TopMedTalk

This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt Medical Centre, USA.

One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home

The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home

Accompanied by a very balanced Editorial by Professor John Myburgh. Click here: http://www.nejm.org/doi/full/10.1056/NEJMe1800449?query=recirc_curatedRelated_article

--

Featuring Monty Mythen and his guest Andy Shaw, Professor and Chief, Cardiothoracic Anesthesiology at Vanderbilt University Medical Center in Nashville, Tennessee. He is a Fellow of the Royal College of Anaesthetists (UK), a Fellow of the American College of Critical Care Medicine and a Fellow of the Faculty of Intensive Care Medicine (UK).

This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt Medical Centre, USA.

One in non-critically ill patients. Click here:
http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home

The other in critically ill adult patients:
http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home

Accompanied by a very balanced Editorial by Professor John Myburgh. Click here:
http://www.nejm.org/doi/full/10.1056/NEJMe1800449?query=recirc_curatedRelated_article

--

Featuring Monty Mythen and his guest Andy Shaw, Professor and Chief, Cardiothoracic Anesthesiology at Vanderbilt University Medical Center in Nashville, Tennessee. He is a Fellow of the Royal College of Anaesthetists (UK), a Fellow of the American College of Critical Care Medicine and a Fellow of the Faculty of Intensive Care Medicine (UK).

EBPOM Conference Highlight

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.

EBPOM Conference Highlight

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.

This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.

Desiree Chappell interviews her guests; Fatimah Alsalah, Anesthesiologist at King Fahad Specialist Hospital in Dammam, Deputy head of the transplant anesthesia section, alongside Nicole Greenshields and Douglas Blackwood, Perioperative Medicine Fellows at The University College London (UCL), Department of Anaesthetics.

This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.

Desiree Chappell interviews her guests; Fatimah Alsalah, Anesthesiologist at King Fahad Specialist Hospital in Dammam, Deputy head of the transplant anesthesia section, alongside Nicole Greenshields and Douglas Blackwood, Perioperative Medicine Fellows at The University College London (UCL), Department of Anaesthetics.

"An operation is like a marathon, nobody prepares for that by starving themselves"

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program.

--

Click on this link to access the full paper:

https://journals.lww.com/anesthesia-analgesia/Abstract/publishahead/American_Society_for_Enhanced_Recovery_and.96950.aspx

Furthermore, you can listen to one of Paul's excellent talks here: http://topmedtalk.libsyn.com/website/ebpom-2018-perioperative-nutrition-should-be-a-key-part-of-enhanced-recovery

"An operation is like a marathon, nobody prepares for that by starving themselves"

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the e.published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program.

--

Click on this link to access the full paper:

https://journals.lww.com/anesthesia-analgesia/Abstract/publishahead/American_Society_for_Enhanced_Recovery_and.96950.aspx

Furthermore, you can listen to one of Paul's excellent talks here: http://topmedtalk.libsyn.com/website/ebpom-2018-perioperative-nutrition-should-be-a-key-part-of-enhanced-recovery

When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related?

Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital, explains his more holistic approach to treatment and diagnosis.

"Nick the patient" asks a few questions and demonstrates the misunderstanding that many sufferers might have; breathlessness is not always connected to your lungs.

"Johnny the patient" then speaks about his Mother, 84, who has recently experienced breathlessness; she didn't want to complain about it, how can we pick these issues up earlier?

Dan Martin, anaesthetist at The Royal Free Hospital, speaks about his processes including the cardiopulmonary exercise testing they use. Testing patients, during a session on an exercise bike, reveals physiological and pathological causes but furthermore it can reveal the psychological issues which may be behind the problem.

--

This podcast is presented by Professor Monty Mythen and features contributions from; Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital; Dan Martin, anaesthetist at the Royal Free Hospital and finally 'the patients' Nick Margerrison and Johnny Themans.

When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might not be just heart or lung related?

Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital, explains his more holistic approach to treatment and diagnosis.

"Nick the patient" asks a few questions and demonstrates the misunderstanding that many sufferers might have; breathlessness is not always connected to your lungs.

"Johnny the patient" then speaks about his Mother, 84, who has recently experienced breathlessness; she didn't want to complain about it, how can we pick these issues up earlier?

Dan Martin, anaesthetist at The Royal Free Hospital, speaks about his processes including the cardiopulmonary exercise testing they use. Testing patients, during a session on an exercise bike, reveals physiological and pathological causes but furthermore it can reveal the psychological issues which may be behind the problem.

--

This podcast is presented by Professor Monty Mythen and features contributions from; Ronan Astin, clinical consultant in respiratory medicine at UCL Hospital; Dan Martin, anaesthetist at the Royal Free Hospital and finally 'the patients' Nick Margerrison and Johnny Themans.