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Reflections on anaesthesia and perioperative medicine | EBPOM Jul 25, 2022

Show notes

"I think the vast majority of our colleagues still think of anesthesia as a task that has to be completed; rather than a system, or anesthesia being part of a holistic picture or whole system. I think that is something that we need to think when we think of the future"

Ravi Mahajan, Former President of The Royal College of Anaesthetists, UK. This talk 'Reflections on Anaesthesia and Perioperative medicine; looking back / looking forward' was the Rod Armstrong Plenary Lecture of (Evidence Based Perioperative Medicine) EBPOM Ireland 2021. It is presented to you here, in full, free of charge.

If you are interested in attending forthcoming events organised by EBPOM please visit www.EBPOM.org

Chaired by George Shorten, Professor of Anaesthesia and Intensive Care Medicine at University College Cork and Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at The University of Southampton.

TopMedTalk Talks To Alex Oliver | EBPOM World Congress 2022 Jul 18, 2022

Show notes

"EEG is more than a number"

This piece is an early taste of the forthcoming highlights of Evidence Based Perioperative Medicine (EBPOM)'s TopMedTalk presentation.

Subtitled: "pEEG Monitoring in the OR and ICU: From The Table to The Bedside" it was kindly suported by Medtronic

Presented by Desiree Chappell and Monty Mythen with their guest Alex Oliver, Consultant Anaesthetist at The Royal Marsden NHS Foundation Trust.

Unlocking the Perioperative Perspective | EBPOM 2022 Jul 11, 2022

Show notes

"It's been such an amazing.. electric atmosphere"

This bonus piece gives you a taste of the 2022 Evidence Based Perioperative Medicine (EBPOM) meeting in London this year. Look out for some of the talks from EBPOM - provided exclusively for TopMedTalk for free, with thanks to our generous sponsorships and partners.

How has Perioperative Medicine been trust to the forefront of medicine in the wake of the COVID catastrophe? Are we right to take a leadership role as the healthcare industry attempts to recover from the crisis and establish a new normal? Where are the challenges in our field? Also - prehabilitation has been a hot topic for us on TopMedTalk for a few years now, what are some of the big developments there?

Presented by Nick Margerrison, TopMedTalk's senior producer with his guest Adam Beebeejaun, Fellow of Perioperative Medicine at University College London.

A fluid discussion about fluids | EBPOM World Congress 2022 Jul 07, 2022

Show notes

Recorded at EBPOM and presented here 'as live' this piece is an exclusive extra conversation held in between sessions on the subject of fluid balance; is the perennial debate of our conference over, or is there still more to be said?

Listeners are advised further reading is here:

Which goal for fluid therapy during colorectal surgery is followed by the best outcome: near-maximal stroke volume or zero fluid balance?

https://pubmed.ncbi.nlm.nih.gov/22710266/

Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial

https://pubmed.ncbi.nlm.nih.gov/14578723/

Goal-directed fluid therapy in emergency abdominal surgery: a randomised multicentre trial

https://pubmed.ncbi.nlm.nih.gov/34389168/

Presented by Monty Mythen and Desiree Chappell with their guest Birgitte Brandstrup, Consultant Surgeon, Head of the Endoscopic Unit at The Surgical Gastroenterological Department at Glostrup University Hospital.

Sedation in non anaesthetic areas | EBPOM World Congress 2022 Jul 06, 2022

Show notes

A staffing crisis globally in healthcare is pushing forward the need for sedation in non anaesthetic areas. What does this mean for medical practitioners? What are the safest ways to work within this crisis? This is not a conversation about shortcuts and poor practices, it's about delivering a higher and better standard of care within a perioperative environment. Listen in to find out more.

Recorded - as live - at EBPOM 2022; go now to www.ebpom.org for more details about Evidence Based Perioperative Medicine (EBPOM).

Presented by Desiree Chappell and Monty Mythen with their guest Amit Prakash, Consultant in Anaesthesia & Perioperative medicine, Clinical lead Neuroanaesthesia at Cambridge University Hospital, Addenbrookes NHS trust, UK.

This EBPOM extra for TopMedTalk listeners was graciously supported by Medtronic. Thanks to our sponsors we are able to bring you TopMedTalk entirely for free.

Novel Therapies for Perioperative Care | EBPOM Dingle Jul 04, 2022

Show notes

Hear the complete live session with questions from the online audience at one of the stand out presentations of Evidence Based Perioperative Medicine (EBPOM)'s Dingle Conference.

