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Zeev Kain | TopMedTalks to ... Dec 08, 2018

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"Value based care - it's an interdisciplinary team sport"

Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value based care.

Find his podcast here: http://drzeevkain.health/podcast/

If you'd like to find out more about the conference follow this link: https://acpm.health/ovbc2019/

POET 1.01 | Perioperative Enhancement Teams Dec 07, 2018

Show notes

Why do you need a "poet"?

The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.

Monty Mythen speaks with Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

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

Join the debate: contact@topmedtalk.com

NEJM: Balanced Crystalloids vs Saline | Journal Club Dec 06, 2018

Show notes

This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt Medical Centre, USA.

One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home

The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home

Accompanied by a very balanced Editorial by Professor John Myburgh. Click here: http://www.nejm.org/doi/full/10.1056/NEJMe1800449?query=recirc_curatedRelated_article

Featuring Monty Mythen and his guest Andy Shaw, Professor and Chief, Cardiothoracic Anesthesiology at Vanderbilt University Medical Center in Nashville, Tennessee. He is a Fellow of the Royal College of Anaesthetists (UK), a Fellow of the American College of Critical Care Medicine and a Fellow of the Faculty of Intensive Care Medicine (UK).

EBPOM Highlight 1.01 | Exercise and cancer Dec 05, 2018

Show notes

EBPOM Conference Highlight

This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings

Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.

Insight into ERAS in Saudia Arabia | The RoundTable Dec 04, 2018

Show notes

This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.

Desiree Chappell interviews her guests; Fatimah Alsalah, Anesthesiologist at King Fahad Specialist Hospital in Dammam, Deputy head of the transplant anesthesia section, alongside Nicole Greenshields and Douglas Blackwood, Perioperative Medicine Fellows at The University College London (UCL), Department of Anaesthetics.

Nutrition | Perioperative Coach Dec 03, 2018

Show notes

"An operation is like a marathon, nobody prepares for that by starving themselves"

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program.

Click on this link to access the full paper:

https://journals.lww.com/anesthesia-analgesia/Abstract/publishahead/American_Society_for_Enhanced_Recovery_and.96950.aspx

Furthermore, you can listen to one of Paul's excellent talks here: http://topmedtalk.libsyn.com/website/ebpom-2018-perioperative-nutrition-should-be-a-key-part-of-enhanced-recovery

Breathlessness should be investigated irrespective of age | TopMedTalk Dec 02, 2018

Show notes

When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related?

Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital, explains his more holistic approach to treatment and diagnosis.

"Nick the patient" asks a few questions and demonstrates the misunderstanding that many sufferers might have; breathlessness is not always connected to your lungs.

"Johnny the patient" then speaks about his Mother, 84, who has recently experienced breathlessness; she didn't want to complain about it, how can we pick these issues up earlier?

Dan Martin, anaesthetist at The Royal Free Hospital, speaks about his processes including the cardiopulmonary exercise testing they use. Testing patients, during a session on an exercise bike, reveals physiological and pathological causes but furthermore it can reveal the psychological issues which may be behind the problem.

This podcast is presented by Professor Monty Mythen and features contributions from; Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital; Dan Martin, anaesthetist at the Royal Free Hospital and finally 'the patients' Nick Margerrison and Johnny Themans.

Montezuma's revenge Dec 01, 2018

Show notes

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates.

A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage of ASER 2017 for TopMedTalk featuring Dr Julie Thacker, President of American Society of Enhanced Recovery and Desiree Chappell a CRNA in Louisville, Kentucky and board member of EBPOM USA.

What do you value? | TopMedTalk Nov 30, 2018

Show notes

A round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California).

Here Monty speaks, from a transatlantic perspective, about the need in value based care to know your outcomes.

Fluid Matters - 'Goal Directed Fluid Therapy' | TopMedTalk Nov 29, 2018

Show notes

This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows.

It ends up moving into the subject of 'enhanced recovery after cardiothoracic surgery' and what lessons we can learn from excessive hemofiltration during on bypass surgery.

Chaired by Professor Monty Mythen and featuring a presentation by Dr Tim Miller, anaesthsiologist from Duke University Medical Centre and followed by a debate featuring members of the audience and the panel; Professor Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton; Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University and Professor Stuart Grant, MB ChB, FRCA Director, Medical Student Education, Duke University School of medicine.

Join in the debate! Email us your thoughts for inclusion in a future podcast: contact@topmedtalk.com

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