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This is the second part of a question and answer session which was originally presented at The World Congress of Prehabilitation.
Featuring Mike Grocott, TopMedTalk’s co-editor in Chief and the Professor of Anaesthesia …
Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues. A truly global congress for anaesthesiology and critical care we …
TopMedTalk brings you more exclusive coverage, direct from the 18th WFSA World Congress of Anaesthesiologists in Singapore.
Now its tenth year, the …
This question and answer session was originally presented at The World Congress of Prehabilitation. It features Mike Grocott, TopMedTalk’s co-editor in Chief and the Professor of Anaesthesia and Critical Care Medicine …
Desiree Chappell speaks about about the Perioperative Quality Initiative (POQI) with Mike Grocott, TopMedTalk’s co-editor in Chief, Professor of Anaesthesia and critical care at the University of Southampton and Guy …
More from our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024)
The Network for the Advancement of Patient Blood Management, …
More from our exclusive coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) as Desiree Chappell speaks with her guests Denny Levett, …
“What is prehabilitation?” is presented by Mike Grocott, TopMedTalk’s co-editor in Chief and Professor of Anaesthesia and Critical Care Medicine at the University of Southampton, as well as an NIHR Senior Investigator.
…
In this essential piece we discuss, anesthesiology and its global impact with experts, empathy with patients, emotional expression in medicine, …
Direct from the 18th WFSA World Congress of Anaesthesiologists in Singapore Desiree Chappell and Monty Mythen catch up with Andy Shaw, Chairman, …
Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues.
In this piece we cover assisted fluid management in anesthesia. …
Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues. This conversation focuses upon The National Audit Projects, …
Mike Grocott, Desiree Chappell and Monty Mythen catch up at the end of “Day 2” of our coverage of the 18th WFSA World Congress of Anaesthesiologists …
Listen now as we speak about space exploration, a media career which extends to both television, radio and podcasting. We get into AI, medical …
Promoting diversity in medical publishing, preparation among women in anesthesia, leadership styles, gender differences in communication, a growth mindset and women in healthcare leadership; are all topics which come up …
This discussion includes a look at some of the benefits and adoption of video laryngoscopy in medical practice, improving first pass success rate in endoscopy using virtual reality and video laryngoscope techniques for …
This piece reflects the fact we are currently getting ready for the 18th World Congress of Anaesthesiologists (WCA 2024) - we’re going to be bringing …
This piece presents two short talks both of which sit under the headline, “Standardisation of Screening, Assessment, Interventions and Outcomes” and they were given at the recent Prehabilitation World Congress, held in …
This talk “Behavioural change vs Psychological interventions: which is key in prehabilitation?” was given at the Prehabilitation World Congress as …
This piece is a discussion which followed three presentations at the Evidence Based Perioperaive Medicine (EBPOM) World Congress in London on …
“AI Predictive Monitoring to prevent Hemodynamic Instability and Deterioration in Perioperative and Acute Care Patients” was a talk given at the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more on …
Should we delay surgery for prehabilitation? A short dissection of a perennial topic for anyone interested in perioparative medicine and enhanced …
This conversation comes from the American Association of Nurse Anesthesiology conference 2023. It gets right to the business end of our profession …
“It's evolution, not revolution, we've got a long way to go. But I'm certainly really excited to be on this journey. And I hope some of you will want …
“Every single one of you can and should go build an AI model. It's actually pretty simple these days. But then think about; what actually is the …
Anesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of …
Anesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of …
This wide ranging conversation gets into the thorny subject of reimbursement; how and why can practitioners advocate for a fairer rates? Also, what …
“We do need to give ourselves credit for the sacrifices we made along the way…”
This entertaining piece is a conversation about blood pressure, …
The American Association of Nurse Anesthesiology (AANA) annual conference, here we speak with the outgoing and incoming Presidents of the …
Intraoperative hypotension is now firmly associated with harm and poor outcomes, this conversation should get you thinking about what this means to …
This talk “Advancing POM in New Zealand and Australia” was originally the EBPOM Visiting Professor Plenary Lecture given at the Evidence Based Perioperative Medicine (EBPOM) 2023 World Congress.
Our visiting Professor …
This valuable conversation took place at the annual Evidence Based Perioperative Medicine (EBPOM) Ireland conference. One of our most loved conference settings we’d love you, a TopMedTalk listener, to join us next year. …
This week’s podcast is another “from the TopMedTalk table” at the recent World Prehabilitation Society annual conference held this year in London. We’ve been getting a feel for the issues people were discussing by …
This discussion covers many topics including; preoperative medicine and its evolution, frailty in various age groups, brain health and anesthesia in …
Looking this week at one of the highlights of Anesthesiology 2022 for us here on TopMedTalk; Desiree Chappell and Monty Mythen in conversation with …
This informative conversation takes a broad look at the field of anesthesiology, the staffing crisis and opportunities arising from that, leadership …
"How do you know how much anesthesia your patient needs? Brain monitoring to optimize neurohealth."
This piece dives into the details with an important subject for anyone working in surgery at the moment.
Desiree …
This engaging conversation gets into how and why trials and research are moving forward. Find out more about the conference we discuss here: https://euroanaesthesia.org
Presented by Desiree Chappell and Monty Mythen …
This piece focuses upon The World Congress of Anesthesiologists 2024: https://www.wca2024.org/
Presented by Desiree Chappell and Mike Grocott with …
This important piece covers the recent Anestheia Patient Safety Foundation (APSF) conference on perioperative hemodynamic instability, and the recent recommendations that they have just launched.
The Anestheia Patient …
The American Association of Nurse Anesthesiology (AANA) welcomes TopMedTalk to its annual conference with an array of great guests and healthy …
TopMedTalk continues to bring you our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA), the …
Welcome to our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
Welcome to our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
This piece works as a summary of our coverage of Anesthesiology 2023, so far. It's the annual meeting of the American Society of Anesthesiologists …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
"What is anestheiology going to look like in the next ten years?"
This is a no holds barred conversation about the future of our profession, as a …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …
The annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, it's the largest and most important gathering of …
Our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, continues. The largest and most important …
Our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, continues. The largest and most important …
What is the future of TopMedTalk, where will we find our new Editor in Chief? This podcast has all the answers.
Make sure you are subscribed to this podcast so you don't miss a minute of our coverage of the annual …
This is a huge moment in the calendar for us here at TopMedTalk, the annual meeting of the American Society of Anesthesiologists; Anesthesiology …
This piece is a guide to the importance behind drinking, eating and mobilising as part of an enhanced recovery after surgery programme (ERAS). It comprises clips from previous conversations, linked to below, along with …
Desiree Chappell, Monty Mythen and Andrew Cumpstey sit down with Cory Stahl, Global Marketing Manager at GE Healthcare to talk about “Portrait Mobile”.
This piece was recorded while TopMedTalk were at this year’s annual …
TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023.
ESAIC is …
TopMedTalk continues tracking the incredibly important work done by Perioperative Quality Initiative (POQI), check out their website here: http://thepoqi.org/
This piece acts as an introduction to this year’s POQI - 12.
The Perioperative Quality Initiative (POQI) is an international, multidisciplinary non-profit organization that organizes consensus conferences on …
Here John Koncelik, Regional Medical Director HCA Healthcare Physician Services Group, West Florida comes to the TopMedTalk table to share his thoughts on the need for prehabilitaiton and the way in which it relates to …
Desiree Chappell and Monty Mythen in conversation with Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, …
This wide ranging conversation starts with a focus on the importance of Near Infra-Red Spectroscopy (NIRS) and echocardiograms, how do we move forward in patient safety while keeping in line with what works in practice? …
Here Desiree Chappell and Andy Cumpstey speak with Michelle Chew, Academic Chair and Professor in Anaesthesiology, Intensive Care and Acute Care at …
Desiree Chappell and Andy Cumpstey talk to Manfred Blobner, Professor, Anesthesiology and the Coordinator of the Residency Program at Technische …
TopMedTalk recorded this piece at the European Society of Anaesthesiology and Intensive Care (ESAIC) conference, Euroanaesthesia 2023 in Glasgow.
It …
Enhanced Recovery After Surgery (ERAS) is a foundational aspect of perioperative medicine. This piece covers ERAS® Cardiac, a non-profit organization with the mission to develop evidence-based expert consensus …
This piece is presented by Desiree Chappell and Sol Aronson with their guest Jed Wolpaw, Anesthesiologist, intensivist, founder and host of …
The World Congress of Prehabilitation Medicine preceded this year’s Evidence Based Perioperative Medicine (EBPOM). TopMedTalk had an open table and this podcast contains two of the conversations we recorded in between …
TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® (ASA), providing comprehensive and extensive coverage of the …
“It's kind of easy to say it; ‘drinking, eating, mobilizing’ and yet actually what does it mean? Drinking, how much? Eating, what? And mobilizing, in what way? And so we refined the definitions so that everyone was …
Is sustainability now one of the key performance indicators by which we are judged? How has the medical industry responded to this and where are the pressures coming from for an environmentally conscious future?
Desiree …
This piece is presented by Desiree Chappell and Sol Aronson with their guest Elizabeth Drum, Associate Professor of Clinical Anesthesiology and …
Here we look back upon The Anesthesia Patient Safety Foundation (APSF) at last year’s Anesthesiology conference.
This piece is presented by Desiree …
The big talking point at The World Congress of Evidence Based Perioperative Medicine (EBPOM) 2023 was the results of the ‘OPtimisation of …
This week we are drawing attention to an excellent talk from our archive and warming up for the biggest moment in the perioperative calendar; Evidence Based Perioperative Medicine (EBPOM) and the World Congress of …
What is the future of AI and autonomous systems in perioperative medicine? This piece revisits a conversation we had at 'Anesthesiology'; the Annual …
How far can we go with patient monitoring, how do we push forward with patient safety? What sort of monitoring is appropriate and when? How should we …
You may have heard of Telemedicine but have you heard of TeleICU? How does it work? What's it like to work in one? How do you avoid alarm fatigue? To …
TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023.
For more …
The TopMedTalk team have a look at some of the products which were on display during Anesthesiology 2022. Specifically, RFID and infusion pumps.
Sol …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …
The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and …
Monty Mythen, Desiree Chappell and Andy Cumpstey talk you through the opening ceremony of Euroanaesthesia 2023. Should we be advocating "supported" …
TopMedTalk is live from the European Society of Anaesthesiology and Intensive Care. We will be bringing you interviews from the conference as well as …
Time to focus on “burnout”; this piece looks back at the coverage TopMedTalk did during the American Society of Anesthesiologists (ASA). We’re proud …
What is the wider view when it comes to perioperative medicine and anesthesiology? How and why should we become leaders, what opportunities for …
This week we revisit one of the most popular moments from our coverage of Anesthesiology 2022; a conversation about the big picture theme of …
This piece focuses upon trainee led research as Monty Mythen and Desiree Chappell speak with this year's trainee representative Cameron Dunn, …
This podcast is part of the historic meeting which officially announed the merging of the Perioperative Exercise Testing and Training Society (POETTS) and International Prehabilitation Society (IPS) to promote the …
Welfare and advocacy, a wide topic which intersects a little with the subject of burnout. How do we put our patients first while still listening to our own needs?
Monty Mythen speaks with Tracey Tay, Chief Medical …
This piece focuses upon disability and patient centered outcomes. Hear Monty Mythen and Desiree Chappell speaking with Duminda Wijeysundera, …
Opiods and clinician versus patient expectations. This conversation covers all the key areas; how to reduce opioid use, where ketamine might fit into the picture, the importance of the haemodynamic response and how to …
Dr Jess Davies is a staff anaesthetist at Austin Health who has a proven track record of being passionate about implementing environmentally sustainable practices into healthcare while still delivering a high standard …
What is a 'clinical trials network' and why is it important? This piece explores one of ANZCA’s Annual Scientific Meeting’s big talking points with two of the key opinion leaders in the field.
Desiree Chappell and Monty …
This piece is a conversation with two fascinating guests who are in attendance at the Australian and New Zealand College of Anaesthetists Annual …
Desiree and Monty break down the schedule for TopMedTalk over the year. Where we’ll be and what we’ll be doing. How to get involved and where to …
This piece focuses upon the “REMAP-CAP” trial; A Randomised, Embedded, Multi-factorial, Adaptive Platform Trial for Community-Acquired Pneumonia. …
The subject of this piece is; neurocognition, after surgery and major anesthesia. We reference previous episodes of TopMedTalk, linked to in the footnotes.
Monty Mythen in conversation with Lis Evered, Associate …
Diversity and gender balance is an important part of the bigger picture in medicine. This piece looks at the facts.
Monty Mythen and Desiree Chappell have an important conversation with Kate Leslie, Honorary Professor, …
“This week sees the launch of our diploma in perioperative medicine”
Hear Desiree Chappell and Monty Mythen speaking with Vanessa Beavis, Immediate …
The Australian and New Zealand College of Anaesthetists (ANZCA) is the professional body responsible for the specialties of anaesthesia and pain …
This essential TopMedTalk Highlight represents the culmination of a number of important threads we’ve been examining over the last few years around …
This piece is a reflection of the fact that The Society of Cardiovascular Anesthesiologists Annual General Meeting is coming up this weekend, we hope …
This piece is a question and answer session, it's divided into two parts, this is part two.
Following on from our previous podcasts, …
Our coverage of annual International Anesthesia Research Society, (IARS) meeting organised with the Association of University Anesthesiologists (AUA) …
This conversation is one of the key reasons we wanted to attend the annual general meeting of the International Anesthesia Research Society, in …
Following on from our previous podcasts, https://topmedtalk.libsyn.com/a-patients-perioperative-perspective-ebpom-world-congress / …
This piece released ‘as live’ from the annual International Anesthesia Research Society, (IARS) meeting organised with the Association of …
TopMedTalk’s exclusive coverage of #IARS2023 continues; the annual International Anesthesia Research Society, (IARS) meeting organised with the …
This piece released ‘as live’ from the annual International Anesthesia Research Society, (IARS) meeting organised with the Association of University …
Steven Evans, Center for Perioperative Care (CPOC) Fellow and anaesthetic trainee (ST7) provides a full update on what’s new in education and …
“The Center for Perioperative Care (CPOC) was set up as a cross organisational collaboration with the patients at the heart of it; focusing on …
Laurence Mudford (see full bio below) provides the patient perspective and here begins a discussion about perioperative care; what is it, what do …
This is part three of a three part piece. Although it works as a stand alone podcast we suggest you find time to loop back on episodes one ( here: …
This is part two of a three part piece. Part one ( here: …
This piece is a short introduction to the subject of “volume and cancer outcomes” which is presented by Shaman Jhanj, Head of Anaesthesia and …
Part three continues our investigation into perioperative anemia, following on from our exclusive reaction and analysis to the Centre For …
The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative …
The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative …
A stand out moment from Dingle’s Evidence Based Perioperative Medicine (EBPOM) conference; the inaugural Tom Crean Plenary Lecture, presented by Mike Grocott, Professor of Anaesthesia and critical care at the University …
The Royal Collage of Anesthetists (RCoA) are re-evaluating in the face of a global crisis; where do you stand in the forthcoming debate?
This piece, …
“I personally think this is a worse pandemic than the one we’ve just had and it’s impact - if we don’t do something about it - is going to be even more far reaching than COVID has been; this is about the global …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA). Please share …
This piece looks at how The National Institute for Health and Care Research (NIHR) is taking an active role in perioperative medicine and surgery; …
In 2022 we covered many live events and conferences both on the subject of anesthesia and perioperative medicine; we produced audio versions of some of the most interesting speakers in the field of perioperative …
TopMedTalk's 2022 retrospective covers some of the big topics of the year in perioperative medicine: Perioperative diabetes management; Connected Health and the COVID era; ‘is day case total knee replacement taking ERAS …
This entertaining talk is a rewarding look at the heart in a linguistic and cultural context; what does the word and the heart itself actually mean …
Originally entitled “The Future of Training” this talk evaluates four key concepts in anaesthesia training. It was originally presented as part of …
As patients live longer their needs are becoming more acute during surgery; this piece asks how we can adapt practice to meet the new challenges this brings. These talks take a long view across the perioperative …
This vital conversation comes in the wake of the COVID-19 crisis; how different is enhanced recovery after surgery (ERAS) and does it really get the …
This week we have the Evidence Based Perioperative Medicine (EBPOM) Visiting Professor Plenary Lecture question and answer session for; "The future …
“This is not a book about the current evidence, this is a book about how you keep making things better in perioperative care”.
TopMedTalk speaks with the co-editors of the new book; “Perioperative Quality Improvement”. …
This fundamental conversation is given a fresh perspective during one of the stand out moments of the recent Evidence Based Perioperative Medicine (EBPOM) Dingle conference. How do we define evidence in the era of big …
This is the concluding Q&A session regarding the Perioperative Quality Initiative (POQI).
Please listen to parts 1 and 2 here:
Part 1: …
What is the Perioperative Quality Initiative (POQI) and why is this episode always a popular download - each year - for TopMedTalk listeners? How can …
What is the Perioperative Quality Initiative (POQI) and why is this episode always a popular download - each year - for TopMedTalk listeners? How can …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
Here we focus …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
This week's podcast is the Evidence Based Perioperative Medicine (EBPOM) Visiting Professor Plenary Lecture; "The future of the anaesthetic workforce in the UK - a personal view".
The question and answer session …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
"The system is not going to work by itself but just under the control of the clinicians; so it's always ... human and machine together."
--
…
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the Amercan Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. This piece is an …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.
This piece is …
If you missed part one of this series it can be found in full here: …
What is the value proposition when approaching industry partnerships; is there such a thing as information overload; where on the perioperative …
TopMedTalk’s long and proud association with the American Society of Anesthesiologists (ASA) means we’ve had the chance to interview many of the …
"Good surgeons are good communicators"
How do we define a best case scenario for post operative value? What are the post operative realities and behaviors which interact with cost pressures, reimbursement, payer …
This wide ranging discussion from Evidence Based Perioperative Medicine (EBPOM) USA asks how we should best try to manage the intraoperative period, …
"A very different philosophy of going about the business of anesthesia..."
Where are CRNA's placed in the current market. What are going to be the pitfalls and the plus points as we move on from a challenging time?
With …
TopMedTalk's coverage of the American Association of Nurse Anesthesiology's 2022 conference continues with another installment of "Women in …
"And the good news is that we may or may not have an answer to this fluid debate that's been running now for 25 years..."
The Great Fluid Debate is a …
"It's not just about us [Anesthesia]. It's about all the stakeholders that are invested"
How can the American Association of Nurse Anesthesiology …
"Certified Registered Nurse Anesthetists (CRNA's) handle meeting with you ahead of time; alleviating your fears of surgery; getting an extensive health history so that we can really tailor your anesthetic to your needs. …
EBPOM USA gets off to an incredible start; the value proposition which drives the push towards perioperative medicine on both sides of the Atlantic. How far do we go when explaining to both practitioners and patients …
What is the value proposition when it comes to data, when does data become information and how do we mitigate between useful monitoring and an …
Where is Enhanced Recovery After Surgery (ERAS) for cardiac, now we find ourselves towards the start of the "post-COVID19" era? Where is the data taking us? How do we turn our principles into everyday practice?
