Assisted fluid management and predicting hypotension | WCA 2024

In this piece we cover assisted fluid management in anesthesia. Using AI in anesthesia and its potential impact on anesthesiologists. The validity of the hypotension prediction index in academic debate. Reducing hypertension in surgical patients using HPI. Desiree Chappell and Monty Mythen speak with Thomas Scheeren, Senior Director Medical Affairs, Edwards Lifesciences and Paul Van Beest, Anaesthesiologist, Medical Center Leeuwarden, University Medical Center Groningen.

Intraoperative hypotension; killing them softly | TopMedTalk at The AANA

Intraoperative hypotension is now firmly associated with harm and poor outcomes, this conversation should get you thinking about what this means to you as a practitioner. Here Desiree Chappell speaks with Amy Yerdon, Assistant Professor of Nursing, Nursing Acute, Chronic & Continuing Care, University of Alabama, Birmingham and Bradley Steg, CRNA is a Nurse Anesthetist in Jackson, Tennessee.

Anesthesia Patient Safety Foundation; Intraoperative Hypotension and Hemodynamic Stability | #ANES23

This important piece covers the recent Anestheia Patient Safety Foundation (APSF) conference on perioperative hemodynamic instability, and the recent recommendations that they have just launched. The Anestheia Patient Safety Foundation is here: https://www.apsf.org/ Presented by Desiree Chappell and Mike Grocott with their guests, Daniel Cole MD, APSF President, Louise Y. Sun MD, SM, FRCPC , FAHA Professor of Anesthesiology at Stanford University, Michael Scott MB, ChB, FRCP, FRCA, FFICM Professor of Anesthesiology at the University of Pennsylvania. — Originally streamed live as part of our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA), the largest and most important gathering of anesthesiologists in the world. We’re your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for a record of the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams

Interoperative hypotension study group; USAP and NorthStar Anesthesia | TopMedTalk

This conversation is one of the key reasons we wanted to attend the annual general meeting of the International Anesthesia Research Society, in association with the Society of Critical Care Anesthesiologists and the Association of University Anesthesiologists. Bringing together various strands which we have covered previously here on TopMedTalk around the subject of Interoperative Hypotension (IOH) this in depth, long form conversation, brings you up to date with the latest research. Hear Monty Mythen and Desiree Chappell discuss interoperative hypotension with their guests, Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP) and Josh Lumley, Chief Quality Officer from NorthStar Anesthesia before welcoming Wael Saasouh, Regional Director of Research at NorthStar Anesthesia, to the discussion along with Anna Christensen, Director of health research strategy and analytics, Mathematica. — We spoke previously with Rick Dutton at the ASA here:https://topmedtalk.libsyn.com/rick-dutton-chief-quality-officer-us-anesthesia-partners-topmedtalk-at-the-asa We spoke in more depth to Wael Saasouh here: https://topmedtalk.libsyn.com/topmedtalks-to-wael-saasouh-topmedtalk  

The ASA’s Intraoperative Hypotension Measure | Anesthesiology 2022

Celebrating 5 years of TopMedTalk at ‘Anesthesiology’; the Annual General Meeting of the American Society of Anesthesiologists (ASA). This piece is presented by Desiree Chappell and Monty Mythen with their guests Rick Dutton, Chief Quality Officer at United States Anesthesia Partners Baltimore, Maryland Area, Josh Lumbley, Chief Quality Officer of NorthStar Anesthesia and Wael Saasouh, Regional Director for Research at NorthStar Anesthesia. Rick Dutton is a popular contributor to TopMedTalk; you can hear more from him in our extensive podcast archive here: https://www.topmedtalk.com/rick-dutton-chief-quality-officer-us-anesthesia-partners-topmedtalk-at-the-asa/ And here: https://www.topmedtalk.com/topmedtalks-to-rick-dutton-2/ And here: https://www.topmedtalk.com/desirees-roundtable-rick-dutton-qa-session-2/ TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® at ANESTHESIOLOGY® 2022. Now in our fifth year TopMedTalk is bringing you our most comprehensive and extensive coverage of the largest gathering of anesthesiologists in the world! This audio is presented to you “as live” – if you’d like to see our coverage as it happens go now to: https://live.topmedtalk.com/ TopMedTalk is provided to you for free; if you want to help support our work and help give these conversations a wider audience please like and subscribe (if and where possible) before sharing it on your social media. TopMedTalk can be found on YouTube here: https://www.youtube.com/channel/UC-HYQmeIwcFCYO1hoQ8jShQ We are on Twitter here: https://twitter.com/topmedtalk We are on LinkedIn here: https://www.linkedin.com/company/topmedtalk We are on Facebook here: https://www.facebook.com/TopMedTalk1/

Cardiac ERAS and hypotension in focus | EBPOM 2022

TopMedTalk presented here as live during Evidence Based Perioperative Medicine (EBPOM)’s 2022 annual London conference. Two presentations (the full video of which will be available on EBPOM.org) and then a panel discussion on the subjects of Enhanced Recovery After Surgery (ERAS) Cardiac and hypotension. If you enjoyed this conversation there is a vast archive of discussion on the topic of Acute Kidney Injury on TopMedTalk here: https://www.topmedtalk.com/?s=AKI Presented by Desiree Chappell and Monty Mythen with their guests Nick Fletcher, Professor and Chair, Institute of Critical Care, Anaesthesia and Pain at the Cleveland Clinic London and Gabor Zilahi, Consultant at St George’s University Hospital (SGH) Cardiothoracic Intensive Care Unit (CTICU) and General Intensive Care Unit (GICU). With gratitude to our sponsor Edwards Lifesciences.

Key update on Intraoperative Hypotension | EBPOM Chicago

This deep dive into intraoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand what it is that we are doing well when it comes to prevention? Presented by Desiree Chappell and Monty Mythen with their guests Thomas Scheeran, Professor of Anaesthesiology, University Medical Centre, Groningen, Netherlands and Ashish Khan, Associate Professor, Department of Anesthsiology, Wake Forest School of Medicine.

Ashish Khanna on intraoperative hypotension and beyond | TopMedTalk at the ASA

Welcome to TopMedTalk’s exclusive – as live – coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, TopMedTalk’s lead presenter, Monty Mythen TopMedTalk’s Editor in Chief and Sol Aronson, tenured Professor, Duke University speak with their guest Ashish Khanna, Associate Professor, Section Head for Research, Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine.

Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago

“If you want to take population based data, and define hypotension, you’ll be right for the majority of our average patients, but not for all patients and it appears that the amount of time we spend below the lower limit of autoregulation has meaning for patient outcomes” Starting from the origins of blood pressure monitoring, via the father of neurosurgery endocrinology, Harvey Cushing, through to the current debate as to what exactly constitutes hypotension this piece is an important part of a longstanding discussion here on TopMedTalk. How and why does hypotension occur and what is the correct evidence based strategy now the data are mounting as regards potential patient harm and unsatisfactory outcomes? Presented by Charles Hogue, Professor and Chair of Anesthesiology at Northwestern University in Chicago.

Testing the Hypotension Prediction Index | TopMedTalk

“We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension”. This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of technology in relation to hypotensive episodes? Furthermore how else is it to be tested and when will these tests be carried out? Presented by Desiree Chappell and Monty Mythen with their guest Marit Habicher, Specialist, Department of Anesthesia and Critical Care at UKGM Giessen.