TopMedTalk

Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down.

Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada.

"AmericanSociety for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management withinan enhanced recovery pathway for colorectal surgery."

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-016-0049-9

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

The horrors of 'the opioid crisis'.

The fuller version of this piece is to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/

Featuring Joff Lacey and Monty Mythen with their guest Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER on Narcotics in Enhanced Surgical Recovery.

Check out EBPOM's meetings here: http://www.ebpom.org/EBPOM-USA

Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA.

Multidisciplinary teams and managing change - 'it's all about the patient'.

Click here to listen to: Pain Relief in ESR

Monty Mythen asks Dr Joff Lacey (London, UK) and Professor Mike Grocott (Southampton, UK) to reflect on pain management discussions on day 1 of the American Society of Enhanced Recovery 2017. For further CME read the articles in the Perioperative Medicine Journal and see the infographics discussed:

https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0064-5

Dr Ramani Moonesinghe on: Standardised Outcomes from Major Surgery. 

Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director of the Heath Services Research Centre at the Royal College of Anaesthetists and a lead author of the Perioperative Quality Initiative (POQI http://www.poqi.org) guidelines on outcomes from surgery.

Simple objective measures such as Drinking, Eating and Mobilising (DrEaM). For further CME read the article in Perioperative Medicine:
https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-017-0062-7

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

Outcomes LoS and DREAMS ,Drinking, Eating and Mobilising within hours after major surgery are key process and outcome measures.

Monty Mythen and Joff Lacey with Dr Julie Thacker, Colorectal Surgeon form Duke and President of the American Society of Enhanced Recovery, Dr Tim Miller, Anesthesiologist from Duke and Professor Mike Grocott discuss outcomes from surgery and the recently published consensus paper from the Perioperative Quality

Initiative (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

Click here to listen to Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre explain SNAP 2.
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 and outcome, and 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

For further CME read the article in Perioperative Medicine

Click here for Dr Julie Thacker on Bowel Prep and ERAS. Dr Thacker is the President of the American Society of Enhanced Recovery and a Colorectal Surgeon at Duke, USA. Dr Thacker explains the consensus statement form ASER and the Perioperative Quality Initiative (http://www.poqi.org). For further CME read the article in Perioperative Medicine:

Dr Paul Wischmeyer on Nutrition for patients scheduled for major surgery.

Dr Paul E Wischmeyer is Professor of Anesthesiology and Surgery, Duke UniversitySchool of Medicine Director of Perioperative Research, Duke Clinical ResearchInstitute (DCRI) Director of Nutrition Service, Duke University Hospital and Associate Vice Chair for Clinical Research, Anesthesiology.

"More than half our patients who come to us for surgery with enhanced recovery are malnourished"

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

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: