What simple things can we do in the operating room which might make a difference to the issue of post operative delirium? Should preoperative sedation be, generally speaking, withheld from people over 60? How do we explain the risks of this procedure to those who need it? Also – are we seeing a rise…
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…
This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community. We discuss the following papers: Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses. https://www.ncbi.nlm.nih.gov/pubmed/30552274 Increased Postoperative Glucose Variability Is Associated with Adverse Outcomes Following Total Joint Arthroplasty. https://www.ncbi.nlm.nih.gov/pubmed/29975266 Effect of A1C…
Shared decision making is key to any perioperative enhancement team, this piece is a fascinating debate between various interesting positions. For more on the (Perioperative Optimization of Senior Health) POSH clinic mentioned in this piece look here: https://medicine.duke.edu/divisions/geriatrics/patient-care/duke-perioperative-optimization-senior-health Presented by Monty Mythen with his guest Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University…
Live from ‘The Society of Cardiovascular Anesthesiologists’ (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the debate. Presented by Desiree Chappell with Sol Aronson, tenured Professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and their guest Davinder Ramsingh, Director of Research and Perioperative Ultrasound at Loma Linda University…
Live from Anaesthesia 2019, on day two of the conference; a ‘must-attend event’ for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. The “Fitter, Better, Sooner” toolkit can be found here: https://www.rcoa.ac.uk/fitterbettersooner The excellent video we mention is here: https://www.youtube.com/watch?v=0NMHMX-nFgY Presented by Nick Margerrison with his…
This piece is a chance to hear how and why an emergency laparotomy can work as part of the perioperative process. Ideally perioperative medicine involves preparation, consideration, shared decision making and ‘enhanced recovery’; which of these elements can be incorporated into a procedure which is unplanned? Can your practice be adjusted to improve outcomes for…
Live from Anaesthesia 2019, on day two of the conference; a ‘must-attend event’ for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. You can find the OSIRIS website here: https://osiris-programme.org/ Presented by Monty Mythen with Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of…
Live from Anaesthesia 2019, on day two of the conference; a ‘must-attend event’ for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. If you’re looking for the hugely popular debate regarding direct laryngoscopy we mention in the podcast go here: https://www.topmedtalk.com/sunday-special-should-direct-laryngoscopy-be-consigned-to-the-history-books/ Presented by Monty Mythen…
Live from Anaesthesia 2019, on day two of the conference; a ‘must-attend event’ for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. A powerful and wide ranging conversation with one of our most popular contributors. We mention this piece here, one of TopMedTalk’s most downloaded podcasts:…