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TopMedTalk

1793 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

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Farewell

February 22nd, 2024

0:39

An important message from RadioPublic

Prehabilitation, where are we now? (PART 2) | The World Congress of Prehabilitation

March 25th, 2024

24:05

This is the second part of a question and answer session which was originally presented at The World Congress of Prehabilitation.

Featuring Mike Grocott, TopMedTalk’s co-editor in Chief and the Professor of Anaesthesia …

Anesthesiology in Ukraine | WCA 2024

March 19th, 2024

23:12

Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues. A truly global congress for anaesthesiology and critical care we …

The Global Scholars Program | WCA 2024

March 19th, 2024

23:52

TopMedTalk brings you more exclusive coverage, direct from the 18th WFSA World Congress of Anaesthesiologists in Singapore.

Now its tenth year, the …

Prehabilitation, where are we now? (PART 1) | The World Congress of Prehabilitation

March 18th, 2024

27:25

This question and answer session was originally presented at The World Congress of Prehabilitation. It features Mike Grocott, TopMedTalk’s co-editor in Chief and the Professor of Anaesthesia and Critical Care Medicine …

The Perioperative Quality Initiative | WCA 2024

March 15th, 2024

11:52

Desiree Chappell speaks about about the Perioperative Quality Initiative (POQI) with Mike Grocott, TopMedTalk’s co-editor in Chief, Professor of Anaesthesia and critical care at the University of Southampton and Guy …

The Network for the Advancement of Patient Blood Management | WCA 2024

March 15th, 2024

15:00

More from our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024)

The Network for the Advancement of Patient Blood Management, …

TopMedTalks to ... BobbieJean Sweitzer, and Denny Levett | WCA 2024

March 11th, 2024

23:08

More from our exclusive coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) as Desiree Chappell speaks with her guests Denny Levett, …

What is prehabilitation? | The World Congress of Prehabilitation

March 11th, 2024

25:45

“What is prehabilitation?” is presented by Mike Grocott, TopMedTalk’s co-editor in Chief and Professor of Anaesthesia and Critical Care Medicine at the University of Southampton, as well as an NIHR Senior Investigator.

TopMedTalks to ... Jannicke Mellin-Olsen | WCA 2024

March 8th, 2024

23:24

In this essential piece we discuss, anesthesiology and its global impact with experts, empathy with patients, emotional expression in medicine, …

TopMedTalks to ... Andy Shaw, Cleveland Clinic, Ohio | WCA 2024

March 8th, 2024

34:10

Direct from the 18th WFSA World Congress of Anaesthesiologists in Singapore Desiree Chappell and Monty Mythen catch up with Andy Shaw, Chairman, …

Assisted fluid management and predicting hypotension | WCA 2024

March 8th, 2024

30:56

Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues.

In this piece we cover assisted fluid management in anesthesia. …

TopMedTalks to ... Tim Cook of The National Audit Project | WCA 2024

March 8th, 2024

29:18

Our coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) continues. This conversation focuses upon The National Audit Projects,

Making the world healthier through the power of conversation | WCA 2024

March 7th, 2024

15:54

Mike Grocott, Desiree Chappell and Monty Mythen catch up at the end of “Day 2” of our coverage of the 18th WFSA World Congress of Anaesthesiologists …

Kevin Fong, broadcaster and medical practitioner | WCA 2024

March 6th, 2024

31:04

Listen now as we speak about space exploration, a media career which extends to both television, radio and podcasting. We get into AI, medical …

Women in Anaesthesia - Kate Leslie and Anoushka Afonso | WCA 2024

March 4th, 2024

39:24

Promoting diversity in medical publishing, preparation among women in anesthesia, leadership styles, gender differences in communication, a growth mindset and women in healthcare leadership; are all topics which come up …

Routine Videolaryngoscopy - A Model for Success | WCA 2024

March 4th, 2024

30:18

This discussion includes a look at some of the benefits and adoption of video laryngoscopy in medical practice, improving first pass success rate in endoscopy using virtual reality and video laryngoscope techniques for …

Looking forward to the World Congress of Anaesthesiologists | TopMedTalk

February 29th, 2024

22:00

This piece reflects the fact we are currently getting ready for the 18th World Congress of Anaesthesiologists (WCA 2024) - we’re going to be bringing …

Prehab Initiative: Standardisation of Screening, Assessment, Interventions and Outcomes | Prehabilitation World Congress

February 26th, 2024

13:28

This piece presents two short talks both of which sit under the headline, “Standardisation of Screening, Assessment, Interventions and Outcomes” and they were given at the recent Prehabilitation World Congress, held in …

Behavioural change vs Psychological interventions: which is key in prehabilitation? | Prehabilitation World Congress

February 19th, 2024

10:53

This talk “Behavioural change vs Psychological interventions: which is key in prehabilitation?” was given at the Prehabilitation World Congress as …

The Potential of Artificial Intelligence in Perioperative Care Q&A | EBPOM World Congress

February 12th, 2024

30:55

This piece is a discussion which followed three presentations at the Evidence Based Perioperaive Medicine (EBPOM) World Congress in London on …

AI Predictive Monitoring to prevent Hemodynamic Instability and Deterioration in Perioperative and Acute Care Patients | EBPOM World Congress

February 5th, 2024

22:34

“AI Predictive Monitoring to prevent Hemodynamic Instability and Deterioration in Perioperative and Acute Care Patients” was a talk given at the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more on …

Should we delay surgery for prehabilitation? | Prehabilitation World Congress

January 29th, 2024

13:40

Should we delay surgery for prehabilitation? A short dissection of a perennial topic for anyone interested in perioparative medicine and enhanced …

The business of anesthesia | AANA 2023

January 22nd, 2024

20:03

This conversation comes from the American Association of Nurse Anesthesiology conference 2023. It gets right to the business end of our profession …

Artificial Intelligence in Perioperative Care - Part 2 | EBPOM 2023

January 15th, 2024

14:57

“It's evolution, not revolution, we've got a long way to go. But I'm certainly really excited to be on this journey. And I hope some of you will want …

AI in Perioperative Care - Part 1 | EBPOM LONDON

January 11th, 2024

15:48

“Every single one of you can and should go build an AI model. It's actually pretty simple these days. But then think about; what actually is the …

Anesthesiology 2023 Digest Part 2 | TopMedTalk

January 1st, 2024

24:49

Anesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of …

Anesthesiology 2023 Digest Part 1 | TopMedTalk

December 25th, 2023

21:52

Anesthesiology 2023, a huge event in the perioperative calendar for us here at TopMedTalk; the annual general meeting of the American Society of …

TopMedTalks to Dru Riddle | AANA 2023

December 18th, 2023

23:21

This wide ranging conversation gets into the thorny subject of reimbursement; how and why can practitioners advocate for a fairer rates? Also, what …

Limitless: From Dingle to Cape Horn, finding my true north in the earth’s vastest oceans | Dingle 2023

December 11th, 2023

37:29

“We do need to give ourselves credit for the sacrifices we made along the way…”

This entertaining piece is a conversation about blood pressure, …

AANA Presidents past and present | TopMedTalk

December 4th, 2023

24:09

The American Association of Nurse Anesthesiology (AANA) annual conference, here we speak with the outgoing and incoming Presidents of the …

Intraoperative hypotension; killing them softly | TopMedTalk at The AANA

November 27th, 2023

14:30

Intraoperative hypotension is now firmly associated with harm and poor outcomes, this conversation should get you thinking about what this means to …

Advancing Perioperative Medicine | EBPOM 2023

November 20th, 2023

28:29

This talk “Advancing POM in New Zealand and Australia” was originally the EBPOM Visiting Professor Plenary Lecture given at the Evidence Based Perioperative Medicine (EBPOM) 2023 World Congress.

Our visiting Professor …

Women in anaesthesia in 2023 | EBPOM Ireland 2023

November 13th, 2023

35:30

This valuable conversation took place at the annual Evidence Based Perioperative Medicine (EBPOM) Ireland conference. One of our most loved conference settings we’d love you, a TopMedTalk listener, to join us next year. …

Shared decision making and prehabilitation | Prehabilitation World Congress 2023

November 6th, 2023

16:07

This week’s podcast is another “from the TopMedTalk table” at the recent World Prehabilitation Society annual conference held this year in London. We’ve been getting a feel for the issues people were discussing by …

TopMedTalks to ... BobbieJean Sweitzer | #ANES23

October 30th, 2023

44:10

This discussion covers many topics including; preoperative medicine and its evolution, frailty in various age groups, brain health and anesthesia in …

TopMedTalks to Bernd Saugel at Anesthesiology 2022 | Editor's Highlight

October 30th, 2023

25:42

Looking this week at one of the highlights of Anesthesiology 2022 for us here on TopMedTalk; Desiree Chappell and Monty Mythen in conversation with …

TopMedTalks to Michael W. Champeau and Ronald L. Harter | #ANES23

October 27th, 2023

40:42

This informative conversation takes a broad look at the field of anesthesiology, the staffing crisis and opportunities arising from that, leadership …

How much Anesthesia? Brain monitoring to optimize neurohealth | #ANES23

October 27th, 2023

18:36

"How do you know how much anesthesia your patient needs? Brain monitoring to optimize neurohealth."

This piece dives into the details with an important subject for anyone working in surgery at the moment.

Desiree …

Alternative study designs for the future | #ANES23

October 25th, 2023

26:01

This engaging conversation gets into how and why trials and research are moving forward. Find out more about the conference we discuss here: https://euroanaesthesia.org

Presented by Desiree Chappell and Monty Mythen

The World Congress of Anesthesiologists - 2024 - essential update | #ANES23

October 25th, 2023

17:19

This piece focuses upon The World Congress of Anesthesiologists 2024: https://www.wca2024.org/

Presented by Desiree Chappell and Mike Grocott with …

Anesthesia Patient Safety Foundation; Intraoperative Hypotension and Hemodynamic Stability | #ANES23

October 24th, 2023

31:44

This important piece covers the recent Anestheia Patient Safety Foundation (APSF) conference on perioperative hemodynamic instability, and the recent recommendations that they have just launched.

The Anestheia Patient …

Training in Anesthesia | AANA 2023

October 23rd, 2023

29:28

The American Association of Nurse Anesthesiology (AANA) welcomes TopMedTalk to its annual conference with an array of great guests and healthy …

Patient Safety in Anesthesiology | #ANES23

October 22nd, 2023

22:41

TopMedTalk continues to bring you our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA), the …

TopMedTalks to… the Chief Executive Officer and Chief Quality Officer of NorthStar Anesthesia | #ANES23

October 20th, 2023

32:38

Welcome to our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Updates on Neuromuscular Transmission (NMT) monitoring | #ANES23

October 20th, 2023

35:03

Welcome to our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Artificial Intelligence in your practice | #ANES23

October 19th, 2023

26:25

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

The GAP study: Gabapentin and perioperative pain, results and analysis | #ANES23

October 19th, 2023

21:30

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Anesthesiology 2023 - still to come and highlights so far | #ANES23

October 19th, 2023

8:57

This piece works as a summary of our coverage of Anesthesiology 2023, so far. It's the annual meeting of the American Society of Anesthesiologists …

Opportunities in Anesthesiology | #ANES23

October 18th, 2023

21:37

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Physician payments and Medicare | #ANES23

October 18th, 2023

39:06

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Anesthesiology as a career in the 2020's | #ANES23

October 17th, 2023

28:26

"What is anestheiology going to look like in the next ten years?"

This is a no holds barred conversation about the future of our profession, as a …

O.R. Sustainability & End-tidal Control | #ANES23

October 16th, 2023

20:41

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

Cost savings through continuous vital sign monitoring | #ANES23

October 16th, 2023

24:12

Our coverage of Anesthesiology 2023, continues. It's the annual meeting of the American Society of Anesthesiologists (ASA); it's the largest and most …

An overview of Anesthesiology 2023 | #ANES23

October 15th, 2023

8:44

The annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, it's the largest and most important gathering of …

Mani Vindhya, Chief Medical Officer at Provation iProcedures | #ANES23

October 15th, 2023

17:28

Our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, continues. The largest and most important …

The ASA Committee on Governmental Affairs, Michael M Beck | #ANES23

October 15th, 2023

13:01

Our coverage of the annual meeting of the American Society of Anesthesiologists; Anesthesiology 2023, continues. The largest and most important …

Huge TopMedTalk announcement live from Anesthesia 2023 | #ANES23

October 15th, 2023

11:52

What is the future of TopMedTalk, where will we find our new Editor in Chief? This podcast has all the answers.

Make sure you are subscribed to this podcast so you don't miss a minute of our coverage of the annual …

WELCOME TO ANESTHESIOLOGY 2023 | #ANES23

October 14th, 2023

4:29

This is a huge moment in the calendar for us here at TopMedTalk, the annual meeting of the American Society of Anesthesiologists; Anesthesiology …

Is the pursuit of DREAMing (DRinking, EAting and Mobilising) the ultimate goal of ERAS? | TopMedTalk

October 12th, 2023

15:05

This piece is a guide to the importance behind drinking, eating and mobilising as part of an enhanced recovery after surgery programme (ERAS). It comprises clips from previous conversations, linked to below, along with …

Portrait Mobile, monitoring the unmonitored | Euroanesthesia 2023

October 9th, 2023

27:31

Desiree Chappell, Monty Mythen and Andrew Cumpstey sit down with Cory Stahl, Global Marketing Manager at GE Healthcare to talk about “Portrait Mobile”.

This piece was recorded while TopMedTalk were at this year’s annual …

TopMedTalks to Chris Lawman and Peter van Heezik | Euroanesthesia 2023

October 2nd, 2023

30:24

TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023.

ESAIC is …

The Perioperative Quality Initiative (POQI) 12 | EBPOM Ireland 2023

September 29th, 2023

7:15

TopMedTalk continues tracking the incredibly important work done by Perioperative Quality Initiative (POQI), check out their website here: http://thepoqi.org/

This piece acts as an introduction to this year’s POQI - 12.

The Perioperative Quality Initiative | EBPOM 2023

September 25th, 2023

22:11

The Perioperative Quality Initiative (POQI) is an international, multidisciplinary non-profit organization that organizes consensus conferences on …

Prehabilitation as a practitioner and a patient | Prehabilitation / EBPOM 2023

September 18th, 2023

11:45

Here John Koncelik, Regional Medical Director HCA Healthcare Physician Services Group, West Florida comes to the TopMedTalk table to share his thoughts on the need for prehabilitaiton and the way in which it relates to …

Advanced AI–guided hemodynamic management within cardiac enhanced recovery after surgery pathways | TopMedTalk

September 16th, 2023

34:11

Desiree Chappell and Monty Mythen in conversation with Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, …

TopMedTalks to Sean Bennett | TopMedTalk at ESAIC

September 13th, 2023

19:29

This wide ranging conversation starts with a focus on the importance of Near Infra-Red Spectroscopy (NIRS) and echocardiograms, how do we move forward in patient safety while keeping in line with what works in practice? …

The use of cardiac biomarkers in perioperative risk evaluation | ESAIC 2023

September 11th, 2023

19:41

Here Desiree Chappell and Andy Cumpstey speak with Michelle Chew, Academic Chair and Professor in Anaesthesiology, Intensive Care and Acute Care at …

TopMedTalks to Manfred Blobner | Euroanesthesia 2023

September 7th, 2023

24:02

Desiree Chappell and Andy Cumpstey talk to Manfred Blobner, Professor, Anesthesiology and the Coordinator of the Residency Program at Technische …

TopMedTalks to Vera von Dossow | ESAIC 2023

September 4th, 2023

28:02

TopMedTalk recorded this piece at the European Society of Anaesthesiology and Intensive Care (ESAIC) conference, Euroanaesthesia 2023 in Glasgow.

It …

The ERAS Cardiac society | EBPOM World Congress 2023

August 28th, 2023

24:49

Enhanced Recovery After Surgery (ERAS) is a foundational aspect of perioperative medicine. This piece covers ERAS® Cardiac, a non-profit organization with the mission to develop evidence-based expert consensus …

The importance of podcasting in anesthesia and perioperative medicine | ASA Highlight

August 21st, 2023

20:26

This piece is presented by Desiree Chappell and Sol Aronson with their guest Jed Wolpaw, Anesthesiologist, intensivist, founder and host of

Prehabilitation - evidence over hype | Prehabilitation / EBPOM 2023

August 14th, 2023

17:59

The World Congress of Prehabilitation Medicine preceded this year’s Evidence Based Perioperative Medicine (EBPOM). TopMedTalk had an open table and this podcast contains two of the conversations we recorded in between …

ANESTHESIOLOGY® | Editor's Highlight ASA 2022

August 7th, 2023

31:50

TopMedTalk is very proud to be partnered with the American Society of Anesthesiologists® (ASA), providing comprehensive and extensive coverage of the …

Perioperative Quality Improvement and 'The Dreaming Question' | EBPOM 2023

July 31st, 2023

31:50

“It's kind of easy to say it; ‘drinking, eating, mobilizing’ and yet actually what does it mean? Drinking, how much? Eating, what? And mobilizing, in what way? And so we refined the definitions so that everyone was …

Sustainability in medicine | EBPOM World Congress 2023

July 24th, 2023

21:19

Is sustainability now one of the key performance indicators by which we are judged? How has the medical industry responded to this and where are the pressures coming from for an environmentally conscious future?

Desiree …

Talks to... Elizabeth Drum | Editor's Highlight

July 17th, 2023

21:30

This piece is presented by Desiree Chappell and Sol Aronson with their guest Elizabeth Drum, Associate Professor of Clinical Anesthesiology and …

The Anesthesia Patient Safety Foundation | ASA Highlight

July 10th, 2023

15:56

Here we look back upon The Anesthesia Patient Safety Foundation (APSF) at last year’s Anesthesiology conference.

This piece is presented by Desiree …

OPTIMISE 2 results…BREAKING NEWS | EBPOM 2023

July 8th, 2023

37:05

The big talking point at The World Congress of Evidence Based Perioperative Medicine (EBPOM) 2023 was the results of the ‘OPtimisation of …

EBPOM 2023 IS THIS WEEK - GO TO EBPOM.ORG NOW!

July 3rd, 2023

45:09

This week we are drawing attention to an excellent talk from our archive and warming up for the biggest moment in the perioperative calendar; Evidence Based Perioperative Medicine (EBPOM) and the World Congress of …

Autonomous systems in a perioperative setting | TopMedTalk

June 26th, 2023

16:17

What is the future of AI and autonomous systems in perioperative medicine? This piece revisits a conversation we had at 'Anesthesiology'; the Annual …

Monitoring the unmonitored | TopMedTalk

June 19th, 2023

16:53

How far can we go with patient monitoring, how do we push forward with patient safety? What sort of monitoring is appropriate and when? How should we …

What is TeleICU and how can it help put patient safety first? | TopMedTalk

June 12th, 2023

31:09

You may have heard of Telemedicine but have you heard of TeleICU? How does it work? What's it like to work in one? How do you avoid alarm fatigue? To …

Videolaryngoscopy: Is the evidence there? | ESIAC 2023

June 5th, 2023

27:19

TopMedTalk were at this year’s annual conference of The European Society of Anaesthesiology and Intensive Care (ESAIC); Euroanesthesia 2023.

For more …

Technology in Anesthesiology | TopMedTalk

June 5th, 2023

13:31

The TopMedTalk team have a look at some of the products which were on display during Anesthesiology 2022. Specifically, RFID and infusion pumps.

Sol …

TopMedTalks to Rupert Pearse | ESAIC 2023

June 4th, 2023

45:21

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

Hemodynamics and Fluid Management | ESAIC 2023

June 4th, 2023

43:58

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

The World Federation of Societies of Anaesthesiologists | ESAIC 2023

June 4th, 2023

26:31

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

Oxygen - too much of a good thing? | ESAIC 2023

June 4th, 2023

40:35

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

The Future of Intensive Care with Jean-Louis Vincent | ESAIC 2023

June 4th, 2023

28:34

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

TopMedTalks to Bernd Saugel and Thomas Scheeren | ESAIC 2023

June 4th, 2023

42:17

Our coverage of Euroanesthesia 2023 continues; The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European …

TopMedTalks to Joyce Yeung | ESAIC 2023

June 3rd, 2023

25:13

The European Society of Anaesthesiology and Intensive Care (ESAIC) is the leading European Organisation for Anaesthesia, Intensive Care, Pain and …

The opening ceremony | ESAIC 2023

June 3rd, 2023

10:30

Monty Mythen, Desiree Chappell and Andy Cumpstey talk you through the opening ceremony of Euroanaesthesia 2023. Should we be advocating "supported" …

Welcome to the European Society of Anaesthesiology and Intensive Care | ESAIC 2023

June 3rd, 2023

10:22

TopMedTalk is live from the European Society of Anaesthesiology and Intensive Care. We will be bringing you interviews from the conference as well as …

Beat burnout with patient centered, provider focused, care | TopMedTalk

May 29th, 2023

35:10

Time to focus on “burnout”; this piece looks back at the coverage TopMedTalk did during the American Society of Anesthesiologists (ASA). We’re proud …

Talks to... Lee Fleisher | TopMedTalk

May 22nd, 2023

16:50

What is the wider view when it comes to perioperative medicine and anesthesiology? How and why should we become leaders, what opportunities for …

Anesthesiology and the bigger picture | TopMedTalk

May 15th, 2023

21:57

This week we revisit one of the most popular moments from our coverage of Anesthesiology 2022; a conversation about the big picture theme of …

Talks to trainee representative Cameron Dunn | TopMedTalk

May 9th, 2023

26:15

This piece focuses upon trainee led research as Monty Mythen and Desiree Chappell speak with this year's trainee representative Cameron Dunn, …

The International Prehabilitation and Perioperative Exercise Testing Society - IPOETTS | EBPOM World Conference

May 8th, 2023

26:09

This podcast is part of the historic meeting which officially announed the merging of the Perioperative Exercise Testing and Training Society (POETTS) and International Prehabilitation Society (IPS) to promote the …

Welfare and Advocacy | TopMedTalk

May 8th, 2023

21:31

Welfare and advocacy, a wide topic which intersects a little with the subject of burnout. How do we put our patients first while still listening to our own needs?

