TopMedTalk

Presented by, Professor Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

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Human Tolerance of Hypoxia: Going to Extremes to Understand Critical Illness.

This series also includes:

TUESDAY:

What Happens to Healthy Humans in Hypoxia? Denny Levett

WEDNESDAY:

Cardiovascular Adaptation to Hypoxia. Daniel Martin

THURSDAY:

Metabolic Adaptation to Hypoxia. Andrew Murray

Oxygen Therapy: The Yin and Yang of Our Favorite Drug. Monty Mythen.

FRIDAY:

Oxygen and the Brain. Chris Imray

The Epigenetics of Hypoxia. Kay Mitchell

SATURDAY:

A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016, David MacLeod

Therapeutic Hyperoxia: Medicine Under Pressure. Richard Moon

SUNDAY

Morpheus Consortium Distinguished Lecture: Xtreme Everest: Physiology on Top of the World. Mike Grocott

The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world?

Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guy's and St Thomas' NHS Trust.

The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's Hospital. Could something like this work outside of the context of the UK's National Health Service? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system?

Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guy's and St Thomas' NHS Trust.

The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's Hospital. Could something like this work outside of the context of the UK's National Health Service? What are the advantages of being able to safely discharge frail patients who may instead have ended up back in the hospital system?

Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guy's and St Thomas' NHS Trust.

The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get undergraduates to learn the skills which simple demographics show are going to become more and more crucial as the trend towards a longer life span continues in the Western world?

Monty Mythen and Desiree Chappell continue their conversation with Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guy's and St Thomas' NHS Trust.

In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this?

Finally - what are the drugs that anaesthetists commonly prescribe to patients which people who work on this side of the service aren't so keen on?

Desiree Chappell presents, with additional questions thrown in by Monty Mythen, as they speak with their guests; Magda Sbai, specialist registrar at Guy's and St Thomas's, Jason Cross, advanced nurse practitioner and Nursing lead for the POPS team, Claire Gallagher, Deputy clinical nurse specialist and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process?

Furthermore, should a programme like this be rolled out across the UK and could anything similar be considered in the US?

Desiree Chappell, joined by Monty Mythen, as they speak with their guests; Dr Jugdeep Dhesi and Dr Judith Partridge, consultant geriatricians at Guy's and St Thomas's Hospital in London.

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process?

Furthermore, should a programme like this be rolled out across the UK and could anything similar be considered in the US?

Desiree Chappell, joined by Monty Mythen, as they speak with their guests; Dr Jugdeep Dhesi and Dr Judith Partridge, consultant geriatricians at Guy's and St Thomas's Hospital in London.

In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the institution? What other opportunities are there for patients and staff as a result of innovations such as this?

Finally - what are the drugs that anaesthetists commonly prescribe to patients which people who work on this side of the service aren't so keen on?

Desiree Chappell presents, with additional questions thrown in by Monty Mythen, as they speak with their guests; Magda Sbai, specialist registrar at Guy's and St Thomas's, Jason Cross, advanced nurse practitioner and Nursing lead for the POPS team, Claire Gallagher, Deputy clinical nurse specialist and Dr Jugdeep Dhesi, Clinical Lead, POPS and Consultant Geriatrician, Guys and St Thomas' NHS Trust.

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still wanted to get a very important contribution from him. What are the big takeaways from some of the larger trials such as Saline versus Albumin Fluid Evaluation (SAFE)? What about the long term implications of Crystalloid versus Hydroxyethyl Starch Trial (CHEST)?

What new trials should be on the horizon - given the information we now have?

Monty Mythen speaks with his guest Professor John A Myburgh, Intensive Care Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for Global Health and Senior Intensive Care Physician at the St George Hospital, Sydney.

He holds honorary Professorial appointments at the University of Sydney and Monash University School of Public Health and Preventive Medicine.