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Do you need a poet to do surgery? May 15, 2018

Show notes

ASER 2017 and 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/

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Also - why not put a bit of poetry into your practice - check out the POETTS CPET (Course Cardiopulmonary Exercise Testing For Pre-operative Assessment Course) here: https://ebpom.org/18th-POETTS-CPET-Course

Elderly patients and post operative delirium May 14, 2018

Show notes

A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period, with particular focus on elderly patients.

Monty Mythen and Mike Grocott are joined by their guests Dr Liam Brennan, President of the Royal College of Anaesthetists, and Dr Fay Gilder, Addenbrooke's, Cambridge.

This piece taken from a longer piece to be found here: http://www.topmedtalk.com/live-from-boston-asa-2017-perioperative-delirium-2/

Want to hear more of this sort of discussion? Listen out for Dr Jugdeep Dehsi, and other experts, live from 'Anaesthesia 2018' the Royal College of Anaesthetists annual meeting at the British Museum (May 22nd - 23rd) with the TopMedTalk team.

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Standardised Outcomes from Surgery. Drink, Eat, Mobilise, Sleep (DrEaMS) May 13, 2018

Show notes

Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery.

Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director of the Heath Services Research Centre at the Royal College of Anaesthetists and a lead author of the Perioperative Quality Initiative (POQI http://www.poqi.org) guidelines on outcomes from surgery.

Simple objective measures such as Drinking, Eating and Mobilising, Sleep (DrEaMS).

For further reading see this article in Perioperative Medicine: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

Attend our next meeting: http://www.ebpom.org/EBPOM-USA

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

Measuring risk in surgery; what is a micromort? May 12, 2018

Show notes

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand?

Recorded on day two of EBPOM 2017; Professor Monty Mythen presents with 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.

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

The RELIEF trial results May 11, 2018

Show notes

Monty Mythen presents the results of the RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial. Does it answer the questions you hoped? Does this trial put to bed the questions about liberal vs restricted fluid therapy or is it a debate that's set to run and run? Can a trial ever be truly definitive? Send us your thoughts: contact@topmedtalk.com

Hear Monty Mythen discuss the first thoughts of Paul Myles, Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine, organiser of the trial. Here is the link to the New England Journal of Medicine article which Monty mentions in the piece:

https://www.nejm.org/doi/full/10.1056/NEJMoa1801601?query=RP

Perioperative nephrology and renal injury biomarkers May 11, 2018

Show notes

In this piece find out how renal injury biomarkers can offer practitioners and patients hope.

Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh and Dr Tim Miller from Duke University Medical Centre.

Join in the debate: contact@topmedtalk.com

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

Sleep disorders from the perioperative perspective? May 09, 2018

Show notes

Where should sleep apnea be on the perioperative surgeon's priority list? A fascinating introduction to the topic, sleep disorders affect every area of life but in the perioperative sphere it brings significantly higher risks of complications following surgery. How important is it that such conditions are picked up during pre-operative optimisation? Furthermore, why do the evaluation at all - if no action at all is taken as a result?

A piece originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum".

Featuring hosts Desiree Chappell and Vicki Morton interviewing Dr Andrew R. Spector, Neurologist, Sleep Medicine Specialist at Duke Health. This piece originally featured here in a longer form: http://www.topmedtalk.com/sleep-disorders-in-surgical-patients-ebpom-usa/

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Remember; the Relief Trial results will be here tomorrow, the 10th of May 2018, with Monty Mythen coming to you from Sydney Australia.

The evolving role of the anaesthetist May 08, 2018

Show notes

A conversation that is now even more relevant, the changing role of the anaesthetist. Matters such as population health, lifestyle choices and a wider sense of social responsibility are discussed as Monty asks his contributors, 'is this really what you signed up for'?

Presented by Monty Mythen and Joff Lacey with guests, Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and Liam Brennan President of The Royal College of Anaesthetists and consultant anaesthetist with a paediatric interest at Cambridge University Hospitals.

This piece is taken from a longer conversation to be found here: http://www.topmedtalk.com/live-from-boston-asa-2017-the-bigger-picture-of-perioperative-medicine-the-uk-and-usa-perspective/

The RELIEF Trial - are you ready? May 05, 2018

Show notes

Standby for the results of The RELIEF Trial; coming soon on TopMedTalk, Professor Monty Mythen will be presenting an exclusive programme here covering the results of the trial and discussing its impact.

The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF trial, will it answer the questions we hoped? Will this trial put to bed the questions about liberal restricted fluid therapy or is it a debate that's set to run and run? Can a trial ever be truly definitive?

This piece is taken from a longer piece to be found here: http://www.topmedtalk.com/live-from-boston-asa-2017-the-releif-trial/

A council of nurses May 04, 2018

Show notes

This piece begins with the question, what does Enhanced Recovery mean to you?

Here we go for a ground up approach via a 'council of nurses'. Can a 'roundtable' sometimes work better than the traditional hierarchical power structure?

Desiree Chappell interviews Dr Ruchir Gupta medical lead for enhanced recovery at Stony Brook University.

Taken from a longer conversation to be found here: http://www.topmedtalk.com/what-does-enhanced-recovery-mean-to-you/

Join the debate and tell us your story: contact@topmedtalk.com

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