TopMedTalk

Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis.

Joff Lacey reports he heard one clinician say "over 25% of total knee replacements are still on opiodes 6 months after their operation".

Patrick Shanahan pleads with the public "don't connect discomfort with a need for a narcotic to take care of it, there are many other avenues to take care of pain; that message is not out there enough!"

Monty Mythen and the team agree it's important not to "demonise narcotics" but all agree these discussions are essential.

Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery.

They discuss how just imprementing the ERAS intraoperative protocols drove outstanding outcomes in their practice. They then get into a wider discussion about the importance of putting into practice the bigger plan.

An entertaining and informative discussion about the implementation process, how do you bring everyone to the table?

Desiree Chappell speaks with Robin Anderson, Bethany Sarosiek and Vicki Morton, ASER nursing committee members.

Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis.

Joff Lacey reports he heard one clinician say "over 25% of total knee replacements are still on opiodes 6 months after their operation".

Patrick Shanahan pleads with the public "don't connect discomfort with a need for a narcotic to take care of it, there are many other avenues to take care of pain; that message is not out there enough!"

Monty Mythen and the team agree it's important not to "demonise narcotics" but all agree these discussions are essential.

Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit hall of ASER 2018 for a quick chat on enhanced recovery implementation.

Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other complex operations.

Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation then moves to narcotics and the opiode epidemic.

The Roundtable Blog on TopMedTalk, live from ASER 2018.

Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.

Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018.

Joff Lacey will be out and about with his roving mic getting on the spot interviews with attendees, gathering late breaking news as it happens.

Mike Grocott will be doing Journal Club, a deep dive into some of thre big papers of the last 12 months or so.

And finally, Desiree Chappell, will be returning to her popular Round Table Blog podcasts; bringing people from diverse backgrounds to the conversation so they can explain how they apply the perioperative process to their work.

Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington.

The team discuss the association between low blood pressure and outcomes and the first interventional trial related to that.

They are then joined by Dr Patrick Shanahan who discusses, amongst other things, the issues related to opiode and narcotic use which can be reduced by the perioperative process.