Cover art for podcast TopMedTalk

TopMedTalk

1517 EpisodesProduced by TopMedTalkWebsite

TopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go

episodes iconAll Episodes

The Morpheus Consortium Plenary Lecture | EBPOM 2021

September 13th, 2021

44:03

Introduced by Monty Mythen, TopMedTalk's Editor in Chief and Padma Gulur, Professor of Anesthesiology and Population Health and Executive Vice Chair …

HPI - The Cardiac Perspective | TopMedTalk

September 6th, 2021

40:43

"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 …

Perioperative Care for people living with frailty | EBPOM 2021

August 30th, 2021

50:14

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 …

The Editors in Chief Forum | EBPOM 2021

August 23rd, 2021

48:24

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 …

Perioperative implementation science | EBPOM 2021

August 16th, 2021

37:46

"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 …

Total intravenous anaesthesia (TIVA) EBPOM 2021 | TopMedTalk

August 9th, 2021

56:07

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 …

Provation® SurgicalValet™ Platform: Simplifying the Entire Surgical Encounter | TopMedTalk

August 2nd, 2021

43:35

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; …

Remotely performing clinical examinations during video calls | TopMedTalk

July 26th, 2021

20:21

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 - Part 2 | TopMedTalk

July 19th, 2021

25:19

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 …

Perioperative Enhancement Teams | TopMedTalk

July 12th, 2021

28:22

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 …

Exciting news | TopMedTalk

July 5th, 2021

12:02

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 …

Panel discussion - Prediction of Opioid Induced Respiratory Depression: Does surveillance monitoring help? | EBPOM 2020

July 4th, 2021

31:22

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:

EBPOM 2021 POCAPALOOZA final | TopMedTalk

July 3rd, 2021

29:13

"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 …

POCApalooza West | EBPOM London 2021

July 2nd, 2021

33:04

Presenting 2021's POCApalooza West; the annual tradition continues in the wake of last year's hugely successful international gathering of …

POCApalooza East | EBPOM 2021

July 1st, 2021

35:29

Presenting 2021's POCApalooza East. The now annual tradition continues in the wake of last year's hugely successful international gathering of …

Models of perioperative care "the science of value" Part 2 | Chicago 2020

June 30th, 2021

40:42

"Perioperative medicine ... I always think of a Venn diagram where there's truly an intersection between surgery anesthesia and medicine, and perhaps …

Total ERAS is essential to clear the backlog | TopMedTalk

June 29th, 2021

1:05:17

"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 …

What is Connected Care? | EBPOM 2021 London

June 28th, 2021

39:37

"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 …

Cryoneurolysis and pain management | TopMedTalk

June 28th, 2021

47:21

"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology"

This piece …

Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020

June 27th, 2021

37:49

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 …

The hidden pandemic of post operative complications | EBPOM London 2020

June 26th, 2021

37:09

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 …

Perioperative Medicine - where we were, where we are now and where want to be P1 | Dingle 2020

June 25th, 2021

32:51

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 …

Depth of anaesthesia and long term outcomes | Dingle 2020

June 24th, 2021

40:55

 

"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 …

Haemodynamic optimisation: the song remains the same | Dingle 2020

June 23rd, 2021

35:39

"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 …

EBPOM London 2020 | 'Hip Attack' with PJ Devereaux

June 22nd, 2021

15:58

"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 …

Perioperative anticoagulation and anti platelet management; a user friendly approach - audience questions | EBPOM Chicago

June 21st, 2021

25:03

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 …

Perioperative anticoagulation and anti platelet management; a user friendly approach | EBPOM Chicago

June 20th, 2021

34:11

The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap …

Daniel Engelman updates in cardiac | EBPOM Chicago

June 19th, 2021

18:44

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 …

The value proposition in perioperative medicine | EBPOM 2021 Las Vegas

June 18th, 2021

24:28

"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, …

The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas

June 17th, 2021

20:12

"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within …

Models of perioperative care "the science of value" | Chicago 2020

June 16th, 2021

16:17

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 …

Daniel Engelman Q&A | EBPOM Chicago

June 15th, 2021

24:43

"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 …

Postoperative critical care: How do we help? | EBPOM 2020

June 14th, 2021

48:12

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? …

Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas

June 13th, 2021

21:53

This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value …

Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago

June 12th, 2021

18:22

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 …

Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago

June 11th, 2021

19:27

"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. …

Am I safe? Q & A with Lee Fleisher | EBPOM 2020

June 10th, 2021

28:07

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 …

World Delirium Awareness Day with iDelirium | TopMedTalk

June 9th, 2021

21:35

This piece focuses on iDelirium; The International Federation of Delirium Societies on world delirium day. As well as considering this difficult …

The ERAS Cardiac Society Conference Day 2 | TopMedTalk

June 8th, 2021

16:58

"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 …

The ERAS Cardiac Society Conference | TopMedTalk

June 7th, 2021

30:47

"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 …

ERAS® Cardiac Roundtable with Kevin Lobdell, Rawn Salenger, Desiree Chappell | TopMedTalk

June 6th, 2021

50:44

"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 …

TopMedTalks to Jeffrey Gum, Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Louisville, Spine Surgeon, Leatherman Spine Center| TopMedTalk

June 5th, 2021

27:47

"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 …

Fitness, function or frailty? P2 | EBPOM London 2020

June 4th, 2021

28:50

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 or frailty? P1 | EBPOM London 2020

June 3rd, 2021

25:28

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 …

Finding Goldilocks, more or less | EBPOM 2020

June 2nd, 2021

48:36

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?

Taking the time to care | COVID19

June 1st, 2021

33:48

"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, …

Enhanced Recovery After Surgery (ERAS) Part 2 | Chicago 2020

May 31st, 2021

35:26

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 …

Enhanced Recovery After Surgery (ERAS) PART 1 | Chicago 2020

May 30th, 2021

34:42

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 …

EBPOM 2020 London | Fit for surgery with Denny Levett

May 29th, 2021

35:41

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. …

Enabling Enhanced Recovery Part 2 | EBPOM 2020

May 28th, 2021

32:31

"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 …

Enabling Enhanced Recovery Part 1 | EBPOM 2020

May 27th, 2021

19:41

"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 …

Models of Prehabilitation | EBPOM 2020

May 26th, 2021

40:42

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.

Monitoring and management of neuromuscular blockade | EBPOM Chicago

May 25th, 2021

26:30

"In the United States approximately 112,000 patients annually are at risk for adverse events associated with discharge from the operating room with …

Introducing 'The CSCS Beat' podcast | TopMedTalk

May 24th, 2021

32:32

"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 …

Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help? | EBPOM 2020 London

May 23rd, 2021

36:24

This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring …

Point of care Ultrasound in acute medical settings | EBPOM Dingle

May 22nd, 2021

28:51

"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 …

Airway education during COVID19 and beyond | EBPOM Dingle

May 21st, 2021

34:48

This piece starts with the challenges faced by non-consultant hospital doctors (NCHD's) in this pandemic environment and the challenges of teaching …

Methadone, 'the opioid sparing opioid' | EBPOM Chicago

May 20th, 2021

37:31

"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 …

Monitoring and management of neuromuscular blockade - questions | EBPOM Chicago

May 19th, 2021

29:05

This piece, part 2 of 2, is a series of questions related to part 1; "Monitoring and management of neuromuscular blockade | EBPOM Chicago".

This …

The Perioperative Care Team | EBPOM Chicago

May 18th, 2021

30:36

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 …

Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago

May 17th, 2021

31:12

"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 …

The Business Case for Prehabilitation | EBPOM London

May 16th, 2021

49:53

"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... …

Screening assessment of nutritional fitness | EBPOM 2020 London

May 15th, 2021

31:52

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 …

EBPOM Chicago | Anemia Management

May 14th, 2021

48:40

"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 …

Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020

May 13th, 2021

21:17

This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …

Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | Chicago 2020

May 12th, 2021

32:33

This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …

Frailty, Brain Health and Perioperative Cognitive Dysfunction | EBPOM Chicago

May 11th, 2021

22:41

"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, …

Methadone use in Perioperative Medicine | EBPOM Chicago

May 10th, 2021

22:35

This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of …

The Future of Prehabilitation "Standardisation of definitions and outcomes" | EBPOM 2020 London

May 9th, 2021

14:46

"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and …

Getting "fit for surgery" | EBPOM 2020 London

May 8th, 2021

22:39

"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 …

Functional Assesment | EBPOM London 2020

May 7th, 2021

20:16

"Perhaps assessing functional performance is something that we've overlooked in medicine"

This piece is about the role of functional assessment and …

Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020

May 6th, 2021

16:55

"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 …

Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020

May 5th, 2021

24:16

"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 …

Models of Prehabilitation in Greater Manchester | EBPOM 2020 London

May 4th, 2021

28:56

It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative …

Perioperative team: a surgeon’s view | EBPOM London 2020

May 3rd, 2021

28:14

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 …

Introduction to the Pathophysiology of COVID 19 | Dingle 2020

May 2nd, 2021

24:23

This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a …

Depth of anaesthesia and long term outcomes | Dingle 2020

May 1st, 2021

40:41

"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 Changes that Change Culture - panel discussion | EBPOM Chicago

April 30th, 2021

28:59

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? …

Video Laryngoscopy During Covid-19 | EBPOM London 2020

April 29th, 2021

36:35

 

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 …

Perioperative Medicine - where we were, where we are now and where want to be P2 | Dingle 2020

April 28th, 2021

37:35

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 …

Cryoneurolysis and pain management | TopMedTalk

April 27th, 2021

53:53

"We've been doing cryoneurolysis for total knees now for three years... people gravitate to practices that that practice this technology"

This piece …

Perioperative Medicine - where we were, where we are now and where want to be P1 | Dingle 2020

April 26th, 2021

32:51

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 …

Perioperative Medicine - Editor's top picks for last year | EBPOM Chicago

April 25th, 2021

31:08

 

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 …

Models of perioperative care "the science of value" | Chicago 2020

April 24th, 2021

16:17

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 …

Total ERAS is essential to clear the backlog | TopMedTalk

April 22nd, 2021

1:05:17

"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 …

Perioperative Frailty with Jude Partridge | EBPOM 2020 London

April 22nd, 2021

24:10

"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 …

SNAP-2 EPICCS; summary results | EBPOM London 2020

April 21st, 2021

30:19

"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: How do you make the Changes that Change Culture? | EBPOM Chicago

April 20th, 2021

23:13

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? …

Roundtable discussion: Delivering value | EBPOM 2021 Las Vegas

April 19th, 2021

21:53

This roundtable discussion tackles questions from the online audience and is the third part of a longer discussion. It follows on from "The value …

The value proposition in perioperative medicine | EBPOM 2021 Las Vegas

April 18th, 2021

24:28

"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, …

The size and scope of the problem with Jim Grant & Mike Englesbe | EBPOM 2021 Las Vegas

April 17th, 2021

20:12

"When I heard Sol Aronson, speak about perioperative medicine as 'population health', for me, it was like a eureka moment because our platform within …

Am I safe? Q&A with Lee Fleisher | EBPOM 2020

April 16th, 2021

28:07

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 …

Daniel Engelman Q&A | EBPOM Chicago

April 15th, 2021

24:43

"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 …

Postoperative critical care: How do we help? | EBPOM 2020

April 14th, 2021

48:12

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? …

Perioperative team: a physician’s view | EBPOM 2020 London

April 13th, 2021

17:10

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 …

Leadership with Jeff Vender: Part 2 - Q&A | EBPOM Chicago

April 12th, 2021

18:22

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 …

Leading Health Systems in times of change with Jeff Vender: Part 1 | EBPOM Chicago

April 11th, 2021

19:27

"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. …

EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell

April 10th, 2021

10:02

This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the …

EBPOM 2020 London | Extending roles: what is the future?

April 9th, 2021

19:50

"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 …

Opioid-induced Respiratory Depression | EBPOM Las Vegas 2021

April 8th, 2021

34:14

"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 …

Non-invasive evaluation of autonomic nervous system- A nociception monitor | EBPOM Las Vegas

April 7th, 2021

32:42

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 …

Guidance on prehabilitation for cancer | EBPOM London 2020

April 6th, 2021

17:13

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 …

Perioperative oxygenation | EBPOM London 2020

April 5th, 2021

29:02

"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 …

Panel discussion - Prediction of Opioid Induced Respiratory Depression: Does surveillance monitoring help? | EBPOM 2020

April 4th, 2021

31:22

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:

Finding Goldilocks, more or less | EBPOM 2020

April 3rd, 2021

48:47

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?

Fitness, function or frailty? P2 | EBPOM London 2020

April 2nd, 2021

29:04

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 or frailty? P1 | EBPOM London 2020

April 1st, 2021

25:42

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 …

"Am I safe?" | EBPOM 2020 London

March 31st, 2021

16:11

"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 …

Models of Prehabilitation, South Tees and PREP-WELL | EBPOM 2020 London

March 30th, 2021

35:05

This piece covers the PREP-WELL project which is a community based prehabilitation program in South Tees, in the North of England:

"We established …

Shared decision-making: a team game? | EBPOM 2020 London

March 29th, 2021

28:19

"We have to remember that patients have a team"

How do we involve patients in the increasingly complex conversations we have in the perioperative …

Optimizing fluid and hemodynamic management during major surgery | EBPOM London 2020

March 28th, 2021

24:05

This talk aims to answer four major questions: How much fluid should you give perioperatively? Does hypotension matter? Should you use advanced …

Fuel: can you have too much? | EBPOM 2020 London

March 27th, 2021

19:57

"As Anaesthetists the ultimate goal of almost all of our interventions and monitoring is to support cell energy production to provide mitochondria …

The hidden pandemic of post operative complications | EBPOM London 2020

March 26th, 2021

37:09

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 …

End of year stress, insurance and 'wellness' | AANA

March 25th, 2021

24:13

"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 …

Vaccine time! | AANA

March 24th, 2021

23:45

"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 …

Models of perioperative care "the science of value" Part 2 | Chicago 2020

March 23rd, 2021

40:42

"Perioperative medicine ... I always think of a Venn diagram where there's truly an intersection between surgery anesthesia and medicine, and perhaps …

Introduction to the Pathophysiology of COVID 19 | Dingle 2020

March 22nd, 2021

24:23

This piece is essential listening for any medical practitioner. The pathophysiology of COVID 19 is now being understood, although there are still a …

Perioperative anticoagulation and anti platelet management; a user friendly approach - audience questions | EBPOM Chicago

March 21st, 2021

25:03

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 …

Perioperative anticoagulation and anti platelet management; a user friendly approach | EBPOM Chicago

March 20th, 2021

34:11

The conversation begins with "a day in the life" with respect to managing the anti coagulation questions that come up commonly. The contributors swap …

Daniel Engelman updates in cardiac | EBPOM Chicago

March 19th, 2021

18:44

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 …

Surgery after COVID-19 diagnosis | TopMedTalk

March 18th, 2021

22:14

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 …

World Delirium Awareness Day with iDelirium | TopMedTalk

March 17th, 2021

22:01

This piece focuses on iDelirium; The International Federation of Delirium Societies on world delirium day. As well as considering this difficult …

ERAS® Cardiac Roundtable with Kevin Lobdell, Rawn Salenger, Desiree Chappell | TopMedTalk

March 16th, 2021

51:04

"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 …

New enhanced care guidelines | EBPOM 2020 London

March 15th, 2021

19:51

"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 …

Access to critical care for high risk surgical patients | EBPOM London 2020

March 14th, 2021

19:52

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 …

The Perioperative Exercise, Testing and Training Society (POETTS) | EBPOM 2020 London

March 13th, 2021

12:55

This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the …

Models of Prehabilitation, Southampton and Wesfit | EBPOM 2020 London

March 12th, 2021

32:00

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 ERAS Cardiac Society Conference Day 2 | TopMedTalk

March 11th, 2021

17:10

"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 …

The ERAS Cardiac Society Conference | TopMedTalk

March 10th, 2021

31:41

"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 …

Prehabilitation Business Case? A slam dunk! | EBPOM 2020 London

March 9th, 2021

34:04

"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 …

Methadone, 'the opioid sparing opioid' | EBPOM Chicago

March 8th, 2021

37:45

"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 …

Monitoring and management of neuromuscular blockade - questions | EBPOM Chicago

March 7th, 2021

29:19

This piece, part 2 of 2, is a series of questions related to part 1; "Monitoring and management of neuromuscular blockade | EBPOM Chicago".

This …

The Perioperative Care Team | EBPOM Chicago

March 6th, 2021

30:50

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 …

Enhanced Recovery After Surgery (ERAS) Part 2 | Chicago 2020

March 5th, 2021

35:26

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 …

Enhanced Recovery After Surgery (ERAS) Part 1 | Chicago 2020

March 4th, 2021

34:42

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 …

"The international prehabilitation society" | EBPOM 2020 London

March 3rd, 2021

9:57

What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, …

Models of prehabilitation in Cardiff in Wales | EBPOM 2020 London

March 2nd, 2021

13:22

"The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Grim news from one angle …

The Anesthesia Patient Safety Foundation | COVID 19

March 1st, 2021

23:59

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 …

Enabling Enhanced Recovery Part 2 | EBPOM 2020

February 28th, 2021

32:45

"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 …

Enabling Enhanced Recovery Part 1 | EBPOM 2020

February 27th, 2021

19:56

"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 …

Models of Prehabilitation | EBPOM 2020

February 26th, 2021

40:56

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.

Nutrition and metabolism before surgery - PART 2 of 2 | EBPOM London 2020

February 25th, 2021

17:08

"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 …

Nutrition and metabolism before surgery - PART 1 of 2 | EBPOM London 2020

February 24th, 2021

24:29

"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 …

Monitoring and management of neuromuscular blockade | EBPOM Chicago

February 23rd, 2021

26:44

"In the United States approximately 112,000 patients annually are at risk for adverse events associated with discharge from the operating room with …

Redefining Hypotension based on Real-time Cerebral Autoregulation Monitoring | EBPOM Chicago

February 22nd, 2021

31:12

"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 …

EBPOM London 2020 | Functional Assesment

February 21st, 2021

20:29

"Perhaps assessing functional performance is something that we've overlooked in medicine"

This piece is about the role of functional assessment and …

Essential COVID knowledge; Dr. Manuel Ignacio Monge García | COVID 19

February 20th, 2021

17:54

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 …

New treatments for Post Operative Nausea and Vomiting | TopMedTalk

February 19th, 2021

6:58

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 …

Practical tips for preoperative risk assessment | Dingle Highlight

February 18th, 2021

14:43

"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 …

Critical care for the very elderly patient | Dingle Highlight

February 17th, 2021

26:55

"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 …

Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 2 | Chicago 2020

February 16th, 2021

21:30

This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …

Brain Health: Frailty, Delirium and Post-operative cognitive dysfunction Part 1 | Chicago 2020

February 15th, 2021

32:46

This piece gets deep into a much needed discussion regarding frailty, delirium, post-operative cognitive dysfunction and brain health. Noted as one …

Perioperative Quality Initiative P.O.Q.I. news | ASA HIGHLIGHT

February 14th, 2021

34:13

"It might just be 'boring old blood pressure ... (but) ... every fourth operation there is evidence of a modifiable risk factor".

The Perioperative …

Somnia Anesthesia Services | TopMedTalk

February 13th, 2021

40:42

"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 …

Can medicine be cured? | Dingle Highlight

February 12th, 2021

36:36

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 …

Testing the Hypotension Prediction Index | TopMedTalk

February 11th, 2021

12:04

"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 …

Shared decision-making: a team game? | EBPOM 2020 London

February 10th, 2021

28:19

"We have to remember that patients have a team"

How do we involve patients in the increasingly complex conversations we have in the perioperative …

Getting "fit for surgery" | EBPOM 2020 London

February 9th, 2021

22:52

"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 …

Perioperative Frailty with Jude Partridge | EBPOM 2020 London

February 8th, 2021

24:10

"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 …

Healthy eating and cancer | TopMedTalk & MacMillan Cancer Support

February 7th, 2021

13:34

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

Get active and feel good? | TopMedTalk & MacMillan Cancer Support

February 6th, 2021

26:34

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

Mental well being for the patient | TopMedTalk & MacMillan Cancer Support

February 5th, 2021

25:07

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

EBPOM London 2020 | 'Hip Attack' with PJ Devereaux

February 4th, 2021

16:12

"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 …

EBPOM Highlight | Intraoperative hypotension doesn’t happen to me

February 3rd, 2021

22:15

This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in …

COVID 19 | Obstetrics in the pandemic

February 2nd, 2021

30:43

"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 …

Periop SIG| Improving the quality of the patient surgical journey

February 1st, 2021

34:19

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 …

Desiree's Roundtable | Outstanding outcomes

January 31st, 2021

10:10

This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the …

COVID 19 | Improving Readiness

January 30th, 2021

20:13

"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 …

TopMedTalk | Automation and artifical intelligence

January 29th, 2021

16:28

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 …

COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA

January 28th, 2021

32:45

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 …

EBPOM Highlight | Obstetric anaesthesia

January 27th, 2021

17:46

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com

EBPOM Las Vegas 2021 | Opioid-induced Respiratory Depression

January 26th, 2021

37:28

"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 …

EBPOM Las Vegas | Non-invasive evaluation of autonomic nervous system- A nociception monitor

January 25th, 2021

38:13

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 …

TopMedTalk | Blood Pressure

January 24th, 2021

15:05

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 …

COVID 19 | Angela Bader, The need for 'end of life' conversations

January 23rd, 2021

26:08

"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 …

EBPOM Highlight | Enhanced Recovery After surgery - plus!

January 22nd, 2021

16:51

This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the …

AANA | Tackling the pain of the opioid crisis

January 21st, 2021

29:22

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 …

EBPOM London 2020 | Perioperative care: A new paradigm for the next decade

January 20th, 2021

30:36

"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 …

Dingle 2020 | Talks to ... Bob Thiele

January 19th, 2021

35:40

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 …

TopMedTalk | Hemodynamics - State of the Science

January 18th, 2021

46:54

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 …

TopMedTalks to ... | Paul Grant

January 17th, 2021

12:32

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

We discuss the following papers:

COVID 19 | Roneet Lev, San Diego

January 16th, 2021

14:32

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 …

TopMedTalk | Research and development during COVID and beyond

January 15th, 2021

25:08

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, …

AANA | Outcome criteria associated with residual neuromuscular blockade

January 14th, 2021

29:39

"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 …

EBPOM 2020 London | Extending roles: what is the future?

January 13th, 2021

19:50

"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 …

DINGLE 2020 | Covid 19 - ventilation strategies

January 12th, 2021

36:37

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 …

TopMedTalk | Henrik Kehlet and Nick Scott

January 11th, 2021

32:48

"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 …

Dingle Highlight | Enhanced Recovery with Monty and Desiree

January 10th, 2021

27:04

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 …

EBPOM Live from London | Australian Perspective on shared decision making

January 9th, 2021

47:44

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 …

EBPOM London 2020 | Prehabilitation Update

January 8th, 2021

46:13

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 …

AANA | Ketamine Infusion Centers: From Inception to Infusion

January 7th, 2021

31:25

"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 …

EBPOM Chicago 2020 | Managing OR Capacity In a Post #COVID19 World

January 6th, 2021

41:36

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 …

EBPOM London 2020 | Perioperative oxygenation

January 5th, 2021

29:02

"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 …

EBPOM London 2020 | Optimizing fluid and hemodynamic management during major surgery

January 4th, 2021

24:05

This talk aims to answer four major questions: How much fluid should you give perioperatively? Does hypotension matter? Should you use advanced …

EBPOM 2020 London | Fuel: can you have too much?

January 3rd, 2021

19:57

"As Anaesthetists the ultimate goal of almost all of our interventions and monitoring is to support cell energy production to provide mitochondria …

EBPOM 2020 London | Models of Prehabilitation, South Tees and PREP-WELL

January 2nd, 2021

35:05

This piece covers the PREP-WELL project which is a community based prehabilitation program in South Tees, in the North of England:

"We established …

EBPOM 2020 London | "Am I safe?"

January 1st, 2021

16:11

"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 …

AANA | Sex, race and social class disparities in pain

December 31st, 2020

32:41

Pain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The …

TopMedTalk | Tom Woodcock

December 30th, 2020

33:35

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 …

EBPOM 2020 London | Perioperative team: a physician’s view

December 29th, 2020

17:10

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 …

EBPOM London 2020 | Perioperative team: a surgeon’s view

December 28th, 2020

28:28

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 …

TopMedTalk | Fluid Physiology in detail

December 27th, 2020

9:14

"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 …

TopMedTalk | "Boxing Day" Holiday Special

December 26th, 2020

19:00

"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 …

TopMedTalk | Christmas Day Special

December 25th, 2020

18:55

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:

TopMedTalk | Christmas Eve Special

December 24th, 2020

39:06

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 …

COVID 19 | 2020 End of year stress, insurance and 'wellness'

December 23rd, 2020

24:13

"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 …

TopMedTalk | Silent pandemic of surgical complications

December 22nd, 2020

31:10

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 …

TopMedTalk | Vaccine time!

December 21st, 2020

23:45

"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 …

TopMedTalk | Computer gamer to life saver

December 20th, 2020

40:44

What happens when cutting edge computer game creators, fresh from working on top titles in their industry such as 'Hunger Games' and 'Mission …

TopMedTalk | Iron Man vs Anemia

December 19th, 2020

45:51

"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 …

EBPOM Highlight | Delivering Personalised Care: aligning prehabilitation with healthcare policy

December 18th, 2020

20:19

How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and …

AANA | Emergence Delirium in US Veterans: Best Practice Recommendations

December 17th, 2020

22:58

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 …

EBPOM London 2020 | SNAP-2 EPICCS; summary results

December 16th, 2020

30:19

"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 …

EBPOM 2020 London | New enhanced care guidelines

December 15th, 2020

19:51

"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 …

EBPOM London 2020 | Access to critical care for high risk surgical patients.

December 14th, 2020

19:52

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 …

EBPOM 2020 London | The Perioperative Exercise, Testing and Training Society (POETTS)

December 13th, 2020

12:55

This piece provides an update on the Perioperative Exercise, Testing and Training Society (POETTS); "established back in 2017, in the context, in the …

EBPOM Highlight | Obstetric anaesthesia

December 12th, 2020

17:36

"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM on www.topmedtalk.com

EBPOM 2020 London | "The Business Case: UK" by Kay Mitchell

December 11th, 2020

10:02

This piece presents an invaluable wealth of first hand experience in setting up various business cases in relation to perioperative medicine in the …

AANA | E-cigarettes and their impact on patients undergoing anesthesia

December 10th, 2020

32:07

The electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette …

EBPOM 2020 London | Prehabilitation Business Case? A slam dunk!

December 9th, 2020

34:04

"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 …

TopMedTalks to ... | Amir Jaffer

December 8th, 2020

20:23

What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve …

EBPOM 2020 London | "The international prehabilitation society"

December 7th, 2020

9:57

What are the aims of The International Prehabilitation Society? Its vision is about "bringing together international multidisciplinary expertise, …

EBPOM 2020 London | Models of Prehabilitation, Southampton and Wesfit

December 6th, 2020

32:00

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, …

EBPOM 2020 London | Models of prehabilitation in Cardiff in Wales

December 5th, 2020

13:22

"The people of Wales are particularly unfit", there is a high incidence of smoking, physical inactivity, and alcohol intake. Grim news from one angle …

EBPOM London 2020 | Guidance on prehabilitation for cancer

December 4th, 2020

17:13

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 …

AANA | How to "ACE" pediatric emergence!

December 3rd, 2020

31:00

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 …

EBPOM 2020 London | Models of Prehabilitation in Greater Manchester

December 2nd, 2020

29:09

It's widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative …

EBPOM 2020 London | Screening assessment of nutritional fitness

December 1st, 2020

32:06

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 …

EBPOM 2020 London | The Future of Prehabilitation "Standardisation of definitions and outcomes"

November 30th, 2020

14:59

"The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and …

EBPOM 2020 London | Fit for surgery with Denny Levett

November 29th, 2020

35:41

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. …

Periop SIG | Ward Based postoperative care; where should we focus?

November 28th, 2020

24:41

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 …

COVID 19 | Essential COVID knowledge; Dr. Manuel Ignacio Monge García.

November 27th, 2020

22:05

This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …

TopMedTalk | POQI 5 - Fluid Management

November 26th, 2020

16:00

This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …

Fluid Matters | Series Highlight: Total body water and electrolytes

November 25th, 2020

38:07

This piece has been released to coincide with the first virtual International Fluid Academy Day (IFAD). TopMedTalk listeners have enjoyed following …

Prato | The 5th Collaborative Clinical Trials in Anaesthesia biennial conference

November 24th, 2020

15:23

This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in …

TopMedTalk | A step between a simple monitor and a fully automated system

November 23rd, 2020

14:58

This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully …

Periop SIG | Updates in cardiac devices Part 2

November 22nd, 2020

34:11

 

"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 …

Periop SIG | Updates in cardiac devices, Part 1

November 21st, 2020

22:31

"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 …

POCAPALOOZA | Hong Kong

November 20th, 2020

21:11

The POCAPALOOZA, a celebration of perioperative care that went around the world in the wake of EBPOM 2020.

"Early intervention and people taking it …

AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?

November 19th, 2020

16:48

"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 …

EBPOM London 2020 | The Business Case for Prehabilitation

November 18th, 2020

50:07

"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... …

TopMedTalks to ... | Maurizio Cecconi

November 17th, 2020

21:35

This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes.

