TopMedTalk

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EBPOM 2019 | "My experience ... of esophageal cancer" Jun 29, 2020

Show notes

"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their patients. Hear what it was like to participate in the pioneering, tailored exercise training programme, The Encourage Trial. Also, find out about "the Buddy Scheme" and how becoming a member of a local support group: SPICOS (Support for People Impacted by Cancer of the Oesophagus and Stomach) led to it.

Could a 'Buddy', volunteers who have been in a similar situation and have agreed to be a point of contact for patients and their families, be able to offer reassurance and support at your practice?

Someone your patient can rely on who can honestly say to them; 'Yes, I know exactly what you mean, I know exactly how that feels'.

The Macmillan Cancer Support website is here: https://www.macmillan.org.uk/

Presented by Mo Cottrell, a retired nurse who underwent a 5 week course of Chemoradiotherapy followed by successful surgery for Oesophageal Cancer at Southampton General Hospital in January 2017.

Go now to www.ebpom.org and find out about EBPOM Live From London!

EBPOM Highlight | The Patient Safety Movement Foundation Jun 28, 2020

Show notes

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The Patient Safety Movement Foundation (PSMF) has generated an enormous amount of global news media coverage as it promotes that aim; celebrities, statesmen, politicians and industry leaders are all getting behind an ambition which, after hearing this talk, you are likely to want to see come to pass as much as they do.

The clips used in this presentation are sourced from the PSMF's YouTube channel, find it here: https://www.youtube.com/channel/UCLLtyscblA8aquiXSSrZ1bA

Their official website is here: https://patientsafetymovement.org/

You can find out more about Mike Ramsay and his work there by listening the "TopMedTalks to..." series, where we discuss healthcare with global thought leaders from around the world: https://www.topmedtalk.com/topmedtalks-to-michael-ramsey/

Presented by Michael Ramsay, Chairman, Department of Anesthesiology and Pain Management, Baylor University Medical Center; President, Baylor Scott & White Research Institute with an introduction from Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

Looking for more about EBPOM Live from London? Go now to www.ebpom.org

IMPORTANT | EBPOM LIVE FROM LONDON ANNOUNCEMENT!! Jun 27, 2020

Show notes

This piece is a reminder to all attendees at EBPOM Live From London that you should check the website now for details and content: www.ebpom.org

If you are looking for your usual fix of perioperative medical education but didn't manage to get tickets in time here are three excellent pieces from the archives:

The Brain Health Initiative: https://www.topmedtalk.com/the-topmedtalk-top-ten-the-brain-health-initiative/

The National Emergency Laparotomy Unit and Shared Decision Making: https://www.topmedtalk.com/the-topmedtalk-top-ten-the-roundtable-on-nela-and-shared-decision-making/

Methadone, a forgotten friend? https://www.topmedtalk.com/topmedtalk-methadone-a-forgotten-friend-2/

The NHS - over 70 | EBPOM World Congress 2018 Jun 26, 2020

Show notes

The NHS, a national institution beloved by the people of the United Kingdom is over 70 years old. EBPOM celebrated this fact with a talk that gets right to the heart of why this institution is so special and also how it can move forward in the brave new world we find ourselves in now.

This piece was streamed live, from the IET at EBPOM, on www.topmedtalk.com

Sir Bruce Keogh KBE, FRCS, FRCP, is a giant in the world of UK healthcare. A British surgeon and physician who specialises in cardiac surgery he was, until this year, Medical Director of the National Health Service in England and National Medical Director of the NHS Commissioning Board (NHS England).

Go check out the EBPOM website and secure last minute tickets to EBPOM Live From London now: www.ebpom.org

EBPOM 2019 | Nutrition and surgery- a Dietician's perspective Jun 25, 2020

Show notes

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best way to screen patients for malnutrition risk? How can a patient's anthropomitry be assesed alongside their stated needs and preferred outcomes? How important are protein supplements? What are the wider benefits of a good diet? How do we devise nutrition care plans for malnurished patients who need a more aggressive approach? Is it fair to say that everybody can benefit from some nutritional consultation day a dietician? What are the data and studies which support prehabilitation nutritional programmes?

Presented by Chelsia Gillis, Registered Dietitian, Canadian Vanier Scholar, and PhD Candidate in Epidemiology at the University of Calgary, Canada, she is leading the first prehabilitation program for colorectal surgery in Alberta.

