TopMedTalk

"Now we've declared it possible, is it the right thing to do?"

This timely discussion considers the wisdom of day case total knee replacement: What do the data say? Can we do this without the use of opioids? What is reasonable to consider as part of an enhanced recovery after surgery program? How do patients make an informed decision when this kind of surgery is in their possible future?

The first TopMedTalk piece mentioned in the discussion is here: TopMedTalk | Henrik Kehlet and Nick Scott: https://www.topmedtalk.com/topmedtalk-henrik-kehlet-and-nick-scott-2/

And the second is here: https://www.topmedtalk.com/cryoneurolysis-and-pain-management-topmedtalk-2/

Chaired by Sol Aronson, Emeritus Professor, Duke University & Desiree Chappell, VP Clinical Quality Northstar Anaesthesia with David Howard, Honorary Consultant, Ear Nose and Throat / Head and Neck Surgeon, Imperial and UCLH NHS Trust Hospitals, Brian O'Donnell, consultant anaesthesiologist, Cork University Hospital, Vinod Dasa, VP for Academic Affairs, Dept of Orthopedics, LSU.

"How do we share enhanced recovery with the world? There's been a lot of work in this area..." This crucial update covers enhanced recovery in cardiac; all the latest on investigation, implementation science, integration and dissemination. Recorded at the Evidence Based Perioperative Medicine (EBPOM) Chicago Conference.

For more information on EBPOM check out www.ebpom.org

Presented by Michael C Grant, Associate Professor, Department of Anesthesiology/Critical Care Medicine, Johns Hopkins University School of Medicine.

How do you go about setting up and then running a perioperative nutrition clinic? How do you convince patients and providers that this will increase value and efficacy? Is nutrition really an essential part of enhanced recovery after surgery?

This piece is complimented by a panel discussion soon to be released here on TopMedTalk. However, if you can't wait to hear more you will want to check out the Evidence Based Perioperative Medicine (EBPOM) site here: www.ebpom.org

Presented by Elizabeth Villalta, MS, RD, LDN, Licensed Registered Dietitian.

"It certainly has ignited some sort of telemedicine and remote monitoring revolution; I think we'll look back in 10 years and say, well, that's really when things ramped up and changed"

This piece is an engaging look at "connected health"; how are new technologies bringing world class experts straight to patients both safely, effectively and at a scale which was previously unimaginable? What are the drawbacks from both the perspective of patient and practitioner? Has the acceleration of these processes - caused by COVID19 restrictions - been a good thing or is it causing some people to be left behind?

Presented by Desiree Chappell, VP Clinical Quality for NorthStar Anaesthesia and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care, with John Whittle, consultant anesthetist, critical care physician and perioperative medicine physician and Honorary Associate Professor of perioperative medicine at University College London, Imogen Fecher-Jones, lead nurse for perioperative medicine and pre assessment services at University of Southampton Hospital, Betty Jo Rocchio, CRNA and Senior Vice President and Chief Nursing Officer, Mercy Health in the US, Sam Ajizian, CMO for patient monitoring, Vice President of Global clinical research and medical science for patient monitoring respiratory interventions at Medtronic and, as patient advocate, Neil Johnson, Chief Executive of the Croi, Heart and Stroke Centre, The National Institute for Prevention and Cardiovascular Health and The Global Heart Hub, Ireland.

In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). There are also wider questions about "the future of anaesthesia".

Ensure you are now subscribed to TopMedTalk so you never miss out.

Chaired by Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton and Rodney Meeke, recently retired Anaesthesiologist and Intensivist, Cork University Hospital with contributions from David Howard, Professor of Head and Neck Oncology at Imperial College London in 2008 and remains Honorary Consultant ENT/Head and Neck Surgeon at Imperial and UCLH NHS Trust Hospitals, Korle-Bu Hospital, Accra, and KCMC Hospital, Tanzania, Jim Roberts, Consultant anaesthetist & medical innovator at University College London Hospital & Anil Patel, Professor, consultant anaesthetist at The Royal National ENT & Eastman Dental Hospitals, University College London Hospital and DAS professor of anaesthesia & airway management.

TopMedTalk's essential series on acute kidney injury continues, supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about AKI.

For part one of the series follow this link: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury

In this podcast you will discover how The Perioperative Quality Initiative (POQI) focuses upon renal injury. How do we identify patients early? How do we treat the condition? What should out approach to biomarkers be? What are we looking for when it comes to urine output?

