Inflammatory claims about exercise

A fascinating conversation about the anti-inflammatory effects of exercise. The theory is floated that this could be part of the reason why exercise as a form a prehabilitation might be so effective as part of an enhanced recovery pathway. This is part of a longer piece which you can enjoy in full here: https://www.topmedtalk.com/rcoa-03-adverse-outcomes-and-patient-optimisation/ Featuring…

Journal Club Express 30/05/18

Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation Brian E. Driver, MD1; Matthew E. Prekker, MD1,2; Lauren R. Klein, MD1; et al Key Points Question In patients admitted to the emergency department with difficult airway characteristics undergoing orotracheal intubation with…

Cold, kill or cure? Live from the ISEH (Part 1)

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. How can cold water adaption help people deal with medical issues? There’s evidence to suggest that cold water adaption reduces inflamation, can open water swimming help with issues such as…

RCoA 13 – The GIRFT (Getting It Right First Time) Project

How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then…

RCoA 12 Should direct laryngoscopy be consigned to the history books?

The debate ‘Direct laryngoscopes should be consigned to history‘, hosted by The Royal College Of Anaesthetists at their annual general meeting, was carried out by our two guests on this piece. Here we get into the advantages and challenges behind the two techniques; video laryngoscopy and direct laryngoscopy. The conversation explores the fact that these skills…

RCoA 11 – The RELIEF Trial; your essential ‘deep dive’ into the results.

The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on the second day of The Royal Collage of Anaesthetists’ annual conference at the British Museum this is the moment the team get to pick over the results in detail. One of…