EBPOM 2021 POCAPALOOZA final | TopMedTalk
“The delivery of good medical care is to do as much nothing as possible.” – Samuel Shem. The POCAPALOOZA (POC, perioperative care; apalooza – a celebration of) wraps up in true style with a look at Australia and their current situation. Lauded for their handling of COVID19 but not yet ‘through the woods’ the conversation looks at how doing the right thing can be innovative and why a good rapport with your patient is invaluable. Presented by Desiree Chappell with her guest Ross Kerridge, Senior Staff Specialist Anaesthetist Clinician at the John Hunter Hospital, Newcastle, Australia and Associate Professor at the University of Newcastle.
POCApalooza West | EBPOM London 2021
Presenting 2021’s POCApalooza West; the annual tradition continues in the wake of last year’s hugely successful international gathering of perioperative practitioners; hear how the rest of the world is handling the COVID-19 crisis, how the connectivity between patients and practitioners is improving and how one of TopMedTalk’s favourite contributors is now taking perioperative medicine to the heart of healthcare in the USA. Featuring Desiree Chappell, Monty Mythen and their guests, Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care, University of Pennsylvania, Sol Aronson, Professor Emeritus, Duke University, Durham, North Carolina and Carol Peden, adjunct Professor at USC and Pennsylvania and current Chair of The American Society of Anesthesiology’s Brain Health Initiative.
POCApalooza East | EBPOM 2021
Presenting 2021’s POCApalooza East. The now annual tradition continues in the wake of last year’s hugely successful international gathering of perioperative practitioners; hear how the rest of the world is handling the COVID-19 crisis, how the vaccines are getting on and why perioperative medicine is primed to help in the near and necessary journey to be taken out of this current situation. Featuring Desiree Chappell, Monty Mythen and their guests, Bruce Biccard, consultant anaesthetist at the University of Kwazulu-Natal, Director, Perioperative Research Unit, Department of Anaesthetics, Nelson R Mandela School of Medicine, Paul Myles, Director, Anaesthesiology and Perioperative Medicine, Alfred Hospital and Monash University and Mike Irwin, Professor, Head and Chief of Service, Anaesthesiology Hong Kong University, Gleneagles Hospital.
POCAPALOOZA | Hong Kong
The POCAPALOOZA, a celebration of perioperative care that went around the world in the wake of EBPOM 2020. “Early intervention and people taking it seriously is a big thing” The conversation evolves as our guest speaks to the realities of moving internationally to pursue your career in medicine. Can a truly global perspective better position the medical community when it comes to international co-operation? The World Congress of Anaesthesiologists is here: https://www.wcaprague2020.com/ Also, what’s the future of medical conferencing in the world of COVID 19 and the global pandemic? Presented by Desiree Chappell and Monty Mythen with Mike Irwin, Professor, Head and Chief of Service, Anaesthesiology Hong Kong University, Gleneagles Hospital.
POCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care
“At the moment perioperative care in the UK doesn’t really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the agenda” If you enjoyed Monty’s explanation regarding the UK’s perioperative journey you may find this link interesting: Evidence submitted by the Improving Surgical Outcomes Group (ISOG) (NICE 75): https://publications.parliament.uk/pa/cm200607/cmselect/cmhealth/503/503we35.htm “Now we’re here at this Pocapalooza” – POC, standing for Perioperative Care and “apalooza” being an extravagant event. However, as one of our guests suggests, perhaps we should call this one a “CPOC-apalooza!” as a lot of our focus is on The CPOC (Centre for Perioperative Care). The International Board of Perioperative Medicine is essential for anyone listening to this podcast: https://www.internationalboardpom.org/ Presented by Desiree Chappell with Monty Mythen, and their guests Mike Grocott – a frequent TopMedTalk anchor – and Professor of Anaesthesia and critical care at the University of Southampton and David Selwin, Medical Director at Sherwood Forest Hospitals NHS Foundation Trust. For more information on these topics look for the next POCAPALOOZA and get the US perspective!
POCAPALOOZA | Sydney: Education, education, education.
“It also must start and end in primary care” This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine evolved over the years around the world? What’s the status of Perioperative Care as a specialty? How does one specialise in this area, in terms of education? Discussing the development of the International Board:- “We decided perioperative education should not only be available for developed countries”. We hear that TopMedTalk engaging with the African Perioperative Research Group (APORG) has helped move the cause of perioperative care forward, both in Africa and elsewhere. The conversation further evolves: Once educated how do we demonstrate the value of perioperative practice? How do we launch projects that will really make a difference? Where, from a research perspective, do the more fruitful areas of investigation present themselves? Would a minimum data set help? Moving to clinical trials we hear how research is being conducted, both the challenges and the sources of success. “Perioperative medicine is a team sport” – how do we use the interdisciplinary aspect of what we do to enhance our educational options? Regular listeners to TopMedTalk may recall the series we did about the Perioperative Special Interest Group (SIG) – if you want more details of http://www.anzca.edu.au/fellows/special-interest-groups/perioperative-medicine The ANZCA Clinical Trials Network can be found at http://www.anzca.edu.au/ctn Also, The International Board of Perioperative Medicine is here: https://www.internationalboardpom.org/ Further, make sure you check out https://www.periopmedicine.org.uk/ for more information on the perioperative medicine short course we discuss. And Perioperative Medicine for The Junior Clinician is available here: https://www.amazon.co.uk/Perioperative-Medicine-Junior-Clinician-Symons/dp/1118779169 Presented by Desiree Chappell alongside co-host Ross Kerridge, Anaesthetist from Newcastle in Australia – sometimes called the ‘Father of Perioperative Medicine’. Guests are Jill Van Acker, Staff Specialist Anaesthetist and Clinical Lead Perioperative Services, Canberra Hospital, and Chair of the ANZ Perioperative Special Interest Group; Vanessa Beavis, President, Australian & New Zealand College of Anaesthetists, & until recently Director of Perioperative Services, Auckland District Health Board; Prof. Jackie Close Orthogeriatrician at the Prince of Wales Hospital in Sydney and Clinical Director of the Falls, Balance and Injury Research Centre at Neuroscience Research Australia; Prof. Dave Story, Head of the ANZCA Clinical Trials Network, and Chair of the Anaesthesia, Perioperative and Pain Medicine Unit within the University of Melbourne Medical School. Joel Symons, Anaesthetist at the Alfred Hospital in Melbourne and Senior Lecturer at Monash University, Leader in the development of Educational Programs based at Monash University and member of International Board of Perioperative Medicine.
POCAPALOOZA | Los Angeles-USA
“Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the opportunity and really build on that now…” The two co-vice presidents of The International Board of Perioperative Medicine join Desiree’s POCAPALOOZA; this conversation is global in its context, with perceptive reflections upon the US healthcare market specifically. “Towards high‐quality peri‐operative care: a global perspective” – the paper we begin by discussing – is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921 As anesthesiologists “we are part of teams” how can innovations like tele-medicine help us to do better? Are we right to be optimistic about our specialty in this difficult time? What are “the four M’s”? The International Board for Perioperative Medicine is here: https://www.internationalboardpom.org/ The Global Health Data @ Work team – which both our guests contribute to – are an invaluable resource; visit them here: https://ghdatwork.com/team The Hartford Foundation is here: https://www.hfpg.org/ “Perioperative medicine journal” is here: https://perioperativemedicinejournal.biomedcentral.com/ Listeners will also doubtless enjoy this paper – highlighted in the conversation – here: “The Brain-Heart Connection: GCBH Recommendations to Manage Cardiovascular Risks to Brain Health” – https://www.aarp.org/content/dam/aarp/health/brain_health/2020/02/gcbh-heart-health-report-english.doi.10.26419-2Fpia.00099.001.pdf Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). If you loved this piece please enjoy another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/ Or check out some more of Carol Peden’s work here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/ Attentive listeners will also recall that we mention the impressive work of Maurizio Cecconi; we profile him here: https://www.topmedtalk.com/topmedtalks-to-maurizio-cecconi/ And finally we mention change management, a theme on TopMedtalk. Check out this classic piece here: ERAS Team Working and managing change – https://www.topmedtalk.com/eras-team-working-and-managing-change/
POCAPALOOZA | Hong Kong, Mike Irwin
EBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we’ve locked our team in their rooms and forced them to continue broadcasting or they’re driven by a raw enthusiasm for the results of perioperative care to be shared around the world, either way this piece is our penultimate installment before we return to Cape Town. What’s the situation like, in terms of medicine, in Hong Kong at the moment in the wake of COVID 19? “Early intervention and people taking it seriously is a big thing” The conversation evolves as our guest speaks to the realities of moving internationally to pursue your career in medicine. Can a truly global perspective better position the medical community when it comes to international co-operation? The World Congress of Anaesthesiologists is here: https://www.wcaprague2020.com/ For more about the African Perioperative Research Group (APORG) start here: https://onlinelibrary.wiley.com/doi/epdf/10.1111/anae.14934 Also, what’s the future of medical conferencing in the world of COVID 19 and the global pandemic? Presented by Desiree Chappell and Monty Mythen with Mike Irwin, Professor, Head and Chief of Service, Anaesthesiology HKU, Gleneagles Hospital
POCAPALOOZA | EBPOM USA, PASS clinic and shared decision making
The focus for the first part of this POCAPALOOZA was Duke University’s PASS clinic. Find out more about the PASS clinic: https://www.dukehealth.org/locations/duke-pre-anesthesia-testing-center-clinic-2d “So it’s a new approach to really changing the paradigm from just evaluating a patient and sort of passing that information forward to the receiving team […] rather we take a much more proactive progressive approach to identify those chronic co-morbid conditions and try to bend that curve, we try to modify that which may be modifiable” If you’ve heard Sol’s passion and want to transform your practice get more detail from these two excellent pieces from Anesthesia and Analgesia here: Roadmap for Transforming Preoperative Assessment to Preoperative Optimization https://journals.lww.com/anesthesia-analgesia/Abstract/2020/04000/Roadmap_for_Transforming_Preoperative_Assessment.4.aspx?context=FeaturedArticles&collectionId=4 Preoperative Optimization: A Continued Call to Action https://journals.lww.com/anesthesia-analgesia/Citation/2020/04000/Preoperative_Optimization__A_Continued_Call_to.3.aspx There follows an engaging conversation about prehabilitation, “it’s like Rocky Balboa training to get in the ring”. For more resources here please check this website from the Choosing Widely campaign: https://www.choosingwisely.co.uk/about-choosing-wisely-uk/ Also – regular listeners will be excited to hear our lead presenter Desiree Chappell’s news towards the end of the podcast! Presented by Desiree Chappell with Monty Mythen and Sol Aronson, tenured Professor at Duke University and their guests Jeanna D. Blitz, Associate Professor of Anesthesiology, Medical Director, Duke PASS Clinic Director, Perioperative Medicine Fellowship, Denny Levett, Professor in Perioperative Medicine and Critical Care, Consultant in Perioperative Medicine, Southampton University Hospital NHS Foundation trust (UHS), President of the Perioperative Exercise Testing and Training Society (POETTS) and Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton.
POCAPALOOZA 2020 | Cape Town; The African Surgical Outcomes Study
The POCAPALOOZA story begins with our fascination with The African Surgical Outcomes Study. Over the last year regular listeners have heard key parts of the narrative fall into place during TopMedTalk interviews and discussions. Learn how the European Surgical Outcomes Study (EUSOS), presented at a previous Evidence Based Perioperative Medicine (EBPOM) conference, helped to inspire the African Surgical Outcomes Study ASOS which then went on to inspire us all; after an international gathering in Prato. A truly global community – the perioperative medical community – has now been galvanised into action. Determined to further the research and increase the data at the last count we have all helped to raise over £7,000! Thank you for your help. This piece was the first of our Pocapalooza specials; “Poc” standing for “perioperative care” and “palooza” meaning festival. This piece is an update on The African Surgical Outcomes Study (ASOS) and the African Perioperative Research Group (APORG): “Everybody in the audience was overwhelmed by the quality and importance of the work being done … in the African study”; “Finding African solutions to the problems that we’re having” You will also find a discussion regarding the Prato conference we covered extensively here on TopMedTalk, a fascinating gathering of people interested in international collaborative trails, and we cover The UK Perioperative Medicine Clinical Trials Network, see link below, before moving on to ASOS in detail. The Perioperative Medicine UK Clinical Trials Network is here: https://pomctn.org.uk/home Presented by Desiree Chappell with Monty Mythen and their guests Paul Myles, Director, Anaesthesiology and Perioperative Medicine, Alfred Hospital and Monash University, Bruce Biccard consultant anaesthetist at the University of Kwazulu-Natal, Director, Perioperative Research Unit, Department of Anaesthetics, Nelson R Mandela School of Medicine and Salome Maswime Obstetrician and Gynaecologist and Professor of Global Surgery at the University of Cape Town. If you enjoyed this piece please find more Bruce Biccard here: https://www.topmedtalk.com/topmedtalk-african-surgical-outcomes-study-asos-2/ We discuss Rupert Pearse in this podcast, it’s worth listening to this piece with him discussing the Clinical Trials Network here: https://www.topmedtalk.com/anaesthesia-2019-the-clinical-trials-network-and-optimising-shared-decision-making/ Paul Myles is a firm favourite on TopMedTalk, enjoy more of his incisive observations here: https://www.topmedtalk.com/prato-2019-paul-myles/