The article …

EBPOM Chicago 2020 | Frailty, Brain Health and Perioperative Cognitive Dysfunction

November 16th, 2020

22:53

"Cognitive testing has been in the news ... there are recommendations for keeping pets mentally sound by implementing nutritional modifications, …

EBPOM Highlight | SNAP-2 - EPICCS

November 15th, 2020

14:22

The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the …

EBPOM Chicago 2020 | Anemia Management

November 14th, 2020

48:40

"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 …

EBPOM Chicago | Methadone use in Perioperative Medicine

November 13th, 2020

22:35

This talk examines the rationale for using methadone in our surgical patient population, reviews clinical trials that assess the effect of …

AANA | Caring for the transgender patient

November 12th, 2020

22:24

This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of …

Periop SIG 2019 | A physician’s perspective

November 11th, 2020

20:09

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 …

EBPOM 2019 | Overview of perioperative smoking cessation

November 10th, 2020

15:13

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 …

TopMedTalks to ... | Michelle Chew

November 9th, 2020

19:08

"Excellent teamwork"; the key to good outcomes.

This piece features an in depth discussion of post operative acute kidney injury (AKI), are there …

Prato | Gender and racial diversity

November 8th, 2020

11:50

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 …

COVID 19 | How you can protect yourself

November 7th, 2020

16:45

“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 …

EBPOM 2019 | Delivery of Prehabilitation, panel discussion

November 6th, 2020

12:09

How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced …

AANA | Substance Use Disorder - Peer Support: An Empathetic Information Resource

November 5th, 2020

17:17

"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 | POQI 5 - Fluid Management

November 4th, 2020

14:19

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 …

Anaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision Making

November 3rd, 2020

20:37

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 …

EBPOM London 2020 | Video Laryngoscopy During Covid-19

November 2nd, 2020

36:35

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 …

TopMedTalk | Perioperative medicine and being a good sport

November 1st, 2020

11:16

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 …

TopMedTalk | Guidelines for Perioperative Care in Cardiac Surgery

October 31st, 2020

12:14

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 …

EBPOM 2019 | Community-based Prehabilitation

October 30th, 2020

21:37

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 …

AANA | Outcome criteria associated with residual neuromuscular blockade

October 29th, 2020

29:39

"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 …

SCA | Burn out - a frank discussion

October 28th, 2020

19:11

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 …

EBPOM Chicago | The Changes that Change Culture - panel discussion

October 27th, 2020

29:13

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? …

EBPOM Chicago | Perioperative Medicine - Editor's top picks for 2020

October 26th, 2020

31:08

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 …

TopMedTalk | Why is maternal mortality so high in the USA?

October 25th, 2020

19:01

Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head …

EBPOM | Malnutrition and functional capacity

October 24th, 2020

9:28

This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …

EBPOM 2020 London: Prediction of Opioid Induced Respiratory Depression on the General Care Floor: Does surveillance monitoring help?

October 23rd, 2020

36:38

This piece deals with the prediction of opioid induced respiratory depression for our inpatients on hospital wards, could a change in monitoring …

AANA | Innovators in anesthesia: Anesthesia electronic medical records

October 22nd, 2020

24:58

"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was …

EBPOM Chicago | Patient Safety: How do you make the Changes that Change Culture?

October 21st, 2020

23:13

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? …

EBPOM Highlight | The Wesfit trial

October 20th, 2020

9:31

Patients with physiological and psychological resilliance have a clear advantage in surgery. The Wessex Fit-4-Cancer Surgery Trial (WesFit) is …

POCAPALOOZA | London: The International Board of Perioperative Medicine and the Centre for Perioperative Care

October 19th, 2020

16:16

"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 …

POCAPALOOZA | Sydney: Education, education, education.

October 18th, 2020

38:55

"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 …

TopMedTalk | The Balanced Anesthesia Study

October 17th, 2020

16:22

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 …

SCA | The Society of Cardiovascular Anesthesiologists

October 16th, 2020

18:43

After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics …

Prato 2019 | The PREVENTT Trial

October 15th, 2020

25:46

This piece focuses on the Preoperative Intravenous Iron To Treat Anaemia in major surgery (PREVENTT) trial; a randomized double-blind controlled …

EBPOM 2019 | Multi-modal Prehabilitation

October 14th, 2020

29:49

This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What …

EBPOM Highlight | ERAS Colorectal surgery

October 13th, 2020

10:29

"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on

Prato 2019 | African Surgical Outcomes Study (ASOS-2)

October 12th, 2020

22:43

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 …

TopMedTalk | The psychology of change

October 11th, 2020

16:51

"There seems to be a little extra buzz in the cardiac community".

This conversation focuses upon the psychology of change, specifically regarding the …

EBPOM 2019 | Ernest Henry Starling Plenary Lecure, Andrew Shaw, Fluid therapy in the 2020s

October 10th, 2020

53:47

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 | Covid 19 - ventilation strategies

October 9th, 2020

37:10

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 …

AANA | Protecting Your Healthcare Practice - Compliance and Enforcement

October 8th, 2020

26:49

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 …

Dingle 2020 | Talks to ... Bob Thiele

October 7th, 2020

35:40

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 …

ASA | The Global Council on Brain Health

October 6th, 2020

15:05

The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United …

Joff Lacey visits the Ether Dome in Boston

October 6th, 2020

7:47

Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times …

ASA | Henrik Kehlet: Recovery is all about inflammation!

October 5th, 2020

17:47

On the morning of the first day of the 2018, annual conference, of the American Society of Anesthesiologists (ASA) Monty Mythen and Desiree Chappell

ASA | Highlights from 2019

October 5th, 2020

34:18

This piece is a reflection upon and celebration of conversations that were made possible by both The American Society of Anesthesiologists and …

ASA | Carol Peden

October 4th, 2020

23:36

Recorded at the American Society of Anesthesiologists' Annual General Meeting in 2019; "The Power of The Interdisciplinary Team"; introducing the …

ASA | Life at The Extremes - trials on Everest & adapting to hypoxia

October 4th, 2020

20:43

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 …

ASA | Frailty and the perioperative patient - enhancing recovery.

October 4th, 2020

18:52

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 …

ASA | 2017 - Anaesthesia and Global Health - an expert view

October 3rd, 2020

14:42

"We need to work together more, it needs to be multidisciplinary"

A fascinating and still essential discussion - from a truly global perspective - …

ASA | The practical applications of innovation.

October 3rd, 2020

21:48

How do new technologies impact the postoperative elements of Enhanced Recovery? We discuss ward monitoring 3.0 and the technology available, or in …

ASA | Regional anaesthesia associated with improved cancer survival

October 3rd, 2020

24:57

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 …

ASA | The evolution of a profession

October 2nd, 2020

18:40

This piece is a look at the very beginnings of your favorite medical podcast. Today we celebrate the American Society of Anesthesiologists (ASA) and …

ASA | Prehabilitation, the word of the year

October 2nd, 2020

26:18

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? …

AANA | Emotional Intelligence and Occupational Stress

October 1st, 2020

18:28

Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and …

EBPOM 2019 | Perioperative blood pressure, panel discussion.

September 30th, 2020

41:35

This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should …

EBPOM 2019 | Enhanced Recovery After surgery - plus!

September 29th, 2020

16:51

This piece gives you clear practical suggestions which you might want to include in your practice and institution. How do we improve the …

EBPOM London 2020 | Prehabilitation Update

September 28th, 2020

46:13

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 …

Sunday Special | Part 2 of TRIPOM USA

September 27th, 2020

33:19

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 …

EBPOM Chicago 2020 | Managing OR Capacity In a Post #COVID19 World

September 26th, 2020

42:27

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 …

TopMedTalk | The heart of the debate

September 25th, 2020

22:54

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 …

TopMedTalk | Innovators in Anesthesia

September 24th, 2020

31:41

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 …

TopMedTalk | The AI Doctor will see you now

September 23rd, 2020

55:36

This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor …

TopMedTalk | Education, anaesthesia and you.

September 22nd, 2020

20:49

Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways …

EBPOM Highlight | PQIP Pain: from individual case to systems management

September 21st, 2020

20:35

"PQIP Pain: from individual case to systems management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

Sunday Special | Part 1 of TRIPOM USA

September 20th, 2020

23:33

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 …

EBPOM Highlight | Enhanced Recovery After Cardiac Surgery

September 19th, 2020

10:05

"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.

Periop SIG 2019 | Improving the quality of the patient surgical journey

September 18th, 2020

34:36

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 …

AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?

September 17th, 2020

23:56

"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 …

EBPOM 2019 | Delaying surgery to adequately prepare?

September 16th, 2020

19:23

 

A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …

TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.

September 15th, 2020

47:43

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 …

TopMedTalk | Matt Wiles and Marcus Peck.

September 14th, 2020

31:48

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 …

DINGLE 2019 | The Power of Perception

September 13th, 2020

24:23

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 …

TopMedTalk | Computer gamer to life saver

September 12th, 2020

40:58

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 | Go to EBPOM dot org now

September 11th, 2020

1:22

EBPOM Chicago is now underway - go to www.EBPOM.org now and discover all the latest conversation in the global perioperative sphere.

TopMedTalk | Iron Man vs Anemia

September 10th, 2020

45:51

"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 …

TopMedTalk | World Suicide Prevention Day

September 10th, 2020

33:36

"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 …

TopMedTalks to ... | Michael Ramsay

September 9th, 2020

11:23

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 …

POCAPALOOZA | Los Angeles-USA

September 8th, 2020

20:13

"Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the …

EBPOM London 2020 | Perioperative care: A new paradigm for the next decade

September 7th, 2020

31:12

"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 …

EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective

September 6th, 2020

18:00

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best …

TopMedTalks To ... | Professor Monty Mythen

September 5th, 2020

14:44

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

EBPOM 2019 | Methadone - the overlooked Opiate?

September 4th, 2020

39:34

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 …

EBPOM 2019 | The Barcelona experience

September 3rd, 2020

23:22

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 …

EBPOM 2019 | Prehab trials; international study

September 2nd, 2020

8:57

The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study.

Presented by Charlotte Molenaar, PhD …

POCAPALOOZA | Hong Kong, Mike Irwin

September 2nd, 2020

32:00

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 …

TopMedTalks to ... | Joe Kiani

September 1st, 2020

11:35

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 …

EBPOM 2019 | The Science of High Performance: Insights From Elite Sport

August 31st, 2020

32:35

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 …

EBPOM 2019 | The Manchester devolution revolution

August 30th, 2020

22:37

What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the …

TopMedTalk | New treatments for Post Operative Nausea and Vomiting

August 29th, 2020

8:07

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 …

TopMedTalk | Prehabilitation, the word of the year?

August 28th, 2020

21:47

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 …

ASA 2019 | Anesthesia Patient Safety Foundation- Mark Warner

August 27th, 2020

25:29

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 …

EBPOM Highlight | The evolution of a community-based Prehabilitation service

August 26th, 2020

22:49

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and …

POCAPALOOZA | EBPOM USA, PASS clinic and shared decision making

August 25th, 2020

26:23

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 …

TopMedTalks to... | Hugh Montgomery

August 24th, 2020

36:25

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 …

AANA | Simulation in Education

August 23rd, 2020

28:15

Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. …

Periop SIG | Care of older people in surgery (COPS)

August 22nd, 2020

26:38

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 …

TopMedTalks to... | Konstantin Balonov

August 21st, 2020

17:13

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:

ASA 2019 | Perioperative haemodynamic management - making sure you deliver more

August 20th, 2020

29:34

"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 …

POCAPALOOZA 2020 | Cape Town; The African Surgical Outcomes Study

August 19th, 2020

24:18

The POCAPALOOZA story begins with our fascination with The African Surgical Outcomes Study. Over the last year regular listeners have heard key parts …

AANA | How to "ACE" pediatric emergence!

August 18th, 2020

34:37

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 …

AANA | Emergence Delirium in US Veterans: Best Practice Recommendations

August 17th, 2020

27:05

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 …

AANA | E-cigarettes and their impact on patients undergoing anesthesia

August 16th, 2020

37:49

The electronic cigarette market is a $14 billion industry worldwide. As of August 2019, 215 cases of severe pulmonary illness related to e-cigarette …

AANA | Sex, race and social class disparities in pain

August 15th, 2020

37:33

Pain is a subjective experience that affects all segments of the population. However, there are inter-individual differences in pain. The …

Periop SIG | The Perioperative Cognition Workshop - Part 1

August 15th, 2020

16:12

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 …

AANA | Ketamine Infusion Centers: From Inception to Infusion

August 14th, 2020

33:37

"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 …

AANA | Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe?

August 14th, 2020

25:02

"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 …

AANA 2020 | Suicide Prevention in Anesthesia: CRNAs and SRNAs

August 14th, 2020

33:27

"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 …

TopMedTalks to ... | Mike Swart

August 14th, 2020

18:56

How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? …

ASA 2019 | Hypotension Index: Data drives change

August 13th, 2020

21:46

This piece looks at innovations in our field, through the lens of the Hypotension Prediction Index (HPI). Innovations in medicine are always …

EBPOM Highlight | Perioperative nutrition should be a key part of Enhanced Recovery

August 12th, 2020

27:52

"Perioperative nutrition should be a key part of Enhanced Recovery" - originally streamed live from The Institute of Engineering and Technology (IET) …

AANA | Enhanced Recovery with Lynn Reede

August 11th, 2020

33:37

"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 …

EBPOM 2019 | Delivering Personalised Care: aligning prehabilitation with healthcare policy

August 10th, 2020

21:38

How can we align personalised care with prehabilitation? "Personalised care is where people have more choice and control over how their health and …

Sunday Special | Burn out?

August 9th, 2020

41:23

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 …

Periop Medicine SIG | Armed with data to improve perioperative outcomes

August 8th, 2020

34:42

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 …

EBPOM 2019 | Perioperative Blood Pressure, Q&A

August 7th, 2020

10:28

As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent?

This short piece follows on …

EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

August 6th, 2020

32:30

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 …

EBPOM Highlight | Pain Management to Enhance Recovery after joint replacements

August 5th, 2020

14:03

"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 …

AANA | Protecting Your Healthcare Practice - Compliance and Enforcement

August 4th, 2020

27:17

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 …

Dingle 2019 | Practical tips for preoperative risk assesment

August 3rd, 2020

15:43

"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 …

TopMedTalk | Education, perioperative medicine, anaesthesia and you.

August 2nd, 2020

20:59

Discussion begins with thoughts about University College London (UCL)'s Masters Course in Perioperative Medicine, moving further to the various ways …

Periop SIG | Part 2, Delirium: The brain and the older surgical patient

August 1st, 2020

24:45

"Delirium: The brain and the older surgical patient Part 2" was a talk originally given at the 8th Australian and New Zealand Symposium of …

TopMedTalks to ... | Houman Javedan

July 31st, 2020

12:39

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 …

ASA 2019 | 'We advocate good public health, within the crucible of surgery'

July 30th, 2020

29:47

Originally broadcast live from Anesthesiology 2019, this piece focuses on the mission to advocate and apply prehabilitation, pre-optimisation and …

EBPOM Highlight | Exercise capacity and sarcopenia

July 29th, 2020

15:44

"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 …

AANA | Substance Use Disorder - Peer Support: An Empathetic Information Resource

July 28th, 2020

18:07

"I know how to manage pain medication [...] addiction was the absolute last thing that would happen to me".

This podcast helps tackle the difficult …

Dingle 2019 | Enhanced Recovery with Monty and Desiree

July 27th, 2020

27:35

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 …

TopMedTalks to ... | Michelle Chew

July 26th, 2020

19:34

"Excellent teamwork"; the key to good outcomes.

This piece features an in depth discussion of post operative acute kidney injury (AKI), are there …

Periop SIG 2019 | Part 1, Delirium: The brain and the older surgical patient

July 25th, 2020

33:45

"Delirium: The brain and the older surgical patient Part 1" was a presentation originally given at the 8th Australian and New Zealand Symposium of …

TopMedTalk | A step between a simple monitor and a fully automated system

July 24th, 2020

15:25

This piece focuses upon goal directed fluid therapy, with an automated system, for decision support; "a step between a simple monitor and a fully …

ASA 2019 | A data based conversation about payment methods

July 23rd, 2020

18:08

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 …

EBPOM Highlight | Pain Strategies with methadone

July 22nd, 2020

8:51

"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 …

AANA | A Novel Use of the Erector Spinae Block in the Austere Environment

July 21st, 2020

19:24

In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who …

DINGLE 2019 | Can medicine be cured?

July 20th, 2020

37:08

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 …

EBPOM Highlight | Hypotension probability in practice

July 19th, 2020

11:28

"Hypotension probability in practice" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 …

TopMedTalk | Lancet profile on Salome Maswime

July 18th, 2020

5:55

"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 …

PRATO | The 5th Collaborative Clinical Trials in Anaesthesia biennial conference

July 17th, 2020

15:56

This piece focuses upon the unique 'Collaborative Clinical Trials in Anaesthesia biennial conference', of which this was the fifth, organised in …

ASA 2019 | Poster presenters, Dane Grenda and Noreen Tiangco

July 16th, 2020

11:30

Originally broadcast live from Anesthesiology 2019, this piece is a chance to hear from a couple of Temple University residents who presented on two …

TopMedTalk | Research and development during COVID and beyond

July 15th, 2020

31:34

After a quick chat about the immediate aftermath of the incredibly successful EBPOM LIVE from London and its accompanying online Perioperative Care …

EBPOM 2019 | Perioperative blood pressure, panel discussion.

July 14th, 2020

41:29

This panel discussion is an honest and challenging look at blood pressure management. Questions include but are not limited to: How should …

EBPOM 2019 | Who delivers Prehab?

July 13th, 2020

24:51

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can …

TopMedTalk | Gender and racial diversity

July 12th, 2020

11:46

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 …

ASA 2019 | Lifebox

July 11th, 2020

29:34

"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 …

AANA | Caring for the transgender patient

July 10th, 2020

22:49

This piece is a much needed contribution to a conversation about how we should be caring for the transgender patient within the scope of …

EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?

July 9th, 2020

22:11

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 …

EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?

July 8th, 2020

18:33

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What …

EBPOM 2019 | Troponitis, does it matter?

July 7th, 2020

13:16

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 …

DINGLE 2019 | Critical care for the very elderly patient

July 6th, 2020

27:42

"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 …

DINGLE 2019 | The opportunity in variability

July 5th, 2020

31:34

"Perioperative medicine is an opportunity; it's multidisciplinary and its developing around a culture of trust between anaesthetists, surgeons and …

EBPOM 2019 | Troponin Screening - essential?

July 4th, 2020

16:25

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 …

EBPOM Highlight | Intraoperative hypotension doesn’t happen to me

July 3rd, 2020

22:06

This is an Edwards Lifesciences Sponsored Lecture which was originally streamed live on TopMedTalk from the hugely successful EBPOM USA 2019 in …

POCAPALOOZA | Cape Town Final Comments

July 3rd, 2020

3:28

"Monty - we've done it!"

This piece wraps up one of our more ambitious experiments, the POCAPALOOZA. 24 hours around the world, combining powerful …

POCAPALOOZA | Sydney

July 2nd, 2020

53:43

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 …

POCAPALOOZA | Chicago

July 2nd, 2020

48:39

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, …

POCAPALOOZA | Los Angeles-USA

July 2nd, 2020

22:59

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 …

POCAPALOOZA | Live from London!

July 2nd, 2020

28:35

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 …

Roundtable | Salome Maswime and Bruce Biccard

July 2nd, 2020

5:36

This piece is a short conversation with two guests we spoke with during the hugely successful Pocapalooza of EBPOM 2020, Live from London.

Presented …

POCAPALOOZA | Cape Town

July 2nd, 2020

28:55

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 …

EBPOM LIVE from LONDON | Innovation during COVID and beyond?

July 1st, 2020

29:27

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 …

EBPOM Live From London | Procedural Sedationists and monitoring

July 1st, 2020

53:10

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 …

EBPOM LIVE from London | Pain monitoring

July 1st, 2020

23:09

"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 …

TopMedTalk | EBPOM LONDON IS LIVE TODAY!

July 1st, 2020

2:03

 

Go now to EBPOM.org

This piece is a guide to just some of today's main events.

Please go to EBPOM.org now to register for an incredible 3 days of life changing and life saving information. If you don't sign up in time …

EBPOM Live from London| Australian Perspective on shared decision making

June 30th, 2020

48:08

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 …

TopMedTalk | EBPOM LONDON IS LIVE TODAY!

June 30th, 2020

2:12

Go now to EBPOM.org

This piece is a guide to just some of today's main events.

Please go to EBPOM.org now to register for an incredible 3 days of life changing and life saving information. If you don't sign up in time …

EBPOM 2019 | "My experience ... of esophageal cancer"

June 29th, 2020

18:08

"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, …

EBPOM Highlight | The Patient Safety Movement Foundation

June 28th, 2020

1:01

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 …

IMPORTANT | EBPOM LIVE FROM LONDON ANNOUNCEMENT!!

June 27th, 2020

0:53

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 …

EBPOM Highlight | The NHS - over 70

June 26th, 2020

41:51

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 …

EBPOM 2019 | Nutrition and surgery- a Dietician’s perspective

June 25th, 2020

18:35

What are the two prime components of any good nutrition programme? How is avoiding malnutrition different from supporting anabolism? What's the best …

EBPOM 2019 | The Opioid Crisis - Q&A

June 24th, 2020

15:14

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 …

EBPOM Highlight | Rehabilitation post critical care

June 23rd, 2020

23:16

"Rehabilitation post critical care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on

EBPOM 2019 | Cleveland Clinic London

June 22nd, 2020

17:09

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 …

TopMedTalk | The Balanced Anesthesia Study

June 21st, 2020

17:43

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 …

ASA 2019 | Perioperative Quality Initiative P.O.Q.I. news

June 20th, 2020

35:32

"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 …

EBPOM 2019 | Brain Health (Peri-Operative Quality Initiative: POQI 6) - what can we do tomorrow?

June 19th, 2020

28:04

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 …

TopMedTalk | The Anesthesia Patient Safety Foundation

June 18th, 2020

30:01

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 …

TopMedTalk | Your essential guide to EBPOM Live from London!

June 17th, 2020

13:15

"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 …

AANA | Innovators in anesthesia: Anesthesia electronic medical records

June 16th, 2020

26:20

"Data is destiny"; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was …

ASA 2019 | Depth of anaesthesia

June 15th, 2020

22:09

"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 …

COVID 19 | Black and Minority Ethnic (BAME) death rates- Update from the UK

June 14th, 2020

38:01

"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 …

DINGLE 2019 | The Power of Perception

June 13th, 2020

24:55

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 …

COIVD 19 | EBPOM Live from London

June 12th, 2020

18:36

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 …

Periop SIG 2019 | A physician’s perspective

June 11th, 2020

20:45

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 …

TopMedTalk | CPET Cardio Pulmonary Exercise Testing

June 10th, 2020

35:41

Everything you ever wanted to know about CPET (Cardio Pulmonary Exercise Testing) but were too afraid to ask; this conversation is a fascinating deep …

Desiree's Roundtable | Treating anemia in the perioperative process

June 9th, 2020

25:21

How does the treatment of anemia fit into the perioperative process? How far should patient optimisation extend to treatment of this condition?

Live …

TopMedTalks to... | Dan Martin, OBE

June 8th, 2020

14:11

Desiree and Monty catch up with Dan Martin, OBE, and speak with him about treating infectious diseases and in particular patients with ebola.

EBPOM 2019 | Financial aspects of prehabilitation

June 7th, 2020

21:12

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 …

Desiree's Roundtable | We've saved twelve million dollars!

June 6th, 2020

10:16

Discussion begins with a hugely successful Enhanced Recovery program at a large community hospital, continued improvements and service line …

Periop SIG 2019 | Updates in cardiac devices Part 2

June 5th, 2020

35:21

"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 …

Periop SIG 2019 | Updates in cardiac devices, Part 1

June 4th, 2020

23:42

"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 …

AANA | Tackling the pain of the opioid crisis

June 3rd, 2020

29:50

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 …

COVID 19 | Civil Liberties and Public Health

June 2nd, 2020

42:47

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 …

Periop SIG | Ward Based postoperative care; where should we focus?

June 1st, 2020

25:17

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 …

SIG 2019 | Shared decision making and risk prediction in the emergency setting

May 31st, 2020

19:50

"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: …

TopMedTalks to ... | Dan Longrois on nociception

May 30th, 2020

20:33

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 …

EBPOM 2019 | Opioid-free anaesthesia

May 29th, 2020

13:49

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 …

AANA | Innovators in Anesthesia

May 28th, 2020

32:07

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 …

EBPOM 2019 | POETT Controversies Panel discussion

May 27th, 2020

16:22

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 …

EUROANAES2019 | Testing the Hypotension Prediction Index in practice

May 26th, 2020

12:40

"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 …

EBPOM 2019 | The Opioid Crisis (Peri-Operative Quality Initiative: POQI 4) - can we kick the habit?

May 25th, 2020

14:45

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 …

SCA | The Society of Cardiovascular Anesthesiologists

May 24th, 2020

19:23

After a short overview of the history of the Society of Cardiovascular Anesthesiologists (SCA) this conversation zones in on some of the hot topics …

Anaesthesia 2019 | UK Centre for Perioperative Care

May 23rd, 2020

13:53

The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. …

Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)

May 22nd, 2020

12:39

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 …

Anaesthesia 2019 | Tim Cook and Paul Wischmeyer

May 21st, 2020

32:14

The Royal College of Anaesthetist's National Audit Projects (NAP) are frequently fascinating and always important, here we get a look at NAP7, which …

Anaesthesia 2019 | Developmental neurotoxicity

May 20th, 2020

16:11

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 …

Anaesthesia 2019 | The Future of Anaesthesia

May 19th, 2020

9:57

This excellent conversation explores how Anaesthesia as a profession will the profession evolve as the years pass; change is inevitable and the …

Anaesthesia 2019 | Paul Wischmeyer

May 18th, 2020

23:00

"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 …

TopMedTalks to ... | Maurizio Cecconi

May 17th, 2020

22:11

This piece focuses on intensive care, the use of data and the future of fluid therapy research and its related physiological outcomes.

The article …

EBPOM 2019 | SNAP-2 - EPICCS

May 16th, 2020

14:21

The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care after Surgery (SNAP-2 - EPICCS) study launched in March 2017 around the …

Periop SIG18 | Risk prediction and research - panel discussion

May 15th, 2020

20:29

This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e …

Anaesthesia 2019 | The Clinical Trials Network and Optimising Shared Decision Making

May 14th, 2020

21:26

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 …

AANA | Diversity and Inclusion

May 13th, 2020

28:32

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 …

Desiree's Roundtable | Geriatric care and the value of teamwork

May 12th, 2020

13:57

How do we best negotiate working in a multidisciplinary team? Generalisations regarding surgeons and anaesthetists only ever work generally, the …

TopMedTalk | Fluids in the 2020's

May 11th, 2020

12:21

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 …

Xtreme Everest Extra | Hypoxia and the Brain

May 10th, 2020

16:25

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 …

Xtreme Everest Extra | Unlocking the Secrets of the Mighty Mitochondria

May 9th, 2020

19:47

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 & MacMillan Cancer Support | Mental well being for the patient

May 8th, 2020

25:07

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

Xtreme Everest Extra | The Significance of the Microcirculation

May 7th, 2020

12:53

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 …

COVID 19 | Bring on the vaccine!

May 7th, 2020

26:51

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 …

TopMedTalk | The Ventilator Training Alliance App

May 6th, 2020

25:40

"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 & MacMillan Cancer Support | Healthy eating and cancer

May 6th, 2020

13:34

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

Xtreme Everest Extra | The Problem with Hypoxia – the inception of Xtreme Everest

May 5th, 2020

24:02

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 & MacMillan Cancer Support | Get active and feel good?

May 4th, 2020

26:39

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

EBPOM 2019 | Malnutrition and functional capacity

May 4th, 2020

11:13

This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …

COVID 19 | Where are all our patients?

May 3rd, 2020

14:34

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 …

COVID 19 | Obstetrics in the pandemic

May 2nd, 2020

33:13

"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 …

COVID 19 | Improving Readiness

May 1st, 2020

21:09

"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 …

COVID 19 | POQI 5- New Publication and Relevance to ICU Care

April 30th, 2020

21:28

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 …

COVID 19 | The Ventilator Training Alliance App

April 30th, 2020

25:40

"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 …

COVID 19 | Getting back to the new normal

April 29th, 2020

22:19

"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 …

EBPOM 2019 | Community-based Prehabilitation

April 29th, 2020

22:18

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 …

COVID 19 | An Irish Voice

April 28th, 2020

25:33

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 …

COVID 19 | Rapid deployment of US National Reserves ease stress in New York

April 28th, 2020

32:49

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 …

COVID 19 | How you can protect yourself

April 27th, 2020

16:45

“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 …

TopMedTalk | Should direct laryngoscopy be consigned to the history books?

April 27th, 2020

18:39

The debate 'Direct laryngoscopes should be consigned to history', was hosted by The Royal College Of Anaesthetists and carried out by our two guests …

COVID 19 | ACE inhibitors- Right or Wrong?

April 26th, 2020

35:12

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 …

EBPOM 2019 | Alcohol Matters

April 26th, 2020

18:42

The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that …

COVID 19 | Vital information direct from experts in Italy

April 25th, 2020

37:35

"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 …

EBPOM 2019 | Moving as medicine

April 25th, 2020

18:44

"Moving as medicine; is it the most underused but proven health promotion and healthcare practice?"

Prehabilitation and population health naturally …

COVID 19 | Avoiding the Tsunami? The power of preparation and information

April 24th, 2020

23:56

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 …

COVID 19 | Heroism in medicine- Remembering ANZAC Day

April 24th, 2020

24:47

This piece is a catch up with a popular contributor on TopMedTalk, Ross Kerridge, John Hunter Hospital, Newcastle, Australia, (often cited as 'the …

COVID 19 | Take time to relax

April 24th, 2020

15:28

"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 …

TopMedTalk | Are you really using ultrasound?

April 24th, 2020

25:28

"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 …

COVID 19 | Healthcare leaders examine staff deaths

April 23rd, 2020

13:47

"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 …

COVID 19 | Surrounded by risks, are we mitigating them at all?

April 23rd, 2020

25:00

The Intubate Covid project is an essential contribution to an evidence based answer to the issue posed by dangers of health care workers contracting …

COVID 19 | Disruptive Innovation

April 22nd, 2020

20:34

"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 …

COVID 19 | Case study: Professor Monty Mythen 02

April 22nd, 2020

19:38

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. …

COVID 19 | Case study: Professor Monty Mythen 01

April 21st, 2020

20:19

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 …

EBPOM 2019 | Delaying surgery to adequately prepare?

April 21st, 2020

20:34

A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …

COVID 19 | Junior Doctors sent to frontline in UK

April 20th, 2020

31:23

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 …

COVID 19 | Promote your anemia clinics in the pandemic era?

April 19th, 2020

26:18

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 …

COVID 19 | Essential knowledge; management of the COVID patient.

April 18th, 2020

20:52

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 …

COVID 19 | Mike Irwin, Hong Kong

April 18th, 2020

27:29

"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 …

COVID 19 | ICU - not just another day at work

April 17th, 2020

25:31

"It's airway, breathing, circulation"

This piece focuses upon treating patients outside of Philidelphia at an "all COVID unit"; what can we learn …

TopMedTalk | Why is maternal mortality so high in the USA?

April 17th, 2020

19:45

Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head …

COVID 19 | Stevie Wonder- LIVE Saturday night fundraising concert with Jeremy Sassoon

April 16th, 2020

13:59

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' …

COVID 19 | Angela Bader, the need for 'end of life' conversations

April 16th, 2020

26:56

"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 …

TopMedTalk | Methadone, a forgotten friend

April 15th, 2020

35:19

"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 …

COVID 19 | Innovation through evidence

April 14th, 2020

16:40

"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 …

COVID 19 | Junior Doctors sent to frontline in UK

April 13th, 2020

31:23

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 …

COVID 19 | (REPEAT) Herbert Patrick, Philadelphia, Pennsylvania

April 12th, 2020

38:17

(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 …

COVID 19 | Special Charity Concert with Jeremy Sassoon 5pm UK time

April 11th, 2020

36:45

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 …

COVID 19 | Online Charity Concert Saturday 5pm UK time.

April 10th, 2020

9:27

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 …

EBPOM 2019 | Overview of perioperative smoking cessation

April 10th, 2020

16:31

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 & MacMillan Cancer Support | Get active and feel good?

April 9th, 2020

26:39

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

TopMedTalk & MacMillan Cancer Support | Healthy eating and cancer

April 9th, 2020

13:34

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

TopMedTalk & MacMillan Cancer Support | Mental well being for the patient

April 9th, 2020

25:07

TopMedTalk in Collaboration with MacMillan Cancer Support in the UK developed this podcast series to support patients during their cancer journey …

COVID 19 | Herbert Patrick, Philadelphia, Pennsylvania

April 9th, 2020

38:17

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 …

TopMedTalk | Perioperative medicine and being a good sport

April 9th, 2020

12:03

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 …

Periop SIG 2019 | Improving the quality of the patient surgical journey

April 8th, 2020

35:05

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 …

COVID 19 | Barbara McLean

April 8th, 2020

36:37

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 …

COVID 19 | Dr Joff Lacey

April 7th, 2020

9:59

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 …

AANA | Emotional Intelligence and Occupational Stress

April 7th, 2020

18:31

Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and …

COVID 19 | Desiree and Monty

April 6th, 2020

26:14

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 …

TopMedTalk | Burn out - a frank discussion

April 6th, 2020

19:54

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 …

EBPOM 2019 | Ernest Henry Starling Plenary Lecure, Andrew Shaw, Fluid therapy in the 2020s

April 5th, 2020

53:47

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 …

Women in Anaesthesia Part 6 | Carol Peden

April 5th, 2020

25:11

This week's Women In Anaesthesia focuses in on TopMedTalk favourite Carol Peden.

The British Journal of Anaesthesia article, which inspired this …

TopMedTalk | African Surgical Outcomes Study (ASOS-2)

April 4th, 2020

23:44

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 …

COVID 19 | An update on patient, Professor Monty Mythen

April 4th, 2020

31:01

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; …

COVID 19 | Professor Tim Cook, Bath, UK

April 3rd, 2020

43:27

"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. …

Periop Medicine SIG | It's a team sport - panel discussion

April 3rd, 2020

28:50

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 …

TopMedTalk | Wireless wearables on the ward, the new www revolution?

April 2nd, 2020

16:07

This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting …

COVID 19 | Resource management, COVID patient management and innovation from New Jersey, USA

April 1st, 2020

36:23

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 …

TopMedTalk | Predicting and preventing intraoperative hypotension.

April 1st, 2020

21:30

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 …

COVID 19 | Ross Kerridge, University of Newcastle in Australia

March 31st, 2020

23:28

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 …

EBPOM 2019 | Preoperative risk stratification

March 31st, 2020

18:19

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 …

COVID 19 | Roneet Lev, San Diego

March 30th, 2020

16:10

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 …

COVID 19 | Monty and Desiree weekend update

March 30th, 2020

10:03

"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 …

TopMedTalk | Global Perspectives on Perioperative Medicine

March 30th, 2020

21:45

Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress …

Women in Anaesthesia Part 5 | Jamie Harris and Carol Schmidt

March 29th, 2020

23:05

"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 …

TopMedTalks to ... | Michael Pedro

March 28th, 2020

14:02

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 …

COVID 19 | Professor Monty Mythen has tested positive

March 27th, 2020

22:20

"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 …

COVID 19 | Critical Care Update; optimizing care for patient and provider.

March 27th, 2020

31:44

"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 …

EBPOM 2019 | Psychology and behavioural change

March 27th, 2020

16:54

The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the …

COVID 19 | UK calls on medical students to join the fight

March 26th, 2020

8:57

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 …

TopMedTalk | The psychology of change

March 26th, 2020

22:54

"There seems to be a little extra buzz in the cardiac community".

This conversation focuses upon the psychology of change, specifically regarding the …

COVID 19 | Does one of our team have COVID 19?

March 25th, 2020

18:03

"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"; …

TopMedTalk | The Enhanced Recovery After Cardiac Surgery Society

March 25th, 2020

13:27

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 …

COVID 19 | From the frontlines- Atilla Kett in New Jersey, USA

March 24th, 2020

11:15

"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 …

COVID 19 | Epidemiology revisited - a case for virtual meetings

March 23rd, 2020

30:18

“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 …

COVID 19 | If you're still having face to face meetings - STOP NOW!

March 23rd, 2020

23:56

"'The disease is not complicated, the biology is not complicated, the treatment is not that complicated; our behavior patterns and our understanding …

COVID 19 | UK, Southampton and London: Mike Grocott and Monty

March 22nd, 2020

23:16

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 …

TopMedTalk | Silent pandemic of surgical complications

March 22nd, 2020

31:59

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 …

Women in Anaesthesia Part 4 | Carolyn Johnston

March 22nd, 2020

21:50

What are the benefits of Cardio Pulmonary Exercise Testing (CPET) in cancer patients? What is the evidence that suggests prehabilitation changes …

EBPOM Highlight | Enhanced Recovery After Cardiac Surgery

March 21st, 2020

11:10

"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.

COVID 19 | USA, North Carolina: Vicki Morton joins Desiree and Monty

March 21st, 2020

26:16

This piece is a detailed and reassuring look at how preparations are being made in North Carolina by our occasional host and regular contributor …

COVID 19 | Oxygen economy, CPAP and ventilators

March 20th, 2020

18:43

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 …

EBPOM 2019 | Multimodal prehabilitation to prevent postoperative delerium and other complications in elderly patients after elective major abdominal surgery.

March 20th, 2020

13:19

Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that …

COVID 19 | From the front line; Desiree and Monty

March 19th, 2020

25:57

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 …

Anaesthesia 2019 | Fitter Better Sooner

March 19th, 2020

17:16

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 …

TopMedTalk | Enhanced Recovery

March 18th, 2020

32:49

"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 …

COVID 19 | Dingle update

March 17th, 2020

15:10

"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 …

COVID 19 | "We can't be overprepared"

March 17th, 2020

13:00

"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 …

COVID 19 | "This is the level of the situation"

March 17th, 2020

31:49

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 …

TopMedTalk | Automation and artifical intelligence

March 17th, 2020

16:55

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 …

COVID 19 | Hugh Montgomery - North London UK

March 16th, 2020

34:50

"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 …

COVID 19 | "You must learn the epidemiology"

March 16th, 2020

36:48

"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 …

COVID19 | Desiree and Monty

March 16th, 2020

9:38

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 …

Women in Anaesthesia Part 3 | Angela Bader

March 15th, 2020

28:57
Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …

TopMedTalks to ... | Joe Kiani

March 14th, 2020

11:09

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 …

EBPOM Highlight | ERAS Colorectal surgery

March 13th, 2020

10:52

"ERAS in Colorectal Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on

TopMedTalk | Simulation in Education

March 12th, 2020

28:10

Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. …

SCA | The evolution of cardiac surgery

March 11th, 2020

11:29

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 …

Desiree's Roundtable | The malnourished surgery patient

March 10th, 2020

16:14

This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here:

Periop Coach 5.05 | Physiological Principles of Goal Directed Fluid Therapy

March 9th, 2020

20:16

This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx.

TopMedTalk | Mike Grocott's 2020 vision

March 8th, 2020

16:33

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 …

Women in Anaesthesia Part 2 | Ramani Moonsinghe

March 8th, 2020

32:40

Learn here about The 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS).

Is anxiety the …

EBPOM 2019 | "My experience ... of esophageal cancer"

March 7th, 2020

17:39

"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, …

SCA | Improving your practice

March 6th, 2020

12:12

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 …

TopMedTalk | Daniel Conway and the surgery school

March 5th, 2020

16:48

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 …

EBPOM Highlight | Detecting and managing frailty

March 4th, 2020

22:22

 

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 …

EBPOM 2019 | System wide change for prehabilitation

March 3rd, 2020

17:32

Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real …

Women in Anesthesia - Part 1

March 2nd, 2020

12:53

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 …

Sunday Special | Bill Clinton at the World Patient Safety, Science & Technology Summit.

March 1st, 2020

43:20

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 …

TopMedTalks to ... | Padma Gulur

February 29th, 2020

16:49

This podcast includes discussion about psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further …

EBPOM Highlight | Does choice of opioid influence health outcomes?

February 28th, 2020

27:46

"Does choice of opioid influence health outcomes?" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …

TopMedTalk | Gezz Van Zwanenberg, Matt Wiles and Marcus Peck.

February 27th, 2020

48:08

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 …

TopMedTalk | Matt Wiles and Marcus Peck.

February 26th, 2020

31:36

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 …

TopMedTalk | The SQUEEZE Study

February 25th, 2020

11:14

This piece is a discussion regarding the SQUEEZE Study: A prospective multi-centre international observational study of postoperative vasopressor use.

Periop Coach 5.03 | Assessing the risk of delirium

February 24th, 2020

14:19

What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium?

How do we get …

EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion

February 23rd, 2020

26:59

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 …

EBPOM 2019 | EBPOM Prehab trials; PREPARE-ABC

February 22nd, 2020

12:40

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 …

TopMedTalks to... | Dru Riddle

February 21st, 2020

30:52

"Evidence ... is only as useful as the end user is willing to put it into practice".

This piece begins with a discussion about translational …

Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal

February 20th, 2020

25:34

This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and …

EBPOM Highlight | Perioperative nutrition

February 19th, 2020

25:55

"Perioperative nutrition" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on

TopMedTalk | Avoiding the hypotension hazard

February 18th, 2020

27:12

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 …

Periop Coach 5.02 | ERAS what's the 'secret sauce'?

February 17th, 2020

4:28

This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows …

Sunday Special | Greater National Advocates

February 16th, 2020

21:11

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 …

TopMedTalks to ... | Tim Miller

February 15th, 2020

12:38

The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.

EBPOM Highlight | The Patient Safety Movement Foundation

February 14th, 2020

37:41

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 …

Periop Medicine SIG 18 | Australia and New Zealand Emergency Laparotomy Audit - Quality Improvement

February 13th, 2020

25:41

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 …

EBPOM Highlight | Antibiotic stewardship in perioperative care

February 12th, 2020

15:38

"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …

Desiree's Roundtable | The Royal College of Anaesthetists, world leading healthcare

February 11th, 2020

21:16

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 …

Periop Coach 5.01 | Getting it right first time (GIRFT)

February 10th, 2020

7:17

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 …

Sunday Special | The POPS clinic at Guy's & St Thomas's

February 9th, 2020

58:21

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 …

TopMedTalks to... | William Wooden

February 8th, 2020

17:08

"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 …

EBPOM Highlight | Shared decision making in perioperative care

February 7th, 2020

22:35

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent …

TopMedTalk | How to get people to get things done; The Michigan Project

February 6th, 2020

24:05

Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative …

EBPOM Highlight | QA, QI and Patient involvement

February 5th, 2020

28:40

Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com

Hear this excellent …

Desiree's Roundtable | Let your patients be 'partners in safety'.

February 4th, 2020

19:22

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 …

EBPOM Highlight | Leading a large, single group towards excellence

February 3rd, 2020

35:04

"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 …

Sunday Special | Medical Linguistic Anthropology and Patient Autonomy

February 2nd, 2020

15:59

How do the insights of a 'medical linguistic anthropologist' impact upon our understanding of 'shared decision making'? How do patients make …

TopMedTalk | What's your 2020 vision?

February 1st, 2020

32:02

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 …

TopMedTalk | Fortnightly Digest

January 31st, 2020

4:11

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 …

EBPOM Highlight | Developing a national quality improvement network

January 31st, 2020

18:37

Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the …

TopMedTalk | Enhanced recovery after bariatric surgery

January 30th, 2020

13:23

"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.

