TopMedTalk | Daniel Conway and the surgery school
Enhanced Recovery After Surgery, (ERAS) is a familiar concept to the typical TopMedTalk listener but what is ERAS+? How can you target high risk surgery patients with a comprehensive plan for them to help themselves get a better outcome? From managing expectations, to breathing exercises all the way up to significant lifestyle changes such as exercise and smoking cessation. The ERAS+ website is here: https://www.erasplus.co.uk/ Presented by Joff Lacey with Desiree Chappell with their guest Daniel Conway, Consultant in Anaesthesia and Critical Care, Perioperative Medicine lead, Manchester Biomedical Research Centre.
POET 6.03 | Surgery school
The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their operation, how can we make the most of their patricipation? For example, do you let your patients go to “surgery school”? Presented by John Moore, Adult Critical Care Clinical Director and Consultant Critical Care & Anaesthesia at Manchester. The fuller version of the original talk is here: http://topmedtalk.libsyn.com/poetts-2018-pre-operative-inspiratory-muscle-training
EBPOM Highlight | Enhanced Recovery After surgery – plus!
This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the physiological reserve of patients? Is there a way to do enhanced recovery with an extra edge? Specifically, how do we reduce pulmonary complications? What is ‘surgery school’? How does ‘icough’ fit into this? How can practitioners and admin staff help to reduce anxiety as surgery comes closer? Visit the I COUGH UK website here: https://mft.nhs.uk/mri/services/i-cough-uk/ Make sure you check out the surgery school on the ERAS+ website here: https://www.erasplus.co.uk/How/SurgerySchool Presented by Dr Daniel Conway, consultant in anaesthesia and critial care at University Hospitals Manchester.
EBPOM Highlight | ERAS Colorectal surgery
“ERAS in Colorectal Surgery” – was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com If you’d like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you’d like to send to the team email: contact@topmedtalk.com Presented by Anthony Senagore, Professor and Vice Chair Western Michigan University-Homer Stryker MD School of Medicine Borgess Medical Center Kalamazoo, MI.
EBPOM 2019 | Enhanced Recovery After surgery – plus!
This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the physiological reserve of patients? Is there a way to do enhanced recovery with an extra edge? Specifically, how do we reduce pulmonary complications? What is ‘surgery school’? How does ‘icough’ fit into this? How can practitioners and admin staff help to reduce anxiety as surgery comes closer? Visit the I COUGH UK website here: https://mft.nhs.uk/mri/services/i-cough-uk/ Make sure you check out the surgery school on the ERAS+ website here: https://www.erasplus.co.uk/How/SurgerySchool Presented by Dr Daniel Conway, consultant in anaesthesia and critial care at University Hospitals Manchester.
SCA | The evolution of cardiac surgery
How do cardiac surgeons adapt to the changing environment and information that we now have at our fingertips? Minimally invasive robotic surgery provides additional options to the perioperative patient, what unconventional therapies might compliment this? This piece gets into specifics regarding pain management and the multimodal approach. How do you prepare patients with an understanding regarding how and what you’re doing? How important is collaboration with surgical colleagues? This piece is presented by Desiree Chappell and Sol Aronson with their guest Himani Bhatt, Director of Cardiovascualar Anaesthesia at Mount Siani, Ichan School of Medicine, Assistant Professor of Cardiac Anesthesiology, at The Mount Sinai Hospital.
Periop Medicine SIG 18 | Emergency surgery – panel discussion
This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. Featuring, Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI), Ben Griffiths, consultant anesthetist at Auckland City Hospital, anaesthetic lead for ANZELA-QI and Michael Cox, Professor of Surgery, Nepean Hospital.
EBPOM 2019 | The Manchester devolution revolution
What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the experiences of a team leading the introduction of ERAS+ and prehabilitation across Greater Manchester with a ‘Spread and Scale innovation grant’ from the Health Foundation? How do you demonstrate benefits which patients and fee payers can understand? How do you go about leading a prehab transformation program, which aims to provide prehab for more than 2000 patients affected by cancer, over 2 years? The GM teams are very happy to host teams in Manchester who may want to visit MFT and see Surgery School in action and show colleagues what they are aiming to achieve with GM Cancer Prehab. Email John on John.moore@mft.nhs.uk or john.moore@erasplus.co.uk ERAS+ website is here: https://www.erasplus.co.uk/ NHS Innovation Accelerator website: https://nhsaccelerator.com/ GM Active are here: https://www.gmactive.co.uk/ Presented by John Moore, consultant in anaesthetics and critical care medicine from Manchester, UK, Clinical Head of the Division of Anaesthetics, Peri-operative medicine and Critical Care at Manchester University Hospital NHS Foundation Trust.
TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia
Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. This piece gets into the detail of their hugely popular perioperative care supplement, a collaboration with BJS (formerly the British Journal of Surgery). Surgeons and Anaesthetists around the world are engaging in the debate as a result with thousands of tweets about the subject, after publication only days before the 2020 Winter Scientific Meeting. Further discussion covers prehabilitation, which aspects are backed up by evidence? What are the big trials we should be looking towards? The PREVENTT website is here: https://preventt.lshtm.ac.uk/ More detail on Surgery School is covered here: https://www.topmedtalk.com/?s=surgery+school Anaesthesia’s website is here: https://anaesthetists.org An excellent blog is provided here: https://theanaesthesia.blog/ Anaesthesia tweet here: https://twitter.com/Anaes_Journal Presented, from the Association of Anaesthetist’s Winter Scientific Meeting 2020, by Monty Mythen with Desiree Chappell, Sol Aronson and their guest Andrew Klein, Cardiothoracic Anaesthetist at Royal Papworth Hospital in Cambridge and Editor in Chief of Anaesthesia. Like this, want more? Andrew Klien’s excellent and popular talk on Cardiac Anaesthesia and Anaemia is here: https://www.topmedtalk.com/ebpom-highlight-1-04-cardiac-anaesthesia-and-anaemia/
Periop SIG18 | Minimising risk, panel discussion
What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it comes to haemoglobin levels? What advice should we give to clinicians who are managing change at a hospital? What should our approach to iron be and can interventions make a real difference? Featuring; Bruce Waxman, Adjunct Associate Professor (Honorary) at Monash University Dept. of Surgery School of Clinical Sciences, Monash Health and Chief Medical Officer, Bass Coast Health, Wonthaggi Hospital, South Gippsland Coast, Victoria, Kate Burbury, Associate Professor, Deputy Chief Medical Officer, Peter MacCallum Cancer Centre and Toby Richards, Academic Professor of Surgery, Vascular Surgeon, University Western Australia.