This …
"We need to stop accepting the tenants we've all been given throughout our careers and accept that maybe we've been misinformed and maybe we've misinformed ourselves and have a bit of humility and start again"
The …
This piece focuses upon continuous ward monitoring. It provides real world experience as our guest explains how technology is moving forward. How do …
Due to the importance of this topic the TopMedTalk team would appreciate it if you could help to share and boost this podcast amongst your social …
Laryngosopy latest; what can we see? This piece is a full and frank update regarding where we're at from a charismatic - self described - …
TopMedTalk presented here as live during Evidence Based Perioperative Medicine (EBPOM)'s 2022 annual London conference.
Two presentations (the full …
This vital discussion brings to the fore the realities of cognitive prehabilitation, what is possible, how do we do it right and why does it work? Linking back to a presentation which we've heard earlier on TopMedTalk -
"I think the vast majority of our colleagues still think of anesthesia as a task that has to be completed; rather than a system, or anesthesia being …
"EEG is more than a number"
This piece is an early taste of the forthcoming highlights of Evidence Based Perioperative Medicine (EBPOM)'s TopMedTalk presentation.
Subtitled: "pEEG Monitoring in the OR and ICU: From The …
"It's been such an amazing.. electric atmosphere"
This bonus piece gives you a taste of the 2022 Evidence Based Perioperative Medicine (EBPOM) meeting in London this year. Look out for some of the talks from EBPOM - …
Recorded at EBPOM and presented here 'as live' this piece is an exclusive extra conversation held in between sessions on the subject of fluid balance; is the perennial debate of our conference over, or is there still …
A staffing crisis globally in healthcare is pushing forward the need for sedation in non anaesthetic areas. What does this mean for medical practitioners? What are the safest ways to work within this crisis? This is not …
Hear the complete live session with questions from the online audience at one of the stand out presentations of Evidence Based Perioperative Medicine …
"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!"
This piece came shortly after GE …
"We listen a lot to our customers and their patients"
This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the …
This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice?
…
This inspirational talk focuses upon how and why we need to focus on and improve attitudes toward pain control. …
This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from …
This piece is highlighted because of its significance. Please check out the rest of TopMedTalk's coverage of the conference on our website - …
A welcome return to TopMedTalk for two big names both of whom made a huge impact with their previous appearances, links to which are here:
Dan Sessler is here: https://topmedtalk.libsyn.com/topmedtalks-to-dan-sessler-0
…
"There's been a really noticeable shift, especially in the UK, towards big pragmatic research answering the big simple questions..."
This wide ranging conversation with a TopMedTalk favorite at the European Society of …
"Hypotension is always a problem..." This piece is provided 'as live' from the European Society of Anaesthesiology and Intensive Care (ESAIC).
…
"Moving from being reactive to being proactive"
The Portrait Mobile product launch, live from the ESAIC.
Presented by Monty Mythen, Smiths Medical Professor UCL and TopMedTalk's Editor in Chief, with his guest Frederic …
The TopMedTalk team are live at the European Society of Anaesthesiology and Intensive Care (ESAIC).
Join Desiree Chappell and Monty Mythen with the …
"We just thought you guys would just tell us facts about how smoking is bad for us but you're actually giving us tools and helping us practice them …
This piece looks at how and why you should be either setting up or running a smoking cessation clinic as part of a perioperative practice. How do you …
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This piece is an 'as live' interview from the Society of Cardiovascular Anesthesiologists and part of TopMedTalk's exclusive coverage of the event.
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This piece is an essential guide to running your own perioperative pre-operative diabetes clinic as well as how to manage this condition before, during and after and operation. With questions from the online audience …
This piece emphasises the importance …
This timely discussion considers the wisdom of day case total knee replacement: What do the data say? Can we do this without the use of opioids? What is …
In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). There are also wider questions about "the future of anaesthesia".
Ensure you are now …
TopMedTalk's essential series on acute kidney injury continues, supported by the "Know AKI campaign" – a bioMérieux global campaign to raise …
"New '21st Century iron lung' ventilator designed by British experts could revolutionise Covid treatment by taking patients out of intensive care …
How should we best monitor and treat acute kidney injury (AKI)? Where is the information leading our best practitioners to? How can monitoring …
How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?
This is part two of a two part piece.
The …
This podcast is part 4 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI.
For part one go here: …
How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?
This is part one of a two part piece.
The TV …
"Kidney disease ... is clearly a public health concern"
Health systems perspectives in acute kidney injury, this podcast is part 3 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign …
This piece is the first of a four part series, supported in part through an unrestricted educational grant from Acacia Pharma, Inc, tackling the subject of post operative nausea and vomiting. How do practitioners who …
For part one of this series go here: https://topmedtalk.libsyn.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury
This piece is a series of recommendations from the Acute …
"We have to decide; if it's safe, how do we do it, and how do we do it right?"
This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we …
This deep dive into intraoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand …
This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, …
"Our top priority must be safety"
A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the …
"There are so many, many studies on prophylaxis, but very few on treatment"
Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? …
What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative …
This piece continues the discussion regarding blood pressure regulation, moving from the brain to the kidney, heart and lungs via a number of …
The focus of this conversation is auto regulation in the brain, it leads into a longer conversation - part 2 - where the subject is discussed more …
"Choosing Wisely is an initiative of the American Board of Internal Medicine started about 10 years ago to advertise important aspects of medicine ... their number one recommendation was to not proceed with elective …
Near infrared spectroscopy (NIRS) ... 'a variation of pulse oximetry; it transmits red and infrared light into tissue' measures information from …
Originally recorded during Evidence Based Perioperative Medicine (EBPOM)'s London conference this piece focuses upon pulmonary complications in the …
One of the standout moments of Evidence Based Perioperative Medicine (EBPOM) 2021 this piece is a bonus podcast for the holiday season which looks in …
"We have seen a very significant transition (in respiratory care) through COVID"
What have we learned about how to treat lung and breathing issues over the last few years? Away from alarming headlines and looking …
Amisulpride is an antiemetic medication used at lower doses intravenously to prevent and treat postoperative nausea and vomiting; what does it look …
"Precision anesthesia [...] where we can give patients the anesthetic and the doses that they require on a patient specific basis"
This piece looks at nociception, the neural processes of encoding and processing …
The Hypotension Prediction Index is rapidly gaining a well deserved place in the hands of modern perioperative practitioners. Here we look at the …
With a global focus this piece moves into obstetric anesthesia, perioperative medicine and anemia management. Covering iron deficiency, hemoglobin, post-partum management and how to improve outcomes for all.
For more on …
"I think it really comes down to teamwork"
How rapidly should you perform a tracheostomy? When do you "start the conversation" about the procedure? …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Cancer and anesthetic drugs, informed by the basic science the pre-clinical work and observational studies suggest the way that we provide anesthesia …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell, …
Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …
This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the …
The Perioperative Exercise Testing and Training Society (POETTS) presents "Nutrition and patient living with and beyond cancer" in partnership with the Macmillan Trust. A real stand out moment from this year's Evidence …
This piece looks at diabetes from a perioperative perspective, as a patient goes toward surgery how realistic and how important is it for us to treat and manage their condition? What can be done? How can our patients …
Introduced by Monty Mythen, TopMedTalk's Editor in Chief and Padma Gulur, Professor of Anesthesiology and Population Health and Executive Vice Chair …
"Once you work with it, you really do learn to trust it. And it's very accurate."
This piece gives us an insight into practice from a cardiac …
Featuring a wide range of questions from the attending audience at EBPOM 2021 this piece gets into frailty: How do we assess it? How does it affect shared decision making? How can we raise awareness around it? How do we …
An exclusive chance to hear from the editors in chief of the major journals in our field discussing the big issues of 2021; 'The Journal of …
"Implementation science is really focused on bridging the evidence to practice gap"
One of the highlights of the 2021 Evidence Based Perioperative Medicine (EBPOM) conference. This talk is provided to you in the hope …
This essential discussion covers total intravenous anaesthesia (TIVA) versus inhalation anesthesia, the pros, the cons, and the benefits of the process such as monitoring.
Included in this extended podcast are the two …
Ways to simplify the entire surgical encounter.
This piece looks at the process of accepting patients into the surgical journey. Care coordination with a focus on the patient and the workflow associated with them; …
Care home residents in South East London are to be the first in line to access remote examination technology.
Residents across 46 care homes in South …
Perioperative enhancement teams have been a theme on TopMedTalk for years. This program, part two of two, goes into more detail around what could be …
This podcast is a look at some of the work done by practitioners who intend to take perioperative medicine to the next level; the "perioperative …
Post EBPOM Monty and Desiree explain how TopMedTalk is building on the incredible success of the last few years. After producing a podcast every day for 3+ years we are now going to produce a new podcast each week with …
This piece is a listener generated question and answer session from EBPOM 2020. Although it works as a stand alone piece it relates directly to this talk here: …
"The delivery of good medical care is to do as much nothing as possible."
- Samuel Shem.
The POCAPALOOZA (POC, perioperative care; apalooza - a celebration of) wraps up in true style with a look at Australia and their …
Presenting 2021's POCApalooza West; the annual tradition continues in the wake of last year's hugely successful international gathering of …
Presenting 2021's POCApalooza East. The now annual tradition continues in the wake of last year's hugely successful international gathering of …
"Perioperative medicine ... I always think of a Venn diagram where there's truly an intersection between surgery anesthesia and medicine, and perhaps …
"Data is key and having champions is key"
This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our …
"Connected care is a combination of the right tech, to monitor the patient, that's human factor friendly and easy to use"
This piece is an in-depth …
"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology"
This piece …
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions …
This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of these problems systematically. Healthcare organizations have to …
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions …
"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse events. There's very few proven primary or secondary prevention …
"The song remains the same"
The story picks up toward the end of the 1970's; "interesting stuff was going on ... Professor William Shoemaker, a surgeon and intensive care doctor one of the founding members of the …
"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with accelerated surgery. The logistics and resources required for accelerated …
This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience: What is your opinion about spinals and hip fractures for patients …
The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap …
How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The …
"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, …
"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within …
This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for payment system creaks against concerns about rising costs and the …
"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the …
This piece is a question and answer session with questions from the online audience.
What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? …
This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value …
This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our …
"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. …
This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: https://topmedtalk.libsyn.com/ebpom-2020-london-am-i-safe
The discussion …
This piece focuses on iDelirium; The International Federation of Delirium Societies on world delirium day. As well as considering this difficult …
"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and …
"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID".
The Society for Enhanced Recovery After Cardiac Surgery …
"You have to take the viewpoint that if the Nurses and the Physical Therapists and the Pharmacists are resisting the idea that you're putting forward, then there's probably something wrong with it, it doesn't work for …
"Our real 'next barrier' in the continuum of care is, it's okay to have pain, right? It's expected to have pain. [...] but it is better for you recovery wise, complication wise; to be able to get up, move around, know …
This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone interested in the latest thinking on this crucial topic and was a …
Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very important we recognize and work with individual patients improving and …
With questions from the online audience, this piece looks at the "not too much and not too litte" sweet spot regarding fuel, fluid and oxygen; where is it and how do we get there, according to our distinguished panel?
…
"I just feel there is some intrinsic value to, you know, a human presence"
This piece tells the story of an anesthesiologist who, once vaccinated, …
Part 2 of this conversation continues the momentum of Part 1 with a conversation about electronic medical records (EMR), how important data is to the …
This piece is a two part conversation about the essence of what many of TopMedTalk's listeners do; Enhanced Recovery. A fascinating conversation between a number of experts in the field the conversation presented here …
How important is it to screen patients and measure their fitness prior to surgery? What is exercise training in the preoperative period?
There is a very clear relationship between physical fitness and mortality. …
"Accelerated surgery is not a panacea"
This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM London this is an 'as live' discussion with four of the main …
"Accelerated surgery is not a panacea"
This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM London this is an 'as live' discussion with four of the main …
This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audience as our panelists tackle the topic from their respective areas.
…
"In the United States approximately 112,000 patients annually are at risk for adverse events associated with discharge from the operating room with …
"As a cardiac surgeon, I feel like I'm hearing more and more about ERAS than ever before"
"The CSCS Beat - more than just matters of the heart" is a fantastic new podcast from The Canadian Society of Cardiac Surgeons …
This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring …
"Maybe it's time to evolve our practice"
Many believe ultrasound is an essential bedside tool which should be as common as the archetypal Doctor's …
This piece starts with the challenges faced by non-consultant hospital doctors (NCHD's) in this pandemic environment and the challenges of teaching …
"There is some great literature out there that has been shared ... great data, especially in cardiac surgery, which is where we are using it and I …
This piece, part 2 of 2, is a series of questions related to part 1; "Monitoring and management of neuromuscular blockade | EBPOM Chicago".
This …
This piece is an informative conversation about "the Perioperative Care Team"; who is essential to the team and how do we make sure everyone feels included? What elements do you need to make up such a team, how do you …
"If you want to take population based data, and define hypotension, you'll be right for the majority of our average patients, but not for all …
"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... …
What do we mean by "nutritionally fit" and why does it matter? How do we identify those most at risk in terms of screening and assessment and what's the difference between these two processes? How can we use screening …
"Studies suggest that even three fourths of patients may be anemic when they present for surgery and many of these patients are previously undiagnosed"
This common problem is known to cause issues both within the …
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …
"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, …
This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of …
"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and …
"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine."
Fitness, frailty and function are overlapping concepts. In the UK, about quarter of patients will be …
"Perhaps assessing functional performance is something that we've overlooked in medicine"
This piece is about the role of functional assessment and …
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery …
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery …
It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative …
This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk, facilitating better shared decision making and increased patient …
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a …
"More than 300 million patients have surgery annually worldwide and an increasing proportion of them are elderly and at risk of perioperative adverse events. There's very few proven primary or secondary prevention …
This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? …
How have we adapted in our views on the use of video laryngoscopy during the Covid-19 pandemic? Who is best suited to intubate? Are we seeing "a poorly managed first wave"? How are practitioners changing their …
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions …
"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology"
This piece …
This piece is a worthwhile deep dive into this perioperative medicine and how we go forward with it. Hear the panel speak about what it is they want for the future and what it is they are doing now. With questions …
In this piece you can hear the co-editors of the Journal of Perioperative Medicine describing this year's "Editor's Picks"; the best manuscripts, literature and lessons learned in the last year in the space of …
This piece is part one of a two part piece. It's a short didactic presentation on the tough realities the U.S. healthcare system faces as the fee for payment system creaks against concerns about rising costs and the …
"Data is key and having champions is key"
This piece provides a truly transatlantic in-depth perspective on an area of opportunity highlighted by our …
"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that …
"It's useful to reflect on what SNAP-2 EPICCS might offer us in the brave new world that we find ourselves in with Coronavirus"
The 2nd Sprint …
Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how do we change this and how do we make the changes we implement last? …
This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value …
"Look at it from where is the patient, and what's best for the patient; I think that the other answers follow and yes, it is higher quality, yes, …
"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within …
This question and answer session was a highlight of EBPOM London 2020, it works as a standalone piece or as a companion piece to this talk here: https://topmedtalk.libsyn.com/ebpom-2020-london-am-i-safe
The discussion …
"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the …
This piece is a question and answer session with questions from the online audience.
What do we think is the clinical care difference that having an elevated level of monitoring and more people around of all all sorts? …
This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. Developing these skills requires new approaches; to education and …
This piece is the second part of a conversation about leadership in medicine, during times of change. It follows on from the first part where our …
"I believe most people can be leaders or better leaders. You can create or participate in change and a better future. You can make a difference in your own lives, the lives of others and the life of your organization. …
This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the …
"Just having more staff doesn't always equate to better care, especially when the staff do not have the skills required."
Perioperative medicine has the opportunity to lead the way in advanced practice; the extended …
"46% pretty much means every other patient who was getting IV opioids was having some sort of a respiratory depression event"
After a quick round up of COVID news in the contributor's respective areas this piece gets …
Armed with a background in biomedical engineering, doubled with an EMBA in Finance, our guest has spent the past 20 years within the medical device …
This piece looks at the most recent guidance regarding prehabilitation for cancer, developed and published in 2009 by Macmillan Cancer Care. Extremely well received across the UK, and internationally, here we look at …
"Oxygen is the commonest drug that we give to our patients today during surgery and the general anaesthetic" but what do we really know and understand about it from a perioperative perspective?
This talk illustrates …
This piece is a listener generated question and answer session from EBPOM 2020. Although it works as a stand alone piece it relates directly to this talk here: …
With questions from the online audience, this piece looks at the "not too much and not too litte" sweet spot regarding fuel, fluid and oxygen; where is it and how do we get there, according to our distinguished panel?
…
This piece is a continued deep dive into the subject, of 'fitness, function, or frailty' and, perhaps, "fixing". It's essential listening for anyone interested in the latest thinking on this crucial topic and was a …
Fitness, function and, or, frailty are important determinants of the quality of the life that we live. In the context of major surgery it's very important we recognize and work with individual patients improving and …
"We have to create the culture of learning; the culture of having a safe space, the culture of wanting to do better and learning those conditions in …
This piece covers the PREP-WELL project which is a community based prehabilitation program in South Tees, in the North of England:
"We established …
"We have to remember that patients have a team"
How do we involve patients in the increasingly complex conversations we have in the perioperative …
This talk aims to answer four major questions: How much fluid should you give perioperatively? Does hypotension matter? Should you use advanced …
"As Anaesthetists the ultimate goal of almost all of our interventions and monitoring is to support cell energy production to provide mitochondria …
This is a story that starts with some of the challenges faced in our world outside the operating theatre and it's about how we might address some of these problems systematically. Healthcare organizations have to …
"I cannot sleep. It's like, I wake up at 1am and my mind's going crazy ... if you had someone come to you and say; 'I'm really struggling right now, I'm having a lot of anxiety, with work with family, with kids with …
"I think you're now famous in the CRNA community for being one of the first people in Fargo to receive the the COVID vaccine"
This piece sees us catching up with Certified Registered Nurse Anesthetists (CRNA's) who have …
"Perioperative medicine ... I always think of a Venn diagram where there's truly an intersection between surgery anesthesia and medicine, and perhaps …
This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a …
This piece is divided into two parts, the first being discussion between the panelists and the second, part 2, being questions from the online audience: What is your opinion about spinals and hip fractures for patients …
The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap …
How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The …
This piece looks at some of the latest research from a perioperative perspective regarding an essential question, when and how is surgery possible after a COVID-19 infection? How do we balance that ideal with the other …
This piece focuses on iDelirium; The International Federation of Delirium Societies on world delirium day. As well as considering this difficult …
"You have to take the viewpoint that if the Nurses and the Physical Therapists and the Pharmacists are resisting the idea that you're putting forward, then there's probably something wrong with it, it doesn't work for …
"Critical Care has a moment in time, a moment where we can make some big changes, a moment of opportunity"
This uncompromising and informative talk from the technical lead for critical care in the Getting It Right First …
From a UK perspective this piece covers variation in access to critical care, behaviors and decisions regarding its use. With reference to how, over the last 20 years, efforts have been made in Torbay to improve access …
This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the …
This piece gives you the evidence base required to deliver an even higher standard of perioperative medicine where you work. Hear about the "Fit 4 surgery" studies; the "fit 4 surgery consortium", the ongoing e-studies, …
"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and …
"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID".
The Society for Enhanced Recovery After Cardiac Surgery …
"In the elective surgical domain 20% of people who are scheduled to have surgery are not ready for surgery"
The road towards economic reality is …
"There is some great literature out there that has been shared ... great data, especially in cardiac surgery, which is where we are using it and I …
This piece, part 2 of 2, is a series of questions related to part 1; "Monitoring and management of neuromuscular blockade | EBPOM Chicago".
This …
This piece is an informative conversation about "the Perioperative Care Team"; who is essential to the team and how do we make sure everyone feels included? What elements do you need to make up such a team, how do you …
Part 2 of this conversation continues the momentum of Part 1 with a conversation about electronic medical records (EMR), how important data is to the …
This piece is a two part conversation about the essence of what many of TopMedTalk's listeners do; Enhanced Recovery. A fascinating conversation between a number of experts in the field the conversation presented here …
What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, …
"The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Grim news from one angle …
This piece focuses on the great work done by The Anesthesia Patient Safety Foundation. We turn to their specific focus on COVID 19 and then look at the wider benefits of a network dedicated to patient safety in our …
"Accelerated surgery is not a panacea"
This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM London this is an 'as live' discussion with four of the main …
"Accelerated surgery is not a panacea"
This piece, presented in two parts, is a discussion about enabling enhanced recovery. Originally part of EBPOM London this is an 'as live' discussion with four of the main …
This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audience as our panelists tackle the topic from their respective areas.
…
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery …
"I hope to impress upon you that this is a topic that we can and must do better at ... no malnourished patient should ever have elective surgery …
"In the United States approximately 112,000 patients annually are at risk for adverse events associated with discharge from the operating room with …
"If you want to take population based data, and define hypotension, you'll be right for the majority of our average patients, but not for all …
"Perhaps assessing functional performance is something that we've overlooked in medicine"
This piece is about the role of functional assessment and …
This piece digs deep into the realities of coping with COVID 19 patients who have had their care escalated to the Intensive Care Unit (ICU); "we …
This piece gives us a look at some of the latest thinking on Post Operative Nausea and Vomiting (PONV). It includes a discussion about Amisulpride …
"Some practical tips you can take away and implement in your hospital..."
In the UK there is a legal imperative to minimalise and individualise risk …
"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a …
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …
This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …
"It might just be 'boring old blood pressure ... (but) ... every fourth operation there is evidence of a modifiable risk factor".
The Perioperative …
"We're so invested in outcomes and data that it really gives us an objective view on how to approach things"
This wide ranging conversation looks at …
Warning; this piece may make for uncomfortable listening. It is a fascinating look at the recent history of medicine and how our profession may in fact be sick. Contained within the story is a message of hope; evidence …
"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of …
"We have to remember that patients have a team"
How do we involve patients in the increasingly complex conversations we have in the perioperative …
"In this session, we're going to talk about the importance of fitness, frailty, function and perioperative medicine."
Fitness, frailty and function are overlapping concepts. In the UK, about quarter of patients will be …
"If I were to develop a simple uncomplicated urinary tract infection, I may well be able to continue to go to work as I was being treated for that …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
"Accelerated surgery for hip fracture is safe and feasable, with troponin elevation before randomization, there was a mortality advantage with accelerated surgery. The logistics and resources required for accelerated …
This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in …
"Babies are still being born" Still! Revisiting this conversation from early in the pandemic, we discuss obstetrics during COVID.
This piece looks at the area of obstetrics in the midst of an unprecedented global crisis …
What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior …
This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the …
"I'm also a United States Air Force Officer and reservist and on April 4th was activated and given approximately 48hrs to deploy on a C-5 Galaxy Military Aircraft to the epicenter, New York City and I've been here for …
This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring actually allow practitioners to live more "in the moment" while in the …
This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of …
"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com
"46% pretty much means every other patient who was getting IV opioids was having some sort of a respiratory depression event"
After a quick round up of COVID news in the contributor's respective areas this piece gets …
Armed with a background in biomedical engineering, doubled with an EMBA in Finance, our guest has spent the past 20 years within the medical device …
This piece highlights four papers published in the May 2019 edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org
Furthermore, there's an interesting piece about the Perioperative Quality …
"The peak keeps getting pushed..."
What's the difference between a strategy of rationing as compared with one where the aim is concordence?
As the …
This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the …
The opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling pain a "fifth vital sign" and the absurd practice of waking patients …
"Patients undergo surgery for important reasons, we need to improve surgical outcomes to the point where anyone can have surgery - and I believe that is do-able; we need to implement what we know, we need to avoid …
This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topmedtalk.com/topmedtalk-computer-gamer-to-life-saver/
The Perioperative …
This piece explores the current thinking on hemodynamics, get ready for a deep dive into the conversation and controversies.
Originally streamed live from www.topmedtalk.com as part of our coverage of The EBPOM USA …
This piece ploughs into some of the academic papers that have provoked discussion in the perioperative community.
We discuss the following papers:
…
This piece took a look at the San Diego front line of the global fight against COVID 19 on March the 30th at the start of the crisis.
What unique …
This piece is a conversation with friends of ours at Medtronic. Now is an interesting and resource-scarce time for everyone in medicine; Medtronic made huge waves here with their support of the Ventilator Training App, …
"The more I learn about this, the more my eyes are opened to how much opportunity we have to improve in this area"
This piece covers the "perennial topic" of whether paralysis is bad for breathing, here with a focus …
"Just having more staff doesn't always equate to better care, especially when the staff do not have the skills required."
Perioperative medicine has the opportunity to lead the way in advanced practice; the extended …
This vital piece deals with a variety of issues related to COVID-19; what we know and what we know we do not know:
- Similarities and differences between COIVD-19 and Aqute Respiratory Distress Syndrome (ARDS)
- The …
"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are people getting it wrong? How reliable and well understood is the data …
TopMedTalk has recently engaged with a large number of new listeners, we are delighted to have you join our family of perioptimists! This piece works as a primer, it explains what lies at the core of the world's …
This piece explores perioperative shared decision making from a variety of angles. Where is the latest research? Is it something we can reasonably out source? Does it always play in the favour of the patient or do we as …
2020 was a big year for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting field of medicine.
Various questions from EBPOM 2020 attendees were tackled by the panel: Can …
"My first thought was - why can't we do this here?"
What is ketamine, what sort of drug is it and how is it used? How was it first synthesized? Was it intentionally found or another of science's happy accidents?
This …
How do we manage our operating room capacity and restore elective surgery in a post-COVID19 world? A world where conditions change week by week, sometimes day by day.
Managing capacity was always a challenge but now we …
"Oxygen is the commonest drug that we give to our patients today during surgery and the general anaesthetic" but what do we really know and understand about it from a perioperative perspective?
This talk illustrates …
This talk aims to answer four major questions: How much fluid should you give perioperatively? Does hypotension matter? Should you use advanced …
"As Anaesthetists the ultimate goal of almost all of our interventions and monitoring is to support cell energy production to provide mitochondria …
This piece covers the PREP-WELL project which is a community based prehabilitation program in South Tees, in the North of England:
"We established …
"We have to create the culture of learning; the culture of having a safe space, the culture of wanting to do better and learning those conditions in …
Pain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The …
This piece was recorded at the start of the year, to celebrate the launch of Tom Woodcock's book Fluid Physiology, A Handbook for Anaesthesia and …
This piece considers the need to understand the patient having surgery and the complexity with which they present so we can match our skills to them. Developing these skills requires new approaches; to education and …
This piece looks at some of the advantages to having a perioperative interdisciplinary team reducing complications, understanding and discussing risk, facilitating better shared decision making and increased patient …
"We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book".
Recorded at the start of the year this …
"We, who physically will be elsewhere in the world, for example, in London and in Southampton, are going to - within what we're allowed to do - get together in a bubble probably at work, and set aside the time to watch …
The team enjoy reflecting on 2020 as we appreciate the fact that there were the green shoots of hope during the middle part of the year.
The patient facing Macmillan Cancer Care podcasts are here: …
The annual TopMedTalk Holiday Special series this year takes a look back at COVID19 and the first year we had to live with it.
Listen to the full …
"I cannot sleep. It's like, I wake up at 1am and my mind's going crazy ... if you had someone come to you and say; 'I'm really struggling right now, I'm having a lot of anxiety, with work with family, with kids with …
This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative complications'. The dangers presented by them certainly suggest this area …
"I think you're now famous in the CRNA community for being one of the first people in Fargo to receive the the COVID vaccine"
This piece sees us catching up with Certified Registered Nurse Anesthetists (CRNA's) who have …
What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission …
"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'.
"I mean, look, I've …
How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and …
After working at a Veterans Affair Medical Center, hear how our guests moved into the field of emergence delirium: "upon emergence our patients were swinging and very aggressive ... there must be some way to prevent …
"It's useful to reflect on what SNAP-2 EPICCS might offer us in the brave new world that we find ourselves in with Coronavirus"
The 2nd Sprint …
"Critical Care has a moment in time, a moment where we can make some big changes, a moment of opportunity"
This uncompromising and informative talk from the technical lead for critical care in the Getting It Right First …
From a UK perspective this piece covers variation in access to critical care, behaviors and decisions regarding its use. With reference to how, over the last 20 years, efforts have been made in Torbay to improve access …
This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the …
"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com
This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the …
The electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette …
"In the elective surgical domain 20% of people who are scheduled to have surgery are not ready for surgery"
The road towards economic reality is …
What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve …
What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, …
This piece gives you the evidence base required to deliver an even higher standard of perioperative medicine where you work. Hear about the "Fit 4 surgery" studies; the "fit 4 surgery consortium", the ongoing e-studies, …
"The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Grim news from one angle …
This piece looks at the most recent guidance regarding prehabilitation for cancer, developed and published in 2009 by Macmillan Cancer Care. Extremely well received across the UK, and internationally, here we look at …
Pediatric patients can present quite a challenge when emerging from anesthesia. Here we discuss ways to “ACE” your transition to PACU! “A”void Emergence Agitation, and discover the latest evidence about “C"riteria for …
It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative …
What do we mean by "nutritionally fit" and why does it matter? How do we identify those most at risk in terms of screening and assessment and what's the difference between these two processes? How can we use screening …
"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and …
How important is it to screen patients and measure their fitness prior to surgery? What is exercise training in the preoperative period?
There is a very clear relationship between physical fitness and mortality. …
This wide ranging talk asks where and how we should focus on the needs of postoperative care patients. "Brain care has an impact way beyond the acute …
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …
This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …
This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in …
This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully …
"Updates in cardiac devices, Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took …
"Updates in cardiac devices, Part 1" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place …
The POCAPALOOZA, a celebration of perioperative care that went around the world in the wake of EBPOM 2020.
"Early intervention and people taking it …
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery"
Opioids are good for pain control but there's another …
"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... …
This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes.
The article …
"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, …
The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the …
"Studies suggest that even three fourths of patients may be anemic when they present for surgery and many of these patients are previously undiagnosed"
This common problem is known to cause issues both within the …
This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of …
This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of …
How does an experienced physician, health service changer, improver and researcher see the process of re-engineering perioperative care pathways? What are the challenges we face when we try to rework or improve the …
Smoking is bad for you, there's little debate about that, even among users of the drug. However, further to the widely known consequences, the bottom line in the perioperative period is that smokers are 40% more likely …
"Excellent teamwork"; the key to good outcomes.
This piece features an in depth discussion of post operative acute kidney injury (AKI), are there …
This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What …
“When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to associate with the prevention of viral infections…”; maintain a normal …
How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced …
"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me".
This podcast helps tackle the difficult …
The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for …
We begin with a conversation about The UK Perioperative Medicine Clinical Trials Network, their website is here: https://www.pomctn.org.uk/
This piece focuses on the Optimising Shared decision-makIng for high-RIsk major …
How have we adapted in our views on the use of video laryngoscopy during the Covid-19 pandemic? Who is best suited to intubate? Are we seeing "a poorly managed first wave"? How are practitioners changing their approach …
Why has 'prehabilitation' suddenly picked up pace in terms of both practice and interest? This piece takes a serious look at the widening interest in an idea familiar to many sportsmen.
Learn how the marginal gains we …
This piece focuses in upon the important work being done by The Enhanced Recovery After Cardiac Surgery Society, specifically the new guidelines which were published in May 2019. Furthermore, how is the society going to …
In the UK community based prehabilitation is being spearheaded by the Prepwell Initiative, supported by a grant from Sports England. Their pioneering work is a great example of the way in which prehabilitation is …
"The more I learn about this, the more my eyes are opened to how much opportunity we have to improve in this area"
This piece covers the "perennial topic" of whether paralysis is bad for breathing, here with a focus …
Burn out and stress management have been an important theme on TopMedTalk recently, here we have a top medical professional sharing their story in relation to the topic. How do we describe "burn out", are certain words …
This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? …
In this piece you can hear the co-editors of the Journal of Perioperative Medicine describing this year's "Editor's Picks"; the best manuscripts, literature and lessons learned in the last year in the space of …
Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head …
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …
This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring …
"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was …
Patient safety, as a priority, is assumed to be at the heart of medical practice. Yet still, preventable harm and death occurs in our profession, how do we change this and how do we make the changes we implement last? …
Patients with physiological and psychological resilliance have a clear advantage in surgery. The Wessex Fit-4-Cancer Surgery Trial (WesFit) is …
"At the moment perioperative care in the UK doesn't really have the profile that I think it needs; now I suspect that COVID-19 has raised it up the agenda"
If you enjoyed Monty's explanation regarding the UK's …
"It also must start and end in primary care"
This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of …
This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a …
After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics …
This piece focuses on the Preoperative Intravenous Iron To Treat Anaemia in major surgery (PREVENTT) trial; a randomized double-blind controlled …
This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What …
"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on …
This piece focuses upon the African Surgical Outcomes Study (ASOS-2). More than a thousand people across Africa have combined forces to make this research into perioperative medicine in a resource limited environment …
"There seems to be a little extra buzz in the cardiac community".
This conversation focuses upon the psychology of change, specifically regarding the …
This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the future of fluid therapy.
Originally given as the EBPOM 2019 Ernest Henry …
Dingle 2020 is now on! Make sure you check out www.ebpom.org for more details.
Today's TopMedTalk is another sampler from the conference, made available because this vital piece deals with a variety of issues related to …
What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false …
This piece is a chance to hear more about the work of our guest, who made a big impact as a guest on a recent edition of TopMedTalk: https://www.topmedtalk.com/topmedtalk-computer-gamer-to-life-saver/
The Perioperative …
The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United …
Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times …
On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell …
This piece is a reflection upon and celebration of conversations that were made possible by both The American Society of Anesthesiologists and …
Recorded at the American Society of Anesthesiologists' Annual General Meeting in 2019; "The Power of The Interdisciplinary Team"; introducing the …
A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions? We assume it will inevitably cause damage but this is not always …
Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient …
"We need to work together more, it needs to be multidisciplinary"
A fascinating and still essential discussion - from a truly global perspective - …
How do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in …
This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then …
This piece is a look at the very beginnings of your favorite medical podcast. Today we celebrate the American Society of Anesthesiologists (ASA) and …
This piece tackles "prehabilitation", TopMedTalk's word of the year. What is it, why is it so important, who is doing it and why are some people reticent about something that is so obviously good for their health? …
Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and …
This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should …
This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the …
This year was always expected to be a big one for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting field of medicine.
Various questions from EBPOM 2020 attendees were …
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people …
How do we manage our operating room capacity and restore elective surgery in a post-COVID19 world? A world where conditions change week by week, sometimes day by day.
Managing capacity was always a challenge but now we …
What are the hot topics in the cardiac world at the moment? This piece tackles; the need for gender balance when composing panels and building a …
This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The …
This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor …
Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways …
"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people …
"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
…
What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior …
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery"
Opioids are good for pain control but there's another …
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …
What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How …
Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the conversation and questions asked by our online audience.
In our …
How can we learn more by seeing more? This fascinating piece looks at how learning and the zone of proximal development (ZPD) of a student can be used to help the process. We are learning about learning, thanks partly …
What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission …
EBPOM Chicago is now underway - go to www.EBPOM.org now and discover all the latest conversation in the global perioperative sphere.
"You've given us all a lot to think about" - a randomized controlled trial regarding intravenous iron does not go 'as expected'.
"I mean, look, I've …
"We take care of the world but we don't take care of ourselves"
This piece is focused on suicide and emotional stress, the latter has been a theme on TopMedTalk for some time now. Here you'll find out how to tackle this …
The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to reduce them down to zero. They need your help, this is a global …
"Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the …
"Patients undergo surgery for important reasons, we need to improve surgical outcomes to the point where anyone can have surgery - and I believe that is do-able; we need to implement what we know, we need to avoid …
What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best …
What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis?
Broadcaster Nick Margerrison speaks with …
Is methadone "the opioid sparing opioid"? This talk looks at where we are at as regards opioids, in the shadow of a national crisis for the USA; is it possible that methapone might offer us answers?
This piece looks at …
What can the experiences of a team who helped to introduce pre-operative assesment and prehabilitation to Barcelona teach us about how to most effectively implement and sustain similar programmes where we are?
How and …
The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study.
Presented by Charlotte Molenaar, PhD …
EBPOM might be over but the global perioperative festival, the POCAPALOOZA, continues. Either we've locked our team in their rooms and forced them to continue broadcasting or they're driven by a raw enthusiasm for the …
The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the 'planning for zero’ initiative and how we can realistically reach …
Insights and perspectives on the science of prehabilitation from a very different angle. It's often said on TopMedTalk that preparing for an operation is not unlike getting ready for a marathon; how do the insights of …
What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the …
This piece gives us a look at some of the latest thinking on Post Operative Nausea and Vomiting (PONV). It includes a discussion about Amisulpride …
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)?
Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and …
This piece focuses upon patient safety and the work of our guest. How does perioperative medicine fit into the picture, are anesthetists right to take the lead in this field?
You can find the Anesthesia Patient Safety …
"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and …
The focus for the first part of this POCAPALOOZA was Duke University's PASS clinic.
Find out more about the PASS clinic: https://www.dukehealth.org/locations/duke-pre-anesthesia-testing-center-clinic-2d
"So it's a new …
Some of the big questions: Is the pulmonary artery catheter back? What have been some of the big take aways in nutrition? Why should you feed a cold …
Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. …
Care of older people in surgery (COPS). Are you properly assesing your patients for cognition? Surgery can be appropriate for some to reduce pain in …
This discussion begins with a focus upon some of the networking and information sharing events that go on in our field;
The Society for Perioperative Assessment and Quality Improvement (SPAQI, website here: …
"It's like running an election campaign..."
