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Live from Boston ASA 2017 - The RELIEF Trial Oct 23, 2017

Show notes

The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed.

How much IV fluid should be used? Will a more restrictive approach be useful? The trial design is discussed, pre-trial surveying, how they went about setting it up and what protocols they followed.

Will this trial put to bed the questions about liberal restricted fluid therapy? Can a trial ever be truly definitive?

Presented by Monty Mythen, Mike Grocott and Joff Lacey, joined by their guest Professor Paul Myles (The Alfred, Melbourne).

This article mentioned in BMJ Open is found here: http://bmjopen.bmj.com/content/7/3/e015358

Live from Boston ASA 2017 - Life at The Extremes - trials on Everest & adapting to hypoxia Oct 23, 2017

Show notes

A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions, we assume it will inevitably cause damage but this is not always the case. How do people who have inherited a tolerance for low levels of oxygen manage?

Monty Mythen, Mike Grocott and Joff Lacey are joined by special guest Dr Dan Martin OBE Consultant in Intensive Care and Everest summiteer.

Live from Boston ASA 2017 - Anaesthesia and Global Health - an expert view Oct 23, 2017

Show notes

Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the World Federation of Societies of Anaesthesiologists, WFSA), Julian Gore-Booth (CEO of WFSA) and Dr Paul Clyburn (President of the Association of Anaesthetists of Great Britain and Ireland) to discuss the unmet global need for safe and accessible anaesthesia.

Live from Boston ASA 2017 - Perioperative Delirium Oct 22, 2017

Show notes

A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period.

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.

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Live from Boston ASA 2017 - Goal Directed Fluid Therapy - Increased Risk of Kidney Injury? Oct 22, 2017

Show notes

Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the impact of GDFT on postoperative acute kidney injury in the colorectal patient.

Live from Boston ASA 2017 - Physiological Principles of Goal Directed Fluid Therapy - fluid responsiveness, the stressed system and the glycocalyx Oct 22, 2017

Show notes

Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the need to rethink our approach.

Live from Boston ASA 2017 - Enhanced Recovery and Protocolised Care in Cardiac Surgery Oct 22, 2017

Show notes

Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.

Live from Boston ASA 2017 - The Elephant In The Room - intraoperative hypotension Oct 22, 2017

Show notes

A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management.

Monty Mythen and Mike Grocott are joined by their guests Dr Dan Sessler, Cleveland Clinic, and Dr Tim Miller, Duke University Medical Centre.

Live from Boston ASA 2017 - Intraoperative Goal Directed Fluid Therapy - where do we stand? Oct 22, 2017

Show notes

This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the Perioperative Quality Initiative guidelines, assessment of risk and how this relates specifically to laparoscopic surgery.

Updates on relevant trials and the importance of risk stratifying patients to ensure goal directed fluid therapy is used on those that stand to really benefit.

Presented by Monty Mythen, Mike Grocott and Joff Lacey, who are joined by Dr Tim Miller, Duke University Medical Centre, and Professor Mike Scott, Virginia Commonwealth University.

Live from Boston ASA 2017 - The Bigger Picture of Perioperative Medicine - the UK and USA perspective Oct 21, 2017

Show notes

This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal changes. Practitioners face a dilemma; how do you best impact value based care, as a specialist, when multidisciplinary approaches are becoming essential?

In the UK, The Royal College of Anaesthetists, are working on this very issue; find out how they are becoming part of conversations regarding public health and modifiable risk factors, as relate to a patient's lifestyle choices and pathology.

The transatlantic perspective is essential here, how do organisations like EBPOM USA advocate these ideas within an American funding model?

No matter which side of the Atlantic you live on there's a very real debate to be had about training students; the job of the anaesthetist has fundamentally altered in recent times. Furthermore, how do those already practising update their skills and stay with the times?

Monty Mythen and Joff Lacey presenting with their guests Liam Brennan, President of the Royal College of Anaesthetists, and Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

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