TopMedTalk

This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of Pittsburgh Medical Center (UPMC).

Presented by Desiree Chappell with her guests Dr Jennifer Holder-Murray, Vice Chair of Quality Integration, Assistant Professor of Surgery, Division of Colon & Rectal Surgery, University of Pittsburgh Medical Center (UPMC) and Dr Stephen Esper, Assistant Professor and Director of Perioperative Services, University of Pittsburgh Medical Center (UPMC) Department of Anesthesiology and Perioperative Medicine.

This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of Pittsburgh Medical Center (UPMC).

Presented by Desiree Chappell with her guests Dr Jennifer Holder-Murray, Vice Chair of Quality Integration, Assistant Professor of Surgery, Division of Colon & Rectal Surgery, University of Pittsburgh Medical Center (UPMC) and Dr Stephen Esper, Assistant Professor and Director of Perioperative Services, University of Pittsburgh Medical Center (UPMC) Department of Anesthesiology and Perioperative Medicine.

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought "from the mountainside to the bedside" so that the care for our sickest patients may be improved.

In this podcast, Denny Levett explains the complex and unpredictable nature of hypoxia, its prevalence in critical care and why there was the scientific demand to head to the world's highest mountain in search of answers to this clinical challenge.

Presented by Joff Lacey with his guest Denny Levett, a consultant in perioperative medicine and critical care at Southampton University Hospital and deputy research leader for the Xtreme Everest expedition in 2007.

This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative team has performed large scale studies at high altitude to mimic some of the effects of critical illness. The objective is for their findings to be brought “from the mountainside to the bedside” so that the care for our sickest patients may be improved.

In this podcast, Denny Levett explains the complex and unpredictable nature of hypoxia, its prevalence in critical care and why there was the scientific demand to head to the world’s highest mountain in search of answers to this clinical challenge.

Presented by Joff Lacey with his guest Denny Levett, a consultant in perioperative medicine and critical care at Southampton University Hospital and deputy research leader for the Xtreme Everest expedition in 2007.

This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on.

The link to the first episode is here: https://www.topmedtalk.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest/

This series is intended for a broad audience, the more in depth pieces we did earlier in the year are to be found here: https://www.topmedtalk.com/?s=Xtreme+Everest+%7C

This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on.

The link to the first episode is here: https://www.topmedtalk.com/xtreme-everest-extra-the-problem-with-hypoxia-the-inception-of-xtreme-everest/

This series is intended for a broad audience, the more in depth pieces we did earlier in the year are to be found here: https://www.topmedtalk.com/?s=Xtreme+Everest+%7C

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 5 continues. More on Caesarian Section plus: should we implement Enhanced Recovery After Surgery (ERAS) training into undergraduate and post-graduate training? Is ERAS similar to perioperative surgical home (PSH)? As new data emerges about ERAS how often will pathways and protocols be changed? What is the future for ERAS?

Desiree Chappell interviews her guest Dr Elizabeth Cherot, Vice President of medical affairs at Axia Women's Health, with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Go to www.topmedtalk.com and download our full back catalogue now.

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 5 continues. More on Caesarian Section plus: should we implement Enhanced Recovery After Surgery (ERAS) training into undergraduate and post-graduate training? Is ERAS similar to perioperative surgical home (PSH)? As new data emerges about ERAS how often will pathways and protocols be changed? What is the future for ERAS?

Desiree Chappell interviews her guest Dr Elizabeth Cherot, Vice President of medical affairs at Axia Women’s Health, with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Go to www.topmedtalk.com and download our full back catalogue now.

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions include: How can ERAS co-habitate with the "baby friendly initiative"? The USA is 16th in the world with OB outcomes can ERAS help with that? As we are trying to impliment ERAS for c-section we are encountering some social issues such as screening neo-nates before they go home and arranging a car seat before they go home? What was the reaction of hospital administation leaders when they realised your plans would reduce length of stay? Do you do ERAS for 'complicated' patients? ERAS generally seems to reduce length of stay; what major/minor procedure specific complications can we tell our patients have also been reduced? What is the mechanism by which a carbohydrate load is supposed to work, what are the essential elements of that load? What do you think about the role of exparel vs bupivacaine?

Desiree Chappell interviews her guest Dr Elizabeth Cherot, Vice President of medical affairs at Axia Women's Health, with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Go to www.topmedtalk.com and download our full back catalogue now.

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions include: How can ERAS co-habitate with the "baby friendly initiative"? The USA is 16th in the world with OB outcomes can ERAS help with that? As we are trying to impliment ERAS for c-section we are encountering some social issues such as screening neo-nates before they go home and arranging a car seat before they go home? What was the reaction of hospital administation leaders when they realised your plans would reduce length of stay? Do you do ERAS for 'complicated' patients? ERAS generally seems to reduce length of stay; what major/minor procedure specific complications can we tell our patients have also been reduced? What is the mechanism by which a carbohydrate load is supposed to work, what are the essential elements of that load? What do you think about the role of exparel vs bupivacaine?

Desiree Chappell interviews her guest Dr Elizabeth Cherot, Vice President of medical affairs at Axia Women’s Health, with contributions from Monty Mythen, TopMedTalk Editor in Chief and Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Go to www.topmedtalk.com and download our full back catalogue now.