EBPOM 2019 | Prehabilitation and cancer

January 29th, 2020

20:19

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 …

EBPOM Highlight | Improving perioperative outcomes, panel discussion

January 28th, 2020

13:56

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 …

TopMedTalk | A Novel Use of the Erector Spinae Block in the Austere Environment

January 27th, 2020

19:36

In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who …

Sunday Special | Being on the right side of the law

January 26th, 2020

19:58

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 …

TopMedTalks to... | Paul Pomerance

January 25th, 2020

10:37

The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a …

POET 6.09 | If you need help ask for it

January 24th, 2020

5:15

'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 …

TopMedTalk| Leading a large, multi-state group to achieve excellence

January 23rd, 2020

27:30

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 …

EBPOM 2019 | EBPOM Prehab trials; WesFit

January 22nd, 2020

15:44

This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled …

Desiree's Roundtable | Coordinating an Enhanced Recovery Program

January 21st, 2020

32:17

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 …

TopMedTalk | Fluid Physiology in detail

January 19th, 2020

33:53

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 …

TopMedTalk | Listen to your brain

January 18th, 2020

10:21

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 …

POET 6.08 | Thinking clearly on the brain

January 17th, 2020

17:35

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 …

TopMedTalk | Andy Klien, Editor in Chief of Anaesthesia

January 16th, 2020

27:58

Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage of publications in anaesthesia, ICU and pain. …

TopMedTalk | Henrik Kehlet and Nick Scott

January 15th, 2020

32:36

"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 | Simon Davies's 2020 Vision

January 14th, 2020

19:10

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 …

EBPOM 2019 | Troponin Screening - essential or the Emperor's new clothes?

January 13th, 2020

32:05

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 …

TopMedTalk | Tom Woodcock

January 12th, 2020

9:11

To celebrate the launch of his book Fluid Physiology, A Handbook for Anaesthesia and Critical Care Practice:

TopMedTalks to... | Charles Brown

January 11th, 2020

14:38

"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 …

TopMedTalk | Wireless wearables on the ward, the new www revolution?

January 11th, 2020

14:52

This piece dives into "The new www revolution?: Wireless Wearables on the Ward". Improving the monitoring of patients on the wards is an exciting …

POET 6.07 | Perioperative antibiotic stewardship

January 10th, 2020

9:20

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 …

TopMedTalk | Gezz Van Zwanenberg, Live from London Part 2

January 10th, 2020

48:08

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 …

TopMedTalk | Matt Wiles and Marcus Peck, Live from London.

January 9th, 2020

31:36

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 …

Periop Medicine SIG 18 | Emergency surgery - panel discussion

January 9th, 2020

15:26

This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for …

EBPOM Highlight 2.26 | ERAS in Obstetric Surgery

January 8th, 2020

11:55

"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 …

Desiree's Roundtable | Can Enhanced Recovery work for the critical care patient?

January 7th, 2020

11:30

How do the insights from experience in Enhanced Recovery apply to critical care patients and postoperative care pathways? We also discuss utilization …

EBPOM 2019 | Troponitis, does it matter?

January 6th, 2020

13:28

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 …

Sunday Special | "70 Years on: Our NHS" a panel discussion

January 5th, 2020

21:53

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.

TopMedTalks to ... | Elena Koepke

January 4th, 2020

18:44

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 …

POET 6.06 | Ward monitoring 3.0

January 3rd, 2020

14:28

How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are …

Periop Medicine SIG18 | Perioperative frailty - panel discussion

January 2nd, 2020

29:11

 

This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine …

EBPOM 2019 | POETT Controversies Panel discussion

January 1st, 2020

16:17

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 …

EBPOM 2019 | The Opioid Crisis - Q&A

December 31st, 2019

14:51

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 …

EBPOM 2019 | Troponin Screening - essential?

December 30th, 2019

16:31

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 …

Sunday Special | Enhanced Recovery After Surgery (ERAS) leadership

December 29th, 2019

44:45

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) …

TopMedTalks to ... | Frances Chung

December 28th, 2019

11:16

Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about …

POET 6.05 | Pain control for the perioperative patient

December 27th, 2019

10:10

Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a …

TopMedTalk | Holiday Special 2019 Annual Review P3

December 26th, 2019

31:42

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 …

TopMedTalk | Holiday Special 2019 Annual Review P2

December 25th, 2019

30:15

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 …

TopMedTalk | Holiday Special 2019 Annual Review P1

December 24th, 2019

35:32

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 …

EBPOM 2019 | Brain Health (Peri-Operative Quality Initiative: POQI 6) - what can we do tomorrow?

December 23rd, 2019

27:17

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 …

Sunday Special | Social media and the democratisation of education

December 22nd, 2019

14:11

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 …

TopMedTalks to ... | Amir Jaffer

December 21st, 2019

21:14

What is a "Respect Officer"? Why is respect so important in perioperative care? How does improving 'the culture of safety' also help to improve …

POET 6.04 | Is paternalism always bad?

December 20th, 2019

17:36

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 …

Periop SIG 18 | The war on postoperative complications, panel discussion

December 19th, 2019

20:20

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 …

EBPOM Highlight 2.23 | Psychological Behavioural Change Interventions in Cancer Patients

December 18th, 2019

21:55

"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and …

Desiree's Roundtable | Cancer outcomes drive enhanced recovery

December 17th, 2019

15:04

"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 …

EBPOM 2019 | Perioperative Blood Pressure, Q&A

December 16th, 2019

9:52

As a general rule, should ward monitoring be increased? Should continuous blood pressure monitoring be more frequent?

This short piece follows on …

Sunday Special | Pets as therapy

December 15th, 2019

17:27

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 …

TopMedTalks to ... | Davinder Ramsingh

December 14th, 2019

21:43

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 …

POET 6.03 | Surgery school

December 13th, 2019

14:08

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, …

TopMedTalk | Global Perspectives on Perioperative Medicine

December 12th, 2019

21:45

Australia has an interesting history both generally and with perioperative medicine specifically. Here the story is told and their current progress …

EBPOM Highlight 2.22 | Pre-operative Inspiratory Muscle Training

December 11th, 2019

24:55

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

Desiree's Roundtable | What is the Perioperative Medicine Summit?

December 10th, 2019

18:23

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 …

EBPOM 2019 | Perioperative Blood Pressure (PeriOperative Quality Initiative: POQI 3) how low can you safely go?

December 9th, 2019

18:38

This piece outlines some of the topics related to the third Perioperative Quality Initiative (POQI). What is 'perioperative blood pressure'? What …

Sunday Special | The Perioperative Cognition Workshop - Part 4

December 8th, 2019

24:59

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 …

TopMedTalks to ... | Angela Bader

December 7th, 2019

28:47

Does perioperative medicine alow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …

POET 6.02 | Do you need a breathlessness clinic?

December 6th, 2019

21:23

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 | Methadone, a forgotten friend

December 5th, 2019

35:13

"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 …

EBPOM Conference Highlight 2.21 | Lessons on EPOCH in the UK

December 4th, 2019

22:46

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 …

Desiree's Roundtable | One of the best career decisions I've made

December 3rd, 2019

11:51

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", …

EBPOM 2019 | Perioperative Haemodynamic Management - how to best treat or avoid a low BP?

December 2nd, 2019

22:15

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 3

December 1st, 2019

13:40

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 …

Talks to... | Mike Grocott at ASER 2019

November 30th, 2019

14:45

More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflectiions regarding the rise of Cardiopulmonary …

POET 6.01 | Perioperative medicine is population health.

November 29th, 2019

16:54

Perioperative medicine is defined here as: "the practice of patient centred multidisciplinary and integrated medical care of patients from the moment …

Periop SIG18 | Can we improve the care of Older Vascular Surgical Patients?

November 28th, 2019

28:37

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 …

EBPOM Highlight | Exercise prehabilitation for patients facing primary surgical resection of colorectal cancer

November 27th, 2019

11:32

This piece is taken from the free papers presentations given at EBPOM 2019. Can two weeks of prehabilitation really make a difference for patients …

Desiree's Roundtable | Can you bite your upper lip? Assessing patients to reduce post-op respiratory complications

November 26th, 2019

25:38

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, …

EBPOM 2019 | The Opioid Crisis (Peri-Operative Quality Initiative: POQI 4) - can we kick the habit?

November 25th, 2019

14:41

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 2

November 24th, 2019

12:59

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 …

TopMedTalks to... | William Wooden

November 23rd, 2019

16:50

Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore …

EBPOM 2019 | Opioid-free anaesthesia

November 22nd, 2019

12:41

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 …

Periop Medicine SIG | It's a team sport - panel discussion

November 21st, 2019

28:50

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 …

EBPOM Highlight | Leadership for QI - the Trust perspective

November 20th, 2019

20:47

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 …

Desiree's Roundtable | 'Our chief CRNA sent me a podcast from TopMedTalk'

November 19th, 2019

22:11

"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 …

EBPOM 2019 | Cleveland Clinic London

November 18th, 2019

16:23

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 …

TopMedTalk | WHO is looking at the arts and health?

November 17th, 2019

14:19

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 …

TopMedTalks to... | Rick Dutton

November 16th, 2019

29:36

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 …

Periop SIG18 | Risk prediction and research - panel discussion

November 15th, 2019

20:26

This piece is a question and answer session regarding the care of elderly patients undergoing surgery. Discussion topics include; The RELIEF trial, e …

TopMedTalk | The AI Doctor will see you now

November 14th, 2019

55:46

This piece features a short informative presentation from our Editor in Chief Monty Mythen regarding Artificial Intelligence and the HPI Monitor …

EBPOM Highlight | Thinking about the system

November 13th, 2019

29:58

This piece gives you a wider perspective on perioperative medicine over the years. How have institutions risen to this challenge and what can we …

Desiree's Roundtable | Carol Peden EPOCH Q&A

November 12th, 2019

22:36

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 …

EBPOM 2019 | Preoperative risk stratification

November 11th, 2019

17:41

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 …

Sunday Special | Preoperative Optimization: Framing up the value proposition

November 10th, 2019

45:23

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the …

TopMedTalks to ... | Professor Iain Moppett

November 9th, 2019

18:00

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 …

EBPOM 2019 | Delivery of Prehabilitation, panel discussion

November 8th, 2019

12:09

How do we convince patients that prehabilitation is safe? What forms of certification are available for the accreditation of a balanced …

TopMedTalk | Perioperative medicine and being a good sport

November 7th, 2019

11:53

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 …

EBPOM Highlight 2.17 | Colloid vs Crystalloid - Goal Directed Therapy

November 6th, 2019

10:02

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …

Desiree's Roundtable | Rick Dutton Q&A Session

November 5th, 2019

20:48

This standalone piece allows us to explore further some of the issues raised in this podcast "TopMedTalks to... | Rick Dutton". If you missed it …

EBPOM 2019 | Who delivers Prehab?

November 4th, 2019

24:53

How can a multidisciplinary group collectively define and maintain what they do while maintaining a patient centred approach? How focused can …

TopMedTalk | The Grenfell Inquiry

November 3rd, 2019

52:27

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 …

TopMedTalks to ... | Clare Gerada

November 2nd, 2019

6:25

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 …

EBPOM 2019 | UK Centre for Perioperative Care

November 1st, 2019

13:36

The Centre for Perioperative Care (CPOC) is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care. …

TopMedTalk | The Grenfell Inquiry - Part 3

October 31st, 2019

18:42

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 …

TopMedTalk | The Grenfell Inquiry - Part 2

October 30th, 2019

18:49

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 …

TopMedTalk | The Grenfell Inquiry - Part 1

October 29th, 2019

18:06

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 …

EBPOM 2019 | Psychology and behavioural change

October 28th, 2019

16:49

The historical focus in prehabilitation has been on exercise, how can the insights of psychology and behaviour change techniques be applied to the …

EBPOM Highlight | Heart disease in pregnancy

October 27th, 2019

21:00

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 …

TopMedTalks to ... | John Myburgh

October 26th, 2019

37:41

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 …

EBPOM 2019 | The Manchester devolution revolution

October 25th, 2019

21:58

What are the opportunities presented to a perioperative practitioner when political devolution becomes a reality? What can we learn from the …

TopMedTalk | The goal is more important than the role

October 24th, 2019

16:00

Here we explore the detail behind Brian Woods’ talk "Leading a large, multi-state group to achieve excellence", which was streamed live on TopMedTalk …

EBPOM 2019 | Patients’ views about preoperative vs long-term health behaviour change

October 23rd, 2019

11:52

Surgery may represent a "teachable moment" should we try to exploit that for only short term, prehabilitation purposes? What is the difference …

ANES19 | Mark Warner

October 22nd, 2019

24:43

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Greg Fischer

October 22nd, 2019

25:59

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Timothy Short and Kate Leslie

October 22nd, 2019

27:06

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Lee Fleisher

October 22nd, 2019

22:29

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Tim Miller

October 22nd, 2019

32:04

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

Desiree's Roundtable | A deeper dive into Enhanced Recovery

October 22nd, 2019

29:18

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 …

ANES19 | Neal Flemming

October 21st, 2019

27:35

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Carol Peden, Robin Cresner, Shane Dickinson, Snow Shoo Son

October 21st, 2019

23:35

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Alexander Hannenberg, Kris Torgeson

October 21st, 2019

32:57

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Andrew Shaw

October 21st, 2019

36:03

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Michael Scott

October 21st, 2019

32:32

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Desiree Chappell, Monty Mythen and Sol Aronson

October 21st, 2019

20:56

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Jeff Simmons

October 20th, 2019

30:18

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Dane Grenda and Noreen Tiangco

October 20th, 2019

12:05

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

ANES19 | Prehabilitation with Mike Grocott

October 20th, 2019

26:25

The TopMedTalk team are live from Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, …

TopMedTalks to ... | Sasha Shillcutt

October 19th, 2019

29:41

--- 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 …

TopMedTalks to... | Lee Fleisher and Ross Kerridge

October 18th, 2019

21:30

--- 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 …

EBPOM 2019 | Overview of perioperative smoking cessation

October 18th, 2019

15:30

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 …

Periop SIG18 | Perioperative Evaluation of the Cancer Patient

October 17th, 2019

24:19

Cancer continues to present a seirous challenge to health care practitioners, particularly with elderly patients. Operations on cancer patients can …

EBPOM Highlight | Improving quality, panel discussion

October 16th, 2019

25:11

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 …

Desiree's Roundtable | The Global Council on Brain Health

October 15th, 2019

15:46

The American Associaton of Retired People (AARP), an organisation with a membership almost equal to the entire voting population of the United …

EBPOM 2019 | Multi-modal Prehabilitation

October 14th, 2019

29:03

This panel discussion includes questions such as: In a prehabilitation service what screening tools should we use to assess nutritional risk? What …

Sunday Special | How should we teach perioperative medicine?

October 13th, 2019

20:14

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 …

Dingle | TopMedTalks to... Desiree Chappell

October 12th, 2019

25:00

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 …

Periop SIG18 | Minimising risk, panel discussion

October 11th, 2019

14:07

What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it …

EBPOM Highlight | Prehabilitation

October 10th, 2019

25:56

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 …

Desiree's Roundtable | Adverse outcomes and patient optimisation

October 8th, 2019

24:01

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 …

EBPOM 2019 | Prehab trials; international study

October 7th, 2019

9:34

The International PREHAB trial. This short piece explains the trial's protocol and the scope of the study.