Don't forget if you want full access to our video presentations on demand and are interested in attending the next EBPOM conference ensure you check out www.ebpom.org

Here are the two articles referenced in this piece:

Current status of perioperative hypnotics, role of benzodiazepines, and the case for remimazolam: a narrative review

https://doi.org/10.1016/j.bja.2021.03.028

Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review

https://doi.org/10.1016/j.bja.2018.04.036

Presented by Desiree Chappell VP Clinical Quality for NorthStar Anesthesia and Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A. with their guests; Rob Sneyd, Emeritus Professor, University of Plymouth, Jeff Gadsden, Associate Professor of Anesthesiology, Duke University, USA, Dru Riddle Associate Professor of Professional Practice and Director of Clinical Education, Fort Worth Texas.

Neal Sandy and Karla Asikainen from GE Healthcare | Euroanesthesia 2022 Jun 28, 2022

Show notes

"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!"

This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC).

Presented by Desiree Chappell and Sol Aronson with their guests Neal Sandy, General Manager, Monitoring Solutions at GE Healthcare and Karla Asikainen, Senior Global Product Manager, Mobile Digital Health at GE Healthcare.

-- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare.

Go now to www.twitter.com/topmedtalk

Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

Go now to https://www.facebook.com/TopMedTalk1

Go now to https://www.linkedin.com/company/topmedtalk/

Find out more about The ESAIC here: https://www.esaic.org/

Find out more about GE Healthcare here: https://www.gehealthcare.com/

Tom Westrick and Brandon Henak from GE Healthcare | Euroanesthesia 2022 Jun 28, 2022

Show notes

"We listen a lot to our customers and their patients"

This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the European Society of Anaesthesiology and Intensive Care (ESAIC).

Presented by Desiree Chappell and Sol Aronson with their guests Tom Westrick, President & Chief Executive Officer of Life Care Solutions at GE Healthcare and Brandon Henak, Global Marketing Director, Monitoring Solutions at GE Healthcare. --

Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare.

Go now to www.twitter.com/topmedtalk

Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

Go now to https://www.facebook.com/TopMedTalk1

Go now to https://www.linkedin.com/company/topmedtalk/

Find out more about The ESAIC here: https://www.esaic.org/

Find out more about GE Healthcare here: https://www.gehealthcare.com/

Pain management in the perioperative space | EBPOM Ireland Jun 27, 2022

Show notes

Personalized versus protocolised perioperative pain prediction and management; what are the considerations for a modern practitioner. Where does the data take us? What are the ethics for a responsible value based care approach that seeks to reduce or perhaps even eliminate opioid use? What insights can we glean from a truly transatlantic conversation on these topics? How do we both manage and set expectations for the patient?

This discussion - in its original form - also featured a presentation which you can find here: https://topmedtalk.libsyn.com/website/category/perioperative-pain-control-a-spine-surgeons-perspective-we-have-to-do-better-ebpom-chicago

A full panel discussion chaired by Desiree Chappell, Vice President of Clinical Quality at NorthStar Anesthesia, TopMedTalk lead presenter, Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care, TopMedTalk Editor in Chief and Sol Aronson, Emeritus Professor at Duke University, TopMedTalk USA presenter with their guests Geeta Nagpal, Associate Professor of Anesthesiology and Medical Education at Feinberg School of Medicine, David Edwards, Chief Division of Pain Medicine Vanderbilt University Medical Center and Nicholas Levy, Consultant in Anaesthesia and Acute Pain Medicine in Suffolk.

Improving outcomes of orthopaedic patients | EBPOM Ireland Jun 20, 2022

Show notes

This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice?

Some of the questions from the online audience include: Is Enhanced Recovery After Surgery (ERAS) in orthopaedics a step too far? How do patients who have significant arthropathys engage with a prehab program that makes them fitter? Those that successfully complete the program, are they not the ones who probably don't need joint replacement today and rehab might actually look at elongating that reoperative window?

This piece is presented in proud association with the South of Ireland Association of Anaesthetists (SIAA).

The Centre for Perioperative Care (CPOC) is here: https://cpoc.org.uk/

"Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery" is here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710560/

"Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review" is here: https://pubmed.ncbi.nlm.nih.gov/30236233/

"Intraoperative Hypotension Is Associated With Adverse Clinical Outcomes After Noncardiac Surgery" is here: https://pubmed.ncbi.nlm.nih.gov/33177322/

Presented by Brian O'Donnell, Consultant Anaesthesiologist, Cork University Hospital and Frank Loughnane, Consultant Anaesthesiologist, Cork University Hospital with their guests, Emer Aherne, Consultant Geriatrician specialising in Trauma & Orthopaedic Care at Cork University Hospital, Co-lead Irish Hip Fracture Database and John Whittle, Associate Professor, Perioperative Medicine UCL.

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