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What I tell my patients to expect after colorectal surgery | EBPOM World Congress 2017 Aug 30, 2017

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Colorectal surgery and Enhanced Surgical Recovery.

Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and president elect at ASER.

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

Join the debate: contact@topmedtalk.com

Goals for Short Term Recovery after Major Surgery | EBPOM World Congress 2017 Aug 30, 2017

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(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery.

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

Monty Mythen speaks with his guest Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and president elect at ASER.

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

Measuring Outcomes following Surgery | ASER 2017 Aug 30, 2017

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Measuring Outcomes

Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways.

Dr Moonesinghe also talks in some detal about the UK perioperative quality improvement program (https://pqip.org.uk/content/home).

"A multidisciplinary initiative supporting local quality improvement to benefit patients undergoing major surgery."

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

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/

The Perioperative Quality Initiative | ASER 2017 Aug 30, 2017

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Discussion of the ASER and POQI papers of 2017.

Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of the American Society of Enhanced Recovery.

Recorded on day one of ASER 2017 meeting in Washington DC this interview is taken from a longer conversation which you can find here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Join in the debate: contact@topmedtalk.com

Enhanced Surgical Recovery: Goal Directed for all ESR Patients? DR Tim Miller, Duke, USA | ASER 2017 Aug 30, 2017

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Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and The Perioperative Quality Initiative (POQI http://www.poqi.org).

For more come to our meetings: http://www.ebpom.org/EBPOM-USA

This highlight clip is taken from a longer conversation to be found here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Perioperative Fluid Management. Get that i.v. down ASAP! | ASER 2017 Aug 30, 2017

Show notes

Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down.

Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada.

"AmericanSociety for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management withinan enhanced recovery pathway for colorectal surgery."

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-016-0049-9

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

Enhanced Surgical Recovery: Tackling the Narcotic Crisis | ASER 2017 Aug 30, 2017

Show notes

The horrors of 'the opioid crisis'.

The fuller version of this piece is to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Featuring Joff Lacey and Monty Mythen with their guest Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER on Narcotics in Enhanced Surgical Recovery.

Check out EBPOM's meetings here: http://www.ebpom.org/EBPOM-USA

ERAS: Team working and managing change | ASER 2017 Aug 30, 2017

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Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA.

Multidisciplinary teams and managing change - 'it's all about the patient'.

Pod Two - LIVE from London | EBPOM World Congress 2017 Jul 26, 2017

Show notes

The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it possible to work out specific odds for a specific patient.

Handling modifiable risk factors; how do we get patients ready for surgery, particularly if they are suffering from comorbidities? A patient may need an operation but is it worth asking, do they need it now? How can we bend the risk curve with proactive advice which may change pathological health issues? How do we inspire patients to look after themselves and become more active within their treatment? Does confronting the realities of surgery help with that education process?

Recorded on day two of EBPOM 2017; Professor Monty Mythen presents, alongside Dr Joff Lacey and their 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

Pod One - LIVE from London | EBPOM World Congress 2017 Jul 26, 2017

Show notes

This discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The Intraoperative hypotension is discussed. New information regarding cognitive function for patients raises big questions. Should shared decision making be re-evaluated? The team then discuss the Perioperative Quality Initiative (POQI) and new information regarding intraoperative hypotension. How rapidly should you attend to fluctuations? What is an appropirate response nowadays? The subject of perioperative nephrology is discussed, including topics such as the fluid challenge, urine output, biomarkers and the timing of renal replacement therapy. Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr Tim Miller from Duke University Medical Centre and John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh. Join in the debate: contact@topmedtalk.com

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