Perioperative hemodynamic management; how do you make it really work within an institution? With extensive reference to real life experience hear first hand stories from our …
The POCAPALOOZA story begins with our fascination with The African Surgical Outcomes Study. Over the last year regular listeners have heard key parts …
Pediatric patients can present quite a challenge when emerging from anesthesia. Here we discuss ways to “ACE” your transition to PACU! “A”void Emergence Agitation, and discover the latest evidence about “C"riteria for …
After working at a Veterans Affair Medical Center, hear how our guests moved into the field of emergence delirium: "upon emergence our patients were swinging and very aggressive ... there must be some way to prevent …
The electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette …
Pain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
"My first thought was - why can't we do this here?"
What is ketamine, what sort of drug is it and how is it used? How was it first synthesized? Was it intentionally found or another of science's happy accidents?
This …
"4-10% of opioid naïve patients will continue to use opioids more than 90 days after surgery"
Opioids are good for pain control but there's another …
"Our job is to tell them; there is another solution ... there's another way to solve this problem and I can help you"
This piece takes a bold and …
How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? …
This piece looks at innovations in our field, through the lens of the Hypotension Prediction Index (HPI). Innovations in medicine are always …
"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) …
"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. We begin with …
How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and …
This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your team? What is "burn out"? How does it express itself in people? What …
This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out …
As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent?
This short piece follows on …
This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common …
"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd like to attend …
What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does "the false …
"Some practical tips you can take away and implement in your hospital..."
In the UK there is a legal imperative to minimalise and individualise risk …
Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways …
"Delirium: The brain and the older surgical patient Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of …
The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches …
Originally broadcast live from Anesthesiology 2019, this piece focuses on the mission to advocate and apply prehabilitation, pre-optimisation and …
"Exercise capacity and sarcopenia" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd …
"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me".
This podcast helps tackle the difficult …
TopMedTalk has recently engaged with a large number of new listeners, we are delighted to have you join our family of perioptimists! This piece works as a primer, it explains what lies at the core of the world's …
"Excellent teamwork"; the key to good outcomes.
This piece features an in depth discussion of post operative acute kidney injury (AKI), are there …
"Delirium: The brain and the older surgical patient Part 1" was a presentation originally given at the 8th Australian and New Zealand Symposium of …
This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully …
Away from the world of politics there is a sensible debate to be had about payment methods for healthcare. Here you will find evidence, shared goals …
"Pain Strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd like to attend …
In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who …
Warning; this piece may make for uncomfortable listening. It is a fascinating look at the recent history of medicine and how our profession may in fact be sick. Contained within the story is a message of hope, evidence …
"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 …
"We've had the opportunity to catch up with some friends from Africa to tell us more about what is happening in their neck of the woods with …
This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in …
Originally broadcast live from Anesthesiology 2019, this piece is a chance to hear from a couple of Temple University residents who presented on two …
After a quick chat about the immediate aftermath of the incredibly successful EBPOM LIVE from London and its accompanying online Perioperative Care …
This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should …
How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can …
This piece focuses on the work of our guest and her impact upon the crucial area of gender and racial diversity in the US Anesthesia and Critical Care Workforce. How can we advocate for diversity within this field? What …
"Surgery and anaesthesia; you very much recognise right away that that is considered a luxury in many place of the world"
Do you work in a low-resource setting or support partners and organizations that do?
The Lifebox …
This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of …
When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid …
This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What …
This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece …
"I did a study back in 2002 where I was able to count a grand total of forty patients above the age of eighty in our (Intensive Care Unit) ICU and our (High Dependency Unit) HDU, nowadays I'd count close enough to a …
"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and …
This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has …
This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in …
"Monty - we've done it!"
This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful …
This piece is a fascinating in-depth conversation moving through various medical perspectives on perioperative medicine from Australia and New Zealand. A real highlight of the festival. How has perioperative medicine …
This entertaining piece is designed to be a fun listen which also manages to convey a sense of where Perioperative Medicine is as a discipline. It also contains a large number of exciting and exclusive announcements, …
The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market.
"Towards …
This episode of the Pocapalooza* is provided here for free in the hope you can help us raise money for a cause that will immediately appeal to perioperative practitioners, the African Perioperative Research Group …
This piece is a short conversation with two guests we spoke with during the hugely successful Pocapalooza of EBPOM 2020, Live from London.
Presented …
The Pocapalooza begins!
"Poc" standing for "perioperative care" and "palooza" meaning festival. Join us as we travel around the world promoting life changing healthcare. Go to ebpom.org for entertainment throughout the …
This piece covers the fascinating upside to the recent global pandemic we have been facing in medicine; increased application of innovation and better time efficiency.
"We have learned that we can move very quickly"
How …
This piece focuses on procedural sedation and questions regarding, who delivers it, is there a standard for monitoring what is the correct approach to capnography? Further discussion also includes questions regarding …
"Everyone is aware of the opioid crisis outside of hospital, tragic opioid crisis, but we've had one on the wards for a long time".
This piece focuses on opioid toxicity, depth of anaesthesia, patient monitoring and …
The welcome return of Desiree's Roundtable is just one of the treats made possible by the groundbreaking virtual conference, EBPOM Live From London, which is taking place now.
If you missed out on tickets stay with us …
"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their patients. Hear what it was like to participate in the pioneering, …
This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The …
This piece is a reminder to all attendees at EBPOM Live From London that you should check the website now for details and content: www.ebpom.org
If …
The NHS, a national institution beloved by the people of the United Kingdom is over 70 years old. EBPOM celebrated this fact with a talk that gets …
What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best …
This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an understanding where the entire continuum of care is on the same page as …
"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
The Cleveland Clinic London Hospital opens to inpatients in early 2021. Here you can hear what it is about, how it is going to work and how it intends to improve healthcare in the UK.
Presented by Nick Fletcher, Chair …
This piece focuses on The Balanced Anesthesia Study, 'A Prospective Randomized Clinical Trial of Two Levels of Anesthetic Depth on Patient Outcome After Major Surgery'. How can delerium be measured and standardised in a …
"Every fourth operation there is evidence of a modifiable risk factor".
The Perioperative Quality Initiative (POQI) is our starting point for this conversation, seven concensus conferences focusing on various topics of …
This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in these areas be built upon and encouraged? Where is the data in regards to …
This piece focuses on the great work done by The Anesthesia Patient Safety Foundation. We turn to their specific focus on COVID 19 and then look at the wider benefits of a network dedicated to patient safety in our …
"We are getting super excited about EBPOM Live from London at the end of June..." - thousands of you already have your tickets, this podcast is your essential primer; a fascinating rundown of what attendees to the …
"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was …
"We believe these results are applicable to a very broad population"
Focusing on a study of over 6,000 patients, this hugely important piece attempts …
"The NHS is composed by about 20% of non-white individuals"
This piece takes a data driven look at a controversial area, how well informed are we about the risks associated with the coronavirus behind this unprecedented …
How can we learn more by seeing more? This fascinating piece looks at how learning and the zone of proximal development (ZPD) of a student can be used to help the process. We are learning about learning, thanks partly …
Evidence Based Perioperative Medicine (EBPOM) is the reason TopMedTalk exists; the vast majority of the content we love everyday comes from conferences organised by this important global initiative designed to promote …
How does an experienced physician, health service changer, improver and researcher see the process of re-engineering perioperative care pathways? What are the challenges we face when we try to rework or improve the …
Everything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep …
How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition?
Live …
Desiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola.
…
This piece presents the prehabilitation 'business case'; why it's important to care about costs, how outcomes and value based care can help and why money has to be important in healthcare.
How do we convert health …
Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line …
"Updates in cardiac devices, Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place …
"Updates in cardiac devices, Part 1" was a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: “Updates in Perioperative Medicine 360” which took place …
The opioid crisis "a unique American problem". This piece uncovers the origin of some of the misinformation about opioids, the consequences of calling pain a "fifth vital sign" and the absurd practice of waking patients …
This piece takes some time to reflect on where we're at in the UK - and wider Western World - with regard to civil liberties, human rights and the essentials of a functioning 'first world' country.
How important is …
This wide ranging talk asks where and how we should focus on the needs of postoperative care patients. "Brain care has an impact way beyond the acute …
"Shared decision making and risk prediction in the emergency setting: Can we achieve it?" is a talk originally given at the 8th Australian and New Zealand Symposium of Perioperative Medicine Special Interest Group: …
This piece is a fascinating discussion regarding research and safety in anaesthesia management; "in the past five or six years there's been a shift from high risk patients to all types of patients". How are we improving …
This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on by perioperative medicine? Is it realistic to expect to reach a point …
This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The …
Doesn't the decision to delay surgery depend upon the type of cancer? Can you measure complications as an outcome? What's the cause of non cardiac complications that are related to lack of exercise? Can we change the …
"We wanted to know if goal directed therpy using a (Hypotension Prediction Index) HPI monitor can prevent hypotension". This piece looks in detail at the HPI monitor in practice- what is the benefit of this piece of …
Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is "better opioid stewardship" and a "move away from the traditional …
After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics …
The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. …
This piece focuses on The Centre for Perioperative Care (CPOC). How does it work, what are its goals and who is involved?
Also, what digital …
The Royal College of Anaesthetist's National Audit Projects (NAP) are frequently fascinating and always important, here we get a look at NAP7, which …
Developmental neurotoxicity; can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously unaware of? There's a lack of evidence at the moment but outcomes …
This excellent conversation explores how Anaesthesia as a profession will the profession evolve as the years pass; change is inevitable and the …
"Keeping the care in healthcare", is the agenda for this powerful and wide ranging conversation with one of our most popular contributors. How do we …
This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes.
The article …
The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the …
This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e …
We begin with a conversation about The UK Perioperative Medicine Clinical Trials Network, their website is here: https://www.pomctn.org.uk/
This piece focuses on the Optimising Shared decision-makIng for high-RIsk major …
Mentorship, diversity and inclusion are key parts of any socially responsible institution's practice. This piece speaks to how we make medicine more diverse and inclusive overall, there is much work to be done but an …
How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the …
This piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intraoperative hypotension on post operative outcomes?
Further discussion …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative …
This piece is a look at the fightback against COVID 19; the search is on for a safe and effective vaccine against coronavirus. A group of investigators in the UK are about to begin trialing a vaccine using a ChAdOx …
"There's no advertisements popping up, non of that nonsense, this is just the data you need on the front lines to help save time and save lives"
This piece focuses on the Ventilator Training Alliance APP, developed to …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …
The Covid 19 crisis - and our collective response to it - has had an immediate and, in some instances worrying, drop off in cases that are not …
"Babies are still being born"
This piece looks at the area of obstetrics in the midst of an unprecedented global crisis regarding the COVID 19 outbreak. How can the delicate balance between reducing infections and …
"I'm also a United States Air Force Officer and reservist and on April 4th was activated and given approximately 48hrs to deploy on a C-5 Galaxy Military Aircraft to the epicenter, New York City and I've been here for …
The Perioperative Quality Initiative (POQI) is a vital part of the process needed to more widely implement sensible practice which, using a clear evidence base, provides better value care with more positive outcomes for …
"There's no advertisements popping up, non of that nonsense, this is just the data you need on the front lines to help save time and save lives"
This piece focuses on the Ventilator Training Alliance APP, developed to …
"If you have major surgery and you are COVID positive at the time your outcomes are severely reduced"
This piece takes a look at how we try to move back to some semblance of "normal" as the peak appears in many parts of …
In the UK community based prehabilitation is being spearheaded by the Prepwell Initiative, supported by a grant from Sports England. Their pioneering work is a great example of the way in which prehabilitation is …
Mixed in with conversation about EBPOM's plans to push forward with online conferencing and other ideas this piece asks how Ireland has and is faring in the battle against COVID. Decisive and brave action began with …
The war against COVID 19 is ongoing but some relief has reached the frontlines in New York. Hear how a rapid response military team, United States Air Force Reserves, deployed into the "war zone" built and supported the …
“When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to associate with the prevention of viral infections…”; maintain a normal …
The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests …
ACE inhibitors (angiotensin converting enzyme inhibitors) have been mentioned frequently in this series over the last month. This piece sees the long promised focus on ACE and the effects of estrogen as a way of dealing …
The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that …
"You're a bit further down the line with managing these patients. Any particular advice?"
Italy, the situation is difficult but there are now clear …
"Moving as medicine; is it the most underused but proven health promotion and healthcare practice?"
Prehabilitation and population health naturally …
This piece is something of a ray of hope, here we learn how New Zealand appears to have managed the crisis remarkably well, a low level of infections …
This piece is a catch up with a popular contributor on TopMedTalk, Ross Kerridge, John Hunter Hospital, Newcastle, Australia, (often cited as 'the …
"It's really important just to talk about the situation and not keep it bottled up“
Psychological stress is inevitable at this time for medical …
"Our mission is to make sure everybody in intensive care can learn [ultrasound]". How important and how possible is it to use ultrasound in your …
"It's heartbreaking - we have to recognise the fact, and continue to think; 'we've all got it, we can all get it and we can all give it!'"
This urgent release from TopMedTalk will force the many leaders in our …
The Intubate Covid project is an essential contribution to an evidence based answer to the issue posed by dangers of health care workers contracting …
"The concept of 'disruptive innovation' in healthcare and that's what this has been; a major challenge to healthcare has forced us to do something very differently, very quickly."
This piece starts with a quick update …
This is the second and concluding part of our real life case study of a COVID 19 patient. In this instance our Editor in Chief Monty Mythen has - during the course of presenting this series - contracted COVID 19. …
This piece looks at our recent archive and pieces together the story of our Editor in Chief, Monty Mythen's bout of COVID 19. From the start TopMedTalk was keen to reflect the global battle against this terrible virus …
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …
The UK has accelerated the graduation of medical students to help fight COVID 19. We speak to some of Britain's newest doctors to hear what it's like getting ready for - and going into - action against one of the most …
All treatments have unintended consequences, "locking down" most of The Western World is certainly no exception. In the medical world we're faced with a familiar set of problems which has been intensified thanks to the …
This piece digs deep into the realities of coping with COVID 19 patients who have had their care escalated to the Intensive Care Unit (ICU); "we …
"It was taken pretty seriously, right from the start"
After a quick update with both Monty, UK, and Desiree, US, we join one of our friends and …
"It's airway, breathing, circulation"
This piece focuses upon treating patients outside of Philidelphia at an "all COVID unit"; what can we learn …
Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head …
This piece sees the welcome return of our favorite live musician, Jeremy Sassoon, intended as a chance for listeners to TopMedTalk to both raise money for the effort to tackle COVID 19 and fight the 'burnout blues' …
"The peak keeps getting pushed..."
What's the difference between a strategy of rationing as compared with one where the aim is concordence?
As the …
"Increasing the richness and the reach of what we do" is the mantra of 'Anesthesiology'; hear from its Editor in Chief how it managed to self study …
"If you ring up and start to apply pressure to them to say 'have you thought about giving my loved one drug A or drug B?' It might be helping them to get better but you might be encouraging them to do something that …
The UK has accelerated the graduation of medical students to help fight COVID 19. We speak to some of Britain's newest doctors to hear what it's like getting ready for - and going into - action against one of the most …
(REPOST)
After a quick update from Desiree and Monty this piece focuses on Philadelphia Pennsylvania and gets into specifics regarding caring for COVID 19 positive patients.
As regards The Jefferson Hospital; where has …
This piece is intended as a chance for listeners to TopMedTalk to both raise money for the effort to tackle COVID 19 and have a bit of relaxation and entertainment while doing so.
Our Editor in Chief Monty Mythen will …
This piece is both a chance to relax and an opportunity to join the TopMedTalk team online as we unwind to our favourite Jazz musician, Jeremy Sassoon. As well as being an excellent and renowned musical talent he also …
Smoking is bad for you, there's little debate about that, even among users of the drug. However, further to the widely known consequences, the bottom line in the perioperative period is that smokers are 40% more likely …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …
After a quick update from Desiree and Monty this piece focuses on Philadelphia Pennsylvania and gets into specifics regarding caring for COVID 19 positive patients.
As regards The Jefferson Hospital; where has the ICU …
Why has 'prehabilitation' suddenly picked up pace in terms of both practice and interest? This piece takes a serious look at the widening interest in an idea familiar to many sportsmen.
Learn how the marginal gains we …
What are the latest developments in quality improvement programs that help operative teams around the world take what they do to the next level? When does the surgical journey begin? How has a focus upon patients prior …
We get a quick update from Monty, how is his return to work going after quarantining at home with COVID 19
Further conversation takes a look at the care being given to COVID 19 patients and their providers. What is PPE …
This piece sees us catch up with a the TopMedTalk team favorite; Joff Lacey. A popular presenter here on TopMedTalk, Joff tells us of his first hand …
Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and …
This week begins with an update on Monty's progress after his COVID 19 diagnosis. Have the symptoms returned or is he back to his usual self?
One thing we know for certain when it comes to this virus and our treatment …
Burn out and stress management have been an important theme on TopMedTalk recently, here we have a top medical professional sharing their story in relation to the topic. How do we describe "burn out", are certain words …
This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the future of fluid therapy.
Originally given as the EBPOM 2019 Ernest Henry …
This week's Women In Anaesthesia focuses in on TopMedTalk favourite Carol Peden.
The British Journal of Anaesthesia article, which inspired this …
This piece focuses upon the African Surgical Outcomes Study (ASOS-2). More than a thousand people across Africa have combined forces to make this research into perioperative medicine in a resource limited environment …
This piece is a reliable first hand account of COVID 19, directly from a patient, our Editor in Chief Monty Mythen.
"This kind of reassurance that seemed to go with it, to seem to say to people: 'nah, nah, nah, it's ok; …
"We're not a big teaching hospital [...] and I think there is a slightly different perspective..."
This piece focuses on the realities of preparing for and dealing with COVID 19 patients in the town of Bath in the UK. …
The team aspect of perioperative care is an essential element, this piece gets into the details as thought leaders and key opinion makers engage with the debate regarding how that actually works in practice.
Moderated …
This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting …
This piece takes a look at the frontline fight against COVID 19 at Penn Medicine Princeton Medical Center in New Jersey, USA. Details of airway, ventilation and hemodynamic management are discussed with the director of …
Extended periods of intraoperative hypotension are firmly associated with harm. This piece looks into the detail behind concerns regarding hypotension. Are we now in a position where we can eliminate it entirely?
The …
In this piece we look at how Australia is dealing with the COVID 19 crisis. What restrictions are being placed upon people and how strict are they? How does "the father of perioperative medicine" see the world which is …
Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piece looks at the evidence behind both and some practical guidance for …
This piece takes a look at the San Diego front line of the global fight against COVID 19. What unique pressures are there here; the large homeless …
"We keep being told we're one to two weeks away from the peak..."
