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Similar to Rapid Sequence
The American healthcare system is one of the most innovative in the world. But it’s also riddled with complex challenges, such as access to affordable medications, inefficiency and administrative burdens, and communication barriers between providers. There’s clearly a better way—and at Surescripts, we have a unique sightline into what that may be. In this series, host Melanie Marcus, Chief Marketing Officer of Surescripts, sits down with today’s most inspiring and innovative leaders in healt ...
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Concise summaries of everything published in the latest weekly issue of the New England Journal of Medicine (NEJM). NEJM publishes new medical research findings, review articles, and editorial opinion on topics of importance to biomedical science and clinical practice.
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Patterns of opioid use after surgical discharge
Manage episode 417820720 series 2924176
Content provided by Anaesthesia Journal. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Anaesthesia Journal or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
The Opioid PrEscRiptions and Usage After Surgery (OPERAS) study aimed to quantify the current global practice of opioid prescribing and consumption patterns in patients after discharge from common surgical procedures, and to identify factors associated with increased opioid consumption.
It found that double the quantity of opioids patients consume in the post-discharge period are prescribed at discharge, exposing them to risk of opioid-related harm. Individualised opioid prescribing at discharge remains important as excess prescriptions are driving increased consumption of opioids by patients. While patient pain levels and pre-discharge opioid consumption influence opioid consumption at discharge, the quantity of opioids prescribed remains a modifiable factor to curtailing excessive prescriptions of unused opioids.
79 episodes
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Manage episode 417820720 series 2924176
Content provided by Anaesthesia Journal. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Anaesthesia Journal or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
The Opioid PrEscRiptions and Usage After Surgery (OPERAS) study aimed to quantify the current global practice of opioid prescribing and consumption patterns in patients after discharge from common surgical procedures, and to identify factors associated with increased opioid consumption.
It found that double the quantity of opioids patients consume in the post-discharge period are prescribed at discharge, exposing them to risk of opioid-related harm. Individualised opioid prescribing at discharge remains important as excess prescriptions are driving increased consumption of opioids by patients. While patient pain levels and pre-discharge opioid consumption influence opioid consumption at discharge, the quantity of opioids prescribed remains a modifiable factor to curtailing excessive prescriptions of unused opioids.
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Rapid Sequence
1 Top 10 research priorities for sepsis research 25:51
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Play Later Play Later Lists Like LikedSepsis is a high burden syndrome associated with increased morbidity and mortality in both the acute and longer-term phases of illness. There remain multiple treatment uncertainties that require resolution through high quality research. This new study aimed to identify the top 10 research priorities for sepsis research in the UK .…
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Monthly Editor podcasts are back! This month, Dr Maryann Turner talks with Dr Mike Charlesworth, who was the previous Dissemination Editor for the journal. He talks about his time as Dissemination Editor, NAP7, Core Topics and his favourite part of being an Editor. Papers mentioned: 1. Rapid sequence induction: a modern-day example of Theseus' Paradox? 2. Regional anaesthesia for awake urgent upper limb surgery in children 3. Measurement and interpretation of central venous pressure: a narrative review 4. Anaesthesia support for transcatheter heart valve interventions: a narrative review…
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1 Patient-reported outcomes, postoperative pain and pain relief after day case surgery (POPPY) 17:01
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Play Later Play Later Lists Like LikedIn the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. This paper outlines the methods for the POPPY study, the largest UK multicentre prospective observational study considering short- and longer-term outcomes following day-case surgery . Join the authors and our Editor, Dr Helen Laycock, for a discussion about this excellent new methods paper.…
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1 The inequalities and challenges of prehabilitation before cancer surgery 22:58
22:58 Play Later Play Later Lists Like Liked22:58
Play Later Play Later Lists Like LikedPrehabilitation seeks to enhance functional capacity and preparedness before surgery with the aim of improving outcomes; it is generally based on exercise, diet and psychological interventions. While there is obvious appeal to this approach in terms of patient experience and resource use, the interventions are complex and the evidence base for prehabilitation before cancer surgery is heterogeneous. Prehabilitation requires patient understanding and motivation as well as commitment of resources. Programmes are challenging to design and implement, and can generate ‘intervention-based inequalities’ based on the capacity of patients to engage. Find out why prehabilitation must be implemented carefully to avoid widening inequalities with this new podcast hosted by Professor Cliff Shelton and his coauthors. Full paper here . 2025 Special Issue on Oncoanaesthesia here .…