Monty Mythen speaks with Tracey Tay, Chief Medical …

Disability and patient centered outcomes | TopMedTalk

May 8th, 2023

45:45

This piece focuses upon disability and patient centered outcomes. Hear Monty Mythen and Desiree Chappell speaking with Duminda Wijeysundera, …

Opioids; clinician versus patient expectations | TopMedTalk

May 7th, 2023

28:22

Opiods and clinician versus patient expectations. This conversation covers all the key areas; how to reduce opioid use, where ketamine might fit into the picture, the importance of the haemodynamic response and how to …

Environmental sustainability; first, do no harm | TopMedTalk

May 7th, 2023

16:26

Dr Jess Davies is a staff anaesthetist at Austin Health who has a proven track record of being passionate about implementing environmentally sustainable practices into healthcare while still delivering a high standard …

Clinical Trials Network in Europe and Australasia | TopMedTalk

May 7th, 2023

17:20

What is a 'clinical trials network' and why is it important? This piece explores one of ANZCA’s Annual Scientific Meeting’s big talking points with two of the key opinion leaders in the field.

Desiree Chappell and Monty …

Perioperative Care in Australia and New Zealand | TopMedTalk

May 7th, 2023

30:19

This piece is a conversation with two fascinating guests who are in attendance at the Australian and New Zealand College of Anaesthetists Annual …

ANZCA Day 2 Live Coverage | TopMedTalk

May 7th, 2023

15:08

Desiree and Monty break down the schedule for TopMedTalk over the year. Where we’ll be and what we’ll be doing. How to get involved and where to …

What do you know about REMAP-CAP? | TopMedTalk

May 6th, 2023

25:53

This piece focuses upon the “REMAP-CAP” trial; A Randomised, Embedded, Multi-factorial, Adaptive Platform Trial for Community-Acquired Pneumonia. …

Neurocognition after surgery | TopMedTalk

May 6th, 2023

33:37

The subject of this piece is; neurocognition, after surgery and major anesthesia. We reference previous episodes of TopMedTalk, linked to in the footnotes.

Monty Mythen in conversation with Lis Evered, Associate …

Diversity and gender balance in research | TopMedTalk

May 6th, 2023

33:26

Diversity and gender balance is an important part of the bigger picture in medicine. This piece looks at the facts.

Monty Mythen and Desiree Chappell have an important conversation with Kate Leslie, Honorary Professor, …

The ANZCA Diploma in Perioperative Medicine | TopMedTalk

May 6th, 2023

18:58

“This week sees the launch of our diploma in perioperative medicine”

Hear Desiree Chappell and Monty Mythen speaking with Vanessa Beavis, Immediate …

Australian and New Zealand College of Anaesthetists, conference begins | TopMedTalk

May 5th, 2023

3:16

The Australian and New Zealand College of Anaesthetists (ANZCA) is the professional body responsible for the specialties of anaesthesia and pain …

Perfusion - not just pressure! Predict, diagnose and treat underlying cause. Don’t just ‘squeeze’! | TopMedTalk Highlight

May 3rd, 2023

17:16

This essential TopMedTalk Highlight represents the culmination of a number of important threads we’ve been examining over the last few years around …

The Society of Cardiovascular Anesthesiologists | TopMedTalk

May 1st, 2023

24:16

This piece is a reflection of the fact that The Society of Cardiovascular Anesthesiologists Annual General Meeting is coming up this weekend, we hope …

Where are you with perioperative care? Part 2 | EBPOM World Congress

April 24th, 2023

17:27

This piece is a question and answer session, it's divided into two parts, this is part two.

Following on from our previous podcasts,

Talks to... Jiapeng Huang | TopMedTalk

April 19th, 2023

20:30

Our coverage of annual International Anesthesia Research Society, (IARS) meeting organised with the Association of University Anesthesiologists (AUA) …

Interoperative hypotension study group; USAP and NorthStar Anesthesia | TopMedTalk

April 19th, 2023

42:19

This conversation is one of the key reasons we wanted to attend the annual general meeting of the International Anesthesia Research Society, in …

Live from IARS AUA SOCCA on Day 2 | TopMedTalk

April 15th, 2023

10:48

This piece released ‘as live’ from the annual International Anesthesia Research Society, (IARS) meeting organised with the Association of …

Talks to.. Wael Saasouh, NorthStar Anesthesia | TopMedTalk

April 15th, 2023

34:51

TopMedTalk’s exclusive coverage of #IARS2023 continues; the annual International Anesthesia Research Society, (IARS) meeting organised with the …

Live from IARS AUA SOCCA | TopMedTalk

April 14th, 2023

7:18

This piece released ‘as live’ from the annual International Anesthesia Research Society, (IARS) meeting organised with the Association of University …

What’s new in education and training in perioperative care? | EBPOM World Congress

April 10th, 2023

12:56

Steven Evans, Center for Perioperative Care (CPOC) Fellow and anaesthetic trainee (ST7) provides a full update on what’s new in education and …

ESSENTIAL UPDATE: The Center for Perioperative Care | EBPOM World Congress

April 3rd, 2023

14:36

“The Center for Perioperative Care (CPOC) was set up as a cross organisational collaboration with the patients at the heart of it; focusing on …

A Patient's perioperative perspective | EBPOM World Congress

March 27th, 2023

17:35

Laurence Mudford (see full bio below) provides the patient perspective and here begins a discussion about perioperative care; what is it, what do …

Does increased volume improve cancer outcomes? Part 3 | EBPOM World Congress

March 20th, 2023

18:41

This is part three of a three part piece. Although it works as a stand alone podcast we suggest you find time to loop back on episodes one ( here:

Does increased volume improve cancer outcomes? | EBPOM World Congress

March 6th, 2023

19:23

This piece is a short introduction to the subject of “volume and cancer outcomes” which is presented by Shaman Jhanj, Head of Anaesthesia and …

Perioperative Anaemia Part 3 - Roundtable | EBPOM London

February 27th, 2023

27:09

Part three continues our investigation into perioperative anemia, following on from our exclusive reaction and analysis to the Centre For …

Perioperative Anaemia Part 2 - Roundtable | EBPOM London

February 20th, 2023

22:21

The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative …

Perioperative Anaemia with Scarlett McNally | EBPOM London

February 13th, 2023

24:02

The Center for Perioperative Care (CPOC) is ‘a cross-specialty collaboration dedicated to the promotion, advancement and development of perioperative …

Tom Crean: Antarctic Explorer | EBPOM Ireland 2022

February 6th, 2023

46:05

A stand out moment from Dingle’s Evidence Based Perioperative Medicine (EBPOM) conference; the inaugural Tom Crean Plenary Lecture, presented by Mike Grocott, Professor of Anaesthesia and critical care at the University …

Do you need non-physician anaesthesia providers? | EBPOM Dingle

January 30th, 2023

49:00

The Royal Collage of Anesthetists (RCoA) are re-evaluating in the face of a global crisis; where do you stand in the forthcoming debate?

This piece, …

Morpheus Plenary Lecture: Exercise is a Perioperative medicine | EBPOM World Congress 2022

January 23rd, 2023

45:36

“I personally think this is a worse pandemic than the one we’ve just had and it’s impact - if we don’t do something about it - is going to be even more far reaching than COVID has been; this is about the global …

Michael Champeau - President of The American Society of Anesthesiologists | Anesthesiology 2022

January 19th, 2023

11:58

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA). Please share …

The National Institute for Health and Care Research | EBPOM London

January 16th, 2023

43:34

This piece looks at how The National Institute for Health and Care Research (NIHR) is taking an active role in perioperative medicine and surgery; …

Looking back on 2022 Part 2 | TopMedTalk

January 9th, 2023

30:06

In 2022 we covered many live events and conferences both on the subject of anesthesia and perioperative medicine; we produced audio versions of some of the most interesting speakers in the field of perioperative …

Looking back on 2022 | TopMedTalk

January 2nd, 2023

21:32

TopMedTalk's 2022 retrospective covers some of the big topics of the year in perioperative medicine: Perioperative diabetes management; Connected Health and the COVID era; ‘is day case total knee replacement taking ERAS …

The Heart – An Elegant Pump | EBPOM Ireland 2022

December 26th, 2022

25:28

This entertaining talk is a rewarding look at the heart in a linguistic and cultural context; what does the word and the heart itself actually mean …

Four key concepts regarding training in Anaesthesia | Dingle 2022

December 19th, 2022

27:31

Originally entitled “The Future of Training” this talk evaluates four key concepts in anaesthesia training. It was originally presented as part of …

Protecting the brain in the vulnerable patient | Dingle 2022

December 12th, 2022

33:01

As patients live longer their needs are becoming more acute during surgery; this piece asks how we can adapt practice to meet the new challenges this brings. These talks take a long view across the perioperative …

Enhanced Recovery After Cardiac Surgery (ERAS) - Is it really that different? | Dingle 2022

December 5th, 2022

54:15

This vital conversation comes in the wake of the COVID-19 crisis; how different is enhanced recovery after surgery (ERAS) and does it really get the …

The future of the anaesthetic workforce in the UK (Part 2 - Q&A session) | EBPOM 2022

November 28th, 2022

16:56

This week we have the Evidence Based Perioperative Medicine (EBPOM) Visiting Professor Plenary Lecture question and answer session for; "The future …

The Perioperative Quality Improvement | TopMedTalk

November 22nd, 2022

18:30

“This is not a book about the current evidence, this is a book about how you keep making things better in perioperative care”.

TopMedTalk speaks with the co-editors of the new book; “Perioperative Quality Improvement”. …

Efficient Trial Design; ‘evidence’ in the era of ‘Big Data’ | Dingle 2022

November 21st, 2022

54:43

This fundamental conversation is given a fresh perspective during one of the stand out moments of the recent Evidence Based Perioperative Medicine (EBPOM) Dingle conference. How do we define evidence in the era of big …

Essential Update: Perioperative Quality Initiative POQI Part 3 | EBPOM 2022

November 14th, 2022

26:40

This is the concluding Q&A session regarding the Perioperative Quality Initiative (POQI).

Please listen to parts 1 and 2 here:

Part 1:

Essential Update: Perioperative Quality Initiative POQI Part 2 | EBPOM 2022

November 7th, 2022

27:30

What is the Perioperative Quality Initiative (POQI) and why is this episode always a popular download - each year - for TopMedTalk listeners? How can …

Essential Update: Perioperative Quality Initiative POQI Part 1 | EBPOM 2022

October 31st, 2022

25:47

What is the Perioperative Quality Initiative (POQI) and why is this episode always a popular download - each year - for TopMedTalk listeners? How can …

The importance of pre-operative optimisation | Anesthesiology 2022

October 25th, 2022

13:05

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

Perioperative Medicine | Anesthesiology 2022

October 25th, 2022

26:18

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

Randall M. Clark, a year in review, as ASA President | Anesthesiology 2022

October 25th, 2022

20:41

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

The ASA Global Scholars Program Part 2 | Anesthesiology 2022

October 25th, 2022

19:48

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

The ASA Global Scholars Program Part 1 | Anesthesiology 2022

October 25th, 2022

19:28

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Creating high reliability using Tele ICU | Anesthesiology 2022

October 25th, 2022

38:46

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Burnout; a systemic problem in need of systemic, organizational, policy-level solutions | Anesthesiology 2022

October 24th, 2022

38:26

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

The vision for the future of ANESTHESIOLOGY® | Anesthesiology 2022

October 24th, 2022

38:20

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

The DETECT study | Anesthesiology 2022

October 24th, 2022

30:57

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Anesthesiology Journal | Anesthesiology 2022

October 24th, 2022

37:30

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

Monitoring the Unmonitored | Anesthesiology 2022

October 24th, 2022

20:15

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Game-changing Tech: Infusion Pump Usability with Anesthesia in Mind | Anesthesiology 2022

October 24th, 2022

10:05

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Provider burnout and wellbeing | Anesthesiology 2022

October 24th, 2022

18:50

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

The Anesthesia Patient Safety Foundation | Anesthesiology 2022

October 24th, 2022

18:51

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

Here we focus …

Podcasting in anesthesiology and medicine | Anesthesiology 2022

October 24th, 2022

24:45

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

TopMedTalks to Lee Fleisher | Anesthesiology 2022

October 24th, 2022

22:10

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

The future of the anaesthetic workforce in the UK - a personal view William Harrop-Griffiths | EBPOM 2022

October 24th, 2022

52:31

This week's podcast is the Evidence Based Perioperative Medicine (EBPOM) Visiting Professor Plenary Lecture; "The future of the anaesthetic workforce in the UK - a personal view".

The question and answer session …

Perioperative applications for R.F.I.D. | Anesthesiology 2022

October 24th, 2022

8:29

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

Advances in Low Flow Anesthesia | Anesthesiology 2022

October 24th, 2022

23:14

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

AI and Autonomous Systems in the Perioperative Setting | Anesthesiology 2022

October 24th, 2022

21:34

"The system is not going to work by itself but just under the control of the clinicians; so it's always ... human and machine together."

--

Periop evaluation of HPI in Orthotopic Liver Transplant | Anesthesiology 2022

October 23rd, 2022

27:11

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

The ASA’s Intraoperative Hypotension Measure | Anesthesiology 2022

October 23rd, 2022

35:18

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists (ASA).

This piece is …

Point-of-Care Ultrasound; Concept to Application | Anesthesiology 2022

October 23rd, 2022

22:30

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the Amercan Society of Anesthesiologists.

This piece is …

Global Humanitarian Outreach with Elizabeth Drum | Anesthesiology 2022

October 23rd, 2022

26:19

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

Day 1 Introduction | Anesthesiology 2022

October 23rd, 2022

10:18

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. This piece is an …

Pain and P.O.N.V. in the Perioperative Setting | Anesthesiology 2022

October 23rd, 2022

26:04

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists.

This piece is …

TopMedTalk is now live streaming | Anesthesiology 2022

October 22nd, 2022

9:24

Celebrating 5 years of TopMedTalk at 'Anesthesiology'; the Annual General Meeting of the American Society of Anesthesiologists. 

This piece is …

Anesthesiology - a retrospective | TopMedTalk at the ASA Part 2

October 20th, 2022

27:46

If you missed part one of this series it can be found in full here:

The value proposition of industry partnerships | EBPOM USA

October 17th, 2022

37:15

What is the value proposition when approaching industry partnerships; is there such a thing as information overload; where on the perioperative …

Anesthesiology - a retrospective | TopMedTalk at the ASA

October 13th, 2022

24:50

TopMedTalk’s long and proud association with the American Society of Anesthesiologists (ASA) means we’ve had the chance to interview many of the …

Defining a best case scenario for post operative value | EBPOM USA

October 10th, 2022

51:17

"Good surgeons are good communicators"

How do we define a best case scenario for post operative value? What are the post operative realities and behaviors which interact with cost pressures, reimbursement, payer …

Optimizing intraoperative management | EBPOM USA

October 3rd, 2022

52:04

This wide ranging discussion from Evidence Based Perioperative Medicine (EBPOM) USA asks how we should best try to manage the intraoperative period, …

Talks to ... Adam Spiegel, CEO, NorthStar Anesthesia | AANA 2022

September 29th, 2022

23:53

"A very different philosophy of going about the business of anesthesia..."

Where are CRNA's placed in the current market. What are going to be the pitfalls and the plus points as we move on from a challenging time?

With …

Women in Anesthesia | AANA 2022

September 29th, 2022

17:24

TopMedTalk's coverage of the American Association of Nurse Anesthesiology's 2022 conference continues with another installment of "Women in …

The Great Fluid Debate | EBPOM 2022

September 26th, 2022

59:34

"And the good news is that we may or may not have an answer to this fluid debate that's been running now for 25 years..."

The Great Fluid Debate is a …

Are Certified Registered Nurse Anesthetists set to become more valuable? | AANA 2022

September 22nd, 2022

16:56

"It's not just about us [Anesthesia]. It's about all the stakeholders that are invested"

How can the American Association of Nurse Anesthesiology …

Exclusive conversation with the President | AANA 2022

September 22nd, 2022

24:55

"Certified Registered Nurse Anesthetists (CRNA's) handle meeting with you ahead of time; alleviating your fears of surgery; getting an extensive health history so that we can really tailor your anesthetic to your needs. …

Perioperative Medicine, the value proposition | EBPOM USA

September 19th, 2022

58:22

EBPOM USA gets off to an incredible start; the value proposition which drives the push towards perioperative medicine on both sides of the Atlantic. How far do we go when explaining to both practitioners and patients …

The value of information | EBPOM USA

September 12th, 2022

33:01

What is the value proposition when it comes to data, when does data become information and how do we mitigate between useful monitoring and an …

Cardiac ERAS COVID and Beyond | EBPOM USA - Chicago 2021

September 5th, 2022

50:32

Where is Enhanced Recovery After Surgery (ERAS) for cardiac, now we find ourselves towards the start of the "post-COVID19" era? Where is the data taking us? How do we turn our principles into everyday practice?

This …

"I know nothing..." Hugh Montgomery - Ernest Henry Starling Plenary Lecture | EBPOM 2022

August 29th, 2022

54:43

"We need to stop accepting the tenants we've all been given throughout our careers and accept that maybe we've been misinformed and maybe we've misinformed ourselves and have a bit of humility and start again"

The …

TopMedTalks to Sadia Khan | EBPOM 2022

August 27th, 2022

28:16

This piece focuses upon continuous ward monitoring. It provides real world experience as our guest explains how technology is moving forward. How do …

Important News: The truth about pulse oximetry and darker skin pigmentation | EBPOM USA

August 22nd, 2022

20:28

Due to the importance of this topic the TopMedTalk team would appreciate it if you could help to share and boost this podcast amongst your social …

TopMedTalks to Alistair McNarry | EBPOM World Congress 2022

August 15th, 2022

25:47

Laryngosopy latest; what can we see? This piece is a full and frank update regarding where we're at from a charismatic - self described - …

Cardiac ERAS and hypotension in focus | EBPOM World Congress 2022

August 8th, 2022

39:19

TopMedTalk presented here as live during Evidence Based Perioperative Medicine (EBPOM)'s 2022 annual London conference.

Two presentations (the full …

Cognitive Prehabilitation - panel discussion | EBPOM Chicago

August 1st, 2022

38:19

This vital discussion brings to the fore the realities of cognitive prehabilitation, what is possible, how do we do it right and why does it work? Linking back to a presentation which we've heard earlier on TopMedTalk -

Reflections on anaesthesia and perioperative medicine | EBPOM

July 25th, 2022

43:08

"I think the vast majority of our colleagues still think of anesthesia as a task that has to be completed; rather than a system, or anesthesia being …

TopMedTalk Talks To Alex Oliver | EBPOM World Congress 2022

July 18th, 2022

34:16

"EEG is more than a number"

This piece is an early taste of the forthcoming highlights of Evidence Based Perioperative Medicine (EBPOM)'s TopMedTalk presentation.

Subtitled: "pEEG Monitoring in the OR and ICU: From The …

Unlocking the Perioperative Perspective | EBPOM 2022

July 11th, 2022

18:42

"It's been such an amazing.. electric atmosphere"

This bonus piece gives you a taste of the 2022 Evidence Based Perioperative Medicine (EBPOM) meeting in London this year. Look out for some of the talks from EBPOM - …

A fluid discussion about fluids | EBPOM World Congress 2022

July 7th, 2022

37:24

Recorded at EBPOM and presented here 'as live' this piece is an exclusive extra conversation held in between sessions on the subject of fluid balance; is the perennial debate of our conference over, or is there still …

Sedation in non anaesthetic areas | EBPOM World Congress 2022

July 6th, 2022

23:54

A staffing crisis globally in healthcare is pushing forward the need for sedation in non anaesthetic areas. What does this mean for medical practitioners? What are the safest ways to work within this crisis? This is not …

Novel Therapies for Perioperative Care | EBPOM Dingle

July 4th, 2022

51:15

Hear the complete live session with questions from the online audience at one of the stand out presentations of Evidence Based Perioperative Medicine …

Neal Sandy and Karla Asikainen from GE Healthcare | Euroanesthesia 2022

June 28th, 2022

24:24

"Most non clinicians.. think the most risky time when you're having surgery is when you're having surgery. That is categorically false; the most risky time is after surgery!"

This piece came shortly after GE …

Tom Westrick and Brandon Henak from GE Healthcare | Euroanesthesia 2022

June 28th, 2022

31:56

"We listen a lot to our customers and their patients"

This piece came shortly after GE Healthcare's Portrait Mobile product launch, live from the …

Pain management in the perioperative space | EBPOM Ireland

June 27th, 2022

47:12
Personalized versus protocolised perioperative pain prediction and management; what are the considerations for a modern practitioner. Where does the …

Improving outcomes of orthopaedic patients | EBPOM Ireland

June 20th, 2022

1:01:24

This piece is an essential contribution to the debate regarding patient centered value based care. Are you able to say you are putting your orthopaedic patients' needs and priorities at the forefront of your practice?

Perioperative Pain Control - A Spine Surgeon's Perspective: We have to do Better | EBPOM Chicago

June 13th, 2022

20:09
"Decide to be part of the solution"

This inspirational talk focuses upon how and why we need to focus on and improve attitudes toward pain control. …

Bernd Saugel | Euroanesthesia 2022

June 8th, 2022

37:13
This wide ranging conversation starts with a focus upon blood pressure and moves through some of the bigger trails on what an appropriate target is for a perioperative practitioner. What is the most sensible way to …

Cognitive Prehabilitation | EBPOM Chicago

June 6th, 2022

31:55

This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from …

Late Breaking Blood Pressure POISE-3 study | Euroanesthesia 2022

June 6th, 2022

11:52

This piece is highlighted because of its significance. Please check out the rest of TopMedTalk's coverage of the conference on our website -

Frederic Michard and Dan Sessler | Euroanesthesia 2022

June 6th, 2022

37:32

A welcome return to TopMedTalk for two big names both of whom made a huge impact with their previous appearances, links to which are here:

Dan Sessler is here: https://topmedtalk.libsyn.com/topmedtalks-to-dan-sessler-0

Rupert Pearse from the University of London | Euroanesthesia 2022

June 5th, 2022

30:15

"There's been a really noticeable shift, especially in the UK, towards big pragmatic research answering the big simple questions..."

This wide ranging conversation with a TopMedTalk favorite at the European Society of …

Thomas Scheeren | Euroanesthesia 2022

June 5th, 2022

38:11

"Hypotension is always a problem..." This piece is provided 'as live' from the European Society of Anaesthesiology and Intensive Care (ESAIC).

The Portrait Mobile product launch at The ESAIC | Euroanaesthesia 2022

June 4th, 2022

14:27

"Moving from being reactive to being proactive"

The Portrait Mobile product launch, live from the ESAIC.

Presented by Monty Mythen, Smiths Medical Professor UCL and TopMedTalk's Editor in Chief, with his guest Frederic …

Live from the European Society of Anaesthesiology and Intensive Care (ESAIC) | Euroanaesthesia 2022

June 4th, 2022

6:41

The TopMedTalk team are live at the European Society of Anaesthesiology and Intensive Care (ESAIC).

Join Desiree Chappell and Monty Mythen with the …

Perioperative smoking cessation clinics - panel | EBPOM Chicago

May 30th, 2022

22:52

"We just thought you guys would just tell us facts about how smoking is bad for us but you're actually giving us tools and helping us practice them …

Perioperative smoking cessation clinics | EBPOM Chicago

May 23rd, 2022

30:03

This piece looks at how and why you should be either setting up or running a smoking cessation clinic as part of a perioperative practice. How do you …

Nutrition clinics, panel discussion | EBPOM Chicago/Ireland

May 16th, 2022

41:40
"We're able to really optimize the nutrition for that specific surgery ... we're able to individualise our care plans as dieticians for these …

Emily Methangkool at The SCA | TopMedTalk

May 15th, 2022

24:25
This piece is an 'as live' interview from the Society of Cardiovascular Anesthesiologists and part of TopMedTalk's exclusive coverage of the event.

TopMedTalks to... Andy Shaw | SCA 2022

May 15th, 2022

30:50
This piece is an 'as live' interview from the Society of Cardiovascular Anesthesiologists and part of TopMedTalk's exclusive coverage of the event.

Monty and Desiree at The SCA | SCA 2022

May 14th, 2022

4:21
Welcome to the Society of Cardiovascular Anesthesiology (SCA) annual conference. This piece is a quick look at what you can expect from us as we …

Brad Cardonell at The SCA | TopMedTalk

May 14th, 2022

26:39

This piece is an 'as live' interview from the Society of Cardiovascular Anesthesiologists and part of TopMedTalk's exclusive coverage of the event.

TopMedTalks to... Julius Balogh | SCA 2022

May 14th, 2022

29:12
This piece is an 'as live' interview from the Society of Cardiovascular Anesthesiologists and part of TopMedTalk's exclusive coverage of the event.

Perioperative diabetes clinic; panel discussion | EBPOM Chicago

May 9th, 2022

51:06

This piece is an essential guide to running your own perioperative pre-operative diabetes clinic as well as how to manage this condition before, during and after and operation.  With questions from the online audience …

Perioperative diabetes management, nuts and bolts | EBPOM USA - Chicago

May 2nd, 2022

30:13
"This is an excellent opportunity to improve your care pathways, to help improve patient outcomes and really to optimise care throughout the continuum of the perioperative period."

This piece emphasises the importance …

2nd Transatlantic Leadership Forum - Is day case total knee replacement taking ERAS too far? | EBPOM Chicago

April 25th, 2022

51:43
"Now we've declared it possible, is it the right thing to do?"

This timely discussion considers the wisdom of day case total knee replacement: What do the data say? Can we do this without the use of opioids? What is …

Cardiac enhanced recovery - essential update | EBPOM Chicago

April 18th, 2022

31:12
"How do we share enhanced recovery with the world? There's been a lot of work in this area..." This crucial update covers enhanced recovery in cardiac; all the latest on investigation, implementation science, …

Nutrition clinics | EBPOM Chicago

April 11th, 2022

36:24
How do you go about setting up and then running a perioperative nutrition clinic? How do you convince patients and providers that this will increase value and efficacy? Is nutrition really an essential part of enhanced …

1st Transatlantic Leadership Forum - Connected Health - COVID Hyperdrive or Hype? | EBPOM Dingle

April 4th, 2022

52:40
"It certainly has ignited some sort of telemedicine and remote monitoring revolution; I think we'll look back in 10 years and say, well, that's …

Novel ventilation concepts P2 | TopMedTalk

March 28th, 2022

37:19

In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). There are also wider questions about "the future of anaesthesia".

Ensure you are now …

Part 6 Know AKI and say no to acute kidney injury for patients | POQI renal injury

March 21st, 2022

37:59

TopMedTalk's essential series on acute kidney injury continues, supported by the "Know AKI campaign" – a bioMérieux global campaign to raise …

Novel ventilation concepts P1 | TopMedTalk

March 14th, 2022

40:32

"New '21st Century iron lung' ventilator designed by British experts could revolutionise Covid treatment by taking patients out of intensive care …

World Kidney Day, "To know AKI is to say no to AKI" | TopMedTalk

March 10th, 2022

14:53
This podcast is in addition to a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. Go here for part one:

Part 5 Know AKI and say no to acute kidney injury for patients | Post-Operative Acute Kidney Injury Roundtable

March 7th, 2022

39:49

How should we best monitor and treat acute kidney injury (AKI)? Where is the information leading our best practitioners to? How can monitoring …

Intensive Care during COVID19 P2 | TopMedTalk

February 28th, 2022

29:58

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?

This is part two of a two part piece.

The …

Part 4 Know AKI and say no to acute kidney injury for patients | Andy Shaw on Acute Kidney Injury (AKI) biomarkers

February 21st, 2022

11:43

This podcast is part 4 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI.

For part one go here:

Intensive Care during COVID19 P1 | TopMedTalk

February 14th, 2022

37:32

How did your intensive care unit manage during COVID19? What are the common experiences of practitioners from the developed world who bravely faced a pandemic like no other?

This is part one of a two part piece.

The TV …

Part 3 Know AKI and say no to acute kidney injury for patients | Health systems perspectives in AKI

February 7th, 2022

11:38

"Kidney disease ... is clearly a public health concern"

Health systems perspectives in acute kidney injury, this podcast is part 3 in a series which is supported by the "Know AKI campaign", a bioMérieux global campaign …

The value of tackling post operative nausea and vomiting | TopMedTalk

January 31st, 2022

14:43

This piece is the first of a four part series, supported in part through an unrestricted educational grant from Acacia Pharma, Inc, tackling the subject of post operative nausea and vomiting. How do practitioners who …

Quality measures in Anesthesia | Novel Rescue PONV Therapy

January 17th, 2022

24:05

"We have to decide; if it's safe, how do we do it, and how do we do it right?"

This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we …

Key update on Intraoperative Hypotension | EBPOM Chicago

January 11th, 2022

33:23

This deep dive into intraoperative hypotension provides an essential update on this area. Does the cause of hypotension reveal more about the specifics of the condition and therefore treatments? How can we understand …

Part 1 Know AKI and say no to acute kidney injury for patients | Perioperative Renal Injury

January 10th, 2022

52:35

This piece has been supported by the "Know AKI campaign" – a bioMérieux global campaign to raise awareness about acute kidney injury. It features a wide selection of clips on the subject of acute kidney injury, …

The role of the sedationist | TopMedTalk

January 3rd, 2022

25:14

"Our top priority must be safety"

A real stand out piece from this year's incredible Evidence Based Perioperative Medicine (EBPOM) Dingle/Chicago conference. This piece dives into the realities of sedation from the …

Why do we need a new rescue antiemetic | TopMedTalk

December 27th, 2021

21:32

"There are so many, many studies on prophylaxis, but very few on treatment"

Post operative nausea and vomiting, secondary nausea, how can we put the danger of these unfortunate moments behind us in a modern practice? …

Perioperative anemia clinics, panel discussion | EBPOM Chicago

December 20th, 2021

46:51

What are the known challenges for patients and practitioners who face anemia preoperatively? How do you set up and run an anemia clinic? Is there any need for this to be considered an essential part of the perioperative …

Pathophysiology of blood pressure auto regulation P2 | TopMedTalk

December 17th, 2021

47:58

This piece continues the discussion regarding blood pressure regulation, moving from the brain to the kidney, heart and lungs via a number of …

Pathophysiology of blood pressure auto regulation P1 | TopMedTalk

December 17th, 2021

19:21

The focus of this conversation is auto regulation in the brain, it leads into a longer conversation - part 2 - where the subject is discussed more …

How to set up and run a Perioperative Anemia Clinic | EBPOM Chicago

December 13th, 2021

31:52

"Choosing Wisely is an initiative of the American Board of Internal Medicine started about 10 years ago to advertise important aspects of medicine ... their number one recommendation was to not proceed with elective …

Near infrared spectroscopy (NIRS) Round Table | EBPOM Chicago

December 6th, 2021

39:56

Near infrared spectroscopy (NIRS) ... 'a variation of pulse oximetry; it transmits red and infrared light into tissue' measures information from …

Perioperative Pulmonary Complications | EBPOM 2021

November 29th, 2021

53:39

Originally recorded during Evidence Based Perioperative Medicine (EBPOM)'s London conference this piece focuses upon pulmonary complications in the …

Ernest Henry Starling Plenary Lecture - David Story | EBPOM World Congress 2021

November 25th, 2021

37:29

One of the standout moments of Evidence Based Perioperative Medicine (EBPOM) 2021 this piece is a bonus podcast for the holiday season which looks in …

Respiratory care and management during COVID-19 | EBPOM 2021 Dingle/Chicago

November 22nd, 2021

28:07

"We have seen a very significant transition (in respiratory care) through COVID"

What have we learned about how to treat lung and breathing issues over the last few years? Away from alarming headlines and looking …

Stop your patients feeling sick | EBPOM Dingle

November 15th, 2021

30:43

Amisulpride is an antiemetic medication used at lower doses intravenously to prevent and treat postoperative nausea and vomiting; what does it look …

Nociception monitoring and pain management in 2021 | EBPOM Dingle/Chicago

November 8th, 2021

28:07

"Precision anesthesia [...] where we can give patients the anesthetic and the doses that they require on a patient specific basis"

This piece looks at nociception, the neural processes of encoding and processing …

The HPI Monitor - avoiding hypotensive events | TopMedTalk

November 1st, 2021

40:59

The Hypotension Prediction Index is rapidly gaining a well deserved place in the hands of modern perioperative practitioners. Here we look at the …

Perioperative obstetric care | EBPOM World Congress 2021

October 25th, 2021

48:28

With a global focus this piece moves into obstetric anesthesia, perioperative medicine and anemia management. Covering iron deficiency, hemoglobin, post-partum management and how to improve outcomes for all.

For more on …

Tracheostomies and COVID 19 | EBPOM 2021 Chicago/Dingle

October 18th, 2021

18:52

"I think it really comes down to teamwork"

How rapidly should you perform a tracheostomy? When do you "start the conversation" about the procedure? …

The ASA's Immediate Past President | TopMedTalk at the ASA

October 13th, 2021

26:40

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Post operative nausea and vomiting | TopMedTalk at the ASA

October 13th, 2021

13:19

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Koalaa and The Alex Lewis Trust | TopMedTalk at the ASA

October 13th, 2021

25:48

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Rick Dutton Chief Quality Officer US Anesthesia Partners | TopMedTalk at the ASA

October 13th, 2021

35:22

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Both The President and The President-Elect of the ASA | TopMedTalk

October 13th, 2021

29:39

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Stephanie Byerly, Chair of the ASA Committee on Women Anesthesiologists | TopMedTalk

October 13th, 2021

28:47

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Evan Kharasch, Chair of the ASA Committee on excellence in research | TopMedTalk at the ASA

October 13th, 2021

29:18

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Talks to Lee Fleisher | TopMedTalk at the ASA

October 13th, 2021

29:13

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Adam Striker, Chair, ASA Committee on Communications | TopMedTalk at the ASA

October 13th, 2021

22:56

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Perioperative Surgical Home (PSH) | TopMedTalk at the ASA

October 13th, 2021

29:58

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

REVIVEme - opioid overdose and naloxone | TopMedTalk at the ASA

October 13th, 2021

28:27

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Ashish Khanna on intraoperative hypotension and beyond | TopMedTalk at the ASA

October 13th, 2021

32:29

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Cancer and anaesthetic drugs | EBPOM World Congress 2021

October 11th, 2021

51:52

Cancer and anesthetic drugs, informed by the basic science the pre-clinical work and observational studies suggest the way that we provide anesthesia …

Jonathan Gal Vice Chair, ASA Committee on economics | TopMedTalk

October 10th, 2021

30:12

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Dru Riddle and Tricia Meyer | TopMedTalk

October 10th, 2021

29:21

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Amy Wilkinson Director of Clinical Marketing Butterfly Network | TopMedTalk

October 10th, 2021

17:34

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Kamal Maheshwari Director, Center for Perioperative Intelligence | TopMedTalk

October 10th, 2021

41:29

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Kraig de Lanzac, Assistant Secretary of the ASA | TopMedTalk

October 10th, 2021

25:04

 

TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree Chappell,

Welcome to the ASA | TopMedTalk

October 10th, 2021

12:38

 

Welcome to TopMedTalk's exclusive - as live - coverage of The American Society of Anesthesiologists (ASA) annual general meeting; join Desiree …

Exercise and the cancer patient during the COVID-19 crisis | EBPOM World Congress 2021

October 4th, 2021

47:45

This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the …

POETTS - Nutrition and patient living with and beyond cancer - the Macmillan Trust | EBPOM World Congress 2021

September 27th, 2021

52:08

The Perioperative Exercise Testing and Training Society (POETTS) presents "Nutrition and patient living with and beyond cancer" in partnership with the Macmillan Trust. A real stand out moment from this year's Evidence …

Perioperative care of the diabetic patient | EBPOM World Congress 2021

September 20th, 2021

40:11

This piece looks at diabetes from a perioperative perspective, as a patient goes toward surgery how realistic and how important is it for us to treat and manage their condition? What can be done? How can our patients …

The Morpheus Consortium Plenary Lecture | EBPOM World Congress 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 World Congress 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 World Congress 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 | EBPOM World Congress 2021

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 | EBPOM USA - 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 | EBPOM Ireland 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 | EBPOM Ireland 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 | EBPOM Ireland 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 | EBPOM Ireland 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 USA - 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 (REPEAT) | EBPOM USA - 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 USA - Chicago 2020

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 (REPEAT) | EBPOM USA - Las Vegas 2021

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 (REPEAT) | EBPOM USA - Las Vegas 2021

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" (REPEAT) | EBPOM USA - 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 USA - 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 (REPEAT) | EBPOM USA - Las Vegas 2021

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 USA - 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 USA - 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 | ERAS Cardiac 2021

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 | ERAS Cardiac 2021

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 | ERAS Cardiac 2021

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 | EBPOM USA - 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 | EBPOM USA - 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 USA - 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 | ERAS Cardiac

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 Ireland 2020

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 Ireland 2020

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 USA - 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 USA - 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 USA - 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 USA - 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 | EBPOM USA - 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 USA - 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 USA - 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 | EBPOM Ireland 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 | EBPOM Ireland 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 USA - 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 | EBPOM Ireland 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 | EBPOM Ireland 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 USA - 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" | EBPOM USA - 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 USA - Chicago 2020

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 USA - Las Vegas 2021

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 USA - Las Vegas 2021

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 USA - Las Vegas 2021

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 USA - 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 USA - 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 USA - 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 USA - 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 (REPEAT) | EBPOM USA - Las Vegas 2021

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 2020

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 | EBPOM USA - 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 | EBPOM Ireland 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 USA - 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 USA - 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 USA - Chicago 2020

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 | ERAS Cardiac 2021

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 | ERAS Cardiac 2021

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 | ERAS Cardiac 2021

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 USA - 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 USA - 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 USA - 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 | EBPOM USA - 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 | EBPOM USA - 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 USA - 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 USA - 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 | EBPOM Ireland 2020

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 | EBPOM Ireland 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 | EBPOM USA - 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? | EBPOM Ireland 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 Special

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 Special

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 Special

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 …

Obstetrics in the pandemic (REPEAT) | COVID 19

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 …

Outstanding outcomes | The RoundTable

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 …

Improving Readiness (REPEAT) | COVID 19

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 …

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

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

Opioid-induced Respiratory Depression | EBPOM USA - Las Vegas 2021

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 …

Non-invasive evaluation of autonomic nervous system- A nociception monitor | EBPOM USA - Las Vegas 2021

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 …

Angela Bader - The need for 'end of life' conversations (REPEAT) | COVID 19

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 …

Talks to ... Bob Thiele | EBPOM Ireland 2020

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 …

Paul Grant | TopMedTalks To ...

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 …

Covid 19 - ventilation strategies | EBPOM Ireland 2020

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 …

Enhanced Recovery with Monty and Desiree | EBPOM Ireland Highlight

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 …

Ketamine Infusion Centers: From Inception to Infusion | AANA 2020

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 …

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

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 …

Sex, race and social class disparities in pain | AANA 2020

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 …

Vaccine time! | COVID 19

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 …

Emergence Delirium in US Veterans: Best Practice Recommendations | AANA 2020

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 …

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

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 …

Amir Jaffer | TopMedTalks to...

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 …

How to "ACE" pediatric emergence! | AANA 2020

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 …

POQI 5 - Fluid Management | POQI

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 …

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

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... …

Maurizio Cecconi | TopMedTalks to...

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 …

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

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 …

Anemia Management | EBPOM USA - Chicago 2020

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 …

Methadone use in Perioperative Medicine | EBPOM USA - Chicago 2020

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 …

Caring for the transgender patient | AANA 2019

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 …

Michelle Chew | TopMedTalks to...

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 …

How you can protect yourself (REPEAT) | COVID 19

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 …

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

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 …

POQI 5 - Fluid Management | POQI

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 …

The Changes that Change Culture - panel discussion | EBPOM USA - Chicago 2020

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? …

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

Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019

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 …

Patient Safety: How do you make the Changes that Change Culture? | EBPOM USA - Chicago 2020

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 …

Covid 19 - ventilation strategies | EBPOM Ireland 2020

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 …

Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019

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 …

TopMedTalks to ... Bob Thiele | EBPOM Ireland 2020

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? …

Emotional Intelligence and Occupational Stress | AANA 2019

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 …

Part 2 of TRIPOM USA | Sunday Special

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 …

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

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 …

Innovators in Anesthesia | AANA 2019

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 …

Part 1 of TRIPOM USA | Sunday Special

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 …

Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? | AANA 2020

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 …

Delaying surgery to adequately prepare? | EBPOM World Congress 2019

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 …

Matt Wiles and Marcus Peck | TopMedTalks to...

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 …

Michael Ramsay | TopMedTalks to...

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 …

Professor Monty Mythen | TopMedTalks to...

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 …

Joe Kiani | TopMedTalks to...

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 …

The evolution of a community-based Prehabilitation service | EBPOM World Congress 2018

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 …

Hugh Montgomery | TopMedTalks to...

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 …

Simulation in Education | AANA 2019

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 …

How to "ACE" pediatric emergence! | AANA 2020

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 …

Emergence Delirium in US Veterans: Best Practice Recommendations | AANA 2020

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 …

E-cigarettes and their impact on patients undergoing anesthesia | AANA 2020

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 …

Sex, race and social class disparities in pain | AANA 2020

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 …

Ketamine Infusion Centers: From Inception to Infusion | AANA 2020

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 …

Opioids: Pain, Euphoria, and a New Surgical Complication. Are Your Patients Safe? | AANA 2020

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 …

Suicide Prevention in Anesthesia: CRNAs and SRNAs | AANA 2020

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 …

Mike Swart | TopMedTalks to...

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) …

Enhanced Recovery with Lynn Reede | AANA 2019

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 …

Burn out? | Sunday Special

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 …

Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019

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 …

Practical tips for preoperative risk assessment | EBPOM Ireland 2019

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 …

Houman Javedan | TopMedTalks to...

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 …

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

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 …

Enhanced Recovery with Monty and Desiree | EBPOM Ireland 2019

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 …

Michelle Chew | TopMedTalks to...

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 …

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

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 …

Can medicine be cured? | EBPOM Ireland 2019

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 …

Caring for the transgender patient | AANA 2019

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 …

Critical care for the very elderly patient | EBPOM Ireland 2019

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 …

The opportunity in variability | EBPOM Ireland 2019

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 …

The NHS - over 70 | EBPOM World Congress 2018

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 …

Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019

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 …

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

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 …

The Power of Perception | EBPOM Ireland 2019

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 …

Treating anemia in the perioperative process | The RoundTable

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 …

Dan Martin, OBE | TopMedTalks to...

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 …

We've saved twelve million dollars! | The RoundTable

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 …

Tackling the pain of the opioid crisis | AANA 2019

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 …

Civil Liberties and Public Health | COVID 19

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 …

Innovators in Anesthesia | AANA 2019

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 …

Maurizio Cecconi | TopMedTalks to...

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 …

SNAP-2 - EPICCS | EBPOM World Congress 2019

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 …

Diversity and Inclusion | AANA 2019

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 …

Geriatric care and the value of teamwork | The RoundTable

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 …

Hypoxia and the Brain | Xtreme Everest

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 …

Unlocking the Secrets of the Mighty Mitochondria | Xtreme Everest

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 …

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

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 …

The Significance of the Microcirculation | Xtreme Everest

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 …

Bring on the vaccine! | COVID 19

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 …

Healthy eating and cancer | TopMedTalk & MacMillan Cancer Special

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 …

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

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

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 …

Where are all our patients? | COVID 19

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 …

Obstetrics in the pandemic | COVID 19

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 …

Improving Readiness | COVID 19

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 …

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

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 …

The Ventilator Training Alliance App | COVID 19

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 …

Getting back to the new normal | COVID 19

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 …

An Irish Voice | COVID 19

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 …

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

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 …

How you can protect yourself | COVID 19

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 …

ACE inhibitors- Right or Wrong? | COVID 19

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 …

Vital information direct from experts in Italy | COVID 19

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 …

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

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 …

Heroism in medicine - Remembering ANZAC Day | COVID 19

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 …

Take time to relax | COVID 19

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 …

Healthcare leaders examine staff deaths | COVID 19

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 …

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

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 …

Disruptive Innovation | COVID 19

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 …

Case study: Professor Monty Mythen - Part 02 | COVID 19

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. …

Case study: Professor Monty Mythen - Part 01 | COVID 19

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 …

Delaying surgery to adequately prepare? | EBPOM World Congress 2019

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 …

Junior Doctors sent to frontline in UK (REPEAT) | COVID 19

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 …

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

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 …

Essential knowledge; management of the COVID patient | COVID 19

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 …

Mike Irwin, Hong Kong | COVID 19

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 …

ICU - not just another day at work | COVID 19

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 …

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

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' …

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

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 …

Innovation through evidence | COVID 19

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 …

Junior Doctors sent to frontline in UK | COVID 19

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 …

Herbert Patrick, Jefferson Hospital, USA (REPEAT)| COVID 19

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 …

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

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 …

Online Charity Concert Saturday 5pm UK time | COVID 19

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 …

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

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 …

Healthy eating and cancer | TopMedTalk & MacMillan Cancer Special

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 | TopMedTalk & MacMillan Cancer Special

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 …

Herbert Patrick, Jefferson Hospital, USA | COVID 19

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 …

Barbara McLean, Grady Memorial, USA | COVID 19

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 …

Dr Joff Lacey | COVID 19

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 …

Emotional Intelligence and Occupational Stress | AANA 2019

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 …

Desiree and Monty | COVID 19

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 …

Carol Peden | Women in Anaesthesia

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 …

An update on patient, Professor Monty Mythen | COVID 19

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; …

Professor Tim Cook, Bath, UK | COVID 19

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 …

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

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 …

Ross Kerridge, University of Newcastle in Australia | COVID 19

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 …

Roneet Lev, San Diego | COVID 19

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 …

Monty and Desiree weekend update | COVID 19

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 …

Jamie Harris and Carol Schmidt | Women in Anaesthesia

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 …

Professor Monty Mythen has tested positive | COVID 19

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 …

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

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 …

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

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 …

Does one of our team have COVID 19? | 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 …

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

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 …

Epidemiology revisited - a case for virtual meetings | COVID 19

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 …

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

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 …

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

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 …

Carolyn Johnston | Women in Anaesthesia

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.

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

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 …

Oxygen economy, CPAP and ventilators | COVID 19

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 …

From the front line; Desiree and Monty | COVID 19

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 …

Dingle update | COVID 19

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 …

"We can't be overprepared" | COVID 19

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 …

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

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 …

"You must learn the epidemiology" | COVID 19

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 …

Angela Bader | Women in Anaesthesia

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 …

Joe Kiani | TopMedTalks to...

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. …

The evolution of cardiac surgery | SCA 2019

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 …

The malnourished surgery patient | The RoundTable

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:

Physiological Principles of Goal Directed Fluid Therapy | Perioperative Coach

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 …

Ramani Moonsinghe | Women in Anaesthesia

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 …

Introduction | Women in Anaesthesia

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 …

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

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 …

Padma Gulur | TopMedTalks to...

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 …

Matt Wiles and Marcus Peck | TopMedTalks to...

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.

Assessing the risk of delirium | Perioperative Coach

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 …

Dru Riddle | TopMedTalks to...

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

Avoiding the hypotension hazard | The RoundTable

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 …

ERAS what's the 'secret sauce'? | Perioperative Coach

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 …

Greater National Advocates | Sunday Special

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 …

Tim Miller | TopMedTalks to...

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 …

The Royal College of Anaesthetists: World Leading Healthcare | The RoundTable

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 …

Getting it right first time (GIRFT) | Perioperative Coach

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 …

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

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 …

William Wooden | TopMedTalks to...

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 …

Let your patients be 'partners in safety' | The RoundTable

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 …

Medical Linguistic Anthropology and Patient Autonomy | Sunday Special

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 …

What's your 2020 vision? | TopMedTalk

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 …

Fortnightly Digest | TopMedTalk

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.

Prehabilitation and cancer | World Congress 2019

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 …

Being on the right side of the law | Sunday Special

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 …

Paul Pomerance | TopMedTalks to...

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:

Charles Brown | TopMedTalks to...

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 …

Can Enhanced Recovery work for the critical care patient? | The RoundTable

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 …

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

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.

Elena Koepke | TopMedTalks to...

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 …

Enhanced Recovery After Surgery (ERAS) leadership | Sunday Special

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) …

Frances Chung | TopMedTalks to...

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 …

Social media and the democratisation of education | Sunday Special

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 …

Amir Jaffer | TopMedTalks to...

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 …

Cancer outcomes drive enhanced recovery | The RoundTable

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 …

Pets as therapy | Sunday Special

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 …

What is the Perioperative Medicine Summit? | The RoundTable

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 …

The Perioperative Cognition Workshop - Part 4 | Sunday Special

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 …

One of the best career decisions I've made | The RoundTable

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 …

The Perioperative Cognition Workshop - Part 3 | Sunday Special

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 …

Can you bite your upper lip? Assessing patients to reduce post-op respiratory complications | The RoundTable

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 …

The Perioperative Cognition Workshop - Part 2 | Sunday Special

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 …

William Wooden | TopMedTalks to...

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 …

'Our chief CRNA sent me a podcast from TopMedTalk' | The RoundTable

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 …

Carol Peden - EPOCH Q&A | The RoundTable

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 …

Preoperative Optimization: Framing up the value proposition | Sunday Special

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 …

Rick Dutton - Q&A Session | The RoundTable

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, …

A deeper dive into Enhanced Recovery | The RoundTable

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 …

The Global Council on Brain Health | The RoundTable

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 …

How should we teach perioperative medicine? | Sunday Special

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 …

Adverse outcomes and patient optimisation | The RoundTable

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 …

Methadone - the overlooked Opiate? | EBPOM World Congress 2019

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 …

Population health in a 'fee for service' environment | The RoundTable

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 …

Do we share an interest in Enhanced Recovery? | The RoundTable

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 …

Nasogastric feeding | Sunday Special

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 …

Tim Cook | TopMedTalks to...

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 …

Houman Javedan | TopMedTalks to...

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 …

Delaying surgery to adequately prepare? | World Congress 2019

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 …

Lynn Reede | TopMedTalks to...

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 …

Enhanced Recovery for obstetrics | Perioperative Coach

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 …

The malnourished surgery patient | The RoundTable

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:

Length of stay after Major Surgery | Perioperative Coach

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.

Prehabilitation and cancer | EBPOM World Congress 2019

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 …

Fluids in the 2020's | The RoundTable

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 …

Urine output | Perioperative Coach

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 …

Avoiding the hypotension hazard | The RoundTable

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 …

Pain Relief in Enhanced Surgical Recovery | Perioperative Coach

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 …

Tim Miller | TopMedTalks to...

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 …

Enhanced Recovery | AANA 2019

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 …

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

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: …

Tackling the pain of the opioid crisis | AANA 2019

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 …

Innovators in anesthesia: Anesthesia electronic medical records | AANA 2019

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 …

Daniel Conway and the Surgery School | The RoundTable

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 …

Mechanically ventilating patients in the operating room | AANA 2019

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

Diversity and Inclusion | AANA 2019

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:

Simulation in Education | AANA 2019

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

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

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 …

Emotional Intelligence and Occupational Stress | AANA 2019

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 …

The Respiratory Compromise Institute and ERAS | AANA 2019

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 …

Perioperative Nephrology Fluids and the Kidney | Perioperative Coach

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 …

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

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 …

Innovators in Anesthesia | AANA 2019

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 …

Protecting Your Healthcare Practice - Compliance and Enforcement | AANA 2019

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 …

Caring for the transgender patient | AANA 2019

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 …

Prehabilitation, the word of the year? | The RoundTable

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 …

Fluid Management | Perioperative Coach

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 …

'If compliance goes down - you know you have a problem' | The RoundTable

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 …

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

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 …

Social Media | Sunday Special

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 …

How do you bring perioperative care to your practice? | The RoundTable

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 …

Fluid management - the less explored controversies | Perioperative Coach

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, …

Mike of the antarctic | Sunday Special

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 …

Don't ask 'what is the matter' ask what matters? | The RoundTable

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 …

Getting on the same page | Perioperative Coach

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.

The Bigger Picture of Perioperative Medicine | Sunday Special

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 …

Exercise is real medicine? | The RoundTable

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 …

Nutrition | Perioperative Coach

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 …

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

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 …

Zeev Kain | TopMedTalks to...

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 …

Insight into ERAS in Saudia Arabia | The RoundTable

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 …

How do you impliment change? | Perioperative Coach

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 …

Fitter Better Sooner | Sunday Special

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 …

Paul Pomerance | TopMedTalks to...

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 …

Judson Williams and Gina McConnell | ERAS Cardiac 2019

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 …

Kevin Lobdell | ERAS Cardiac 2019

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 …

Bob Booth | ERAS Cardiac 2019

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 …

Seenu Reddy | ERAS Cardiac 2019

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 

Coordinating an Enhanced Recovery Program | The RoundTable

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 …

Understanding delirium among the surgical team | Perioperative Coach

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 …

Changing the culture around surgical recovery | The RoundTable

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 …

Putting care into intensive care | Perioperative Coach

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 …

Blood Pressure | Sunday Special

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 …

Charles Brown | Euroanaesthesia 2019

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 …

Outstanding Outcomes | The RoundTable

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 …

Pain strategies | Perioperative Coach

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 …

Burn out? | Sunday Special

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 …

Elena Koepke | TopMedTalks to...

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. …

Cancer outcomes drive enhanced recovery | TopMedTalk

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. …

Is pain the fifth vital sign"? | Perioperative Coach

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. …

Linda Mason | Euroanaesthesia 2019

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. …

Alexander J Butwick | Euroanaesthesia 2019

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. …

John Koncelik | Euroanaesthesia 2019

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! | Euroanaesthesia 2019

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. …

Frances Chung | TopMedTalks to...

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 …

What is the Perioperative Medicine Summit? | The RoundTable

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 …

Sedation and the triple low | Perioperative Coach

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 …

Enhanced Recovery After Surgery (ERAS) leadership | Sunday Special

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 …

Davinder Ramisingh | SCA 2019

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 …

Poster presenters | SCA 2019

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 …

Michael Eaton | SCA 2019

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 …

One of the best career decisions I've made | The RoundTable

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", …

Blood pressure | SCA 2019

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 …

Are you burned out? | SCA 2019

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?

Perioperative Fluid Management to Enhance Recovery After Surgery | Perioperative Coach

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 …

Social media and the democratisation of education | Sunday Special

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 …

Can you bite your upper lip? Assessing patients to reduce post-op respiratory complications | The RoundTable

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, …

Psychological optimisation | Perioperative Coach

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 …

Pets as therapy | Sunday Special

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 …

ASER 2019: Jamie Harris and Carol Schmidt | The RoundTable

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 …

Stop Bang, identifying obstructive sleep apnea | Perioperative Coach

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 …

The Perioperative Cognition Workshop - Part 4 | Sunday Special

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 …

The Perioperative Cognition Workshop - Part 3 | Sunday Special

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 …

The Perioperative Cognition Workshop - Part 2 | Sunday Special

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 …

The Perioperative Cognition Workshop - Part 1 | Sunday Special

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 …

Carol Peden - EPOCH Q&A | TopMedTalk

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 …

Pre-operative anemia, detection and management | Perioperative Coach

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?     …

Preoperative Optimization: Framing up the value proposition | Sunday Special

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 …

William Wooden | TopMedTalks to...

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 …

ASER 2019 | Eric J. Zimmerman

April 26th, 2019

14:12

Our coverage of ASER's annual meeting continues with a piece which focuses on prehabilitation and clinical nutrition, specifically as relates to surgery.

Can the sarcopenic elderly patient build muscle in a reasonable …

ASER 2019 | Tom Poulton

April 26th, 2019

10:10

Welcome to the first of our exclusive podcasts covering this year's American Society for Enhanced Recovery (ASER) Annual Congress of Enhanced Recovery and Perioperative Medicine. ASER's web presence is here:

POET 2.10 | Smoking cessation clinics

April 26th, 2019

16:16

Could a smoking cessation clinic be the next step in perioperative enhancement at your practice? This piece gives you an introduction to the idea and …

TRIPOM 1.5 | 'Understanding of delirium amongst the surgical team'

April 25th, 2019

9:28

This piece focuses on the winning EBPOM USA poster presenter whose team were responsible for the excellent 'Understanding of delirium amongst the …

EBPOM Conference Highlight 1.21 | Lessons on EPOCH in the UK

April 24th, 2019

22:39
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 …

Rick Dutton Q&A Session | TopMedTalk

April 23rd, 2019

20:42

This standalone piece allows us to explore further some of the issues raised by Saturday's podcast "TopMedTalks to... | Rick Dutton". If you missed …

Get off the gurney and exercise! | Perioperative Coach

April 22nd, 2019

5:29

This piece is about the importance of early mobilisation after surgery; "your first physical therapy session may very well be in the recovery room".   Desiree Chappell presents with Monty Mythen and their guests; Dr 

Hemodynamics - State of the Science | Sunday Special

April 21st, 2019

46:59

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 …

Rick Dutton | TopMedTalks to...

April 20th, 2019

29:27

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 …

POET 2.09 | A centre for geriatric surgery and palliative care

April 19th, 2019

11:16

How can your value based care proposition be further enhanced by a centre for geriatric surgey and palliative care? How important is shared decision making to your practice? What are the opportunities for an …

TRIPOM 1.4 | Society for Obstetric Anesthesia and Perinatology (SOAP)

April 18th, 2019

11:43

  From a leadership perspective should enhanced recovery for obstetrics be "standard of care" across the nation? Interest in this field seems to be …

EBPOM Highlight 1.20 | Leading a large, single group towards excellence

April 17th, 2019

35:00

"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 …

We've saved twelve million dollars! | The RoundTable

April 16th, 2019

10:11

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

Haemodynamic monitoring | Perioperative Coach

April 15th, 2019

12:40

In critically ill patients where are we with haemodynamic monitoring and management? What is an ideal mean arterial pressure (MAP) during the process? What about chronic hypotensive patients? How do we safely avoid …

Should direct laryngoscopy be consigned to the history books? | Sunday Special

April 14th, 2019

18:33

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

TopMedTalks to ... | Professor Iain Moppett

April 13th, 2019

17:51

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 …

POET 2.08 | The rise and rise of CPET

April 12th, 2019

8:29

This piece focuses on the rise of cardiopulmonary exercise testing (CPET) in the wake of the Measurement of Exercise Tolerance before Surgery (METS) …

TRIPOM 1.03 | Setting up a perioperative surgical home

April 11th, 2019

14:50

What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early …

EBPOM Highlight 1.19 | The Patient Safety Movement Foundation

April 10th, 2019

37:47

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 …

A deeper dive into Enhanced Recovery | The RoundTable

April 9th, 2019

29:04

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 …

Data and sustainability | Perioperative Coach

April 8th, 2019

6:15

"Without data you cannot sustain your programme" - this piece is about understanding the importance of data collection as part of the perioperative …

CPET: Cardio Pulmonary Exercise Testing | Sunday Special

April 7th, 2019

35:16

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

TopMedTalks to ... | Clare Gerada

April 6th, 2019

6:16

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 …

POET 2.07 | Respect and recognition through teamwork

April 5th, 2019

13:11

"If you don't have respect you really can't do anything ... healthcare is a team sport!"

What is a "Respect Officer"? Why is respect so important in …

TRIPOM 1.02 | EBPOM USA 2019

April 4th, 2019

29:48

How does enhanced recovery after surgery (ERAS) work for cardiac patients? What lessons have been learned and how have pathways and protocols …

EBPOM Highlight 1.18 | Emergency laparotomy Collaborative

April 3rd, 2019

15:17

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

The Global Council on Brain Health | The RoundTable

April 2nd, 2019

15:35

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

The painful truth | Perioperative Coach

April 1st, 2019

8:07

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts …

Reflections on EBPOM-USA Dallas Masters Course | Sunday Special

March 31st, 2019

17:23

The EBPOM-USA Dallas Masters Course, held between the 22nd - 24th of March 2019, has provided TopMedTalk with a wealth of exciting new material which we will be sharing with you over the next few months. Here you can …

TopMedTalks to ... | John Myburgh

March 30th, 2019

37:33

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 …

POET 2.06 | Prehabilitation and preparation for safer surgery

March 29th, 2019

6:36

What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? Should prehabilitation be thought of as a natural part of …

TRIPOM 1.01 | EBPOM USA 2019

March 28th, 2019

16:39

How has perioperative medicine impacted upon our understanding of obstetrics? Hear how implimenting an ERAS programme in 2016 has benefitted the …

EBPOM Highlight 1.17 | Colloid vs Crystalloid - Goal Directed Therapy

March 27th, 2019

10:18

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

Adverse outcomes and patient optimisation | The RoundTable

March 26th, 2019

23:03

Adverse outcomes, we all know they happen but how do we handle them, record them and avoid them in the first place? The discussion then moves to (Patient Recorded Outcome Measures) PROMS.

Patient optimisation is then …

How should we teach perioperative medicine? | Sunday Special

March 24th, 2019

20:04

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 …

Professor Monty Mythen | TopMedTalks To ...

March 23rd, 2019

14:36

What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis?

Broadcaster Nick Margerrison speaks with our …

POET 2.05 | Rehabilitation as a team sport

March 22nd, 2019

6:30

Teamwork is an essential part of perioperative care. Here the case is made that we should approach both pre and post habilitation as being akin to …

EBPOM Highlight 1.17 | Developing a national quality improvement network

March 21st, 2019

18:37

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

EBPOM Highlight 1.16 | Postoperative changes in cognition: The role of biomarkers

March 20th, 2019

24:18

"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in …

Population health in a 'fee for service' environment | The RoundTable

March 19th, 2019

9:39

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 …

Physiological Principles of Goal Directed Fluid Therapy | Perioperative Coach

March 18th, 2019

20:26

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

Critical Care Practitioner Podcast | Sunday Special

March 17th, 2019

12:44

TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care …

Hugh Montgomery | TopMedTalks to...

March 16th, 2019

35:50

Recorded on the first day of the Intensive Care Society's annual conference this conversation starts with some reflections about how conferences have moved into the modern age now with interactivity and new media …

POET 2.04 | Shared decision making

March 15th, 2019

9:37

Shared decision making is a meeting between experts, on the one hand we have a clinician who understands a diagnosis and a likely prognosis, on the other we have a patient who exclusively understands their values and …

EBPOM Highlight 1.15 | Perioperative nutrition

March 14th, 2019

25:46

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

EBPOM Highlight 1.14 | Does choice of opioid influence health outcomes?

March 13th, 2019

27:43

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

Do we share an interest in Enhanced Recovery? | The RoundTable

March 12th, 2019

18:55

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) …

Tackling post operative delirium | Perioperative Coach

March 11th, 2019

14:30

How do we address the issue of post operative delirium?

Here you will find fascinating further discussion about cognitive function after surgery. What practical, simple steps can patients and providers take to bridge …

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

March 10th, 2019

58:07

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 ... | Dan Cole

March 9th, 2019

22:09

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

POET 2.03 | Refusing surgery

March 8th, 2019

11:11

Is it unreasonable to give a patient six months to lose weight before, for example, knee surgery? Going even further should we be considering …

JAMA: The ENGAGES Randomized Clinical Trial | Journal Club

March 7th, 2019

27:51
The full title of the paper being looked at here is: "Effect of Electroencephalography-Guided Anesthetic Administration on Postoperative Delirium …

EBPOM Highlight 1.13 | PQIP Pain: from individual case to systems management

March 6th, 2019

21:06

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

Geriatric care and the value of teamwork | The RoundTable

March 5th, 2019

13:58

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

Assessing the risk of delirium | Perioperative Coach

March 4th, 2019

6:26

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

Nasogastric feeding | Sunday Special

March 3rd, 2019

12:03

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 …

Mike Swart | TopMedTalks to...

March 2nd, 2019

18:21

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

POET 2.02 | Overcoming the behaviour gap

March 1st, 2019

12:17

The gap between ambition and action is familiar to us all but when it's potentially a matter of life and death how do we overcome it? This piece gives you a sense of both the research which illustrates the 'behaviour …

Various Journals: ACE, ARBs and Asprin | Journal Club

February 28th, 2019

11:13
Interesting thoughts on the use of ACE inhibitors and ARBs, alongside considerations regarding asprin.   We look at the following papers:  

EBPOM Highlight 1.12 | Perioperative nutrition should be a key part of Enhanced Recovery

February 27th, 2019

27:21

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

Treating anemia in the perioperative process | The RoundTable

February 26th, 2019

24:44

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

Live …

ERAS what's the 'secret sauce'? | Perioperative Coach

February 25th, 2019

4:35

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

Part 2 of TRIPOM USA | Sunday Special

February 24th, 2019

33:38

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 …

Tim Cook | TopMedTalks to...

February 23rd, 2019

27:53

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 …

POET 2.01 | The UK's Prepwell initiative

February 22nd, 2019

8:50

Community based prehabilitation in the UK is being spearheaded by the Prepwell Initiative. Supported by a grant from Sports England this pioneering work is a great example of the way in which a perioperative enhancement …

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

February 21st, 2019

12:42

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

We discuss the following …

EBPOM Highlight 1.11 | Hypotension probability in practice

February 20th, 2019

11:50

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

The Royal College of Anaesthetists: World Leading Healthcare | The RoundTable

February 19th, 2019

20:09

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 …

Perioperative Medicine Summit 2019 1.12 | Houman Javedan

February 18th, 2019

13:45

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 …

Getting it right first time (GIRFT) | Perioperative Coach

February 18th, 2019

7:28
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 …

Part 1 of TRIPOM USA | Sunday Special

February 17th, 2019

23:43

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 …

Perioperative Medicine Summit 2019 1.11 | Perioperative practice

February 17th, 2019

11:37
This piece acts as a great summary of some of the big takaways from the conference this year. Discussion about a hugely successful Enhanced Recovery …

Perioperative Medicine Summit 2019 1.10 | Master Perioperative Medicine

February 16th, 2019

12:27

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", …

Perioperative Medicine Summit 2019 1.09 | Post op respiratory problems

February 16th, 2019

11:43
Post op respiratory complications are the focus of this piece. How can they be anticipated, detected early and dealt with appropriately? What about …

Lynn Reede | TopMedTalks to...

February 16th, 2019

19:37

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 …

Perioperative Medicine Summit 2019 1.08 | Paul Grant

February 16th, 2019

14:06

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

We discuss the following …

Perioperative Medicine Summit 2019 1.07 | Elena Koepke

February 15th, 2019

19:49
On the last occasion where we spoke with our guest she was a Perioperative Medicine Fellow at Duke University; learn how her experiences have helped change her practice and the edge she now has in dealing with …

Perioperative Medicine Summit 2019 1.06 | Avital O'Glasser

February 15th, 2019

15:19

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 …

Perioperative Medicine Summit 2019 1.05 | Frances Chung and Kurt Pfeifer

February 15th, 2019

28:26

Conversation begins with reflections on the conference and the impact of social media, Twitter, Facebook and so forth, on the global perioperative scene before tucking into some of the big stories that are emerging from …

Perioperative Medicine Summit 2019 1.04 | The big messages so far

February 15th, 2019

23:06
What are some of the big take home messages from this conference so far? Lots of material on preoperative assesment, discussion of some of the big trials and papers that have occured in the field and reflections on …

Perioperative Medicine Summit 2019 1.03 | Angela Bader

February 15th, 2019

29:20

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

Perioperative Medicine Summit 2019 1.02 | Amir Jaffer

February 15th, 2019

23:18

Discussion begins with an overview of the conference and its roots. Special mention is made regarding the Frank Michota Memorial Lecture which takes place on the Friday morning of the conference.

Also on this podcast, …

Perioperative Medicine Summit 2019 1.01

February 14th, 2019

19:50

The Society for Perioperative Assessment and Quality Improvement (SPAQI) are in Orlando Florida for their 14th annual summit and, of course, we're there to cover it.   Find out what you can expect, if you are attending …

Brit Journal Anaesthesia: Antiplatelet therapy, bleeding and thrombosis in noncardiac surgery | Journal Club

February 14th, 2019

5:19

The full title of today's paper is: Prospective observational cohort study of the association between antiplatelet therapy, bleeding and thrombosis …

EBPOM Highlight 1.10 | Antibiotic stewardship in perioperative care

February 13th, 2019

15:28

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

Opioid reduction | The RoundTable

February 12th, 2019

21:53

What's it like in rural America working at a small hospital, 'way out on the frontier'? What best practice initiatives are there to help? How can you implement a process of rapid opioid reduction, more than 70%, in just …

Enhanced Recovery for obstetrics | Perioperative Coach

February 11th, 2019

4:46

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

This podcast features Desiree Chappell interviewing Dr Attila Kett, …

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

February 10th, 2019

43:35

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 …

Michael Ramsay | TopMedTalks to...

February 9th, 2019

11:13

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 …

POET 1.10 | Give your patients a warm welcome.

February 8th, 2019

6:34
The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this …

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

February 7th, 2019

18:04

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

The following articles were discussed:

JAMA: The effectiveness of right …

EBPOM Highlight 1.09 | Rehabilitation post critical care

February 6th, 2019

22:21

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

Let your patients be 'partners in safety' | The RoundTable

February 5th, 2019

19:38

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 …

Length of stay after Major Surgery | Perioperative Coach

February 4th, 2019

11:09

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: …

Greater National Advocates | Sunday Special

February 3rd, 2019

21:26
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 …

Dan Martin, OBE | TopMedTalks to...

February 2nd, 2019

13:38

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

POET 1.09 | How to drive perioperative care.

February 1st, 2019

18:59

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

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

January 31st, 2019

12:02

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

Sessler DI, Turan A, Stapelfeldt WH, Mascha EJ, Yang D, Farag E, Cywinski J, Vlah C, Kopyeva T, Keebler AL, Perilla M, Ramachandran M, Drahuschak …

EBPOM Highlight 1.08 | Post-operative critical care: what should we do?

January 30th, 2019

22:08

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

Urine output | Perioperative Coach

January 28th, 2019

5:26

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

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

Medical Linguistic Anthropology and Patient Autonomy | Sunday Special

January 27th, 2019

15:52

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

Joe Kiani | TopMedTalks to...

January 26th, 2019

11:01

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 …

POET 1.08 | If patients come to us anaemic - they just do worse

January 25th, 2019

21:56

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 …

Anesthesiology: the Cognitive Effects of Perioperative Pregabalin | Journal Club

January 24th, 2019

4:14

Journal Club Express this week focuses upon a piece in Anesthesiology; Cognitive Effects of Perioperative Pregabalin: Secondary Exploratory Analysis …

EBPOM Highlight 1.07 | Shared decision making in perioperative care

January 23rd, 2019

22:30

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

Hear this excellent …

Can Enhanced Recovery work for the critical care patient? | The RoundTable

January 22nd, 2019

10:31

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

Pain Relief in Enhanced Surgical Recovery | Perioperative Coach

January 21st, 2019

5:16

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 …

Joff Lacey visits the Ether Dome | Sunday Special

January 20th, 2019

8:16
Joff and his guests visit the hallowed turf that is the Boston Ether Dome, in the Bulfinch Building, Massachusetts General Hospital. How have times …

Andrew R Spector | TopMedTalks to...

January 19th, 2019

17:41

This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and …

POET 1.07 | Has enhanced recovery changed your practice?

January 18th, 2019

14:03

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

Presented by Desiree …

Clinical Anesthesia: effects of anti-inflammatory therapies on postoperative fatigue after major noncardiac surgery | Journal Club

January 17th, 2019

7:13

J Clin Anesth. 2018 Dec 29;55:83-91.

doi: 10.1016/j.jclinane.2018.12.038.

[Epub ahead of print]

The effects of dexamethasone, light anesthesia, and …

EBPOM Highlight 1.06 | QA, QI and Patient involvement

January 16th, 2019

28:30

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

Hear this excellent …

'Remain fluid and keep educating' | The RoundTable

January 15th, 2019

12:54

A discussion about the changes enhanched recovery has brought into practices, the conversation then moves to narcotics and the opiode epidemic.    Desiree Chappell speaks with Dr Vijaya Gottumukkala, Professor of …

Perioperative Nephrology Fluids and the Kidney | Perioperative Coach

January 14th, 2019

12:23

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 …

Being on the right side of the law | Sunday Special

January 13th, 2019

19:49

A discussion about consent, staying on the right side of the law, shared decision making and a 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.

Presented by Monty Mythen with Desiree …

Padma Gulur | TopMedTalks to...

January 12th, 2019

16:41

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

POET 1.06 | Training of Perioperative providers improves care and creates team players

January 11th, 2019

11:01

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

British Journal of Anaesthesia: the use of oxygen | Journal Club

January 10th, 2019

21:21

Two articles, which both feature in The British Journal of Anaesthesia (BJA), are dissected in this week's Journal Club. They both discuss oxygen, the two articles are linked to here:

Effectiveness of 80% vs 30–35% …

EBPOM Highlight 1.05 | Perioperative Quality Improvement Programme (PQIP)

January 9th, 2019

21:23

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

If you'd like to …

'If compliance goes down - you know you have a problem' | The RoundTable

January 8th, 2019

9:34
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 …

Fluid Management | Perioperative Coach

January 7th, 2019

6:42

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 …

Looking ahead to 2019 | Sunday Special

January 6th, 2019

37:27

2019 brings lots of new opportunities for your favourite medical podcast, including the chance to see us at a live event. Maybe you'll join us in real life, or maybe you'll join us online.

This conversation looks …

Paul Wischmeyer | TopMedTalks to...

January 5th, 2019

24:31
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 …

POET 1.05 | Refusing surgery

January 4th, 2019

7:49

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

Anaesthesia and Analgesia: Subanalysis of the ENIGMA-II Trial | Journal Club

January 3rd, 2019

10:10

This week's Journal Club takes a piece from Anaesthesia and Analgesia; "Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial".

EBPOM Highlight 1.04 | Cardiac anaesthesia and anaemia

January 2nd, 2019

25:58

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

Hear this excellent …

How do you bring perioperative care to your practice? | The RoundTable

January 1st, 2019

6:53

What is after ERAS, do we have an 'ERAS of ERAS' - so to speak? This conversation focuses upon bringing about change, managing and sustaining it over time and helping relate it to patient outcomes.   Desiree Chappell

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

December 31st, 2018

16:12

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 …

Social Media | Sunday Special

December 30th, 2018

16:15

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 …

Thomas Scheeren | TopMedTalks to...

December 29th, 2018

15:51

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

POET 1.04 | Measuring the risk of surgery

December 28th, 2018

10:06

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 …

Perioperative Medicine: Albumin and AKl | Journal Club

December 27th, 2018

27:19

The piece discussed in this week's Journal Club is called "Acute kidney injury in postoperative shock: is hyperoncotic albumin administration an unrecognized resuscitation risk factor?".

The link is here:

TopMedTalk Xmas Special Part 3 of 3

December 26th, 2018

28:18

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The Randy Moore piece:
https://www.topmedtalk.com/aana-2018-is-there-a-global-shortfall-of-anesthesia-providers/

Here's …

TopMedTalk Xmas Special Part 2 of 3

December 25th, 2018

19:34

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

Paul Myles and the RELIEF trial results:

TopMedTalk Xmas Special Part 1 of 3

December 24th, 2018

20:31

A three part series covering the year in TopMedTalk.

Here are some links to the pieces discussed:

The conversation with Zeev Kain is here:

Mike of the Antarctic | Sunday Special

December 23rd, 2018

20:34

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

Carol Peden | TopMedTalks to...

December 22nd, 2018

21:06
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 1.03 | Communication uniquely suited to the perioperative domain

December 21st, 2018

8:44

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 …

The METS Trial | Journal Club

December 20th, 2018

17:37

Here we have a very special edition of Journal Club, in two distinct parts; the The Measurement of Exercise Tolerance before Surgery (METS) trial is …

EBPOM Highlight 1.03 | Sprint National Anaesthesia Project, SNAP

December 19th, 2018

29:46

"Sprint National Anaesthesia Project, SNAP" was originally streamed live from The Institute of Engineering and Technology (IET) in London during …

Don't ask 'what is the matter' ask what matters? | The RoundTable

December 18th, 2018

20:40

Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most?

They are joined by …

Fluid management - the less explored controversies | Perioperative Coach

December 17th, 2018

9:48

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, …

The Bigger Picture of Perioperative Medicine | Sunday Special

December 16th, 2018

16:28

A transatlantic perspective.

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

Dan Sessler | TopMedTalks to...

December 15th, 2018

19:27

The Elephant In The Room - intraoperative hypotension.   A discussion regarding the exciting results from the first multicentre, randomised …

POET 1.02 | Shared decision making for high risk surgery

December 14th, 2018

11:08

POET - The Perioperative Enhancement Team

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

Critical Care Practitioner Podcast | Intensive Care Society

December 13th, 2018

12:37

TopMedTalk catches up with another online media source, The Critical Care Practitioner podcast, organised by our guest who - appropriately enough - is a critical care practitioner. What's it like being a critical care …

The RELIEF Trial; a 'deep dive' into the results | Journal Club

December 13th, 2018

28:29

The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on …

Nasogastric feeding | Intensive Care Society

December 13th, 2018

11:51

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 …

Point of care ultrasound | Intensive Care Society

December 13th, 2018

12:57

How essential is training in focused transthoracic echo for adult intensive care? Ultrasound technology has evolved in recent years, some people say …

Nutrition | Intensive Care Society

December 13th, 2018

22:27

This piece starts with a discussion about indirect calorimetry and the challenges associated with it as well as recent improvements in the field. The penn state equation is discussed. Muscle wastage and the need for …

Mike of the antarctic | Intensive Care Society

December 13th, 2018

20:34

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

Alfie the therapy dog | Intensive Care Society

December 12th, 2018

9:22

The Pets as Therapy team have been a huge hit at the Intensive Care Society annual conference. How would you incorporate something like this into …

Hydration | Intensive Care Society

December 12th, 2018

26:55

How do we maintain hydration in a way which is both safe and comfortable for the patients we treat? What about the post-surgical patient who is full …

Antibiotics, fluid balance and haemodynamic monitoring | Intensive Care Society

December 12th, 2018

26:43

Recorded live at the Intensive Care Society This piece is a fascinating discussion regarding the use of antibiotics and fluid balance. The conversation then moves into haemodynamic monitoring and the differences between …

EBPOM Highlight 1.02 | Post-op critical care: what should we do?

December 12th, 2018

22:11

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

Being on the right side of the law | Intensive Care Society

December 11th, 2018

19:41

A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas.

Presented by Monty Mythen with Desiree …

Pets as Therapy | Intensive Care Society

December 11th, 2018

13:31

Pets as Therapy are a fantastic charity who have provided a practical theraputic service to everyone in attendance at the Intensive Care Society annual conference. The TopMedTalk team were determined to catch up with …

Exercise is real medicine? | The RoundTable

December 11th, 2018

20:28

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 …

Hugh Montgomery | Intensive Care Society

December 10th, 2018

36:11

 

The first day of the Intensive Care Society's annual conference comes to a close. Heart failure session has ‘standing room only’. Is the pulmonary …

Dan Martin, OBE | Intensive Care Society

December 10th, 2018

15:14

Desiree and Monty catch up with Dan Martin, OBE, and speak with him about the Intensive Care Society's annual conference, treating infectious …

State of the art 2018 | Intensive Care Society

December 10th, 2018

24:13

Live from The Intensive Care Society, reflections on the opening session of the UK's annual critical care conference. Presented by Desiree Chappell and Monty Mythen.

Find out more www.topmedtalk.com

Join the debate

Getting on the same page | Perioperative Coach

December 10th, 2018

8:02

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.

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

December 9th, 2018

31:25

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

Zeev Kain | TopMedTalks to ...

December 8th, 2018

11:15

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

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

POET 1.01 | Perioperative Enhancement Teams

December 7th, 2018

6:34

Why do you need a "poet"?

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

NEJM: Balanced Crystalloids vs Saline | Journal Club

December 6th, 2018

15:18

This edition of journal club looks at two articles in the New England Journal of Medicine (NEJM) of circa 30,000 patients studied at Vanderbilt …

EBPOM Highlight 1.01 | Exercise and cancer

December 5th, 2018

13:19

EBPOM Conference Highlight

This week's conference highlight "Exercise and cancer" was originally streamed live from The Institute of Engineering and …

Insight into ERAS in Saudia Arabia | The RoundTable

December 4th, 2018

13:29

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

Desiree Chappell interviews her …

Nutrition | Perioperative Coach

December 3rd, 2018

18:04

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

Monty Mythen talks to Professor Paul Wischmeyer from the …

Breathlessness should be investigated irrespective of age | TopMedTalk

December 2nd, 2018

31:36

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 …

Montezuma's revenge

December 1st, 2018

10:05

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates.

A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage …

What do you value? | TopMedTalk

November 30th, 2018

8:42

A round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded at the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the fourth segment of the conversation between …

Fluid Matters - 'Goal Directed Fluid Therapy' | TopMedTalk

November 29th, 2018

38:00

This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the …

Fluid Matters - The nil by mouth (NPO) debate | TopMedTalk

November 28th, 2018

12:12

This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implemented both in the UK and at various medical …

Fluid Matters - 'The Great American Fluid Debate' | TopMedTalks

November 27th, 2018

31:13

This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year.

These pieces have been released to …

Fluid Matters - Fluid Responsiveness and venous capacitance | POQI

November 26th, 2018

28:23

This conversation reflects a discussion at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume and …

Unlocking the Secrets of the Mighty Mitochondria | Xtreme Everest

November 25th, 2018

19:11

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 …

Fluid Matters - Total body water and electrolytes | POQI

November 24th, 2018

39:55

These pieces have been released to coincide with IFAD, the 7th International Fluid Academy Day. Make sure you subscribe to TopMedTalk to ensure you hear some of the pieces we recorded there.

Coming from this summer's …

The growing popularity of new media in medical education | IFAD

November 23rd, 2018

15:09

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 …

Discussing The Paradigm Shift in Fluid Therapy | IFAD

November 23rd, 2018

18:43

This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam.

This in depth discussion is a reaction to the session at IFAD and contains insights into …

TopMedTalk at IFAD | Understanding Fluid Physiology

November 23rd, 2018

18:06

Download this podcast for an exclusive discussion regarding the first session at The International Fluid Academy Day (IFAD) on Friday morning in Amsterdam.

This in depth discussion is a reaction to the first session at …

Fluid Matters - Definite definitions, fluid physiology | POQI

November 23rd, 2018

38:22

This conversation was recorded on the morning of the second day of the Perioperative Quality Initiative (POQI) meeting hosted at Washington Duke University in Durham.

These pieces have been released to coincide with …

Have you joined the International Fluid Academy yet?

November 23rd, 2018

8:00

Live from the International Fluid Academy Day (IFAD) in Amsterdam; the team explain how you can join in for free online https://www.fluidacademy.org/ and give us a bit of the history of the conference along with some of …

Part 3 of 3 - No elective surgery if hematocrit is less than 36! How can you get started? | EBPOM USA - Atlanta

November 22nd, 2018

11:57

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on

Part 2 of 3 - Treating pre-op anemia with i.v. iron is safe and effective | EBPOM USA - Atlanta

November 21st, 2018

15:24

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on

Part 1 of 3 - Preoperative anemia is a risk factor for poor outcomes | EBPOM USA - Atlanta

November 20th, 2018

18:30

The full version of this talk "Standing up a Preoperative Anemia Clinic" was given during the EBPOM-USA Masters Course which was live streamed on

Part 3 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta

November 19th, 2018

17:06

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking

Presented by James Davis

Hypoxia and the Brain | Xtreme Everest

November 18th, 2018

18:22

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 …

Part 2 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta

November 17th, 2018

21:01

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking

This is taken from the …

Part 1 of 3: Smoking kills more than all addictive substances combined - plus car accidents | EBPOM USA - Atlanta

November 16th, 2018

21:50

Standing up a Preoperative Smoking Cessation Program Moderator: The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking

This is taken from the …

Part 2 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health | EBPOM USA - Atlanta 2018

November 15th, 2018

21:24

Standing up an Obstructive Sleep Apnea (OSA) Clinic.

The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking.

This is taken from the hugely …

Part 1 of 2: Obstructive sleep apnea- Snoring is boring and can seriously damage your health | EBPOM USA - Atlanta 2018

November 14th, 2018

19:36

Standing up an Obstructive Sleep Apnea (OSA) Clinic.

The rationalization; data, outcomes, economics; The practical realities; screening, workflow and workforce, financials and tracking.