This piece takes a look at how Monty is getting on with his diagnosis, COVID 19 …
Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress …
"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of …
This piece focuses on the SuperNO2VA mask, which delivers positive airway pressure to stent open the upper airway, allowing for the preoperative delivery of positive pressure ventilation and oxygen for patients with a …
"It is interesting how well you can feel, compared to the night time [...] it gives you this real false sense of wellness for a period of time and then it hits you, man it hits you hard, when it hits you."
The UK Prime …
"When you start to think about how we can protect ourselves; we have some reasonably robust literature for a few interventions [..] that do seem to associate with the prevention of viral infections..."; maintain a …
The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the …
The UK's fight back is now underway; the 'lockdown' is being largely adhered to and the efforts to support the National Health Service (NHS) from the public, medical students and retired professionals is inspiring to …
"There seems to be a little extra buzz in the cardiac community".
This conversation focuses upon the psychology of change, specifically regarding the …
"I work in a houshold where my wife was working at a school and my student children have come home so, it's highly likely that I would get COVID 19"; …
This piece focuses in upon the important work being done by The Enhanced Recovery After Cardiac Surgery Society, specifically the new guidelines which were published in May 2019. Furthermore, how is the society going to …
"The guidelines, in fact, I found most useful were the Royal College's guidelines, all those info graphics and all those protocols"
This piece is an …
“The first case of COVID in China was the 8th of December…” this piece looks at the outbreak of the disease from the perspective of healthcare …
"'The disease is not complicated, the biology is not complicated, the treatment is not that complicated; our behavior patterns and our understanding …
This conversation sets the scene for the UK. London now having some hospitals which are overwhelmed, other parts of the UK still in the anticipation period. The conversation moves to the importance of enhanced recovery …
This remarkably prescient conversation was recorded at an Australian National Summit in Adelaide regarding the 'hidden pandemic of postoperative complications'. The dangers presented by them certainly suggest this area …
What are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes …
"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
…
This piece is a detailed and reassuring look at how preparations are being made in North Carolina by our occasional host and regular contributor …
Our guest is an intensivist and specialist in dangerous transmissible diseases as well as being one of the scientists who took part in the Xtreme …
Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that …
Desiree and Monty update each other on how it's going as both the US and UK healthcare services prepare for, and begin battle with, COVID 19. School …
A large part of the journey towards enhanced recovery, better outcomes and fewer complications, is to do with educating patients. How do we explain to patients that an operation is something which is ideally a …
"Thank you for taking this meeting beyond these walls" - this piece was the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. We begin with …
"The parade here in Dingle is usually the first in Ireland..." but this year it is postponed. We speak to a Councillor in Dingle, a place much loved by many TopMedTalk listeners who attend the annual Evidence Based …
"Maintaining your staffing is key"; this piece is a conversation recorded immediately after a deeply concerning report regarding the situation in Bergamo, Italy. The risk of overwhelm at our institutions is present as …
Preparations in London and the US are discussed before a frontline report regarding Italy and the consequences of the pandemic there.
Presented by Desiree Chappell and Monty Mythen with, Dr Michael Scott, Professor of …
This piece focuses upon the increasing development of artificial intelligence and automation within the medical profession. Can automated monitoring actually allow practitioners to live more "in the moment" while in the …
"There hasn't been any griping, there hasn't been any ill temper and people are coming in to help out in any way..." this piece gives us an idea of how things are going in the UK, in this instance in Whittington, North …
"The first case of COVID in China was the 8th of December..." this piece looks at the outbreak of the disease from the perspective of healthcare workers in both Hong Kong and Italy. It starts with a summary of a …
This piece is the first in a new series of programs we are making in response to COVID-19, now described by The World Health Organisation as a global pandemic.
How can we, the TopMedTalk community, rise to this …
The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the 'planning for zero’ initiative and how we can realistically reach …
"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on …
Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. …
How do cardiac surgeons adapt to the changing environment and information that we now have at our fingertips? Minimally invasive robotic surgery provides additional options to the perioperative patient, what …
This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here: …
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx.
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This piece takes a look at some of the big areas we expect to see over the next twelve months as Desiree Chappell and Monty Mythen are joined in the studio by TopMedTalk favourite Mike Grocott, Professor of Anaesthesia …
Learn here about The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS).
Is anxiety the …
"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their patients. Hear what it was like to participate in the pioneering, …
Hear how evidence based practices can reduce costs and improve outcomes. What are the key areas most institutions can work on to get the best and most rapid return on time invested? Neuro, atrial fibrillation, acute …
Enhanced Recovery After Surgery, (ERAS) is a familiar concept to the typical TopMedTalk listener but what is ERAS+?
How can you target high risk surgery patients with a comprehensive plan for them to help themselves get …
Frailty is a common condition which has been topical in geriatric medicine for some time but now it is appearing in the surgical and anaesthetic literature. This talk explores how our understanding and discussion has …
Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real …
This is TopMedTalk's first in a our series 'Women in Anaesthesia': a celebration of the women who drive academic research and perioperative practice around the world. Inspired by the British Journal of Anaesthesia's …
Global health is something TopMedTalk listeners are naturally passionate about; here you can listen to the keynote address from the 42nd President of The United States, Bill Clinton, to the World Patient Safety, Science …
This podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further …
"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
What insights does a history of working in military healthcare bring? How do we cut back on readmissions to hospital after time spent in the intensive care unit? How serious an issue is 'burn out' within healthcare? How …
Recorded live at the Association of Anaesthetists' Winter Scientific Meeting 2020 in the centre of London from The Queen Elizabeth II Centre. Hear the conversation and questions asked by our online audience.
In our …
This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor use.
What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium?
How do we get …
This panel discussion reacts to various questions from the online audience and those in attendance.
Questions include; Is there any good evidence for the use of wearable tech in prehabilitation? How come, if the …
This piece focuses on the "SupPoRtive Exercise Programmes for Accelerating REcovery after major ABdominal Cancer surgery" (PREPARE-ABC) trial. How do we establish the effectiveness of pre and post exercise plans? Do …
"Evidence ... is only as useful as the end user is willing to put it into practice".
This piece begins with a discussion about translational …
This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and …
"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
The Hypotension Prediction Index (HPI) Monitor takes 2.6 million features from a single waveform which it then applies to 150 million different wave forms looking for factors which can predict hypotension.
It's the …
This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows …
Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like the one on this podcast are fuel in the engine of those who advocate …
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.
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This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The …
This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an update on the initiative, provides all the background you need including …
"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this …
We begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?'
The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is …
What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How does the team apply the techniques of this …
"Our hospital now has twice the capacity it had" cost of care and efficiency are up. Hear how enhanced recovery after surgery (ERAS) and the power of prehabilitation has dramatically shifted institutions towards better …
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
Hear this excellent …
Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative …
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
Hear this excellent …
How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?
Patient records and data ownership is …
"Leading a large, single group towards excellence" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this …
How do the insights of a 'medical linguistic anthropologist' impact upon our understanding of 'shared decision making'? How do patients make …
What are the big things to watch in 2020? "Renablement, rehabilitation and readmission" from a patient perspective and "training compotence, resillience and 'burn out,'" from the practitioner's point of view, according …
The TopMedTalk fortnightly digest is your round up of the past 2 weeks. Make sure you never miss out on crucial episodes and are fully up-to-date …
Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the …
"Enhanced recovery after bariatric surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
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This piece starts with some words from patients; prehabilitation is "a set of actions that can be taken in advance of treatment to ease your passage through cancer". This vital talk explains how prehabilitation can …
Questions include: Do patients need to be advised about the possible hallucinatory side effects of ketamine? How do we ensure our perioperative pathway reaches patients at the earliest possible junction? Is there a …
In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who …
A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.
Presented by Monty Mythen with Desiree …
The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a …
'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how people in that profession are uniquely placed to deal with the …
Hear how you can transform your practice through team leadership, courage and a finely tuned awareness of the financial aspects of what you are trying to achieve.
How can growth be tempered to suit the long term vision …
This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled …
How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme?
Does an enhanced recovery programme which comes from the grassroots need …
This piece builds on last week's look at Fluid Physiology, with reference to the book linked to below.
"We did not have a concensus view on the very …
This piece looks at The WAVi Headset which allows for a multi-faceted panoramic assessment of brain performance. Hear how this device is used to …
What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such …
Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. …
"It's all about safety and recovery, it's not about speed"; this conversation focuses on enhanced recovery, are we getting it right and where are people getting it wrong? How reliable and well understood is the data …
In this piece we're joined by a TopMedTalk favorite for a few predictions regarding the year 2020. Prehabilitation, "the word of the year" for 2019 and now something we expect to see break into the mainstream? How is …
This panel discussion and extended question and answer session focuses upon troponin screening. Where is the latest evidence as regards this debate? Is MINS ( Myocardial injury after noncardiac surgery) the most common …
To celebrate the launch of his book Fluid Physiology, A Handbook for Anaesthesia and Critical Care Practice: …
"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perioperative optimisation, with a focus on delirium, in post operative …
This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting …
This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the …
How serious an issue is 'burn out'? What's the best way to transfer a patient from ward to ward or from institution to institution? What do we think about remote supervision and monitoring? What problems will Artificial …
In our online world is there still a place for a paper based journal? What are the big stories and hot topics of 2020 going to be? What are the …
This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for …
"ERAS in Obstetric Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd like …
How do the insights from experience in Enhanced Recovery apply to critical care patients and postoperative care pathways? We also discuss utilization …
This piece argues that troponin screening might be overused, "it's not all about the heart". Myocardial injury after noncardiac surgery (MINS) is seen as a relatively common issue driving post-operative harm. This piece …
This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS.
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On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped change her practice and the edge she has dealing with healthcare.
The …
How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are …
This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine …
Doesn't the decision to delay surgery depend upon the type of cancer? Can you measure complications as an outcome? What's the cause of non cardiac complications that are related to lack of exercise? Can we change the …
This question and answer session is a valuable insight into where the latest thinking is as regards tackling the opioid crisis. How do we get to an understanding where the entire continuum of care is on the same page as …
This piece argues that troponin screening is useful, if used appropriately. Is it the case that this test has been 'over sold' and as a result has …
A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) …
Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about …
Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a …
Our Holiday Special, part 3 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear …
Our Holiday Special, part 2 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear …
Our Holiday Special, part 1 of 3, is a sampling of our favorite conversations and lectures from 2019. It is a chance for new listeners to the hear …
This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in these areas be built upon and encouraged? Where is the data in regards to …
Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?
This piece is a thought provoking discussion about new media and the consequences of our …
What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve …
Shared decision making is key to any perioperative enhancement team, this piece is a fascinating debate between various interesting positions.
For more on the (Perioperative Optimization of Senior Health) POSH clinic …
This exciting panel discussion covers a wide variety of questions, including; what is the definition of high risk patients in your clinic? What is your criteria for referal regarding pre-op patients? Who is in the …
"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and …
"What drove enhanced recovery for us was not the short lengths of stay but the cancer outcomes" - this conversation explains how enhanced recovery gains traction in practice. Even after a relatively short period of …
As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent?
This short piece follows on …
Pets as Therapy are a fantastic charity who have provided a practical theraputic service to various people in assorted contexts, here you can hear them work their magic on the TopMedTalk team.
What are the advantages …
Most people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent …
The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their operation, how can we make the most of their patricipation? For example, …
Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress …
"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
We learn more about what the Perioperative medicine summit is and have a quick fire review of the current literature related to Perioperative Medicine. Discussions in this piece include the use of ACE inhibitors and …
This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …
When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might …
"Increasing the richness and the reach of what we do" is the mantra of 'Anesthesiology'; hear from its Editor in Chief how it managed to self study …
The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial; where does it put perioperative practice in 2019? What have we …
How does one go about becoming a Master of Perioperative Medicine? This piece takes a look at the growing movement which all TopMedTalk listeners are at the forefront of. Further debate covers, "NPO after midnight", …
When it comes to blood pressure, hypotension is associated with poor outcomes for patients, how do we react to this? How do we manage and avoid …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflectiions regarding the rise of Cardiopulmonary …
Perioperative medicine is defined here as: "the practice of patient centred multidisciplinary and integrated medical care of patients from the moment …
If we look at the evidence, is there a case for "vascular geriatrics"? Co-managed care in vascular surgery could be a way forward, this talk builds …
This piece is taken from the free papers presentations given at EBPOM 2019. Can two weeks of prehabilitation really make a difference for patients …
Obstructive sleep apnea is important to identify in patients, this piece explains how; use the official STOP BANG website here: http://www.stopbang.ca/osa/screening.php
Opioids and pain management strategy is discussed, …
Some practitioners habitually prescribe opioids, the consequences in America are now described as a national crisis. Essentially the focus here is "better opioid stewardship" and a "move away from the traditional …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore …
This piece dives into the latest thinking behind opioid-free anaesthesia; how can we improve? Is the challenge of the opioid crisis being met head on by perioperative medicine? Is it realistic to expect to reach a point …
The team aspect of perioperative care is an essential element, this piece gets into the details as thought leaders and key opinion makers engage with the debate regarding how that actually works in practice.
Moderated …
Quality initiatives are all about connecting people, this piece gives you real life experiences which show you how and why that can work alongside some of the challenges that come with it. Can an organisation reach a …
"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of …
The Cleveland Clinic London Hospital opens to inpatients in early 2021. Here you can hear what it is about, how it is going to work and how it intends to improve healthcare in the UK.
In addition to his clinical …
This piece focuses upon a new report from the World Health Organisation (WHO) looking at Arts and Health. The first of its kind, the report demonstrates the relationship between the arts, health and wellbeing. Are there …
Speaking with a legend in the world of anaesthesia; this piece allows us to explore some of the bigger issues and milestones in the profession. How …
This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e …
This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor …
This piece gives you a wider perspective on perioperative medicine over the years. How have institutions risen to this challenge and what can we …
The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand …
Preoperative risk stratification; what is are the risks and controversies behind preoperative exercise testing and the six minute walk test? This piece looks at the evidence behind both and some practical guidance for …
Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the …
Can artificial intelligence drive new changes in care and the value of big data? We're already comfortable with using tools that help us to do our …
How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced …
Why has 'prehabilitation' suddenly picked up pace in terms of both practice and interest? This piece takes a serious look at the widening interest in an idea familiar to many sportsmen.
Learn how the marginal gains we …
"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
This standalone piece allows us to explore further some of the issues raised in this podcast "TopMedTalks to... | Rick Dutton". If you missed it …
How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can …
The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is …
Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about 'The Practitioner Health Programme' and hear why anaesthetists are uniquely placed to deal with the …
The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. …
The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is …
The Grenfell fire was a national tragedy for Great Britain. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like it is …
The Grenfell fire was a national tragedy for Great Britain in 2017. In this piece one of the founders of TopMedTalk, Martin Howe, explains the story behind the fire and what is now being done to make sure nothing like …
The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the …
What is the scope of the problem? What about lesions and risks? What are the general principles of management? What should we expect when it comes to …
Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 so we wanted to get a very important contribution from him: What are the big takeaways from some of the …
What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the …
Here we explore the detail behind Brian Woods’ talk "Leading a large, multi-state group to achieve excellence", which was streamed live on TopMedTalk …
Surgery may represent a "teachable moment" should we try to exploit that for only short term, prehabilitation purposes? What is the difference …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction and outcomes rise to the top of the priority list as an institution …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …
--- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW ---
This piece focuses on the question of looking after yourself as a practitioner and …
--- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW ---
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced …
Smoking is bad for you, there's little debate about that, even among users of the drug. However, further to the widely known consequences, the bottom line in the perioperative period is that smokers are 40% more likely …
Cancer continues to present a seirous challenge to health care practitioners, particularly with elderly patients. Operations on cancer patients can …
Can you teach people to be leaders? Should the we be scared of using fear and greed as motivators? Do practitioners sometimes retain the right to …
The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United …
This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What …
How do we develop an agreed curriculum that speaks to what perioperative medicine should be? Once that's in place, how should it be overseen? What …
Coming from this year's "21st Current Controversies in Anaesthesia & Peri-Operative Medicine and SIAA Autumn Congress" at the Dingle Skellig Hotel, Ireland, this podcast gives you a chance to learn more about our …
What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it …
Prehabilitation represents a real opportunity for practitioners to exploit a 'teachable moment' and realise long term positive behavioural changes. Making patients 'partners in their own care' is an essential part of …
Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Patient Recorded Outcome Measures) PROMS.
Patient optimisation is then …
The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study.
Presented by Charlotte Molenaar, PhD …
Is methadone "the opioid sparing opioid"? This talk looks at where we are at as regards opioids, in the shadow of a national crisis for the USA; is it possible that methapone might offer us answers?
This piece looks at …
What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients …
"Moving as medicine; is it the most underused but proven health promotion and healthcare practice?"
Prehabilitation and population health naturally …
Thrombosis is the commonest cause of death and disability worldwide, antithrombotic therapy is incredibly beneficial but it promotes bleeding; how …
This panel discussion includes questions on; the multidisciplinary aspect of perioperative medicine, the drop off in Enhanced Recovery that some …
How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you …
What can the experiences of a team who helped to introduce pre-operative assesment and prehabilitation to Barcelona teach us about how to most effectively implement and sustain similar programmes where we are?
How and …
Is it still ethically viable to have a standard arm in a prehabilitation trial? Which allied health professionals supervises the exercise part of these trials? What are the biggest reasons for non-adherence to home …
Insights and perspectives on the science of prehabilitation from a very different angle. It's often said on TopMedTalk that preparing for an operation is not unlike getting ready for a marathon; how do the insights of …
This piece presents the prehabilitation 'business case'; why it's important to care about costs, how outcomes and value based care can help and why money has to be important in healthcare.
How do we convert health …
This piece gives an insight into how the insights of an ex-colorectal surgeon can be blended with the understandings of a medical administrator; how …
What is 'knowledge mobilisation'? What's the difference between data used for quality assurance and data used for quality improvement? What's important to patients? Does compettition and publicly reporting data actually …
What is the Enhanced Recovery After Surgery (ERAS) Shared Interest Group (SIG)? How does it relate to the advancement of perioperative medicine?
TopMedTalk was at the American Association of Nurse Anaesthetists (AANA) …
This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …
How is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can …
NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind this intriguing study, how long did it take, how does the data impact …
The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches …
Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that …
This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and …
The effectiveness and cost-effectiveness of INSPIRatory musclE training (IMT) for reducing postoperative pulmonary complications (PPC): a …
A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …
The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that …
Formed five years ago, the Academic Health Science Networks (AHSNs) in England are driving innovation and speeding up the process of implimenting and discovering improvement in institutions. This piece explains how that …
How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?
Patient records and data ownership is …
Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative …
This panel discussion tackles, amongst others, the following questions: How can knowledge and health innovation be moved from the theoretical world …
Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real …
What are the results if you apply Enhanced Recovery to obstetrics?
This podcast features Desiree Chappell interviewing Dr Attila Kett, …
This piece explains how the "Getting It Right First Time" (GIRFT) project got off the ground. How does it help improve quality of care within the NHS reduce unwarranted variations, bring efficiencies and improve patient …
"The predominant emotion was fear..."; this piece is essential listening for every TopMedTalk listener who really cares about the experience of their patients. Hear what it was like to participate in the pioneering, …
The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this …
This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an update on the initiative, provides all the background you need including …
This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in …
Frailty is a common condition which has been topical in geriatric medicine for some time but now it is appearing in the surgical and anaesthetic literature. This talk explores how our understanding and discussion has …
This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here: …
In short; Post-Op recovery in less than 3 days with over 90% mobilised on day 1.
This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative, see link below. It focuses on: …
"The father of prehabilitation" reflects on where the discipline is now and where it used to be, from new kid on the block to being touted now as the word of the moment. How has this change come about? Is it the focus …
Prehabilitation is about planned pathways, preparing our patients for a journey which we as practitioners have already travelled. 4.2 million deaths are attributable to surgery each year globally, this presents a huge …
"Enhanced recovery after bariatric surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
…
This piece starts with some words from patients; prehabilitation is "a set of actions that can be taken in advance of treatment to ease your passage through cancer". This vital talk explains how prehabilitation can …
This piece gets into the detail regarding one of the big talking points in perioperative medicine over the last year or so; what is the impact of intraoperative hypotension on post operative outcomes?
Further discussion …
Should we still measure urine output? How useful is permissive oliguria?
Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr …
This panel discussion reacts to various questions from the online audience and those in attendance.
Questions include; Is there any good evidence for the use of wearable tech in prehabilitation? How come, if the …
This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled …
How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda?
We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not …
Hear how you can transform your practice through team leadership, courage and a finely tuned awareness of the financial aspects of what you are trying to achieve.
How can growth be tempered to suit the long term vision …
Why does the complex pain patient need ‘perioperative pain medicine’ to optimize outcomes of surgery? This piece faces the realities behind a perioperative approach which tries to prevent or manage cases of complex …
The Hypotension Prediction Index (HPI) Monitor takes 2.6 million features from a single waveform which it then applies to 150 million different wave forms looking for factors which can predict hypotension.
It's the …
This episode of The Perioperative Coach reflects on the pain management discussions being had by the American Society of Enhanced Recovery (ASER) and its members.
For further reading see the articles in Perioperative …
How do we accurately calculate the risks to our patients? What are the best tools for the right circumstances? Where can we find data to improve …
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.
…
This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic.
Presented by Desiree …
This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out …
This piece features discussion regarding three randomised trials. How can the insights provided by these trials save us money and increase value of care while also improving outcomes?
Preoperative physiotherapy for the …
"Thank you for taking this meeting beyond these walls" - this piece is the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The podcast "Beyond The Mask: …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The Pdf our guest mentions "The PAIN …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The Open-Source Anesthesia Electronic …
Enhanced Recovery After Surgery, (ERAS) is a familiar concept to the typical TopMedTalk listener but what is ERAS+?
How can you target high risk surgery patients with a comprehensive plan for them to help themselves get …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
Presented by Desiree Chappell and …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The Diversity CRNA website is here: …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
Presented by Desiree Chappell with …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The Peer Assistance section of the …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
Our guest kindly allowed us to share …
Enhanced Recovery continues to be a hot topic in institutions around America, this piece gives us an update regarding its ongoing applicaiton at Vanderbilt University. Prehabilitation contitnues to gather pace in the …
Professor John Kellum gives a thumbnail sketch summary of the fluid debate. Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
This link leads you to the paper in …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The Facebook Group "CRNA Inventors …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the …
This piece is part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois.
Check out the AANA here: https://www.aana.com/
The NHS's guidelines are here: …
What do we now know about perioperative asprin? More specifically, what is the latest thinking on the results of the PeriOperative ISchemic …
"Our hospital now has twice the capacity it had" cost of care and efficiency are up. Hear how enhanced recovery after surgery (ERAS) and the power of prehabilitation has dramatically shifted institutions towards better …
Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then …
How can you make a difference in the preoperative assessment clinic? How do we remain working as a team while respecting everyone's skillset in a …
How can goal directed therapy be used to prevent acute kidney injury (AKI)? What do we know about AKI? Which members of the surgical team should be …
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)?
Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and …
A discussion about fluid management in an enhanced surgical recovery pathway in relation to the guidelines from ASER and the work of The Perioperative Quality Initiative (POQI http://www.poqi.org).
Presented by Monty …
This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for …
Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative …
What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it …
Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in …
This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine …
How important is it to triage the patient? Which triage tool should we use? How do we determine which of our surgical patients is most at risk? Which …
An entertaining and informative discussion about the implementation process; how do you bring everyone to the table?
Desiree Chappell speaks with Robin Anderson, Enhanced Recovery (ERAS) program coordinator at Duke …
Implementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional …
This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique …
The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to …
What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday …
This piece explores some of the talking points and controversies related to dealing with frail patients who are in need of prehabilitation. How do we meet the needs and concerns of elderly patients while delivering a …
"Post-operative critical care: what should we do?" was originally streamed live from The Institute of Engineering and Technology (IET) in London …
What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes.
Presented by Desiree …
A conversation about ASER fluid management; NPO; preop drinks and keeping the i.v down.
Monty Mythen is presenting with his guest Dr Scott Brudney, …
Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" …
Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve …
Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health needs of the patient? How do we encourage patients to alter …
University College London (UCL) offer a fantastic Masters Course in Perioperative Medicine, hear how it works in this podcast.
Also, if you're …
This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and Technology (IET) in London …
A powerful discussion about outcomes, patient care and what matters the most.
Presented by Desiree Chappell and Monty Mythen with their guests; Eric …
A conversation about enhanced recovery implementation.
Dr Joff Lacey catches up with Mike Scott, Virginia Commonwealth University and Ross Kerridge, John Hunter Hospital, Newcastle, Australia.
A transatlantic perspective.
This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more …
The Elephant In The Room - intraoperative hypotension.
A discussion regarding the exciting results from the first multicentre, randomised controlled …
POET - The Perioperative Enhancement Team
How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are …
How do we manage the process of early out-of-hospital management sensibly? What does a home-based post operative care system look like? What are the essential elements of transforming your health care system to fit with …
Australia has an interesting history both generally and with perioperative medicine specifically, here the story is told and their current progress …
This piece covers; physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'.
Desiree Chappell presents with Monty Mythen and their guests; Dr Steve Flanagan, Chair of …
"An operation is like a marathon, nobody prepares for that by starving themselves"
Monty Mythen talks to Professor Paul Wischmeyer from the …
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative …
"Value based care - it’s an interdisciplinary team sport"
Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences.
Presented by Desiree Chappell with Monty Mythen, Joff …
Why do you need a "poet"?
The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences.
Presented by Joff Lacey with Desiree Chappell with their …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This session is sponsored by Edwards Life Sciences.
Presented by Monty Mythen with Desiree Chappell and …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George’s …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
Presented by Desiree Chappell with …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
Gerard Danjoux, consultant in …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
Presented by Desiree Chappell and Monty Mythen with their guests David Walker, Professor in Anaesthesia and …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
Presented by Monty Mythen, Desiree Chappell and Korey Sprigman with their guest Teodor Stefanov, Associate …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Here we welcome the Editor-in-Chief of …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
If you're interested in hearing shows as they are streamed go to https://www.topmedtalk.com/live-stream/
The …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.
The survey mentioned on this podcast is here: http://www.periop.co.uk/oxygen/
If you're interested in …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This piece, a break out session held at 'Montague on The Gardens', focuses upon artificial intelligence and …
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. This piece, a break out session held at 'Montague on The Gardens', focuses upon perioperative blood pressue …
The TopMedTalk team set out the plan for this week's 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Live from The British Museum the team expand on some of the controversies and …
"POETTS 2018 | Changing behaviours of the medical team before surgery" - was originally streamed live from The Institute of Engineering and …
This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.
Desiree Chappell interviews her …
How do we impliment change in our practice? Is it possible to "set yourself up for success" or should we expect problems? Can you be someone who …
A large part of the journey towards enhanced recovery, better outcomes and fewer complications, is to do with educating patients. How do we explain to patients that an operation is something which is ideally a …
The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a …
Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.
The first …
Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.
The Enhanced …
Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.
Check out the …
To the patient: "You're about to run a marathon, you wouldn't do that without training".
The outstanding article referenced in this piece is here:
'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how people in that profession are uniquely placed to deal with the …
How do you manage frailty? This talk is an honest appraisal of the latest thinking, from a perioperative perspective.
Presented by Bobbie Jean …
"Results of the RELIEF Trial" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme?
Does an enhanced recovery programme which comes from the grassroots need …
How widespread are misconceptions about delirium within your surgical team? Do you and your colleagues know how to recognise it? If so, how does your …
What are the hot topics in the cardiac world at the moment? Alongside reflections on this year's annual meeting of 'The Society of Cardiovascular …
How do you communicate and spread a passion for fluid management and optimisation to your fellow practitioners? How should you use protocols here? …
What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such …
How should you manage anaemia as part of the perioperative process? Preoperative anaemia has a variable effect on outcomes, how should it be managed? …
America is often seen as coming a little late to perioperative practice. However, that's a picture which is now changing for the better, thanks partly to many of the people you have heard here on TopMedTalk.
This piece …
What can be learned when it comes to working with a quality improvement program? Do you often run into challenges with the pharmacy? If you want to …
How is it that a profession which attracts people who care about patients sometimes produces people who seem not to care? This piece discusses "burn out" and the need for all practitioners to keep their focus on the …
This piece highlights four papers recently published in the May edition of the (British Journal of Anaesthesia) BJA. Find them on www.poqi.org
Furthermore, there's an interesting piece about the Perioperative Quality …
"One of the best sessions of the entire conference" was presented by our guest on this piece. In this podcast there's a chance to really discuss perioperative optimisation, with a focus on delirium, in post operative …
This passionate talk is a call to action for the peioperative practitioners who are serious about the wider issue of population health. How can the …
What is the perioperative chain? What are the opportunities we have to strengthen the links in the chain? Using an evidence based approach this talk gives you a summary of key areas where you can strengthen your …
The UK could be said to have led the way with perioperative medicine, is that still the case? The theme of change and adaption is key here; this …
This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the …
This piece looks at the various pain strategies open to a perioperative practitioner. What drugs are best to use, in line with the latest research and a wider understanding of the long term needs of a patient?
The …
This piece focuses on the question of looking after yourself as a practitioner and interlinking into your team. How important is it to listen to your team? What is "burn out"? How does it express itself in people? What …
On the last occasion we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn now how her experiences have helped change her practice and the edge she has dealing with healthcare. …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
Welcome to TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's your chance to …
This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …
"Perioperative shared decision making, does it exist?" - this engaging and provocative talk challenges perioperative practitioners to consider the realities of the life choices being made, sometimes at the bedside.
The …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
"What drove enhanced recovery for us was not the short lengths of stay but the cancer outcomes" - this conversation explains how enhanced recovery gains traction in practice. Even after a relatively short period of …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
What's the current thinking on pain management and the 'opioid crisis'? On reflection were people wrong to emphasise the message that 'pain is the fifth vital sign'? How did 'pain management' instead become 'opioid …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS.
…
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …
Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about …
Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a …
This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an update on the initiative, provides all the background you need including …
"ERAS in Obstetric Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd like …
We learn more about what the Perioperative medicine summit is and have a quick fire review of the current literature related to Perioperative Medicine. Discussions in this piece include the use of ACE inhibitors and …
What simple things can we do in the operating room which might make a difference to the issue of post operative delirium? Should preoperative …
A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) …
This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.
We discuss the following …
Shared decision making is key to any perioperative enhancement team, this piece is a fascinating debate between various interesting positions.
For more on the (Perioperative Optimization of Senior Health) POSH clinic …
Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
The …
This piece is a chance to hear how and why an emergency laparotomy can work as part of the perioperative process. Ideally perioperative medicine …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
You …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
If …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
A …
"Pain strategies" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this podcast.
If you'd like to attend …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
This …
Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the …
Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine.
The …
Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019; the TopMedTalk team takes you right to the heart of the …
How does one go about becoming a Master of Perioperative Medicine? This piece takes a look at the growing movement which all TopMedTalk listeners are at the forefront of. Further debate covers, "NPO after midnight", …
The TopMedTalk team brings you more of our live coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019.
This …
The TopMedTalk team bring you coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piece focuses on the …
How will the profession evolve as the years pass? Change is inevitable and the direction of change is becoming clearer but how will we adapt to the …
This conversation covers one of the conference's talking points; developmental neurotoxicity. Can human infants exposed to anaesthesia early in their early development really be facing risks which we were previously …
TopMedTalk is at Anaesthesia 2019. It's one of the big events of the global perioperative calendar. Find out what the hot topics and big talking points are. What else can we expect to come from the conference this year?
Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?
This piece is a thought provoking discussion about new media and the consequences of our …
Most people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent …
The need for patient education is a constant theme on TopMedTalk, many are keen to soak up information and become and active team player in their operation, how can we make the most of their patricipation? For example, …
Advanced care planning and shared decision making; what happens when you reach a patient and realise conversations have not been had and systems around them have failed?
Presented by Debra Leung, staff anaesthetist, …
"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and …
Obstructive sleep apnea is important to identify in patients, this piece explains how; use the official STOP BANG website here: http://www.stopbang.ca/osa/screening.php
Opioids and pain management strategy is discussed, …
Psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning …
Pets as Therapy are a fantastic charity who have provided a practical theraputic service to various people in assorted contexts, here you can hear them work their magic on the TopMedTalk team. What are the advantages …
Does perioperative medicine allow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …
When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might …
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England.
This conversation is driven by questions …
"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and …
"About a year ago our chief CRNA sent me a podcast from TopMedTalk about fluid management" - this podcast is a fascinating insight into how Enhanced Recovery continues to reach out across the world to the bedside of …
Obstructive sleep apnea is important to identify in patients, this piece shows you how. Check out the official STOP BANG website here: http://www.stopbang.ca/osa/screening.php Presented by Desiree Chappell and Monty …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
This invaluable piece is a chance to attend a workshop which looks at the latest thinking on "perioperative cognition" and 'post-operative cognitive dysfuntion'.
We advise you use this link here to find the PDF of the …
More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflectiions regarding the rise of Cardiopulmonary …
Perioperative medicine is defined here as: "the practice of patient centred multidisciplinary and integrated medical care of patients from the moment …
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England.
This conversation is driven by questions …
"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand …
Where does anemia fit in the perioperative process? How do we optimise patients who have this condition in such a way as to get them best prepared for surgery? How do we know these procedures are improving outcomes? …
Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the …
Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore …
Our coverage of ASER's annual meeting continues with a piece which focuses on prehabilitation and clinical nutrition, specifically as relates to surgery.
Can the sarcopenic elderly patient build muscle in a reasonable …
Welcome to the first of our exclusive podcasts covering this year's American Society for Enhanced Recovery (ASER) Annual Congress of Enhanced Recovery and Perioperative Medicine. ASER's web presence is here: …
Could a smoking cessation clinic be the next step in perioperative enhancement at your practice? This piece gives you an introduction to the idea and …
This piece focuses on the winning EBPOM USA poster presenter whose team were responsible for the excellent 'Understanding of delirium amongst the …
This standalone piece allows us to explore further some of the issues raised by Saturday's podcast "TopMedTalks to... | Rick Dutton". If you missed …
This piece is about the importance of early mobilisation after surgery; "your first physical therapy session may very well be in the recovery room". Desiree Chappell presents with Monty Mythen and their guests; Dr …
This piece explores the current thinking on hemodynamics, get ready for a deep dive into the conversation and controversies. Originally streamed live from www.topmedtalk.com as part of our coverage of The EBPOM USA …
Speaking with a legend in the world of anaesthesia; this piece allows us to explore some of the bigger issues and milestones in the profession. How …
How can your value based care proposition be further enhanced by a centre for geriatric surgey and palliative care? How important is shared decision making to your practice? What are the opportunities for an …
From a leadership perspective should enhanced recovery for obstetrics be "standard of care" across the nation? Interest in this field seems to be …
"Leading a large, single group towards excellence" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com
Hear this excellent talk, for free, on this …
Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line …
In critically ill patients where are we with haemodynamic monitoring and management? What is an ideal mean arterial pressure (MAP) during the process? What about chronic hypotensive patients? How do we safely avoid …
The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests …
Can artificial intelligence drive new changes in care and the value of big data? We're already comfortable with using tools that help us to do our …
This piece focuses on the rise of cardiopulmonary exercise testing (CPET) in the wake of the Measurement of Exercise Tolerance before Surgery (METS) …
What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early …
This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The …
Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction and outcomes rise to the top of the priority list as an institution …
"Without data you cannot sustain your programme" - this piece is about understanding the importance of data collection as part of the perioperative …
Everything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep …
Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about 'The Practitioner Health Programme' and hear why anaesthetists are uniquely placed to deal with the …
"If you don't have respect you really can't do anything ... healthcare is a team sport!"
What is a "Respect Officer"? Why is respect so important in …
How does enhanced recovery after surgery (ERAS) work for cardiac patients? What lessons have been learned and how have pathways and protocols …
"Emergency laparotomy Collaborative" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on
The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United …
Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts …
The EBPOM-USA Dallas Masters Course, held between the 22nd - 24th of March 2019, has provided TopMedTalk with a wealth of exciting new material which we will be sharing with you over the next few months. Here you can …
Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 so we wanted to get a very important contribution from him: What are the big takeaways from some of the …
What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? Should prehabilitation be thought of as a natural part of …
How has perioperative medicine impacted upon our understanding of obstetrics? Hear how implimenting an ERAS programme in 2016 has benefitted the …
"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Patient Recorded Outcome Measures) PROMS.
Patient optimisation is then …
How do we develop an agreed curriculum that speaks to what perioperative medicine should be? Once that's in place, how should it be overseen? What …
What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis?
Broadcaster Nick Margerrison speaks with our …
Teamwork is an essential part of perioperative care. Here the case is made that we should approach both pre and post habilitation as being akin to …
Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the …
"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in …
How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do …
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx.
…
TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care …
Recorded on the first day of the Intensive Care Society's annual conference this conversation starts with some reflections about how conferences have moved into the modern age now with interactivity and new media …
Shared decision making is a meeting between experts, on the one hand we have a clinician who understands a diagnosis and a likely prognosis, on the other we have a patient who exclusively understands their values and …
"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
What is the Enhanced Recovery After Surgery (ERAS) Shared Interest Group (SIG)? How does it relate to the advancement of perioperative medicine?
TopMedTalk was at the American Association of Nurse Anaesthetists (AANA) …
How do we address the issue of post operative delirium?
