TopMedTalk

TopMedTalk for the latest medical news: Live updates from conferences; Journal Club; Techno-Talk; Interactive phone-in discussions; and Hot-Topic podcasts. Continuing Medical Education (CME) on the go.

Journal Club 1.14 | JAMA: The ENGAGES Randomized Clinical Trial.

Mar 7, 2019

The full title of the paper being looked at here is: "Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium Among Older Adults Undergoing Major Surgery: The ENGAGES Randomized Clinical Trial".

The link to the paper is here:

https://www.ncbi.nlm.nih.gov/pubmed/30721296

The...

Journal Club 1.13 | Various Journals: ACE, ARBs and Asprin

Feb 28, 2019

Interesting thoughts on the use of ACE inhibitors and ARBs, alongside considerations regarding asprin.

We look at the following papers:

Anesthesia and Analgesia: A Systematic Review of Outcomes Associated With Withholding or Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers Before...

Journal Club 1.12 | Various articles from; BMJ Open, Journal of Bone Joint Surgery American volume, Diabetes Care, Annals of Surgery.

Feb 21, 2019

This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.

We discuss the following papers:

Risk factors for opioid-induced respiratory depression in surgical patients: a systematic review and meta-analyses.

Journal Club 1.10 | Perioperative Medicine: Pulmonary artery catheters in cardiac surgery: a retrospective, cohort study

Feb 7, 2019

This week on Journal Club we reflect upon the pulmonary artery (PA) catheter.

The following articles were discussed:

JAMA: The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators:

https://www.ncbi.nlm.nih.gov/pubmed/8782638

BJA: Effect of goal-directed...

Journal Club 1.09 | Anesthesiology, New England Journal of Medicine: Triple low alerts

Jan 31, 2019

Triple-low Alerts Do Not Reduce Mortality: A Real-time Randomized Trial.

Sessler DI, Turan A, Stapelfeldt WH, Mascha EJ, Yang D, Farag E, Cywinski J, Vlah C, Kopyeva T, Keebler AL, Perilla M, Ramachandran M, Drahuschak S, Kaple K, Kurz A. Anesthesiology. 2019 Jan;130(1):72-82. doi: 10.1097/ALN.0000000000002480.