TopMedTalk

This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice?

Some of the questions from the online audience include: Is Enhanced Recovery After Surgery (ERAS) in orthopaedics a step too far? How do patients who have significant arthropathys engage with a prehab program that makes them fitter? Those that successfully complete the program, are they not the ones who probably don't need joint replacement today and rehab might actually look at elongating that reoperative window?

This piece is presented in proud association with the South of Ireland Association of Anaesthetists (SIAA).

The Centre for Perioperative Care (CPOC) is here: https://cpoc.org.uk/

"Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery" is here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710560/

"Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review" is here: https://pubmed.ncbi.nlm.nih.gov/30236233/

"Intraoperative Hypotension Is Associated With Adverse Clinical Outcomes After Noncardiac Surgery" is here: https://pubmed.ncbi.nlm.nih.gov/33177322/

Presented by Brian O'Donnell, Consultant Anaesthesiologist, Cork University Hospital and Frank Loughnane, Consultant Anaesthesiologist, Cork University Hospital with their guests, Emer Aherne, Consultant Geriatrician specialising in Trauma & Orthopaedic Care at Cork University Hospital, Co-lead Irish Hip Fracture Database and John Whittle, Associate Professor, Perioperative Medicine UCL.

"Decide to be part of the solution"

This inspirational talk focuses upon how and why we need to focus on and improve attitudes toward pain control. Working as a team, being proactive and engaging with our wider culture are emphasized along with the need for education, standardisation and the ability to learn from other specialties.

Presented by Jeffrey L. Gum, MD, Adult and Pediatric Spine Surgeon, Norton Leatherman Spine Center, Associate Professor University of Louisville Department of Orthopedics.

This wide ranging conversation starts with a focus upon blood pressure and moves through some of the bigger trails on what an appropriate target is for a perioperative practitioner. What is the most sensible way to manage blood pressure and where are the data driving us to? Further conversation evolves around the post-op period and transition of care. Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Bernd Saugel, Professor and Vice Chair of the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine at the University Medical Center Hamburg-Eppendorf, Germany. --

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Find out more about The ESAIC here: https://www.esaic.org/

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This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from an aerobics trial. What are the next steps for future research?

This piece was followed by a panel discussion which will be released soon here on TopMedTalk. For more information about Evidence Based Perioperative Medicine (EBPOM) go here www.ebpom.org

Presented by Michelle Humeidan, Associate Professor, Neuroanesthesiology, Associate Faculty, Institute for Behavioural Medicine Research, Medical Director, Enhanced Surgical Recovery.

This piece is highlighted because of its significance. Please check out the rest of TopMedTalk's coverage of the conference on our website - www.topmedtalk.com

Regular listeners will appreciate the importance of the PeriOperative ISchemic Evaluation-3 Trial (POISE-3). Here we highlight a conversation containing late breaking news on the subject.

The New England Journal of Medicine is here: https://www.nejm.org/doi/full/10.1056/NEJMoa2201171

Presented by Desiree Chappell and Monty Mythen with their guests Frederic Michard, MD of MiCo Consulting and Daniel Sessler, Michael Cudahy Professor and Chair at Cleveland Clinic, Director of The Outcomes Research Consortium.

A welcome return to TopMedTalk for two big names both of whom made a huge impact with their previous appearances, links to which are here:

Dan Sessler is here: https://topmedtalk.libsyn.com/topmedtalks-to-dan-sessler-0

Frederic Michard is here: https://topmedtalk.libsyn.com/topmedtalk-wireless-wearables-on-the-ward-the-new-www-revolution

Presented by Desiree Chappell and Monty Mythen with their guests Frederic Michard, MD of MiCo Consulting and Daniel Sessler, Michael Cudahy Professor and Chair at Cleveland Clinic, Director of The Outcomes Research Consortium.

"There's been a really noticeable shift, especially in the UK, towards big pragmatic research answering the big simple questions..."

This wide ranging conversation with a TopMedTalk favorite at the European Society of Anaesthesiology and Intensive Care (ESAIC) provides a fresh perspective on how the world is going to recover from the COVID catastrophe, how it forced us to improve our standards and priorities and how it effects trials and research in the field of perioperative medicine?

If you enjoyed our guest's take today why not go here for more? http://www.topmedtalk.com/anaesthesia-2019-rupert-pearse/

Presented by Desiree Chappell and Sol Aronson with their guest Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London.

"Hypotension is always a problem..." This piece is provided 'as live' from the European Society of Anaesthesiology and Intensive Care (ESAIC).

Presented by Desiree Chappell, Monty Mythen and Sol Aronson with their guest Thomas Scheeren, Professor of Anesthesiology, Department of Anesthesiology, University Medical Center Groningen, Groningen, the Netherlands.

Our guest has featured on TopMedTalk before, worth checking it out here: http://www.topmedtalk.com/euroanaes2019-thomas-scheeren/

--

Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare.

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Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

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Find out more about The ESAIC here: https://www.esaic.org/

Find out more about GE Healthcare here: https://www.gehealthcare.com/

"Moving from being reactive to being proactive"

The Portrait Mobile product launch, live from the ESAIC.

Presented by Monty Mythen, Smiths Medical Professor UCL and TopMedTalk's Editor in Chief, with his guest Frederic Clement, Chief Marketing Officer at GE Healthcare.

-- Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare.

Go now to www.twitter.com/topmedtalk

Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

Go now to https://www.facebook.com/TopMedTalk1

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Find out more about The ESAIC here: https://www.esaic.org/

Find out more about GE Healthcare here: https://www.gehealthcare.com/

The TopMedTalk team are live at the European Society of Anaesthesiology and Intensive Care (ESAIC).

Join Desiree Chappell and Monty Mythen with the team, TopMedTalk's Henry Howe and Jenny Gomez, both of whom are junior doctors.

Get all the headlines and information about the hot topics and major events of this conference exclusively from TopMedTalk, thanks to our partners in GE Healthcare.

Go now to www.twitter.com/topmedtalk

Go now to https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ

Go now to https://www.facebook.com/TopMedTalk1

Go now to https://www.linkedin.com/company/topmedtalk/

Find out more about The ESAIC here: https://www.esaic.org/

Find out more about GE Healthcare here: https://www.gehealthcare.com/