TopMedTalk | Simon Davies’s 2020 Vision
In this piece we’re joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, “the word of the year” for 2019 and now something we expect to see break into the mainstream? How is anesthesia going to develop and what’s the future for artificial intelligence in surgery? PQIP link: https://pqip.org.uk Multimodal analgesia: https://www.topmedtalk.com/ebpom-usa-part-5-a-perioperative-practicum-with-tj-gan/ TopMedTalk has covered methadone on a couple of occasions recently: Methadone a forgotten friend: https://www.topmedtalk.com/topmedtalk-methadone-a-forgotten-friend/ Methadone the overlooked opiate: https://www.topmedtalk.com/ebpom-2019-methadone-the-overlooked-opiate/ Artificial intelligence is looked at in more detail here: https://www.topmedtalk.com/topmedtalk-the-ai-doctor-will-see-you-now/ The 13 Minutes To The Moon podcast is here: https://www.bbc.co.uk/programmes/w3csz4dn Presented by Monty Mythen and Desiree Chappell with their guest Simon Davies, Consultant Anaesthetist at York Teaching Hospital NHS Foundation Trust. Like this, want more? Simon also appears on this piece here: https://www.topmedtalk.com/prehab-periop-world-congress-feras-hatib-simon-davies/
EBPOM Highlight 2.23 | Psychological Behavioural Change Interventions in Cancer Patients
“POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients” – 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 Chloe Grimmett, behavioural scientist from Southampton University. She works closely alongside the ‘Fit for Surgery Team’, providing the behavioural intervention which is part of the on-going WestFit prehabilitation trial.
Talks to… | Mike Grocott at ASER 2019
More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflectiions regarding the rise of Cardiopulmonary Exercise Testing (CPET); a growing field, particularly in the US. The “Prehabilitation World Congress in association with POETTS & EBPOM” meeting discussed in this podcast is here: https://ebpomusa.org/Prehab-2019 If you are interested in hearing more about the Measurement of Exercise Tolerance before Surgery (METS) trial: https://www.topmedtalk.com/journal-club-1-03-the-mets-trial/ Presented by Desiree Chappell and Monty Mythen with their guest Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton.
Sunday Special | Preoperative Optimization: Framing up the value proposition
Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different pitfalls presented by the various core stakeholders? Smoking cessation, nutrition, exercise; all are proven to help produce better outcomes for a patient. How do we express this in such a way that we get buy-in from everyone concerned? When it comes to a deeper dive into preoperative optimisation, what’s in it for the hospital, the practitioner and the fee payer? This piece is moderated by Sol Aronson, tenured Professor at Duke University, it features a talk from Michael Englesbe, Professor of Surgery, Michigan followed by a panel discussion which also features Dan Engleman, President of the enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate and Tim Miller, Duke University; further discussion is provided with questions from online listeners and conference delegates posed by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates.
EBPOM 2019 | Patients’ views about preoperative vs long-term health behaviour change
Surgery may represent a “teachable moment” should we try to exploit that for only short term, prehabilitation purposes? What is the difference between being motivated and being confident when it comes to success in these areas? How do patients feel about changing multiple behaviours at the same time? Presented by Suzanne Mcdonald, Research Associate at The University of Queensland (Australia), Visiting Researcher at Newcastle University (UK) and registered Chartered Health Psychologist.
ANES19 | Lee Fleisher
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thought leaders and professionals, it’s the largest gathering of Anesthesiologists and Anesthesia providers in the world. Check out the www.topmedtalk.com website now to hear live audio, while you are there remember to subscribe for updates so you can always be one step ahead of the crowd. Also, if you fancy watching the show as it happens go to our Twitter feed www.twitter.com/topmedtalk to see the team in action. This piece focuses on alternative payment models for healthcare. “We keep saying we’re going to go to value based care rather than volume based care” and this movement now appears to be picking up pace. How is enhanced recovery and perioperative medicine helping to reduce the cost of healthcare? Can prehabilitation help reduce costs? Presented by Desiree Chappell with Monty Mythen, Sol Aronson and their guest Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania.
