TopMedTalks to... Henrik Kehlet: The evolution and challenges of Enhanced Recovery After Surgery (ERAS) | #ANES24

This piece was recorded at the The 7th Collaborative Clinical Trials in Anaesthesiology Conference, Prato, Italy. The discussion centers around the roles and contributions of bio statisticians in clinical trials. Presented by Kate Leslie and Andy Cumpstey with their guests, Jessica Kasza, Professor of Biostatistics, Data Analytics/Modelling and Health Economics at Monash University and Elizabeth Ryan, Research Fellow at Monash University.

This important piece shines a light on the evolution and challenges of Enhanced Recovery After Surgery (ERAS). If you’ve never listened to TopMedTalk, this is a great place to start. If you’ve listened before it’s possible you’ve heard us talking with excitement about today’s guest, we hope you find this session to be worth the wait. Hear how our guest's insights on the need for an understanding of the pathophysiological basis and integrated pre-, intra- and post-operative care for the best patient centered outcomes. We cover the concept of “DReaMing” (Drinking, Eating, Mobilizing) as both a goal and measure of recovery; it simplifies complex pathways, encouraging a focus on practical, patient-centered outcomes while reminding us to investigate barriers when these aren’t achieved. Also, listen to our timely discussion regarding the misinterpretation of fluid management—shifting from avoiding overload to outright restriction—reiterating the importance of precision and nuance in applying guidelines. Can these approaches then be turned into individualized risk assessments, which bridge the gap between protocolization and personalization? Finally there's a powerful call for increased post-discharge research, to monitor and mitigate challenges like fatigue and pain. Recovery does not stop at hospital discharge. Presented by Desiree Chappell, Mike Grocott and Monty Mythen with their guest, Henrik Kehlet, Professor of Surgery at Copenhagen University and Professor of Perioperative Therapy at Rigshospitalet, Copenhagen University, Denmark.  He is also an Honorary Fellow of the Royal College of Anaesthetists, UK, the American College of Surgeons, the American Surgical Association, the German Surgical Society, the German Anaesthesiological Society and American Society of Anesthesiology. Professor Kehlet has published more than 1,250 scientific articles and has given more than 300 invited lectures at international scientific meetings, several honorary lectures including the ASA Excellence in Research Award 2014. He was the first recipient of the BJS Society Award 2023. Like this? Want more? https://topmedtalk.libsyn.com/topmedtalk-henrik-kehlet-and-nick-scott-0 https://topmedtalk.libsyn.com/asa-2018-san-francisco-exclusive-professor-henrik-kehlet

TopMedTalk 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 are currently releasing episodes more often than usual to accommodate high demand. This piece provides much needed focus on the topic of pediatrics and hemodynamics. Is it true to say that children are completely different to adults? What information do we need and what should the considerations around this topic really be? Presented by Desiree Chappell and Mike Grocott with their guests Dwight Bailey, Chief, Division of Pediatric Critical Care Medicine at Atrium Health, Levine Children's Hospital and Jonathan Tan, Vice Chair of Analytics and Clinical Effectiveness, Department of Anesthesiology Critical Care Medicine, Assistant Professor of Clinical Anesthesiology and Spatial Sciences, Children’s Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Spatial Sciences Institute of the University of Southern California

This piece addresses challenges in anesthesiology, workforce dynamics, leadership development, and operational efficiency. Flexible employment models, such as part-time roles and tailored schedules, are helping attract and retain talent while reducing burnout and reliance on locum tenens. Are we seeing a shift from crisis management to long-term strategic planning? How can organizations, focused on innovation, leadership training, and fostering professional satisfaction, create a more stable and collaborative environment for clinicians and patients alike? Presented by Desiree Chappell and her guests, Adam Spiegel, CEO, NorthStar Anesthesia and Jim Roberts, Chief Medical Officer of NorthStar Anesthesia and Meagan Barkett, Chief Operating Officer, NorthStar Anesthesia. -- TopMedTalk on location at the American Society of Anesthesiologists (ASA) annual meeting, Anesthesiology 2024. In the last week we have released various pieces from Anesthesiology 2024. The Anesthesia Quality Institute (AQI) - https://topmedtalk.libsyn.com/the-anesthesia-quality-institute-aqi-anes24 Remote Patient Monitoring: reducing risk & improving patient outcomes - https://topmedtalk.libsyn.com/remote-patient-monitoring-reducing-risk-improving-patient-outcomes-anes24 Ensure you check TopMedTalk regularly during this time as our conference coverage continues to be released.  

