TopMedTalk

The Perioperative Quality Initiative (POQI) is an international, multidisciplinary non-profit organization that organizes consensus conferences on topics of interest related to perioperative medicine with the aim of improving patient care.

This piece is an exclusive chance to hear how and why The POQI strives towards a broader perspective and the value of not existing within an echo chamber. It was originally part of The Evidence Based Perioperative Medicine (EBPOM 2023) World Congress in London.

With questions from the audience Desiree Chappell hosts a conversation with the chairs Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton and Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio.

Find out more about The POQI and to read their publications go here: http://thepoqi.org/

Publications: http://thepoqi.org/Publications

Here John Koncelik, Regional Medical Director HCA Healthcare Physician Services Group, West Florida comes to the TopMedTalk table to share his thoughts on the need for prehabilitaiton and the way in which it relates to the wider question of "population health management".

He also chooses to share his recent experiences as a patient in the healthcare system, how that has changed his view and why he's so proud to work in the industry.

If you enjoyed this piece it may interest you to know that John will be sharing more of his personal story with us at the forthcoming Evidence Based Perioperative Medicine (EBPOM) Dingle Conference, tickets are available now: https://ebpom.org/product/ebpom-ireland-2023/

Desiree Chappell and Monty Mythen in conversation with Seenu Reddy, Cardiothoracic Surgeon at HCA's TriStar Cardiovascular Surgery in Nashville, National Physician Director, HCA Healthcare's CV Service line.

We start with discussion about the ERAS Cardiac society, more about them here: https://www.erascardiac.org/

The paper discussed in this piece (10 minutes in) "Advanced artificial intelligence–guided hemodynamic management within cardiac enhanced recovery after surgery pathways: A multi-institution review" is available here: https://doi.org/10.1016/j.xjon.2023.06.023

TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM). For more information on EBPOM Ireland go here: https://ebpom.org/

As mentioned in the piece we've enjoyed conversations with Seenu Reddy previously: https://topmedtalk.libsyn.com/the-eras-cardiac-society-conference-day-2-topmedtalk-0

https://topmedtalk.libsyn.com/eras-cardiac-2019-seenu-reddy

And we mention a forthcoming "mini-doc" on the subject of Drinking Eating and Mobilising which will include part of our essential interview with Henrik Kehlet, that you can hear here: https://topmedtalk.libsyn.com/asa-henrik-kehlet-recovery-is-all-about-inflammation

This wide ranging conversation starts with a focus on the importance of Near Infra-Red Spectroscopy (NIRS) and echocardiograms, how do we move forward in patient safety while keeping in line with what works in practice? How do we go from thinking we do not need, or even consider, a piece of kit to being ready to postpone surgery without it? What does that journey look like?

Here Desiree Chappell, Monty Mythen and Andy Cumpstey speak with their guest Sean Bennet, cardiac anesthetist and intensivist at University Hospital Southampton NHS Foundation Trust.

TopMedTalk were at this year's annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. This piece was recorded there at the GE Healthcare stand.

ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference.

For more information on the work ESIAC do check out their website here: https://www.esaic.org/event/euroanaesthesia-2023/

Here Desiree Chappell and Andy Cumpstey speak with Michelle Chew, Academic Chair and Professor in Anaesthesiology, Intensive Care and Acute Care at Linköping University Hospital, Sweden and Giovanna Luratibuse, consultant and anesthesiology Professor at the University Hospital Düsseldorf, Germany.

For more on this topic - and the check out the guidelines - go to: https://journals.lww.com/ejanaesthesiology/pages/default.aspx

Or straight to the guidelines here: https://journals.lww.com/ejanaesthesiology/Fulltext/9900/ESAIC_focused_guideline_for_the_use_of_cardiac.98.aspx?WT.mc_id=HPxADx20100319xMP

This piece was recorded while TopMedTalk were at this year's annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. We had a presence there at the GE Healthcare stand.

ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference.

For more information on the work ESIAC do check out their website here: https://www.esaic.org/event/euroanaesthesia-2023/

Desiree Chappell and Andy Cumpstey talk to Manfred Blobner, Professor, Anesthesiology and the Coordinator of the Residency Program at Technische Universität München.

TopMedTalk were at this year's annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023. This piece was recorded there at the GE Healthcare stand.

ESAIC is the leading European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine. TopMedTalk is proud to continue to bring you coverage of their annual conference.

For more information on the work ESAIC do check out their website here: https://www.esaic.org/event/euroanaesthesia-2023/

TopMedTalk recorded this piece at the European Society of Anaesthesiology and Intensive Care (ESAIC) conference, Euroanaesthesia 2023 in Glasgow.

It features Desiree Chappell, Monty Mythen and Andy Cumpstey in conversation with Vera von Dossow, Director of the Institute for Anesthesiology and Pain Therapy at the HDZ NRW, Bad Oeynhausen.

With thanks to Edwards Lifesciences for their generous support in bringing free open access medical education to you.

Enhanced Recovery After Surgery (ERAS) is a foundational aspect of perioperative medicine. This piece covers ERAS® Cardiac, a non-profit organization with the mission to develop evidence-based expert consensus statements promoting best practice recovery practices: https://www.erascardiac.org/about/our-team

We discuss The Perioperative Quality Initiative: https://www.thepoqi.org/

We also discuss the value proposition for perioperatvie care, the need for open access medical information and collaboration in cardiac surgery.

We discuss this paper in detail: Adult Cardiac Surgery-Associated Acute Kidney Injury: Joint Consensus Report: https://www.jcvaonline.com/article/S1053-0770(23)00340-3/fulltext

Presented by Desiree Chappell and Monty Mythen with their guest Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in Charlotte, NC.

This piece is presented by Desiree Chappell and Sol Aronson with their guest Jed Wolpaw, Anesthesiologist, intensivist, founder and host of http://accrac.com podcast, Program Director, Johns Hopkins Anesthesiology.

TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® ANESTHESIOLOGY® 2022, bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world!

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The World Congress of Prehabilitation Medicine preceded this year's Evidence Based Perioperative Medicine (EBPOM). TopMedTalk had an open table and this podcast contains two of the conversations we recorded in between presentations and live streaming.

We mention two trials: https://bmjopen.bmj.com/content/13/1/e065992

And: https://clinicaltrials.gov/study/NCT05756283

We hear from, Heather Gill, a vascular surgeon at McGill University and Research Chair for the Canadian Society of vascular surgery, President elect about the wide applicability of prehabilitation balanced against the evidence and Professor Enoch Akowuah, Chair of cardiac surgery at Newcastle University and a consultant cardiac surgeon and at South Tees Hospitals NHS Foundation Trust in the UK.