Make sure you check out POQI's website here: https://www.thepoqi.org/

While you're online why not book tickets for the next EBPOM conference: www.ebpom.org

Presented by Andy Shaw, Chairman, Department of Intensive Care and resuscitation at The Cleveland Clinic, Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK), Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, John Prowle, Senior clinical lecturer, intensivist nephrologist, Royal London Hospital in East London, Marlies Ostermann, Consultant in critical care and nephrology, Guy's and St Thomas's NHS Foundation Trust and Sandy Kane-Gill, Professor, Pharmacy and Theraputics, Univeristy of Pittsburgh School of Pharmacy.

"New '21st Century iron lung' ventilator designed by British experts could revolutionise Covid treatment by taking patients out of intensive care wards" Daily Mail UK, 19th Jan 2021

This is part one of a two part piece.

This piece looks at the development of a new negative-pressure ventilatory support device: Exovent. Their website is here: https://exovent.org/

We also cover questions from the EBPOM Dingle audience; what is 'the next big thing' in ventilation? How do we optimise what we currently do? Should we expect to see more negative pressure devices and techniques? How do we get around the perennial problem of ventilator induced lung injury?

In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). Ensure you are subscribe to TopMedTalk so you can't miss it.

Chaired by Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton and Rodney Meeke, recently retired Anaesthesiologist and Intensivist, Cork University Hospital with contributions from David Howard, Professor of Head and Neck Oncology at Imperial College London in 2008 and remains Honorary Consultant ENT/Head and Neck Surgeon at Imperial and UCLH NHS Trust Hospitals, Korle-Bu Hospital, Accra, and KCMC Hospital, Tanzania, Jim Roberts, Consultant anaesthetist & medical innovator at University College London Hospital & Anil Patel, Professor, consultant anaesthetist at The Royal National ENT & Eastman Dental Hospitals, University College London Hospital and DAS professor of anaesthesia & airway management.

This podcast is in addition to a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. Go here for part one: https://www.topmedtalk.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury/ It includes contributions from Dan Engelman, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts-Baystate, and an Associate Professor-Adjunct at Tufts University School of Medicine and Sandra Kane-Gill, Professor of Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy, secondary appointments in the School of Medicine in the Clinical Translational Science Institute, Department of Critical Care Medicine and the Department of Biomedical Informatics, she also serves as Professor for the Center for Critical Care Nephrology and Center for Medical Machine Learning.

If you would like to hear the full presentation from Sandra Kane-Gill go here: https://directory.libsyn.com/episode/index/id/21482261

And the clips of Dan Engelman come from here: https://www.topmedtalk.com/daniel-engelman-qa-ebpom-chicago-2/

How should we best monitor and treat acute kidney injury (AKI)? Where is the information leading our best practitioners to? How can monitoring incidences of AKI help to reduce it?

This podcast is Part 5 in a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI.

For part one go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury

For part two go here: https://topmedtalk.libsyn.com/part-2-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-aki-recomendations-and-research-priorities-from-adqi-24poqi-7

Part three is here: https://topmedtalk.libsyn.com/part-3-know-aki-and-say-no-to-acute-kidney-injury-for-patients-health-systems-perspectives-in-aki

And part four is here: https://topmedtalk.libsyn.com/part-4-know-aki-and-say-no-to-acute-kidney-injury-for-patients-andy-shaw-on-acute-kidney-injury-aki-biomarkers

You can watch a video of the lecture in the on demand section of the EBPOM Education Hub (www.live.ebpom.org).

For more on AKI go here: https://www.topmedtalk.com/?s=acute+kidney+injury

"Postoperative acute kidney injury in adult non-cardiac surgery: joint consensus report of the Acute Disease Quality Initiative and PeriOperative Quality Initiative" is here: https://www.nature.com/articles/s41581-021-00418-2

Presented by Monty Mythen with Desiree Chappell and their guests Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A.

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?

This is part two of a two part piece.

The previous installment is here: https://topmedtalk.libsyn.com/intensive-care-during-covid19-p1-topmedtalk

The TV show mentioned in this piece is available here: https://www.channel4.com/programmes/help

Editor's note; parts of this conversation which suffered from technical issues have been removed from this podcast.

Chaired by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at UCL and a consultant anesthetist at UCL hospitals, Director of the Health Services Research Center of the Royal College of Anaesthetists and national Clinical Director for critical and perioperative care at NHS England with remote assistance from Catherine Motherway, consultant in Anaesthesia and Intensive Care in University Hospital Limerick and contributions from panelists; David Walker, Professor in Anaesthesia and Critical Care Medicine, University College London Hospitals, Honorary Senior Lecturer UCL, Jim Down, Intensivist and Consultant Anaesthetist, University College London Hospital. Colman O'Loughlin, consultant Anaesthesia, Critical Care Medicine, Extracorporeal Life Support at the Mater Hospital, Dublin, Enda O'Connor, physician intensivist and current ICU Lead and Education Lead in St James's Hospital.