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Intensive Care during COVID19 P1 | TopMedTalk Feb 14, 2022

Show notes

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?

This is part one of a two part piece.

The TV show mentioned in this piece is available here: https://www.channel4.com/programmes/help

Editor's note; parts of this conversation which suffered from technical issues have been removed from this podcast.

Chaired by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at UCL and a consultant anesthetist at UCL hospitals, Director of the Health Services Research Center of the Royal College of Anaesthetists and national Clinical Director for critical and perioperative care at NHS England, with remote assistance from Catherine Motherway, consultant in Anaesthesia and Intensive Care in University Hospital Limerick and contributions from panelists; David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL, Jim Down, Intensivist and Consultant Anaesthetist, University College London Hospital. Colman O'Loughlin, consultant Anaesthesia, Critical Care Medicine, Extracorporeal Life Support at the Mater Hospital, Dublin, Enda O'Connor, physician intensivist and current ICU Lead and Education Lead in St James's Hospital.

Part 3 Know AKI and say no to acute kidney injury for patients | Health systems perspectives in AKI Feb 07, 2022

Show notes

"Kidney disease ... is clearly a public health concern"

Health systems perspectives in acute kidney injury, this podcast is part 3 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI.

For part one go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury

For part two go here: https://topmedtalk.libsyn.com/part-2-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-aki-recomendations-and-research-priorities-from-adqi-24poqi-7

This piece is one of the highlights of both EBPOM London and EBPOM Dingle/Chicago where it provoked much discussion amongst the delegates. What does the data and evidence tell us about acute kidney injury (AKI) and how to respond to it? How do we detect and diagnose it as soon as possible? What else can be done? You can watch a video of the lecture in the on demand section of of the EBPOM Education Hub (www.ebpom.live.org).

This piece was recorded in advance of the the annual general meeting of the American Society of Anesthesiologists (ASA). TopMedTalk will be live streaming from the event, checkout www.ebpom.live.org for more details.

Presented by Sandra Kane-Gill, PharmD, MSc, FCCM, FCCP, is Professor of Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy.

The value of tackling post operative nausea and vomiting | TopMedTalk Jan 31, 2022

Show notes

This piece is the first of a four part series, supported in part through an unrestricted educational grant from Acacia Pharma, Inc, tackling the subject of post operative nausea and vomiting. How do practitioners who have an emphasis upon value based care incorporate dealing with one of the less pleasant realities of surgery for a patient?

For the fuller conversations quoted in this piece please checkout the following:

New treatments for Post Operative Nausea and Vomiting | TopMedTalk

https://www.topmedtalk.com/new-treatments-for-post-operative-nausea-and-vomiting-topmedtalk/

Why do we need a new rescue antiemetic | Novel Rescue PONV therapy

https://editors-top-picks.libsyn.com/why-do-we-need-a-new-rescue-antiemetic-novel-rescue-ponv-therapy

Quality measures in Anesthesia | Novel Rescue PONV Therapy

https://editors-top-picks.libsyn.com/quality-measures-in-anesthesia-novel-rescue-ponv-therapy

Stop your patients feeling sick | Novel Rescue PONV Therapy

https://editors-top-picks.libsyn.com/stop-your-patients-feeling-sick-novel-rescue-ponv-therapy

Part 2 Know AKI and say no to acute kidney injury for patients | Perioperative AKI: Recomendations and Research Priorities from ADQI-24/POQI-7 Jan 24, 2022

Show notes

For part one of this series go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury

This piece is a series of recommendations from the Acute Disease Quality Initiative (ADQI-24) and the Perioperative Quality Initiative (POQI-7).

The article mentioned in this piece is here: https://www.nature.com/articles/s41581-021-00418-2

Originally part of the Evidence Based Perioperative Medicine (EBPOM) World Congress this presentation is also available in video format via www.ebpom.org

Presented by John Prowle, Senior Clinical Lecturer in Intensive Care Medicine within the Critical Care and Perioperative Medicine Research Group at Barts and the London School of Medicine and Dentistry, Queen Mary University of London and is an Honorary Consultant Physician in Intensive Care Medicine and Nephrology at the Royal London Hospital, Barts Health NHS Trust, London, UK.

Quality measures in Anesthesia | Novel Rescue PONV Therapy Jan 17, 2022

Show notes

"We have to decide; if it's safe, how do we do it, and how do we do it right?"

This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? How do we mitigate cost, need and quality?

Supported in part through an unrestricted educational grant from Acacia Pharma, Inc.

To hear more from our guest go here: https://www.topmedtalk.com/topmedtalks-to-rick-dutton/

Presented by Desiree Chappell and Monty Mythen with Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP), Texas.

Key update on Intraoperative Hypotension | EBPOM Chicago Jan 11, 2022

Show notes

This deep dive into intraoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand what it is that we are doing well when it comes to prevention?

Presented by Desiree Chappell and Monty Mythen with their guests Thomas Scheeran, Professor of Anaesthesiology, University Medical Centre, Groningen, Netherlands and Ashish Khan, Associate Professor, Department of Anesthsiology, Wake Forest School of Medicine.

