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Brit Journal Anaesthesia: Antiplatelet therapy, bleeding and thrombosis in noncardiac surgery | Journal Club Feb 14, 2019

Show notes

The full title of today's paper is: Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis in patients with coronary stents undergoing noncardiac surgery and you can find it here: https://www.ncbi.nlm.nih.gov/pubmed/30686302

Presented by Dr Joff Lacey, registrar in anaesthesia at St George's Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH.

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 1.10 | Antibiotic stewardship in perioperative care Feb 13, 2019

Show notes

"Antibiotic stewardship in perioperative care" - 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 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).

Opioid reduction | The RoundTable Feb 12, 2019

Show notes

What's it like in rural America working at a small hospital, 'way out on the frontier'? What best practice initiatives are there to help? How can you implement a process of rapid opioid reduction, more than 70%, in just two years? Presented by Desiree Chappell with her guest Bill Prosser, CRNA Peacehealth Florence Oregon. -- 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.

Enhanced Recovery for obstetrics | Perioperative Coach Feb 11, 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

Bill Clinton at the World Patient Safety, Science & Technology Summit | Sunday Special Feb 10, 2019

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Global health is something TopMedTalk listeners are naturally passionate about; here you can listen to the keynote address from the 42nd President of The United States, Bill Clinton, to the World Patient Safety, Science & Technology Summit.

273,077 lives have been saved over the last 7 years with over 90,000 of those in just the last year alone. 4,700 hospitals around the world that are part of this effort. 89 technology companies have committed to share data to help develop algorithms and predict dangerous trends. The patient safety movement now has 35 regional chairs leading local networks across 50 countries. This movement is growing rapidly now, PSMF would like to encourage further support.

Their website is here: https://patientsafetymovement.org

Presented by Bill Clinton, 42nd President of The United States and founder of The Clinton Global Initiative. He is introduced by Joe Kiani, Founder, Chairman & CEO of Masimo, Cercacor & the Patient Safety Movement Foundation.

Michael Ramsay | TopMedTalks to... Feb 09, 2019

Show notes

The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to reduce them down to zero. They need your help, this is a global movement with an action plan to improve the world in an important but achievable way. Their website is here: https://patientsafetymovement.org/ Monty Mythen and Desiree Chappell speak with their guest Michael Ramsay, Chairman, Department of Anesthesiology and Pain Management, Baylor University Medical Center, and President of Baylor Scott & White Research Institute.

POET 1.10 | Give your patients a warm welcome. Feb 08, 2019

Show notes

The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this conversation revolves around how you can keep your patients warm. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/

This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum.

The conversation features Professor Monty Mythen and his guest Mark Harper, Consultant Anaesthetist at Brighton and Sussex University Hospitals, with a research interest in the prevention of perioperative hypothermia and the use of cold water adaptation for theraputic purposes.

Perioperative Medicine: Pulmonary artery catheters in cardiac surgery: a retrospective, cohort study | Journal Club Feb 07, 2019

Show notes

This week on Journal Club we reflect upon the pulmonary artery (PA) catheter.

The following articles were discussed:

JAMA: The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators:

https://www.ncbi.nlm.nih.gov/pubmed/8782638

BJA: Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial):

https://bjanaesthesia.org/article/S0007-0912(17)54207-5/fulltext

Perioperative Medicine: Pulmonary artery catheter use in adult patients undergoing cardiac surgery: a retrospective, cohort study:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201566/

Also, this excellent piece with Thomas Scheeren gets a mention, if you've not heard it yet go here:

https://www.topmedtalk.com/talks-to-thomas-scheeren/

Presented by Monty Mythen with Andy Shaw, Chair of the Department of Anesthesiology and Pain Medicine and Zone Clinical Department Head at The University of Alberta, Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.

EBPOM Highlight 1.09 | Rehabilitation post critical care Feb 06, 2019

Show notes

"Rehabilitation post critical care" - 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 Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia.

Let your patients be 'partners in safety' | The RoundTable Feb 05, 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).

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