This is taken from the hugely …

Heart disease in pregnancy | EBPOM Ireland 2018

November 13th, 2018

20:00

This talk covers heart disease in pregnancy and was taken from the "20th Current Controversies in Anaesthesia & Peri-Operative Medicine" conference which took place in Dingle, Ireland in October 2018.

Fiona Walker, …

ASA 2018 San Francisco | Point of care ultrasound, POCUS

November 12th, 2018

13:51

What is "Point of care ultrasound" or POCUS? What is the usefulness of ultrasound? Have the boundaries of this application been reached yet? How do …

The Significance of the Microcirculation | Xtreme Everest

November 11th, 2018

11:42

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 …

ASA 2018 San Francisco | Enhanced Recovery v2.0

November 10th, 2018

14:02

Where are we with the journey from Enhanced Recovery (ER) to Perioperative Medicine? Is it fair to characterise the latter as "Enhanced Recovery …

ASA 2018 San Francisco | Paediatrics and opioids Part 2

November 9th, 2018

13:56

How important is 'expectation management' in pediatrics? What could the usefulness of cannabis be as a way of reducing reliance on opioids? Is …

ASA 2018 San Francisco | Paediatrics and opioids. Part 1.

November 8th, 2018

16:28

Recognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus upon Enhanced Recovery (ER), what are the pathways for the pediatric …

ASA 2018 San Francisco | ERAS for elective C-Section- Mom needs ERAS too Part 2

November 7th, 2018

14:37

The conversation from part 1 continues with questions such as; what specific anaesthesia protocols do you use? Is there room in this context to …

ASA 2018 San Francisco | ERAS for elective C-Section- Mom needs ERAS too Part 1

November 6th, 2018

16:31

The conversation begins with some thoughts on Enhanced Recovery (ER) for the obstetric patient. Further discussion covers the "transatlantic" differences between the US, UK and the wider EU. Where does pain management …

Roundtable: Enhanced Recovery After Surgery | EBPOM USA - Chicago 2018

November 5th, 2018

17:38

This roundtable discussion digs deep into the question of Enhanced Recovery After Surgery (ERAS), how do you obtain buy in and sustainability and what can we learn from the experiences of advocates at the University of …

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

November 4th, 2018

22:50

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 …

Promo - Joff Lacey's Xtreme Everest Extra, out every Sunday! | Xtreme Everest

November 4th, 2018

4:25

This piece is a quick reminder that we have launched a new series on TopMedTalk "Xtreme Everest Extra". It's in four parts and we're going to be releasing them every Sunday from now on.

The link to the first episode is …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery – Part 6

November 3rd, 2018

16:56

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 5 continues. More on Caesarian Section plus: should we …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery – Part 5

November 2nd, 2018

15:53

Recorded before a live audience and streamed on www.topmedtalk.com

The conversation from part 4 continues, the subject is, Enhanced Recovery After Surgery for obstetrics and cesarian sections (c-section). Questions …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 4

November 1st, 2018

18:41

Recorded before a live audience and streamed on www.topmedtalk.com   The subject is, Enhanced Recovery After Surgery for obstetrics and Caesarean sections (c-section). Questions include: What's the standard length of …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 3

October 31st, 2018

11:49

Recorded before a live audience this piece continues the question and answer session from parts one and two.

Epidurals versus plane blocks, what do you choose and why? Is there a potential for decrease in fasting times …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 2

October 30th, 2018

11:36

What is the balance of risks and benefits related to regional anaesthesia? Does the short term use of opioids really contribute to the opioid crisis? What are the benefits of "opioid sparing" when held against "opioid …

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery part 1

October 29th, 2018

10:36

Recorded before a live audience this Q&A session was recorded at the annual meeting of the American Society of Anesthesiologists (ASA) at a …

ASA 2018 San Francisco | Frailty and the perioperative patient - enhancing recovery.

October 28th, 2018

19:26

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 2018 San Francisco | Considerations for the obstetric patient; ERAS for C-section.

October 27th, 2018

31:28

Obstetrics might seem the natural place for Enhanced Recovery After Surgery (ERAS). Which components of Enhanced Recovery apply the most to a procedure such as a Caesarian section (C-section)?   Differences between …

ASA 2018 San Francisco | Regional anaesthesia associated with improved cancer survival – new data.

October 26th, 2018

27:08

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 2018 San Francisco | Improving outcomes for the perioperative patient

October 25th, 2018

24:30

Enhanced Recovery After Surgery (ERAS) is the focus for the TopMedTalk team at this year's ASA. This piece features discussion regarding; what to do about pre-operative frailty, smoking cessation, patient-centric care …

ASA 2018 San Francisco | Optimising the perioperative patient

October 24th, 2018

36:06

This piece is about optimizing the perioperative patient for Enhanced Recovery (ER). Hear from one of the pioneers of ER for laparoscopic colorectal …

ASA 2018 San Francisco | The practical applications of innovation.

October 23rd, 2018

24:42

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

ASA 2018 San Francisco | Teaching Anaesthesia to Medical Students

October 22nd, 2018

10:49

This fascinating conversation revolves around the experience and need for good teachers in the field of Anaesthesia. How do we encourage …

ASA 2018 San Francisco | Perioperative Fluid Management to Enhance Recovery After Surgery

October 21st, 2018

34:49

This conversation focuses on perioperative fluid management as part of Enhanced Recovery After Surgery (ERAS). Firstly, the team addresses the online …

ASA 2018 San Francisco | Massive study of quality shows no benefit; why?

October 20th, 2018

23:57

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 …

ASA 2018 San Francisco | Building a sustainable ERAS programme.

October 19th, 2018

21:24

This fascinating in-depth conversation about Enhanced Recovery After Surgery, facilitated by questions both from our worldwide online audience and …

Fluid - Matters; Part 2 Total body water and electrolytes | TopMedTalk Highlight

October 19th, 2018

38:28

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …

ASA 2018 San Francisco | ERAS working with existing resources

October 18th, 2018

22:35

Despite the fact that a return on investment is a given after 12 months why is it that resources are not available for those of us pushing for Enhanced Recovery After Surgery (ERAS)? How do we convert the conversation …

RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results | TopMedTalk Highlight

October 18th, 2018

28:08

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners:

"RCoA 11 - The RELIEF Trial; your …

ASA 2018 San Francisco | Welcome to The ASA

October 17th, 2018

23:14

Join the team on the first day of the ASA in San Francisco. Originally streamed live on http://www.topmedtalk.com from the Smith's Medical Booth in the exhibition hall of the conference.

Presented by Monty Mythen,

I want to dance at my daughter's wedding | TopMedTalk Highlight

October 17th, 2018

6:47

 

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.

"I want to dance at my daughter's wedding"

What are the goals of …

The Roundtable on NELA and shared decision making | TopMedTalk Highlight

October 16th, 2018

22:57

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
 
"EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"
 

ASA 2018 San Francisco | The Global Council on Brain Health

October 15th, 2018

15:16

This fascinating piece is essential listening from the ASA 2018. Originally streamed live on www.topmedtalk.com during our live coverage of the conference in San Francisco.

Hear how the American Associaton of Retired …

The Brain Health Initiative | TopMedTalk Highlight

October 15th, 2018

18:52

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …

ASA 2018 San Francisco | Henrik Kehlet: Recovery is all about inflammation!

October 14th, 2018

17:53

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

Direct laryngoscopes should be consigned to history? | TopMedTalk Highlight

October 14th, 2018

19:52

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …

EBPOM USA - CHICAGO 2018 | Frailty assessment, why and how? Part 2 | EBPOM USA - Chicago 2018

October 13th, 2018

21:45

In this, the second of a two part piece, the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.

Originally streamed live on

Treating Patients Properly | TopMedTalk Top Ten

October 13th, 2018

25:59

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …

Frailty assessment, why and how? Part 1 | EBPOM USA - Chicago 2018

October 12th, 2018

22:41

In this two part piece the issue of frailty is assessed as a diagnosis. The realities of treating, often elderly people, who suffer from it are examined and discussed.

Originally streamed live on www.topmedtalk.com the …

The FEDORA Trial | TopMedTalk Top Ten

October 12th, 2018

15:45

We're playing TopMedTalk’s top ten during the month of October, in no particular order. It's an opportunity for new and established listeners to …

EBPOM USA | Roundtable; Big data and predictive analytics | EBPOM USA - Chicago 2018

October 11th, 2018

21:48

How do hospitals and institutions best use their assets in a world of big data where we can deploy predictive analytics and the new metrics they make available to us? Currently we tend to use the clumsy metrics of …

Patients are the experts in being patients | TopMedTalk Top Ten

October 11th, 2018

9:26

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …

The Opioid crisis, can we kick the habit? - Q&A | EBPOM USA - Chicago 2018

October 10th, 2018

35:58

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed the talk …

Sir Bruce Keogh The NHS at 70 | TopMedTalk Top Ten

October 10th, 2018

42:41

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …

The Opioid crisis, can we kick the habit? | EBPOM USA - Chicago 2018

October 9th, 2018

10:34

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 10 minutes, lays out the case for kicking the opioid habit, specifically in America. Use this to help build …

Fluid - Matters; Part 2 Total body water and electrolytes | TopMedTalk Top Ten

October 9th, 2018

39:57

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …

Wrong surgery or wrong patient? - Q&A | EBPOM USA - Chicago 2018

October 8th, 2018

36:11

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Mike …

RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results | TopMedTalk Top Ten

October 8th, 2018

28:26

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far, as voted for by our listeners:

"RCoA 11 - The RELIEF Trial; your …

Wrong surgery or wrong patient? | EBPOM USA - Chicago 2018

October 7th, 2018

11:00

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in less than 15 minutes, lays out the case for shared decision making so you can avoid carrying out surgery which is not …

I want to dance at my daughter's wedding | TopMedTalk Top Ten

October 7th, 2018

6:55

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.

"I want to dance at my daughter's wedding"

What are the goals of …

ACOs are the only hope for affordable health care - Q&A | EBPOM USA - Chicago 2018

October 6th, 2018

26:55

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee …

The Roundtable on NELA and shared decision making | TopMedTalk Top Ten

October 6th, 2018

23:01

This series is a chance for new listeners to jump on board and for established listeners to catch up with some of our favourite podcasts so far.
 
"EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making"
 

ACOs are the only hope for affordable health care | EBPOM USA - Chicago 2018

October 5th, 2018

19:06

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable …

The Brain Health Initiative | TopMedTalk Top Ten

October 5th, 2018

17:46

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most …

Perioperative medicine is population health - Q&A | EBPOM USA - Chicago 2018

October 4th, 2018

30:41

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this is the question and answer session which followed Sol …

Direct laryngoscopes should be consigned to history? | TopMedTalk Top Ten

October 4th, 2018

18:47

This episode is one of the top ten most downloaded podcasts we've done so far.

The debate 'Direct laryngoscopes should be consigned to history' was …

Perioperative medicine is population health | EBPOM USA - Chicago 2018

October 3rd, 2018

16:43

Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in just 15 minutes, lays out the argument that the practice of perioperative medicine clearly walks hand in hand with the …

Xtreme Everest Promo Part 2 | Xtreme Everest

October 2nd, 2018

21:09

These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

Xtreme Everest Promo Part 1 | Xtreme Everest

October 1st, 2018

25:02

These clips are taken from the hugely successful 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

The Hypotension Prediction Index (HPI)

September 30th, 2018

17:06

Live from Edwards Life Sciences in Irvine, South California, on their 60th anniversary. This conversation adds more detail to the picture emerging of the hypotension prediction index (HPI).

Monty Mythen interviews his …

Hemodynamic monitoring and the pulmonary artery catheter

September 30th, 2018

22:20

On the occasion of the 60th anniversary of Edwards Life Sciences, Monty Mythen presents a discussion about hemodynamic monitoring and the pulmonary …

Roundtable, treating anemia in the perioperative process | EBPOM USA - Chicago 2018

September 30th, 2018

24:54

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

Live …

The Perioperative Care Practicum EBPOM USA : taster session - part 2 | EBPOM USA - Atlanta 2018

September 29th, 2018

17:51

EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of …

The Perioperative Care Practicum EBPOM USA : taster session - part 1 | EBPOM USA - Atlanta 2018

September 28th, 2018

20:39

EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of …

Roundtable Highlight - Optimum optimisation? | EBPOM USA - Atlanta 2018

September 27th, 2018

11:19

"It's one thing to optimise them to get them through surgery, it's another (...) to optimise them period!" - Dr Fleisher begins the conversation as the team circle round the tricky issue of patient optimisation in the …

Roundtable Highlight - The Maryland 'Funding Experiment' | EBPOM USA - Atlanta 2018

September 26th, 2018

11:02

In this piece the team talk about possibly one of the most interesting funding experiments in the US; The Maryland global budgeting experiment. January 2014, after months of negotiations between Maryland and federal …

Joff Lacey visits the Ether Dome in Boston

September 25th, 2018

8:32

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

EXCLUSIVE interview with the incoming President of the AANA | AANA 2018

September 24th, 2018

17:31

TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 in Boston. After an incredible year for the organisation and we were delighted to be able to get some time with the association's incoming …

EXCLUSIVE interview with the outgoing President of the AANA | AANA 2018

September 24th, 2018

14:48

TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston. It has been an incredible year for the organisation and we were delighted to be able to get some time with the …

Introducing the Enhanced Recorvery After Surgery (ERAS) Shared Interest Group (SIG) | AANA 2018

September 24th, 2018

19:07

Desiree Chappell and her guests discuss the Enhanced Recorvery After Surgery (ERAS) Shared Interest Group (SIG). TopMedTalk is at the American Association of Nurse Anaesthetists (AANA) 2018 conference in Boston and will …

Any answers? Part 4: Quality assurance and quality improvement | EBPOM World Congress 2018

September 24th, 2018

20:42

The Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on …

Any answers? Part 3: The Big Trials | EBPOM World Congress 2018

September 23rd, 2018

17:55

Here Monty and Desiree present part of Professor Paul Myles's EBPOM 2018 presentation regarding the RELIEF trial, a massive part of the perioperative …

Is there a global shortfall of anesthesia providers? | AANA 2018

September 22nd, 2018

12:11

Is there a global shortfall of anesthesia providers? How do we widen the number of people in the profession, both nationally and internationally?

TopMedTalk is at the AANA 2018 conference in Boston and will be sharing …

The Hypotension Prediction Index (HPI) | TopMedTalk

September 22nd, 2018

15:44

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

Any answers? Part 2: Should we let the machines help? | EBPOM World Congress 2018

September 21st, 2018

18:18

Artificial intelligence; everyone's talking about it and everyone is doing it, or so they say. What's the reality behind these technologies? This …

Any answers? Part 1: Colloid vs Crystalloid | EBPOM World Congress 2018

September 20th, 2018

15:46

This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter. Go …

Live from the ASA 2017 - Physiological Principles of Goal Directed Fluid Therapy

September 19th, 2018

19:56

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

POET – a truly multidisciplinary Perioperative Enhancement Team | EBPOM World Congress 2017

September 18th, 2018

7:06

The POET acronym – a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.

Monty Mythen …

Hot topic: Outcomes after colorectal surgery | POQI

September 17th, 2018

10:19

This piece is a discussion, originally held last year on www.topmedtalk.com, about outcomes after colorectal surgery. Drinking, Eating, Mobilising …

Looking to the future - Bruce Keogh

September 16th, 2018

7:53

The NHS, a national institution beloved by the people of the United Kingdom, is 70 years old. EBPOM celebrated this fact with a talk that asked how …

"Can we change?" - Sir Bruce Keogh | EBPOM World Congress 2018

September 15th, 2018

11:28

The NHS, a national institution beloved by the people of the United Kingdom, is 70 years old. EBPOM celebrated this fact with a talk that gets right …

POETTS 2018 - CPET for Risk Stratification in Major Urological Surgery | EBPOM World Congress 2018

September 14th, 2018

12:50

"POETTS 2018 | CPET for Risk Stratification in Major Urological Surgery" - originally streamed live from The Institute of Engineering and Technology …

POETTS 2018 - The Measurement of Exercise Tolerance before Surgery (METS) Study: early results | EBPOM World Congress 2018

September 13th, 2018

21:00

"POETTS 2018 | The Measurement of Exercise Tolerance before Surgery (METS) Study: early results" - originally streamed live from The Institute of …

POETTS 2018 - CPET and Shared Decision Making | EBPOM World Congress 2018

September 12th, 2018

17:51

"POETTS 2018 | CPET and Shared Decision Making" - originally streamed live from The Institute of Engineering and Technology (IET) in London during …

POETTS 2018 - Activity Monitors and CPET variables | EBPOM World Congress 2018

September 11th, 2018

16:59

"POETTS 2018 | Activity Monitors and CPET variables" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

POETTS 2018 - Surgery School and i-cough | EBPOM World Congress 2018

September 10th, 2018

18:52

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

POETTS 2018 - Pre-operative Inspiratory Muscle Training | EBPOM World Congress 2018

September 9th, 2018

24:13

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

POETTS 2018 - Changing behaviours of the medical team before surgery | EBPOM World Congress 2018

September 8th, 2018

22:14

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

POETTS 2018 - The evolution of a community-based Prehabilitation service | EBPOM World Congress 2018

September 7th, 2018

21:56

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

POETTS 2018 - Psychological Behavioural Change Interventions in Cancer Patients | EBPOM World Congress 2018

September 6th, 2018

21:16

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

EBPOM 2018 - 10 | What is TRIPOM?

September 5th, 2018

10:54

Trainees with an Interest in Perioperative Medicine (TRIPOM) is an exciting new collaborative designed to enhance and channel the enthusiasm of its …

EBPOM 2018 - 14 | The realities of pain management

September 4th, 2018

12:49

What is pain control for a perioperative patient? What is the 'subacute period' and do you incorporate it into your practice? How do we keep patients …

PQIP Pain: from individual case to systems management | EBPOM World Congress 2018

September 3rd, 2018

19:46

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

Does choice of opioid influence health outcomes? | EBPOM World Congress 2018

September 2nd, 2018

26:28

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

Perioperative nutrition | EBPOM World Congress 2018

September 1st, 2018

25:07

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

Enhanced recovery case study with Q&A | EBPOM World Congress 2018

August 31st, 2018

37:59

 

"Case study with Q & A" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on

Perioperative nutrition should be a key part of Enhanced Recovery | EBPOM World Congress 2018

August 30th, 2018

26:43

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

Hypotension probability in practice | EBPOM World Congress 2018

August 29th, 2018

11:13

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

AI - Can hypotension be predicted before it happens? | EBPOM World Congress 2018

August 28th, 2018

11:44

"Hypotension: Cause and effect" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on 

SNAP (Sprint National Anaesthesia Project) | EBPOM World Congress 2018

August 27th, 2018

30:20

"SNAP (Sprint National Anaesthesia Project)" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM …

Rehabilitation post critical care | EBPOM World Congress 2018

August 26th, 2018

21:41

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

Post-operative critical care: what should we do? | EBPOM World Congress 2018

August 25th, 2018

21:36

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

EBPOM 2018 - 4 | The Roundtable on NELA and shared decision making

August 24th, 2018

22:15

What is the standard of care given to patients who are getting an 'emergency laparotomy'? How do you use national data on a local level?

Also in this conversation; teaching patients, learning from patients, shared …

Antibiotic stewardship in perioperative care | EBPOM World Congress 2018

August 23rd, 2018

14:48

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

Shared decision making in perioperative care | EBPOM World Congress 2018

August 22nd, 2018

21:57

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

QA, QI and Patient involvement | EBPOM World Congress 2018

August 21st, 2018

27:53

"QA, QI and Patient involvement" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on

EBPOM 2018 - 13 | 20 years of EBPOM

August 20th, 2018

8:19

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

EBPOM 2018 - 7 | "70 Years on: Our NHS" panel discussion

August 19th, 2018

21:46

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.

EBPOM 2018 - 3 | Sir Bruce Keogh The NHS at 70

August 18th, 2018

40:25

The NHS, a national institution beloved by the people of the United Kingdom is 70 years old. EBPOM celebrated this fact with a talk that gets right …

Perioperative medicine is Population Health Management | EBPOM World Congress 2018

August 17th, 2018

29:19

"Perioperative medicine is Population Health Management" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

Fluid therapy in emergency surgery | EBPOM World Congress 2018

August 16th, 2018

14:11

"Fluid therapy in emergency surgery" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on

EBPOM 2018| Emergency laparotomy Collaborative

August 15th, 2018

14:41

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

EBPOM 2018| Driving value in perioperative care: The Michigan experience

August 14th, 2018

12:34

"Driving value in perioperative care: The Michigan experience" - originally streamed live from The Institute of Engineering and Technology (IET) in …

EBPOM 2018| Colloid vs Crystalloid - Goal Directed Therapy

August 13th, 2018

9:40

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

EBPOM 2018| Perioperative Haemodynamic Management

August 12th, 2018

39:31

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

EBPOM 2018 - 11 | A US perspective on the NHS and 'The Brain Health initiative'

August 11th, 2018

22:28

After 70 years the NHS still continues to promote debate around the world, here you get expert analysis of the deeper realities of a taxpayer funded national health service.

Also - what is "The Brain Health Initiative"? …

EBPOM 2018| Postoperative changes in cognition: The role of biomarkers

August 10th, 2018

23:34

"Postoperative changes in cognition: The role of biomarkers" - originally streamed live from The Institute of Engineering and Technology (IET) in …

EBPOM 2018| Obstetric anaesthesia

August 9th, 2018

19:40

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

EBPOM 2018| Cardiac anaesthesia and anaemia

August 8th, 2018

25:36

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

EBPOM 2018 - 9 | The dawn of a new EPOCH?