Here you will find fascinating further discussion about cognitive function after surgery. What practical, simple steps can patients and providers take to bridge …
What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How does the team apply the techniques of this …
What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients …
Is it unreasonable to give a patient six months to lose weight before, for example, knee surgery? Going even further should we be considering …
"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the …
What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get …
How is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can …
How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? …
The gap between ambition and action is familiar to us all but when it's potentially a matter of life and death how do we overcome it? This piece gives you a sense of both the research which illustrates the 'behaviour …
"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) …
How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition?
Live …
This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows …
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people …
NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind this intriguing study, how long did it take, how does the data impact …
Community based prehabilitation in the UK is being spearheaded by the Prepwell Initiative. Supported by a grant from Sports England this pioneering work is a great example of the way in which a perioperative enhancement …
This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.
We discuss the following …
"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 …
How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this …
The Silver Tsunami is coming, are you prepared to assess the elderly patient? Mature patients present unique and interesting opportunities to perioperative practitioners. New ways of thinking and different approaches …
Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people …
How does one go about becoming a Master of Perioperative Medicine? This piece takes a look at the growing movement which all TopMedTalk listeners are at the forefront of. Further debate covers, "NPO after midnight", …
How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?
Patient records and data ownership is …
This piece ploughs into some of the academic papers that have provoked discussion recently in the perioperative community.
We discuss the following …
Twitter is ablaze with talk of the Society for Perioperative Assessment and Quality Improvement (SPAQI). How did they do it?
This piece is a thought provoking discussion about new media and the consequences of our …
Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative scene before tucking into some of the big stories that are emerging from …
Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …
Discussion begins with an overview of the conference and its roots. Special mention is made regarding the Frank Michota Memorial Lecture which takes place on the Friday morning of the conference.
Also on this podcast, …
The Society for Perioperative Assessment and Quality Improvement (SPAQI) are in Orlando Florida for their 14th annual summit and, of course, we're there to cover it. Find out what you can expect, if you are attending …
The full title of today's paper is: Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis …
"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
What's it like in rural America working at a small hospital, 'way out on the frontier'? What best practice initiatives are there to help? How can you implement a process of rapid opioid reduction, more than 70%, in just …
What are the results if you apply Enhanced Recovery to obstetrics?
This podcast features Desiree Chappell interviewing Dr Attila Kett, …
Global health is something TopMedTalk listeners are naturally passionate about; here you can listen to the keynote address from the 42nd President of The United States, Bill Clinton, to the World Patient Safety, Science …
The Patient Safety Movement Foundation (PSMF) has ambitious targets to limit preventable deaths in healthcare, this piece explains how they intend to reduce them down to zero. They need your help, this is a global …
This week on Journal Club we reflect upon the pulmonary artery (PA) catheter.
The following articles were discussed:
JAMA: The effectiveness of right …
"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on
How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care?
Patient records and data ownership is …
In short; Post-Op recovery in less than 3 days with over 90% mobilised on day 1.
This in depth discussion relates to the consensus paper from the Perioperative Quality Initiative, see link below. It focuses on: …
Desiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola. …
This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in …
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 …
"Post-operative critical care: what should we do?" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
Should we still measure urine output? How useful is permissive oliguria?
Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr …
How do the insights of a 'medical linguistic anthropologist' impact upon our understanding of 'shared decision making'? How do patients make …
The concern for patient safety naturally flows throughout the healthcare continuum. In our discussion with Masimo Founder, Joe Kiani, we discuss the 'planning for zero’ initiative and how we can realistically reach …
How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda? We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not …
Journal Club Express this week focuses upon a piece in Anesthesiology; Cognitive Effects of Perioperative Pregabalin: Secondary Exploratory Analysis …
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
Hear this excellent …
How do the insights from experience in Enhanced Recovery apply to critical care patients and care postoperative care pathways? We also discuss …
This episode of The Perioperative Coach reflects on the pain management discussions being had by the American Society of Enhanced Recovery (ASER) and its members.
For further reading see the articles in Perioperative …
This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and …
This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic.
Presented by Desiree …
J Clin Anesth. 2018 Dec 29;55:83-91.
doi: 10.1016/j.jclinane.2018.12.038.
[Epub ahead of print]
The effects of dexamethasone, light anesthesia, and …
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
Hear this excellent …
A discussion about the changes enhanched recovery has brought into practices, the conversation then moves to narcotics and the opiode epidemic. Desiree Chappell speaks with Dr Vijaya Gottumukkala, Professor of …
Professor John Kellum gives a thumbnail sketch summary of the fluid debate. Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The …
A discussion about consent, staying on the right side of the law, shared decision making and a 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.
Presented by Monty Mythen with Desiree …
This podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further …
Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then …
Two articles, which both feature in The British Journal of Anaesthesia (BJA), are dissected in this week's Journal Club. They both discuss oxygen, the two articles are linked to here:
Effectiveness of 80% vs 30–35% …
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
If you'd like to …
Desiree Chappell speaks with Robin Anderson, Enhanced Recovery (ERAS) program coordinator at Duke …
A discussion about fluid management in an enhanced surgical recovery pathway in relation to the guidelines from ASER and the work of The Perioperative Quality Initiative (POQI http://www.poqi.org). Presented by Monty …
2019 brings lots of new opportunities for your favourite medical podcast, including the chance to see us at a live event. Maybe you'll join us in real life, or maybe you'll join us online.
This conversation looks …
Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in …
This week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial".
…
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com
Hear this excellent …
What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes. Desiree Chappell …
Implementing better practice and "ERAS 2.0". The ground up approach of a 'council of nurses' sparks some fascinating debate and discussion. Can a roundtable approach sometimes work better than the traditional …
This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique …
The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to …
What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday …
The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?".
The link is here:
A three part series covering the year in TopMedTalk.
Here are some links to the pieces discussed:
The Randy Moore piece:
https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/
Here's …
A three part series covering the year in TopMedTalk.
Here are some links to the pieces discussed:
Paul Myles and the RELIEF trial results:
…
A three part series covering the year in TopMedTalk.
Here are some links to the pieces discussed:
The conversation with Zeev Kain is here: …
Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" …
Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health needs of the patient? How do we encourage patients to alter …
Here we have a very special edition of Journal Club, in two distinct parts; the The Measurement of Exercise Tolerance before Surgery (METS) trial is …
"Sprint National Anaesthesia Project, SNAP" was originally streamed live from The Institute of Engineering and Technology (IET) in London during …
Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most?
They are joined by …
A conversation about ASER fluid management; NPO; preop drinks and keeping the i.v down.
Monty Mythen is presenting with his guest Dr Scott Brudney, …
A transatlantic perspective.
This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more …
The Elephant In The Room - intraoperative hypotension. A discussion regarding the exciting results from the first multicentre, randomised …
POET - The Perioperative Enhancement Team
How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are …
TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care …
The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on …
How is it the case that some people can lose significant muscle mass while they are being cared for on the Intensive Care Unit (ICU)? What can …
How essential is training in focused transthoracic echo for adult intensive care? Ultrasound technology has evolved in recent years, some people say …
This piece starts with a discussion about indirect calorimetry and the challenges associated with it as well as recent improvements in the field. The penn state equation is discussed. Muscle wastage and the need for …
Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" …
The Pets as Therapy team have been a huge hit at the Intensive Care Society annual conference. How would you incorporate something like this into …
How do we maintain hydration in a way which is both safe and comfortable for the patients we treat? What about the post-surgical patient who is full …
Recorded live at the Intensive Care Society This piece is a fascinating discussion regarding the use of antibiotics and fluid balance. The conversation then moves into haemodynamic monitoring and the differences between …
"Post-operative critical care: what should we do?" was originally streamed live from The Institute of Engineering and Technology (IET) in London …
A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.
Presented by Monty Mythen with Desiree …
Pets as Therapy are a fantastic charity who have provided a practical theraputic service to everyone in attendance at the Intensive Care Society annual conference. The TopMedTalk team were determined to catch up with …
This piece covers; physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'.
Desiree Chappell presents with Monty Mythen and their guests; Dr Steve Flanagan, Chair of …
The first day of the Intensive Care Society's annual conference comes to a close. Heart failure session has ‘standing room only’. Is the pulmonary …
Desiree and Monty catch up with Dan Martin, OBE, and speak with him about the Intensive Care Society's annual conference, treating infectious …
Live from The Intensive Care Society, reflections on the opening session of the UK's annual critical care conference. Presented by Desiree Chappell and Monty Mythen.
Find out more www.topmedtalk.com
Join the debate …
A conversation about enhanced recovery implementation.
Dr Joff Lacey catches up with Mike Scott, Virginia Commonwealth University and Ross Kerridge, John Hunter Hospital, Newcastle, Australia.
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative …
"Value based care - it’s an interdisciplinary team sport"
Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative …
Why do you need a "poet"?
The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation …
This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt …
EBPOM Conference Highlight
This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and …
This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.
Desiree Chappell interviews her …
"An operation is like a marathon, nobody prepares for that by starving themselves"
Monty Mythen talks to Professor Paul Wischmeyer from the …
When it comes to breathlessness how do we better diagnose and apply treatment? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that might …
A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates.
A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage …
A round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care.
This is the fourth segment of the conversation between …
This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the …
This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical …
This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year.
These pieces have been released to …
This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this …
These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.
Coming from this summer's …
This piece is a chance to reflect upon the importance of new media within the sphere of medical education. As the run away success of TopMedTalk and other podcasts in this area shows people are hungry to use the unique …
This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam.
This in depth discussion is a reaction to the session at IFAD and contains insights into …
Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam.
This in depth discussion is a reaction to the first session at …
This conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke University in Durham.
These pieces have been released to coincide with …
Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of …
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on …
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on …
The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on …
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking
Presented by James Davis
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this …
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking
This is taken from the …
Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking
This is taken from the …
Standing up an Obstructive Sleep Apnea (OSA) Clinic.
The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking.
This is taken from the hugely …
Standing up an Obstructive Sleep Apnea (OSA) Clinic.
The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking.
This is taken from the hugely …
This talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference which took place in Dingle, Ireland in October 2018.
Fiona Walker, …
What is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this …
Where are we with the journey from Enhanced Recovery (ER) to Perioperative Medicine? Is it fair to characterise the latter as "Enhanced Recovery …
How important is 'expectation management' in pediatrics? What could the usefulness of cannabis be as a way of reducing reliance on opioids? Is …
Recognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus upon Enhanced Recovery (ER), what are the pathways for the pediatric …
The conversation from part 1 continues with questions such as; what specific anaesthesia protocols do you use? Is there room in this context to …
The conversation begins with some thoughts on Enhanced Recovery (ER) for the obstetric patient. Further discussion covers the "transatlantic" differences between the US, UK and the wider EU. Where does pain management …
This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of …
This special four part series explores the fascinating story of Xtreme Everest – the ground-breaking, research programme that has pursued a novel approach to scientific exploration. Over the last decade, this innovative …
This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on.
The link to the first episode is …
Recorded before a live audience and streamed on www.topmedtalk.com
The conversation from part 5 continues. More on Caesarian Section plus: should we …
Recorded before a live audience and streamed on www.topmedtalk.com
The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions …
Recorded before a live audience and streamed on www.topmedtalk.com The subject is, Enhanced Recovery After Surgery for obstetrics and Caesarean sections (c-section). Questions include: What's the standard length of …
Recorded before a live audience this piece continues the question and answer session from parts one and two.
Epidurals versus plane blocks, what do you choose and why? Is there a potential for decrease in fasting times …
What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid …
Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a …
Where is perioperative medicine as a specialty in the US? How do frail patients benefit from the perioperative process? Age and physical fitness are important factors when deciding if you're going to put a patient …
Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)? Differences between …
This piece is a deep dive into regional anaesthesia for Enhancing Recovery. Hear how paravertebral nerve blocks can be used in breast cancer surgery, how does this effect long term outcomes for patients? There is then …
Enhanced Recovery After Surgery (ERAS) is the focus for the TopMedTalk team at this year's ASA. This piece features discussion regarding; what to do about pre-operative frailty, smoking cessation, patient-centric care …
This piece is about optimizing the perioperative patient for Enhanced Recovery (ER). Hear from one of the pioneers of ER for laparoscopic colorectal …
How do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in …
This fascinating conversation revolves around the experience and need for good teachers in the field of Anaesthesia. How do we encourage …
This conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online …
Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve …
This fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and …
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …
Despite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhanced Recovery After Surgery (ERAS)? How do we convert the conversation …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners:
"RCoA 11 - The RELIEF Trial; your …
Join the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com from the Smith's Medical Booth in the exhibition hall of the conference.
Presented by Monty Mythen, …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
"I want to dance at my daughter's wedding"
What are the goals of …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
"EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"
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This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco.
Hear how the American Associaton of Retired …
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …
On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell …
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …
In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.
Originally streamed live on …
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …
In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.
Originally streamed live on www.topmedtalk.com the …
We're playing TopMedTalk’s top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …
How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make available to us? Currently we tend to use the clumsy metrics of …
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk …
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking the opioid habit, specifically in America. Use this to help build …
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners:
"RCoA 11 - The RELIEF Trial; your …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared decision making so you can avoid carrying out surgery which is not …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
"I want to dance at my daughter's wedding"
What are the goals of …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee …
This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
"EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"
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Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable …
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed Sol …
This episode is one of the top ten most downloaded podcasts we've done so far.
The debate 'Direct laryngoscopes should be consigned to history' was …
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in just 15 minutes, lays out the argument that the practice of perioperative medicine clearly walks hand in hand with the …
These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
…
These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Live from Edwards Life Sciences in Irvine, South California, on their 60th anniversary. This conversation adds more detail to the picture emerging of the hypotension prediction index (HPI).
Monty Mythen interviews his …
On the occasion of the 60th anniversary of Edwards Life Sciences, Monty Mythen presents a discussion about hemodynamic monitoring and the pulmonary …
How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition?
Live …
EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of …
EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of …
"It's one thing to optimise them to get them through surgery, it's another (...) to optimise them period!" - Dr Fleisher begins the conversation as the team circle round the tricky issue of patient optimisation in the …
In this piece the team talk about possibly one of the most interesting funding experiments in the US; The Maryland global budgeting experiment. January 2014, after months of negotiations between Maryland and federal …
Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times …
TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 in Boston. After an incredible year for the organisation and we were delighted to be able to get some time with the association's incoming …
TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston. It has been an incredible year for the organisation and we were delighted to be able to get some time with the …
Desiree Chappell and her guests discuss the Enhanced Recorvery After Surgery (ERAS) Shared Interest Group (SIG). TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston and will …
The Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on …
Here Monty and Desiree present part of Professor Paul Myles's EBPOM 2018 presentation regarding the RELIEF trial, a massive part of the perioperative …
Is there a global shortfall of anesthesia providers? How do we widen the number of people in the profession, both nationally and internationally?
TopMedTalk is at the AANA 2018 conference in Boston and will be sharing …
The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to …
Artificial intelligence; everyone's talking about it and everyone is doing it, or so they say. What's the reality behind these technologies? This …
This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter. Go …
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx.
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The POET acronym – a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.
Monty Mythen …
This piece is a discussion, originally held last year on www.topmedtalk.com, about outcomes after colorectal surgery. Drinking, Eating, Mobilising …
The NHS, a national institution beloved by the people of the United Kingdom, is 70 years old. EBPOM celebrated this fact with a talk that asked how …
The NHS, a national institution beloved by the people of the United Kingdom, is 70 years old. EBPOM celebrated this fact with a talk that gets right …
"POETTS 2018 | CPET for Risk Stratification in Major Urological Surgery" - originally streamed live from The Institute of Engineering and Technology …
"POETTS 2018 | The Measurement of Exercise Tolerance before Surgery (METS) Study: early results" - originally streamed live from The Institute of …
"POETTS 2018 | CPET and Shared Decision Making" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
"POETTS 2018 | Activity Monitors and CPET variables" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"POETTS 2018 | Changing behaviours of the medical team before surgery" - originally streamed live from The Institute of Engineering and Technology …
"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and …
"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and …
Trainees with an Interest in Perioperative Medicine (TRIPOM) is an exciting new collaborative designed to enhance and channel the enthusiasm of its …
What is pain control for a perioperative patient? What is the 'subacute period' and do you incorporate it into your practice? How do we keep patients …
"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Case study with Q & A" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) …
"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 …
"Hypotension: Cause and effect" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"SNAP (Sprint National Anaesthesia Project)" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM …
"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Post-operative critical care: what should we do?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level?
Also in this conversation; teaching patients, learning from patients, shared …
"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
"Shared decision making in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
"QA, QI and Patient involvement" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then …
This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS.
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The NHS, a national institution beloved by the people of the United Kingdom is 70 years old. EBPOM celebrated this fact with a talk that gets right …
"Perioperative medicine is Population Health Management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"Fluid therapy in emergency surgery" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on
"Emergency laparotomy Collaborative" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on
"Driving value in perioperative care: The Michigan experience" - originally streamed live from The Institute of Engineering and Technology (IET) in …
"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …
"Perioperative Haemodynamic Management" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 …
After 70 years the NHS still continues to promote debate around the world, here you get expert analysis of the deeper realities of a taxpayer funded national health service.
Also - what is "The Brain Health Initiative"? …
"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in …
"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Cardiac anaesthesia and anaemia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
How can we redeploy critical care thinking and perioperative care pathways at scale for the high risk surgical patient? What is the Enhanced Perioperative Care after high-risk Surgery (EPOCH trial)? How has it altered …
"Results of the RELIEF Trial" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
The highly anticipated results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial, presented for the first time at EBPOM 2018. …
"Exercise and cancer" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on …
"Perioperative Quality Improvement Programme (PQIP)" - originally streamed live from The Institute of Engineering and Technology (IET) in London …
"Perioperative brain health initiative: A population health safety initiative" - one of the lectures which www.topmedtalk.com streamed live from The …
This is the sixth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A …
This is the fifth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A …
This is the fourth presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A …
Presented by, Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
Presented by, Richard Moon, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, David McLeod, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Kay Mitchell, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Chris Imray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Monty Mythen., recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Andrew Murray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Daniel Martin, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Denny Levett, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.
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Presented by, Professor Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, …
The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get …
The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's …
In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the …
What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme …
Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still wanted to get a very important contribution from him. What are the big takeaways from some …
The Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. In the immediate wake of …
What are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes …
Key messages and big takeaways from a hugely successful meeting, The Second Annual Prehabilitation World Congress, held in Eindhoven, The …
What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? How are randomised trials showing outcome data in a positive way?
Furthermore, according to some of the keynote speakers, what …
What is pre-habilitation and how important is early mobilisation to perioperative post-operative rehabilitation?
Desiree Chappell presents with her guests Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation …
What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. …
Cold water adaptation for theraputic purposes. How can you gain the benefits of this unusual but increasingly popular activity? Open water swimming …
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England.
This conversation is driven by questions …
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England.
This conversation is driven by questions …
Back in London for EBPOM 2018!
This piece features a quick rundown of some of the things you can expect to hear from www.TopMedTalk.com on our live streaming page. As always highlights of that will feature in the main …
This is the third presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A …
This is the second presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A …
This is the opening address and first presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: …
How and where do you measure a patient's temperature? This is a detailed answer to a frequently asked question, various methods are discussed.
