TopMedTalk

"It's not just about us [Anesthesia]. It's about all the stakeholders that are invested"

How can the American Association of Nurse Anesthesiology (AANA) help to maximize the value of Certified Registered Nurse Anesthetists?

This vital conversation tackles that question head on. What are the big opportunities for the profession and how do we make the most of them?

TopMedTalk brings you access to exclusive coverage of the AANA 2022 meeting. For more on the AANA go here: https://www.aana.com/

Presented by TopMedTalk's lead presenter Desiree Chappell with her guest Joseph A. Rodriguez, DNAP, CRNA, AANA Board of Directors and Managing Partner at Arizona Anesthesia Solutions.

This podcast is brought to you with thanks for the support of NorthStar Anesthesia.

"Certified Registered Nurse Anesthetists (CRNA's) handle meeting with you ahead of time; alleviating your fears of surgery; getting an extensive health history so that we can really tailor your anesthetic to your needs. We work as a member of a team with surgeons and with nurses - in the operating room. And then afterwards; we want to make sure that you're comfortable and make sure that you're in a good spot to go home."

What is the role of the CRNA? Where might it expand to and what principles lie at the core of the job? This exclusive conversation with the new President of the American Association of Nurse Anesthetists takes on the challenges and embraces the opportunities.

Presented by Desiree Chappell with her guests, Angela R. Mund, DNP, CRNA, Chair, Dept of Clinical Sciences, Charleston, South Carolina, and The President of the AANA alongside, Dru Riddle, PhD,DNP, CRNA, FAANA President-Elect, AANA, CRNA, Northstar Anesthesia and Associate Professor, Texas Christian University TCU.

This podcast is brought to you with thanks for the support of NorthStar Anesthesia.

EBPOM USA gets off to an incredible start; the value proposition which drives the push towards perioperative medicine on both sides of the Atlantic. How far do we go when explaining to both practitioners and patients the importance of perioperative medicine, prehabilitation and preoperative assessment? Can a focus upon the value we add motivate people to follow the evidence and provide true enhanced recovery after surgery (ERAS)?

Presented by Desiree Chappell and Sol Aronson with their guests BobbieJean Sweitzer, Editor of Preoperative Assessment and Management (currently 3rd edition) and the Systems Director of Perioperative Practices at Inova Health, Falls Church, Virginia and Chris Steel, Chief Medical Officer at White River Health System, medical director for the Perioperative Surgical Home Learning Collaborative 2020 and Chief Medical Consultant for Community Business Resources.

What is the value proposition when it comes to data, when does data become information and how do we mitigate between useful monitoring and an irrelevant miasma? This timely conversation takes place at a key moment in medicine as the limits on what we can know pull back thanks to increasing technological innovation.

This piece presented to you with thanks to our sponsor Medtronic. It is with such partnerships that we are able to bring you TopMedTalk entirely for free each week.

Co-Chaired by Monty Mythen and Sol Aronson with their guests, led by Sam Ajizian, Chief Medical Officer of the Patient Monitoring Operating Unit in Medtronic and Karen Philips, Chief Medical Officer for the respiratory interventions business at Medtronic.

Where is Enhanced Recovery After Surgery (ERAS) for cardiac, now we find ourselves towards the start of the "post-COVID19" era? Where is the data taking us? How do we turn our principles into everyday practice?

This piece originally contained the "Cardiac enhanced recovery - essential update | EBPOM Chicago" presentation from our panelist Mike Grant. Listeners are advised to follow this link if they've not yet heard that essential talk: https://topmedtalk.libsyn.com/cardiac-enhanced-recovery-essential-update-ebpom-chicago

Presented and Chaired by Vicki Morton, Director of Clinical and Quality Outcomes, Providence Anesthesiology Associates, with panelists; Mike Grant, Medical Co-Director, Cardiovascular Surgical ICU, The Johns Hopkins University School of Medicine, Amanda Rea, Lead of Advanced Practice For Cardiac Surgery, University of Maryland, Rakesh Arora, Medical Director, Cardiac Surgery and Intensive Care Cardiac Sciences, St Boniface General Hospital and Marjan Jahangiri, Professor of Cardiac Surgery, St George's University Hospital.

"We need to stop accepting the tenants we've all been given throughout our careers and accept that maybe we've been misinformed and maybe we've misinformed ourselves and have a bit of humility and start again"

The Ernest Henry Starling Plenary Lecture; a stand out moment from EBPOM 2022, London.

Our speaker calls for medicine to significantly reevaluate itself and focus upon the caring aspect of 'intensive care'.

Presented by Hugh Montgomery OBE; Hugh obtained a first class degree in cardiorespiratory physiology and neuropharmacology, before graduating from the Middlesex Hospital Medical School in 1987. He has since accredited in general medicine, cardiology and intensive care medicine, and is UCL Professor of Intensive Care.

He directs the UCL Institute for Human Health and Performance, and was science lead for Caudwell Xtreme Everest in 2007. He has published over 180 scientific articles, and has a specific interest in hypoxiac adaptation.

Hugh has previously presented a piece here on TopMedTalk on the subject of Nasogastric Feeding: https://www.topmedtalk.com/intensive-care-society-nasogastric-feeding/

This piece focuses upon continuous ward monitoring. It provides real world experience as our guest explains how technology is moving forward. How do we avoid information overload? Do staff shortages mean this technology is rapidly going from "optional" to "essential"? How does more monitoring mean more value and better patient care?

This piece presented to you with Portrait Mobile and kindly sponsored by GE Healthcare.

Presented by Desiree Chappell and Monty Mythen with Sadia Khan, Consultant Cardiologist at West Middlesex University Hospital; with questions from the audience, both online and in attendance.

Due to the importance of this topic the TopMedTalk team would appreciate it if you could help to share and boost this podcast amongst your social media networks.

Pulse Oximetry has been in the news recently, the COVID crisis has revealed discrepancies in its efficacy with patients who have darker skin tones. This conversation cuts to the realities of the situation; are pulse oximeters "racist" or is this a potentially dangerous click bait fallacy?

Presented by Desiree Chappell and Monty Mythen with their guest Sam Ajizian, Chief Medical Officer of the Patient Monitoring Operating Unit in Medtronic

Laryngosopy latest; what can we see? This piece is a full and frank update regarding where we're at from a charismatic - self described - "laryngoscopy geek".

Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation - discussed in this piece under the name "The Cochrane Review" - is here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011136.pub3/full

Our guest kindly shares his Twitter handle: https://twitter.com/altgm

Presented by Desiree Chappell and Monty Mythen with their guest Alistair McNarry Consultant Anaesthetist Western General and St John's Hospitals Edinburgh and UK National Airway Lead (Joint position between Royal College of Anaesthetists and Difficult Airway Society).

TopMedTalk presented here as live during Evidence Based Perioperative Medicine (EBPOM)'s 2022 annual London conference.

Two presentations (the full video of which will be available on EBPOM.org) and then a panel discussion on the subjects of Enhanced Recovery After Surgery (ERAS) Cardiac and hypotension.

If you enjoyed this conversation there is a vast archive of discussion on the topic of Acute Kidney Injury on TopMedTalk here: https://www.topmedtalk.com/?s=AKI

Presented by Desiree Chappell and Monty Mythen with their guests Nick Fletcher, Professor and Chair, Institute of Critical Care, Anaesthesia and Pain at the Cleveland Clinic London and Gabor Zilahi, Consultant at St George's University Hospital (SGH) Cardiothoracic Intensive Care Unit (CTICU) and General Intensive Care Unit (GICU).

With gratitude to our sponsor Edwards Lifesciences.