TopMedTalk

Dr Julie Thacker on Colorectal surgery and ESR

Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and a colorectal surgeon with a clinical focus in advanced laparoscopic techniques for the surgical management of inflammatory bowel disease and colorectal cancer. She participates as full time teaching faculty of medical students, general surgery residents, and surgical fellows. As the Duke Hospital and Health System Medical Director for Evidence Based Perioperative Care, she leads the interdisciplinary Duke Enhanced Recovery Program.
Dr. Thacker assumed the Presidency of the American Society of Enhanced Recovery, 2017, and is recognized at the national and international level as a perioperative care implementation expert. Her work at Duke is a model for hospitals and health care systems of all sizes, as well as, a comparative model used in discussions with the United Kingdom and Scandinavia. She publishes practice guidelines, change management guidelines, and quality and value improvement reviews and recommendations.
At the national level, she is a member of the Quality Committee of the American Society of Colon and Rectal Surgeons. Dr. Thacker is the co-lead of the Enhanced Recovery in NSQIP, ERIN collaborative and is a member of the Performance Measure Committee with the American College of Surgeons. Additionally, she is faculty for the American College of Surgeons, “Surgeons Leading Quality” course.

Monty Mythen talks to Dr Julie Thacker on day one of the ASER / EBPOM USA 2017 meeting in Washington DC (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

Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and a colorectal surgeon with a clinical focus in advanced laparoscopic techniques for the surgical management of inflammatory bowel disease and colorectal cancer. She participates as full time teaching faculty of medical students, general surgery residents, and surgical fellows. As the Duke Hospital and Health System Medical Director for Evidence Based Perioperative Care, she leads the interdisciplinary Duke Enhanced Recovery Program.
Dr. Thacker assumed the Presidency of the American Society of Enhanced Recovery, 2017, and is recognized at the national and international level as a perioperative care implementation expert. Her work at Duke is a model for hospitals and health care systems of all sizes, as well as, a comparative model used in discussions with the United Kingdom and Scandinavia. She publishes practice guidelines, change management guidelines, and quality and value improvement reviews and recommendations.

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

Click here to listen to Dr Sol Aronson on ASER, PoM and POET

Tim Miller on ASER and POQI papers 2017.

Joff Lacey and Monty Mythen talk to Dr Tim Miller at Day one of the ASER 2017 meeting in Washington DC. Tim is an Anesthesiologist at Duke and vice-president of the American Society of Enhanced Recovery.

Dr Tim Miller, Duke, USA on Fluid Management in ESR and the recent guidelines from ASER and The Perioperative Quality Initiative (POQI http://www.poqi.org).

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

Reflections on ASER Fluid management, NPO, preop drinks and i.v down with Dr Scott Brudney, 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

Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER on Narcotics in Enhanced Surgical Recovery

For more CME come to our meetings: 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'.

The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it possible to work out specific odds for a specific patient.

Handling modifiable risk factors; how do we get patients ready for surgery, particularly if they are suffering from comorbidities? A patient may need an operation but is it worth asking, do they need it now? How can we bend the risk curve with proactive advice which may change pathological health issues? How do we inspire patients to look after themselves and become more active within their treatment? Does confronting the realities of surgery help with that education process?

Recorded on day two of EBPOM 2017; Professor Monty Mythen presents, alongside Dr Joff Lacey and their guests Professor Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, and Dr Mike Irwin, Professor and Head, Department of Anaesthesiology, University of Hong Kong.

Sponsored by EBPOM and Edwards Life Sciences.

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