TopMedTalk

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Success means our insurance provider reduced our reimbursements? May 03, 2018

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How do we bend cost curve to our advantage? How do we assert the irreducible minimum? Is it possible to spend less money and get better outcomes? Is it possible to get people to realise that not 'doing something' is sometimes the right decision? How do 'bundle payments' work in relation to overall health?

Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina.

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METS trial - exercise tolerance and surgery outcomes. May 02, 2018

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METS trial - exercise tolerance and surgery outcomes.

The results of the METS trial were presented at the International Anaesthesia Research Society meeting in Chicago.

Measurement of Exercise Tolerance before Surgery (METS) study: a protocol for an international multicentre prospective cohort study of cardiopulmonary exercise testing prior to major non-cardiac surgery (http://bmjopen.bmj.com/content/6/3/e010359).

The trial design is discussed and excitement shared about the potential impact of the results. The study of over 1,400 people involves participants in Canada, the UK, Australia and New Zealand. The full paper is under review at a major journal and following publication will be discussed in full on a future edition of TopMed talk.

Monty Mythen and Professor Mike Grocott presenting from Chicago at the IARS's poster session.

PLEASE NOTE: The results of the trial are not included in this piece.

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Find out about EBPOM's live events: https://ebpom.org/Meetings

Opioid addiction can happen to anyone. May 01, 2018

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Opioid addiction can happen to anyone, even world leading Professors like Dr Paul Wischmeyer. Listen to Paul's story and then spread this important message to colleagues, patients and friends; there is help available, the first and most important step is to ask for it.

Hosted by Desiree Chappell and Monty Mythen. Featuring Dr Paul Wischmeyer, Professor of Anaesthesiology and Surgery at Duke Anesthesiology and TopMedTalk's Henry Howe, a medical student at Bristol University.

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This piece is taken from a longer conversation to be found here: http://www.topmedtalk.com/treating-patients-properly-ebpom-usa/

ERAS for Obstetrics? Apr 30, 2018

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Dr Attilla Kett explains how he applies Enhanced Recovery after Surgery 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

Want to come see us live in London? http://www.ebpom.org/

Journal Club Express 27/04/18 Apr 27, 2018

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Steroids in cardiac surgery: a systematic review and meta-analysis

BJA April 2018, Volume 120, Pages 657-667.

See full article here: https://www.ncbi.nlm.nih.gov/pubmed/29576107

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Don't forget to come and meet the TopMedTalk team at one of the EBPOM events, details on the forthcoming London meeting can be found here: https://ebpom.org/EBPOM2018

How do we encourage population health in a 'fee for service' environment? Apr 26, 2018

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The first conference highlight from EBPOM USA 2018: How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health? How do we get round the fact that we're still in a 'fee for service world'? What is "PBPM"?

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If patients come to us anaemic - they just do worse EBPOM USA Apr 26, 2018

Show notes

How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda?

We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not checked enough. Monty Mythen mentions UK University students appear to suffer from the condition more these days and Lori Heller points out that treating the condition, as part of patient optimisation, is something of a revelation for some, even occasionally removing the need for surgery altogether.

Discussion continues regarding haemoglobin levels and the differentiation between men and women. The importance of discovering the condition early on in the pre-habilitation process is also emphasised. Towards the end of the piece Monty makes some time to speak about the "Iron Woman - Iron Therapy for Female athletes" study instigated by Professor Toby Richards.

This piece was originally streamed live from EBPOM USA and features Professors Monty Mythen and Mike Grocott with guests Lori Heller, Cardiac Anaestheisologist from US Anaesthesia Partners at the Swedish Medical Center in Seattle, and Mike Scott, Professor in the department of Anesthesiology Virginia Commonwealth University Health System in Richmond USA.

Join in the conversation with feedback via contact@topmedtalk.com

Treating patients properly, EBPOM USA Apr 25, 2018

Show notes

Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient.

A fascinating conversation streamed live from Atlanta Georgia during the second day of TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum".

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EBPOM USA: How are you driving perioperative care? Apr 24, 2018

Show notes

This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in advance; ERAS for obstetrics; challenging opioid use with the multimodal pain management; shared decision making in pain management; the importance of clear communication pathways and patient literacy.

This podcast features Desiree Chappell interviewing; Dr Ellen Flanagan, anaesthesiologist and medical director at the Duke preoperative assessment testing clinic, Dr Attila Kett, anaesthesiologist and Chairman at St Peter's University Hospital at New Jersey and Lynn Reede, CRNA and chief clinical officer at the (AANA) American Association of Nurse Anaesthetists.

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This is a not to miss experience EBPOM USA Apr 23, 2018

Show notes

Marc Koch President & CEO of Somnia Inc reviews the conference with Desiree Chappell. What should you expect at an EBPOM meeting? How useful is the practical advice given? How important is the networking side of an event like this?

Hosted by Desiree Chappell.

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