Part 1 Know AKI and say no to acute kidney injury for patients | Perioperative Renal Injury Jan 10, 2022

Show notes

This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, restrictive versus liberal fluid therapy and the trials we've seen in recent years which have revitalized debate and learning.

The clips used come from the following podcasts:

Michelle Chew's clip comes from here: EUROANAES2019 | Michelle Chew http://www.topmedtalk.com/euroanaes2019-michelle-chew/

Andy Shaw's clip comes from here: SCA | Improving your practice http://www.topmedtalk.com/sca-improving-your-practice/

John Kellum is here:

Perioperative Nephrology Fluids and the Kidney http://www.topmedtalk.com/periop-coach-4-06-perioperative-nephrology-fluids-and-the-kidney/

Renal Injury Biomarkers http://www.topmedtalk.com/renal-injury-biomarkers/

Urine Output http://www.topmedtalk.com/urine-output/

Vincent D'Intini's contribution originally appeared here: Periop SIG18 | Goal directed therapy to prevent acute kidney injury http://www.topmedtalk.com/periop-sig18-goal-directed-therapy-to-prevent-acute-kidney-injury/

Paul Myles's contributions feature also in this pertinent piece alongside Rupert Pearse: EBPOM London 2018 – any answers | Part 3 The Big Trials http://www.topmedtalk.com/ebpom-london-2018-any-answers-part-3-the-big-trials/

Tim Miller is worth listening to in more detail here: Live from Boston ASA 2017 – Intraoperative Goal Directed Fluid Therapy http://www.topmedtalk.com/live-from-boston-asa-2017-intraoperative-goal-directed-fluid-therapy/

Dan Sessler is here: Live from Boston ASA 2017 – The Elephant In The Room – intraoperative hypotension http://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/

David Kauffman and Greg Martin feature here: Fluid Matters 3/6 | Fluid Responsiveness and venous capacitance http://www.topmedtalk.com/fluid-matters-3-6-fluid-responsiveness-and-venous-capacitance/

Dan Engelman features here: Daniel Engelman Q&A | EBPOM Chicago http://www.topmedtalk.com/daniel-engelman-qa-ebpom-chicago-2/

EBPOM Highlight | Enhanced Recovery After Cardiac Surgery http://www.topmedtalk.com/ebpom-highlight-enhanced-recovery-after-cardiac-surgery/

For more from (Trainees in Perioperative Medicine) TRIPOM and Mike Grant go here: TRIPOM 1.02 | EBPOM USA 2019 http://www.topmedtalk.com/tripom-1-02-ebpom-usa-2019/

TopMedTalk is proud to act as the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM) for more information please go now to www.ebpom.org

The role of the sedationist | TopMedTalk Jan 03, 2022

Show notes

"Our top priority must be safety"

A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the point of view of a patient focused practitioner.

For more conversations along these lines make sure you listen to our coverage of the annual general meeting of the American Society of Anesthesiologists (ASA) on October the 9th. TopMedTalk will be live streaming from the event, checkout www.ebpom.live.org for more details.

Presented by Monty Mythen and Desiree Chappell with their guest Rob Sneyd, Emeritus Professor at University of Plymouth, Faculty of Medicine and Dentistry.

Why do we need a new rescue antiemetic | TopMedTalk Dec 27, 2021

Show notes

"There are so many, many studies on prophylaxis, but very few on treatment"

Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? This piece focuses upon nausea and treatment in particular as part of an Enhanced Recovery practice.

Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting: https://journals.lww.com/anesthesia-analgesia/fulltext/2020/08000/fourth_consensus_guidelines_for_the_management_of.16.aspx

Supported in part through an unrestricted educational grant from Acacia Pharma, Inc.

Presented by Desiree Chappell and Monty Mythen with their guest Tricia Meyers, PharmD, adjunct Professor, Texas A&M, College of Medicine.

Perioperative anemia clinics, panel discussion | EBPOM Chicago Dec 20, 2021

Show notes

What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative process?

This piece follows on from a presentation regarding how to set up and run an anemia clinic, follow this link here to hear that presentation: https://topmedtalk.libsyn.com/how-to-set-up-and-run-a-perioperative-anemia-clinic-ebpom-chicago

For more on this topic listen to our popular podcast "Iron Man vs Anemia" which also features Toby Richards: https://www.topmedtalk.com/topmedtalk-iron-man-vs-anemia-2/

Chaired by Feyce M. Peralta, obstetrical anesthesiologist, Program Director for the Obstetric Anesthesiology Fellowship and Director of Faculty Development for the Department of Anesthesiology at Northwestern University Feinberg School of Medicine with guest speaker, Professor Bobbi Jean Sweitzer, The Associate Chair for Clinical Perioperative Practice, Northwestern University in Chicago, Illinois and panel members Toby Richards, Professor, Anaesthesia Teaching & Research Faculty of Medicine, Nursing and Health Sciences Central Clinical School, Monash University, Obianuju Okocha medical director of the preoperative clinic at Northwestern Memorial Hospital, Chicago & Frank Loughnane, Consultant Anaesthesiologist Cork University Hospital, Clinical lead for orthopaedic elective and trauma anaesthesia, Joint Clinical lead for pre-operative assessment, Clinical lecturer University College Cork.

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