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1 Peri-operative management of adults taking GLP-1 receptor agonists, GIP agonists and SGLT2 inhibitors 24:36
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Play Later Play Later Lists Like LikedUntil more evidence becomes available, this pragmatic, multidisciplinary consensus statement aims to support shared decision-making and improve safety for patients taking glucagon-like peptide-1 receptor agonists, dual glucose-dependent insulinotropic peptide receptor agonists and sodium-glucose cotransporter-2 inhibitors during the peri-operative period.…
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This podcast was recorded live at the Association of Anaesthetists Annual Congress 2024 in Harrogate. We spoke with keynote speaker Sir Julian Hartley (Chief Executive of NHS Providers) and Association of Anaesthetists President Dr Tim Meek about the role of the modern consultant in healthcare systems, HIT lists and whether or not the NHS is 'broken'.…
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This podcast was recorded live at the Association of Anaesthetists Annual Congress 2024 in Harrogate. We recently published a new multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society . We were delighted to join authors Dr Helen Laycock and Prof Kariem El-Boghdadly to discuss the need for this new document, how it was written and the key clinical implications for practice.…
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Rapid Sequence
1 Factors affecting UK anaesthetic trainees' wellbeing and stress 7:43
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Play Later Play Later Lists Like LikedThis podcast was recorded live at the Association of Anaesthetists Annual Congress 2024 in Harrogate. We were delighted to be joined by Dr Sarah Marsden and Dr Stuart Edwardson to talk about a new scoping review from Winter et al. Dr Marsden is the Chair of the Association of Anaesthetists Trainee Committee having taken over the role from Dr Edwardson, who received the anniversary medal for his service to the Association.…
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1 Patients whose airway may be difficult - what would you do? 13:06
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Play Later Play Later Lists Like LikedThis podcast was recorded following the airway session at the Association of Anaesthetists Annual Congress 2024 in Harrogate. Our dissemination Editor Dr Maryann Turner was joined by Prof Kariem El-Boghdadly, Dr Emilie Hoogenboom, Prof Ed Mariano and Dr Imran Ahmad. The discussion was around difficult airway management and how the choice between technique A vs. B vs. C vs. others never has an obvious 'correct' answer. For this session, even members of the expert panel chose different options, demonstrating the difficulties clinicians face in everyday practice.…
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Rapid Sequence
1 Anaesthesia associates' clinical activity, case mix, supervision and involvement in peri-operative cardiac arrest 37:15
37:15 Play Later Play Later Lists Like Liked37:15
Play Later Play Later Lists Like LikedThe 7th National Audit Project (NAP7) of the RCoA examined peri-operative cardiac arrest and each of the three phases captured the involvement of anaesthesia associates in clinical practice. In view of current interest and controversy concerning the roles and scope of practice of anaesthesia associates, the authors aimed to share a full account of information collected during NAP7 to add to the limited available data in this area . This likely represents the only national dataset which incorporates anaesthetists and anaesthesia associates. This interview accompanies the paper and includes the authors Prof Tim Cook and Lee Varney, as well of the President of the Association of Anaesthesia Associates, Sarah Massey. They talk about the paper and the wider associated issues. Essential listening for all.…
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1 July 2024 with Dr Maryann Turner and Dr Mike Charlesworth 26:04
26:04 Play Later Play Later Lists Like Liked26:04
Play Later Play Later Lists Like LikedThere are lots of excellent papers this month which have been highlighted by our dissemination editors Maryann and Mike! This month, they discuss: Still a ‘boys’ club': a qualitative analysis of how gender affects a career in anaesthesia in Australia and Aotearoa New Zealand Successful return to work in anaesthesia after maternity leave: a qualitative study Impact of postoperative cardiovascular complications on 30-day mortality after major abdominal surgery: an international prospective cohort study Association of peri-operative prescription of non-steroidal anti-inflammatory drugs with continued prescription of opioids after total knee arthroplasty: a retrospective claims-based cohort study Glucagon-like peptide-1 receptor agonists: a narrative review of clinical pharmacology and implications for peri-operative practice Remifentanil for tracheal intubation without neuromuscular blocking drugs in adult patients: a systematic review and meta-analysis All your CPD for the month in one place, free to listen and clinically relevant for all. Enjoy!…
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Rapid Sequence
1 Association between multimorbidity and postoperative mortality in patients undergoing major surgery 27:12
27:12 Play Later Play Later Lists Like Liked27:12
Play Later Play Later Lists Like LikedMultimorbidity poses a global challenge to healthcare delivery. This study aimed to describe the prevalence of multimorbidity, common disease combinations and outcomes in a contemporary cohort of patients undergoing major abdominal surgery.
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1 June 2024 with Professor Kariem El-Boghdadly 21:51
21:51 Play Later Play Later Lists Like Liked21:51
Play Later Play Later Lists Like LikedThis month, Dr Maryann Turner is joined by Professor Kariem El-Boghdadly to discuss three papers from the June 2024 issue . Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial. The effect of a bundle intervention for ambulatory otorhinolaryngology procedures on same-day case cancellation rate and associated costs. Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement.…
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Rapid Sequence
1 Patterns of opioid use after surgical discharge 27:08
27:08 Play Later Play Later Lists Like Liked27:08
Play Later Play Later Lists Like LikedThe Opioid PrEscRiptions and Usage After Surgery (OPERAS) study aimed to quantify the current global practice of opioid prescribing and consumption patterns in patients after discharge from common surgical procedures, and to identify factors associated with increased opioid consumption. It found that double the quantity of opioids patients consume in the post-discharge period are prescribed at discharge, exposing them to risk of opioid-related harm. Individualised opioid prescribing at discharge remains important as excess prescriptions are driving increased consumption of opioids by patients. While patient pain levels and pre-discharge opioid consumption influence opioid consumption at discharge, the quantity of opioids prescribed remains a modifiable factor to curtailing excessive prescriptions of unused opioids.…
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Rapid Sequence
1 Airway management in patients with suspected or confirmed cervical spine injury 29:18
29:18 Play Later Play Later Lists Like Liked29:18
Play Later Play Later Lists Like LikedDespite a lack of supporting evidence, airway management in patients with suspected or confirmed cervical spine injury is traditionally thought to increase the risk of worsening existing neurological deficits (secondary spinal cord injury) or risk of causing a new spinal cord injury (primary spinal cord injury). Although there has been evidence synthesis for specific elements of airway management in this setting, there has been little guidance to support clinical decision-making for airway management in this cohort of patients. These guidelines focus on the impact of airway management on cervical spine-related safety outcomes rather than efficacy of different airway management techniques. Whilst these two are related, the primary aim is to support clinicians in performing airway management whilst minimising the risk of airway complications and cervical spine cord injury.…
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Daily Deals
Similar to Rapid Sequence
The BMJ brings you interviews with the people who are shaping medicine and science around the world.
…
continue reading
The American healthcare system is one of the most innovative in the world. But it’s also riddled with complex challenges, such as access to affordable medications, inefficiency and administrative burdens, and communication barriers between providers. There’s clearly a better way—and at Surescripts, we have a unique sightline into what that may be. In this series, host Melanie Marcus, Chief Marketing Officer of Surescripts, sits down with today’s most inspiring and innovative leaders in healt ...
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continue reading
Concise summaries of everything published in the latest weekly issue of the New England Journal of Medicine (NEJM). NEJM publishes new medical research findings, review articles, and editorial opinion on topics of importance to biomedical science and clinical practice.
…
continue reading
A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned r ...
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continue reading
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continue reading
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…
continue reading
Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
…
continue reading
I Tyngre Radio snackas det om styrketräning. Punkt. Värdar är Alex Danielsson och Andreas Guiance.
…
continue reading
We’ve all had a moment where we arrived at the grocery store and can’t remember passing any of the stoplights along the way. We’re halfway down an aisle and scrambling to remember what we even needed. Our mind is in overdrive trying to sort through our ever-growing to-do list. We’ve been there when just making it through the next task is hard. But the normal stresses of life aren’t the only thing YOU have to deal with. Nora McInerny hosts The Head Start: Embracing the Journey, a new podcast ...
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continue reading
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