TopMedTalk
829 episodes - English - Latest episode: over 4 years ago - ★★★★★ - 23 ratingsTopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go
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Episodes
POET 1.05 | Refusing surgery
January 04, 2019 10:00 - 7 minutes - 3.58 MBShould 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? 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, Departmen...
Journal Club 1.05 | Anaesthesia and Analgesia: Subanalysis of the ENIGMA-II Trial
January 03, 2019 10:00 - 10 minutes - 4.66 MBThis week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial". A link to the article is here: https://www.ncbi.nlm.nih.gov/pubmed/29533264 Presented by Monty Mythen and Desiree Chappell.
EBPOM Highlight 1.04 | Cardiac anaesthesia and anaemia
January 02, 2019 10:00 - 25 minutes - 11.9 MBOriginally 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 want to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: [email protected] Presented by Andrew Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital, Cambridge and Editor-in-Chi...
Desiree's Roundtable | How do you bring perioperative care to your practice?
January 01, 2019 10:00 - 6 minutes - 3.15 MBWhat is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes. Desiree Chappell interviews her guest Arman Dagal, Medical Director - Spine COAP at Foundation for Health Care Quality.
Periop Coach 1.04 | ‘Money’s tight’; pull together an ER team with limited resources. The key- NURSES!
December 31, 2018 10:00 - 16 minutes - 7.42 MBImplementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional hierarchical power structure? Presented by Desiree Chappell with her guests Dr Ruchir Gupta, medical lead for enhanced recovery at Stony Brook University and Joni Brady, Perianesthesia, Pain Management Nursing Consultant Alexandria, Virginia.
Sunday Special | Social Media
December 30, 2018 10:00 - 16 minutes - 7.44 MBThis piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique potential of this medium. Also - how has social media, video casting and live streaming altered the way conferences are both organised, executed and received? Finally, our team of experts tackle the eternal question; where to next? Presented by Joff Lacey with his guests; ...
Talks to... | Thomas Scheeren
December 29, 2018 10:00 - 15 minutes - 7.26 MBThe Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to www.topmedtalk.com will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here: https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/ Many practitioners believe th...
POET 1.04 | Measuring the risk of surgery
December 28, 2018 10:00 - 10 minutes - 4.62 MBWhat is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday people' can more easily understand? Professor Monty Mythen presents with 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...
Journal Club 1.04 | Perioperative Medicine: Albumin and AKl
December 27, 2018 10:00 - 27 minutes - 12.5 MBThe piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?". The link is here: https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y Additional links here: "Association between albumin administration and survival in cardiac surgery: a retrospective cohort study": https://www.ncbi.nlm.nih.gov/pubmed/30006911 "Associatio...
TopMedTalk Xmas Special Part 3 of 3
December 26, 2018 10:00 - 28 minutes - 13 MBA three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The Randy Moore piece: https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/ Here's the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences: https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/ Here's are the pieces with Matthew McEvoy, the second is the Q&A section: https://www.topmedtalk.com/ebpom-usa-...
TopMedTalk Xmas Special Part 2 of 3
December 25, 2018 10:00 - 19 minutes - 8.96 MBA three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: Paul Myles and the RELIEF trial results: https://www.topmedtalk.com/the-relief-trial-results/ And here is the "deep dive" we mention: https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/ And here are all the RELIEF trial pieces we've done: https://www.topmedtalk.com/?s=RELIEF Also, make sure you listen to this piece...
TopMedTalk Xmas Special Part 1 of 3
December 24, 2018 10:00 - 20 minutes - 9.39 MBA three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/ The Eric J Schneidewind piece is here: http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-dance-at-my-daughters-wedding The first ever Roundtable discussion is here: https://...
Sunday Special | Mike of the antarctic
December 23, 2018 10:00 - 20 minutes - 9.42 MBFresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" conference. Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/ Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton an...
Talks to ... | Carol Peden
December 22, 2018 10:00 - 21 minutes - 9.66 MBLessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carol Peden, Professor of Anest...
POET 1.03 | Communication uniquely suited to the perioperative domain
December 21, 2018 10:00 - 8 minutes - 4 MBFitness 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 needs 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? 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 Anesthesiol...
Journal Club 1.03 | The METS Trial
December 20, 2018 10:00 - 17 minutes - 8.07 MBHere we have a very special edition of Journal Club, in two distinct parts; the The Measurement of Exercise Tolerance before Surgery (METS) trial is discussed here both before and after the results were released into the public domain. The Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. How will it change practice? Will it alter the use of the Duke Activity Status Index (DASI) for example? Cardiopulmonary Exercise Testing ...
EBPOM Highlight 1.03 | Sprint National Anaesthesia Project, SNAP
December 19, 2018 10:00 - 29 minutes - 13.6 MB"Sprint National Anaesthesia Project, SNAP" was 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'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: [email protected] Presented by Ramani Moonesinghe, Director of the UK National...
Desiree's Roundtable | Don't ask 'what is the matter' ask what matters?
December 18, 2018 10:00 - 20 minutes - 9.46 MBDesiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most? They are joined by two of the guest speakers from the American College of Perioperative Medicine's 2018 conference; Eric J Schneidewind president of the AARP and Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School.
Periop Coach 1.03 | Fluid management - the less explored controversies
December 17, 2018 10:00 - 9 minutes - 4.49 MBA conversation about 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. Click here for the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management withinan enhanced recovery pathway for colorectal surgery: https://...
Sunday Special | The Bigger Picture of Perioperative Medicine.
December 16, 2018 10:00 - 16 minutes - 7.54 MBA transatlantic perspective. This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal changes. Practitioners face a dilemma; how do you best impact value based care, as a specialist, when multidisciplinary approaches are becoming essential? In the UK, The Royal College of Anaesthetists, are working on this very issue; find out how they are becoming part of conversations regarding public health and mod...
TopMedTalks to... | Dan Sessler
December 15, 2018 10:00 - 19 minutes - 8.91 MBThe Elephant In The Room - intraoperative hypotension. A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. This conversation reflects the start of many debates and concern regarding hypotension, a frequent topic here on TopMedTalk. Monty Mythen and Mike Grocott are with Tim Miller, Duke University Medical Centre, speaking with their guest Dr Dan Sessler, Cleveland Clinic.
POET 1.02 | Shared decision making for high risk surgery
December 14, 2018 10:00 - 11 minutes - 5.1 MBPOET - The Perioperative Enhancement Team How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge of all surgery and medicine so that you understand what is going on within the different surgical specialities Presented by Monty...
Intensive Care Society | Critical Care Practitioner Podcast
December 13, 2018 11:48 - 12 minutes - 5.78 MBTopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care practitioner in the UK at the moment? Originally a lot of nurses moved into the sphere but now paramedics, physiotherapists and many others progress into it. Furthermore what's it like taking your professional passion into the world of podcasting? You can hear the C...
Journal Club 1.02 | The RELIEF Trial; a 'deep dive' into the results.
December 13, 2018 10:00 - 28 minutes - 13 MBThe RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists' annual conference at the British Museum this is the moment the team get to pick over the results in detail. One of the biggest trials ever, it has both raised questions and provided answers. Inevitably there has been a huge debate, this piece puts all the major questions and concerns to the...
Intensive Care Society | Nasogastric feeding
December 13, 2018 09:48 - 11 minutes - 5.43 MBHow is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can practitioners do to help avoid this? How do we integrate a dynamic stimulus and react to new research relating to nasogastric feeding? In this piece you will hear about a randomised controlled pilot study investigating the effect of intermittent versus continuous nasogastric feeding on muscle mass and function in intensive care unit survivors. ...
Intensive Care Society | Point of care ultrasound
December 13, 2018 09:45 - 12 minutes - 5.93 MBHow essential is training in focused transthoracic echo for adult intensive care? Ultrasound technology has evolved in recent years, some people say handheld devices look set to become as ubiquitous as a doctor's stethoscope. Could the nurse at the bedside get more involved in the process or is it 'protected turf'? Also, can this technology help patients to become more involved in their treatment and its monitoring? Presented by Monty Mythen and Desiree Chappell with their guest Marcus P...
