TopMedTalk

Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is "better opioid stewardship" and a "move away from the traditional fundamental principle of opioids first".

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

This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.

We advise you use this link here to find the PDF of the paper being discussed: https://bjanaesthesia.org/article/S0007-0912(17)54082-9/fulltext

This is Part 2, to find Part 1 follow this link here: https://www.topmedtalk.com/sunday-special-the-perioperative-cognition-workshop-part-1/

Part 3 is here:

https://www.topmedtalk.com/sunday-special-the-perioperative-cognition-workshop-part-3/

Part 4 is here:

https://www.topmedtalk.com/sunday-special-the-perioperative-cognition-workshop-part-4/

Presented by David Scott, Professor, University of Melbourne, Director, Anaesthesia and Acute Pain Medicine, St Vincent's Hospital, Melbourne and Lis Evered, Scientific Head of Research, Department of Anaesthesia, St. Vincent's Hospital, Melbourne.

-

Brought to you by the Perioperative Medicine Special Interest Group (SIG) in association with the Australian and New Zealand Society for Geriatric Medicine and the Internal Medicine Society of Australia and New Zealand at the 7th annual Australasian Symposium of Perioperative Medicine.

The Perioperative Medicine Special Interest Group (SIG) has three aims; improve patient safety and outcomes, share knowledge and collaborate with specialty groups, develop the specialty of perioperative medicine with various craft groups.

For more information follow this link here: http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine

Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore an area which will only keep growing. Should evidence based arguments be the way we make the case for true investment in this area? Presented by Korey Springman with her guest William Wooden, Director of Operative Services at Indiana University of Health.

This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on by perioperative medicine? Is it realistic to expect to reach a point where opioids are removed from the equation entirely?

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

The team aspect of perioperative care is an essential element, this piece gets into the details as thought leaders and key opinion makers engage with the debate regarding how that actually works in practice.

Moderated by Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'; the panel consists of, Charlie Corke, Associate Professor, Senior Intensive Care Specialist, Barwon Health, Kerin Fielding, Associate Professor, University of Notre Dame, Australia School of Medicine, Sydney and Don Campbell, Professor of Medicine at Monash University and Head of General Medicine at Southern Health.

Quality initiatives are all about connecting people, this piece gives you real life experiences which show you how and why that can work alongside some of the challenges that come with it. Can an organisation reach a point where it does not need to improve? How can an "external stakeholder" pick things up? What is "psychological safety"? Can a pure focus on rules and tools become misleading? How can quality improvement address the culture of an institution and how important is that?

Presented by Mark Hamilton, Consultant and Honorary Senior Lecturer in Anaesthesia & Critical Care Medicine, clinical lead for the Perioperative Assessment & Planning Unit, at St. George's Hospital and Medical School, member of the Surgical Outcomes Resource Centre at UCL, Co-Director of Evidence Based Perioperative Medicine (EBPOM), Editor in Chief of Perioperative Medicine, he also chairs the System Resilience Group, the Finance and Performance Committee and is a member of the Quality Committee.

"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of patients.

How do you take your institution from where you're at now to where you need to be tomorrow? What are the essential ingredients? How do you work, through education, towards real patient engagement and empowerment? How do you manage a sensible quality improvement programme?

Presented by Desiree Chappell with co-host Korey Sprigman and their guests, Jamie Harris, CRNA, Hillcrest Hospital, Tulsa, Oklahoma and Carol Schmidt, CRNA, Royal Oak, Michigan.

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.

In addition to his clinical commitments he was President of the Association for Cardiothoracic Anaesthesia and Critical Care, and is an editor of British Journal of Anaesthesia Education. Dr Fletcher has published more than 70 articles and has been invited to lecture around the world; he is recognised for his national and international leadership in clinical quality, echocardiography, research and education.

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.

This piece focuses upon a new report from the World Health Organisation (WHO) looking at Arts and Health. The first of its kind, the report demonstrates the relationship between the arts, health and wellbeing. Are there ways you could incorporate the arts into your practice? Can it help with issues such as brain health, addiction and pain relief?

A link to the report, "What is the evidence on the role of the arts in improving health and well-being? A scoping review (2019)" is here: http://www.euro.who.int/en/media-centre/sections/press-releases/2019/can-you-dance-your-way-to-better-health-and-well-being-for-the-first-time,-who-studies-the-link-between-arts-and-health

The Social Prescribing Network is here: https://www.socialprescribingnetwork.com/

The National Institute for Health and Care Excellence (NICE) guidance is here: https://www.nice.org.uk/guidance

The Culture Health and Wellbeing Alliance website is here: https://www.culturehealthandwellbeing.org.uk/

Katherine Taylor's twitter is here: https://twitter.com/communikatt

And her blog is here: https://artthouwell.com/

Presented by Nick Margerrison with his guest Katherine Taylor, Clinical psychologist, Arts & Mental Health Innovation Programme Manager at GMiTHRIVE.

Speaking with a legend in the world of anaesthesia; this piece allows us to explore some of the bigger issues and milestones in the profession. How has it evolved, particularly in relation to the simultanious evolution of perioperative practice? Where are we now and where do things look set to go in the future? This piece was originally streamed live on www.TopMedTalk.com under the title: "Educational Dinner Symposium: In God we trust, all others must bring data" as part of the EBPOM USA Dallas Master's Course. Presented by Monty Mythen with Rick Dutton, Chief Quality Officer at United States Anesthesia Partners Baltimore, Maryland Area with questions from both conference delegates and online listeners.