TopMedTalk

What 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, University of Hong Kong.

Join in the debate: [email protected]

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

This piece explores some of the talking points and controversies related to dealing with frail patients who are in need of prehabilitation. How do we meet the needs and concerns of elderly patients while delivering a comprehensive standard of perioperative care?

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.

"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.

What 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. Presented by Desiree Chappell with her guest Arman Dagal, Medical Director - Spine COAP at Foundation for Health Care Quality.

A 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 within an enhanced recovery pathway for colorectal surgery: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-016-0049-9

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

Fresh 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 and Dr Jim Down, University College London Hospital.

Lessons 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 Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI).

For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

Fitness 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 Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Sponsored by EBPOM and Edwards Life Sciences this piece was recorded on day two of EBPOM 2017.

Join in the debate: [email protected]

Taken from a longer conversation to be found here: http://www.topmedtalk.com/ebpom-2017-pod-two-live-from-london/

University College London (UCL) offer a fantastic Masters Course in Perioperative Medicine, hear how it works in this podcast.

Also, if you're intrigued, here's the link to the free 4 week course discussed in this podcast:

https://www.ucl.ac.uk/lifelearning/courses/perioperative-medicine

Presented by Desiree Chappell with Sam Bampoe, consultant in Anaesthesia and Perioperative Medicine at University College London NHS Foundation Trust.

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.