A conversation that is now even more relevant, the changing role of the anaesthetist. Matters such as population health, lifestyle choices and a wider sense of social responsibility are discussed as Monty asks his contributors, ‘is this really what you signed up for’? Presented by Monty Mythen and Joff Lacey with guests, Sol Aronson, a…
How do we bend cost curve to our advantage? How do we assert the irreducible minimum? Is it possible to spend less money and get better outcomes? Is it possible to get people to realise that not ‘doing something’ is sometimes the right decision? How do ‘bundle payments’ work in relation to overall health? Featuring…
This piece begins with the question, what does Enhanced Recovery mean to you? Here we go for a ground up approach via a ‘council of nurses’. Can a ’roundtable’ sometimes work better than the traditional hierarchical power structure? Desiree Chappell interviews Dr Ruchir Gupta medical lead for enhanced recovery at Stony Brook University. Taken from a…
Standby for the results of The RELIEF Trial; coming soon on TopMedTalk, Professor Monty Mythen will be presenting an exclusive programme here covering the results of the trial and discussing its impact. The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF trial, will it answer the questions we hoped? Will this trial put…
The first conference highlight from EBPOM USA 2018: How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems ‘fixed’? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health?…
Treating patients as people rather than ‘jobs to be done’ and ‘boxes to be ticked’ is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative care doctor became a patient. A fascinating conversation streamed live from Atlanta Georgia during the second…
Marc Koch President & CEO of Somnia Inc reviews the conference with Desiree Chappell. What should you expect at an EBPOM meeting? How useful is the practical advice given? How important is the networking side of an event like this? Hosted by Desiree Chappell. Join us on www.topmedtalk.com sign up for our email updates and never miss a…
Professor Monty Mythen presents Journal Club Express. Postoperative delirium in total knee and hip arthroplasty patients: a study of perioperative modifiable risk factors DOI: 10.1016/j.bja.2017.12.046 — S. M. Weinstein et al. Br J Anaesth 2018; 120(5): 999-1008 This is an American single center retrospective study with 41,766 patients undergoing hip and knee arthroplasties over a seven…
This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and are they using some form of treatment? What are the health problems associated with sleep disorders? How do you build a financial…
Originally streamed live from Atlanta Georgia during TopMedTalk’s coverage of “EBPOM-USA Masters Course, A Perioperative Care Practicum” this podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning patients off opioids in advance of surgery and cutting their dependency afterwards.…