TopMedTalk

Discussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and outcome measures. This in depth discussion relates to the recently published consensus paper from the Perioperative Quality Initiative.

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/

What is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS)

SNAP-2: EpiCCS will describe the epidemiology of perioperative risk, outcome, critical care referral and admission after inpatient surgery in the UK. It also aims to examine whether planned postoperative critical care admission is effective as an intervention to reduce postoperative morbidity.

http://www.niaa-hsrc.org.uk/SNAP-2-EpiCCS

Monty Mythen speaking with Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre.

This taken from a longer conversation here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Join in the discussion: [email protected]

Bowel Prep and Enhanced Recovery After Surgery.

Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery and a Colorectal Surgeon at Duke, USA.

Dr Thacker explains the consensus statement from ASER and the Perioperative Quality Initiative (http://www.poqi.org).

Taken from a longer conversation here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/

Join in the debate: [email protected]

"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery.

Monty Mythen and Joff Lacey speak with Dr Paul E Wischmeyer, Professor of Anesthesiology and Surgery at Duke University School of Medicine.

Hear more from Dr Wischemeyer on YouTube: https://www.youtube.com/watch?v=XAYrjf1dhJU

This piece is taken from a longer TopMed talk conversation which you can hear in full here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Join in the debate: [email protected]

Fit 4 Surgery School and can exercise help fight cancer.

Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation re-habilitation' on day one of the ASER 2017 meeting in Washington DC. Prof Grocott also gives more detail on on-going research that is exploring the impact of exercise on cancer therapy.

For more CME read "Re-designing the pathway to surgery: better care and added value" in Perioperative Medicine here: https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0065-4

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

Join in the debate: [email protected]

Colorectal surgery and Enhanced Surgical Recovery.

Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and president elect at ASER.

This conversation is taken from a longer piece found here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/

Join the debate: [email protected]

(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery.

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

Monty Mythen speaks with his guest Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and president elect at ASER.

This taken from a longer conversation here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/

Measuring Outcomes

Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways.

Dr Moonesinghe also talks in some detal about the UK perioperative quality improvement program (https://pqip.org.uk/content/home).

"A multidisciplinary initiative supporting local quality improvement to benefit patients undergoing major surgery."

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

This piece is taken from a longer conversation to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Discussion of the ASER and POQI papers of 2017.

Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of the American Society of Enhanced Recovery.

Recorded on day one of ASER 2017 meeting in Washington DC this interview is taken from a longer conversation which you can find here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/

Join in the debate: [email protected]

Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and The Perioperative Quality Initiative (POQI http://www.poqi.org).

For more come to our meetings: http://www.ebpom.org/EBPOM-USA

This highlight clip is taken from a longer conversation to be found here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/