | Amir Jaffer Feb 15, 2019

Show notes

Discussion begins with an overview of the conference and its roots. Special mention is made regarding the Frank Michota Memorial Lecture which takes place on the Friday morning of the conference.

Also on this podcast, what is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve outcomes? Should we be overly concerned about high cancelation rates for surgery? And what are the advantages of a preoperative risk assessment clinic (PRAC)?

Presented by Desiree Chappell and Monty Mythen with their guest Amir Jaffer, Chief Medical Officer, New York Presbyterian / Queens.

Perioperative Medicine Summit 2019 1.01 Feb 14, 2019

Show notes

The Society for Perioperative Assessment and Quality Improvement (SPAQI) are in Orlando Florida for their 14th annual summit and, of course, we're there to cover it. Find out what you can expect, if you are attending the conference, and what we're going to be bringing you on TopMedTalk, if you couldn't make it this year. Hypotension, the Measurement of Exercise Tolerance before Surgery (METS) Trial and the improving fortunes of asprin. The SPAQI website is here: https://www.spaqi.org Presented by Desiree Chappell with Monty Mythen and their guests Barbara Slawski, Professor of Medicine and Orthopaedic Surgery; Chief, Section of Perioperative and Consultative Medicine; Froedtert and Medical College of Wisconsin and Steven L. Cohn, Professor Emeritus, Director – Medical Consultation Service, Jackson Memorial Hospital University of Miami Miller School of Medicine. -- 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.

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