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PODCAST

TopMedTalk

TopMedTalk 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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All Episodes

01:05:17

Total ERAS is essential to clear the backlog |...

TopMedTalk ·

2021/06/29

"Data is key and having champions is key" This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our needs in the wake of COVID 19; now more than ever true enhanced recovery after surgery (ERAS) is essential. Optimising value, reducing the need for return visits, decreased length of stay, there is almost no aspect of perioperative medicine and enhanced recovery that is not going to be crucial for our institutions in the near and present future. A data

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39:37

What is Connected Care? | EBPOM 2021 London

TopMedTalk ·

2021/06/28

"Connected care is a combination of the right tech, to monitor the patient, that's human factor friendly and easy to use" This piece is an in-depth look at how remote patient monitoring is evolving to suit a need that's growing as patients require more from their healthcare. The COVID-19 crisis has pushed these issues to the forefront, how can your institution modernize and evolve in this direction? Presented by Desiree Chappell with Monty Mythen and their guest Sam Ajizian CMO Patient monitoring at

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47:21

Cryoneurolysis and pain management | TopMedTalk

TopMedTalk ·

2021/06/28

"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology" This piece focuses upon two 'early adopter' orthopedic surgeons changing up the way we treat joint pain for surgical patients. We mention Iovera, a provider at the forefront of this technology: https://www.iovera.com/ The Doc Social website is here: www.doc.social/ The Evidence Based Perioperative Medicine (EBPOM) website is here: www.ebpom.org This piece also

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37:49

Perioperative Medicine - where we were, where we are...

TopMedTalk ·

2021/06/27

This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions submitted from the online audience the panel get into the detail. Essential listening for any student of perioperative medicine. It includes a mention for the Welsh Perioperative Medicine Society, their website is here: https://www.welshpoms.com/ This is part two of a two part piece of the

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37:09

The hidden pandemic of post operative complications |...

TopMedTalk ·

2021/06/26

This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of these problems systematically. Healthcare organizations have to deliver high quality, competitive and sustainable results and costs. Good quality perioperative surgery is absolutely critical to maintain the health and well being of our population going forwards; this talk is a step in that direction. Presented by Guy Ludbrook Professor of Anaesthesia at

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32:51

Perioperative Medicine - where we were, where we are...

TopMedTalk ·

2021/06/25

This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions submitted from the online audience the panel get into the detail. Essential listening for any student of perioperative medicine. When should we pre-assess patients? Should all anaesthetists be doing pre-operative sessions? What is it about the role of the anaesthestist that makes it

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40:55

Depth of anaesthesia and long term outcomes | EBPOM...

TopMedTalk ·

2021/06/24

"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse events. There's very few proven primary or secondary prevention measures, and the resources for monitoring and trading complications are inadequate. So - more action is required". This piece looks at the evidence as regards perioperative outcomes for the elderly, depth of anesthesia and mortality. Also, what's the latest on depth of anesthesia and

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35:39

Haemodynamic optimisation: the song remains the same...

TopMedTalk ·

2021/06/23

"The song remains the same" The story picks up toward the end of the 1970's; "interesting stuff was going on ... Professor William Shoemaker, a surgeon and intensive care doctor one of the founding members of the American critical care society ... fiddling around with pulmonary artery catheters in his high risk surgical patients in South Los Angeles, and identified that those patients that were surviving tended to have higher cardiac indexes higher option deliveries than the non survivors". This

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15:58

EBPOM London 2020 | 'Hip Attack' with PJ Devereaux

TopMedTalk ·

2021/06/22

"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with accelerated surgery. The logistics and resources required for accelerated surgery need to be balanced with the demonstrated benefits and patient's desires for accelerated surgery" This exciting piece from EBPOM 2020 provides a data download that further illucidates the perennial debate surrounding hip fractures and their management and treatment. What is the

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25:03

Perioperative anticoagulation and anti platelet...

TopMedTalk ·

2021/06/21

This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience: What is your opinion about spinals and hip fractures for patients on clopidogrel? Do you use any near patient tests to confirm residual anticoagulation? Where are the best guidelines to be found? We suggest you listen to this piece alongside part 1. Presented by Sol Aronson, tenured Professor at Duke University, with his guests; Angela Bader,

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34:11

Perioperative anticoagulation and anti platelet...

TopMedTalk ·

2021/06/20

The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap stories from their time in practice. The conversation moves to protocols, guidelines and also, when where and how to begin bridging. This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience. Presented by Sol Aronson, tenured Professor at Duke University, with

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18:44

Daniel Engelman updates in cardiac | EBPOM USA -...

TopMedTalk ·

2021/06/19

How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac), more information can be found on their website: https://www.erascardiac.org/ Since this address was given at Evidence Based Perioperative Medicine (EBPOM) Chicago's 2020 meeting TopMedTalk has been proud to bring you

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24:28

The value proposition in perioperative medicine...

TopMedTalk ·

2021/06/18

"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, there can be some opportunities for cost savings; even if it 'breaks even' if the patients are happier, isn't that worth moving into the concept and proving that it does make a difference?" The value proposition is an essential element of advocating perioperative care; we know it provides safer, better quality outcomes but how do we translate that into a

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20:12

The size and scope of the problem with Jim Grant &...

TopMedTalk ·

2021/06/17

"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within Michigan is really an unmatched place to kind of realize that vision." This piece asks the question; "why do we need perioperative medicine"? The answer is illustrated with a real success story where practitioners realise the value proposition it unlocks for their patients every day. Hear how it is achieved and why it is so important. Presented by

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16:17

Models of perioperative care "the science of value"...

TopMedTalk ·

2021/06/16

This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for payment system creaks against concerns about rising costs and the need for population health management. Can we move forward with "the science of value" which true perioperative medicine offers us? It's a talk which is designed to spark debate and that follows in part two of this piece. Presented by Sol Aronson, tenured Professor, Duke University,

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24:43

Daniel Engelman Q&A | EBPOM USA - Chicago

TopMedTalk ·

2021/06/15

"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address

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48:12

Postoperative critical care: How do we help? | EBPOM...

TopMedTalk ·

2021/06/14

This piece is a question and answer session with questions from the online audience. What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? Why is it good for our patients? As regards admissions to your campus care area; what criteria do you use? Do we need rapid critical care expansion in countries with very few beds? Could the enhanced care wards, in their approach, be compared with the post anaesthetic care unit? Would

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21:53

Roundtable discussion: Delivering value (REPEAT) |...

TopMedTalk ·

2021/06/13

This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value proposition in perioperative medicine | EBPOM 2021 Las Vegas", if you'd like to hear that go here: https://topmedtalk.libsyn.com/the-value-proposition-in-perioperative-medicine-ebpom-2021-las-vegas How do we as practitioners deliver value? How does 'population health' fit into the picture? How long before and after surgery are we invested in managing

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18:22

Leadership with Jeff Vender: Part 2 - Q&A | EBPOM USA...

TopMedTalk ·

2021/06/12

This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our speaker outlines his thoughts in a short talk. Now questions from the audience are considered and the conversation develops. What have we learned after the recent huge changes we've seen in our profession? Presented by Desiree Chappell and Monty Mythen with Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at

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19:27

Leading Health Systems in times of change with Jeff...

TopMedTalk ·

2021/06/11

"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. If you believe you can." This piece contains a powerful, inspirational and prescient talk about leadership. Part 1 contains some conversation and the talk, to be followed by questions from the audience in Part 2. Where do leaders come from, what makes them stand out and how do they

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