This piece is taken from a longer conversation to be found here: …
This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the …
Effect of intraoperative hyperoxia on the incidence of surgical site infections: a meta-analysis
B. Cohen, Y.N. Schacham, K. Ruetzler, S. Ahuja, D. Yang, E.J. Mascha, A.B. Barclay, M.H. Hung, D.I.
BACKGROUND
Whether …
Fluid Matters - the ‘nil by mouth’ or ‘NPO’ debate
This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implimented both in the UK and at various medical centres in the US. …
How do we develop a way to teach perioperative medicine and once that's in place, how should it be overseen? What sort of official endorsement might …
This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows …
This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year. The debate is framed as "restrictive …
What is 'the morpheus consortium'? What's the current thinking on pain management and the 'opioid crisis'? On reflection were people wrong to emphasise the message that 'pain is the fifth vital sign'? How did 'pain …
Monty sits down with one of the co-organisers of this year's meeting in Orlando and discusses this year's annual conference, "Controversies in perioperative medicine". The discussion encompasses pain relief, opioids, …
This conversation reflects a discussion had at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume …
This discussion focuses on the perioperative quality initiative's intense focus this year on total body water and electrolights. How often should we …
How does perioperative care relate to obstetrics? Who does it benefit, the patient, the hospital or both? How does it help to engage pregnant patients through the perioperative process? Furthermore, does the issue of …
Names, titles and definitions were sliced, diced and discussed at the Perioperative Quality Initiative (POQI). This conversation, recorded on the morning of the second day of the meeting and featuring some of the …
We begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?'
The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is …
Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study.
Memtsoudis SG1, …
The debate 'Direct laryngoscopes should be consigned to history' was hosted by The Royal College Of Anaesthetists and carried out by the two guests …
The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this …
This piece focuses on the latest print issue of 'Anesthesia and Analgesia' which is saturated with coverage of the Perioperative Quality Initiative (POQI), the most recent meeting of which was sponsored by the American …
Most people are familiar with ultrasound these days, next to the stethoscope and thanks largely to baby photographs, it's one of the most frequent …
What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis?
Broadcaster Nick Margerrison speaks with our …
The GIRFT (Getting It Right First Time) project. The stated aim is 'to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes'. This …
A Randomized Trial of a Family-Support Intervention in Intensive Care Units
Douglas B. White et al. for the PARTNER Investigators
Surrogate decision makers (e.g. family and friends) for incapacitated, critically ill …
Geriatricians naturally fit into the perioperative sphere. Shared decision making is an obvious aspect of this, as is preoperative assessment and the consideration of the risks and benefits of surgery.
Also in this …
How can perioperative medicine be part of helping less developed healthcare systems? The considerations are different but the principles remain the same. The birth of the NHS gave parity of esteem to anaesthetists, the …
Big data is a complicated topic and here you will find a discussion about the need to balance the rights of the individual against an obligation to explore and unlock the treasures it offers for wider society.
How do we …
The pressures of being an anaesthetist are difficult to discuss for some, this conversation might be the start of that for you or a colleague. The …
NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. This conversation deals with the question; when is the best time to administer antibiotics?
This …
TopMedTalk set itself a target of over 10,000 downloads in the first year. Much to everyone's delight and surprise, we've smashed that target already!
This piece is a chance to hear how you can become a bigger part of …
The NHS has helped to put the UK into a leading position in perioperative medicine, elsewhere there have been pioneers and innovators pushing it forward. How has this leadership in perioperative medicine become a force …
In this piece Monty Mythen speaks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, about the recently published …
A highlights RCoA’s Anaesthesia 2018
A fascinating conversation about the anti-inflammatory effects of exercise. The theory is floated that this …
Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing …
How do we develop an agreed curriculum that speaks to what perioperative medicine should be? Once that's in place, how should it be overseen? What …
A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum.
We begin with a question from the audience; how do we …
A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) …
How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? …
The debate 'Direct laryngoscopes should be consigned to history', hosted by The Royal College Of Anaesthetists and carried out by our two guests on …
The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on …
How does The Royal College of Anaesthetists' move forward from here? A stunning conference with internationally renowned speakers from all around the …
The Royal College of Anaesthetists' Lifelong Learning platform will replace the e-Portfolio and include a logbook functionality. It's expected to go …
NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. Find out the details behind this intriguing study, how long did it take, how does the data impact …
Can artificial intelligence drive new changes in care and the value of big data? We're already comfortable with using tools that help us to do our …
How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the …
Why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here about The Practitioner Health Programme and hear why anaesthetists are uniquely placed to deal with the …
How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this …
Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Patient Recorded Outcome Measures) PROMS.
Patient optimisation is then …
Recorded live at The British Museum in London this piece contains a lot of discussion about the NHS; how does it rank in terms of outcomes? What does the offer of universal healthcare mean in terms of that? How does it …
TopMedTalk is covering the flagship meeting of the Royal College of Anaesthetists from the British Museum, London.
In this piece, discussion is had …
What motivates an institution to adopt a value based care programme? How do readmission rates react to optimisation? How do you work care …
This piece explains the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS) SNAP-2: …
Goal directed fluid therapy and enhanced surgical recovery, are there still some battles not yet won? How do you get anaesthetists to curb their fluid? How do you cure the random element of fluid therapy? Dr Joff …
Association between intraoperative opioid administration and 30-day readmission: a pre-specified analysis of registry data from a healthcare network in New England
High intraoperative opioid dose is a modifiable …
Anaesthesia, surgery, and life-threatening allergic reactions: management and outcomes in the 6th National Audit Project (NAP6)
N.J.N. Harper et al.
…
The Xtreme Everest project has won numerous awards and received both local, national and international media coverage. Here we have a discussion with some of the key players about oxygen and the Xtreme Everest team's …
ASER 2017 and the POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.
…
A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period, with …
Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery.
Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director …
What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday …
Monty Mythen presents the results of the RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial.
Does it answer the …
In this piece find out how renal injury biomarkers can offer practitioners and patients hope.
Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care …
Where should sleep apnea be on the perioperative surgeon's priority list? A fascinating introduction to the topic, sleep disorders affect every area …
A conversation that is now even more relevant, the changing role of the anaesthetist. Matters such as population health, lifestyle choices and a …
Standby for the results of The RELIEF Trial; coming soon on TopMedTalk, Professor Monty Mythen will be presenting an exclusive programme here …
This piece begins with the question, what does Enhanced Recovery mean to you?
Here we go for a ground up approach via a 'council of nurses'. Can a 'roundtable' sometimes work better than the traditional hierarchical …
How do we bend cost curve to our advantage? How do we assert the irreducible minimum? Is it possible to spend less money and get better outcomes? Is it possible to get people to realise that not 'doing something' is …
METS trial - exercise tolerance and surgery outcomes.
The results of the METS trial were presented at the International Anaesthesia Research Society …
Opioid addiction can happen to anyone, even world leading Professors like Dr Paul Wischmeyer. Listen to Paul's story and then spread this important …
Dr Attilla Kett explains how he applies Enhanced Recovery after Surgery to obstetrics.
This podcast features Desiree Chappell interviewing Dr Attila …
Steroids in cardiac surgery: a systematic review and meta-analysis
BJA April 2018, Volume 120, Pages 657-667.
See full article here: …
The first conference highlight from EBPOM USA 2018: How do you best work a pre-op clinic? Should they be places where you get your problems …
How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda?
We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not …
Treating patients as people rather than 'jobs to be done' and 'boxes to be ticked' is the focus of this piece. What can Doctors do better when it comes to treating patients? Find out what happened when a perioperative …
This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in …
Marc Koch President & CEO of Somnia Inc reviews the conference with Desiree Chappell. What should you expect at an EBPOM meeting? How useful is …
When it comes to breathlessness how do we better diagnose and apply treatment earlier? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that …
Professor Monty Mythen presents Journal Club Express.
Postoperative delirium in total knee and hip arthroplasty patients: a study of perioperative modifiable risk factors
DOI: 10.1016/j.bja.2017.12.046
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S. M. …
This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and …
Originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum" this podcast …
The importance of exercise, weight and perioperative nutrition. Which is worse, being fat or not being fit? Malnutrition, a silent epidemic? How …
Professor Monty Mythen's full presentation regarding 'the FEDORA trial'.
This piece was originally presented during the Third Annual Quality …
Join Desiree and Monty as they reflect on the EBPOM USA weekend so far and look ahead to what remains.
Also - a reminder that you still have chance to hear the conference presentations live from the www.topmedtalk.com …
A fascinating discussion and debate regarding the central dichotomy inherent in periperative medicine. No stone is left unturned as the team get their teeth into the subject tackling the always tricky subject of profit …
Originally streamed live from the EBPOM USA conference. Desiree Chappell, Monty Mythen, Dr Tim Miller (anaestheseologist at Duke University) and Dr …
A fascinating conversation, streamed live from EBPOM-USA on the second day of the conference.
Reflections on the conference alongside insightful …
Find out what the big stories and talking points were on day one of the highly anticipated "EBPOM-USA Masters Course, A Perioperative Care Practicum".
Recorded on the morning of day two; Monty Mythen, Desiree Chappell …
ATLANTA conference alert!
Mike Grocott and Sol Aronson do a special podcast to alert TopMedTalk listeners to an exciting offer; EBPOM-USA …
Stories include the call to reclassify cancers, dangerous cannabis substitute causes bleeding from the eyes and a chilli chomping champion gets more than he bargined for.
For comment and story suggestions email us …
Journal club special's featured article is today from "Anesthesia & Analgesia" April 2018 - Volume 126 - Number 4 …
Editor in Chief of TopMed Talk, Monty Mythen and Desiree Chappell, host of the Roundtable blog, talk about the upcoming "EBPOM-USA Masters Course - A Perioperative Care Practicum".
More details about the event here:
Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic …
Dr Carol Peden and Dr Lee A. Fleisher join Desiree Chappell in a discussion, taken from The Roundtable blog, which here concerns consent and …
The opioid crisis is a big concern for the Western World. Should we be aiming for opioid-lite, or trying to get rid of them entirely?
Monty Mythen …
Dr Joff Lacey grabs a quick chat with Matt McEvoy from Vanderbilt University, speaking about patient monitoring, after a presentation at ASER 2018.
This, from a larger piece, found here:
Stories include the UK obesity crisis, nightmare bacteria in the US and The Duke Of Edinburgh has an operation on his hip.
For comment and story suggestions email us contact@topmedtalk.com
What drives enhanced recovery for you and how does it change outcomes?
Desiree Chappell presents 'The Roundtable blog'; in this clip she’s in conversation with Dr Neil Seeley Chief of anesthesia for Cancer Treatment …
Julie Thacker discusses where we're at with enhanced recovery and POQI.
This clip, presented by Desiree Chappell at ASER 2018, is part of a longer …
Dr George Nassif explains to Desiree Chappell of The Roundtable blog how Enhanced Recovery After Surgery has grown into a movement which has had far reaching and occasionally unexpected consequences.
The domino effect …
Vicki Morton and Bethany Sarosiek get into a conversation about the importance of regular meetings following the process of ERAS adoption and then …
Has enhanced recovery reached the mass adoption point or are there still medical institutions which do not know about it? Is it now at a point where the process is just going to run organically? In this podcast the team …
Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts …
This edition of journal club looks at two articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA
One in …
On this episode Dr Paul Upton explains My Preop. For more information go to: www.ultramed.co Broadcaster Nick Margerrison presents Techno Talk; …
Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation …
An intense and fascinating conversation which acts as a swift update for those interested in where perioperative medicine is currently at and what …
Ruchir Gupta and Joni Brady sit at the Roundtable with Desiree Chappell to discuss implimenting better practices and "ERAS 2.0".
The ground up approach via a 'council of nurses' sparks some fascinating debate and …
Joff Lacey, Monty Mythen, Mike Grocott and Desiree Chappell look back at a successful and, at points very passionate, ASER 2018. What are we now …
Arman Dagal and Desiree Chappell discuss bringing about change, managing and sustaining it over time and helping relate it to patient outcomes.
What is after ERAS, do we have an 'ERAS of ERAS' - so to speak?
Kara Douglas and Joni Brady speak about the advantages of enhanced recovery and what practicioners can do to promote it.
Educating both the wider community and the patients themselves are an important part of the …
Joff Lacey catches up with Matt McEvoy after a lively debate about monitoring patients in the post operative period.
One of the big moments of ASER 2018 - make sure you hear this.
Desiree Chappell, Philip Corvo and Vicki Morton discuss critical care patients and enhanced recovery pathways. How do the insights of ERAS apply to these situations?
Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit hall of ASER 2018 for a quick chat on enhanced recovery …
Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other complex operations.
Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery.
They discuss how just …
An entertaining and informative discussion about the implementation process, how do you bring everyone to the table?
Desiree Chappell speaks with Robin Anderson, Bethany Sarosiek and Vicki Morton, ASER nursing committee …
Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis.
Joff Lacey reports he heard one clinician say "over …
Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation then moves to narcotics and the opiode epidemic.
The Roundtable Blog on TopMedTalk, live from ASER 2018.
Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.
Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018.
Joff Lacey will be out and about with his roving mic getting on the spot interviews with …
Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington.
The team discuss the association between low blood pressure and outcomes and the …
Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar discuss some of the big issues at ASER 2018.
The team discuss whether or not we're at …
Mike Grocott, Joff Lacey, Monty Mythen and Julie Thacker react to the American Society for Enhanced Recovery (ASER) and Perioperative Quality …
Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, …
Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised …
Dr Tim Miller, Anesthesiologist from Duke talks about opiods "we're definately opening our eyes in The States". Also, Dr Julie Thacker, President …
A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates.
A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage …
Dr Steve Flanagan - Chair of Physical Medicine and Rehabilitation at NYU Langone.
Taken from the Roundtable discussions hosted by Desiree Chappell …
Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study
McIsaac D et al. …
Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta.
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For more details on the upcoming Perioperative …
2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA
One in non-critically ill patients. Click here:
…
Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the recently e.published American …
A short digest of the longer chat from Desiree Chappell's "Round Table Blog", hosted at the American College of Perioperative Medicine's …
A stunning moment from last year's conference, captured exclusively on TopMedTalk; Monty Mythen and Mike Grocott are joined by Dr Dan Sessler (Cleveland Clinic) and Dr Tim Miller (Duke University Medical Centre) …
Julian Gore-Booth, Chief Executive Officer at The World Federation of Societies of Anaesthesiologists, in an exclusive interview for TopMedTalk at …
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.
This is the …
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care. This is the …
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.
This is the …
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care.
This is the …
The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the …
The final part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based …
Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value …
Monty Mythen and Desiree Chappell of The Roundtable blog speak with Jan Vest, C.E.O of Signature Medical Group and Josh Luke, America's leading health-care futurist and writer of "EX-Acute, a former hospital CEO tells …
Desiree Chappell from The Round Table blog speaks with Dr. Jay Pond and Allan Beck Chief Executive Officer of the Baylor Orthopedic and Spine Hospital at Arlington.
Desiree Chappell catches up with John Boudreaux and Phillip Gallegos from the Baylor Orthopedic and Spine Hospital, Arlington. They discuss improving patient outcomes and their approach to value based care.
Desiree Chappelle of The Round Table perioperative care blog and our very own Monty Mythen are joined by Linda Russell.
Linda is a national expert in the area of perioperative Management of Orthopedic Patients. Over the …
Steve Flanagan, Brian Stewart and Colleen Walsh join Desiree Chappelle and Monty Mythen on TopMedTalk in association with The Round Table …
Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most?
They are joined by …
Should you have to lose weight before you get a new knee.
A short sampler from Desiree's round table discussion with TopMedTalk.
Professor Monty Mythen and the TopMedTalk team have just arrived in Southern California to join Desiree Chappell for the American College of …
Bowel prep has moved on and become “less harmful”, patient satisfaction is now part of the process, it wasn’t always previously. How is surgical site …
Joff Lacey joins Dr Liam Brennan (President, Royal College of Anaesthestists) and Dr Andy Bailey (Addenbrooke's Hospital, Cambridge) on a trip to the …
The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed.
How much IV fluid should be used? Will a …
A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions, we assume it will inevitably cause damage but this is not always …
Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the …
A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period.
Monty Mythen and Mike Grocott are joined by their guests Dr Liam Brennan, …
Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the …
Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the …
Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.
A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure …
This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the …
This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal …
Anaesthesiology has reached a moment of great change, the discipline is evolving rapidly. With change comes opportunity, this conversation explores …
Discussion about the challenge of delivering patient-centred, value-driven healthcare.
Value based care is discussed, value for the patient is emphasised and discussion is had about how much people trust hospitals and …
The challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adopt new techniques? Goal directed fluid therapy, as an example, seems …
The largest gathering of anaesthesiologists in the world; feel as if you're there with the TopMedTalk team at ASA 2017.
This discussion covers the …
TopMedTalk ASA 2017 mission statement.
The start of our live coverage from Boston.
Should we still measure urine output? How useful is permissive oliguria?
Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr …How do cell cycle arrest biomarkers offer hope?
Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh and Dr …Professor John Kellum gives a thumbnail sketch summary of the fluid debate.
Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The University …Reactions to one of the big take away points of EBPOM 2017, intraoperative hypotension lower than 65 mmHg appears to show a close correlation to terrible, sometimes fatal, outcomes.
Presented by Professor Monty Mythen …What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday …
Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in …
Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health of the patient? How do we encourage patients to alter …
ASER 2017 and the POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.
…
Pain Relief in Enhanced Surgical Recovery.
Monty Mythen asks Dr Joff Lacey and Professor Mike Grocott to reflect on the pain management discussions from day 1 of the American Society of Enhanced Recovery 2017.
For …
Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery.
Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director …
Discussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and outcome measures. This in depth discussion relates to the recently …
What is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after …
Bowel Prep and Enhanced Recovery After Surgery.
Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery …
"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery.
Fit 4 Surgery School and can exercise help fight cancer.
Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation …
Colorectal surgery and Enhanced Surgical Recovery.
Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and …
(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery.
Attend our next meeting: http://www.ebpom.org/EBPOM-USA
Measuring Outcomes
Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways.
Dr …
Discussion of the ASER and POQI papers of 2017.
Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of …
Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and …
Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down.
Monty Mythen is presenting with his guest Dr Scott …
The horrors of 'the opioid crisis'.
The fuller version of this piece is to be found here: …
Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA.
Multidisciplinary teams and managing change - …
The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of
surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it …
This discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The Intraoperative hypotension …
Discussion includes a recap of the last few podcasts.
Desiree Chappell joins us to update the team on 'the opioid crisis'; 50 overdoses in a twenty …
In this piece you will hear more discussion regarding the POQI papers, a growing concensus on goal directed fluid therapy and the move away from …
ASER 2017 a “truly multidisciplinary conference” and "one of the best ones yet"; looking to continue to increase membership and push further …
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