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Any answers? Part 4: Quality assurance and quality improvement | EBPOM World Congress 2018 Sep 24, 2018

Show notes

The Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on a 90 day or 180 day scale. What does this mean as regards the drive towards quality improvement in perioperative healthcare? For more on this we highly recommend you listen to these two podcasts here: The Epoch Trial Results: https://www.topmedtalk.com/ebpom-2018-8-the-epoch-trial-results/ The Dawn of a new EPOCH: https://www.topmedtalk.com/ebpom-2018-9-the-dawn-of-a-new-epoch/ Further light at the end of the tunnel is found in this piece about The Emergency Laparotomy Collaborative (ELC) which Monty mentions during the podcast: https://www.topmedtalk.com/ebpom-2018-emergency-lapartoomy-collaborative/ Presented by Monty Mythen and Desiree Chappell with contributions from Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London, Nial Quiney, Consultant Anaesthetist at Royal Surrey County Hospital and Principal investigator for the Emergency Laparotomy Quality Improvement Care Bundle (ELPQuiC) project and Clinical Lead for the Emergency Laparotomy Collaborative (ELC), Carole 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), Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre. This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter! Remedy the situation, for free, now by either going to the website www.topmedtalk.com or following this link to sign up directly: https://www.topmedtalk.com/sign-up/

Any answers? Part 3: The Big Trials | EBPOM World Congress 2018 Sep 23, 2018

Show notes

Here Monty and Desiree present part of Professor Paul Myles's EBPOM 2018 presentation regarding the RELIEF trial, a massive part of the perioperative calendar this year. What are the consequences of this trial for the practice of Enhanced Recovery After Surgery (ERAS)? Also hear more about the follow up trial which will be looking at Acute Kidney Injury (AKI). This then leads to discussion of the OPTIMISE II trial.

Discussion then leads into the FEDORA trial and the IMPRESS trial with a clip of Monty's talk from EBPOM 2018.

Presented by Monty Mythen and Desiree Chappell with contributions from Professor Paul Myles Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine and Professor Rupert Pearse, Intensive Care Medicine at Queen Mary, University of London.

This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter. Go to the website or follow this link: https://www.topmedtalk.com/sign-up/

Is there a global shortfall of anesthesia providers? | AANA 2018 Sep 22, 2018

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Is there a global shortfall of anesthesia providers? How do we widen the number of people in the profession, both nationally and internationally?

TopMedTalk is at the AANA 2018 conference in Boston and will be sharing podcasts from the meeting with you over the next several days.

In this piece Desiree Chappell and Monty Mythen talk with Josh Newman, CRNA and Randy Moore, CRNA and CEO of the American association of Nurse Anesthetists.

The Hypotension Prediction Index (HPI) | TopMedTalk Sep 22, 2018

Show notes

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to www.topmedtalk.com will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/ Many practitioners believe they can predict hypotension by observing trends in a patient's mean arterial blood pressure but data shows the machine learning artificial intelligence used by HPI delivers significantly better results. This piece was recorded during the first Morpheus Consortium Symposium, for more details on that look here: http://morpheusconsortium.org/ Monty Mythen presents with Dr Tim Miller, anesthsiologist from Duke University Medical Centre and Thomas Scheeren, Chair Cardiovascular Dynamics Section at European Society of Intensive Care Medicine - ESICM.

Any answers? Part 2: Should we let the machines help? | EBPOM World Congress 2018 Sep 21, 2018

Show notes

Artificial intelligence; everyone's talking about it and everyone is doing it, or so they say. What's the reality behind these technologies? This discussion delves deep into that future with a discussion about the exciting new developments in the Hypotension Probability Index (HPI) which uses an automated closed loop technology that helps to predict intraoperative hypotension.

This piece is presented by Monty Mythen and Desiree Chappell with contributions from; Sir Bruce Keogh KBE, FRCS, FRCP, British surgeon and physician who specialises in cardiac surgery he was, until this year, Medical Director of the National Health Service in England and National Medical Director of the NHS Commissioning Board (NHS England); Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre; Mike Spiro, anaesthetic consultant at the Royal Free Hospital and also a question from one of the EBPOM Q&A sessions.

Any answers? Part 1: Colloid vs Crystalloid | EBPOM World Congress 2018 Sep 20, 2018

Show notes

Co-presented by Monty Mythen and Desiree Chappell with contributions from Dr Tim Miller, Anaesthesiologist from Duke University Medical Centre, Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine at The University Hospital Southampton NHS Foundation Trust and Paul Myles, Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine.

Physiological Principles of Goal Directed Fluid Therapy | ASA 2017 Sep 19, 2018

Show notes

This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx.

Originally streamed live on www.topmedtalk.com and available here in a slightly longer format: https://www.topmedtalk.com/live-from-boston-asa-2017-physiological-principles-of-goal-directed-fluid-therapy/

Dr Joff Lacey interviews his guest Dr Randall Dull of the University of Illinois, live from the ASA in 2017.

POET – a truly multidisciplinary Perioperative Enhancement Team | EBPOM World Congress 2017 Sep 18, 2018

Show notes

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

Monty Mythen speaks with Professor Sol Aronson, 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: https://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Hot topic: Outcomes after colorectal surgery | POQI Sep 17, 2018

Show notes

This piece is a discussion, originally held last year on www.topmedtalk.com, about outcomes after colorectal surgery. Drinking, Eating, Mobilising and Sleep (DREAMS) within hours of major surgery are key process and outcome measures. The conversation is in relation to the concensus paper which was published by the Perioperative Quality Initiative www.poqi.org and is available for you to read here:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

Presented by Monty Mythen and Joff Lacey with contributions from Dr Julie Thacker, Colorectal Surgeon form Duke and President of the American Society of Enhanced Recovery, Dr Tim Miller, Anesthesiologist from Duke and Professor Mike Grocott, Anaesthesia and Critical Care Medicine, University of Southampton.

Looking to the future - Bruce Keogh Sep 16, 2018

Show notes

The NHS, a national institution beloved by the people of the United Kingdom, is 70 years old. EBPOM celebrated this fact with a talk that asked how this institution can move forward. This short clip is taken from a longer piece which you can find here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/ This piece was streamed live, from the IET at EBPOM 2018, on www.topmedtalk.com Sir Bruce Keogh KBE, FRCS, FRCP, is a giant in the world of UK healthcare. A British surgeon and physician who specialises in cardiac surgery he was, until this year, Medical Director of the National Health Service in England and National Medical Director of the NHS Commissioning Board (NHS England).

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