TopMedTalk – Details, episodes & analysis

TopMedTalk was at the American Society of Anesthesiologists (ASA) Annual General Meeting, Anesthesiology 2024. We’re bringing you a series of podcasts from the conference.

In this episode, we share insights into patient care, emphasizing the importance of empathy, trust, and tailored communication, especially for patients from communities with healthcare inequities. How do we handle different patient responses to monitoring technology? While remote monitoring offers potential benefits—such as allowing patients to recover at home—it raises questions about who will oversee this data and how to ensure it remains safe and effective.

Presented by Desiree Chappell and Mike Grocott with their guest Ashley P. Oliver, MD MA, HS Clinical Assistant Professor, Division of Cardiothoracic Anesthesia, UCLA Department of Anesthesiology and Perioperative Medicine.

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We've been releasing more podcasts than usual here recently. Make sure you keep an eye on the TopMedTalk feed as we head towards the holidays.

Like this, want more?

Here's a great piece we did from the same conference:

"Challenging The Big Insurance Companies"

 https://topmedtalk.libsyn.com/challenging-the-big-insurance-companies-anes24

TopMedTalk was at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. We’re bringing you a series of podcasts from the conference.

Make sure you check our podcast feed and are subscribed to TopMedTalk, as we’re currently releasing episodes more than usual to accommodate high demand.

What's the impact of a remote patient monitoring device, or wearable, on a patient and how does this compare with the potential consequences of not having one? This personal story from our guest should force you to consider where patient care is and where it should be.

Presented by Desiree Chappell and Monty Mythen with their guest, LaToya Mason, Anesthesiologist, Director of Obstetric Anesthesia Education at The University of Mississippi Medical Center, Chair of the SOAP Membership Committee, member of the ASA Educational Track Committee for Obstetric Anesthesia, and member of the SOAP Trainee Curriculum Committee.

More from Anesthesia '24:

https://topmedtalk.libsyn.com/top-7-ways-to-drive-success-for-independent-anesthesia-groups-anes24

https://topmedtalk.libsyn.com/the-anesthesia-toolbox-anes24

TopMedTalk brings you exclusive, cutting-edge conversations from Anesthesiology 2024, the American Society of Anesthesiologists (ASA) annual general meeting; as is traditional, we always speak with the outgoing and incoming Presidents of the ASA.

This podcast is taken from the final day of our coverage. Make sure you are subscribed to TopMedTalk so you can hear all of our coverage -as we release it- over the next few months.

Presented by Desiree Chappell and Mike Grocott with their guests, Donald Arnold, MD, FACHE, FASA, Incoming ASA President president of Western Anesthesiology Associates, Inc., chair of anesthesiology at Mercy Hospital St. Louis and Ronald Harter, MD, FASA, Outgoing ASA President, Jay J. Jacoby professor and chair of the Department of Anesthesiology at The Ohio State University College of Medicine in Columbus, and physician anesthesiologist at the University’s Wexner Medical Center.

“What is prehabilitation?” is presented by Mike Grocott, TopMedTalk’s co-editor in Chief and Professor of Anaesthesia and Critical Care Medicine at the University of Southampton, as well as an NIHR Senior Investigator.

Originally presented at The World Congress of Prehabilitation, this challenging and exciting talk sets the tone for those of us who advocate for Prehabilitation; how do we define it and where is the evidence that it works? The intention here is to start a stimulating conversation with the audience and the prestigious panel who are assembled for the question and answer session that follows.

That discussion is scheduled to be released here on TopMedTalk in the near future, make sure you are subscribed to us through whichever channel you found us on to ensure you hear it.

TopMedTalk is the broadcasting arm of Evidence Based Perioperative Medicine (EBPOM), if you’d like to attend one of our forthcoming conferences go now to www.ebpom.org

How do the insights from experience in Enhanced Recovery apply to critical care patients and postoperative care pathways? We also discuss utilization of advanced monitoring technology for the critically ill patient postoperatively.

Presented by Desiree Chappell with her guests Philip Corvo, Chairman of Surgery Stanley J Dudrick Dept of Surgery at Saint Mary's Hospital and Vicki Morton, DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina.

This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece gets into the detail and asks some important questions as to how focused practitioners should be upon troponin screening.

It's part 2 of 3 from The EBPOM 2019 TopMedTalk session which debated the issue.

Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton and frequent TopMedTalk contributor.

This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS.

Various questions from the audience are considered; where should we be in ten years from now, what are the disruptive forces headed our way?

The panel features; Sir Bruce Keogh, Professor Monty Mythen, University College London, Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, NIHR Senior Investigator and Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre.

The full lecture from Sir Bruce Keogh 'Ernest Henry Starling Plenary Lecture 2018 “70 Years on: our NHS”' is available in full here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped change her practice and the edge she has dealing with healthcare.
 
The conference is producing a number of talking points, the Measurement of Exercise Tolerance before Surgery (METS) Trial seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there?
 
Also - does North America really lack the resources, expertise and money to adpot Cardiopulmonary Exercise Testing (CPET)?
 
Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist.
 
You can find POETTS here: https://www.poetts.co.uk

How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are now available, or in the pipeline, to improve outcomes. How do we best use this information and these innovations?

The website mentioned in the podcast is here: https://www.michardconsulting.com/

Presented by Desiree Chappell with Monty Mythen and their guest Frederic Michard of MiCo Consulting.

This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine evolves, how do we know enhanced recovery after surgery (ERAS) works? Are there any large randomised controlled trials that prove it?

This piece is moderated by Dr Ming Loh, Staff Specialist Geriatrician and Clinical Lecturer at Westmead Hospital and the University of Sydney, Clinical Lead for the Orthogeriatric Service, Subacute Rehabilitation Ward and Falls Clinic, and features; Ruth E. Hubbard, Professor in Geriatric Medicine at the University of Queensland, Consultant Geriatrician at the Princess Alexandra Hospital and Head of School for PA-Southside Clinical Unit, with Bobbie Jean Sweitzer, Professor of Anesthesiology and Director of Perioperative Medicine at Northwestern University in Chicago, Illinois, and David Storey, Head of Anaesthesia, Perioperative and Pain Medicine Unit (APPMU), Melbourne Medical School, University of Melbourne; Director, Melbourne Clinical and Translational Sciences (MCATS) research platform.