TopMedTalk

TopMedTalk

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TopMedTalk episodes

  • Sunday Special | Nasogastric feeding

    How 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.

    Hugh Montgomery presents with his guest, Dr Angela McNelly, clinical researcher at the ISEH and the UCL Centre for Human Health and Performance.

    13 min
  • Mike Swart | TopMedTalks to...
    How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? 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? Following this discussion is had about the GIRFT (Getting It Right First Time) project. The stated aim is 'to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes'. This piece gives you the detail from one of the joint clinical leads. Presented by Monty Mythen, Joff Lacey and Desiree Chappell with their guest Dr Michael Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme.
    19 min
  • TopMedTalks to ... | Mike Swart
    How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? 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?   Following this discussion is had about the GIRFT (Getting It Right First Time) project. The stated aim is 'to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes'. This piece gives you the detail from one of the joint clinical leads.   Presented by Monty Mythen, Joff Lacey and Desiree Chappell with their guest Dr Michael Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme.
    19 min
  • POET 2.02 | Overcoming the behaviour gap
    The gap between ambition and action is familiar to us all but when it's potentially a matter of life and death how do we overcome it? This piece gives you a sense of both the research which illustrates the 'behaviour gap' in patients who are attempting to make good on their promise to regularly exercise. Presented by Chloe Grimmett, behavioural scientist from Southampton University. She works closely alongside the 'Fit for Surgery Team', providing the behavioural intervention which is part of the on-going WesFit prehabilitation trial. Originally streamed live on www.topmedtalk.com from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 the fuller version of this talk is here: "POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" https://www.topmedtalk.com/poetts-2018-psychological-behavioural-change-interventions-in-cancer-patients/
    13 min
  • POET 2.02 | Overcoming the behaviour gap
    The gap between ambition and action is familiar to us all but when it's potentially a matter of life and death how do we overcome it? This piece gives you a sense of both the research which illustrates the 'behaviour gap' in patients who are attempting to make good on their promise to regularly exercise.

    Presented by Chloe Grimmett, behavioural scientist from Southampton University. She works closely alongside the 'Fit for Surgery Team', providing the behavioural intervention which is part of the on-going WestFit prehabilitation trial.

    Originally streamed live on www.topmedtalk.com from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 the fuller version of this talk is here: "POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" https://www.topmedtalk.com/poetts-2018-psychological-behavioural-change-interventions-in-cancer-patients/  
    13 min
  • Various Journals: ACE, ARBs and Asprin | Journal Club
    Interesting thoughts on the use of ACE inhibitors and ARBs, alongside considerations regarding asprin. We look at the following papers: Anesthesia and Analgesia: A Systematic Review of Outcomes Associated With Withholding or Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers Before Noncardiac Surgery. https://www.ncbi.nlm.nih.gov/pubmed/29381513 Anesthesia and Analgesia: A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study

    https://journals.lww.com/anesthesia-analgesia/FullText/2018/06000/A_Prospective_International_Multicentre_Cohort.25.aspx

    Gynecologic Oncology: Use of paracetamol, low-dose aspirin, or non-aspirin non-steroidal anti-inflammatory drugs and risk of ovarian borderline tumors in Denmark.

    https://www.ncbi.nlm.nih.gov/pubmed/30249529

    JAMA Surgery: Association of Aspirin With Prevention of Venous Thromboembolism in Patients After Total Knee Arthroplasty Compared With Other Anticoagulants: A Noninferiority Analysis.

    https://www.ncbi.nlm.nih.gov/pubmed/30347089

    Presented by Desiree Chappell with Monty Mythen and their guests Barbara Slawski, Professor of Medicine and Orthopaedic Surgery; Chief, Section of Perioperative and Consultative Medicine; Froedtert and Medical College of Wisconsin and Steven L. Cohn, Professor Emeritus, Director – Medical Consultation Service, Jackson Memorial Hospital University of Miami Miller School of Medicine.

    --

    Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

    Find out more here: https://www.ebpom.org/EBPOM-USA-2019

    As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

    12 min
  • Journal Club 1.13 | Various Journals: ACE, ARBs and Asprin
    Interesting thoughts on the use of ACE inhibitors and ARBs, alongside considerations regarding asprin.   We look at the following papers:   Anesthesia and Analgesia: A Systematic Review of Outcomes Associated With Withholding or Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers Before Noncardiac Surgery.   https://www.ncbi.nlm.nih.gov/pubmed/29381513   Anesthesia and Analgesia: A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study

    https://journals.lww.com/anesthesia-analgesia/FullText/2018/06000/A_Prospective_International_Multicentre_Cohort.25.aspx

    Gynecologic Oncology: Use of paracetamol, low-dose aspirin, or non-aspirin non-steroidal anti-inflammatory drugs and risk of ovarian borderline tumors in Denmark.

    https://www.ncbi.nlm.nih.gov/pubmed/30249529

    JAMA Surgery: Association of Aspirin With Prevention of Venous Thromboembolism in Patients After Total Knee Arthroplasty Compared With Other Anticoagulants: A Noninferiority Analysis.

    https://www.ncbi.nlm.nih.gov/pubmed/30347089

    Presented by Desiree Chappell with Monty Mythen and their guests Barbara Slawski, Professor of Medicine and Orthopaedic Surgery; Chief, Section of Perioperative and Consultative Medicine; Froedtert and Medical College of Wisconsin and Steven L. Cohn, Professor Emeritus, Director – Medical Consultation Service, Jackson Memorial Hospital University of Miami Miller School of Medicine.

    --

    Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet?

    Find out more here: https://www.ebpom.org/EBPOM-USA-2019

    As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

    12 min
  • EBPOM Highlight 1.12 | Perioperative nutrition should be a key part of Enhanced Recovery

    "Perioperative nutrition should be a key part of Enhanced Recovery" - 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 Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.

    28 min
  • EBPOM Highlight 1.12 | Perioperative nutrition should be a key part of Enhanced Recovery

    "Perioperative nutrition should be a key part of Enhanced Recovery" - 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 Paul Wischmeyer, Professor of the Department of Anesthesiology, Duke University.

    28 min
  • Treating anemia in the perioperative process | The RoundTable

    How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition?

    Live from the hugely successful EBPOM USA conference, directly after their presentation Desiree Chappell talks with her guests; Dr Lori Heller, Cardiac Anesthesiologist, Swedish Medical Center, through US anaesthesia partners and acting instructor at the University of Washington, Seattle and Dr Bobbie Jean Sweitzer, Associate Professor and Director of pre-operative medicine at the University of Chicago.

    25 min

About TopMedTalk

From the publisher's feed

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…

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