Perioperative Anaemia Part 3 – Roundtable | EBPOM London

Part three continues our investigation into perioperative anemia, following on from our exclusive reaction and analysis to the Centre For Perioperative Care (CPOC) publication “Guideline for the Management of Anaemia in the Perioperative Pathway” from Scarlett McNally, Deputy Director for CPOC and honoree, Clinical Professor at Brighton and Sussex medical school and consultant orthopedic surgeon in East Sussex this piece covers the first part of the panel discussion which followed. PART 1 https://traffic.libsyn.com/topmedtalk/PERIOPERATIVE_ANEMIA.mp3 PART 2 https://traffic.libsyn.com/topmedtalk/ANEM_2.mp3  Taken from the EBPOM London session on the subject of perioperative anemia, chaired by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales. The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative care for the benefit of patients at all stages of their surgical journey’. The Prevent Study is here: https://preventdementia.co.uk/ At the time of this presentation the CPOC guidelines had just been published, now you can find them online here: https://www.cpoc.org.uk/sites/cpoc/files/documents/2022-09/1. CPOC_GuidelinefortheManagementofAnaemia_September2022.pdf This piece was made in collaboration with both Evidence Based Perioperative Medicine (EBPOM) http://www.ebpom.org and The Enhanced Recovery After Surgery Society (ERAS UK): https://www.erasuk.net/

Perioperative Anaemia Part 2 – Roundtable | EBPOM London

The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative care for the benefit of patients at all stages of their surgical journey’. Following on from our exclusive reaction and analysis to the CPOC publication “Guideline for the Management of Anaemia in the Perioperative Pathway” from Scarlett McNally, Deputy Director for CPOC and honoree, Clinical Professor at Brighton and Sussex medical school and consultant orthopedic surgeon in East Sussex ( https://directory.libsyn.com/episode/index/id/25808664 ) this piece covers the first part of the panel discussion which followed. Taken from the EBPOM London session on the subject of perioperative anemia, chaired by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales. The Prevent Study is here: https://preventdementia.co.uk/ At the time of this presentation the CPOC guidelines had just been published, now you can find them online here: https://www.cpoc.org.uk/sites/cpoc/files/documents/2022-09/1. CPOC_GuidelinefortheManagementofAnaemia_September2022.pdf This piece was made in collaboration with both Evidence Based Perioperative Medicine (EBPOM) http://www.ebpom.org and The Enhanced Recovery After Surgery Society (ERAS UK): https://www.erasuk.net/

Perioperative Anaemia with Scarlett McNally | EBPOM London

The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative care for the benefit of patients at all stages of their surgical journey’. Here we have exclusive reaction and analysis to their publication “Guideline for the Management of Anaemia in the Perioperative Pathway” from Scarlett McNally, Deputy Director for CPOC and honoree, Clinical Professor at Brighton and Sussex medical school and consultant orthopedic surgeon in East Sussex. This is the first piece of an EBPOM London session on the subject of perioperative anemia which was chaired by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales. At the time of this presentation the guidelines had just been published, now you can find them online here: https://www.cpoc.org.uk/sites/cpoc/files/documents/2022-09/1. CPOC_GuidelinefortheManagementofAnaemia_September2022.pdf This piece was made in collaboration with both Evidence Based Perioperative Medicine (EBPOM) www.ebpom.org and The Enhanced Recovery After Surgery Society (ERAS UK): https://www.erasuk.net/

Tom Crean: Antarctic Explorer | EBPOM Dingle

A stand out moment from Dingle’s Evidence Based Perioperative Medicine (EBPOM) conference; the inaugural Tom Crean Plenary Lecture, presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. To find out more about EBPOM’s fantastic line up of future events go now to www.ebpom.org Mike Grocott is a popular contributor to TopMedTalk, if you enjoyed this why not check out some of his previous appearances: Prehabilitation with Mike Grocott – https://topmedtalk.libsyn.com/anes19-prehabilitation-with-mike-grocott Efficient Trial Design; ‘evidence’ in the era of ‘Big Data’ – https://topmedtalk.libsyn.com/efficient-trial-design-evidence-in-the-era-of-big-data-dingle-2022 Prehabilitation, the word of the year – https://topmedtalk.libsyn.com/asa-prehabilitation-the-word-of-the-year

Perioperative Medicine, the value proposition | EBPOM USA

EBPOM USA gets off to an incredible start; the value proposition which drives the push towards perioperative medicine on both sides of the Atlantic. How far do we go when explaining to both practitioners and patients the importance of perioperative medicine, prehabilitation and preoperative assessment? Can a focus upon the value we add motivate people to follow the evidence and provide true enhanced recovery after surgery (ERAS)? Presented by Desiree Chappell and Sol Aronson with their guests BobbieJean Sweitzer, Editor of Preoperative Assessment and Management (currently 3rd edition) and the Systems Director of Perioperative Practices at Inova Health, Falls Church, Virginia and Chris Steel, Chief Medical Officer at White River Health System, medical director for the Perioperative Surgical Home Learning Collaborative 2020 and Chief Medical Consultant for Community Business Resources.

Unlocking the Perioperative Perspective | EBPOM 2022

“It’s been such an amazing.. electric atmosphere” This bonus piece gives you a taste of the 2022 Evidence Based Perioperative Medicine (EBPOM) meeting in London this year. Look out for some of the talks from EBPOM – provided exclusively for TopMedTalk for free, with thanks to our generous sponsorships and partners. How has Perioperative Medicine been trust to the forefront of medicine in the wake of the COVID catastrophe? Are we right to take a leadership role as the healthcare industry attempts to recover from the crisis and establish a new normal? Where are the challenges in our field? Also – prehabilitation has been a hot topic for us on TopMedTalk for a few years now, what are some of the big developments there? Presented by Nick Margerrison, TopMedTalk’s senior producer with his guest Adam Beebeejaun, Fellow of Perioperative Medicine at University College London.

Exercise and the cancer patient during the COVID-19 crisis | EBPOM 2021

This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the United States and the UK; both prior to and during the pandemic. We hear about the implementation of rehabilitation programs and research studies, which have managed to adapt, in the COVID era. Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton with her guests Franco Carli, Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Staff anesthesiologist at the McGill University Health Centre, Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London, Dan Engelman, 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. Like this, want more? Try this piece now: https://www.topmedtalk.com/models-of-prehabilitation-ebpom-2020-2/ And remember, Evidence Based Perioperative Medicine (EBPOM) offers high quality video presentations as well as a chance to attend our next live conference here: www.ebpom.org

Perioperative Enhancement Teams – Part 2 | TopMedTalk

Perioperative enhancement teams have been a theme on TopMedTalk for years. This program, part two of two, goes into more detail around what could be the crucial next steps for your institution as it distinguishes itself from the pack with excellent value based care instead of excessive volume driven disasters. In this program we cover the importance of prehabilitation, the need for respect in a multidisciplinary team, cardiopulmonary exercise testing (CPET), a centre for geriatric surgery and palliative care and perioperative smoking cessation clinics. Further listening: Olle Ljungqvist, Prof. of Surgery, MD, PhD, Surgeon, Örebro University Hospital & Karolinska Institute, Sweden and Franco Carli, Prof. MD, PhD, Anesthesiologist, McGill University, Canada can be found in their original form here: https://www.topmedtalk.com/the-second-annual-prehabilitation-world-congress-part-1/ Desiree Chappell and Monty Mythen with their guest Amir Jaffer, Chief Medical Officer, New York Presbyterian/ Queens feature here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-02-amir-jaffer/ John Whittle, assistant Professor at Duke University Medical Centre provides some essential listening on the subject of CPET here: https://www.topmedtalk.com/topmedtalk-cpet-cardio-pulmonary-exercise-testing/ Angela Bader, Vice Chair of Perioperative Medicine at Brigham and Women’s Hospital can be heard in full here: https://www.topmedtalk.com/perioperative-medicine-summit-2019-1-03-angela-bader/ James Davis, MD, Duke Smoking Cessation Program, presents and excellent talk here: https://www.topmedtalk.com/part-1-of-3-smoking-kills-more-than-all-addictive-substances-combined-plus-car-accidents/

Perioperative Enhancement Teams | TopMedTalk

This podcast is a look at some of the work done by practitioners who intend to take perioperative medicine to the next level; the “perioperative enhancement teams”. The program broadly follows a patient’s surgical journey, we start with the UK’s PREPWELL project, as explained by Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust. For more information on that go to https://prepwell.co.uk/ – also, if you’d like to hear the original conversation you can find that here: https://www.topmedtalk.com/rcoa-03-adverse-outcomes-and-patient-optimisation/ Further discussion on the subject of psychological optimisation comes from, Chloe Grimmett, behavioural scientist and lead for Wesfit prehabilitation. If you’d like more details on the project go here: http://wesfit.org.uk/ – to hear the original presentation in full follow this link: https://www.topmedtalk.com/ebpom-2019-psychology-and-behavioural-change/ The fascinating debate which follows features Shawna Butler of the Singularity University in Exponential Medicine and Jennifer Brandon of the Hoag Orthopedic Institute in Irvine, California. That can be heard in full here: https://www.topmedtalk.com/using-new-technology-with-elderly-patients/ The essential contribution from Angela Coulter, a UK based health policy analyst and researcher, on the crucial area of “shared decision making” can be enjoyed in full here: https://www.topmedtalk.com/ebpom-2018-shared-decision-making-in-perioperative-care/ More wisdom from Steve Flanagan, Chair of Physical Medicine and Rehabilitation at NYU Langone can be found here: https://www.topmedtalk.com/rehabilitation-exercise-is-real-medicine/

EBPOM 2020 London | Fit for surgery with Denny Levett

How important is it to screen patients and measure their fitness prior to surgery? What is exercise training in the preoperative period? There is a very clear relationship between physical fitness and mortality. Importantly, when we think of prehabilitation, or exercise training, it’s good to remember that you get the greatest benefit in the most unfit patients, in terms of mortality reductions. The “pandemic … of physical inactivity worldwide” is believed to cause more than 5 million deaths annually. The advantage of fitness in terms of predicting perioperative outcomes is it is an important modifiable risk factor before major surgery; we can modify health behaviors and exercise and we can sometimes optimize comorbidities before surgery. Exercise is real medicine! Originally part of the hugely successful EBPOM Live from London 2020 conference this piece is nicely complimented by the panel discussion which TopMedTalk has also released free of charge here: https://www.topmedtalk.com/ebpom-london-2020-prehabilitation-update/ Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton.