Journal Club Express 27/04/18

Steroids in cardiac surgery: a systematic review and meta-analysis BJA April 2018, Volume 120, Pages 657-667. See full article here: https://www.ncbi.nlm.nih.gov/pubmed/29576107 Join in the debate: contact@topmedtalk.com Don’t forget to come and meet the TopMedTalk team at one of the EBPOM events, details on the forthcoming London meeting can be found here: https://ebpom.org/EBPOM2018 Check out this episode!

EBPOM USA: How are you driving perioperative care?

This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in advance; ERAS for obstetrics; challenging opioid use with the multimodal pain management; shared decision making in pain management; the importance of clear communication pathways and patient literacy. This podcast features Desiree Chappell interviewing; Dr Ellen…

Journal Club Express – Postoperative delirium in total knee and hip arthroplasty patients

Professor Monty Mythen presents Journal Club Express. Postoperative delirium in total knee and hip arthroplasty patients: a study of perioperative modifiable risk factors DOI: 10.1016/j.bja.2017.12.046 — S. M. Weinstein et al. Br J Anaesth 2018; 120(5): 999-1008 This is an American single center retrospective study with 41,766 patients undergoing hip and knee arthroplasties over a seven…

Psychological optimisation, EBPOM USA

Originally streamed live from Atlanta Georgia during TopMedTalk’s coverage of “EBPOM-USA Masters Course, A Perioperative Care Practicum” this podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patients off opioids in advance of surgery and cutting their dependency afterwards.…