PODCAST · health
The Perioperative Coach
by TopMedTalk
Top tips on all aspects of perioperative care from some of the world's experts, working together to enhance surgical recovery.Brought to you by TopMedTalk.
Episodes
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1| Nutrition
"An operation is like a marathon, nobody prepares for that by starving themselves" - the first episode of this series provides some much needed food for thought regarding the essential the role of nutrition and nutrition screening in the perioperative process. Monty Mythen talks to Professor Paul...
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2| Getting on the same page
A conversation about enhanced recovery implementation. How do you get the whole team on the same page when it comes to implimenting an Enhanced Recovery Programme? Perioperative medicine requires a truly multidisciplinary team where everyone works together. This piece focuses upon educating and...
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3| Fluid management - the less explored controversies
The introduction of complex carbohydrate drinks and challenging ideas such as the standard "nil by mouth" procedure before surgery is discussed here. The conversation then moves to intravenous therapy and the correct approach as surgery and fluid maintenance is prepared for. Monty Mythen is...
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4| Nurses, pulling together an ER team with limited resources.
The impact of The American Society for Enhanced Recovery (ASER) cannont be understated, it has helped practitioners to implement better practice across the US. In this piece we discuss the approach of a 'council of nurses' and how an Enhanced Recovery After Surgery (ERAS) programme can be…
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5| Fluid Management
This is a discussion about fluid management in an enhanced surgical recovery pathway, in relation to guidelines from the American Society of Enhanced Recovery (ASER) and the work of the Perioperative Quality Initiative (POQI). Presented by Monty Mythen with his guest Dr Tim Miller,...
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6| Perioperative Nephrology and saline solution
This piece provides "a thumbnail sketch summary of the fluid debate". Challenging the "prevailing wisdom" regarding fluid management, the kidney and volume overload; "as a young Doctor you sort of got the impression that if you got the kidney to handle a lot of fluid somehow it would be happier"....
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7| Pain Relief in Enhanced Surgical Recovery.
It's about "optimal analgesia" rather than aiming for an entirely "pain free" approach. America's opioid crisis brings the importance of this concept into sharp relief and this episode of The Perioperative Coach reflects on the pain management discussions had by the American Society of Enhanced...
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8| Urine output
Perioperative urine output is a vital sign which can have a very significant impact on outcomes. This discussion emphasises the importance of monitoring it and using the data accordingly. It then moves further into permissive oliguria within an enhanced recovery protocol. This shows no difference...
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9| Length of stay after Major Surgery?
This podcast is crucial to understanding Enhanced Recovery After Surgery (ERAS). The ideas outlined in this series all lead up to it. In short, the length of stay as part of a patient's post operative recovery should be less than 3 days with over 90% of your patients mobilised on day one. This in...
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10| Enhanced Recovery for obstetrics
This final part of the series opens the door to a world beyond and answers the question, how do we apply the principles of Enhanced Recovery to obstetrics? Hear the story behind implementing such a programme for the first time ever in America. Insights from the UK were instrumental in adopting…
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