PERIOP COACH 1.04 | ‘Money’s tight’; pull together an ER team with limited resources. The key- NURSES!

Implementing better practice and “ERAS 2.0”. The ground up approach of a ‘council of nurses’ sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional hierarchical power structure? Presented by Desiree Chappell with her guests Dr Ruchir Gupta, medical lead for enhanced recovery at Stony Brook University and Joni…

Talks to… | Thomas Scheeren

The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to www.topmedtalk.com will be familiar with concerns about perioperative hypotension. For those who have just joined us, or anyone who fancies a quick refresher on this issue, it is covered in detail here:   https://www.topmedtalk.com/live-from-boston-asa-2017-the-elephant-in-the-room-intraoperative-hypotension/   Many practitioners believe…

Journal Club 1.04 | Perioperative Medicine: Albumin and AKl

The piece discussed in this week’s Journal Club is called “Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?”. The link is here: https://perioperativemedicinejournal.biomedcentral.com/track/pdf/10.1186/s13741-018-0110-y Additional links here: “Association between albumin administration and survival in cardiac surgery: a retrospective cohort study”: https://www.ncbi.nlm.nih.gov/pubmed/30006911 “Association between Initial Fluid Choice and Subsequent In-hospital…

TopMedTalk Xmas Special Part 3 of 3

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The Randy Moore piece: https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/ Here’s the piece Monty mentions which celebrated the 60th anniversary of Edwards Life Sciences: https://www.topmedtalk.com/the-hypotension-prediction-index-hpi/ Here’s are the pieces with Matthew McEvoy, the second is the Q&A section: https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit/ https://www.topmedtalk.com/ebpom-usa-chicago-2018-the-opioid-crisis-can-we-kick-the-habit-qa/ The Dingle Conference…

TopMedTalk Xmas Special Part 2 of 3

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: Paul Myles and the RELIEF trial results: https://www.topmedtalk.com/the-relief-trial-results/ And here is the “deep dive” we mention: https://www.topmedtalk.com/the-topmedtalk-top-ten-rcoa-11-the-relief-trial-your-essential-deep-dive-into-the-results-2/ And here are all the RELIEF trial pieces we’ve done: https://www.topmedtalk.com/?s=RELIEF Also, make sure you listen to this piece, “RCoA 12…

TopMedTalk Xmas Special Part 1 of 3

A three part series covering the year in TopMedTalk. Here are some links to the pieces discussed: The conversation with Zeev Kain is here: https://www.topmedtalk.com/zeev-kain-organiser-of-the-american-college-of-perioperative-medicine-interdisciplinary-conference-on-orthopaedic-value-based-care/ The Eric J Schneidewind piece is here: http://topmedtalk.libsyn.com/the-topmedtalk-top-ten-i-want-to-dance-at-my-daughters-wedding The first ever Roundtable discussion is here: https://www.topmedtalk.com/the-singularity-university-and-exponential-change/ The piece mentioned, which features Dr Patrick Shannahan, is here: https://www.topmedtalk.com/heated-discussions-exponential-rise-in-babies-born-addicted-to-opiodes/ This link takes…

Sunday Special | Mike of the antarctic

Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the “Anaesthesia at the Extreme” conference. Regular listeners will remember his excellent talk about Xtreme Everest, which you can find here: https://www.topmedtalk.com/10-xtreme-everest-physiology-on-top-of-the-world/ Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia…