TopMedTalk

This entertaining piece is designed to be a fun listen which also manages to convey a sense of where Perioperative Medicine is as a discipline. It also contains a large number of exciting and exclusive announcements, make sure you listen and enjoy.

Presented here "as live" by Desiree Chappell with Monty Mythen and Sol Aronson, tenured Professor at Duke University with Jeanna D. Blitz, Associate Professor of Anesthesiology, Medical Director, Duke PASS Clinic Director, Perioperative Medicine Fellowship.

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We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X

The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market.

"Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921

As anesthesiologists "we are part of teams" and "anesthesia and intensive care have developed a much higher profile after COVID and we should build on that". How can innovations like telemedicine help us to do better? Are we right to be optimistic about our specialty in this difficult time?

The international board for perioperative medicine is here: https://www.internationalboardpom.org/

The Hartford Foundation is here: https://www.hfpg.org/

"Perioperative medicine journal" is here: https://perioperativemedicinejournal.biomedcentral.com/

Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI).

Make sure you ride the POCAPALOOZA - to the good health of perioperative care - all the way round the world. Next stop? Hong Kong!

We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X

If you enjoyed this piece why not try out another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/

Or check out Carol Peden here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/

This episode of the Pocapalooza* is provided here for free in the hope you can help us raise money for a cause that will immediately appeal to perioperative practitioners, the African Perioperative Research Group (APORG): https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X

This piece traces the story of perioperative medicine, through the lens of the contributors and Evidence Based Perioperative Medicine (EBPOM). Hear how pioneers in our field used evidence as their negotiating tool to reform practices and provide better, healthier outcomes for all. The question arises, where next? Education has always been at the heart of the mission, could COVID 19 and the increased use of online learning add momentum to that which would previously have been impossible to imagine?

We then move into a discussion of The Centre for Perioperative Care (CPOC) "what about today calling it 'CPOC-APALOOZA?'".

The intention here is to bring all aspects of perioperative care together, multidisciplinary and collaborative.

Presented by Desiree Chappell with Monty Mythen and their guests Mike Grocott a frequent TopMedTalk anchor and Professor of Anaesthesia and critical care at the University of Southampton and David Selwin, Medical Director at Sherwood Forest Hospitals NHS Foundation Trust.

*Why Pocapalooza? "Poc", being the short form of 'perioperative care' and "apalooza" being a festival of some kind.

This piece is a short conversation with two guests we spoke with during the hugely successful Pocapalooza of EBPOM 2020, Live from London.

Presented by Desiree Chappell with her guests Bruce Biccard, consultant anaesthetist at the University of Kwazulu-Natal, Director, Perioperative Research Unit, Department of Anaesthetics, Nelson R Mandela School of Medicine and Salome Maswime, Obstetrician and Gynaecologist and Professor of Global Surgery at the University of Cape Town.

If you have enjoyed content from this year's EBPOM 2020 Live from London please contribute to our Just Giving page set up to raise money for the African Perioperative Research Group (APORG) this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X

The Pocapalooza begins!

"Poc" standing for "perioperative care" and "palooza" meaning festival. Join us as we travel around the world promoting life changing healthcare. Go to ebpom.org for entertainment throughout the day as we celebrate the success of our first fully virtual conference, EBPOM 2020, Live from London!

Regular listeners will be delighted to discover this piece is an update on a project which has been close to our hearts here on TopMedTalk; The African Surgical Outcomes Study (ASOS) and the African Perioperative Research Group (APORG).

We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X

"Finding African solutions to the problems that we're having"

You will also find a discussion regarding the Prato conference we covered extensively here on TopMedTalk, a fascinating gathering of people interested in international collaborative trails, and we cover The UK Perioperative Medicine Clinical Trials Network, see link below, before moving on to ASOS in detail.

The Perioperative Medicine UK Clinical Trials Network is here: https://pomctn.org.uk/home

Presented by Desiree Chappell with Monty Mythen and their guests Paul Myles, Director, Anaesthesiology and Perioperative Medicine, Alfred Hospital and Monash University, Bruce Biccard consultant anaesthetist at the University of Kwazulu-Natal, Director, Perioperative Research Unit, Department of Anaesthetics, Nelson R Mandela School of Medicine and Salome Maswime Obstetrician and Gynaecologist and Professor of Global Surgery at the University of Cape Town.

If you enjoyed this piece please find more Bruce Biccard here: https://www.topmedtalk.com/topmedtalk-african-surgical-outcomes-study-asos-2/

We discuss Rupert Pearse in this podcast, why not listen to a piece with him discussing the Clinical Trials Network here: https://www.topmedtalk.com/anaesthesia-2019-the-clinical-trials-network-and-optimising-shared-decision-making/

Paul Myles is a firm favourite on TopMedTalk, enjoy more of his incisive observations here: https://www.topmedtalk.com/prato-2019-paul-myles/

This piece covers the fascinating upside to the recent global pandemic we have been facing in medicine; increased application of innovation and better time efficiency.

"We have learned that we can move very quickly"

How have innovations in times of crisis meant that technology has been able to be used which has 'upscaled' remote patient monitoring? How has the value of this innovation become clear during this recent resource stretched period?

"People reached out for innovation, why would we go back?"

This piece focuses on opioid toxicity, nociception monitoring and pain management.

To learn more about NOL® technology and the clinical evidence on the benefits of nociception monitoring please visit: www.medasense.com

Presented by Desiree Chappell and Monty Mythen with their guests Frank Chan, Vice President & General Manager, Patient Monitoring at Medtronic, Jason Case, Vice President, R&D, Patient Monitoring at Medtronic and Michelle Jones, Senior Director, Global Marketing, Patient Monitoring and Minimally Invasive Therapies, Medtronic.

This piece focuses on procedural sedation and questions regarding, who delivers it, is there a standard for monitoring what is the correct approach to capnography? Further discussion also includes questions regarding sedation; is there room for compromise in the debate surrounding propofol? If so where does responsibility lie for that? Is it wrong to sell this as a "general anaesthetic"? Is there room for sedation teams who can find a compromise position?

Presented by Desiree Chappell with Monty Mythen and Jim Down, Intensivist and Consultant Anaesthetist, University College London Hospital and Amit Prakash, Consultant Anaesthesia & Perioperative medicine at Cambridge university hospital, Addenbrookes NHS trust.

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You've downloaded a free sample of the incredible conference currently being live streamed to an audience of thousands on EBPOM.org - go now to find out more. Join some of the finest medical minds in the world as we adapt to the global pandemic with a ground breaking live perioperative medicine event like no other.

"Everyone is aware of the opioid crisis outside of hospital, tragic opioid crisis, but we've had one on the wards for a long time".

This piece focuses on opioid toxicity, depth of anaesthesia, patient monitoring and pain management.

"We've all had situations where we give too much or too little"; either can be serious concerns, "it's essential we get the analgesia right".

Presented by Desiree Chappell and Monty Mythen with Frank Overdyk, Professor of Anaesthesiology, Charleston, South Carolina.

Go now to EBPOM.org

This piece is a guide to just some of today's main events.

Please go to EBPOM.org now to register for an incredible 3 days of life changing and life saving information. If you don't sign up in time for today don't forget, after the huge success of EBPOM Live from London our next big event is EBPOM - Chicago!

The welcome return of Desiree's Roundtable is just one of the treats made possible by the groundbreaking virtual conference, EBPOM Live From London, which is taking place now.

If you missed out on tickets stay with us here on TopMedTalk where you will soon be hearing selected highlights through the rest of the year. Also, make sure you are one of the first to hear exclusive content from EBPOM Chicago now by going to EBPOM.org and registering for FREE. This exclusive offer is for a limited time only.

This piece explores perioperative shared decision making from a variety of angles. Where is the latest research? Is it something we can reasonably out source? Does it always play in the favour of the patient or do we as practitioner benefit from this process also? How do we implement it without 'bulldozing' through years of experience?

Link to video featuring patient "Doug": http://www.petermac.org/sdm

Presented by Desiree Chappell and Ross Kerridge, "The Father of Perioperative Medicine", Debra Leung, Anaesthesiologist , Peter MacCallum Cancer Centre, Melbourne, Aisling Fleury, Geriatrician at Logan Hospital, Brisbane, Jon Gani, Conjoint Professor of Surgery at the University of Newcastle and an Honorary Medical Officer at John Hunter and Belmont District Hospitals, Pragya Ajitsaria is a staff Specialist Anaesthetist at John Hunter Hospital, Conjoint Lecturer at the University of Newcastle.

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If you are attending EBPOM Live from London please check www.ebpom.org for more information on the education, community and entertainment we have prepared for perioperative practitioners globally.