Intensive Care Society | Nutrition
December 13, 2018 09:41 - 22 minutes - 10.3 MBThis piece starts with a discussion about indirect calorimetry and the challenges associated with it as well as recent improvements in the field. The penn state equation is discussed. Muscle wastage and the need for resistence training, as well as protein feeding is covered. More widely; what does good ICU feeding look like? How can friends and relatives of patients be sure that a loved one is getting good nutritional care? Desiree Chappell and Monty Mythen presenting with their ...
Intensive Care Society | Mike of the antarctic.
December 13, 2018 09:38 - 20 minutes - 9.42 MBFresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" conference. Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/ Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton an...
Intensive Care Society | Alfie the therapy dog
December 12, 2018 11:26 - 9 minutes - 4.29 MBThe Pets as Therapy team have been a huge hit at the Intensive Care Society annual conference. How would you incorporate something like this into your practice? There are currently over 6,000 dogs and cats working in healthcare in the UK. Presented by Desiree Chappell with Monty Mythen and their guests Alfie the therapy dog, Suzy Emsden, volunteer for Pets as Therapy and a pediatric intensivist from the North West, and Matthew Robinson, national project co-ordinator for Pets as Therapy.
Intensive Care Society | Hydration
December 12, 2018 10:44 - 26 minutes - 12.3 MBHow do we maintain hydration in a way which is both safe and comfortable for the patients we treat? What about the post-surgical patient who is full of salt and water but tells us they are thirsty? How can we allow patients to hydrate themselves? Presented by Desiree Chappell with Monty Mythen and their guests Professor Hugh Montgomery, Intensive Care Society Board Member and Professor of Cardiovascular Genetics and Critical Care University College London and Fintan Hughes, Academic Intern...
Intensive Care Society | Antibiotics, fluid balance and haemodynamic monitoring
December 12, 2018 10:26 - 26 minutes - 12.2 MBRecorded live at the Intensive Care Society This piece is a fascinating discussion regarding the use of antibiotics and fluid balance. The conversation then moves into haemodynamic monitoring and the differences between protocols guidelines and algorythms. Presented by Monty Mythen and Desiree Chappell with their guests Professor Mervyn Singer, Intensive Care Medicine at University College London and Fintan Hughes, Academic Intern at St. James's Hospital Dublin.
EBPOM Highlight 1.02 | Post-op critical care: what should we do?
December 12, 2018 10:00 - 22 minutes - 10.2 MB"Post-operative critical care: what should we do?" was 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'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton.
Intensive Care Society | Being on the right side of the law.
December 11, 2018 15:45 - 19 minutes - 9.01 MBA discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas. Presented by Monty Mythen with Desiree Chappell and their guests Hugh Montgomery, and Paul Sankey, Enable Law partner and Clinical Negligence solicitor acting for patients, an accredited expert in his field.
Intensive Care Society | Pets as Therapy
December 11, 2018 15:15 - 13 minutes - 6.19 MBPets as Therapy are a fantastic charity who have provided a practical theraputic service to everyone in attendance at the Intensive Care Society annual conference. The TopMedTalk team were determined to catch up with them and have a discussion about how animals can help us all take the woof with the smooth. Presented by Desiree Chappell with her four special guests, Hillary Burbage, with Matlock and Pamela Pearl, with Frankie.
Desiree's Roundtable | Exercise is real medicine?
December 11, 2018 10:00 - 20 minutes - 9.38 MBThis piece covers; physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'. Desiree Chappell presents with Monty Mythen and their guests; Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone Brian Stewart, Partner/Clinic Director California Rehabilitation and Sports Therapy and Colleen Walsh, Assistant Professor, Nursing University of Southern Indiana, President, National Association of Orthopaedic Nurses.
Intensive Care Society | Hugh Montgomery
December 10, 2018 22:54 - 36 minutes - 16.6 MBThe first day of the Intensive Care Society's annual conference comes to a close. Heart failure session has ‘standing room only’. Is the pulmonary artery catheter back? What have been some of the big take aways in nutrition? Why should you feed a cold and starve a fever? More Protein or less? Finally, ‘humanizing intensive care’. Do we need more ITU pets? Dogs in particular. Desiree Chappell and Monty Mythen confer on the events of the day with their guest Hugh Montgomery, Intensive Ca...
Intensive Care Society | Dan Martin, OBE
December 10, 2018 15:29 - 15 minutes - 6.98 MBDesiree and Monty catch up with Dan Martin, OBE, and speak with him about the Intensive Care Society's annual conference, treating infectious diseases and in particular patients with ebola. Desiree Chappell and Monty Mythen presenting Dan Martin, OBE anaesthetist and intensivist at the Royal Free Hospital and Reader at University College London (UCL).
Intensive Care Society | State of the art 2018
December 10, 2018 13:30 - 24 minutes - 11.1 MBLive from The Intensive Care Society, reflections on the opening session of the UK's annual critical care conference. Presented by Desiree Chappell and Monty Mythen. Find out more www.topmedtalk.com Join the debate [email protected]
Periop Coach 1.02 | Getting on the same page
December 10, 2018 10:00 - 8 minutes - 3.68 MBA conversation about enhanced recovery implementation. Dr Joff Lacey catches up with Mike Scott, Virginia Commonwealth University and Ross Kerridge, John Hunter Hospital, Newcastle, Australia.
Sunday Special | Is the US spending too much on health care and not enough on health?
December 09, 2018 10:00 - 31 minutes - 14.4 MBThis piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org
TopMedTalks to ... | Zeev Kain
December 08, 2018 10:00 - 11 minutes - 5.16 MB"Value based care - it’s an interdisciplinary team sport" Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value based care. Find his podcast here: http://drzeevkain.health/podcast/ If you'd like to find out more about the conference follow this link: https://acpm.health/ovbc2019/
POET 1.01 | Perioperative Enhancement Teams
December 07, 2018 10:00 - 6 minutes - 3.01 MBWhy do you need a "poet"? 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@topmed...
Journal Club 1.01 | NEJM: Balanced Crystalloids vs Saline
December 06, 2018 10:00 - 15 minutes - 7.01 MBThis edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt Medical Centre, USA. One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home Accompanied by a very balanced Editorial by Professor John Myburgh. Click here: http:...
EBPOM Highlight 1.01 | Exercise and cancer
December 05, 2018 10:00 - 13 minutes - 6.1 MBEBPOM Conference Highlight This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.
Desiree's Roundtable 1.01 | Insight into ERAS in Saudia Arabia
December 04, 2018 10:00 - 13 minutes - 6.17 MBThis conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia. Desiree Chappell interviews her guests; Fatimah Alsalah, Anesthesiologist at King Fahad Specialist Hospital in Dammam, Deputy head of the transplant anesthesia section, alongside Nicole Greenshields and Douglas Blackwood, Perioperative Medicine Fellows at The University College London (UCL), Department of Anaesthetics.
Periop Coach 1.01 | Nutrition
December 03, 2018 10:00 - 18 minutes - 8.27 MB"An operation is like a marathon, nobody prepares for that by starving themselves" Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program. -- Click on this link to access the full paper: https://journals.lww.com/anesthesia-ana...
Breathlessness should be investigated irrespective of age
December 02, 2018 10:00 - 31 minutes - 14.5 MBWhen it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related? Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital, explains his more holistic approach to treatment and diagnosis. "Nick the patient" asks a few questions and demonstrates the misunderstanding that many sufferers mig...
Montezuma's revenge
December 01, 2018 10:00 - 10 minutes - 4.62 MBA quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates. A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage of ASER 2017 for TopMedTalk featuring Dr Julie Thacker, President of American Society of Enhanced Recovery and Desiree Chappell a CRNA in Louisville, Kentucky and board member of EBPOM USA.
What do you value?
November 30, 2018 10:00 - 8 minutes - 3.99 MBA round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the fourth segment of the conversation between Desiree, Monty and their two guests; Shawna Butler (RN, NBA who works with Singularity University in Exponential Medicine) and Jennifer Brandon (PT, MPT, Hoag Orthopedic Institute in Irvine, California). Here Monty speaks, from a transatlantic perspective, about the need in value...
Fluid Matters 6/6 | 'Goal Directed Fluid Therapy'
November 29, 2018 10:00 - 38 minutes - 17.4 MBThis is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows. It ends up moving into the subject of 'enhanced recovery after cardiothoracic surgery' and what lessons we can learn from excessive hemofiltration during on bypass surgery. Chaired by Professor Monty Mythen and featuring a presentation by Dr Tim M...