TopMedTalk

This week on Journal Club we reflect upon the pulmonary artery (PA) catheter.

The following articles were discussed:

JAMA: The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators:

https://www.ncbi.nlm.nih.gov/pubmed/8782638

BJA: Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial):

https://bjanaesthesia.org/article/S0007-0912(17)54207-5/fulltext

Perioperative Medicine: Pulmonary artery catheter use in adult patients undergoing cardiac surgery: a retrospective, cohort study:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201566/

Also, this excellent piece with Thomas Scheeren gets a mention, if you've not heard it yet go here:

https://www.topmedtalk.com/talks-to-thomas-scheeren/

Presented by Monty Mythen with Andy Shaw, Chair of the Department of Anesthesiology and Pain Medicine and Zone Clinical Department Head at The University of Alberta, Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.

"Rehabilitation post critical care" - 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 Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia.

"Rehabilitation post critical care" - 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 Linda Denehy, Head of the Melbourne School of Health Sciences and Professor of Physiotherapy at The University of Melbourne, Australia.

How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?

Patient records and data ownership is discussed, as is Paul Upton's excellent interview on TopMedTalk regarding "My Preop".

The original piece is here: https://www.topmedtalk.com/my-pre-op-empowering-patients-before-surgery/

How do we reach out to patients and inform them about the risks and choices which will be presented to them as part of their surgical pathway? Discussion here moves to the American Association of Retired Persons (AARP) and the incredible work they are doing.

For more on the AARP from TopMedTalk go here: https://www.topmedtalk.com/dont-ask-patients-what-is-the-matter-ask-them-what-matters/

Presented by Desiree Chappell and Monty Mythen with their guest Lynn Reede, CRNA and chief clinical officer at the American Association of Nurse Anaesthetists (AANA).

How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?

Patient records and data ownership is discussed, as is Paul Upton's excellent interview on TopMedTalk regarding "My Preop".

The original piece is here: https://www.topmedtalk.com/my-pre-op-empowering-patients-before-surgery/

How do we reach out to patients and inform them about the risks and choices which will be presented to them as part of their surgical pathway? Discussion here moves to the American Association of Retired Persons (AARP) and the incredible work they are doing.

For more on the AARP from TopMedTalk go here: https://www.topmedtalk.com/dont-ask-patients-what-is-the-matter-ask-them-what-matters/

Presented by Desiree Chappell and Monty Mythen with their guest Lynn Reede, CRNA and chief clinical officer at the American Association of Nurse Anaesthetists (AANA).

In short; Post-Op recovery in less than 3 days with over 90% mobilised on day 1.

This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative, see link below. It focuses on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery- all key measures of compliance and success in an Enhanced Recovery Program.

Monty Mythen and Joff Lacey with Mike Grocott presenting with contributions from Dr Julie Thacker, Colorectal Surgeon from Duke University and President of the American Society of Enhanced Recovery and Dr Tim Miller, Anesthesiologist from Duke University.

POQI website is here: http://www.poqi.org

For further CME read the paper in Perioperative Medicine:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

Attend our next meeting: http://www.ebpom.org/EBPOM-USA

This piece is taken from a longer discussion here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

In short; Post-Op recovery in less than 3 days with over 90% mobilised on day 1.

This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative, see link below. It focuses on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery- all key measures of compliance and success in an Enhanced Recovery Program.

Monty Mythen and Joff Lacey with Mike Grocott presenting with contributions from Dr Julie Thacker, Colorectal Surgeon from Duke University and President of the American Society of Enhanced Recovery and Dr Tim Miller, Anesthesiologist from Duke University.

POQI website is here: http://www.poqi.org

For further CME read the paper in Perioperative Medicine:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

Attend our next meeting: http://www.ebpom.org/EBPOM-USA

This piece is taken from a longer discussion here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like the one on this podcast are fuel in the engine of those who advocate true perioperative care. If you want to help go to the Greater National Advocates website here: https://www.gnanow.org/ The Patient Safety Movement is here: https://patientsafetymovement.org/

Presented by Desiree Chappell and Monty Mythen with their guests L. Bradley Schwartz, president of Founder and President of Greater National Advocates he has served on the Board of Directors of both the National Association of Healthcare Advocacy Consultants (NAHAC) and the Patient Advocate Certification Board (PACB). Also in the conversation is Joseph Frankel, President, Frankel Design, Inc. - The Art of Brand Development & Promotional Marketing.

Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like the one on this podcast are fuel in the engine of those who advocate true perioperative care.   If you want to help go to the Greater National Advocates website here: https://www.gnanow.org/   The Patient Safety Movement is here: https://patientsafetymovement.org/

Presented by Desiree Chappell and Monty Mythen with their guests L. Bradley Schwartz, president of Founder and President of Greater National Advocates he has served on the Board of Directors of both the National Association of Healthcare Advocacy Consultants (NAHAC) and the Patient Advocate Certification Board (PACB). Also in the conversation is Joseph Frankel, President, Frankel Design, Inc. - The Art of Brand Development & Promotional Marketing.

Desiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola. Presented by Desiree Chappell and Monty Mythen with their guest Dan Martin, OBE anaesthetist and intensivist at the Royal Free Hospital and Reader at University College London (UCL).