ANES19 | Jeff Simmons
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thought leaders and professionals, it’s the largest gathering of Anesthesiologists and Anesthesia providers in the world. Check out the www.topmedtalk.com website now to hear live audio, while you are there remember to subscribe for updates so you can always be one step ahead of the crowd. Also, if you fancy watching the show as it happens go to our Twitter feed www.twitter.com/topmedtalk to see the team in action. This piece focuses on the mission to advocate and apply prehabilitation, pre-optimisation and enhanced recovery. Defined here as “good public health […] with the crucible of surgery”. How do we do that in a way that both patients and front line providers understand the value of it? Can this message help to allow for delays in surgery? Also, how do we take our message to social media, specifically Twitter? Listen in for some excellent tips. — Like this, want more? The “triple aim for populations” mentioned in this piece is expanded upon here: https://www.topmedtalk.com/ebpom-usa-chicago-2018-wrong-surgery-or-wrong-patient/
TopMedTalks to… | Lee Fleisher and Ross Kerridge
— IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR’S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW — Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initiatives; The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Age care naturally follows as the roundtable discussion continues. This piece gives a truly pan-national perspective with informed comment from prominent perioperative opinion leaders from The UK, Australia and America. How do those different systems work and what can they each learn from the others? The journal article mentioned in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as ‘the father of Modern Perioperative Medicine’. — IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR’S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW —
EBPOM 2019 | Prehab trials; panel discussion
Is it still ethically viable to have a standard arm in a prehabilitation trial? Which allied health professionals supervises the exercise part of these trials? What are the biggest reasons for non-adherence to home based exercise programmes? How do you address a possible selection bias with candidates? What is the best time to follow up a study with these patients? Featuring; Krishna Moorthy Senior Lecturer, Consultant Surgeon, Imperial College London, Academic surgeon, with research interests in patient safety and quality of improvement in surgery, Co-lead of the PREPARE for surgery prehabilitation programme, BMJ Surgical Team of the year and Patient Participation awards 2017, Consultant Surgeon, BMI Healthcare, Consultant Surgeon the Wellington Hospital; Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust; Suzanne Mcdonald, Research Associate at The University of Queensland (Australia), Visiting Researcher at Newcastle University (UK) and registered Chartered Health Psychologist; Charlotte Molenaar, PhD Candidate, multimodal prehabilitation in colorectal cancer care, BIJ Maxima Medisch Centrum, Coordinator of the international PREHAB trial; Professor Sandy Jack, PhD, Consultant Clinician Scientist in the Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Southampton and NIHR Southampton Respiratory Biomedical Research Unit and Integrated Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London; James Hernon, Consultant Colorectal Surgeon, Norfolk and Norwich University Hospital NHS Foundation Trust, Chair of the Anglia Cancer Colorectal Network, CO-CI for PREPARE ABC a NIHR HTA funded randomised clinical study.
EBPOM 2019 | Perioperative Care: where next?
Prehabilitation is about planned pathways, preparing our patients for a journey which we as practitioners have already travelled. 4.2 million deaths are attributable to surgery each year globally, this presents a huge opportunity to improve the world for those who focus on perioperative surgery and prehabilitation. On the financial side, complications from surgery are proven to put costs up. It’s now widely accepted that perioperative medicine is the future of anaesthesia, how do we help the discipline evolve smoothly as it moves in this direction? The multidisciplinary aspect and the move away from the silo approach to healthcare is important, as is the challenge of the profession expanding out into ‘population health’. With this in mind how might training evolve? What opportunities are about to be unlocked as a result of both big data, wearables and genoimcs? For more information on “Getting it right first time” (GIRFT) go here: https://www.topmedtalk.com/rcoa-13-the-girft-getting-it-right-first-time-project/ Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton.