ISEH Highlight: How do you measure a patient’s temperature?

How and where do you measure a patient’s temperature? This is a detailed answer to a frequently asked question, various methods are discussed. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/ This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery…

Fluid – Matters | Part 6 ‘Goal Directed Fluid Therapy’

This is another excerpt from “Controversies in perioperative medicine”; “The Great Fluid Debate”. A fascinating piece containing Dr Tim Miller’s enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows. It ends up moving into the subject of ‘enhanced recovery after cardiothoracic surgery’ and what lessons we can learn from excessive…

Journal Club Express: Intraoperative hyperoxia and surgical site infections

Effect of intraoperative hyperoxia on the incidence of surgical site infections: a meta-analysis B. Cohen, Y.N. Schacham, K. Ruetzler, S. Ahuja, D. Yang, E.J. Mascha, A.B. Barclay, M.H. Hung, D.I. BACKGROUND Whether supplemental intraoperative oxygen reduces surgical site infections remains unclear. Recent recommendations from the World Health Organization and Center for Disease Control to routinely…

ISEH Highlight: ERAS what’s the ‘secret sauce’?

This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows tackles some of the essential elements of perioperative care. This conversation is taken from a longer piece to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-2/ For further expert discussion regarding the Drink, Eat, Mobilise, Sleep (DrEaMS)…

Fluid – Matters | Part 4 ‘The Great American Fluid Debate’

This is an excerpt from ‘The Great American Fluid Debate’ which was hosted at Duke University Medical Centre’s “Controversies in Perioperative Medicine” conference of this year. The debate is framed as “restrictive versus liberal” but, as you’ll hear, those terms are questioned by panel members. How do the results of ‘The Relief Trial’ figure in…

Controversies in perioperative medicine

Monty sits down with one of the co-organisers of this year’s meeting in Orlando and discusses this year’s annual conference, “Controversies in perioperative medicine”. The discussion encompasses pain relief, opioids, the increased use of ultrasound and the use of particular blocks during abdominal surgery. As ultrasound improves how is perioperative medicine changing? What are the…

Fluid – Matters | Part 3 Fluid Responsiveness and venous capacitance

This conversation reflects a discussion had at the Perioperative Quality Inititative (POQI). It originally ran under the title, “Intervascular volume and fluid responsiveness” but, as this conversation explains, it was renamed “Fluid Responsiveness and venous capacitance”. With a genuinely multidisciplinary approach on display here this piece gives you a glimpse at the inner workings of…