TopMedTalk

This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.

We discuss the following papers:

Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses.

https://www.ncbi.nlm.nih.gov/pubmed/30552274

Increased Postoperative Glucose Variability Is Associated with Adverse Outcomes Following Total Joint Arthroplasty.

https://www.ncbi.nlm.nih.gov/pubmed/29975266

Effect of A1C and Glucose on Postoperative Mortality in Noncardiac and Cardiac Surgeries.

https://www.ncbi.nlm.nih.gov/pubmed/29440113

Frailty as a Predictor of Death or New Disability After Surgery: A Prospective Cohort Study.

https://www.ncbi.nlm.nih.gov/pubmed/30048320

Presented by Desiree Chappell and Monty Mythen with their guest Paul Grant, Hospitalist and Director of Perioperative and Consultant Medicine at the University of Michigan.
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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.

On the last occasion where we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn how her experiences have helped change her practice and the edge she now has in dealing with healthcare. The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there? Also - does North America really lack the resources, expertise and money to adpot Cardiopulmonary Exercise Testing (CPET)? Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist. You can find POETTS here: https://www.poetts.co.uk --

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.

On the last occasion where we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn how her experiences have helped change her practice and the edge she now has in dealing with healthcare.   The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there?   Also - does North America really lack the resources, expertise and money to adpot Cardiopulmonary Exercise Testing (CPET)?   Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist.   You can find POETTS here: https://www.poetts.co.uk   --

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.

Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?

This piece is a thought provoking discussion about new media and the consequences of our online world for medicine. 'The democratisation of education' is a phrase we've heard here on TopMedTalk in the past. How does direct access to information and experts in our field alter the state of play in the perioperative field?

Desiree Chappell and Monty Mythen are presenting with their guest Avital O'Glasser, Assistant Professor of Medicine at OHSU, Oregon Health & Science University and member of the communications committee for SPAQI. --

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.

Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?

This piece is a thought provoking discussion about new media and the consequences of our online world for medicine. 'The democratisation of education' is a phrase we've heard here on TopMedTalk in the past. How does direct access to information and experts in our field alter the state of play in the perioperative field?

Desiree Chappell and Monty Mythen are presenting with their guest Avital O'Glasser, Assistant Professor of Medicine at OHSU, Oregon Health & Science University and member of the communications committee for SPAQI.
--

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.

Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative scene before tucking into some of the big stories that are emerging from the conference. Learn more about STOP BANG; Snoring, Tiredness, Observed Apnea, PBP (>140/90) R X or no. How do opioid sensitivity and obstructive sleep apnea effect each other? The opioid crisis, pain as the fifth vital sign and multimodal pain management produce some fascinating discussion, followed by comparisons between healthcare in various territories, Canada, the UK and the US. Finally, what is "the beard test" and "the upper lip bite test"? Check out the official STOP BANG website here: http://www.stopbang.ca Presented by Desiree Chappell and Monty Mythen with their guests, Frances Chung, Professor, Department of Anesthesiology and Pain Medicine, University of Toronto and Kurt J. Pfeifer, Professor of Medicine, General Internal Medicine, Medical Director, Preoperative Evaluation Clinic, Froedtert and Medical College Eye Institute, Medical College of Wisconsin, Milwaukee, WI. -- 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.

Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative scene before tucking into some of the big stories that are emerging from the conference. Learn more about STOP BANG; Snoring, Tiredness, Observed Apnea, PBP (>140/90) R X or no. How do opioid sensitivity and obstructive sleep apnea effect each other?   The opioid crisis, pain as the fifth vital sign and multimodal pain management produce some fascinating discussion, followed by comparisons between healthcare in various territories, Canada, the UK and the US.   Finally, what is "the beard test" and "the upper lip bite test"?   Check out the official STOP BANG website here: http://www.stopbang.ca   Presented by Desiree Chappell and Monty Mythen with their guests, Frances Chung, Professor, Department of Anesthesiology and Pain Medicine, University of Toronto and
Kurt J. Pfeifer, Professor of Medicine, General Internal Medicine, Medical Director, Preoperative Evaluation Clinic, Froedtert and Medical College Eye Institute, Medical College of Wisconsin, Milwaukee, WI.
--   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.

What are some of the big take home messages from this conference so far? Lots of material on preoperative assesment, discussion of some of the big trials and papers that have occured in the field and reflections on research into myocardial injury after noncardiac surgery (MINS). This podcast is recorded 'as live' and the team mention interviews which have now been recorded and are available online.

The Steven Cohen and Barbara Slawski conversation is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-01/

The Angela Bader piece is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-03-angela-bader/

And Amir Jaffer is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-02-amir-jaffer/

Presented by Monty Mythen and Desiree Chappell with their guest, a TopMedTalk favourite, Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. -- 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.

What are some of the big take home messages from this conference so far? Lots of material on preoperative assesment, discussion of some of the big trials and papers that have occured in the field and reflections on research into myocardial injury after noncardiac surgery (MINS).   This podcast is recorded 'as live' and the team mention interviews which have now been recorded and are available online.

The Steven Cohen and Barbara Slawski conversation is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-01/

The Angela Bader piece is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-03-angela-bader/

And Amir Jaffer is here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-02-amir-jaffer/

Presented by Monty Mythen and Desiree Chappell with their guest, a TopMedTalk favourite, Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology. --   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.

Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of the perioperative process? How do we manage specialist care for the elderly and ensure high quality shared decision making? What lies behind the mindset change needed for some to accept surgery is not always the answer? Should we expect medical students to be taught the principles of perioperative medicine? What are some of the unique tensions in the US system that can frustrate the adoption of a truly perioperative practice? Presented by Desiree Chappell and Monty Mythen with their guest Angela Bader, Vice Chair of Perioperative Medicine at Brigham and Women's Hospital.