EBPOM 2019 | The Opioid Crisis – Q&A
This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an understanding where the entire continuum of care is on the same page as regards pain relief? What’s the level of adoption for opioid free anaesthesia? Can re-languaging pain or “re-writing the narrative” help, for example is it better to speak of ‘comfort levels’ as opposed to pain? What’s the latest thinking as regards caffeine as an aid to comfort? Should we be worried about post operative delerium as regards ketamine use? What about gabapentinoids in the elderly? What about Midazolam? What should we send patients home with afterwards? Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of research for the Perioperative Medicine Fellowship at Duke.
EBPOM 2019 | Opioid-free anaesthesia
This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on by perioperative medicine? Is it realistic to expect to reach a point where opioids are removed from the equation entirely? Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of research for the Perioperative Medicine Fellowship at Duke. — EBPOM 2020 – Live from London – is on! For those who have listened to Desiree’s special announcement go now to: https://ebpom.org/EBPOM2020
EBPOM 2019 | The Opioid Crisis (Peri-Operative Quality Initiative: POQI 4) – can we kick the habit?
Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is “better opioid stewardship” and a “move away from the traditional fundamental principle of opioids first”. Presented by Michael Manning, MD, PhD, Assistant Professor at Duke University Medical Center, Director of Research for the Perioperative Medicine Fellowship at Duke.
EBPOM Highlight | Does choice of opioid influence health outcomes?
“Does choice of opioid influence health outcomes?” – originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. 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 Padma Gulur, Professor of Anaesthesia and Executive Vice-Chair at Duke University.
The GAP study: Gabapentin and perioperative pain, results and analysis | #ANES23
Our coverage of Anesthesiology 2023, continues. It’s the annual meeting of the American Society of Anesthesiologists (ASA); it’s the largest and most important gathering of anesthesiologists in the world and 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 For more on the Gabapentin and perioperative pain (GAP) study go here: https://bristoltrialscentre.blogs.bristol.ac.uk/details-of-studies/gap/ We get into an important conversation about The Opioid Crisis, there’s a powerful conversation about it in our archive here: https://topmedtalk.libsyn.com/topmedtalk-tackling-the-pain-of-the-opioid-crisis-0 Presented by Desiree Chappell, Mike Grocott and Guy Ludbrook with their guest Ben Gibbison Consultant Anaesthetist at University Hospitals Bristol NHS Foundation Trust.
Regular Voices
Regular Voices Sol Aronson Regular voice on TopMedTalk Solomon Aronson is a tenured Professor at Duke University and Executive Vice Chairman in the Department of Anaesthesiology. Vicki Morton Regular voice […]
Pain management in the perioperative space | EBPOM Ireland
Personalized versus protocolised perioperative pain prediction and management; what are the considerations for a modern practitioner. Where does the data take us? What are the ethics for a responsible value based care approach that seeks to reduce or perhaps even eliminate opioid use? What insights can we glean from a truly transatlantic conversation on these topics? How do we both manage and set expectations for the patient? This discussion – in its original form – also featured a presentation which you can find here: https://topmedtalk.libsyn.com/website/category/perioperative-pain-control-a-spine-surgeons-perspective-we-have-to-do-better-ebpom-chicago A full panel discussion chaired by Desiree Chappell, Vice President of Clinical Quality at NorthStar Anesthesia, TopMedTalk lead presenter, Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care, TopMedTalk Editor in Chief and Sol Aronson, Emeritus Professor at Duke University, TopMedTalk USA presenter with their guests Geeta Nagpal, Associate Professor of Anesthesiology and Medical Education at Feinberg School of Medicine, David Edwards, Chief Division of Pain Medicine Vanderbilt University Medical Center and Nicholas Levy, Consultant in Anaesthesia and Acute Pain Medicine in Suffolk.
2nd Transatlantic Leadership Forum – Is day case total knee replacement taking ERAS too far? | EBPOM Chicago
“Now we’ve declared it possible, is it the right thing to do?” This timely discussion considers the wisdom of day case total knee replacement: What do the data say? Can we do this without the use of opioids? What is reasonable to consider as part of an enhanced recovery after surgery program? How do patients make an informed decision when this kind of surgery is in their possible future? The first TopMedTalk piece mentioned in the discussion is here: TopMedTalk | Henrik Kehlet and Nick Scott: https://www.topmedtalk.com/topmedtalk-henrik-kehlet-and-nick-scott-2/ And the second is here: https://www.topmedtalk.com/cryoneurolysis-and-pain-management-topmedtalk-2/ Chaired by Sol Aronson, Emeritus Professor, Duke University & Desiree Chappell, VP Clinical Quality Northstar Anaesthesia with David Howard, Honorary Consultant, Ear Nose and Throat / Head and Neck Surgeon, Imperial and UCLH NHS Trust Hospitals, Brian O’Donnell, consultant anaesthesiologist, Cork University Hospital, Vinod Dasa, VP for Academic Affairs, Dept of Orthopedics, LSU.
The Morpheus Consortium Plenary Lecture | EBPOM 2021
Introduced by Monty Mythen, TopMedTalk’s Editor in Chief and Padma Gulur, Professor of Anesthesiology and Population Health and Executive Vice Chair for Performance and Operations Director, Pain Management Strategy and Opioid Surveillance at Duke University Health Systems. Presented by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at UCL and a consultant anesthetist at UCL hospitals, Director of the Health Services Research Center of the Royal College of Anaesthetists and national Clinical Director for critical and perioperative care at NHS England. Our speaker provided clinical leadership for the UK’s national critical care response to COVID-19 and is now supporting the recovery of elective care as we emerge from the pandemic; her talk today focuses upon experiences and learnings from the past 18 months. Could it be that perioperative medicine is now the discipline which will help us build a road to recovery? For more information about The Morpheus Consortium, the branding of three universities, Duke University, University College London and University of Southampton, with one shared goal – to be the leaders in perioperative medicine and enhanced recovery after surgery, ultimately improving the patients’ journey from the moment their surgery is contemplated to full recovery, go here: http://morpheusconsortium.org/ For more talks like this take time to discover Evidence Based Perioperative Medicine; www.ebpom.org
TopMedTalks to Jeffrey Gum, Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Louisville, Spine Surgeon, Leatherman Spine Center| TopMedTalk
“Our real ‘next barrier’ in the continuum of care is, it’s okay to have pain, right? It’s expected to have pain. […] but it is better for you recovery wise, complication wise; to be able to get up, move around, know what’s going on, not be confused, right? A little bit of that education goes a really long way.” The opioid crisis, spine surgery, working as a team, pioneering efforts being done at the world leading Norton Leatherman Spine Center, enhanced recovery after surgery (ERAS) and some of the fascinating research our guest is conducting; all this and more as our “TopMedTalks to…” series makes a welcome return. Presented by Desiree Chappell with Jeffrey Gum, Assistant Clinical Professor (Gratis), Department of Orthopaedic Surgery, University of Louisville, Pediatric and Adult spine surgeon at the Leatherman Spine Center in Louisville, KY.