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TopMedTalk Xmas Special Part 2 | Xmas Special 2018 Dec 25, 2018

Show notes

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

Paul Myles and the RELIEF trial results: https://www.topmedtalk.com/the-relief-trial-results/

And here is the "deep dive" we mention: https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/

And here are all the RELIEF trial pieces we've done: https://www.topmedtalk.com/?s=RELIEF

Also, make sure you listen to this piece, "RCoA 12 Should direct laryngoscopy be consigned to the history books?": https://www.topmedtalk.com/rcoa-12-should-direct-laryngoscopes-be-consigned-to-the-history-books/

The Stuart Grant piece discussed in this podcast is here: https://www.topmedtalk.com/controversies-in-perioperative-medicine/

The Bruce Keogh speech is here, everyone on the TopMedTalk team cites this as a particularly revealing talk, treat yourself and have a listen: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

TopMedTalk Xmas Special Part 1 | Xmas Special 2018 Dec 24, 2018

Show notes

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/

The Eric J Schneidewind piece is here:

http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-dance-at-my-daughters-wedding

The first ever Roundtable discussion is here: https://www.topmedtalk.com/the-singularity-university-and-exponential-change/

The piece mentioned, which features Dr Patrick Shannahan, is here: https://www.topmedtalk.com/heated-discussions-exponential-rise-in-babies-born-addicted-to-opiodes/

This link takes you to Sol Aronson's talk: https://www.topmedtalk.com/ebpom-usa-part-1-a-perioperative-practicum-with-professor-sol-aronson/

And the final piece we discuss, featuring Paul Wischmeyer is here: https://www.topmedtalk.com/treating-patients-properly-ebpom-usa/

Presented by Monty Mythen, Desiree Chappell and Nick Margerrison.

Mike of the Antarctic | Sunday Special Dec 23, 2018

Show notes

Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" conference.

Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/

Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Dr Jim Down, University College London Hospital.

Carol Peden | TopMedTalks to... Dec 22, 2018

Show notes

Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice.

Presented by Monty Mythen and Desiree Chappell with their guest 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).

For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

POET 1.03 | Communication uniquely suited to the perioperative domain Dec 21, 2018

Show notes

Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health needs of the patient? How do we encourage patients to alter pathological aspects of their lives in order to minimise the chances of a negative outcome?

Professor Monty Mythen presents with Dr Joff Lacey and guests, Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Sponsored by EBPOM and Edwards Life Sciences this piece was recorded on day two of EBPOM 2017.

Join in the debate: contact@topmedtalk.com

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

The METS Trial | Journal Club Dec 20, 2018

Show notes

Here we have a very special edition of Journal Club, in two distinct parts; the The Measurement of Exercise Tolerance before Surgery (METS) trial is discussed here both before and after the results were released into the public domain.

The Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. How will it change practice? Will it alter the use of the Duke Activity Status Index (DASI) for example? Cardiopulmonary Exercise Testing (CPET) clearly predicts major complications and is more predictive than the comparators. Why is this not clear in the abstract? Why is there an obsession with major cardiac events when they are rare?

The links mentioned in the piece are here:

https://bmjopen.bmj.com/content/6/3/e010359

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31131-0/fulltext

Presented by Monty Mythen and Desiree Chappell with their guest Professor Mike Grocott of Southampton University and a lead investigator in the METS trial and an author of the paper.

EBPOM Highlight 1.03 | Sprint National Anaesthesia Project, SNAP Dec 19, 2018

Show notes

"Sprint National Anaesthesia Project, SNAP" was 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 Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre.

Don't ask 'what is the matter' ask what matters? | The RoundTable Dec 18, 2018

Show notes

Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most?

They are joined by two of the guest speakers from the American College of Perioperative Medicine's 2018 conference; Eric J Schneidewind president of the AARP and Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School.

Fluid management - the less explored controversies | Perioperative Coach Dec 17, 2018

Show notes

A conversation about ASER fluid management; NPO; preop drinks and keeping the i.v down.

Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada.

Click here for the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management withinan enhanced recovery pathway for colorectal surgery: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-016-0049-9

This conversation is taken from a longer piece to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

The Bigger Picture of Perioperative Medicine | Sunday Special Dec 16, 2018

Show notes

A transatlantic perspective.

This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal changes. Practitioners face a dilemma; how do you best impact value based care, as a specialist, when multidisciplinary approaches are becoming essential?

In the UK, The Royal College of Anaesthetists, are working on this very issue; find out how they are becoming part of conversations regarding public health and modifiable risk factors, as relate to a patient's lifestyle choices and pathology.

The transatlantic perspective is essential here, how do organisations like EBPOM USA advocate these ideas within an American funding model?

No matter which side of the Atlantic you live on there's a very real debate to be had about training students; the job of the anaesthetist has fundamentally altered in recent times. Furthermore, how do those already practising update their skills and stay with the times?

Monty Mythen and Joff Lacey presenting with their guests Liam Brennan, President of the Royal College of Anaesthetists, and Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

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