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Refusing Surgery | EBPOM World Congress 2017 Sep 04, 2017

Show notes

Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in their approach? How do we effectively communicate risk, both to the patient and the institution you work for?

Recorded on day two of EBPOM 2017; Professor Monty Mythen presents with Dr Joff Lacey and 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.

Sponsored by EBPOM and Edwards Life Sciences.

Join in the debate: contact@topmedtalk.com

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

Fitness for surgery | EBPOM World Congress 2017 Sep 04, 2017

Show notes

Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health of the patient? How do we encourage patients to alter pathological aspects of their lives in order to minimise the chances of a negative outcome?

Sponsored by EBPOM and Edwards Life Sciences.

Join in the debate: contact@topmedtalk.com

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

Perioperative Enhancement Teams | ASER 2017 Aug 30, 2017

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/

Join the debate: contact@topmedtalk.com

Pain Management for ESR "optimal analgesia" | ASER 2017 Aug 30, 2017

Show notes

Pain Relief in Enhanced Surgical Recovery.

Monty Mythen asks Dr Joff Lacey and Professor Mike Grocott to reflect on the pain management discussions from day 1 of the American Society of Enhanced Recovery 2017.

For further reading see the articles in Perioperative Medicine Journal:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5

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

Join in the debate: contact@topmedtalk.com

Standardised Outcomes from Surgery. Drink, Eat, Mobilise (DrEaM) | ASER 2017 Aug 30, 2017

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 (DrEaM). 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/

Length of stay after Major Surgery. Less than 3 days with >90% mobilised on day 1 | ASER 2017 Aug 30, 2017

Show notes

Discussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and outcome measures. This in depth discussion relates to the recently published consensus paper from the Perioperative Quality Initiative.

Monty Mythen and Joff Lacey with Mike Grocott presenting with contributions from Dr Julie Thacker, Colorectal Surgeon from Duke University and President of the American Society of Enhanced Recovery and Dr Tim Miller, Anesthesiologist from Duke University.

POQI website is here: http://www.poqi.org

For further CME read the paper 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 discussion here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Critical Care Provision after Major Surgery | ASER 2017 Aug 30, 2017

Show notes

What is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS)

SNAP-2: EpiCCS will describe the epidemiology of perioperative risk, outcome, critical care referral and admission after inpatient surgery in the UK. It also aims to examine whether planned postoperative critical care admission is effective as an intervention to reduce postoperative morbidity.

http://www.niaa-hsrc.org.uk/SNAP-2-EpiCCS

Monty Mythen speaking with Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre.

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

Join in the discussion: contact@topmedtalk.com

Bowel Prep for colorectal surgery patients on enhanced recovery pathways? EBPOM World Congress 2017 Aug 30, 2017

Show notes

Bowel Prep and Enhanced Recovery After Surgery.

Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery and a Colorectal Surgeon at Duke, USA.

Dr Thacker explains the consensus statement from ASER and the Perioperative Quality Initiative (http://www.poqi.org).

Taken from a longer conversation here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/

Join in the debate: contact@topmedtalk.com

Too many patients presenting for surgery are malnourished. We need to do more to fix this | ASER 2017 Aug 30, 2017

Show notes

"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery.

Monty Mythen and Joff Lacey speak with Dr Paul E Wischmeyer, Professor of Anesthesiology and Surgery at Duke University School of Medicine.

Hear more from Dr Wischemeyer on YouTube: https://www.youtube.com/watch?v=XAYrjf1dhJU

This piece is taken from a longer TopMed talk conversation which you can hear in full here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Join in the debate: contact@topmedtalk.com

Fit for Surgery? Can exercise fight cancer? | ASER 2017 Aug 30, 2017

Show notes

Fit 4 Surgery School and can exercise help fight cancer.

Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation re-habilitation' on day one of the ASER 2017 meeting in Washington DC. Prof Grocott also gives more detail on on-going research that is exploring the impact of exercise on cancer therapy.

For more CME read "Re-designing the pathway to surgery: better care and added value" in Perioperative Medicine here: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0065-4

This taken from a longer conversation here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Join in the debate: contact@topmedtalk.com

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