EBPOM Live From London is on, check out ebpom.org

EBPOM 2019 | The Opioid Crisis - Q&A Jun 24, 2020

Show notes

This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an understanding where the entire continuum of care is on the same page as regards pain relief? What's the level of adoption for opioid free anaesthesia? Can re-languaging pain or "re-writing the narrative" help, for example is it better to speak of 'comfort levels' as opposed to pain? What's the latest thinking as regards caffeine as an aid to comfort? Should we be worried about post operative delerium as regards ketamine use? What about gabapentinoids in the elderly? What about Midazolam? What should we send patients home with afterwards?

Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of research for the Perioperative Medicine Fellowship at Duke.

EBPOM Highlight | Rehabilitation post critical care Jun 23, 2020

Show notes

"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent talk, for free, on this podcast.

If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com

Presented by Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia.

Have you heard? EBPOM 2020 – live from London – is on!

Go now to: https://ebpom.org/EBPOM2020

EBPOM 2019 | Cleveland Clinic London Jun 22, 2020

Show notes

The Cleveland Clinic London Hospital opens to inpatients in early 2021. Here you can hear what it is about, how it is going to work and how it intends to improve healthcare in the UK.

Presented by Nick Fletcher, Chair of the Institute of Anaesthesia and Critical Care at the Cleveland Clinic London, Consultant in Anaesthesia and Critical Care, St Georges University Hospital NHS Foundation Trust.

The Balanced Anesthesia Study |Prato 2019 Jun 21, 2020

Show notes

This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a multi-centre trial?

More on the study here: https://journals.lww.com/anesthesia-analgesia/FullText/2015/08000/Rationale_and_Design_of_the_Balanced_Anesthesia.14.aspx

More on the Confusion Assesment Method here: https://www.guysandstthomas.nhs.uk/resources/our-services/acute-medicine-gi-surgery/elderly-care/cam-diagnostic-algorithm.pdf

The Hospital Elder Life Program (HELP) for Prevention of Delirium is here: https://www.hospitalelderlifeprogram.org/

We discuss the ENGAGES trial here: https://www.topmedtalk.com/journal-club-1-14-jama-the-engages-randomized-clinical-trial/

More on the Women in Anaesthesia Research, a BJA Symposium, here: https://www.periopmedicine.org.au/2019prato

Presented by Desiree Chappell and Monty Mythen with Lis Evered, neuroscientist and Head of Research in the Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital, Melbourne. She has led an international group to standardise nomenclature for cognitive change associated with anaesthesia and surgery. She is an Editorial Board member of British Journal of Anaesthesia.

Like this, want more?

Lis Evered also features on TopMedTalk here: https://www.topmedtalk.com/sunday-special-the-perioperative-cognition-workshop-part-1/

ASA 2019 | Perioperative Quality Initiative P.O.Q.I. news Jun 20, 2020

Show notes

"Every fourth operation there is evidence of a modifiable risk factor".

The Perioperative Quality Initiative (POQI) is our starting point for this conversation, seven concensus conferences focusing on various topics of interest to the perioperative practitioner. Check out their extensive open source resources here: www.poqi.org

Hypotension and Mean Arterial Pressure (MAP) are discussed in detail; how are patients now being managed? How can a 'hazard index' help?

"25% of our patients experience hypotension!"; regular TopMedTalk listeners know this has been frequently highlighted as an issue for patient mortality.

Also, 26 minutes in, hear about the recent POQI and Acute Dialysis Quality Initiative (ADQI) meeting of 2019. "There is no such thing as a bit of a creatinine bump that is 'normal'".

Presented by Desiree Chappell, Monty Mythen and a surprise appearance from Sol Aronson, with their guest Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK).

Like this, want more?

Find out more about POQI here: "Desiree's Roundtable | What is the Perioperative Medicine Summit?" https://www.topmedtalk.com/desirees-roundtable-what-is-the-perioperative-medicine-summit/

For more regarding the papers published by POQI, referenced in this piece, go here: "Sunday Special | Blood Pressure" https://www.topmedtalk.com/sunday-special-blood-pressure/

We speak with Dan Sessler here: https://www.topmedtalk.com/topmedtalks-to-dan-sessler-2/

Also, if you enjoyed Andrew Shaw's take on these issues go listen to this fascinating conversation: "Desiree's Roundtable | Fluids in the 2020's" https://www.topmedtalk.com/desirees-roundtable-fluids-in-the-2020s/

Finally, Professor Sol Aronson, tenured, Duke University, who features on this podcast, delivered a talk you're bound to love here: "Perioperative Medicine is population health" https://www.topmedtalk.com/poet-6-01-perioperative-medicine-is-population-health/

EBPOM "Live from London" - the hottest tickets in anaesthesia and perioperative medicine - go now to the website: https://www.ebpom.org/EBPOM2020

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