TopMedTalk

This episode of The Perioperative Coach reflects on the pain management discussions being had by the American Society of Enhanced Recovery (ASER) and its members.

For further reading see the articles in Perioperative Medicine Journal:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5

This conversation taken from a longer piece to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Presented by Monty Mythen with Dr Joff Lacey and Professor Mike Grocott.

How do we accurately calculate the risks to our patients? What are the best tools for the right circumstances? Where can we find data to improve these methods?

Originally titled "50 shades of grey, how (in)accurate are risk prediction scores" the slides from this talk are here: http://www.anzca.edu.au/documents/02-doug-campbell_fifty-shades-of-grey.pdf

The risk calculator is here: https://nzrisk.com/

Presented by Dr Doug Campbell, Anaesthesia Specialist at Auckland City Hospital.

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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

The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.

Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine https://bjanaesthesia.org/article/S0007-0912(19)30047-9/fulltext

Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30057-1/fulltext

Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30050-9/fulltext

Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30059-5/fulltext

Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George's Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH as well as being a regular presenter on TopMedTalk and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.

This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic.

Presented by Desiree Chappell, Dr Vijaya Gottumukkala, cardiac anaesthesiologist from MD Anderson and member of the board of directors for the American Society of Enhanced Recovery (ASER) and Dr George Nassif, colorectal surgeon at the Center for Colon & Rectal Surgery in Florida.

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"?

Further reading is available here: https://bjanaesthesia.org/article/S0007-0912(17)33828-X/fulltext

If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: https://www.topmedtalk.com/desirees-roundtable-carol-peden-epoch-qa/

Presented by Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI).

This piece features discussion regarding three randomised trials. How can the insights provided by these trials save us money and increase value of care while also improving outcomes?

Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial DOI: https://doi.org/10.1136/bmj.j5916

REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF): https://clinicaltrials.gov/ct2/show/NCT01424150

Personalised perioperative care by e-health after intermediate-grade abdominal surgery: a multicentre, single-blind, randomised, placebo-controlled trial: https://www.researchgate.net/publication/325911716_Personalised_perioperative_care_by_e-health_after_intermediate-grade_abdominal_surgery_a_multicentre_single-blind_randomised_placebo-controlled_trial

Presented by David Storey, Head of Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, University of Melbourne; Director, Melbourne Clinical and Translational Sciences (MCATS) research platform.

"Thank you for taking this meeting beyond these walls" - this piece is the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

Presented by Desiree Chappell and Monty Mythen with their guest Lynn Reede, Associate Clinical Professor, Northeastern University Nurse Anesthesia Program.

This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

Middle Tennessee School of Anesthesia's website is here: https://mtsa.edu/

Our guest kindly shares their email with us: [email protected]

Presented by Desiree Chappell and Monty Mythen with their guest, Bill Johnson, DNAP, CRNA, Director, Acute Surgical Pain Management Fellowship at Middle Tennessee School of Anesthesia.

This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

The podcast "Beyond The Mask: Innovation & Opportunities For CRNAs" is here: https://beyondthemask.podbean.com/

Presented by Monty Mythen and Desiree Chappell with their guests, Sharon Pearce MSN, CRNA and Jeremy Stanley CFP, AIF; co-presenters of Beyond The Mask: Innovation & Opportunities For CRNAs.

This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.

Check out the AANA here: https://www.aana.com/

The Pdf our guest mentions "The PAIN MANAGEMENT BEST PRACTICES INTER-AGENCY TASK FORCE REPORT" is here: https://www.hhs.gov/sites/default/files/pain-mgmt-best-practices-draft-final-report-05062019.pdf

The Perioperative Quality Initiative (POQI) is here: http://poqi.org/

Presented by Monty Mythen and Desiree Chappell with their guest, Bruce Schoneboom, PhD, CRNA, FAAN, Associate Dean for Practice, Innovation and Leadership at Johns Hopkins School of Nursing.