August 7th, 2018

16:01

How can we redeploy critical care thinking and perioperative care pathways at scale for the high risk surgical patient? What is the Enhanced Perioperative Care after high-risk Surgery (EPOCH trial)? How has it altered …

EBPOM 2018| Visiting Professor Plenary Lecturer: "Results of the RELIEF Trial"

August 6th, 2018

20:35

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

EBPOM 2018 - 8 | The EPOCH trial results

August 5th, 2018

25:17

The highly anticipated results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial, presented for the first time at EBPOM 2018. …

EBPOM 2018| Exercise and cancer

August 4th, 2018

13:11

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

EBPOM 2018| Perioperative Quality Improvement Programme (PQIP)

August 3rd, 2018

20:55

"Perioperative Quality Improvement Programme (PQIP)" - originally streamed live from The Institute of Engineering and Technology (IET) in London …

EBPOM 2018| Perioperative brain health initiative: A population health safety initiative

August 2nd, 2018

23:24

"Perioperative brain health initiative: A population health safety initiative" - one of the lectures which www.topmedtalk.com streamed live from The …

EBPOM USA Part 6| Practical realities; How and why Fluid management matters

August 1st, 2018

27:51

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

EBPOM USA Part 5| Practical realities; How and why multimodal Analgesia matters

July 31st, 2018

27:01

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

EBPOM USA Part 4| Enhanced Recovery - State of the Art

July 30th, 2018

19:08

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

10 Xtreme Everest | Physiology on Top of the World.

July 29th, 2018

42:49

Presented by, Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

09 Xtreme Everest | Therapeutic Hyperoxia: Medicine Under Pressure.

July 28th, 2018

21:06

Presented by, Richard Moon, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

 

08 Xtreme Everest | A Slightly Different Path to Everest: The Pyramid Lab 2012 & 2016

July 28th, 2018

18:22

Presented by, David McLeod, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

--

07 Xtreme Everest | Epigenetics of Hypoxia

July 27th, 2018

19:03

Presented by, Kay Mitchell, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

 

06 Xtreme Everest | Oxygen and the Brain.

July 27th, 2018

18:55

Presented by, Chris Imray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

 

05 Xtreme Everest | Oxygen Therapy: The Yin and Yang of Our Favorite Drug.

July 26th, 2018

20:55

Presented by, Monty Mythen., recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

 

04 Xtreme Everest | Metabolic Adaptation to Hypoxia.

July 26th, 2018

27:53

Presented by, Andrew Murray, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

03 Xtreme Everest | Cardiovascular Adaptation to Hypoxia.

July 25th, 2018

21:04

Presented by, Daniel Martin, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

 

02 Xtreme Everest | What Happens to Healthy Humans in Hypoxia?

July 24th, 2018

24:40

Presented by, Denny Levett, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, USA.

--

01 Xtreme Everest | Critical Care - Can we Learn from Environmental Physiology?

July 23rd, 2018

27:03

Presented by, Professor Mike Grocott, recorded live at 'The Xtreme Everest Symposium' organised by the Department of Anesthesiology, Duke University, …

POPS Part 4| Education, education, education.

July 22nd, 2018

6:20

The Guy's and St Thomas's POPS team offer a fellowship, here the discussion covers both that and the wider issue of getting students and younger practitioners into this growing area of health care. How do we get …

POPS Part 3| The Frailty Unit

July 22nd, 2018

5:57

The Frailty Unit is part of the service offered by the Proactive care for Older People undergoing Surgery (POPS) team at Guy's and St Thomas's …

POPS Part 2| POPS - meet more of the team from Guy's and St Thomas's

July 21st, 2018

18:02

In part two of this series we continue looking at the POPS (Proactive care for Older People undergoing Surgery) team at Guy's and St Thomas's Hospital. How does having a POPS team facilitate specialist education at the …

POPS Part 1| TopMed talk at Guy's and St Thomas's Hospital in Central London

July 21st, 2018

29:28

What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How do the team apply the techniques of this programme …

The Great World Fluid Debate: John Myburgh

July 20th, 2018

37:31

Here we feature a central figure in the ongoing Great World Fluid debate. He was sadly unable to attend EBPOM 2018 but we still wanted to get a very important contribution from him. What are the big takeaways from some …

The Measurement of Exercise Tolerance before Surgery (METS) trial. CPET predicts major complications.

July 19th, 2018

15:29

The Measurement of Exercise Tolerance before Surgery (METS) trial has both raised, and answered, complicated questions. In the immediate wake of …

EBPOM 2018 - 12 | The importance of CPET and NELA

July 16th, 2018

20:15

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

The Second Annual Prehabilitation World Congress - Part 2

July 13th, 2018

6:17

Key messages and big takeaways from a hugely successful meeting, The Second Annual Prehabilitation World Congress, held in Eindhoven, The …

The Second Annual Prehabilitation World Congress - Part 1

July 12th, 2018

6:31

What's the relationship between Enhanced Recovery after Surgery (ERAS) and Prehabilitation? How are randomised trials showing outcome data in a positive way?

Furthermore, according to some of the keynote speakers, what …

Prehabilitation and rehabilitation; the importance of movement

July 11th, 2018

2:39

What is pre-habilitation and how important is early mobilisation to perioperative post-operative rehabilitation?

Desiree Chappell presents with her guests Dr Steve Flanagan, Chair of Physical Medicine and Rehabilitation …

I want to dance at my daughter's wedding.

July 10th, 2018

6:21

What are the goals of healthcare providers, how do we measure success and why does value based care matter? Insight from The American Association of Retired People puts the focus in this conversation upon the patient. …

ISEH Highlight: Kill or cure? Cold water adaption therapy.

July 8th, 2018

5:29

Cold water adaptation for theraputic purposes. How can you gain the benefits of this unusual but increasingly popular activity? Open water swimming …

EBPOM 2018 - 6 | TRIPOM at TopMedTalk live pt2

July 7th, 2018

27:41

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 2018 - 5 | TRIPOM at TopMedTalk live pt1

July 6th, 2018

33:37

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 2018 -2 | Join us on the topmedtalk.com live stream now!

July 4th, 2018

5:25

Back in London for EBPOM 2018!

This piece features a quick rundown of some of the things you can expect to hear from www.TopMedTalk.com on our live streaming page. As always highlights of that will feature in the main …

EBPOM USA Part 3| A Perioperative Practicum with Dr Lee A. Fleisher

July 2nd, 2018

31:31

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

EBPOM USA Part 2| A Perioperative Practicum with Professor Monty Mythen

July 1st, 2018

28:20

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

EBPOM USA Part 1| A Perioperative Practicum with Professor Sol Aronson

June 30th, 2018

28:31

This is the opening address and first presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: …

ISEH Highlight: How do you measure a patient's temperature?

June 29th, 2018

4:00

How and where do you measure a patient's temperature? This is a detailed answer to a frequently asked question, various methods are discussed.

This piece is taken from a longer conversation to be found here: 

Fluid - Matters | Part 6 'Goal Directed Fluid Therapy'

June 28th, 2018

36:39

This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the …

Journal Club Express: Intraoperative hyperoxia and surgical site infections

June 27th, 2018

2:42

Effect of intraoperative hyperoxia on the incidence of surgical site infections: a meta-analysis

B. Cohen, Y.N. Schacham, K. Ruetzler, S. Ahuja, D. Yang, E.J. Mascha, A.B. Barclay, M.H. Hung, D.I.

BACKGROUND
Whether …

Fluid - Matters | Part 5 the nil by mouth (NPO) debate

June 26th, 2018

10:46

Fluid Matters - the ‘nil by mouth’ or ‘NPO’ debate

This piece is taken from "The Great Fluid Debate", it's about changes in practice that have been implimented both in the UK and at various medical centres in the US. …

RCoA Conference Highlight: Global views on Perioperative Medicine - real concerns - prisms or schisms?

June 25th, 2018

11:52

How do we develop a way to teach perioperative medicine and once that's in place, how should it be overseen? What sort of official endorsement might …

ISEH Highlight: ERAS what's the 'secret sauce'?

June 24th, 2018

4:41

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

Fluid - Matters | Part 4 'The Great American Fluid Debate'

June 23rd, 2018

29:29

This is an excerpt from 'The Great American Fluid Debate' which was hosted at Duke University Medical Centre's "Controversies in Perioperative Medicine" conference of this year. The debate is framed as "restrictive …

Controversies in perioperative medicine; "is pain the fifth vital sign"?

June 22nd, 2018

30:40

 

What is 'the morpheus consortium'? What's the current thinking on pain management and the 'opioid crisis'? On reflection were people wrong to emphasise the message that 'pain is the fifth vital sign'? How did 'pain …

Controversies in perioperative medicine

June 21st, 2018

21:16

Monty sits down with one of the co-organisers of this year's meeting in Orlando and discusses this year's annual conference, "Controversies in perioperative medicine". The discussion encompasses pain relief, opioids, …

Fluid Matters | Part 3 Fluid Responsiveness and venous capacitance

June 20th, 2018

26:32

This conversation reflects a discussion had at the Perioperative Quality Inititative (POQI). It originally ran under the title, "Intervascular volume …

Fluid - Matters | Part 2 Total body water and electrolytes

June 19th, 2018

37:41

This discussion focuses on the perioperative quality initiative's intense focus this year on total body water and electrolights. How often should we …

Enhanced recovery for cesarean section patients

June 18th, 2018

16:30

How does perioperative care relate to obstetrics? Who does it benefit, the patient, the hospital or both? How does it help to engage pregnant patients through the perioperative process? Furthermore, does the issue of …

Fluid - Matters|Part 1 Definite definitions, fluid physiology

June 17th, 2018

33:36

Names, titles and definitions were sliced, diced and discussed at the Perioperative Quality Initiative (POQI). This conversation, recorded on the morning of the second day of the meeting and featuring some of the …

ISEH Highlight: Getting it right first time (GIRFT)

June 16th, 2018

7:05

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 …

Journal Club Express - multimodal pain management

June 15th, 2018

2:48

Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study.

Memtsoudis SG1, …

RCoA Conference Highlight: Do we still care about direct laryngoscopy?

June 14th, 2018

11:40

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

ISEH Highlight: Give your patients a warm welcome.

June 13th, 2018

5:51

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

'Anesthesia and Analgesia' go big on POQI

June 12th, 2018

22:26

This piece focuses on the latest print issue of 'Anesthesia and Analgesia' which is saturated with coverage of the Perioperative Quality Initiative (POQI), the most recent meeting of which was sponsored by the American …

Good noises for ultrasound.

June 11th, 2018

20:44

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 …

An interview with Professor Monty Mythen, our Editor in Chief

June 10th, 2018

13:42

What is TopMedTalk and how did it come about? Why is perioperative medicine such an inspiration to us? Why is our Editor in Chief such an advocate? What is the opioid crisis?

Broadcaster Nick Margerrison speaks with our …

RCoA Conference Highlight: It's time to get it right, first time

June 9th, 2018

7:03

The GIRFT (Getting It Right First Time) project. The stated aim is 'to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes'. This …

Journal Club Express: ICU Nurse-Led Communication, shorter stay and better ratings?

June 8th, 2018

3:27

A Randomized Trial of a Family-Support Intervention in Intensive Care Units

Douglas B. White et al. for the PARTNER Investigators

Surrogate decision makers (e.g. family and friends) for incapacitated, critically ill …

RCoA Conference Highlight: When do you become geriatric?

June 7th, 2018

6:40

Geriatricians naturally fit into the perioperative sphere. Shared decision making is an obvious aspect of this, as is preoperative assessment and the consideration of the risks and benefits of surgery.

Also in this …

RCoA Conference Highlight: Perioperative medicine for the world

June 6th, 2018

7:41

How can perioperative medicine be part of helping less developed healthcare systems? The considerations are different but the principles remain the same. The birth of the NHS gave parity of esteem to anaesthetists, the …

RCoA Conference Highlight: Big data privacy concerns are legitimate

June 5th, 2018

5:24

Big data is a complicated topic and here you will find a discussion about the need to balance the rights of the individual against an obligation to explore and unlock the treasures it offers for wider society.

How do we …

RCoA Conference Highlight: Need help? Ask for it.

June 4th, 2018

4:16

The pressures of being an anaesthetist are difficult to discuss for some, this conversation might be the start of that for you or a colleague. The …

RCoA Conference Highlight: Antibiotics - when is the right time?

June 3rd, 2018

3:43

NAP (National Audit Project) 6 is the largest ever prospective study of anaphylaxis related to anaesthesia and surgery. This conversation deals with the question; when is the best time to administer antibiotics?

This …

What next for TopMedTalk?

June 2nd, 2018

11:20

TopMedTalk set itself a target of over 10,000 downloads in the first year. Much to everyone's delight and surprise, we've smashed that target already!

This piece is a chance to hear how you can become a bigger part of …

RCoA Highlight: Who leads the way in perioperative medicine ?

June 2nd, 2018

3:56

The NHS has helped to put the UK into a leading position in perioperative medicine, elsewhere there have been pioneers and innovators pushing it forward. How has this leadership in perioperative medicine become a force …

Vital information about nutrition and screening therapy

June 1st, 2018

20:01

In this piece Monty Mythen speaks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, about the recently published …

RCoA Highlight: Inflammatory claims about exercise

May 31st, 2018

6:08

A highlights RCoA’s Anaesthesia 2018

A fascinating conversation about the anti-inflammatory effects of exercise. The theory is floated that this …

Journal Club Express 30/05/18

May 30th, 2018

3:12

Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing …

RCoA 14 - How should we teach perioperative medicine?

May 29th, 2018

19:52

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 …

Morphine doses - how high is too high? Live from the ISEH (Part 2)

May 28th, 2018

23:52

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

We begin with a question from the audience; how do we …

Cold, kill or cure? Live from the ISEH (Part 1)

May 27th, 2018

23:48

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

RCoA 13 - The GIRFT (Getting It Right First Time) Project

May 26th, 2018

17:48

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

RCoA 12 - Should direct laryngoscopy be consigned to the history books?

May 25th, 2018

17:48

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

RCoA 11 - The RELIEF Trial; your essential 'deep dive' into the results.

May 24th, 2018

27:35

The RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial has been a huge story for us here at TopMedTalk, recorded on …

RCoA 10 - The Royal College of Anaesthetists, leading the debate.

May 23rd, 2018

11:27

How does The Royal College of Anaesthetists' move forward from here? A stunning conference with internationally renowned speakers from all around the …

RCoA 09 - What is the Lifelong Learning platform?

May 23rd, 2018

10:07

The Royal College of Anaesthetists' Lifelong Learning platform will replace the e-Portfolio and include a logbook functionality. It's expected to go …

RCoA 08 - NAP6: Perioperative Anaphylaxis

May 23rd, 2018

27:03

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 …

RCoA 07 - Big data, AI and the changing face of medicine

May 23rd, 2018

16:52

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 …

RCoA 06 - Geriatric care and the value of teamwork

May 23rd, 2018

12:52

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

RCoA 05 - 'If you're struggling ... seek help'

May 23rd, 2018

5:18

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 …

RCoA 04 - The Royal College of Anaesthetists, world leading healthcare

May 22nd, 2018

19:14

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 …

RCoA 03 - Adverse outcomes and patient optimisation

May 22nd, 2018

21:52

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 …

RCoA 02 - Outcomes, universal healthcare and the goals of the RCoA

May 22nd, 2018

11:54

Recorded live at The British Museum in London this piece contains a lot of discussion about the NHS; how does it rank in terms of outcomes? What does the offer of universal healthcare mean in terms of that? How does it …

RCoA 01 - Live from the annual meeting of The Royal College of Anaesthetists

May 22nd, 2018

10:24

TopMedTalk is covering the flagship meeting of the Royal College of Anaesthetists from the British Museum, London.

In this piece, discussion is had …

Why practice value based care?

May 20th, 2018

4:45

What motivates an institution to adopt a value based care programme? How do readmission rates react to optimisation? How do you work care …

What is SNAP-2?

May 19th, 2018

3:46

This piece explains the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS)   SNAP-2: …

Curb your fluid?

May 18th, 2018

3:02

Goal directed fluid therapy and enhanced surgical recovery, are there still some battles not yet won? How do you get anaesthetists to curb their fluid? How do you cure the random element of fluid therapy?   Dr Joff …

Journal Club Express 17/05/18

May 17th, 2018

2:29

Association between intraoperative opioid administration and 30-day readmission: a pre-specified analysis of registry data from a healthcare network in New England

High intraoperative opioid dose is a modifiable …

Journal Club Express 21/05/18

May 16th, 2018

2:56

Anaesthesia, surgery, and life-threatening allergic reactions: management and outcomes in the 6th National Audit Project (NAP6)

N.J.N. Harper et al.

The Xtreme Everest Oxygen Research Consortium | Xtreme Everest

May 16th, 2018

15:23

The Xtreme Everest project has won numerous awards and received both local, national and international media coverage. Here we have a discussion with some of the key players about oxygen and the Xtreme Everest team's …

Do you need a poet to do surgery?

May 15th, 2018

5:25

ASER 2017 and the POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.

Elderly patients and post operative delirium

May 14th, 2018

10:29

A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period, with …

Standardised Outcomes from Surgery. Drink, Eat, Mobilise, Sleep (DrEaMS)

May 13th, 2018

3:35

Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery.

Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director …

Measuring risk in surgery; what is a micromort?

May 12th, 2018

9:23

What is a 'micromort'? Even more of a worry, what does ten of them mean? How do we measure and communicate risk to patients? Everyday activities all carry inherent risks, how do we put surgery into a context 'everyday …

The RELIEF trial results

May 11th, 2018

5:39

Monty Mythen presents the results of the RELIEF (Restrictive versus liberal fluid therapy in major abdominal surgery) trial.

Does it answer the …

Perioperative nephrology and renal injury biomarkers

May 11th, 2018

3:00

In this piece find out how renal injury biomarkers can offer practitioners and patients hope.

Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care …

Sleep disorders from the perioperative perspective?

May 9th, 2018

9:54

Where should sleep apnea be on the perioperative surgeon's priority list? A fascinating introduction to the topic, sleep disorders affect every area …

The evolving role of the anaesthetist

May 8th, 2018

6:58

A conversation that is now even more relevant, the changing role of the anaesthetist. Matters such as population health, lifestyle choices and a …

The RELIEF Trial - are you ready?

May 5th, 2018

13:30

Standby for the results of The RELIEF Trial; coming soon on TopMedTalk, Professor Monty Mythen will be presenting an exclusive programme here …

A council of nurses

May 4th, 2018

4:51

This piece begins with the question, what does Enhanced Recovery mean to you?

Here we go for a ground up approach via a 'council of nurses'. Can a 'roundtable' sometimes work better than the traditional hierarchical …

Success means our insurance provider reduced our reimbursements?

May 3rd, 2018

9:34

How do we bend cost curve to our advantage? How do we assert the irreducible minimum? Is it possible to spend less money and get better outcomes? Is it possible to get people to realise that not 'doing something' is …

METS trial - exercise tolerance and surgery outcomes.

May 2nd, 2018

12:21

METS trial - exercise tolerance and surgery outcomes.

The results of the METS trial were presented at the International Anaesthesia Research Society …

Opioid addiction can happen to anyone.

May 1st, 2018

13:07

Opioid addiction can happen to anyone, even world leading Professors like Dr Paul Wischmeyer. Listen to Paul's story and then spread this important …

ERAS for Obstetrics?

April 30th, 2018

3:39

Dr Attilla Kett explains how he applies Enhanced Recovery after Surgery to obstetrics.

This podcast features Desiree Chappell interviewing Dr Attila …

Journal Club Express 27/04/18

April 27th, 2018

2:14

Steroids in cardiac surgery: a systematic review and meta-analysis

BJA April 2018, Volume 120, Pages 657-667.

See full article here: 

How do we encourage population health in a 'fee for service' environment?

April 26th, 2018

8:43

The first conference highlight from EBPOM USA 2018: How do you best work a pre-op clinic? Should they be places where you get your problems …

If patients come to us anaemic - they just do worse EBPOM USA

April 26th, 2018

20:48

How important is it to screen patients for anaemia before surgery? Has anaemia fallen off the health care agenda?

We begin with a conversation about patients who are anaemic and then turn to why this is sometimes not …

Treating patients properly, EBPOM USA

April 25th, 2018

23:27

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 …

EBPOM USA: How are you driving perioperative care?

April 24th, 2018

18:08

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

This is a not to miss experience EBPOM USA

April 23rd, 2018

5:22

Marc Koch President & CEO of Somnia Inc reviews the conference with Desiree Chappell. What should you expect at an EBPOM meeting? How useful is …

Why are you short of breath?

April 21st, 2018

30:14

When it comes to breathlessness how do we better diagnose and apply treatment earlier? How do we overcome the fact that referring to a specialist can sometimes take a patient 'down the wrong route' with a condition that …

Journal Club Express - Postoperative delirium in total knee and hip arthroplasty patients

April 20th, 2018

2:00

Professor Monty Mythen presents Journal Club Express.

Postoperative delirium in total knee and hip arthroplasty patients: a study of perioperative modifiable risk factors

DOI: 10.1016/j.bja.2017.12.046

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S. M. …

Sleep disorders in surgical patients, EBPOM USA

April 20th, 2018

17:08

This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and …

Psychological optimisation, EBPOM USA

April 20th, 2018

16:23

Originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum" this podcast …

The importance of what you eat and what you do, EBPOM USA

April 18th, 2018

22:48

The importance of exercise, weight and perioperative nutrition. Which is worse, being fat or not being fit? Malnutrition, a silent epidemic? How …

Journal Club The FEDORA trial

April 15th, 2018

13:08

Professor Monty Mythen's full presentation regarding 'the FEDORA trial'.

This piece was originally presented during the Third Annual Quality …

Day 3 EBPOM USA with Monty Mythen and Desiree Chappell

April 15th, 2018

4:55

Join Desiree and Monty as they reflect on the EBPOM USA weekend so far and look ahead to what remains.

Also - a reminder that you still have chance to hear the conference presentations live from the www.topmedtalk.com

Dealing with policy and value based care, The Roundtable Blog

April 14th, 2018

38:26

A fascinating discussion and debate regarding the central dichotomy inherent in periperative medicine. No stone is left unturned as the team get their teeth into the subject tackling the always tricky subject of profit …

TopMed talk live from EBPOM USA

April 14th, 2018

8:07

Originally streamed live from the EBPOM USA conference. Desiree Chappell, Monty Mythen, Dr Tim Miller (anaestheseologist at Duke University) and Dr …

The Roundtable blog live from EBPOM USA

April 14th, 2018

23:06

A fascinating conversation, streamed live from EBPOM-USA on the second day of the conference.

Reflections on the conference alongside insightful …

EBPOM USA - Reflections on day 1

April 14th, 2018

16:31

Find out what the big stories and talking points were on day one of the highly anticipated "EBPOM-USA Masters Course, A Perioperative Care Practicum".

Recorded on the morning of day two; Monty Mythen, Desiree Chappell …

Get your free live stream pass now!

April 13th, 2018

3:34

ATLANTA conference alert!

Mike Grocott and Sol Aronson do a special podcast to alert TopMedTalk listeners to an exciting offer; EBPOM-USA …

TOPMEDTALK NEWS

April 13th, 2018

5:46

Stories include the call to reclassify cancers, dangerous cannabis substitute causes bleeding from the eyes and a chilli chomping champion gets more than he bargined for.

For comment and story suggestions email us

JOURNAL CLUB SPECIAL

April 11th, 2018

15:59

Journal club special's featured article is today from "Anesthesia & Analgesia" April 2018 - Volume 126 - Number 4  

Looking forward to EBPOM-USA

April 11th, 2018

3:13

Editor in Chief of TopMed Talk, Monty Mythen and Desiree Chappell, host of the Roundtable blog, talk about the upcoming "EBPOM-USA Masters Course - A Perioperative Care Practicum".

More details about the event here:

JOURNAL CLUB XPRESS 10th April 2018

April 10th, 2018

2:00

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic …

Consent and anaesthetics.

April 9th, 2018

6:20

Dr Carol Peden and Dr Lee A. Fleisher join Desiree Chappell in a discussion, taken from The Roundtable blog, which here concerns consent and …

Are we aiming for opioid-lite?

April 6th, 2018

3:51

The opioid crisis is a big concern for the Western World. Should we be aiming for opioid-lite, or trying to get rid of them entirely?

Monty Mythen …

Patient monitoring

April 6th, 2018

4:42

Dr Joff Lacey grabs a quick chat with Matt McEvoy from Vanderbilt University, speaking about patient monitoring, after a presentation at ASER 2018.

This, from a larger piece, found here:

TOPMEDTALK WEEKLY NEWS

April 5th, 2018

4:48

Stories include the UK obesity crisis, nightmare bacteria in the US and The Duke Of Edinburgh has an operation on his hip.

For comment and story suggestions email us contact@topmedtalk.com

ERAS and cancer outcomes

April 4th, 2018

3:02

What drives enhanced recovery for you and how does it change outcomes?

Desiree Chappell presents 'The Roundtable blog'; in this clip she’s in conversation with Dr Neil Seeley Chief of anesthesia for Cancer Treatment …

POQI does review what we are doing

April 3rd, 2018

2:20

Julie Thacker discusses where we're at with enhanced recovery and POQI.

This clip, presented by Desiree Chappell at ASER 2018, is part of a longer …

Has ERAS developed an energy of its own?

March 30th, 2018

2:54

Dr George Nassif explains to Desiree Chappell of The Roundtable blog how Enhanced Recovery After Surgery has grown into a movement which has had far reaching and occasionally unexpected consequences.

The domino effect …

ERAS: Implementation and the importance of regular meetings

March 29th, 2018

2:36

Vicki Morton and Bethany Sarosiek get into a conversation about the importance of regular meetings following the process of ERAS adoption and then …

Enhanced Recovery - is there anyone still in the wilderness?

March 29th, 2018

2:59

Has enhanced recovery reached the mass adoption point or are there still medical institutions which do not know about it? Is it now at a point where the process is just going to run organically? In this podcast the team …

Should pain relief mean you will feel no pain?

March 28th, 2018

6:43

Pain is seen by many as the so-called fifth vital sign but is it reasonable to expect us to eliminate it entirely? The long term consequences for medicine and our patients are now manifesting in daily newscasts …

Journal club; balanced versus saline

March 27th, 2018

14:31

This edition of journal club looks at two articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA

One in …

Techno Talk: My PreOp

March 26th, 2018

14:11

On this episode Dr Paul Upton explains My Preop.   For more information go to: www.ultramed.co   Broadcaster Nick Margerrison presents Techno Talk; …

2.9 The Brain Health initiative

March 26th, 2018

16:50

Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation …

How is perioperative medicine taking control in 2018 and beyond?

March 24th, 2018

19:15

An intense and fascinating conversation which acts as a swift update for those interested in where perioperative medicine is currently at and what …

2.7 What does enhanced recovery mean to you?

March 19th, 2018

15:50

Ruchir Gupta and Joni Brady sit at the Roundtable with Desiree Chappell to discuss implimenting better practices and "ERAS 2.0".

The ground up approach via a 'council of nurses' sparks some fascinating debate and …

Looking back over ASER 2018

March 18th, 2018

5:59

Joff Lacey, Monty Mythen, Mike Grocott and Desiree Chappell look back at a successful and, at points very passionate, ASER 2018. What are we now …

How do you bring perioperative care to your practice?

March 18th, 2018

6:51

Arman Dagal and Desiree Chappell discuss bringing about change, managing and sustaining it over time and helping relate it to patient outcomes.

What is after ERAS, do we have an 'ERAS of ERAS' - so to speak?

How do you promote ERAS both inside and outside your facility?

March 18th, 2018

12:03

Kara Douglas and Joni Brady speak about the advantages of enhanced recovery and what practicioners can do to promote it.

Educating both the wider community and the patients themselves are an important part of the …

Monitoring patients in the post operative period

March 17th, 2018

6:44

Joff Lacey catches up with Matt McEvoy after a lively debate about monitoring patients in the post operative period.

One of the big moments of ASER 2018 - make sure you hear this.

2.8 Critical care patients and enhanced recovery

March 17th, 2018

10:29

Desiree Chappell, Philip Corvo and Vicki Morton discuss critical care patients and enhanced recovery pathways. How do the insights of ERAS apply to these situations?

ERAS Implementation

March 16th, 2018

7:19

Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit hall of ASER 2018 for a quick chat on enhanced recovery …

2.6 Enhanced recovery for liver resection patients

March 16th, 2018

12:54

Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other complex operations.

2.5 How ERAS introperative protocols drive outstanding outcomes

March 16th, 2018

9:51

Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery.

They discuss how just …

Using a team approach to care

March 16th, 2018

10:08

An entertaining and informative discussion about the implementation process, how do you bring everyone to the table?

Desiree Chappell speaks with Robin Anderson, Bethany Sarosiek and Vicki Morton, ASER nursing committee …

Heated discussions - exponential rise in babies born addicted to opiodes

March 16th, 2018

15:00

Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis.

Joff Lacey reports he heard one clinician say "over …

How has enhanced recovery changed your practice?

March 15th, 2018

12:57

Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation then moves to narcotics and the opiode epidemic.

What is ASER's vision for 2018

March 15th, 2018

7:07

The Roundtable Blog on TopMedTalk, live from ASER 2018.

Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.

Meet the TopMedTalk team for ASER 2018

March 15th, 2018

5:17

Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018.

Joff Lacey will be out and about with his roving mic getting on the spot interviews with …

The Opiate crisis - TOPMEDTALK live from ASER 2018

March 15th, 2018

13:49

Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington.

The team discuss the association between low blood pressure and outcomes and the …

"My Pre-op". Empowering patients before surgery.

March 14th, 2018

20:19

Techno Talk Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a …

Are you ready for ASER 2018?

March 14th, 2018

16:18

Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar discuss some of the big issues at ASER 2018.

The team discuss whether or not we're at …

Optimal analgesia within an enhanced recovery pathway

March 13th, 2018

5:59

Mike Grocott, Joff Lacey, Monty Mythen and Julie Thacker react to the American Society for Enhanced Recovery (ASER) and Perioperative Quality …

Journal Club Xpress: After non-cardiac surgery myocardial injury is common and dangerous.

March 12th, 2018

2:24

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, …

Journal Club: Multi-centre trial in BJA: Goal Directed Therapy improves outcomes

March 10th, 2018

1:50

Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised …

Dr Tim Miller and Dr Julie Thacker

March 10th, 2018

7:39

Dr Tim Miller, Anesthesiologist from Duke talks about opiods "we're definately opening our eyes in The States".   Also, Dr Julie Thacker, President …

Bowel Prep and Opiates

March 8th, 2018

9:04

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates.

A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage …

Is rehabilitation a team sport?

March 7th, 2018

5:02

Dr Steve Flanagan - Chair of Physical Medicine and Rehabilitation at NYU Langone.

Taken from the Roundtable discussions hosted by Desiree Chappell …

Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur

March 6th, 2018

2:14

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study

McIsaac D et al. …

Sol Aronson and Monty Mythen speak about the forthcoming EBPOM USA meeting, April 13-15th.

March 6th, 2018

10:55

Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta.

--

For more details on the upcoming Perioperative …

Journal Club Express

March 5th, 2018

1:48

2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA

One in non-critically ill patients. Click here:

Are you screening surgical patients adequately for malnutrition?

March 1st, 2018

21:17

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the recently e.published American …

The beauty of shared decision making?

February 27th, 2018

6:34

A short digest of the longer chat from Desiree Chappell's "Round Table Blog", hosted at the American College of Perioperative Medicine's …

Lifesaving news; big data delivers shocking information regarding intraoperative blood pressure - Dan Sessler at the ASA 2017

February 22nd, 2018

7:33

A stunning moment from last year's conference, captured exclusively on TopMedTalk; Monty Mythen and Mike Grocott are joined by Dr Dan Sessler (Cleveland Clinic) and Dr Tim Miller (Duke University Medical Centre) …

"A seminal moment in anaesthesia" - Julian Gore-Booth ASA 2017

February 21st, 2018

3:28

Julian Gore-Booth, Chief Executive Officer at The World Federation of Societies of Anaesthesiologists, in an exclusive interview for TopMedTalk at …

The singularity university and exponential change

February 20th, 2018

6:10

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the …

Pre-operative and post-operative rehabilitation

February 20th, 2018

7:05

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.   This is the …

Using new technology with elderly patients

February 20th, 2018

5:08
The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care.   Desiree, …

Knowing your outcomes

February 20th, 2018

7:03

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen, recorded on February the 9th, the first night of the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the …

The magic of value based care

February 20th, 2018

3:53

The first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based Care.

This is the …

Patients are the experts in being patients

February 20th, 2018

5:46

The penultimate part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the …

Perioperative care and the multidisciplinary approach

February 20th, 2018

5:07

The final part of the first round table discussion hosted by Desiree Chappell and featuring Monty Mythen; recorded on February the 9th, the opening night of the Interdisciplinary Conference on Orthopedic Value-Based …

Zeev Kain | TopMedTalks to ...

February 12th, 2018

10:48

Desiree Chappell speaks with Zeev Kain, organiser of the American college of perioperative medicine interdisciplinary conference on orthopaedic value …

The future of value based care.

February 11th, 2018

23:24

Monty Mythen and Desiree Chappell of The Roundtable blog speak with Jan Vest, C.E.O of Signature Medical Group and Josh Luke, America's leading health-care futurist and writer of "EX-Acute, a former hospital CEO tells …

Barriers and successes in value based care

February 11th, 2018

7:18

Desiree Chappell from The Round Table blog speaks with Dr. Jay Pond and Allan Beck Chief Executive Officer of the Baylor Orthopedic and Spine Hospital at Arlington.

Value based care at the Baylor Orthopedic and Spine Hospital, Arlington.

February 11th, 2018

6:31

Desiree Chappell catches up with John Boudreaux and Phillip Gallegos from the Baylor Orthopedic and Spine Hospital, Arlington. They discuss improving patient outcomes and their approach to value based care.

Utilization of pre-op management and pre-habilitation.

February 11th, 2018

11:14

Desiree Chappelle of The Round Table perioperative care blog and our very own Monty Mythen are joined by Linda Russell.

Linda is a national expert in the area of perioperative Management of Orthopedic Patients. Over the …

Rehabilitation: exercise is real medicine

February 10th, 2018

21:43

Steve Flanagan, Brian Stewart and Colleen Walsh join Desiree Chappelle and Monty Mythen on TopMedTalk in association with The Round Table …

Don't ask patients 'what is the matter' ask them what matters?

February 10th, 2018

21:24

Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most?

They are joined by …

Should you have to lose weight before you get a new knee?

February 10th, 2018

10:01

Should you have to lose weight before you get a new knee.

A short sampler from Desiree's round table discussion with TopMedTalk.

Today at value based orthopedic care 2018

February 9th, 2018

1:23

Professor Monty Mythen and the TopMedTalk team have just arrived in Southern California to join Desiree Chappell for the American College of …

Bowel prep for ERAS? President of ASER live from Washington DC meeting 2017.

January 8th, 2018

1:06

Bowel prep has moved on and become “less harmful”, patient satisfaction is now part of the process, it wasn’t always previously. How is surgical site …

Presidential visit to the Ether Dome at Massachusett's General Hospital in Boston

November 5th, 2017

7:06

Joff Lacey joins Dr Liam Brennan (President, Royal College of Anaesthestists) and Dr Andy Bailey (Addenbrooke's Hospital, Cambridge) on a trip to the …

Live from Boston ASA 2017 - The RELIEF Trial

October 23rd, 2017

16:28

The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed.

How much IV fluid should be used? Will a …

Live from Boston ASA 2017 - Life at The Extremes - trials on Everest & adapting to hypoxia

October 23rd, 2017

22:17

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 …

Live from Boston ASA 2017 - Anaesthesia and Global Health - an expert view

October 23rd, 2017

17:03

Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the …

Live from Boston ASA 2017 - Perioperative Delirium

October 22nd, 2017

17:34

A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period.

Monty Mythen and Mike Grocott are joined by their guests Dr Liam Brennan, …

Live from Boston ASA 2017 - Goal Directed Fluid Therapy - Increased Risk of Kidney Injury?

October 22nd, 2017

24:32

Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the …

Live from Boston ASA 2017 - Physiological Principles of Goal Directed Fluid Therapy - fluid responsiveness, the stressed system and the glycocalyx

October 22nd, 2017

21:15

Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the …

Live from Boston ASA 2017 - Enhanced Recovery and Protocolised Care in Cardiac Surgery

October 22nd, 2017

16:08

Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.

Live from Boston ASA 2017 - The Elephant In The Room - intraoperative hypotension

October 22nd, 2017

20:55

A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure …

Live from Boston ASA 2017 - Intraoperative Goal Directed Fluid Therapy - where do we stand?

October 22nd, 2017

21:02

This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the …

Live from Boston ASA 2017 - The Bigger Picture of Perioperative Medicine - the UK and USA perspective

October 21st, 2017

18:13

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

Live from Boston ASA 2017 - Perioperative Medicine in USA

October 21st, 2017

17:46

Anaesthesiology has reached a moment of great change, the discipline is evolving rapidly. With change comes opportunity, this conversation explores …

Podcast 3: Live from Boston ASA 2017 – Perioperative Medicine and the Perioperative Surgical Home – are we talking the same language?

October 21st, 2017

20:16

Discussion about the challenge of delivering patient-centred, value-driven healthcare.

Value based care is discussed, value for the patient is emphasised and discussion is had about how much people trust hospitals and …

Podcast 2: Live from Boston ASA 2017 - The big challenge of big trials

October 21st, 2017

16:45

The challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adopt new techniques? Goal directed fluid therapy, as an example, seems …

Podcast 1: Live from Boston ASA 2017 - Anaesthesia and the Perioperative Medicine movement

October 21st, 2017

15:23

The largest gathering of anaesthesiologists in the world; feel as if you're there with the TopMedTalk team at ASA 2017.

This discussion covers the …

Anesthesiology 2017 intro

October 17th, 2017

1:12

TopMedTalk ASA 2017 mission statement.

The start of our live coverage from Boston.

Urine output

September 4th, 2017

3:44

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

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

Renal Injury Biomarkers

September 4th, 2017

2:08

How do cell cycle arrest biomarkers offer hope?

Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh and Dr …

Perioperative Nephrology Fluids and the Kidney

September 4th, 2017

10:42

Professor John Kellum gives a thumbnail sketch summary of the fluid debate.

Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The University …

Intraoperative Hypotension

September 4th, 2017

8:25

Reactions to one of the big take away points of EBPOM 2017, intraoperative hypotension lower than 65 mmHg appears to show a close correlation to terrible, sometimes fatal, outcomes.

Presented by Professor Monty Mythen …

Risk of Surgery

September 4th, 2017

8:28

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 …

Refusing Surgery

September 4th, 2017

6:10

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

Fitness for surgery

September 4th, 2017

8:01

Fitness for surgery and an understanding of the realities of risk. How important is it for surgery to take place when balanced against the specific health of the patient? How do we encourage patients to alter …

Perioperative Enhancement Teams

August 30th, 2017

6:07

ASER 2017 and the POET acronym - a truly multidisciplinary Perioperative Enhancement Team; responsible for project managing optimisation programmes.

Pain Management for ESR "optimal analgesia"

August 30th, 2017

3:34

Pain Relief in Enhanced Surgical Recovery.

Monty Mythen asks Dr Joff Lacey and Professor Mike Grocott to reflect on the pain management discussions from day 1 of the American Society of Enhanced Recovery 2017.

For …

Standardised Outcomes from Surgery. Drink, Eat, Mobilise (DrEaM)

August 30th, 2017

2:54

Dr Ramani Moonesinghe on Standardised Outcomes from Major Surgery.

Dr Joff Lacey and Professor Monty Mythen talk to Dr Ramani Moonesinghe, Director …

Length of stay after Major Surgery. Less than 3 days with >90% mobilised on day 1.

August 30th, 2017

9:27

Discussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and outcome measures. This in depth discussion relates to the recently …

Critical Care Provision after Major Surgery

August 30th, 2017

2:29

What is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after …

Bowel Prep for colorectal surgery patients on enhanced recovery pathways?

August 30th, 2017

4:33

Bowel Prep and Enhanced Recovery After Surgery.

Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery …

Too many patients presenting for surgery are malnourished. We need to do more to fix this.

August 30th, 2017

5:31

"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery.

Fit for Surgery? Can exercise fight cancer?

August 30th, 2017

3:59

Fit 4 Surgery School and can exercise help fight cancer.

Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation …

What I tell my patients to expect after colorectal surgery.

August 30th, 2017

3:07

Colorectal surgery and Enhanced Surgical Recovery.

Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and …

Goals for Short Term Recovery after Major Surgery

August 30th, 2017

2:38

(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery.

Attend our next meeting: http://www.ebpom.org/EBPOM-USA

Measuring Outcomes following Surgery.

August 30th, 2017

9:42

Measuring Outcomes

Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways.

Dr …

The Perioperative Quality Initiative at ASER 2017

August 30th, 2017

4:26

Discussion of the ASER and POQI papers of 2017.

Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of …

Enhanced Surgical Recovery: Goal Directed for all ESR Patients? DR Tim Miller, Duke, USA

August 30th, 2017

5:01

Dr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and …

Perioperative Fluid Management. Get that i.v. down ASAP!

August 30th, 2017

8:57

Reflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down.

Monty Mythen is presenting with his guest Dr Scott …

Enhanced Surgical Recovery: Tackling the Narcotic Crisis

August 30th, 2017

5:44

The horrors of 'the opioid crisis'.

The fuller version of this piece is to be found here: 

ERAS: Team working and managing change

August 30th, 2017

2:45

Dr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA.

Multidisciplinary teams and managing change - …

EBPOM 2017 - Pod Two - LIVE from London

July 26th, 2017

26:55

The team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of
surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it …

EBPOM 2017 - Pod One - LIVE from London

July 26th, 2017

35:00

This discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The  Intraoperative hypotension …

ASER/EBPOM 2017 Recap - Pod Three - LIVE from London

July 26th, 2017

1:02:13

Discussion includes a recap of the last few podcasts.

Desiree Chappell joins us to update the team on 'the opioid crisis'; 50 overdoses in a twenty …

ASER/EBPOM 2017 - Pod Two - LIVE from Washington DC

July 26th, 2017

31:45

In this piece you will hear more discussion regarding the POQI papers, a growing concensus on goal directed fluid therapy and the move away from …

ASER/EBPOM 2017 - Pod One - LIVE from Washington DC

July 26th, 2017

29:14

ASER 2017 a “truly multidisciplinary conference” and "one of the best ones yet"; looking to continue to increase membership and push further …

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