Jul 26, 2017
ASER
2017 a “truly multidisciplinary conference” and "one of the best
ones yet"; looking to continue to increase membership and push
further education; taking on the challenge of applying new ideas on
site; the challenge of reaching both surgeons and anaesthetists;
tips for people trying to engage multidisciplinary teams and also
overcoming concerns related to perioperative surgery by 'keeping it
about the patient, don’t give it a name, focus on outcomes and
remembering that data talks'.
Furthermore, download this podcast for a comprehensive introduction
to the POQI (Perioperative Quality Initiative) papers; a method
adopted to bring 20-30 experts together for 2-3 days, seminar
style. With equal numbers of anaesthetists and surgeons alongside
some industry sponsors, nurses and CRNA members they face topical
questions in a process which is useful because it raises more
questions than answers. Each manuscript they produce contains
‘future steps’ and produces ‘more mature questions’. Dealing with 4
main areas – pain infection, outcomes and fluid
management.
Also,
how does ERAS apply to elective colorectal surgery? By, amongst
other thing, discussing expectations with patients, staying
'patient focused' and having a protocol which starts right at the
point of diagnosis the perioperative process has brought dramatic
reductions in length of stay and increased patient
satisfaction.
Discover more about “the POQI Pain paper”. Should we be encouraging
patients to 'DRink EAt Mobilise and Sleep – DREAMS'? What is
optimal analgesia? Should we minimise pain rather than aim to be
‘pain free’? Should we set our target to be opioid free if we can
use the multimodal approach?
Finally, the bowel prep discussion is included here. Bowel prep has
moved on and become “less harmful”, patient satisfaction is now
part of the process, which it wasn’t always previously. Difference
in fluid management are discussed and the need for more reports
regarding it. How is surgical site infection balanced with patient
comfort?
Sponsored by EBPOM and EDWARDS life sciences.
This is
the first ever pilot episode of TopMedTalk; Monty couldn’t make it
to ASER that year so worked with some friends to pick up on the big
stories. Dr Joff Lacey and Professor Mike Grocott join him live
from Washington DC with their guest Dr Julie Thacker, the then
president elect at ASER.