Presented by Charlotte Molenaar, PhD …

EBPOM 2019 | Methadone - the overlooked Opiate?

October 6th, 2019

39:48

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 …

TopMedTalks to ... | Dan Cole

October 5th, 2019

22:48

What can practitioners do to preoperatively screen for signs that their patients may have issues with post operative delirium? How do we get patients …

EBPOM 2019 | Moving as medicine

October 4th, 2019

17:54

"Moving as medicine; is it the most underused but proven health promotion and healthcare practice?"

Prehabilitation and population health naturally …

Periop SIG18 | Perioperative Anticoagulation

October 3rd, 2019

30:30

Thrombosis is the commonest cause of death and disability worldwide, antithrombotic therapy is incredibly beneficial but it promotes bleeding; how …

EBPOM Highlight | Panel; Best perioperative practice

October 2nd, 2019

28:38

This panel discussion includes questions on; the multidisciplinary aspect of perioperative medicine, the drop off in Enhanced Recovery that some …

Desiree's Roundtable | Population health in a 'fee for service' environment.

October 1st, 2019

9:52

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 …

EBPOM 2019 | The Barcelona experience

September 30th, 2019

22:43

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 …

EBPOM 2019 | Prehab trials; panel discussion

September 29th, 2019

17:14

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 …

EBPOM 2019 | The Science of High Performance: Insights From Elite Sport

September 28th, 2019

30:46

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 …

EBPOM 2019 | Financial aspects of prehabilitation

September 27th, 2019

20:39

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 …

Periop SIG18 | Two sides to the coin: medical administrator; colorectal surgeon

September 26th, 2019

21:42

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 …

EBPOM Highlight | Insights from the UK Perioperative Quality Improvement Programme

September 25th, 2019

28:55

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 …

Desiree's Roundtable | Do we share an interest in Enhanced Recovery?

September 24th, 2019

19:14

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) …

EBPOM 2019 | Malnutrition and functional capacity

September 23rd, 2019

10:00

This piece is taken from the free papers presentations given at EBPOM 2019. Malnutrition and functional capacity; what is the effect of multimodal …

Sunday Special | Nasogastric feeding

September 22nd, 2019

12:12

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 …

TopMedTalks to ... | Tim Cook

September 21st, 2019

28:02

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 …

TopMedTalks to ... | Houman Javedan

September 21st, 2019

12:35

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 …

EBPOM 2019 | Multimodal prehabilitation to prevent postoperative delerium and other complications in elderly patients after elective major abdominal surgery.

September 20th, 2019

12:06

Can delirium, the most frequent complication in an elderly patient, be tackled with multimodal prehabilitation? This piece explains how that …

Periop SIG18 | Management of anti-thrombotics: Fast-track warfarin reversal

September 19th, 2019

25:31

This piece gives you information that will empower you when using Warfarin in the perioperative period. How should you sensibly balance bleeding and …

EBPOM 2019 | The INSPIRE trial; reducing post-op pulmonary complications

September 18th, 2019

16:14

The effectiveness and cost-effectiveness of INSPIRatory musclE training (IMT) for reducing postoperative pulmonary complications (PPC): a …

EBPOM 2019 | Delaying surgery to adequately prepare?

September 17th, 2019

19:47

A quick surprising poll of perioperative practitioners sets the tone for a robust advocation of the responsibility of surgeons and practitioners to …

EBPOM 2019 | Alcohol Matters

September 16th, 2019

18:30

The healthcare profession has a mixed history when it comes to messaging around alcohol. Nowadays, from a public health perspective, it is clear that …

EBPOM Highlight | Academic Health Science Networks - opportunity knocks

September 15th, 2019

23:58

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 …

TopMedTalks to ... | Lynn Reede

September 14th, 2019

19:22

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 …

TopMedTalk | How to get people to get things done; The Michigan Project

September 12th, 2019

24:05

Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative …

EBPOM Highlight | Optimising healthcare delivery, panel discussion

September 11th, 2019

16:39

This panel discussion tackles, amongst others, the following questions: How can knowledge and health innovation be moved from the theoretical world …

EBPOM 2019 | System wide change for prehabilitation

September 10th, 2019

17:32

Should prehabilitation be thought of also as "primary prevention" and used to avoid health problems occuring in the first place? If "exercise is real …

Periop Coach 4.10 | Enhanced Recovery for obstetrics

September 9th, 2019

4:40

What are the results if you apply Enhanced Recovery to obstetrics?

This podcast features Desiree Chappell interviewing Dr Attila Kett, …

EBPOM Highlight | Getting it right first time

September 8th, 2019

25:43

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 …

EBPOM 2019 | "My experience ... of esophageal cancer"

September 7th, 2019

17:39

"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, …

POET 4.10 | Give your patients a warm welcome.

September 6th, 2019

6:42

The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this …

Periop Medicine SIG 18 | Australia and New Zealand Emergency Laparotomy Audit - Quality Improvement

September 5th, 2019

25:38

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 …

POET 4.09 | How to drive perioperative care.

September 4th, 2019

19:08

This piece discusses how the contributors are driving better perioperative care in their clinics; the importance of getting patient records in …

EBPOM Highlight | Detecting and managing frailty

September 4th, 2019

22:22

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 …

Desiree's Roundtable | The malnourished surgery patient

September 3rd, 2019

16:14

This piece focuses on the article "The malnourished surgery patient, a silent epidemic in perioperative outcomes?" which you can find here:

Periop Coach 4.09 | Length of stay after Major Surgery

September 2nd, 2019

11:02

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: …

EBPOM 2019 | Prehabilitation: how far have we come?

September 1st, 2019

23:26

"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 …

EBPOM 2019 | Perioperative Care: where next?

August 31st, 2019

23:13

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 …

TopMedTalk | Enhanced recovery after bariatric surgery

August 29th, 2019

13:23

"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.

EBPOM 2019 | Prehabilitation and cancer

August 28th, 2019

20:19

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 …

Desiree's Roundtable | Fluids in the 2020's

August 27th, 2019

12:31

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 …

Periop Coach 4.08 | Urine output

August 26th, 2019

5:20

Should we still measure urine output? How useful is permissive oliguria?

Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr

EBPOM 2019 | Prehabilitation and Perioperative Care, panel discussion

August 25th, 2019

26:59

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 …

EBPOM 2019 | EBPOM Prehab trials; WesFit

August 24th, 2019

15:44

This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled …

POET 4.08 | If patients come to us anaemic - they just do worse

August 23rd, 2019

22:04

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 …

TopMedTalk | Leading a large, multi-state group to achieve excellence

August 22nd, 2019

27:30

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 …

Periop SIG18 | The Complex Pain Patient in the Perioperative Setting

August 21st, 2019

27:23

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 …

TopMedTalk | Avoiding the hypotension hazard

August 20th, 2019

27:12

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 …

Periop Coach 4.07 | Pain Relief in Enhanced Surgical Recovery.

August 19th, 2019

5:09

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 …

Periop SIG18 | Risk prediction tools

August 18th, 2019

27:49

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 …

TopMedTalks to ... | Tim Miller

August 17th, 2019

12:38

The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure.

POET 4.07 | Has enhanced recovery changed your practice?

August 16th, 2019

14:12

This piece discusses the changes enhanched recovery brings, the conversation then moves to narcotics and the opioid epidemic.

Presented by Desiree …

Periop SIG 18 | Armed with data to improve perioperative outcomes

August 15th, 2019

34:09

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 …

Periop SIG18 | Risk prediction and research

August 14th, 2019

28:16

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 …

AANA 2019 | Enhanced Recovery

August 13th, 2019

36:57

"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 …

AANA 2019 | Middle Tennessee School of Anesthesia

August 13th, 2019

16:55

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 2019 | What's life like, Beyond The Mask?

August 13th, 2019

18:04

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: …

AANA 2019 | Tackling the pain of the opioid crisis

August 13th, 2019

30:31

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 …

AANA 2019 | Innovators in anesthesia: Anesthesia electronic medical records

August 13th, 2019

25:58

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 …

Desiree's Roundtable | Daniel Conway and the surgery school

August 13th, 2019

17:01

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 …

AANA 2019 | Mechanically ventilating patients in the operating room

August 12th, 2019

23:20

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

AANA 2019 | Diversity and Inclusion

August 12th, 2019

29:40

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:

AANA 2019 | Simulation in Education

August 12th, 2019

29:55

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

AANA 2019 | Substance Use Disorder - Peer Support: An Empathetic Information Resource

August 12th, 2019

19:39

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 …

AANA 2019 | Emotional Intelligence and Occupational Stress

August 12th, 2019

20:07

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 …

AANA 2019 | The Respiratory Compromise Institute and ERAS

August 12th, 2019

12:08

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 …

Periop Coach 4.06 | Perioperative Nephrology Fluids and the Kidney

August 12th, 2019

12:16

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 …

AANA 2019 | A Novel Use of the Erector Spinae Block in the Austere Environment

August 11th, 2019

21:09

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 …

AANA 2019 | Innovators in Anesthesia

August 11th, 2019

32:37

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 …

AANA 2019 | Protecting Your Healthcare Practice - Compliance and Enforcement

August 11th, 2019

29:57

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 2019 | Caring for the transgender patient

August 11th, 2019

23:36

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:

Periop SIG 18 | Perioperative management in specific patient populations, panel discussion

August 11th, 2019

16:38

What do we now know about perioperative asprin? More specifically, what is the latest thinking on the results of the PeriOperative ISchemic …

Talks to... | William Wooden

August 10th, 2019

17:08

"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 …

POET 4.06 | Training of Perioperative providers improves care and creates team players

August 9th, 2019

11:10

Discussion begins with an explanation of 'Trainees with an Interest in Perioperative Medicine' (TRIPOM), a big hit at the conference this year, then …

Periop SIG18 | Preoperative complications

August 8th, 2019

27:58

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 …

Periop SIG18 | Goal directed therapy to prevent acute kidney injury

August 7th, 2019

25:48

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 …

Desiree's Roundtable | Prehabilitation, the word of the year?

August 6th, 2019

21:23

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 …

Periop Coach 4.05 | Fluid Management

August 5th, 2019

6:35

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 …

Periop SIG 18 | Emergency surgery - panel discussion

August 4th, 2019

15:26

This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for …

TopMedTalks To... | Dr Paul Wischmeyer

August 3rd, 2019

24:40

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 …

Periop SIG18 | Minimising risk, panel discussion

August 2nd, 2019

14:05

What should we think about issues regarding the Perioperative Ischemic Evaluation Study (POISE)? Is it time to treat men and women equally when it …

POET 4.05 | Refusing surgery

August 2nd, 2019

7:58

Should we refuse surgery to those who won't change? What about pathological issues, such as smoking, should practitioners become more didactic in …

Periop SIG18 | Perioperative frailty - panel discussion

August 1st, 2019

29:10

This panel discussion provides a vital and thought provoking insight into frailty in a perioperative patient. Further, as perioperative medicine …

Periop SIG18 | How do we minimise failure to rescue in the post operative period?

July 31st, 2019

28:38

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 …

Desiree's Roundtable | 'If compliance goes down - you know you have a problem'

July 30th, 2019

10:30

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 …

Periop Coach 4.04 | ‘Money’s tight’; pull together an ER team with limited resources. The key- NURSES!

July 29th, 2019

16:04

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 …

Sunday Special | Social Media

July 28th, 2019

16:23

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 …

Talks to... | Thomas Scheeren

July 27th, 2019

16:06


The Hypotension Prediction Index (HPI), which uses a machine learning algorithm to help predict intraoperative hypotension. Regular listeners to

POET 4.04 | Measuring the risk of surgery

July 26th, 2019

10:14

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 …

Periop Medicine SIG18 | Prehabilitation in the frail

July 25th, 2019

22:21

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 …

EBPOM Highlight 2.02 | Post-op critical care: what should we do?

July 24th, 2019

22:17

"Post-operative critical care: what should we do?" was originally streamed live from The Institute of Engineering and Technology (IET) in London …

Desiree's Roundtable | How do you bring perioperative care to your practice?

July 23rd, 2019

7:47

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 …

Periop Coach 4.03 | Fluid management - the less explored controversies

July 22nd, 2019

9:40

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, …

Sunday Special | Mike of the antarctic

July 21st, 2019

20:42

Fresh from an expedition to Antarctica, on the National Geographic Explorer, Mike Grocott gives us an update on the "Anaesthesia at the Extreme" …

Talks to ... | Carol Peden

July 20th, 2019

21:22

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 …

POET 4.03 | Communication uniquely suited to the perioperative domain

July 19th, 2019

8:51

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 …

TopMedTalk | A Masters Programme in Perioperative Medicine

July 18th, 2019

11:23

University College London (UCL) offer a fantastic Masters Course in Perioperative Medicine, hear how it works in this podcast.

Also, if you're …

EBPOM Highlight 2.01 | Exercise and cancer

July 17th, 2019

13:22

This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and Technology (IET) in London …

Desiree's Roundtable | Don't ask 'what is the matter' ask what matters?

July 16th, 2019

21:23

A powerful discussion about outcomes, patient care and what matters the most.

Presented by Desiree Chappell and Monty Mythen with their guests; Eric …

Periop Coach 4.02 | Getting on the same page

July 15th, 2019

7:55

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.

Sunday Special | The Bigger Picture of Perioperative Medicine.

July 14th, 2019

16:36

A transatlantic perspective.

This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more …

TopMedTalks to... | Dan Sessler

July 13th, 2019

19:43

The Elephant In The Room - intraoperative hypotension.

A discussion regarding the exciting results from the first multicentre, randomised controlled …

POET 4.02 | Shared decision making for high risk surgery

July 12th, 2019

11:24

POET - The Perioperative Enhancement Team

How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are …

Periop SIG18 | Early out-of-hospital management for post-op patients

July 11th, 2019

22:00

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 …

EBPOM Highlight 1.32 | Australian perspective on perioperative medicine

July 10th, 2019

27:53

Australia has an interesting history both generally and with perioperative medicine specifically, here the story is told and their current progress …

Desiree's Roundtable | Exercise is real medicine?

July 9th, 2019

21:21

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 …

Periop Coach 4.01 | Nutrition

July 8th, 2019

17:56

"An operation is like a marathon, nobody prepares for that by starving themselves"

Monty Mythen talks to Professor Paul Wischmeyer from the …

Sunday Special | Is the US spending too much on health care and not enough on health?

July 7th, 2019

31:32

This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative …

TopMedTalks to ... | Zeev Kain

July 6th, 2019

11:23

"Value based care - it’s an interdisciplinary team sport"

Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative …

Prehab Periop World Congress: Andrew Shaw

July 5th, 2019

12:58

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 …

POET 4.01 | Perioperative Enhancement Teams

July 5th, 2019

6:43

Why do you need a "poet"?

The POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation …

Prehab Periop World Congress: Daniel Conway and the surgery school

July 4th, 2019

16:58

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 …

Prehab Periop World Congress: Feras Hatib, Simon Davies

July 4th, 2019

29:08

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

Prehab Periop World Congress: Joff Lacey, Tim Miller

July 4th, 2019

16:01

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 …

Prehab Periop World Congress: Lee Fleisher, Ross Kerridge

July 4th, 2019

26:18

Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.

Presented by Desiree Chappell with

Prehab Periop World Congress: Gerard Danjoux, Ken Van Someren

July 4th, 2019

12:59

Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress.

Gerard Danjoux, consultant in …

Prehab Periop World Congress: David Walker, Rob Stephens

July 4th, 2019

22:36

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 …

Prehab Periop World Congress: Teodor Stefanov

July 4th, 2019

16:44

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 …

Prehab Periop World Congress: Evan Kharasch

July 4th, 2019

37:10

Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Here we welcome the Editor-in-Chief of …

Prehab Periop World Congress: William Wooden

July 3rd, 2019

18:34

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 …

Prehab Periop World Congress: Dan Martin and Sandy (Alexander) Jackson

July 3rd, 2019

14:47

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 …

TopMedTalks to... | Feras Hatib

July 3rd, 2019

42:07

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 …

TopMedTalk | The AI Doctor will see you now...

July 3rd, 2019

16:23

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 …

Prehab Periop World Congress: Update from the first day

July 3rd, 2019

9:36

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 …

EBPOM Highlight 1.31 | Changing behaviours of the medical team before surgery

July 3rd, 2019

22:29

"POETTS 2018 | Changing behaviours of the medical team before surgery" - was originally streamed live from The Institute of Engineering and …

Desiree's Roundtable | Insight into ERAS in Saudia Arabia

July 2nd, 2019

14:18

This conversation is a fascinating glimpse into the spread of Enhanced Recovery After Surgery (ERAS) in Saudi Arabia.

Desiree Chappell interviews her …

Periop Coach 3.10 | How do you impliment change?

July 1st, 2019

4:18

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 …

Sunday Special | Fitter Better Sooner

June 30th, 2019

16:14

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 …

TopMedTalks to... | Paul Pomerance

June 29th, 2019

10:40

The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a …

ERAS Cardiac 2019: Judson Williams and Gina McConnell

June 28th, 2019

21:35

Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.

The first …

ERAS Cardiac 2019: Kevin Lobdell

June 28th, 2019

14:51

Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.

The Enhanced …

ERAS Cardiac 2019: Bob Booth

June 28th, 2019

23:08

Live from "ERAS cardiac: Center of excellence training conference", an Edwards Life Sciences sponsored conference in North Carolina.

Check out the …

ERAS Cardiac 2019: Seenu Reddy

June 28th, 2019

24:17

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:

POET 3.09 | If you need help ask for it

June 28th, 2019

5:15

'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 …

Periop Medicine SIG18 | Can perioperative risk in the frail be managed?

June 27th, 2019

33:47

How do you manage frailty? This talk is an honest appraisal of the latest thinking, from a perioperative perspective.

Presented by Bobbie Jean …

EBPOM Highlight 1.30 | Visiting Professor Plenary Lecturer: "Results of the RELIEF Trial".

June 26th, 2019

21:42

"Results of the RELIEF Trial" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on 

Desiree's Roundtable | Coordinating an Enhanced Recovery Program

June 25th, 2019

32:17

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 …

Periop Coach 3.09 | Understanding delirium among the surgical team

June 24th, 2019

6:50

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 …

Sunday Special | The heart of the debate

June 23rd, 2019

23:39

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 …

TopMedTalks to ... | Dave O'Conner

June 22nd, 2019

15:45

How do you communicate and spread a passion for fluid management and optimisation to your fellow practitioners? How should you use protocols here? …

POET 3.08 | Thinking clearly on the brain

June 21st, 2019

17:31

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 …

Periop SIG18 | Minimising Risk; anaemia

June 20th, 2019

33:46

How should you manage anaemia as part of the perioperative process? Preoperative anaemia has a variable effect on outcomes, how should it be managed? …

EBPOM Highlight 1.29 | US perspective on perioperative medicine

June 19th, 2019

27:36

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 …

Desiree's Roundtable | Changing the culture around surgical recovery

June 18th, 2019

18:01

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 …

Periop Coach 3.08 | Putting care into intensive care

June 17th, 2019

9:46

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 …

Sunday Special | Blood Pressure

June 16th, 2019

15:17

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 …

TopMedTalks to... | Charles Brown

June 15th, 2019

14:41

"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 …

POET 3.07 | Perioperative antibiotic stewardship

June 14th, 2019

9:22

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 …

Periop Medicine SIG18 | A Care Chain is only as strong as its weakest link

June 13th, 2019

26:14

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 …

EBPOM Highlight 1.28 | UK perspective on perioperative medicine

June 12th, 2019

19:20

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 …

Desiree's Roundtable | Outstanding outcomes

June 11th, 2019

10:24

This piece, originally streamed live on www.topmedtalk.com features a conversation about the implementation of enhanced recovery protocols and the …

Periop Coach 3.07 | Pain strategies

June 10th, 2019

9:37

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 …

Sunday Special | Burn out?

June 9th, 2019

41:05

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 …

TopMedTalks to ... | Elena Koepke

June 8th, 2019

18:36

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.   …

Prato 2019 | Bruce Biccard

June 7th, 2019

23:23

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

Prato 2019 | Ben Creagh-Brown

June 7th, 2019

11:56

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

Prato 2019 | Meghan Fall-Lane

June 7th, 2019

13:12

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

POET 3.06 | Ward monitoring 3.0

June 7th, 2019

14:27

How do new technologies impact the postoperative elements of Enhanced Recovery? Here we discuss "ward monitoring 3.0" and new technologies which are …

Prato 2019 | Paul Myles

June 6th, 2019

16:25

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

Prato 2019 | Toby Richards

June 6th, 2019

28:15

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

Prato 2019 | Lis Evered

June 6th, 2019

17:19

Welcome to TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's your chance to …

Prato 2019 | Summary of day 1

June 6th, 2019

21:21

This piece is the first of TopMedTalk's 'as live' coverage from the 5th Collaborative Clinical Trials in Anaesthesiology Meeting, Prato, Italy. It's …

Periop Medicine SIG18 | Frailty: the elephant in the operating room

June 6th, 2019

17:45

"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 …

EBPOM Highlight 1.27 | Obstetric anaesthesia

June 5th, 2019

21:43
"Obstetric anaesthesia" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on 

EUROANAES2019 | Paul Pomerantz

June 4th, 2019

10:33

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Dan Longrois

June 4th, 2019

25:44

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

Desiree's Roundtable | Cancer outcomes drive enhanced recovery

June 4th, 2019

14:23

"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 …

EUROANAES2019 | Alexandre Joosten

June 4th, 2019

16:41

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Maurizio Cecconi

June 3rd, 2019

24:15

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

Periop Coach 3.06 | Is pain the fifth vital sign"?

June 3rd, 2019

15:57

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 …

EUROANAES2019 | Michael Pedro

June 3rd, 2019

14:13

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Marit Habicher

June 3rd, 2019

13:54

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Thomas Scheeren

June 2nd, 2019

21:37

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Michelle Chew

June 2nd, 2019

22:41

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Konstantin Balonov

June 2nd, 2019

19:07

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

Sunday Special | "70 Years on: Our NHS" a panel discussion

June 2nd, 2019

22:11

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.

EUROANAES2019 | Frederic Michard

June 1st, 2019

15:57

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | TJ Gan

June 1st, 2019

9:50

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Linda Mason

June 1st, 2019

17:04

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | Alexander J Butwick

June 1st, 2019

22:23

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 | John Koncelik

June 1st, 2019

16:29

 

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

EUROANAES2019 - Welcome to the conference!

June 1st, 2019

14:39

TopMedTalk is live from Euroanaesthesia 2019; recognised worldwide as one of the most important and influential annual congress in anaesthesiology. …

TopMedTalks to ... | Frances Chung

June 1st, 2019

11:24

Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about …

POET 3.05 | Pain control for the perioperative patient

May 31st, 2019

10:23

Learn about the Perioperative Anesthesia and Surgical Screening Clinic (PASS Clinic), do you need one at your practice? What is pain control for a …

Periop Medicine SIG 18 | Australia and New Zealand Emergency Laparotomy Audit - Quality Improvement

May 30th, 2019

26:14

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 …

EBPOM Highlight 1.26 | ERAS in Obstetric Surgery

May 29th, 2019

11:52

"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 …

Desiree's Roundtable | What is the Perioperative Medicine Summit?

May 28th, 2019

18:38

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 …

Periop Coach 3.05 | Sedation and the triple low

May 27th, 2019

8:44

What simple things can we do in the operating room which might make a difference to the issue of post operative delirium? Should preoperative …

Sunday Special | Enhanced Recovery After Surgery (ERAS) leadership

May 26th, 2019

44:34

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) …

TopMedTalks to ... | Paul Grant

May 25th, 2019

13:10

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

We discuss the following …

POET 3.04 | Is paternalism always bad?

May 24th, 2019

17:36

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 …

SCA | Davinder Ramisingh

May 23rd, 2019

26:01

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the …

Anaesthesia 2019 | Fitter, Better, Sooner

May 23rd, 2019

16:05

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 …

Periop Medicine SIG18 | Emergency laparotomy

May 23rd, 2019

19:34

This piece is a chance to hear how and why an emergency laparotomy can work as part of the perioperative process. Ideally perioperative medicine …

Anaesthesia 2019 | Rupert Pearse

May 22nd, 2019

21:24

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 …

Anaesthesia 2019 | Tim Cook and Paul Wischmeyer

May 22nd, 2019

32:24

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 …

Anaesthesia 2019 | Paul Wischmeyer

May 22nd, 2019

22:50

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 …

EBPOM Highlight 1.25 | Pain Management to Enhance Recovery after joint replacements

May 22nd, 2019

14:30

"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 …

Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)

May 21st, 2019

12:19

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 …

SCA | Poster presenters

May 21st, 2019

20:09

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019, the TopMedTalk team takes you right to the heart of the …

Anaesthesia 2019 | Live from the conference

May 21st, 2019

7:44

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 …

SCA 2019 | Michael Eaton

May 21st, 2019

23:31

Live from 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019; the TopMedTalk team takes you right to the heart of the …

Desiree's Roundtable | One of the best career decisions I've made

May 21st, 2019

11:58

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", …

SCA 2019 | Blood pressure

May 20th, 2019

16:01

The TopMedTalk team brings you more of our live coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019.

This …

SCA 2019 | Are you burned out?

May 20th, 2019

42:12

The TopMedTalk team bring you coverage of 'The Society of Cardiovascular Anesthesiologists' (SCA) annual conference, 2019. This piece focuses on the …

Anaesthesia 2019 | The Future of Anaesthesia

May 20th, 2019

10:31

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 …

Anaesthesia 2019 | Developmental neurotoxicity

May 20th, 2019

15:50

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 …

Anaesthesia 2019 | It is all about the patient

May 20th, 2019

10:44

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?

Periop Coach 3.04 | Perioperative Fluid Management to Enhance Recovery After Surgery

May 20th, 2019

14:33
Discussion initially focuses upon fluid management in the operating room. We then take a wider view as discussion moves to concerns about diabetic patients undergoing surgery.   Presented by Monty Mythen with Desiree …

Sunday Special | Social media and the democratisation of education

May 19th, 2019

14:15

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 …

TopMedTalks to ... | Davinder Ramsingh

May 18th, 2019

21:48

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 …

POET 3.03 | Surgery school

May 17th, 2019

14:12

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, …

Periop Medicine SIG18 | Advanced Care Planning

May 16th, 2019

32:56

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, …

EBPOM Highlight 1.24 | The evolution of a community-based Prehabilitation service

May 15th, 2019

23:13

"POETTS 2018 | The evolution of a community-based Prehabilitation service" - originally streamed live from The Institute of Engineering and …

Desiree's Roundtable | Can you bite your upper lip? Assessing patients to reduce post-op respiratory complications

May 14th, 2019

25:49

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, …

Periop Coach 3.03 | Psychological optimisation

May 13th, 2019

16:26

Psychological optimisation for surgery; who should have it, what does it mean and how does it work? Further conversation moves into weaning …

Sunday Special | Pets as therapy

May 12th, 2019

17:26

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 …

TopMedTalks to ... | Angela Bader

May 11th, 2019

28:39

Does perioperative medicine allow institutions to take a broader view? Population health has been a theme on TopMedTalk, is it a logical extension of …

POET 3.02 | Do you need a breathlessness clinic?

May 10th, 2019

21:24

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 …

TRIPOM 1.07 | at TopMedTalk Part 2

May 9th, 2019

27:26

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 …

EBPOM Highlight 1.23 | Psychological Behavioural Change Interventions in Cancer Patients

May 8th, 2019

21:49

"POETTS 2018 | Psychological Behavioural Change Interventions in Cancer Patients" - originally streamed live from The Institute of Engineering and …

Desiree's Roundtable | ASER 2019: Jamie Harris and Carol Schmidt

May 7th, 2019

21:52

"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 …

Periop Coach 3.02 | Stop Bang, identifying obstructive sleep apnea

May 6th, 2019

6:43

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 4

May 5th, 2019

24:59

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 3

May 5th, 2019

13:43

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 2

May 5th, 2019

12:59

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 …

Sunday Special | The Perioperative Cognition Workshop - Part 1

May 5th, 2019

15:41

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 …

Talks to... | Mike Grocott at ASER 2019

May 4th, 2019

14:41

More of our coverage of the American Society of Enhanced Recovery (ASER) annual general meeting. Reflectiions regarding the rise of Cardiopulmonary …

POET 3.01 | Perioperative medicine is population health.

May 3rd, 2019

16:50

Perioperative medicine is defined here as: "the practice of patient centred multidisciplinary and integrated medical care of patients from the moment …

TRIPOM 1.06 | at TopMedTalk Part 1

May 2nd, 2019

34:43

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 …

EBPOM Highlight 1.22 | Pre-operative Inspiratory Muscle Training

May 1st, 2019

24:48

"POETTS 2018 | Pre-operative Inspiratory Muscle Training" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

Desiree's Roundtable | Carol Peden EPOCH Q&A

April 30th, 2019

22:16

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 …

Periop Coach 3.01 | Pre-operative anemia, detection and management

April 29th, 2019

11:54

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?     …

Sunday Special | Preoperative Optimization: Framing up the value proposition

April 28th, 2019

45:30

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the …

TopMedTalks to... | William Wooden

April 27th, 2019

16:42

Perioperative nutrition is a topic which has fascinates us here on TopMedTalk. Ever evolving and moving forward the questions continue as we explore …