TopMedTalk recorded this piece at the annual meeting of the American Association of Nurse Anesthesiology (AANA) in San Diego. With over 64,000 members, including practicing CRNAs and nurse anesthesia residents, the AANA facilitates professional standards, advocacy, and social networking. This discussion highlights the importance of cultivating strong educational programs and strategic affiliations to ensure high-quality anesthesia care in the U.S. Presented by Desiree Chappell, TopMedTalk’s Co-Editor-in-Chief and Vice President of Clinical Quality at NorthStar Anesthesia, and co-host Randy Moore, DNP, MBA, CRNA, Chief Anesthetist Officer at NorthStar Anesthesia, with their guest Mandy Spitzer, DNP, CRNA, the new Director of Academic Affairs at NorthStar.

TopMedTalk is on location at the American Society of Anesthesiologists (ASA) annual meeting, Anesthesiology 2024. In this episode, we feature a brief discussion on the conference highlights, trends in anesthesia recruitment, and insights into what it’s like to work for NorthStar Anesthesia. Presented by Desiree Chappell, CRNA, Co-Editor in Chief of TopMedTalk and Vice President of Clinical Quality for NorthStar Anesthesia, with special guests Adam Spiegel, CEO of NorthStar Anesthesia, and Jim Roberts, Chief Medical Officer of NorthStar Anesthesia

This episode captures a blend of practical insights, high-level strategy, and the enduring need for empathy in healthcare leadership. We explore the importance of preparing patients physically and mentally before surgery. We look at how the challenges of activity-based funding (as practiced in Australia and the UK) require balancing care quality with financial constraints and ask; is it time for bold systemic changes? We also look at the importance of a collaborative approach to working with politicians and policymakers to ensure better adoption of quality and safety practices in healthcare. And, we look at the role of AI in medicine; its the potential in diagnostics, pathology, and operational efficiencies, alongside ethical questions about how and when to trust AI, especially in clinical decision-making. Presented by Kate Leslie and Mike Grocott with their guest, Shelley Dolan, Professor and Chief Executive Officer at the Royal Melbourne Hospital in Victoria, Australia.

This piece focuses on the Anesthesia Quality Institute (AQI), founded in 2009 by the American Society of Anesthesiologists (ASA) to promote patient safety and operational efficiency in the profession. The AQI was created for the specific purpose of building and maintaining a national registry of anesthesia cases and outcomes, to enable the benchmarking of patient care in the perioperative period. Presented by Desiree Chappell and Monty Mythen with their guests, Randall Clark, Director of The Anesthesia Quality Institute and immediate past President of The American Society of Anesthesiologists, alongside Marc Bernstein, Chief Information Officer and Executive Director and AQI Executive Director, Anesthesia Quality Institute at The American Society of Anesthesiologists. Further reading: https://www.asahq.org/aqi https://www.asahq.org/shop-asa

TopMedTalk was in attendance at the annual meeting of the American Association of Nurse Anesthesiology (AANA) in San Diego this year. With over 64,000 members, including practicing CRNAs and nurse anesthesia residents, the AANA facilitates professional standards, advocacy, and social networking. How does it work? Where are standards being raised? What drives progress in the field of anesthesiology? Desiree Chappell, TopMedTalk’s Co-Editor-in-Chief and Lead Anchor, as well as Vice President of Clinical Quality for NorthStar Anesthesia, speaks with Dru Riddle, PhD, DNAP, CRNA, FAAN, Professor at Texas Christian University in Fort Worth, Texas, Co-chair of the Cochrane U.S. Network, CRNA at NorthStar Anesthesia, and outgoing president of the AANA.

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. -- 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