TopMedTalk

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ERAS and cancer outcomes Apr 04, 2018

Show notes

What drives enhanced recovery for you and how does it change outcomes?

Desiree Chappell presents 'The Roundtable blog'; in this clip she's in conversation with Dr Neil Seeley Chief of anesthesia for Cancer Treatment Centres of America and Dr Michael Scott Professor of Anesthesiology at Virginia Commonwealth University and Professor at The University of Pennsylvania.

This clip is part of a longer conversation which you can find here: https://www.topmedtalk.com/2-6-enhanced-recovery-for-liver-resection-patients/

POQI does review what we are doing Apr 03, 2018

Show notes

Julie Thacker discusses where we're at with enhanced recovery and POQI.

This clip, presented by Desiree Chappell at ASER 2018, is part of a longer piece which can be found here: http://www.topmedtalk.com/what-is-asers-vision-for-2018/

Has ERAS developed an energy of its own? Mar 30, 2018

Show notes

Dr George Nassif explains to Desiree Chappell of The Roundtable blog how Enhanced Recovery After Surgery has grown into a movement which has had far reaching and occasionally unexpected consequences.

The domino effect which starts with enhanced recovery, moves to better patient outcomes and then tackling one of the biggest narcotics epidemics the US has ever seen.

The fuller version of this piece is here: http://www.topmedtalk.com/how-has-enhanced-recovery-changed-your-practice/

ERAS: Implementation and the importance of regular meetings Mar 29, 2018

Show notes

Vicki Morton and Bethany Sarosiek get into a conversation about the importance of regular meetings following the process of ERAS adoption and then its essential maintenance.

How have you managed the adoption process at your institution? Email us contact@topmedtalk.co.uk

The fuller version of this conversation is here: https://www.topmedtalk.com/using-a-team-approach-to-care/

Enhanced Recovery - is there anyone still in the wilderness? Mar 29, 2018

Show notes

Has enhanced recovery reached the mass adoption point or are there still medical institutions which do not know about it? Is it now at a point where the process is just going to run organically? In this podcast the team assess where we are at as the dissemination process appears to be working.

Do you agree that we might in fact be at the tipping point right now?

Email us with your thoughts contact@topmedtalk.com

Join Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar, recorded live at this year's ASER 2018.

The fuller version of this podcast is here: https://www.topmedtalk.com/ready-for-aser-2017/

Should pain relief mean you will feel no pain? Mar 28, 2018

Show notes

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts regarding "the opioid epidemic".

Patrick Shanahan and Mike Grocott discuss the crisis with Monty Mythen. It's a battle which ASER / ERAS and EBPOM are all helping to fight.

The fuller version of this discussion is here: https://www.topmedtalk.com/the-opiate-crisis-topmedtalk-live-from-aser-2018/

Journal club; balanced versus saline Mar 27, 2018

Show notes

This edition of journal club looks at two articles in March 1st 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

Listen to Monty Mythen and our guest Andy Shaw discuss the above.

Andy Shaw is 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).

Techno Talk: My PreOp Mar 26, 2018

Show notes

On this episode Dr Paul Upton explains My Preop. For more information go to: www.ultramed.co Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a sports psychology master.

2.9 The Brain Health initiative Mar 26, 2018

Show notes

Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'.

What practical simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation?

How is perioperative medicine taking control in 2018 and beyond? Mar 24, 2018

Show notes

An intense and fascinating conversation which acts as a swift update for those interested in where perioperative medicine is currently at and what its ambitions for the future should be. Where are we in the process? Put yourself at the forefront of the debate by listening to this piece.

Featuring Carol Peden, Lee Fleisher and Andrea Kurz, live at the Third Annual Quality Improvement Leadership Forum, 2018.

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